Articles

Inadvertent arterial & venous injury by bone marrow biopsy needle: case report on rescue embolization techniques

Bone marrow biopsy is a common medical procedure for diagnosis and characterization of haematological diseases. It is generally regarded as a safe procedure with low rate of major complications. Inadvertent va...

Authors: Chris Siu-Chun Tsai and Simon Chun-Ho Yu

Superior mesenteric artery outcomes after large fenestration strut relocation with the Zenith Fenestrated endoprosthesis

The Zenith® Fenestrated (ZFen) stent-graft is frequently configured with a strut-spanning large fenestration for superior mesenteric artery (SMA) incorporation. This has led some to relocate struts to create a...

Authors: Aleem K. Mirza, Timothy M. Sullivan, Nedaa Skeik and Jesse Manunga

The roles of iodized oil-based lymphangiography and post-lymphangiographic computed tomography for specific lymphatic intervention planning in patients with postoperative lymphatic fistula: a literature review and case series

In the management of patients with postoperative lymphatic fistula (LF) in different locations, iodized oil-based lymphangiography (LAG) from trans-pedal or intranodal route is an established diagnostic approa...

Authors: F. Pan, M. Loos, T. D. Do, G. M. Richter, H. U. Kauczor, T. Hackert and C. M. Sommer

Uterine fibroid embolisation: advocating women’s choice for uterine salvage

Authors: Warren Clements

Role of interventional radiology in line insertion on intensive care during the Covid-19 pandemic

Authors: Tom Cavenagh, Sofia Katsari, Bhavin Kawa, Raham Karimaghaei, Vyzantios Pavlidis, Vasileios Patsiogiannis, Nikolaos Ntagiantas, Joo-Young Chun, Seyed Renani, Leto Mailli, Michael Gonsalves, Lakshmi Ratnam, Raj Das and Robert Morgan

Pelvic vein embolization: an assessment of the readability and quality of online information for patients

Pelvic congestion syndrome is a controversial topic. Pelvic vein embolization is a minimally invasive treatment for pelvic congestion syndrome. We aimed to assess the quality of information available on the In...

Authors: R. J. Lee, D. C. O’Neill, M. Brassil, J. Alderson and M. J. Lee

Endovascular treatment of an obstructive membrane between inferior vena cava and right atrium in an unrecognized Budd-Chiari syndrome

Budd-Chiari syndrome is defined as a hepatic venous outflow track obstruction of various etiology, which appears at different levels. The inferior vena cava outflow membrane is an unusual, but a potentially tr...

Authors: Maja Strozzi, Kristina Maric Besic, Knezevic Stromar Ivana and Anić Darko

Trans-Radial Approach: technical and clinical outcomes in neurovascular procedures

To evaluate efficacy and safety of Trans-Radial Approach (TRA) in cerebral angiography for diagnostic and therapeutic purpose.

Authors: D. G. Romano, G. Frauenfelder, S. Tartaglione, F. Diana and R. Saponiero

Transhepatic endovascular repair for portal vein haemorrhage

Post-surgical bleeding of the main portal vein (PV) is a rare event but difficult to manage surgically. Among the different options of treatment, endovascular stenting of the PV can be considered.

Authors: Lorenzo Carlo Pescatori, Hicham Kobeiter, Youssef Zaarour, Edouard Herin, Manuel Vitellius and Vania Tacher

Hybrid CT-angiography to facilitate lower extremity sharp venous recanalization: a novel approach to a common procedure

Post-thrombotic syndrome due to chronic venous occlusion is associated with high morbidity and healthcare costs. Sharp venous recanalization has been used with success when conventional techniques fail to cros...

Authors: Monica M. Matsumoto, Karan Nijhawan, Jeffrey A. Leef, Chelsea Dorsey and Osman Ahmed

Transjugular intrahepatic portosystemic shunt creation via isolated persistent left superior vena cava: a case series

Isolated persistent left superior vena cava (PLSVC) is a rare vascular anatomic variant, which can be an incidental finding at the time of an endovascular procedure.

Authors: Spencer B. Lewis, Guy E. Johnson, Karim Valji, Eric J. Monroe, Christopher R. Ingraham, Jeffrey Forris Beecham Chick and David S. Shin

Inline balloon-assisted vascular sheath fragment removal

Unretrievable foreign bodies are associated with high morbidity and mortality. While the majority of reported cases involve the venous circulation, intra-arterial foreign body displacement have the potential t...

Authors: Neema Jamshidi and Jason Chiang

A case of bleeding from maxillary carcinoma embolized from the maxillary and ophthalmic arteries

The majority of maxillary sinus cancers are advanced at initial detection due to anatomical limitations and lack of early symptoms. In patients with orbital invasion, the feeding arteries of the tumor are ofte...

Authors: Takayuki Sanomura, Takashi Norikane, Kengo Fujimoto, Masahiko Kawanishi, Hiroshi Hoshikawa and Yoshihiro Nishiyama

Successful application of the snare technique for the deployment of the proximal portion of a Zenith Alpha Thoracic Endovascular Graft: a case report

Open surgery can be required or even fatal if incomplete deployment of stent graft (SG) occurs. We herein report the first case in which a snare was successfully used to perform endovascular therapeutic troubl...

Authors: Hiroki Nagayama, Tetsuhiro Otsuka, Atsushi Miyazaki, Shunsuke Taguchi, Seiji Matsukuma and Tsuneo Ariyoshi

Ruptured pancreaticoduodenal pseudoaneurysm causing arterioportal fistula: combined transarterial and transportal embolization

Arterioportal fistulas are rare vascular disorders of the abdominal viscera. They are arteriovenous communications between the splanchnic arteries and the portal vein or its tributaries. We herein report a cas...

Authors: Nobuo Waguri, Rie Azumi, Akihiko Osaki, Munehiro Sato, Tsuneo Aiba and Koichi Furukawa

Two effective cases of additional pedal artery angioplasty for severe lower limb ischemia following acute thrombotic artery occlusion with hypercoagulable state diseases

Acute limb ischemia (ALI) and critical limb ischemia (CLI) following ALI are life-threatening diseases. The rare potential causes of ALI include hypercoagulable state diseases, such as antiphospholipid syndrom...

Authors: Keisuke Shoji, Kan Zen, Kenji Yanishi, Noriyuki Wakana, Naohiko Nakanishi, Takeshi Nakamura and Satoaki Matoba

Superior hypogastric nerve block (SHNB) for pain control after uterine fibroid embolization (UFE): technique and troubleshooting

Superior Hypogastric nerve Block (SHNB) has been shown to be an effective pain management technique after Uterine Fibroid Embolization (UFE), reducing the need for opiates and allowing same-day discharge after...

Authors: Keith Pereira, Louis Maurice Morel-Ovalle, Mehdi Taghipour, Afsheen Sherwani, Roshni Parikh, Jerome Kao and Kirubahara Vaheesan

Audit of electronic operative documentation in interventional radiology: the value of standardised proformas

On the background of the interventional radiology department of a tertiary hospital converting its periprocedural documentation from paper-based to electronic using a standardised proforma, a study was perform...

Authors: Iakovos Theodoulou, Rhys Judd, U. Raja, N. Karunanithy, Tarun Sabharwal, Afshin Gangi and Athanasios Diamantopoulos

Fluoroscopically-guided interventions with radiation doses exceeding 5000 mGy reference point air kerma: a dosimetric analysis of 89,549 interventional radiology, neurointerventional radiology, vascular surgery, and neurosurgery encounters

To quantify and categorize fluoroscopically-guided procedures with radiation doses exceeding 5000 mGy reference point air kerma (K_a,r). K_a,r > 5000 mGy has been defined as a “significant radiation dose” by the So...

Authors: Jacob J. Bundy, Ian W. McCracken, David S. Shin, Eric J. Monroe, Guy E. Johnson, Christopher R. Ingraham, Kalpana M. Kanal, Richa A. Bundy, Sean T. Jones, Karim Valji and Jeffrey Forris Beecham Chick

A case report of a perigraft inflammatory reaction to a Viabahn stent-graft: diagnosis with MRI and treatment with steroids

Perigraft inflammatory reactions to prosthetic graft materials in vascular surgery have been reported; however, to our knowledge, this is the first report of a perigraft inflammatory reaction to a Viabahn sten...

Authors: Tetsuya Yamamoto, Kenzo Uzu, Takahiro Sawada, Tomofumi Takaya and Hiroya Kawai

Mid-term outcome of transarterial embolization of renal artery pseudoaneurysm and arteriovenous fistula after partial nephrectomy screened by early postoperative contrast-enhanced CT

To retrospectively evaluate the mid-term outcome of transarterial embolization (TAE) of renal artery pseudoaneurysm (RAP) including arteriovenous fistula (AVF) after partial nephrectomy screened by early posto...

Authors: Satoru Morita, Yuka Matsuzaki, Takahiro Yamamoto, Kumi Kamoshida, Hiroshi Yamazaki, Tsuyoshi Tajima, Tsunenori Kondo, Toshio Takagi, Kazuhiko Yoshida, Kazunari Tanabe and Shuji Sakai

To the editor: Interventional radiology in the COVID-19 era: Crisis and opportunity

Authors: Konstantinos Katsanos, Panagiotis Kitrou and Dimitrios Karnabatidis

Treatment of visceral artery aneurysms and pseudoaneurysms with the use of cerebral flow diverting stents: initial experience

Flow-diverter stents (FDS) are designed to maintain laminar flow in the parent artery and sidebranches and to promote thrombosis of the aneurysm. Although these devices were developed for use in intracranial c...

Authors: Paolo Rabuffi, Antonio Bruni, Enzo Gabriele Maria Antonuccio, Cesare Ambrogi and Simone Vagnarelli

Magnetic resonance venography for 3-dimensional live guidance during venous sinus stenting

The purpose of this study was to report the technique for intraprocedural guidance of endovascular Venous Sinus Stenting procedures using 3-Dimensional (3D) Magnetic Resonance Venography (MRV) as an overlay on...

Authors: Vaishnavi Kishore, Sri Hari Sundararajan, Raphael Doustaly, Marissa Michael, Dwight Xuan, Thomas Link, Benjamin Rapoport and Athos Patsalides

Achievable aspiration flow rates with large balloon guide catheters during carotid artery stenting

Emergency carotid artery stenting (CAS) is a frequent endovascular procedure, especially in combination with intracranial thrombectomy. Balloon guide catheters are frequently used in these procedures. Our aim ...

Authors: Tilman Schubert, Leonardo Rivera-Rivera, Alejandro Roldan-Alzate, Daniel Consigny, Lorenz Leitner, Charles Strother and Beverly Aagaard-Kienitz

Endovascular management of an unsual case of spontaneous Retroperitoneal Haemorrhage due to Fibromuscular Dysplasia

Fibromuscular dysplasia (FMD) is an uncommon vascular disease that results in stenosis, dissection or aneurysmal degeneration. However, it can sometimes manifest atypically, as we show in this case.

Authors: Juan David Molina-Nuevo, Lorena López-Martínez, María José Pedrosa-Jiménez and Enrique Juliá-Molla

Prostatic artery embolization with polyethylene glycol microspheres: evaluation in a canine spontaneous benign prostatic hyperplasia model

Prostatic artery embolization (PAE) is a minimally invasive technique for the management of symptomatic benign prostatic hyperplasia (BPH) relieving the lower urinary tract symptoms in patients. Various emboli...

Authors: Vanesa Lucas Cava, Francisco Miguel Sánchez Margallo, Claudia Báez Díaz, Luis Dávila Gómez, Juan Rafael Lima Rodríguez and Fei Sun

Successful re-entry using the outback® elite catheter via retrograde popliteal access with IVUS guidance for femoropopliteal occlusion: a case report

There are still cases that are difficult to treat for femoropopliteal chronic total occlusion (CTO). The Outback® Elite catheter is effective re-entry device to treat such kind of difficult cases, however, it ...

Authors: Naoki Hayakawa, Satoshi Kodera, Masataka Arakawa and Junji Kanda

Balloon-assisted coil embolization (BACE) of a wide-necked aneurysm of the inferior pancreaticoduodenal artery

Aneurysms of the pancreaticoduodenal arcades are an uncommon pathology, with a prevalence of 2%, and could be congenital or acquired. Treatment of visceral aneurysms is therefore generally recommended when the...

Authors: Francesco Modestino, Alberta Cappelli, Cristina Mosconi, Giuliano Peta, Antonio Bruno, Giulio Vara, Caterina De Benedictis and Rita Golfieri

Haemoptysis treated by bronchial artery embolisation in severe acute respiratory syndrome coronavirus 2: case report

We found no data in the literature on the embolization of the bronchial arteries in the context of hemoptysis associated with severe acute respiratory syndrome coronavirus 2. We therefore decided to share this...

Authors: Salvatore Murgo, Olivier Lheureux, Fabio Taccone, Michael Vouche and Jafar Golzarian

Endovascular management of recurrent hemarthrosis of the knee: a case series

Recurrent hemarthrosis of the knee is an uncommon but potentially debilitating occurrence with multiple etiologies, including previous total knee replacement. The purpose of this study is to present data of a ...

Authors: Richard Pow, Brett Fritsch, Richard Waugh and Chris Rogan

Balloon-assisted Transcatheter arterial embolization using N-butyl cyanoacrylate for iatrogenic arterial bleeding by groin puncture: a new technology

Balloon-assisted transcatheter arterial embolization (TAE) using n-butyl cyanoacrylate (NBCA) and lipiodol (Lp) mixture is a new endovascular treatment technique for iatrogenic arterial bleeding by groin punct...

Authors: Tatsuo Ueda, Satoru Murata, Hidemasa Saito, Izumi Miki, Daisuke Yasui, Fumie Sugihara, Wataru Shimizu and Shin-Ichiro Kumita

Coil embolization of a thoracic aorta hematoma with branch artery pseudoaneurysm – case report

A thoracic aorta hematoma with branch artery pseudonaneurysm is a very rare complication of thoraric blunt trauma. The standard treatment of this type of injury is aortic endograft placement.

Authors: Lorant Szabo, Tomas Reyes del Castillo, David Benz, J. Roos, Robert Seelos and Ruben Lopez-Benitez

The p48 MW flow modulation device for treatment of unruptured, saccular intracranial aneurysms: a single center experience from 77 consecutive aneurysms

The p48 MW Flow Modulation Device (phenox, Bochum Germany) is a low profile flow diverter stent (FDS), designed for implantation into intracranial arteries with a diameter of less than 3.5 mm.

Authors: Muhammad AlMatter, Elina Henkes, Alexander Sirakov, Marta Aguilar Pérez, Victoria Hellstern, Carmen Serna Candel, Oliver Ganslandt and Hans Henkes

Single institutional experience of peripheral applications of a liquid embolic agent: Ethylene Vinyl Alcohol Copolymer

To evaluate the safety and efficacy of ethylene vinyl alcohol (EVOH) copolymer for the treatment of a variety of peripheral vascular pathologies.

Authors: Abhijit L. Salaskar, Faezeh Razjouyan, Alexander L. Cho, Rishi R. Sood, Andrew Akman, Daniel Scher, Anthony C. Venbrux and Shawn N. Sarin

Spontaneous rupture of the pancreatic arcade artery caused by neurofibromatosis type 1 successfully treated using emergency transcatheter arterial embolization, partial intra-aortic balloon occlusion, and stent graft placement: a case report and review of the literature

Vascular abnormalities in neurofibromatosis type 1 (NF1) are rare, but are the second leading cause of death in persons with NF1. In NF1 vasculopathy (NF-V), fatal bleeding due to a spontaneous arterial ruptur...

Authors: Ryo Morita, Daisuke Abo, Takeshi Soyama, Yuki Yoshino, Toru Yoshikawa, Tasuku Kimura and Kohsuke Kudo

Left omental artery bleeding in two patients with segmental arterial mediolysis successfully isolated with coil embolization

Segmental arterial mediolysis (SAM) is a rare, nonatherosclerotic, noninflammatory arteriopathy of unknown etiology, rarely involving omental artery (OA). No case reports have described left OA bleeding succes...

Authors: Tomoya Nishiyama, Daisuke Yamada, Ken Oba and Yasuyuki Kurihara

Antegrade or retrograde approach for thoracic duct embolization? Inhalation may be part of the answer

Authors: Gérald Gahide and Karl Sam

Unnecessary hysterectomies and our role as interventional radiology community

Authors: Gregory C. Makris, Saqib Butt and Tarun Sabharwal

Short-term follow-up of embolization of hip synovitis

Osteoarthritis (OA) is the most frequent joint disease, affecting 10% of men and 18% of women older than 60 years worldwide. Traditionally, treatment is based in pain management with joint replacement of end-s...

Authors: Mateus Picada Correa, Renan Camargo Puton, Jaber Nashat Saleh, Rafael Stevan Noel, Luis Henrique Penteado da Silva, Daniela Medeiros de Castro and Julio Cesar de Mello Bajesrki

IR voices about COVID 19

Authors: Robert Morgan, Mohammad Arabi, Yasuaki Arai, Marco Das, Jafar Golzarian, Andrew Holden, Shuvro H. Roy-Choudhury, Stavros Spiliopoulos, Gao-Jun Teng and Maria Tsitskari

Study protocol of a pilot study on sirolimus-coated balloon angioplasty in salvaging clotted arteriovenous graft

In arteriovenous graft (AVG) for haemodialysis, the primary cause of failure is venous stenosis of the graft-vein junction from neointimal hyperplasia (NIH), resulting in thrombosis. While interventions to sal...

Authors: Ru Yu Tan, Chee Wooi Tan, Suh Chien Pang, Marjorie Wai Yin Foo, Tjun Yip Tang, Apoorva Gogna, Tze Tec Chong and Chieh Suai Tan

Endovascular flow-diversion of visceral and renal artery aneurysms using dual-layer braided nitinol carotid stents

Visceral and renal artery aneurysms (VRAAs) are uncommon but are associated with a high mortality rate in the event of rupture. Endovascular treatment is now first line in many centres, but preservation of art...

Authors: Penelope van Veenendaal, Julian Maingard, Hong Kuan Kok, Dinesh Ranatunga, Tim Buckenham, Ronil V. Chandra, Michael J. Lee, Duncan Mark Brooks and Hamed Asadi

Response of UK interventional radiologists to the COVID-19 pandemic – survey findings

The COVID-19 pandemic has had an unprecedented effect upon the National Health Service (NHS). Like other specialties, Interventional Radiology (IR) rapidly adapted to the evolving situation. Members of BSIR we...

Authors: Sammy Rostampour, Trevor Cleveland, Hilary White, Philip Haslam, Ian McCafferty and Mo Hamady

Intraprocedural guidance for recanalization of post-thrombotic venous lesions using live overlay of center lines from pre-operative cross-sectional imaging: a preliminary experience

Pre-procedural contrast-enhanced CT and MRI imaging is typically acquired prior to deep venous recanalization procedures for post-thrombotic syndrome. This technical note reports the utility of live-overlay of...

Authors: Sri Hari Sundararajan, Raphael Doustaly, Gregoire Avignon, David C. Madoff and Ronald S. Winokur

Coil-assisted retrograde transvenous obliteration (CARTO) for the treatment of gastric varices via a single access route using steerable microcatheter: a case report

Coil-assisted retrograde transvenous obliteration (CARTO) is a modified balloon-occluded retrograde transvenous obliteration (BRTO) technique using coils instead of an indwelling balloon. A method involving tw...

Authors: Kanako Terada, Takahiro Ogi, Norihide Yoneda, Akira Yokka, Takumi Sugiura, Wataru Koda, Satoshi Kobayashi and Toshifumi Gabata

Percutaneous treatment of vascular access-site complications: a ten years’ experience in two centres

The spread of percutaneous arterial catheterization in diagnostic and therapeutic procedures has led to a parallel increase of vascular access site complications. The incidence of these events is between 0.2–1...

Authors: Roberto Minici, Sara Paone, Marisa Talarico, Lorenzo Zappia, Karim Abdalla, Maria Petullà and Domenico Laganà

Acute kidney injury following percutaneous mechanical thrombectomy of subclavian artery stent graft thrombosis: a case report

Percutaneous mechanical thrombectomy (PMT) is a well-established technique for treatment of acute arterial and venous thrombosis which inevitably leads to intravascular erythrocyte hemolysis, resulting in hemo...

Authors: Tajana Turk, Darko Blaskovic, Ranko Smiljanic and Vinko Vidjak

Adult-onset portosystemic encephalopathy caused by patent ductus venosus successfully treated with endovascular coil embolization: a rare case report

Patent ductus venosus (PDV) is a congenital shunt between the portal vein (PV) and inferior vena cava (IVC). However, there are few reports on symptomatic adult-onset PDV, and the appropriate management of thi...

Authors: Hiromi Muranishi and Yasuo Komura

European Society for Vascular Surgery (ESVS) 2020 clinical practice guidelines on the management of acute limb ischaemia; a word of caution!

Authors: M. Hamady and S. Müller-Hülsbeck