Articles

Alternative crossing technique for iliaco-femoro-popliteal CTOs with a catheter only

The standard approach for crossing peripheral CTOs is to use a combination of hydrophilic guidewires and catheters. The path is either intraluminally or in most cases at least partially subintimal. This standa...

Authors: Marc Cunier, Arash Najafi, Gabriel T. Sheikh and Christoph A. Binkert

Early outcomes using dedicated venous stents in the upper limb of patients with venous thoracic outlet syndrome: A single centre experience

Surgical management of Venous Thoracic Outlet Syndrome (vTOS) is based upon resection of the first rib. The optimal method to treat any residual venous scarring however remains unclear. The purpose of this stu...

Authors: Saissan Rajendran, Tommy Y. Cai, Jacky Loa, Prakash Saha and Steven Dubenec

Pseudoaneurysm: a rare complication of distal transradial access in the anatomical snuffbox

This report presents a case of distal radial artery pseudoaneurysm following cardiac catheterization and its successful endovascular management. Due to its novelty as a catheterization site, few to no reports ...

Authors: Maryam Boumezrag, Bianca Ummat, Jonathan Reiner, Anthony Venbrux and Shawn Sarin

Full recovery after non-target cerebral embolization of n-butyl-cyanoacrylate occurred during emergency treatment of a facial arteriovenous malformation

Non-target embolization is a well-known complication of endovascular procedures for arteriovenous malformation. However, few reports have described non target encephalic embolization, detailing its temporal ev...

Authors: Ezio Lanza, Nicolò Gennaro, Dario Poretti, Laura Straffi, Simona Marcheselli, Marco Tramarin and Vittorio Pedicini

Letter to Editor - What makes a sustainable 24/7/365 Interventional radiology service

In this Letter to the Editor, the writer, shares his experience on providing a sustainable 24/7/365 interventional radiology service. Sufficient manpower resources, adequate bandwidth for quality personal and ...

Authors: Hui Seong TEH

Implementation of uterine artery embolization for symptomatic fibroids in the Netherlands: an inventory and preference study

The Dutch national guideline on heavy menstrual bleeding was updated and published in 2013. It recommended (for the first time) that uterine artery embolization (UAE) should be part of counseling of women with...

Authors: Annefleur M. de Bruijn, Jolijn Huisman, Wouter J. K. Hehenkamp, Paul N. M. Lohle, Jim A. Reekers, Anne Timmermans and Andries R. H. Twijnstra

Precipitating hydrophobic injectable liquid (PHIL) embolic for the treatment of a uterine arteriovenous malformation: a technical report

Uterine arteriovenous malformations (AVM) are unusual causes of vaginal bleeding. Although hysterectomy is the definitive treatment; uterine artery embolization (UAE) provides an alternative therapeutic option...

Authors: Dylan Kurda, Geetha Guduguntla, Julian Maingard, Hong Kuan Kok and Shivendra Lalloo

Endovascular treatment of ureteroarterial fistula using a covered stent, evaluated by intravascular ultrasound: a case report

Ureteroarterial fistula is a rare life-threatening complication of indwelling ureteral stents. The mechanism has not yet been fully evaluated using intravascular imaging.

Authors: Kazunori Horie, Toshiya Fujiwara, Kiyofumi Satoyoshi, Masato Munehisa and Naoto Inoue

Endovascular treatment of visceral artery and renal aneurysms (VRAA) using a constant mesh density flow diverting stent

Flow diverting stents have been used safely and effectively for the treatment of intracranial aneurysms, particularly for large and wide necked aneurysms that are not amenable to conventional endovascular trea...

Authors: Julian Maingard, Anthony Lamanna, Hong Kuan Kok, Dinesh Ranatunga, Rajeev Ravi, Ronil V. Chandra, Michael J. Lee, Duncan Mark Brooks and Hamed Asadi

Percutaneous treatment of IVC obstruction due to post-resection hepatic torsion associated with IVC thrombosis

Migration of the left hepatic lobe into the potential space following right lobe resection can result in torsion and hepatic venous outflow obstruction with compromised venous return from the IVC. If untreated...

Authors: Thuong G. Van Ha, Thomas G. Tullius Jr, Rakesh Navuluri, J. Michael Millis and Jeffrey A. Leef

Outcome of Nellix-EVAS: single center mid-term results

Endovascular aortic sealing (EVAS) using the Nellix system was a new approach to reduce the frequency of type II endoleaks after endovascular aortic repair. We analyzed the mid-term results, specifically looki...

Authors: Arash Najafi, Gabriel Tobias Sheikh, Pius Wigger and Christoph A. Binkert

Successful endovascular coil embolization of large pseudoaneurysm of ductus arteriosus diverticulum

Pseudoaneurysm of the ductus arteriosus diverticulum, although rare in adults, may have catastrophic consequences if left untreated due to erosion and rupture of the pseudoaneurysm into adjacent thoracic struc...

Authors: David Buechner, Veronica Lippuner, Kristine DeMaio, F. Daniel Donovan Jr, Philip R. Weber and G. Phillip Schoettle

Review of proximal splenic artery embolization in blunt abdominal trauma

The spleen is the most commonly injured organ in blunt abdominal trauma. Unstable patients undergo laparotomy and splenectomy. Stable patients with lower grade injuries are treated conservatively; those stable...

Authors: Keith Bertram Quencer and Tyler Andrew Smith

Local recurrence of renal cell carcinoma presented with massive gastrointestinal bleeding: management with renal artery embolization

Gastrointestinal bleeding from renal cell carcinoma metastasis is an uncommon manifestation of tumor recurrence and is usually difficult to control. Palliative trans-catheter embolization to control the bleedi...

Authors: Donya Farrokh, Masoud Pezeshki Rad, Reihaneh Mortazavi, Reza Akhavan and Bita Abbasi

Thoracic endovascular repair of a rare case of leaking aortic arch intramural hematoma secondary to Giant cell arteritis

Traditionally thoracic aortic aneurysms (TAA) secondary to Giant Cell Arteritis (GCA) were treated with resection and open repair. However no prior studies have reported an aortic intramural hematoma (IMH) as ...

Authors: Abhijit Salaskar, Farzad Najam, Elizabeth Pocock and Shawn Sarin

Transcatheter embolization with Squid, combined with other embolic agents or alone, in different abdominal diseases: a single-center experience in 30 patients

Squid, as Onyx, is an ethylene-vinyl alcohol copolymer (EVOH)-based liquid embolic agent developed for neuroradiologic interventions with poor application in abdominal district. Our aim was to evaluate safety,...

Authors: Massimo Venturini, Carolina Lanza, Paolo Marra, Anna Colarieti, Marta Panzeri, Luigi Augello, Simone Gusmini, Marco Salvioni, Francesco De Cobelli and Alessandro Del Maschio

Prostate embolization: patient selection, clinical management and results

Prostate artery embolization is an emerging technique, that with the continued publication of promising data, is slowly moving from the research to the everyday clinical setting.

Authors: Shamar Young and Jafar Golzarian

Viabahn stent graft in the management of a grade 3 coronary perforation

Coronary artery perforation during coronary intervention has high morbidity and mortality. This case describes the collaboration between interventional cardiologists and Interventional radiologists to successf...

Authors: Conrad von Stempel, Hossam Fayed, John Antony Goode, Sundeep Kalra and Niket Patel

Transcaval approach for embolization of type II Endoleak following endovascular aortic aneurysm repair

Type II endoleak is a common complication following endovascular aortic aneurysm repair and can lead to an increased risk of aneurysmal expansion and rupture. The most frequently employed strategies to treat T...

Authors: Eddie Hyatt, Joseph N. McLaughlin, Hriday Shah and Sanjeeva P. Kalva

For the times they are a-changin’?

Authors: Jim A. Reekers

Randomised trial of two embolic agents for uterine artery embolisation for fibroids: Gelfoam versus Embospheres (RAGE trial)

Uterine artery embolisation (UAE) is an established treatment option for women with symptomatic uterine fibroids who wish to avoid surgery. However the most efficacious embolic agent remains uncertain.

Authors: R. Yadavali, G. Ananthakrishnan, M. Sim, K. Monaghan, G. McNaught, I. Hamoodi, F. Bryden, S. Lassman and J. G. Moss

Endovascular management of unruptured intercostal artery aneurysms

Intercostal artery aneurysms are rare vascular abnormalities that are typically diagnosed following rupture in patients with predisposing conditions. Our report is the first to document a patient with unruptur...

Authors: Andrew Fenwick, Patrick Omotoso and Darren Ferguson

Trans biliary proximal and distal coil embolization of an arteriobiliary fistula: report of a case and review of literature

Hepatic arterial injury is an uncommon complication of percutaneous transhepatic biliary drainage interventions that commonly presents with hemobilia and peri catheter hemorrhage. It is classically managed wit...

Authors: Faris Galambo and Majid Maybody

Multi loop snare technique for difficult inferior vena cava filter retrievals

Use of optional vena cava filters has steadily increased. In the majority of cases removal is successful using standard techniques. In cases of tilting and migration of the filter however, more advanced techni...

Authors: Arash Najafi, Katerina Koulia, Philippe Aubert and Christoph A. Binkert

Bladder wall and surrounding tissue necrosis following bilateral superselective embolization of internal iliac artery branches due to uncontrollable haematuria related to bladder tumor: case report

Case of urinary bladder wall and surrounding tissue necrosis following bilateral superselective embolization of internal iliac artery branches due to unmanageable haematuria associated with aggressive bladder ...

Authors: Andrey Tarkhanov, Gabriel Bartal, Sergey Druzhin, Rafael Shakhbazyan, Evgenii Grebenev and Maxim Kartashov

Catheter-directed thrombolysis versus percutaneous mechanical thrombectomy in the management of acute limb ischemia: a single center review

Acute limb ischemia is associated with significant mortality and amputation rate. Early restoration of flow can be obtained by various treatment methods that include catheter-directed thrombolysis (CDT) and pe...

Authors: Ravi Kumar Muli Jogi, Karthikeyan Damodharan, Hing Lun leong, Allison Chek Swee Tan, Sivanathan Chandramohan, Nanda Kumar Karaddi Venkatanarasimha, Farah Gillan Irani, Ankur Patel, Apoorva Gogna, Kiang Hiong Tay and Thijs August Johan Urlings

Replaced gastroduodenal artery with continuation as accessory left hepatic artery: a rare anatomical variant

Presented here is a rare case of a gastroduodenal artery (GDA) replaced to the superior mesenteric artery with continuation into an accessory left hepatic artery. To the authors’ knowledge, this rare anomaly i...

Authors: Jesse Chen, Amit Ramjit and Noor Ahmad

Trans-arterial embolisation (TAE) in haemorrhagic pelvic injury: review of management and mid-term outcome of a major trauma centre

Management of pelvic fracture associated haemorrhage is often complex with high morbidity and mortality rates. Different treatment options are used to control bleeding with an on-going discussion in the trauma...

Authors: Amir Awwad, Permesh Singh Dhillon, Greg Ramjas, Said B. Habib and Waleed Al-Obaydi

Radiofrequency wire ‘power wire’ recanalization of calcified chronically occluded inferior vena cava

Radiofrequency (RF) wire recanalization of short segments of central venous obstruction has been considered safe; however its use for recanalization of long segments of inferior vena cava (IVC) has not been re...

Authors: Abhijit Salaskar, Michael Ferra, Harish Narayanan, Rishi Sood, Daniel Scher, Albert Chun, Anthony Venbrux and Shawn Sarin

Uterine artery pseudoaneurysm requiring embolization in pregnancy: a case report and review of the literature

Uterine Artery Pseudoaneurysm is a rare cause of pelvic pain and haemorrhage in pregnancy. It should be considered in the differential diagnosis of pregnant women presenting with abdominal pain and is readily ...

Authors: Lilian Ugwumadu, Kevin Hayes, Anna-Maria Belli, Susan Heenan and Ian Loftus

A rare case of a giant arterio-venous fistula (AVF) following metastatic choriocarcinoma conditioning pulmonary embolism: multimodal transcatheter embolization using a simultaneous transarterial and transvenous approach

Choriocarcinoma is a highly malignant tumor but with a good prognosis due to the valid response to systemic chemotherapy. We present a case of a young woman affected by a giant pelvic arterio-venous fistula fo...

Authors: Massimo Venturini, Alice Bergamini, Anna Colarieti, Micaela Petrone, Paolo Marra, Emanuela Rabaiotti, Giorgia Mangili, Massimo Candiani, Alessandro Del Maschio and Francesco De Cobelli

Infrainguinal inflow assessment and endovenous stent placement in iliofemoral post-thrombotic obstructions

To assess the technical success, patency, and clinical outcome, following assessment of inflow and infrainguinal endovenous stent placement in patients with iliofemoral post-thrombotic obstruction with infrain...

Authors: Ole Grøtta, Tone Enden, Gunnar Sandbæk, Gard Filip Gjerdalen, Carl-Erik Slagsvold, Dag Bay, Nils-Einar Kløw and Antonio Rosales

Prophylactic IVC filter placement in bariatric surgery patients: results from a prospective filter registry

Bariatric surgery patients are at increased risk for VTE, but potential risks versus benefits of IVC filters in this group remain unclear. Indwelling filters may increase risk of VTE, and removal of filters in...

Authors: Alexander Y. Sheu, Nam Sao Hoang, Andrew J. Kesselman, Tie Liang, Jarrett K. Rosenberg and William T. Kuo

Type III B endoleak leading to aortic rupture after endovascular repair: analysis of errors in follow up and treatment

The aim of this paper is to describe the case of a patient with a type III endoleak which was misdiagnosed and treated without success as a type I-II endoleak. An incorrect endoleak diagnosis lead to aortic ru...

Authors: Marco Leopardi, Alessia Salerno, Pietro Scarpelli and Marco Ventura

Percutaneous dialysis arteriovenous fistula banding for flow reduction – a case series

Arteriovenous fistulas (AVF) are the preferred method of vascular access for chronic haemodialysis. However, excess shunting through the AVF can result in dialysis-access steal syndrome (DASS) or high-output c...

Authors: Hong Kuan Kok, Julian Maingard, Hamed Asadi, Elizabeth Ryan, Mark Sheehan, Mark F. Given and Michael J. Lee

Dual-balloon assisted super-selective embolisation of high flow arterial venous fistula within a transplant kidney

In this case report, we describe a novel application of the technique of ‘dual-balloon assisted’ cannulation and embolisation of a high flow arterial venous fistula (AVF) in transplant kidney, where attempts a...

Authors: Sara ffrench-Constant, Nisal Weerakoon, Rahul Amin, Luke Dixon, David Taube and Mohamad Hamady

Trends and implications of 24/7 interventional radiology in a newly opened acute hospital

We aim to evaluate the frequency of use and changing practices for all out-of-hours interventional radiology (IR) procedures performed in a new hospital.

Authors: Raymond Chung, Ashish Chawla, Sumer Shikhare and Suresh Babu

Autologous sapheno-saphenous bypass collateral development in the setting of chronic unilateral iliac vein occlusion

Chronic iliac vein occlusion can result in the development of a variety of collateral venous drainage pathways. While several drainage pathways have been well documented, autologous sapheno-saphenous bypass co...

Authors: Julie Kelman, Nicholas Xiao, Jeremy D. Collins, Jennifer K. Karp, Heron Rodriguez and Kush R. Desai

Combined glue embolization and excision for the treatment of venous malformations

The purpose of this study was to evaluate safety, technical success, and clinical outcomes of treatment for venous malformations using n-BCA glue embolization immediately prior to excision. Sixty three patients (...

Authors: Rush H. Chewning, Eric J. Monroe, Antoinette Lindberg, Kevin S. H. Koo, Basavaraj V. Ghodke, Kenneth W. Gow, Patrick J. Javid, Thomas M. Jinguji, Jonathan A. Perkins and Giridhar M. Shivaram

Successful treatment of hemoptysis caused by a type 2 endoleak after thoracic endovascular aortic repair

Massive hemoptysis is a life-threatening condition and can arise as a complication of conditions. Conversely, hemoptysis rarely occurs as a complication of a ruptured thoracic aortic aneurysm (TAA).

Authors: Eijun Sueyoshi, Hirofumi Koike, Ichiro Sakamoto and Masataka Uetani

Balloon-assisted coil embolization (BACE) of a wide-necked renal artery aneurysm using the intracranial scepter C compliant occlusion balloon catheter

True renal artery aneurysms (TRAA) are an uncommon pathology, with a prevalence of less than 1%. Treatment of TRAAs is generally recommended when the aneurysm sac equals or exceeds 2cms. Both wide-necked and m...

Authors: Jeeban Paul Das, Hamed Asadi, Hong Kuan Kok, Emma Phelan, Alan O’Hare and Michael J. Lee

Preliminary experience with the micro vascular plug for the treatment of pulmonary arteriovenous malformation: case series of four patients

To describe the preliminary experience using Micro Vascular Plug (MVP) for treatment of pulmonary arteriovenous malformations (PAVMs) with small feeding arteries (3 -5 mm) in four patients with Hereditary Haem...

Authors: Stevo Duvnjak, Carmela Anna Di Ciesco and Poul Erik Andersen

Effective kissing stent to severe stenosis of the superior mesenteric artery replacing the common hepatic artery

Endovascular therapy (ET) for chronic mesenteric ischemia (CMI) is a effective treatment to relieve the symptoms, such as postprandial abdominal pain, food fear, and progressive weight loss. CMI is not known t...

Authors: Yusuke Date, Hiromasa Katoh, Takatoshi Abe, Hirhoshi Nagamine, Hiroiku Hara and Yushi Kawase

Access site complications after transfemoral aortic valve implantation - a comparison of Manta and ProGlide

Despite decreasing sheath diameter, access site bleeding and vascular complications are still a major concern in transfemoral aortic valve implantation (TAVI), and may increase morbidity and even increase mort...

Authors: Pavel Hoffmann, Ahmed Al-Ani, Thomas von Lueder, Jenny Hoffmann, Peter Majak, Ove Hagen, Helga Loose, Nils Einar Kløw and Anders Opdahl

Depression and peripheral artery disease: why we should care and what we can do

Authors: Joel L. Ramirez and S. Marlene Grenon

Endovascular iliac vein reconstruction through an obstructive pelvic nodal recurrence of urothelial carcinoma

Chronic venous occlusion is common particularly in cancer patient due to hypercoagulate state associated with venous compression. Treatment options include endovascular management with venoplasty and stenting....

Authors: Bedros Taslakian, Varshaa Koneru and Akhilesh K. Sista

Are complication rates lower with 4-Fr versus 6-Fr transfemoral arterial access – prospective audit at a single interventional radiology centre

Femoral arterial access constitutes the first step in a significant proportion of interventional endovascular procedures. Whilst existing reports describe sheath size as an independent risk factor for bleeding...

Authors: Raymond Chung, Alex Weller, Robert Morgan, Anna-Maria Belli and Lakshmi Ratnam

Mycotic aortic aneurysms post-Intravesical BCG treatment for early-stage bladder carcinoma

Intravesicular Bacillus Calmette-Guérin (BCG) is an effective adjunctive therapy for superficial bladder cancer that has been shown to delay recurrence and progression of disease. Serious side effects are rela...

Authors: Aman Wadhwani, Randy D. Moore, Darshan Bakshi and Anirudh Mirakhur

Correction to: Clinical and endovascular practice in interventional radiology: a contemporary European analysis

Upon publication of this article (Kok et al., 2018), the authors noticed that author ‘Miguel Casares Santiago’ was spelt incorrectly. This has been corrected by means of this correction article.

Authors: Hong Kuan Kok, Thomas Rodt, Fabrizio Fanelli, Mohamad Hamady, Stefan Müller-Hülsbeck, Miguel Casares Santiago, Florian Wolf and Michael J. Lee

Successful surgical retrieval of Celt ACD® vascular closure device embolised in the tibioperoneal trunk

This report presents a case of surgical retrieval of a Celt ACD® vascular closure device (VCD) situated in the tibioperoneal trunk, following a failed attempt at deployment. Existing literature mostly recommen...

Authors: Qusai Aljarrah, Ma’moon Al-Omari, Kawthar Qader, Jozef Oweis and Ahmad Althaher