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🚨 100% technical success in performing percutaneous biliary neo-anastomosis (PBNA) with fluoroscopy guidance!👇 Check out this recent study from CardioVascular and Interventional Radiology (CVIR) exploring the safety and effectiveness of PBNA for challenging biliary conditions Study Details: - Participants: 4 patients (mean age 56) - Background: Right posterior bile duct exclusion and bile leakage after liver/pancreatic surgery or liver transplant - Method: Fluoroscopy-guided PBNA followed by PTBD Key Findings: - Technical success: 100% - PTBDs removed median of 65 days post-procedure - Median follow-up: 2.8 years - Outcomes: No bile leakages or re-occlusions observed - Complications: None reported 📌 Conclusion: In this small study, PBNA achieved 100% technical success with no reported complications, bile leakages, or re-occlusions during a median follow-up of 2.8 years. Full study: https://lnkd.in/e-RXe6DW What are your thoughts? Henrik Petrowsky, MD, FEBS (HPB), FACS Adrian R. Kobe Stay at the forefront with #AI-enhanced #IR! Follow us for the latest research updates: https://lnkd.in/gRwAjsEf #BiliarySurgery #Transplantation #PatientOutcomes #Safety #Hepatology #BiliaryIntervention #InterventionalRadiology #VIR #InterventionalRadiology #IRadPulse CVIR Endovascular Cardiovascular and Interventional Radiological Society of Europe (CIRSE)

🚨 Only 3% post-transplant recurrence in liver transplants after bridging TACE with doxorubicin-eluting microspheres!👇 Discover new insights from CardioVascular and Interventional Radiology (CVIR) on transplant outcomes for HCC patients using this neoadjuvant technique Study Focus: 🔍 286 patients undergoing liver transplantation for cirrhosis and early HCC (2006-2021) 🔍 53 received neoadjuvant TACE with doxorubicin-eluting microspheres 🔍 Two groups: Bridging (n=36) and downstaging (n=17) Results: 📌 Post-transplant HCC recurrence: • Bridging: 1 patient (3%) • Downstaging: 4 patients (23.5%) 📌 Disease-free survival at 5 years: • Bridging: 86% • Downstaging: 65% (p < 0.05) Prognostic Insights: 🔑 Number and total size of HCC lesions at diagnosis and explant: • Key risk factors for recurrence • Number of lesions (p = 0.0088) & largest tumor size (p = 0.0179) 📌 Conclusion: In this study, TACE with doxorubicin-eluting microspheres showed low HCC recurrence post-transplant, with lesion characteristics dictating recurrence risks. Dive deeper into the study: https://lnkd.in/eiT5xfPR What are your thoughts? Lawrence Bonne Diethard Monbaliu, MD, PhD Wim Laleman Vincent Vandecaveye Jacques Pirenne Chris Verslype Stay up-to-date with the latest in #VIR research. Subscribe to our newsletter: https://lnkd.in/gRwAjsEf #TransplantSpecialists #InnovativeCare #MedicalResearch #InterventionalRadiology #TransplantMedicine #CancerResearch #Hepatology #VascularHealth #LiverDisease #Chemoembolization #TransplantSurgery #Oncology #LiverTransplant #HCC #TACE CVIR Endovascular Cardiovascular and Interventional Radiological Society of Europe (CIRSE) International Liver Cancer Association (ILCA)

🚨 Establishing independence: The University of Miami created its own Department of Interventional Radiology (IR) in 2016, a 3-year journey emphasizing IR's unique role in patient care 👇 Let's dive into their key achievements and challenges! Background: The shift reflects IR's evolution from diagnostic radiology—a transition acknowledged by the 2012 Dual Primary Certificate in Interventional and Diagnostic Radiology by the American Board of Medical Specialties 📈 Challenges in the transition included: 🔹 Achieving financial independence from diagnostic radiology 🔹 Establishing a robust research program 🔹 Securing dedicated clinical facilities 🔹 Garnering strong institutional support Strategic Initiatives: 🔹 Separation of IR from diagnostic radiology budgets 🔹 Promotion of interdisciplinary research 🔹 Development of outpatient IR clinics for direct patient engagement 📌 Conclusion: University of Miami's endeavor provides a valuable roadmap for institutions aiming to develop standalone IR departments, highlighting vital strategies and potential hurdles. 🔗 Full study: https://lnkd.in/egmhsxk2 What are your thoughts? Quencer Robert Govindarajan Narayanan Bente van den Bemd Ripal Gandhi, M.D., FSVM, FSIR Barry Katzen, MD Andrew Niekamp MD Constantino Pena Alex Powell Brian Schiro Abilio Coello Abilio Coello Anand Tarpara, MD RPVI IRs using #AI will replace those who don’t! Save time, get smarter, & become AI enhanced! Be sure to subscribe to our newsletter: https://lnkd.in/gRwAjsEf #VIR #iRads #IRSuccess #HealthcareInnovation #MedTwitter #Research #PatientCare #ClinicManagement #HealthcareLeadership #AcademicMedicine #MedicalEducation #Radiology #InterventionalRadiology JVIR Media Society of Interventional Radiology

🧵 Did Interventional Radiology almost NOT happen? In 1944, Charles Dotter—the future "Father of Interventional Radiology"—published a paper on vaginal birth after C-section (AJOG). If Dotter had stayed focused on obstetrics: ❌ No angioplasty ❌ No stenting ❌ No minimally invasive breakthroughs? Millions of lives changed—by one doctor's pivot. History was this close. 🔥 #IRad #MedicalHistory #WhatIf Believe it: "The character of vaginal delivery following cesarean section" American journal of obstetrics and gynecology, 1944-09, Vol.48 (3), p.371-373. Why is there no biography of this great and inspiring doctor? Society of Interventional Radiology Endovascular Today Atul Gupta, MD Warren Clements CardioVascular and Interventional Radiology (CVIR) CVIR Endovascular

🚨 CT-guided radiofrequency ablation (RFA) led to significantly fewer postoperative complications in pulmonary GGNs compared to thoracoscopic sublobar resection! 👇 Explore the latest study from CardioVascular and Interventional Radiology (CVIR) comparing these interventions 🩺✨ Study Design: 🔹 Bi-center retrospective study 🔹 Patients with resectable pulmonary ground glass nodules (GGNs) 🔹 Compared CT-guided RFA (34 patients) vs. thoracoscopic sublobar resection (37 patients) 🔹 Focus on safety and efficacy outcomes Key Results: ▪️ No local recurrence or distant metastasis in either group over ~2 years follow-up ▪️ RFA group had fewer postoperative complications (Clavien-Dindo classification) ▪️ Significantly lower pleural effusion rates in RFA group (P < 0.001) More Findings: 🔹 Shorter hospital stays: 1 day for RFA vs. 8 days for resection (P < 0.001) 🔹 Highlights RFA as a viable alternative for patients declining surgery 📝 Conclusion: CT-guided RFA shows promise as a safe and effective treatment for resectable pulmonary GGNs, especially when surgery is not an option. 🔗 Read the full study here: https://lnkd.in/eWs8WfG7 What are your thoughts on this approach? IRs using #AI will replace those who don’t! Save time, get smarter, & become AI enhanced! Be sure to subscribe our newsletter: https://lnkd.in/gRwAjsEf #VIR #iRads #PatientCare #Radiology #MedTwitter #GGNs #InterventionalRadiology #MinimallyInvasive #Radiology #PulmonaryHealth #MedResearch #Surgery #InterventionalRadiology #PulmonaryNodules #RFA CVIR Endovascular Cardiovascular and Interventional Radiological Society of Europe (CIRSE)

Is the arterial thrombectomy landscape about to change? 🚀 Inari Medical(now part of Stryker) has launched the Artix™ Thrombectomy System, stepping boldly into arterial thrombectomy: ✅ Dual-action thrombectomy (aspiration + mechanical) ✅ 8 Fr sheath ("trackable & kink-resistant") ✅ Over-the-wire clot collection (acute to chronic clots) ✅ Nitinol mesh funnel to prevent clot migration But they're not alone. The arterial thrombectomy space is fiercely competitive, with heavy hitters like: 🔹 Penumbra (Penumbra, Inc. Penumbra Vascular) - aspiration and also minimally invasive. Or what about traditional surgical #thrombectomy #embolectomy? Why does this matter? Each system and strategy will brings unique strengths and weaknesses Which thrombectomy technology do you think will lead the market? Jonathan Bowman, MD, FACS - any technical tips from your experience with the device? Society for Vascular Surgery Society of Interventional Radiology CVIR Endovascular Endovascular Today BackTable Vascular and Interventional Vitas Sipelis Jay A. #MedTech #Thrombectomy #InterventionalRadiology #HealthcareInnovation #Endovascular #VascularSurgery #MedicalDevices Disclaimer: Not medical advice.

🚨 64.5% of patients with great trochanteric pain syndrome (GTPS) showed improvement with LFCA embolization, as per the latest study results👇 Check out this new study from CardioVascular and Interventional Radiology (CVIR) on managing hip pain when conservative treatments fail Study Overview: 📍 Cohort of 31 patients (38 joints) with GTPS non-responsive to therapy 📍 Mean age: 68.89 ± 11.22 years 📍 Focus: Lateral femoral circumflex artery (LFCA) embolization for those without surgical options Treatment Protocol: - 36 joints received imipenem/cilastatin (I/C) - 1 used 100-300 µm BeadBlock - 1 combined microsphere and I/C - 64.5% had GTPS associated with hip osteoarthritis on MRI pre-procedure Results: 🔹 21 joints improved to VAS 0-3 🔹 7 joints remained at VAS 4-6 🔹 9 joints showed no improvement (VAS 7-10) 🔹 Minor complication: transient posterior thigh numbness in 2 patients, resolved within 30 days 📌 Conclusion: LFCA embolization is a potentially viable midterm solution for hip pain reduction when conservative treatment and surgery aren't suitable. 🔗 Read more here: https://lnkd.in/exBed3zk What are your thoughts? Joaquim Maurício Motta Leal Filho Mateus Picada Correa MD IRs using #AI will replace those who don’t! Save time, get smarter, & become AI enhanced! Be sure to subscribe our newsletter: https://lnkd.in/gRwAjsEf #VIR #iRads #HipPainManagement #VascularIntervention #MedTwitter #PainRelief #IR #VAS #PatientOutcomes #HipOsteoarthritis #IR #InterventionalRadiology #HipPain #GTPS #Embolization CVIR Endovascular Cardiovascular and Interventional Radiological Society of Europe (CIRSE)

🚨 Discussing optimal strategies for managing nutcracker syndrome (NCS) and pelvic congestion syndrome (PCS)!👇 Dive into the latest insights from CVIR Endovascular on treatment algorithms through four unique case studies Management insights: 🔍 Analyses of renocaval pressure gradients often yield inconclusive results. 🔍 Evaluation of the left renal vein waveform can enhance diagnostic clarity. 🔍 "Test PTA" showing a balloon waist helps uncover significant stenosis. Key considerations: 🔹 NCS isn't a contraindication for ovarian vein embolization. 🔹 Decisions on simultaneous vs. sequential stenting rely on: - Detailed angiographic results - Patient's clinical progression Results from four case scenarios demonstrate a nuanced decision-making process: ✅ Analyze angiographic findings. ✅ Tailor stenting based on the patient's vascular characteristics and symptoms. ✅ Different scenarios validate the personalized approach towards NCS & PCS. 📌 Conclusion: A tailored approach considering angiographic findings and clinical progression can be important when managing concurrent NCS and PCS. 🔗 Full study: https://lnkd.in/eh9bwiem What are your thoughts on this approach? Arash Mirrahimi Christoph Binkert IRs using #AI will replace those who don’t! Save time, get smarter, & become AI enhanced! Be sure to subscribe our newsletter: https://lnkd.in/gRwAjsEf #VIR #iRads #VascularSurgery #PatientCare #ClinicalGuidelines #MedTwitter #OvarianVeinEmbolization #InterventionalRadiology #VascularHealth #IR #NutcrackerSyndrome #PelvicCongestionSyndrome CardioVascular and Interventional Radiology (CVIR) Cardiovascular and Interventional Radiological Society of Europe (CIRSE)

🚨 Bypass surgery shows higher technical success (OR 8.50) but leads to more morbidity and mortality compared to endovascular interventions for PAD! 👇 Check out the latest study from JVIR Media that explores treatment approaches for Peripheral Artery Disease (PAD) In this comprehensive meta-analysis: - 3,856 patients from 14 RCTs were evaluated - Bypass vs endovascular procedures for intermittent claudication or critical limb-threatening ischemia - Outcomes: technical success, 30-day morbidity & mortality, and more Key findings: 📈 Bypass surgery had higher technical success (OR 8.50) 📈 Better one-year primary patency (OR 1.43) But: ⚠️ Increased 30-day morbidity (OR 1.38) & mortality (OR 1.87) ⚠️ Higher one-year major amputation rates (OR 2.58) No significant differences found in: - One-year amputation-free survival - Primary assisted & secondary patency at one year - Reintervention rates - 30-day MACE - Ankle-brachial index change - Quality of life & clinical improvement - One-year all-cause mortality 📌 Conclusion: Bypass surgery had higher technical success (OR 8.50) & better one-year primary patency (OR 1.43) but was associated with increased 30-day morbidity (OR 1.38), mortality (OR 1.87), & higher one-year major amputation rates (OR 2.58). Full study: https://lnkd.in/e6aMr2TB What are your thoughts? Dr Muhammad Fahad Tariq Berlas Javeria Malik Abdul Moeed Alam Baloch Asma Mumtaz Stay ahead with our insights—follow us on Twitter and subscribe for more ➡️ https://lnkd.in/gRwAjsEf #VIR #PAD #BypassSurgery #MedicalResearch #Endovascular #Surgery #VascularSurgery #Intervention #PAD #IR Society of Interventional Radiology

🚨 Anesthesia protocols in interventional radiology (IR) are evolving rapidly to meet new clinical demands! 👇 Explore the latest insights from CardioVascular and Interventional Radiology (CVIR) on optimizing anesthesia in IR procedures ✨ Key focus areas: 🔍 Adjustment of pharmacological protocols 🔍 Optimization of intubation & airway management 🔍 Enhancing collaboration between radiologists & anesthesiologists Each element aims to enhance patient safety and comfort 🌐 Why individualization matters: 🩺 Tailoring protocols to patient physiological status 🩺 Considering procedure duration & positioning 🩺 Addressing potential pain & tolerance to general anesthesia Collaborative improvements include: ✅ Discussing muscle relaxation needs ✅ Exploring sedation/hypnosis possibilities ✅ Predicting postoperative pain to improve care Aligning strategies between interventionalists and anesthesiologists is crucial 📌 Conclusion: Advances in IR anesthesia can enhance patient safety through innovative, individualized, and collaborative practices. 🔗 Full study here: https://lnkd.in/gk4mpHPY What are your thoughts on these advancements? Stay current with IR innovations by following us! Subscribe to our newsletter: https://lnkd.in/gRwAjsEf #VIR #IRads #Innovation #Healthcare #ClinicalPractice #IRAnesthesia #PatientSafety #PrecisionMedicine #TeamWork #Anesthesia #InterventionalRadiology #PatientCare CVIR Endovascular Cardiovascular and Interventional Radiological Society of Europe (CIRSE)