Cardiovascular and interventional radiology
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Cardiovasc Intervent Radiol · Aug 2014
ReviewMechanical thrombectomy with stent retrievers in acute ischemic stroke.
Mechanical thrombectomy (MTE) in patients with acute ischemic infarct caused by large-vessel occlusion is becoming used with increasing frequency in many stroke centers. With the introduction of stent retrievers, recanalization rates >80 % are reached by most operators. ⋯ In this review, the indications for MTE, the technique, and the technical and clinical outcomes are discussed. Complications and predictors for good clinical outcome are described based on recent data from the literature.
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Cardiovasc Intervent Radiol · Apr 2014
Review Meta Analysis Comparative StudySystematic review and meta-analysis of thermal ablation versus surgical nephrectomy for small renal tumours.
A systematic review was undertaken to provide a meta-analysis of clinical trials comparing thermal ablation with surgical nephrectomy for small renal tumours. ⋯ Thermal ablation of small renal masses produces oncologic outcomes similar to surgical nephrectomy and is associated with significantly lower overall complication rates and a significantly less decline of renal function. More randomized, controlled trials are necessary.
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Cardiovasc Intervent Radiol · Apr 2014
Review Meta Analysis Comparative StudySystematic review and meta-analysis of thermal ablation versus surgical nephrectomy for small renal tumours.
A systematic review was undertaken to provide a meta-analysis of clinical trials comparing thermal ablation with surgical nephrectomy for small renal tumours. ⋯ Thermal ablation of small renal masses produces oncologic outcomes similar to surgical nephrectomy and is associated with significantly lower overall complication rates and a significantly less decline of renal function. More randomized, controlled trials are necessary.
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Cardiovasc Intervent Radiol · Jun 2013
Review Meta AnalysisSystematic review of infrapopliteal drug-eluting stents: a meta-analysis of randomized controlled trials.
Drug-eluting stents (DES) have been proposed for the treatment of infrapopliteal arterial disease. We performed a systematic review to provide a qualitative analysis and quantitative data synthesis of randomized controlled trials (RCTs) assessing infrapopliteal DES. ⋯ DES for focal infrapopliteal lesions significantly inhibit vascular restenosis and thereby improve primary patency, decrease repeat procedures, improve wound healing, and prolong overall event-free survival.
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Cardiovasc Intervent Radiol · Apr 2013
ReviewMR-guided high-intensity focused ultrasound ablation of breast cancer with a dedicated breast platform.
Optimizing the treatment of breast cancer remains a major topic of interest. In current clinical practice, breast-conserving therapy is the standard of care for patients with localized breast cancer. Technological developments have fueled interest in less invasive breast cancer treatment. ⋯ In this article, a novel and dedicated MR-HIFU breast platform is presented. This system has been designed for safe and effective MR-HIFU ablation of breast cancer. Furthermore, both clinical and technical challenges are discussed, which have to be solved before MR-HIFU ablation of breast cancer can be implemented in routine clinical practice.