Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Jan 2014
Case ReportsPercutaneous endovascular creation of an inferior vena cava in a patient with caval agenesis, Budd-Chiari syndrome, and iliofemorocaval thrombosis.
A 29-year-old woman with acute iliofemorocaval thrombosis was discovered to have suprarenal caval agenesis with azygous continuation, hepatic congestion, and fibrosis as a result of chronic Budd-Chiari syndrome. Three staged procedures were performed: pharmacomechanical thrombolysis of acute thromboses, transfemoral liver biopsy and hemodynamic assessment, and percutaneous endovascular creation of a "neocava" lined with endografts. Symptomatic improvement and patency were maintained at 12-week follow-up.
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J Vasc Interv Radiol · Jan 2014
Randomized Controlled Trial Comparative StudyPeripherally inserted central catheter thrombosis--reverse tapered versus nontapered catheters: a randomized controlled study.
To compare the thrombosis rate, ease of insertion, bleeding rate, and complications of a nontapered peripherally inserted central catheter (PICC) versus a reverse tapered PICC. ⋯ This study showed a high incidence of thrombosis of peripheral veins used for PICC insertion. The implication of this thrombosis is significant in light of the morbidity and potential mortality associated with this condition. A difference in thrombosis rate between devices could not be detected in this study.
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J Vasc Interv Radiol · Jan 2014
Comparative Study Observational StudyThermal ablation matches sublobar resection outcomes in older patients with early-stage non-small cell lung cancer.
To compare survival outcomes of sublobar resection and thermal ablation for early-stage non-small cell lung cancer (NSCLC) in older patients. ⋯ After controlling for selection bias, this study found no difference in OS between patients treated with sublobar resection and thermal ablation.
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J Vasc Interv Radiol · Jan 2014
Review Practice GuidelineQuality improvement guidelines for vascular access and closure device use.
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J Vasc Interv Radiol · Jan 2014
Factors affecting periprocedural morbidity and mortality and long-term patient survival after arterial embolization of hepatic neuroendocrine metastases.
To identify factors affecting periprocedural morbidity and mortality and long-term survival following hepatic artery embolization (HAE) of hepatic neuroendocrine tumor (NET) metastases. ⋯ Urgent HAE, replacement of more than 50% of liver by tumor, and extrahepatic metastasis are strong independent predictors of shorter OS. Male sex and urgent HAE carry higher 30-day mortality and periprocedural morbidity risks.