Category Ranking
98%
Total Visits
921
Avg Visit Duration
2 minutes
Citations
20
Article Abstract
BACKGROUND This study aimed to evaluate the safety and efficacy of portal vein puncture with a new guidance system using double C-arm digital subtraction angiography (DSA) during transjugular intrahepatic portosystemic shunt (TIPS) placement. MATERIAL AND METHODS The procedure details of TIPS placements performed on 39 patients in our center between January and December 2021 were retrospectively analyzed. The procedure was performed under double C-arm DSA guidance (study group) and C-arm DSA (control group) in 18 and 21 patients, respectively. We analyzed the procedure's technical success, duration of the overall procedure, portal vein puncture, fluoroscopy, radiation exposure, complications, and mortality and morbidity rates 30 days after the procedure. RESULTS TIPS placement was performed successfully in all patients. The mean portal vein puncture time in the study group (9±5.7 min) was significantly shorter than in the control group (33±14.9 min, p=0.02). The complete mean dose area product of the procedure showed no significant differences (study group, 126±53 Gy/cm²; control group. 142±66 Gy/cm²; p=0.42). The intraprocedural complication rates were 0% and 19% in the study and control groups, respectively (p=0.04). The 30-day post-procedural mortality rate in the control group was 4.8% (1/21), with no deaths from technical complications. CONCLUSIONS Double C-arm DSA guidance is a safe and effective method to assist TIPS placement. This approach may result in shorter portal vein puncture time and lower intraprocedural complication rates.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10029320 | PMC |
| http://dx.doi.org/10.12659/MSM.938912 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
A novel technique for posterior internal fixation of acetabular fractures.
J Orthop Surg Res
August 2025
Health Science Center, Ningbo University, Ningbo, 315211, Zhejiang, China.
Purpose: To evaluate the surgical technique and clinical outcomes of the Universal Self-locking Anatomic Plate for Acetabulum (USAPA).
Methods: A retrospective analysis of 155 patients with complete follow-up data from December 2014 to December 2020 was conducted. The study included 119 males and 36 females, aged 18–82 (mean: 40.
Optimizing Dose Reduction to the Left Anterior Descending Artery in Patients With Locally Advanced Lung Cancer Treated With Definitive Radiation Therapy: A Feasibility Study of Coplanar Treatments Using Double-Stacked Multileaf Collimator.
Adv Radiat Oncol
June 2025
Department of Radiation Oncology, Henry Ford Health, Detroit, MI.
Purpose: Recent studies have shown that cardiac substructures and particularly left anterior descending artery (LAD) dose strongly correlates with the incidence of late adverse cardiac events. We evaluated whether greater cardiac and, importantly, LAD dose sparing could be achieved using a newly introduced closed bore (O-ring gantry) linac with a double-stacked multileaf collimator (Varian Ethos) relative to conventional linacs.
Methods And Materials: Twenty patients with locally advanced non-small cell lung cancer previously treated with definitive chemoradiotherapy were retrospectively evaluated.
Analysis of radiation exposure in endovascular treatment of chronic limb-threatening ischemia by arterial access and Global Limb Anatomic Staging System classification.
J Vasc Surg
August 2025
Angiology and Vascular Surgery Department, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain; IBio-Heart Cardiovascular Diseases Research Group, Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain; Department of Clinical Scienc
Objective: Endovascular therapy for the treatment of chronic limb-threatening ischemia (CLTI) continues to evolve with the development of new techniques and devices. However, data on radiation dose during CLTI revascularization using two different types of C-arms remains limited.
Objective: The objective of this study was to analyze radiation dose parameters during revascularization of CLTI, considering arterial access and Global Limb Anatomic Staging System (GLASS) classification, using two different types of C-arms.
[Design and Reliability Research of Spherical Radiotherapy Accelerator Motion System].
Zhongguo Yi Liao Qi Xie Za Zhi
January 2025
School of Mechanical Engineering, Shandong University of Technology, Zibo, 255000.
At present, the C-arm structure accelerators commonly used in radiotherapy equipment are complex in operation and have potential safety hazards when realizing non-coplanar treatment. By combining with medical robotic arm technology, a spherical radiotherapy accelerator motion system is designed. The beam module is clamped by the medical robotic arm structure to achieve three-dimensional multi-angle irradiation treatment within the non-coplanar angle range.
View Article and Find Full Text PDFComputed Tomography-guided Percutaneous Bilateral Neurolytic Celiac Plexus Block with Alcohol for Upper Abdominal Visceral Cancer Pain.
Pain Physician
November 2024
Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine.
Background: The neurolytic celiac plexus block (NCPB) can be introduced through the posterior para-aortic, anterior para-aortic, posterior transaortic, or endoscopic anterior para-aortic puncture approach, as well as the posterior approach via the intervertebral disc. To reduce the complications of puncture, this block's original manual blind puncture technique can be improved upon by using a C-arm fluoroscope, computed tomography (CT), or an ultrasound, the last of which may be endoscopic.
Objective: To observe the distribution of absolute alcohol and its analgesic effect on cancer-induced upper abdominal visceral pain during percutaneous NCPB through the anterior and posterior diaphragmatic crura under CT guidance.