2025
The comparative efficacy and safety of Tiger II versus judkins catheters in coronary angiogram via the radial artery access: a meta-analysis
Aljabali A, Alawajneh M, Hammad A, Nguyen D, Alkasabrah A, Abuein K, Altibi A. The comparative efficacy and safety of Tiger II versus judkins catheters in coronary angiogram via the radial artery access: a meta-analysis. Acta Cardiologica 2025, 80: 39-43. PMID: 39781598, DOI: 10.1080/00015385.2024.2442799.Peer-Reviewed Original ResearchConceptsStandardised mean differenceFluoroscopy timeContrast volumeProcedure timeJudkins catheterOdds ratioProcedural successCoronary angiogramTiger IIEstimates of odds ratiosRadiation exposureMeta-analysisReduced fluoroscopy timeRadial artery vasospasmRandom-effects modelWeb of ScienceRadial artery accessComplication rateArtery vasospasmSecondary outcomesPrimary outcomeComparative efficacyArterial accessTransfemoral accessCochrane Library
2024
Effect of Filtered Blood Return on Outcomes of Pulmonary Aspiration Thrombectomy
Bitar R, Bozal S, Sisti A, Mojibian H, Marino A, Cornman-Homonoff J. Effect of Filtered Blood Return on Outcomes of Pulmonary Aspiration Thrombectomy. Journal Of Vascular And Interventional Radiology 2024, 35: 1447-1456. PMID: 38950819, DOI: 10.1016/j.jvir.2024.06.026.Peer-Reviewed Original ResearchPulmonary artery pressureAspiration thrombectomyPulmonary embolismArterial pressureDuration of intensive care unitSeverity of adverse eventsLength of hospital stayHigh-risk PEProcedure-related complicationsAdverse event ratesIntensive care unitMarker of procedural successFluoroscopy timeTransfusion requirementsBlood lossNo significant differenceTransfusion needsHospital stayPost-procedureProcedural successAdverse eventsSurrogate markerLaboratory valuesProcedural outcomesProcedural detailsMulticenter Quantification of Radiation Exposure and Associated Risks for Prostatic Artery Embolization in 1476 Patients.
Ayyagari R, Rahman S, Grizzard K, Mustafa A, Staib L, Makkia R, Bhatia S, Bilhim T, Carnevale F, Davis C, Fischman A, Isaacson A, McClure T, McWilliams J, Nutting C, Richardson A, Salem R, Sapoval M, Yu H. Multicenter Quantification of Radiation Exposure and Associated Risks for Prostatic Artery Embolization in 1476 Patients. Radiology 2024, 310: e231877. PMID: 38441098, DOI: 10.1148/radiol.231877.Peer-Reviewed Original ResearchConceptsProstatic artery embolizationCumulative air kermaRadiation-related adverse eventsBody mass indexAdverse eventsEffective doseFluoroscopy timeArtery embolizationRadiation doseKerma area product valuesMedian cumulative air kermaMedian effective radiation doseFluoroscopy unitPatient body mass indexRadiation exposureTwo-sample <i>t</i> test wasRadiation dose dataBenign prostatic hyperplasiaFluoroscopy-guided proceduresPatient radiation exposureEffective radiation doseRadiation field areaRadiation effective doseWilcoxon rank sum testInvasive angiographic procedures
2022
Percutaneous Transsplenic Balloon-Assisted Transjugular Intrahepatic Portosystemic Shunt Placement in Patients with Portal Vein Obliteration for Portal Vein Recanalization: Feasibility, Safety and Effectiveness
Meine T, Becker L, Dewald C, Maschke S, Maasoumy B, Jaeckel E, Wedemeyer H, Wacker F, Meyer B, Hinrichs J. Percutaneous Transsplenic Balloon-Assisted Transjugular Intrahepatic Portosystemic Shunt Placement in Patients with Portal Vein Obliteration for Portal Vein Recanalization: Feasibility, Safety and Effectiveness. CardioVascular And Interventional Radiology 2022, 45: 696-702. PMID: 35018502, PMCID: PMC9018628, DOI: 10.1007/s00270-021-03054-2.Peer-Reviewed Original ResearchConceptsDose area productPVR-TIPSFluoroscopy timeAir kermaPuncture techniqueTransjugular intrahepatic portosystemic shunt placementIntrahepatic portal vein branchesPortal vein obliterationPortal vein recanalizationPortosystemic shunt placementPortal vein occlusionNonselective beta blockersEndoscopic variceal ligationChronic liver diseasePortal vein branchesVein occlusionVein recanalizationConsecutive patientsShunt placementVariceal ligationPortal hypertensionTechnical successChronic PVTBeta blockersRetrospective study
2021
Flat Panel Detector c-Arms Are Associated with Dramatically Reduced Radiation Exposure During Ureteroscopy and Produce Superior Images
Lee J, Venna A, McCarthy I, Cilento B, Demers M, MacDougall R, Beaulieu D, Nosrati R, Nelson C, Kurtz M. Flat Panel Detector c-Arms Are Associated with Dramatically Reduced Radiation Exposure During Ureteroscopy and Produce Superior Images. Journal Of Endourology 2021, 35: 789-794. PMID: 33528298, DOI: 10.1089/end.2020.0974.Peer-Reviewed Original ResearchCreation of an ex-vivo bovine kidney flow model for testing embolic agents: work in progress
Garza L, Bitar R, O’Donnell B, Parker M, Ortiz C, Hyman C, Walker J, Song H, Lopera J. Creation of an ex-vivo bovine kidney flow model for testing embolic agents: work in progress. CVIR Endovascular 2021, 4: 20. PMID: 33534088, PMCID: PMC7859154, DOI: 10.1186/s42155-021-00210-0.Peer-Reviewed Original ResearchBovine kidneyEmbolic agentMean dose area productDose area productDeployment of coilsFluoroscopy doseKidney weightFluoroscopy timePost-embolizationEmbolization techniquesCannulation timeFluoroscopic guidanceSegmental arteriesArtery selectionEmbolic materialPreclinical evaluationAdult kidneyGelfoam injectionOperative timeGelfoamGlue mixtureEmbolic effectKidneySuccess rateCoil deployment
2020
The Use of Embolic Protection Devices during Lower Extremity Peripheral Vascular Interventions
Ochoa Chaar CI, Kim TI, Shebl FM, Dardik A. The Use of Embolic Protection Devices during Lower Extremity Peripheral Vascular Interventions. Annals Of Vascular Surgery 2020, 69: 9-16. PMID: 32554197, DOI: 10.1016/j.avsg.2020.06.014.Peer-Reviewed Original ResearchConceptsPeripheral vascular interventionsEmbolic protection devicesDistal embolizationMultivariable analysisFluoroscopy timeVascular interventionsEPD useLower extremity peripheral vascular interventionsUse of EPDPropensity-matched control groupChronic obstructive pulmonary diseaseSignificant differencesVascular Study GroupCharacteristics of patientsObstructive pulmonary diseaseCoronary artery diseaseNew England databaseSuperficial femoral arteryExcisional atherectomyArtery diseaseCommon indicationPropensity matchingPulmonary diseaseEndovascular treatmentFemoral arteryTransjugular intrahepatic portosystemic shunt placement: portal vein puncture guided by 3D/2D image registration of contrast-enhanced multi-detector computed tomography and fluoroscopy
Meine T, Dewald C, Becker L, Mähringer-Kunz A, Massoumy B, Maschke S, Kirstein M, Werncke T, Wacker F, Meyer B, Hinrichs J. Transjugular intrahepatic portosystemic shunt placement: portal vein puncture guided by 3D/2D image registration of contrast-enhanced multi-detector computed tomography and fluoroscopy. Abdominal Radiology 2020, 45: 3934-3943. PMID: 32451673, PMCID: PMC7593285, DOI: 10.1007/s00261-020-02589-1.Peer-Reviewed Original ResearchConceptsTransjugular intrahepatic portosystemic shuntDose area productFluoroscopy timePortal vein puncturePuncture timeFluoroscopic guidancePuncture guidanceProcedural characteristicsContrast-enhanced multi-detector computed tomographyTransjugular intrahepatic portosystemic shunt placementTransjugular intrahepatic portosystemic shunt procedureVein punctureClinically significant complicationsMulti-detector computed tomographyContrast enhancementIntrahepatic portosystemic shuntThree-dimensional vascular mapCatheterization timeConsecutive patientsPuncture complicationsPortal hypertensionTIPS procedureCE-MDCTSignificant complicationsInterventional radiologists
2019
889 Enhancing Radiation Safety During Fluoroscopy Procedures in Endoscopy Units
Chatterjee R, Chu J, Varghese V, Smith J, Robbins R, Cole R, Velez E, Jarbrink-Sehgal M, Hair C, Ketwaroo G. 889 Enhancing Radiation Safety During Fluoroscopy Procedures in Endoscopy Units. The American Journal Of Gastroenterology 2019, 114: s515-s515. DOI: 10.14309/01.ajg.0000593092.77471.a7.Peer-Reviewed Original ResearchSEIMLESS: Simultaneous Extracranial, Intracranial Management of (tandem) LESsions in Stroke
Sultan-Qurraie A, Witt T, de Havenon A, Ribo M, Zaidat OO. SEIMLESS: Simultaneous Extracranial, Intracranial Management of (tandem) LESsions in Stroke. Journal Of NeuroInterventional Surgery 2019, 11: 879. PMID: 30674634, DOI: 10.1136/neurintsurg-2018-014403.Peer-Reviewed Original ResearchConceptsTandem lesionsAcute ischemic stroke patientsCerebral Infarction scoreDistal intracranial occlusionsPost-procedural ThrombolysisIschemic stroke patientsIntracranial arterial occlusionTotal fluoroscopy timeCase-control studyAmount of contrastIntracranial recanalizationEndovascular thrombectomyRecanalization timeArterial punctureIntracranial occlusionArterial occlusionStroke patientsStroke trialsArterial accessConcomitant occlusionDistal lesionsFluoroscopy timeClinical dataProximal vesselsPatients
2015
Use of three-dimensional mapping in young patients decreases radiation exposure even without a goal of zero fluoroscopy
Beach C, Beerman L, Mazzocco S, Brooks MM, Arora G. Use of three-dimensional mapping in young patients decreases radiation exposure even without a goal of zero fluoroscopy. Cardiology In The Young 2015, 26: 1297-1302. PMID: 26507259, DOI: 10.1017/s1047951115002449.Peer-Reviewed Original ResearchConceptsFluoroscopy timeCatheterisation timeGroup 2Group 3Atrioventricular nodal re-entrant tachycardiaNodal re-entrant tachycardiaRadiation exposureAverage fluoroscopy timeRe-entrant tachycardiaUnadjusted linear regression modelsAcute successYounger patientsComplication rateCryoablation techniqueChronic successRadiofrequency ablationFluoroscopy useGroup 1PatientsCryoablationProgressive decreaseCardiac ablationLinear regression modelsThree-dimensional mappingAblation time
2014
Change in Hospital-Level Use of Transradial Percutaneous Coronary Intervention and Periprocedural Outcomes
Bradley SM, Rao SV, Curtis JP, Parzynski CS, Messenger JC, Daugherty SL, Rumsfeld JS, Gurm HS. Change in Hospital-Level Use of Transradial Percutaneous Coronary Intervention and Periprocedural Outcomes. Circulation Cardiovascular Quality And Outcomes 2014, 7: 550-559. PMID: 24899678, PMCID: PMC5173329, DOI: 10.1161/circoutcomes.114.001020.Peer-Reviewed Original ResearchConceptsTransradial percutaneous coronary interventionPercutaneous coronary interventionAccess site bleedingCoronary interventionHospital categoryOverall bleedingPeriprocedural outcomesSite bleedingContrast useNational Cardiovascular Data Registry CathPCI RegistryPercutaneous coronary intervention outcomesFacility-level useHospital-level useRisk-adjusted associationCathPCI RegistryLower hospitalRadial accessFluoroscopy timeAccess siteBleedingRate of declineHospitalHospital changesSimilar findingsIntervention outcomes
2013
Determinants of fluoroscopy time for invasive coronary angiography and percutaneous coronary intervention: Insights from the NCDR®
Fazel R, Curtis J, Wang Y, Einstein AJ, Smith‐Bindman R, Tsai TT, Chen J, Shah ND, Krumholz HM, Nallamothu BK. Determinants of fluoroscopy time for invasive coronary angiography and percutaneous coronary intervention: Insights from the NCDR®. Catheterization And Cardiovascular Interventions 2013, 82: 1091-1105. PMID: 23703793, DOI: 10.1002/ccd.24996.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionInvasive coronary angiographyHospital-level factorsFluoroscopy timePrior CABGCoronary interventionPrior coronary artery bypassRadiation exposureCoronary artery bypassNumerous clinical scenariosArtery bypassCathPCI RegistryPatient characteristicsCoronary angiographyPCI proceduresModifiable determinantsPatientsClinical scenariosModifiable sourceProcedure complexityCABGMinutesInterventionExposureWide variationObjective Simulator-Based Evaluation of Carotid Artery Stenting Proficiency (from Assessment of Operator Performance by the Carotid Stenting Simulator Study [ASSESS])
Weisz G, Smilowitz N, Parise H, Devaud J, Moussa I, Ramee S, Reisman M, White C, Gray W. Objective Simulator-Based Evaluation of Carotid Artery Stenting Proficiency (from Assessment of Operator Performance by the Carotid Stenting Simulator Study [ASSESS]). The American Journal Of Cardiology 2013, 112: 299-306. PMID: 23601579, DOI: 10.1016/j.amjcard.2013.02.069.Peer-Reviewed Original ResearchConceptsCarotid arteryInterventional cardiologistsComplication rateAngiographic resultsCarotid lesionsMedical managementFluoroscopy timeProcedural outcomesEndovascular proceduresEndovascular simulatorScoring systemInterventional operatorsArteryFilter deploymentPresent study validatesComposite scoreOperator proficiencyExperienced groupLesionsOperator experienceCardiologistsProficiency evaluationPresent studyBetter scoresScoresRelationship between radiologist training level and fluoroscopy time for voiding cystourethrography.
Lim R, Ali Khawaja R, Nimkin K, Sagar P, Shailam R, Gee M, Westra S. Relationship between radiologist training level and fluoroscopy time for voiding cystourethrography. American Journal Of Roentgenology 2013, 200: 645-51. PMID: 23436857, DOI: 10.2214/ajr.12.8902.Peer-Reviewed Original ResearchConceptsAverage fluoroscopy timeAttending pediatric radiologistPatient age groupsFirst-year residentsPediatric radiology fellowsFluoroscopy timeVoiding cystourethrographyTraining levelPediatric radiologistsSenior radiology residentsAge groupsSenior residentsNo significant differenceRadiology residentsFemale patientsMale patientsPatient sexRadiology fellowsMale to female ratioShorter fluoroscopy timeSignificant differenceRadiologist sexMale radiologistsRadiologist training levelFemale radiologists
2008
The revascular active percutaneous interventional device for coronary total occlusions study
Chamié D, Abizaid A, Júnior J, Feres F, Abizaid A, Staico R, Costa R, Mattos L, Sousa A, Sousa J. The revascular active percutaneous interventional device for coronary total occlusions study. Catheterization And Cardiovascular Interventions 2008, 72: 156-163. PMID: 18655121, DOI: 10.1002/ccd.21560.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionBenefit of recanalizationFirst-in-man evaluationAssociated with higher incidenceClinical follow-upAverage procedure timeAdverse cardiac eventsDuration of occlusionVessel reference diameterContralateral circulationFluoroscopy timeSymptomatic patientsSingle centerCardiac eventsProcedural successProcedure timeTarget lesionsMean ageFollow-upIn-HospitalPer-protocolOcclusion studiesCoronary interventionCoronary arteryHigher incidence
2007
An evaluation of fluoroscopy time and correlation with outcomes after percutaneous coronary intervention.
Nikolsky E, Pucelikova T, Mehran R, Balter S, Kaufman L, Fahy M, Lansky AJ, Leon MB, Moses JW, Stone GW, Dangas G. An evaluation of fluoroscopy time and correlation with outcomes after percutaneous coronary intervention. Journal Of Invasive Cardiology 2007, 19: 208-13. PMID: 17476034.Peer-Reviewed Original ResearchMeSH KeywordsAge FactorsAgedAngioplasty, Balloon, CoronaryCohort StudiesCoronary AngiographyCoronary Artery BypassCoronary DiseaseElectrocardiographyFemaleFluoroscopyFollow-Up StudiesHospital MortalityHumansLinear ModelsMaleMiddle AgedMultivariate AnalysisPredictive Value of TestsProbabilityRetrospective StudiesRisk FactorsSensitivity and SpecificitySeverity of Illness IndexSurvival RateTime FactorsTreatment OutcomeConceptsCoronary artery bypass surgeryPercutaneous coronary interventionEmergent coronary artery bypass surgeryPrior coronary artery bypass surgeryProlonged fluoroscopy timeContrast-induced nephropathyPeripheral arterial diseaseFluoroscopy timeBaseline TIMICoronary interventionArterial diseaseComplexity of PCIType B2/C lesionsB2/C lesionsSevere lesion calcificationChronic renal insufficiencyArtery bypass surgeryShort-term prognosisMean fluoroscopy timeHospital deathHospital outcomesPeriprocedural complicationsRenal insufficiencyBypass surgeryLesion calcification
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