Journal of vascular and interventional radiology : JVIR
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J Vasc Interv Radiol · Aug 2008
Hepatic yttrium-90 radioembolization of chemotherapy-refractory colorectal cancer liver metastases.
To present data for radioembolization with yttrium-90 ((90)Y) resin microspheres in patients with colorectal cancer liver metastases in whom currently available therapies had failed. ⋯ Hepatic (90)Y radioembolization can be performed with manageable toxicity in patients with colorectal cancer liver metastases whose disease is refractory to chemotherapy. The antitumoral effect is supported by imaging and tumor marker responses. Further investigation is warranted to determine the optimal use of this emerging therapeutic modality.
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J Vasc Interv Radiol · Aug 2008
Review Meta AnalysisEndovascular stent-graft or open surgical repair for blunt thoracic aortic trauma: systematic review.
To evaluate the available data on stent-graft repair of acute blunt traumatic thoracic aortic injury with regard to safety and efficacy compared with conventional open surgical repair. ⋯ The available cohort and case series data support stent-graft repair as a highly successful technique that may reduce mortality and paraplegia rates by half compared with open surgery. These data support endograft repair as first-line therapy for blunt thoracic aortic trauma.
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J Vasc Interv Radiol · Aug 2008
Over-the-wire catheter exchanges: reduction of the risk of air emboli.
This study evaluated the aerostatic properties of the catheter clamp during over-the-wire catheter exchanges and determined if protective devices reduce volumes of air emboli (AE). ⋯ AE can occur with the catheter clamp closed over a wire. Protective devices reduce the volume of AE under simulated physiologic conditions and are recommended with over-the-wire catheter exchanges.
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J Vasc Interv Radiol · Jul 2008
Randomized Controlled Trial Multicenter Study Comparative StudyEconomic evaluation of uterine artery embolization versus hysterectomy in the treatment of symptomatic uterine fibroids: results from the randomized EMMY trial.
To investigate whether uterine artery embolization (UAE) is a cost-effective alternative to hysterectomy for patients with symptomatic uterine fibroids, the authors performed an economic evaluation alongside the multicenter randomized EMMY (EMbolization versus hysterectoMY) trial. ⋯ The 24-month cumulative cost of UAE is lower than that of hysterectomy. From a societal economic perspective, UAE is the superior treatment strategy in women with symptomatic uterine fibroids.
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J Vasc Interv Radiol · Jul 2008
CT-guided percutaneous catheter drainage in necrotizing pancreatitis: outcomes among patients discharged with drains in place.
To evaluate the clinical success of discharging patients with persistent drainage from percutaneous pancreatic catheters and to identify factors related to complications and re-admission. ⋯ Patients with necrotizing pancreatitis who have persistent drainage from percutaneous catheters at the time of hospital discharge are more likely to be re-admitted if there is CT evidence of inadequate resolution of the necrotic collection.