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iRadPulse @iradpulse.bsky.social · 25/03/2025

6/6 What are your thoughts? IRs using #AI will replace those who don’t! Save time, get smarter, & become AI enhanced! Be sure to subscribe our newsletter: iradpulse.beehiiv.com/subscribe Follow us on LinkedIn: www.linkedin.com/company/ira... #VIR #iRads

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iRadPulse @iradpulse.bsky.social · 25/03/2025

4/6 By 12 months: 📈 89.5% primary patency ✅ 68.2% improved Rutherford class 🦶 90% low/very low amputation risk (WIfI scores) ✨ No additional major amputations or target lesion revascularizations #VascularHealth #PatientOutcomes

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iRadPulse @iradpulse.bsky.social · 25/03/2025

3/6 Results at 6 months: 🔹 11.5% primary safety events (1 mortality, 1 major amputation, 1 target lesion revascularization) 🔹 Late lumen loss: 0.7±0.7 mm 🔹 Negligible acute vessel recoil (2.4 mm to 2.3 mm)

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iRadPulse @iradpulse.bsky.social · 25/03/2025

2/6 The DEEPER LIMUS study focused on patients with Rutherford class 3 to 5 infrapopliteal artery disease. Participants underwent vessel preparation with retrievable scaffold therapy followed by sirolimus-coated balloon angioplasty 💉 #InterventionalRadiology #VascularSurgery

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iRadPulse @iradpulse.bsky.social · 25/03/2025

1/6 🚨 89.5% primary patency achieved in retrievable scaffold therapy with sirolimus-coated balloon angioplasty for infrapopliteal lesions! 🩺🌟 Check out the latest findings from CVIR in their DEEPER LIMUS study👇 #Infrapopliteal #Angioplasty #VascularHealth

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iRadPulse @iradpulse.bsky.social · 21/03/2025

5/5 What are your thoughts? Stay at the forefront with #AI-enhanced #IR! Follow us for the latest research updates: iradpulse.beehiiv.com/subscribe Follow us on LinkedIn: www.linkedin.com/company/ira... #VIR #InterventionalRadiology #IRadPulse

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iRadPulse @iradpulse.bsky.social · 21/03/2025

3/5 Key Findings: - Technical success: 100% - PTBDs removed median of 65 days post-procedure - Median follow-up: 2.8 years - Outcomes: No bile leakages or re-occlusions observed - Complications: None reported #PatientOutcomes #Safety

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iRadPulse @iradpulse.bsky.social · 21/03/2025

2/5 Study Details: - Participants: 4 patients (mean age 56) - Background: Right posterior bile duct exclusion and bile leakage after liver/pancreatic surgery or liver transplant - Method: Fluoroscopy-guided PBNA followed by PTBD #Hepatology

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iRadPulse @iradpulse.bsky.social · 21/03/2025

1/5 🚨 100% technical success in performing percutaneous biliary neo-anastomosis (PBNA) with fluoroscopy guidance!👇 Check out this recent study from CVIR exploring the safety and effectiveness of PBNA for challenging biliary conditions 🧵 #BiliaryIntervention #InterventionalRadiology

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iRadPulse @iradpulse.bsky.social · 20/03/2025

6/6 What are your thoughts? Stay up-to-date with the latest in #VIR research. Subscribe to our newsletter: iradpulse.beehiiv.com/subscribe Follow us on LinkedIn: www.linkedin.com/company/ira... #TransplantSpecialists #InnovativeCare

iradpulse.beehiiv.com

@iRadPulse

Stay up-to-date with the latest research in Vascular & Interventional Radiology through AI-generated summaries

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iRadPulse @iradpulse.bsky.social · 20/03/2025

4/6 Prognostic Insights: 🔑 Number and total size of HCC lesions at diagnosis and explant: • Key risk factors for recurrence • Number of lesions (p = 0.0088) & largest tumor size (p = 0.0179) #CancerResearch #Hepatology #VascularHealth

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iRadPulse @iradpulse.bsky.social · 20/03/2025

3/6 Results: 📌 Post-transplant HCC recurrence: • Bridging: 1 patient (3%) • Downstaging: 4 patients (23.5%) 📌 Disease-free survival at 5 years: • Bridging: 86% • Downstaging: 65% (p < 0.05) #LiverDisease #Chemoembolization

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iRadPulse @iradpulse.bsky.social · 20/03/2025

2/6 Study Focus: 🔍 286 patients undergoing liver transplantation for cirrhosis and early HCC (2006-2021) 🔍 53 received neoadjuvant TACE with doxorubicin-eluting microspheres 🔍 Two groups: Bridging (n=36) and downstaging (n=17) #TransplantSurgery #Oncology

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iRadPulse @iradpulse.bsky.social · 20/03/2025

1/6 🚨 Only 3% post-transplant recurrence in liver transplants after bridging TACE with doxorubicin-eluting microspheres! Discover new insights from CVIR on transplant outcomes for HCC patients using this neoadjuvant technique 🧵 #LiverTransplant #HCC #TACE

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iRadPulse @iradpulse.bsky.social · 18/03/2025

6/6 What are your thoughts? IRs using #AI will replace those who don’t! Save time, get smarter, & become AI enhanced! Be sure to subscribe to our newsletter: iradpulse.beehiiv.com/subscribe Follow us on LinkedIn: www.linkedin.com/company/ira... #VIR #iRads @SIRspecialists @SIRRFS

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iRadPulse @iradpulse.bsky.social · 18/03/2025

5/6 📌 Conclusion: University of Miami's endeavor provides a valuable roadmap for institutions aiming to develop standalone IR departments, highlighting vital strategies and potential hurdles. 🔗 Full study: doi.org/doi:10.1016... #IRSuccess #HealthcareInnovation #MedTwitter

doi.org

An Independent Department of IR: Rationale, Conception, and Implementation

On April 12, 2016, the University of Miami established its Department of Interventional Radiology (IR), completing a 3-year process initiated by the C…

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iRadPulse @iradpulse.bsky.social · 18/03/2025

4/6 Strategic Initiatives: 🔹 Separation of IR from diagnostic radiology budgets 🔹 Promotion of interdisciplinary research 🔹 Development of outpatient IR clinics for direct patient engagement #Research #PatientCare #ClinicManagement

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iRadPulse @iradpulse.bsky.social · 18/03/2025

3/6 Challenges in the transition included: 🔹 Achieving financial independence from diagnostic radiology 🔹 Establishing a robust research program 🔹 Securing dedicated clinical facilities 🔹 Garnering strong institutional support #HealthcareLeadership #AcademicMedicine

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iRadPulse @iradpulse.bsky.social · 18/03/2025

2/6 Background: The shift reflects IR's evolution from diagnostic radiology—a transition acknowledged by the 2012 Dual Primary Certificate in Interventional and Diagnostic Radiology by the American Board of Medical Specialties 📈 #MedicalEducation #Radiology

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iRadPulse @iradpulse.bsky.social · 18/03/2025

1/6 🚨 Establishing independence: The University of Miami created its own Department of Interventional Radiology (IR) in 2016, a 3-year journey emphasizing IR's unique role in patient care. Let's dive into their key achievements and challenges! 👇 #InterventionalRadiology

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iRadPulse @iradpulse.bsky.social · 18/03/2025

6/6 What are your thoughts on this approach? IRs using #AI will replace those who don’t! Save time, get smarter, & become AI enhanced! Be sure to subscribe our newsletter: iradpulse.beehiiv.com/subscribe Follow us on LinkedIn: www.linkedin.com/company/ira... #VIR #iRads

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iRadPulse @iradpulse.bsky.social · 18/03/2025

5/6 📝 Conclusion: CT-guided RFA shows promise as a safe and effective treatment for resectable pulmonary GGNs, especially when surgery is not an option. 🔗 Read the full study here: doi.org/doi:10.1007... #PatientCare #Radiology #MedTwitter #GGNs #InterventionalRadiology

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iRadPulse @iradpulse.bsky.social · 18/03/2025

4/6 More Findings: 🔹 Shorter hospital stays: 1 day for RFA vs. 8 days for resection (P < 0.001) 🔹 Highlights RFA as a viable alternative for patients declining surgery #MinimallyInvasive #Radiology #PulmonaryHealth #MedResearch

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iRadPulse @iradpulse.bsky.social · 18/03/2025

3/6 Key Results: ▪️ No local recurrence or distant metastasis in either group over ~2 years follow-up ▪️ RFA group had fewer postoperative complications (Clavien-Dindo classification) ▪️ Significantly lower pleural effusion rates in RFA group (P < 0.001) #Surgery

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iRadPulse @iradpulse.bsky.social · 18/03/2025

2/6 Study Design: 🔹 Bi-center retrospective study 🔹 Patients with resectable pulmonary ground glass nodules (GGNs) 🔹 Compared CT-guided RFA (34 patients) vs. thoracoscopic sublobar resection (37 patients) 🔹 Focus on safety and efficacy outcomes #InterventionalRadiology

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iRadPulse @iradpulse.bsky.social · 18/03/2025

1/6 🚨 CT-guided radiofrequency ablation (RFA) led to significantly fewer postoperative complications in pulmonary GGNs compared to thoracoscopic sublobar resection! Explore the latest study from CVIR comparing these interventions. 🩺✨ #PulmonaryNodules #RFA

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iRadPulse @iradpulse.bsky.social · 13/03/2025

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iRadPulse @iradpulse.bsky.social · 13/03/2025

4/6 Results: 🔹 21 joints improved to VAS 0-3 🔹 7 joints remained at VAS 4-6 🔹 9 joints showed no improvement (VAS 7-10) 🔹 Minor complication: transient posterior thigh numbness in 2 patients, resolved within 30 days #VAS #PatientOutcomes

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iRadPulse @iradpulse.bsky.social · 13/03/2025

3/6 Treatment Protocol: - 36 joints received imipenem/cilastatin (I/C) - 1 used 100-300 µm BeadBlock - 1 combined microsphere and I/C - 64.5% had GTPS associated with hip osteoarthritis on MRI pre-procedure - #HipOsteoarthritis #IR

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iRadPulse @iradpulse.bsky.social · 13/03/2025

2/6 Study Overview: 📍 Cohort of 31 patients (38 joints) with GTPS non-responsive to therapy 📍 Mean age: 68.89 ± 11.22 years 📍 Focus: Lateral femoral circumflex artery (LFCA) embolization for those without surgical options #InterventionalRadiology #HipPain

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iRadPulse @iradpulse.bsky.social · 13/03/2025

1/6 🚨 64.5% of patients with great trochanteric pain syndrome (GTPS) showed improvement with LFCA embolization, as per the latest study results. Check out this new study from CVIR on managing hip pain when conservative treatments fail👇 #GTPS #Embolization

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iRadPulse @iradpulse.bsky.social · 09/03/2025

6/6 What are your thoughts on this approach? Follow us on LinkedIn: www.linkedin.com/company/ira... IRs using #AI will replace those who don’t! Save time, get smarter, & become AI enhanced! Be sure to subscribe our newsletter: iradpulse.beehiiv.com/subscribe #VIR #iRads

iradpulse.beehiiv.com

@iRadPulse

Stay up-to-date with the latest research in Vascular & Interventional Radiology through AI-generated summaries

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iRadPulse @iradpulse.bsky.social · 09/03/2025

5/6 📌 Conclusion: A tailored approach considering angiographic findings and clinical progression can be important when managing concurrent NCS and PCS. 🔗 Full study: doi.org/doi:10.1186... #VascularSurgery #PatientCare #ClinicalGuidelines #MedTwitter

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iRadPulse @iradpulse.bsky.social · 09/03/2025

4/6 Results from four case scenarios demonstrate a nuanced decision-making process: ✅ Analyze angiographic findings. ✅ Tailor stenting based on the patient's vascular characteristics and symptoms. ✅ Different scenarios validate the personalized approach towards NCS & PCS.

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iRadPulse @iradpulse.bsky.social · 09/03/2025

3/6 Key considerations: 🔹 NCS isn't a contraindication for ovarian vein embolization. 🔹 Decisions on simultaneous vs. sequential stenting rely on: - Detailed angiographic results - Patient's clinical progression #OvarianVeinEmbolization #InterventionalRadiology

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iRadPulse @iradpulse.bsky.social · 09/03/2025

2/6 Management insights: 🔍 Analyses of renocaval pressure gradients often yield inconclusive results. 🔍 Evaluation of the left renal vein waveform can enhance diagnostic clarity. 🔍 "Test PTA" showing a balloon waist helps uncover significant stenosis. #VascularHealth #IR

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iRadPulse @iradpulse.bsky.social · 09/03/2025

1/6 🚨 Discussing optimal strategies for managing nutcracker syndrome (NCS) and pelvic congestion syndrome (PCS)! Dive into the latest insights from CVIR Endovascular on treatment algorithms through four unique case studies 👇 #NutcrackerSyndrome #PelvicCongestionSyndrome

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iRadPulse @iradpulse.bsky.social · 04/03/2025

6/6 What are your thoughts? Stay ahead with our insights—follow us on Twitter and subscribe for more ➡️ iradpulse.beehiiv.com/subscribe Follow us on LinkedIn: www.linkedin.com/company/ira... #VIR #PAD #BypassSurgery

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iRadPulse @iradpulse.bsky.social · 04/03/2025

5/6 📌 Conclusion: Bypass surgery had higher technical success (OR 8.50) & better one-year primary patency (OR 1.43) but was associated with increased 30-day morbidity (OR 1.38), mortality (OR 1.87), & higher one-year major amputation rates (OR 2.58). Full study: doi.org/doi:10.1016...

doi.org

Comparison of Bypass Surgery Versus Endovascular Interventions for Peripheral Artery Disease Through Systematic Review and Meta-Analysis of Randomized Controlled Trials

To compare the risks and benefits of bypass surgery versus endovascular interventions for treating Peripheral Artery Disease (PAD).PubMed, Google Scho…

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iRadPulse @iradpulse.bsky.social · 04/03/2025

4/6 No significant differences found in: - One-year amputation-free survival - Primary assisted & secondary patency at one year - Reintervention rates - 30-day MACE - Ankle-brachial index change - Quality of life & clinical improvement - One-year all-cause mortality #MedicalResearch

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iRadPulse @iradpulse.bsky.social · 04/03/2025

3/6 Key findings: 📈 Bypass surgery had higher technical success (OR 8.50) 📈 Better one-year primary patency (OR 1.43) But: ⚠️ Increased 30-day morbidity (OR 1.38) & mortality (OR 1.87) ⚠️ Higher one-year major amputation rates (OR 2.58) #Endovascular #Surgery

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iRadPulse @iradpulse.bsky.social · 04/03/2025

2/6 In this comprehensive meta-analysis: - 3,856 patients from 14 RCTs were evaluated - Bypass vs endovascular procedures for intermittent claudication or critical limb-threatening ischemia - Outcomes: technical success, 30-day morbidity & mortality, and more #VascularSurgery #Intervention

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iRadPulse @iradpulse.bsky.social · 04/03/2025

1/6 🚨 Bypass surgery shows higher technical success (OR 8.50) but leads to more morbidity and mortality compared to endovascular interventions for PAD! Check out the latest study from JVIR that explores treatment approaches for Peripheral Artery Disease (PAD)👇 #PAD #IR

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iRadPulse @iradpulse.bsky.social · 02/03/2025

6/6 What are your thoughts on these advancements? Stay current with IR innovations by following us! Subscribe to our newsletter: iradpulse.beehiiv.com/subscribe Follow us on LinkedIn: www.linkedin.com/company/ira... #VIR #IRads

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iRadPulse @iradpulse.bsky.social · 02/03/2025

4/6 Collaborative improvements include: ✅ Discussing muscle relaxation needs ✅ Exploring sedation/hypnosis possibilities ✅ Predicting postoperative pain to improve care Aligning strategies between interventionalists and anesthesiologists is crucial #PatientSafety

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