Dr. Cương spoke to us about his experience with patients with renal lymphatic fistulas and their potential cause, highlighted in the article Occlusion of thoracic duct stent resulting in recurrent chyluria: role of renal-lymphatic fistula embolization

Some patients were treated with stents, and others with embolization - in some cases, they recovered very well and in others, the thoracic duct was occluded and resulted in recurrent chyluria. He also touched on the cause of chyluria, while discussing how the cause of stenosis of the thoracic duct is still unknown.

The insights from this article should help others in the field understand the factors leading to chyluria and offer treatment options to help patients.

Dr. Palm spoke to us about the article he and co-authors Antti Valtola, Hannu Manninen & Petri Saari wrote: "A modified candy-plug technique to occlude false lumen in aortic dissection."

The paper introduces a modified, novel way to custom create a candy-plug device to endovascularly occlude false lumen. The occlusion of backflow to the false lumen can be the reason why the thoracic aorta keeps dilating despite adequate TEVAR placement, meaning this approach to occlude the false lumen could be a gamechanger and offer a versatile method that could be utilized in acute settings.

This could improve patient outcomes and takes endovascular one step further while preserving the option for surgical repair if necessary.

Dr. Hernan Bertoni discussed the considerations behind the innovative use of a new stent graft for treatment of complex paravisceral aortic aneurysms in the setting of a chronic dissection. Unique to this design is the ability to perform in situ fenestration for the left renal artery thereby closing the re-entry flap at this level and excluding flow from the false lumen.

This work opens the door to range of treatments for complex anatomy, forging a a new path for treatment of complex thoraco-abdominal aneurysms and other vascular pathologies and offers patients reduced operation time and lower morbidity. Read the full paper here.

Prof. Hanno Hoppe discussed vascular erectile dysfunction (ED) with us in our most recent video, highlighting how it affects more than 50% of men in their lifetimes, yet many are too embarrassed to discuss it with their doctors. Considering that it can be a marker for other cardiovascular disease, he outlines why it should be taken more seriously and how doctors should address it with patients directly. Luckily, there are endovascular treatments available for ED, and Prof. Hoppe and co-author Nicolas Diehm offer a useful guide for IRs and other practitioners.

Check out the original article as well as the corresponding Letter to the Editorpublished in CVIR Endovascular.

Dr. Kevin Fung discussed the paper "Embolisation of an aneurysmal high-flow renal arteriovenous fistula in a paediatric patient: simultaneous arterial and venous approach" with co-authors Sze Wah Wong, Eugene Yu-hin Chan, Ka-king Cheng, Hing-Yan Cho, Elaine Yee-Ling Kan and Alison Lap Tak Ma.

The simultaneous deployment of coils through artery and veins serves as an alternative to more traditional flow control strategies such as using a proximal occlusion balloon that is more commonly described, especially in paediatric patients who have smaller femoral arteries

Dr. Mohammed Shamseldin (Helios Klinikum, Erfurt/DE) demonstrates how tools and tips from other areas can be applied in interventional radiology. In this video, he describes how cerebral stent retrievers may be used in removing different and rather unusual intra-arterial foreign objects in other parts of the body.

Check out the original paper here!

We were thrilled to have Dr. Pereira talk to us about the paper "Superior hypogastric nerve block (SHNB) for pain control after uterine fibroid embolization (UFE): technique and troubleshooting", which he and co-authors Louis Maurice Morel-Ovalle, Mehdi Taghipour, Afsheen Sherwani, Roshni Parikh, Jerome Kao and Kirubahara Vaheesan wrote.

He discusses how this procedure offers female patients undergoing uterine fibroid embolisation pain control without opioids, and can even mean same-day discharge, which is a game changer for patients as well as doctors performing these procedures.

Prof. Quencer has published several of the journal's most accessed papers, and we were delighted to have him talk to us about the paper "Adrenal vein sampling: technique and protocol, a systematic review" where he gave an overview of this procedure, including an assessment of different techniques and protocols in order to offer a guide to readers and to increase the procedure success rate overall.

Our latest video features Dr. Anne Gill, who discusses the paper she and co-author Giridhar M. Shivaram contributed to the CVIR Endovascular special section on paediatric IR. She outlines her experience and offers suggestions for medication, equipment, workup, and identifies barriers to successful management of acute and chronic systemic venous occlusions in children.

Dr. Monica Matsumoto discusses the paper that she and co-authors Karan Nijhawan, Jeffrey A. Leef, Chelsea Dorsey & Osman Ahmed wrote, "Hybrid CT-angiography to facilitate lower extremity sharp venous recanalization: a novel approach to a common procedure."

In the video, she outlines how the case at hand highlights the potential for endovascular treatment (in this case, hybrid CT-Angiography, more commonly used in interventional oncology) of chronic venous occlusions.

The series kicks off with Dr. Gregory Makris, who discusses the Letter to the Editor that he and Drs. Saqib Butt and Tarun Sabharwal published on unnecessary hysterectomies and the role of the interventional radiology community.