Advancements in Interventional Radiology Techniques in Vascular and Extravascular Diseases

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: 31 October 2025 | Viewed by 287

Special Issue Editors


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Guest Editor
Azienda Ospedaliera di Rilievo Nazionale Antonio Cardarelli, Naples, Italy
Interests: embolization; radial; oncology; SIRT; ablation; TACE; venous; stenting

E-Mail Website
Guest Editor
Azienda Ospedaliera di Rilievo Nazionale Antonio Cardarelli, Naples, Italy
Interests: embolization; radial; oncology; SIRT; ablation; TACE; venous; stenting
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Special Issue Information

Dear Colleagues,

This Special Issue aims to highlight novelties in the field of Interventional Radiology (IR), focusing on both vascular and extravascular techniques.

In recent years, significant progress has been made in IR, especially in embolization and oncological interventions, which are the primary focal points of this Special Issue.

The role of IR in embolization is growing day by day, both in emergency and elective scenarios. Embolization for bleeding is a part of everyday life for interventional radiologists working in hospitals with emergency departments. Modern technologies involving embolic agents and microcatheters facilitate the safe and effective treatment of a wide range of diseases (aneurysms, AVMs, prostatic hypertrophy, PCS, varicoceles, genicular arthrosis, etc.); in parallel, the radial artery diffusion approach has improved patient comfort and reduced recovery time.

In the field of interventional oncology, the data gathered over the last two decades have demonstrated the role of IR as the “fourth pillar” of oncology; indeed, ablation, chemoembolization, and radioembolization are the tools of choice for interventional radiologists, not forgetting the increasing number of biopsies facilitating more personalized diagnosis and therapy. Today, IR is an integral element in all multidisciplinary team meetings.

In this Special Issue, we welcome contributions on these topics and more in the field of Interventional Radiology.

Dr. Francesco Giurazza
Dr. Fabio Corvino
Guest Editors

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Keywords

  • embolization
  • radial
  • oncology
  • radioembolization
  • ablation
  • chemoembolization

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Published Papers (1 paper)

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Research

11 pages, 906 KiB  
Article
Single Angio-Seal™ Device as a Simplified and Technically Feasible Alternative for Tract Closure in Percutaneous Portal Vein Access: A Retrospective Study
by Ismail Karluka and Mustafa Mazıcan
Diagnostics 2025, 15(10), 1266; https://doi.org/10.3390/diagnostics15101266 - 16 May 2025
Viewed by 102
Abstract
Purpose: This study aimed to evaluate the efficacy and safety of the Angio-Seal™ VIP vascular closure device (VCD) in achieving hemostasis following percutaneous transhepatic portal venous interventions. Methods: This retrospective study evaluated 20 patients (mean age: 52.85 ± 16.18 years; 80% male) who [...] Read more.
Purpose: This study aimed to evaluate the efficacy and safety of the Angio-Seal™ VIP vascular closure device (VCD) in achieving hemostasis following percutaneous transhepatic portal venous interventions. Methods: This retrospective study evaluated 20 patients (mean age: 52.85 ± 16.18 years; 80% male) who underwent percutaneous transhepatic portal vein interventions followed by tract closure with the Angio-Seal™ device between January 2016 and September 2024. Procedural data, pre- and post-procedural hemoglobin and hematocrit levels, and complications were analyzed. Technical success was defined as the successful deployment of the device with immediate hemostasis and no evidence of bleeding on post-procedural imaging. Results: Technical success, as defined in this study, was achieved in all 20 procedures (100%). The mean hemoglobin level declined from 11.91 ± 2.01 g/dL to 11.09 ± 2.19 g/dL (p < 0.001), and the mean hematocrit level decreased from 36.18 ± 6.03% to 32.98 ± 5.80% (p = 0.001). A hemoglobin drop ≥2 g/dL occurred in two patients (10%) and a hematocrit drop ≥4% in six patients (30%); none were associated with imaging or clinical evidence of hemorrhage. No major complications were observed. Minor complications, including localized pain managed with analgesics, occurred in five patients (25%). Follow-up imaging confirmed the absence of hemoperitoneum or device-related failure. Conclusions: Angio-Seal™ is a technically feasible, safe, and effective option for tract closure following percutaneous transhepatic portal vein access. This single-device approach may offer a cost-effective alternative to traditional embolization techniques. However, more extensive prospective studies are required to validate these findings. Full article
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