Journal of Vascular and Interventional Radiology

How can we improve consistency and outcomes in prostatic artery embolization (PAE)?

In this Inside Access interview, JVIR author Nassir Rostambeigi, MD, MPH, discusses the international consensus effort to standardize PAE techniques and reduce variability in practice to improve patient outcomes.

For easy access, the interview page also includes a direct link to the latest PAE standards.

Read the full interview here: https://brnw.ch/21x3srT

A new JVIR study explores a novel acousto-optic sensor embedded directly into a needle stylet to enable real-time tip tracking, internal ultrasound imaging, and thermal ablation monitoring under guidance.

Preclinical testing showed millimeter-level accuracy in phantom models, successful tissue differentiation in ex vivo liver, and promising in vivo feasibility in swine, including visualization of internal tissue structures from the needle tip itself.

This emerging technology could significantly enhance precision and feedback during image-guided interventions.

Read more in JVIR: https://brnw.ch/21x3qyN

NEW IN JVIR: Percutaneous Image-Guided Screw Fixation Combined with Cementoplasty for Radiation-Induced Pelvic Insufficiency Fractures: Feasibility, Safety, and Early Outcomes in a Multicenter Retrospective Study

🔍 Clinical Question:
To evaluate the feasibility, safety, and early outcomes of percutaneous image-guided screw fixation (PIGSF) for radiation-induced pelvic insufficiency fractures (R-PIFs).

💡 Key Insight:
Radiation-induced pelvic insufficiency fractures (RPIFs) are a frequent complication after pelvic radiotherapy, leading to pain, immobility, and complications in frail cancer patients. In this multicenter study, percutaneous image-guided screw fixation with cementoplasty (PIGSF) achieved 100% technical success with no complications in 18 patients. At 1 month, PIGSF markedly reduced pain—maximal pain fell from 8.6±1.8 to 3.3±2.8 (P

Fluoroscopy safety is about more than radiation exposure.

A new multidisciplinary ALARA+ summit—endorsed by major societies including American College of Cardiology, SCAI - The Society for Cardiovascular Angiography and Interventions, Society for Interventional Radiology, Society of NeuroInterventional Surgery, Society of Vascular and Interventional Neurology and Society for Vascular Surgery —brings attention to the combined risks of ionizing radiation and musculoskeletal injury in fluoroscopic environments.

The accompanying commentary further highlights how these risks impact operator health, training, and long-term workforce sustainability.

Together, they advance the call for “as low and as light as reasonably achievable” (ALARA+).

Read the copub and commentary: https://brnw.ch/21x3mKU

Listen to this month's JVIR articles on the Kinked Wire now!

Abstracts include:
The Society of Interventional Radiology Practice Guidance Document on Venous Origin Chronic Pelvic Pain in Women

Comparative Prognostic Accuracy of Model for End-Stage Liver Disease Scores and the Freiburg Index of Post–Transjugular Intrahepatic Portosystemic Shunt Survival in Patients Undergoing Transjugular Intrahepatic Portosystemic Shunt Procedure for Ascites or Gastroesophageal Bleeding: A Meta-Analysis of Time-Specific Mortality

Intravascular Lithotripsy for Peripheral Artery Calcification: 30-Day and 6-Month Outcomes from the RESTORE ATK Study

Transarterial Embolization to Improve Plantar Heel Pain: 6-Month Results from a Prospective Case Series

Feasibility and Early Outcomes of SingleSession Percutaneous Cholecystolithotomy Using Holmium Laser Lithotripsy Followed by Primary Tract Closure via Cholecystopexy

Percutaneous Image-Guided Screw Fixation Combined with Cementoplasty for Radiation-Induced Pelvic Insufficiency Fractures: Feasibility, Safety, and Early Outcomes in a Multicenter Retrospective Study

https://brnw.ch/21x3bsT

Our June 2026 JVIR issue features new SIR guidance on venous-origin chronic pelvic pain in women, alongside major meta-analyses on TIPS-related cardiovascular effects and management of small renal masses. Dive into the latest evidence shaping clinical practice and explore the full issue to stay current with evolving IR care.

Read now: https://brnw.ch/21x3gPu

NEW IN JVIR: Transarterial Embolization to Improve Plantar Heel Pain: 6-Month Results from a Prospective Case Series

🔍 Clinical Question:
To investigate the effectiveness of transarterial embolization (TAE) for recalcitrant plantar heel pain (PHP).

💡 Key Insight:
Seventeen (70.8%) of 24 participants were responders at 6 months following treatment. Median pain and quality-of-life scores improved by 70.5% and 152%, respectively, at 6 months. This study adds to preliminary evidence suggesting that transarterial embolization, a novel procedure for plantar heel pain, could be an effective treatment option.

👉 Why it matters:
Notwithstanding the limitations inherent to a case series study, the results provide preliminary evidence that TAE might be an effective treatment option for people with recalcitrant plantar heel pain, supporting further evaluation of this technique.

➡️ Full Article:
https://brnw.ch/21x3cYJ

During , JVIR is spotlighting research focused on advancing treatment strategies and improving outcomes for patients with acute ischemic stroke.

Recent featured studies explore:
🧠 The safety and efficacy of baseline antiplatelet treatment in patients undergoing mechanical thrombectomy

🧠 The association between aortic arch calcification, ischemic stroke subtypes, and endovascular thrombectomy outcomes

These findings contribute to the growing body of evidence supporting safer, more informed stroke interventions and improved patient care in IR.

Read the studies:
Antiplatelets before mechanical thrombectomy:
https://brnw.ch/21x2Uco

Aortic arch calcification and thrombectomy outcomes:
https://brnw.ch/21x2Ucn

NEW IN JVIR: Safety and Feasibility of Yttrium-90 Radioembolization for Cirrhosis-Induced Splenomegaly and Thrombocytopenia: Results from an Investigational Device Exemption Study

🔍 Clinical Question:
This prospective study evaluated novel yttrium-90 (90Y) splenic transarterial radioembolization (TARE) for cirrhosis-associated hypersplenism and thrombocytopenia.

💡 Key Insight:
Yttrium-90 splenic transarterial radioembolization for cirrhosis-induced splenomegaly and thrombocytopenia was feasible and safe, with lung shunt fractions

NEW IN JVIR: Oncologic and Functional Outcomes of Active Surveillance and Ablative Therapy for Small Renal Masses A Systematic Review and Meta-Analysis

🔍 Clinical Question:
To compare the oncologic and renal functional outcomes of active surveillance (AS) and ablative therapy (AT) in patients with small renal masses (SRMs).

💡 Key Insight:
Active surveillance and ablative therapy demonstrated comparable oncologic outcomes, with low metastasis rates (0.6% vs 0.9%) and high cancer-specific survival (99.6% vs 93.5%).

Overall survival was higher with ablative therapy (84.8%) than active surveillance (74.0%), while both approaches demonstrated comparable long-term renal function outcomes. Subgroup analyses (T1a tumors,