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Rectal artery embolization, or emborrhoid, is a safe, efficient, and minimally invasive intra-arterial intervention that enables selective embolization of the rectal arteries for treatment of chronic hemorrhoidal disease.

In an analysis applying automated segmentation to UK Biobank MRI scans, hypertension, higher body mass index, and higher physical activity level were associated with increased left ventricular trabeculations in healthy middle-aged White adults.

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Purpose: The aim of this comparative study was to evaluate the increased aortic diameter of the distal aorta after implementing the STABILISE technique in complicated type B aortic dissection (AD).Design: This is a comparative monocentric retrospective study.Materials and Methods: All patients who underwent an STABILISE procedure for complicated AD between 2018 and 2020 were included and compared with a historic cohort treated with thoracic endovascular aortic repair (TEVAR) alone. Aortic diameters were measured at 6 different levels on the thoracic and abdominal aorta. The primary end point was an increased aortic diameter at 1 and 2 years. The exclusion criterion was the absence of a computed tomography (CT) scan at 1 or 2 years.Results: A total of 55 patients were included: 24 in the TEVAR group and 31 in the STABILISE group. At the level of the stent graft, there was a decrease in aortic diameters in both groups without significant differences. At the level of the distal aorta, there was an increase in aortic diameters in both groups without significant differences. There were significantly more patients in the TEVAR group with an unfavorable increase in aortic diameter >5 mm of the distal aorta at 2 years than in the STABILISE group: 8 (33%) vs 1 (3%) (p=0.01). For chronic ADs, a significantly greater increase in aortic diameters of the distal aorta was observed in the STABILISE group.Conclusions: The STABILISE technique is technically feasible and potentially leads to decreased longer re-intervention rates; indeed, more patients had an unfavorable increase in aortic diameter in the TEVAR group than in the STABILISE group at 2 years. The high rate of long-term distal aortic aneurysm progression and reintervention after TEVAR alone suggests that this option is not sufficient to definitively treat these complex patients.Clinical Impact This article reported the results of stent assisted balloon induced intimal disruption and relamination (STABILISE) with a follow-up at 2 years. This is the first comparative study between STABILISE, which has emerged as a new technique inducing aortic remodeling and therefore better long-term outcome, and the standard technique TEVAR alone. STABILISE technique is associated with good results on the distal aorta at 2 years with a rate of patient with unfavorable aortic diameter evolution greater in TEVAR group compared to STABILISE group and could improve the long-term results on the distal aorta by inducing extensive aortic remodeling.

Certains patients nécessitent dans leur prise en charge des perfusions itératives sur voie centrale pour diffusion du médicament, par exemple en oncologie ou en infectiologie, ce qui représente un challenge dans le cadre de la prise en charge en ambulatoire. La radiologie interventionnelle permet de proposer des solutions avec la pose et le suivi des PICC-lines et des chambres implantables. Ceux-ci sont posés dans des conditions d’asepsie stricte et sous guidage de l’imagerie dans une salle de radiologie interventionnelle par un opérateur et avec un entourage paramédical qui nécessitent d’être expérimentés. Cette mise au point permet de mettre l’accent sur l’intérêt d’un dispositif par rapport à l’autre, ainsi que les différentes techniques de poses, les complications qui peuvent survenir et enfin, la surveillance de ces dispositifs.

Heart failure- (HF) and arrhythmia-related complications are the main causes of morbidity and mortality in patients with nonischemic dilated cardiomyopathy (NIDCM). Cardiovascular magnetic resonance (CMR) imaging is a noninvasive tool for risk stratification based on fibrosis assessment. Diffuse interstitial fibrosis in NIDCM may be a limitation for fibrosis assessment through late gadolinium enhancement (LGE), which might be overcome through quantitative T1 and extracellular volume (ECV) assessment. T1 and ECV prognostic value for arrhythmia-related events remain poorly investigated. We asked whether T1 and ECV have a prognostic value in NIDCM patients.