Our latest video features Doctors Ryan M. Kohlbrenner and Xiao Wu, who spoke about his paper "Cryoablation Versus Breast-Conserving Surgery for Early-Stage, Low-Risk Breast Cancer ≤ 1.5 cm: A Cost-Effectiveness Analysis."

The authors compare ultrasound-guided cryoablation (BCA) and breast-conserving surgery (BCS) for patients with early-stage, low-risk breast cancer using a cost-effectiveness analysis. BCA is a cost-effective strategy for patients with early-stage, low-risk, sonographically visible breast cancer when compared to BCS. 

This video features Prof. Andreas Mahnken, who spoke about his paper "CIRSE Standards of Practice for the Provision of Emergency IR Care on a 24/7".

Prof. Mahnken outlines the essential structural and organisational requirements for delivering safe and sustainable 24/7 emergency interventional radiology (IR) care.

He expressed how emergency IR plays a pivotal role in the management of life-threatening conditions such as bleeding, ischaemia, and sepsis, drawing attention on the fact that while these minimally invasive treatments are associated with low complication rates and excellent outcomes, their round-the-clock availability depends on appropriate infrastructure, staffing, and institutional organisation.

The resulting document provides up-to-date, practical guidance to help hospitals and IR departments establish and maintain effective 24/7 emergency interventional radiology services, ultimately strengthening patient safety, service resilience and quality of care.

Our latest video features Prof. Dimitrios Filippiadis, who spoke about his paper "CIRSE Standards of Practice for the Classification of Complications – The Modified CIRSE Classification System".

In his study, Prof. Filippiadis presents an updated version of the CIRSE complication classification system, originally introduced in 2017 to standardise the reporting of complications in interventional radiology.

Built on insights from international validation and experience gathered during the ICCIR 2023 meeting, the revised system refines key categories by subdividing Grade 1 and Grade 3 to better reflect procedural success and length of hospital stay.

Early testing of the modified framework demonstrated high reliability and strong inter-observer agreement, offering the IR community a clearer, more objective, and practical tool to consistently describe clinical outcomes after complications.

Our latest video features Dr. Paul Jenkins, who spoke about his paper "Retrospective Observational Study of the Management of Blunt Traumatic Splenic Injury 2017-2022 at Major Trauma Centres in England. What is the Current Role of Splenic Artery Embolisation?".

In his study, Dr. Jenkins and colleagues analysed the management and outcomes of blunt splenic injuries (BSI) in English Major Trauma Centres between 2017 and 2022. Drawing on data from the UK Trauma Audit Research Network, the study compared conservative management, splenic artery embolisation, and splenectomy across more than 3,700 patients. Results showed that embolisation was highly effective, achieving splenic salvage in 94.7% of cases, with shorter hospital stays than splenectomy and comparable 30-day mortality. This work highlights the pivotal role of splenic artery embolisation as a safe and effective treatment option for BSI, offering clinicians a minimally invasive approach with excellent outcomes.

Our latest video features Prof. Romaric Loffroy, who spoke about his paper "CIRSE Standards of Practice for the Interventional Radiology Management of Acute and Chronic Arterial Mesenteric Ischaemia".

In this new Standards of Practice document, Prof. Romaric Loffroy and colleagues provide expert recommendations on the interventional radiology management of acute and chronic arterial mesenteric ischaemia. With endovascular approaches now considered first-line treatment due to their minimally invasive nature and lower in-hospital mortality, this guidance outlines when and how IR should be applied, especially in contrast to surgical options. Developed through consensus and a review of over a decade of literature, the document reinforces the central role of IR in managing these life-threatening conditions and offers practical insights for improving patient outcomes.

Our latest video features Dr. Junaid Raja, who spoke about his paper "‘Percutaneous Gallstone Extraction Through Midbody Access to the Gallbladder Using a Cleaner XT Rotational Thrombectomy Device: A Case Report".

In this insightful case report, Dr. Raja presents a novel approach to the percutaneous extraction of gallstones using midbody access to the gallbladder and a Cleaner XT rotational thrombectomy device. This method was employed in a patient with acute cholecystitis who was unfit for surgery, highlighting the potential of minimally invasive solutions in complex clinical scenarios. The technique not only facilitated successful gallstone removal but also demonstrated a promising alternative for managing high-risk patients, expanding the therapeutic options available in interventional radiology.

Our latest video features Dr. Contantinos Sofocleous who spoke about his paper "‘Systemic Immunological Changes After Yttrium-90 Radioembolization: A Pilot Prospective Observational Study—Clinical Insights".

The aim of this study was to evaluate how transarterial radioembolization (TARE) with Yttrium-90 affects the immune system in patients with colorectal cancer liver metastases. By assessing systemic immunological changes before and after treatment, the study explores the potential for combining TARE with immunotherapy to enhance patient outcomes.

Our latest video features Dr. Doireann Joyce who spoke about her paper "‘Major Complications of Deep Venous Stenting".

The aim of this study was to determine the incidence of serious complications associated with iliocaval and iliofemoral stent placement in a cohort of patients from three major tertiary deep venous referral centers.

This video features Dr. Anna Maria Ierardi who spoke about her paper "‘Effectiveness and Safety of Different Vascular Closure Devices: Multicentre Prospective Observational study".

The aim of this prospective, multicentre, observational study was to compare the efficacy and safety of balloon-based and non-balloon-based vascular closure devices (VCDs).

This video features Dr. Arindam Chaudhuri, who spoke about his paper "‘Post-Close’ Femoral Arterial Haemostasis at Endovascular Aneurysm Repair using a Dedicated Large-Bore Vascular Closure Device: A Prospective Real-World Audit".

He gave some background on large-bore vascular closure devices and outlined the benefits of such devices, from minimizing complications to short hospital stays. He also discussed the outcomes and patients included in the study, including failure/success rates.

Dr. Raja Shaikh discussed cryoablation in the paediatric population and how this modality has been previously less explored in paediatric IR. He offered insights on the main indications, including chronic pain. He highlighted the heterogeneity of paediatric patients, aged from 1 day to 18 years, and discussed the need to buffer during the procedure to protect patients and limit complications.

Curious to learn more? Read the full article, Cryoablation for Bone and Soft Tissue Lesions in Pediatric Patients: Complications and Preventive Measures

Dr. Levigard spoke to us about bariatric embolization, a novel treatment that could change the game, not only for obesity, but also potentially for those with diabetes. This new procedure may well be part of bariatric management in the future, offering an alternative to surgery. Considering how many people are in need of these procedures and how few surgeries are performed each year, having an alternative could mean more care for many patients.

Read the full article here. 

Dr. Mosconi covered the systematic review comparing transarterial chemoembolization and radioembolization for unresectable intrahepatic cholangiocarcinoma. She outlines how the patients for the study were determined, as well as the outcomes of study in more detail. Although radioembolization showed more favourable outcomes, how much was due to patient characteristics?

Watch the full video here to find out!

In the latest video, Prof. Müller-Hülsbeck discussed some of the aspects of the IMPERIAL randomized control trial, comparing the Eluvia stent and the Zilver PTX stent. He discussed amendments to the study, study outcomes, and what characteristics of the devices may explain these results.

Read the full article here for more details!

Prof. Goh spoke to us about the practical applications of artificial intelligence in the field of IR. He highlighted how it can be used ahead of procedures, as well as during procedures to guide operators, and can even be applied in the follow-up, by highlighting which patients may be at greater risk for tumour recurrence.

If you want to know more about how to get started, check out the article here.

Dr. Pedersoli spoke to us about the article Stent Graft Placement by Pseudoaneurysm of the Hepatic Arteries: Efficacy and Patency Rate in Follow-up.

He and Dr. Krokidis discussed the study, including patency, thrombosis, and collaterisation. Check it out and read the full article for more information!

Dr. Rajeswaran gave us an update on this innovative procedure combining chemical sclerosis and synthetic grafting for paediatric patients with unicameral bone cysts. This procedure is shorter than open surgery, has lower recurrence rates, and allows patients to get back to full activity at a mean of 2.0 months post procedure!

If you want to know more, check out the full article.

Dr. Krokidis spoke with Dr. Sara Silberstein about her paper Ethics in Interventional Radiology: A Case-Based Primer.

In the interview, they discuss whether IR is more susceptible to ethical dilemmas due to its minimally invasive nature, what role culture plays, and what IRs can do to protect themselves from liability.