# Special Issue: Present and Future Perspectives of Vascular Interventional Radiology

Julien Frandon, Jean-Paul Beregi

► To cite this version:

Julien Frandon, Jean-Paul Beregi. Special Issue: Present and Future Perspectives of Vascular Interventional Radiology. Journal of Personalized Medicine, 2023, 13 (7), pp.1131. 10.3390/jpm13071131. hal-05089007

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Editorial

# Special Issue: Present and Future Perspectives of Vascular Interventional Radiology

Julien Frandon* and Jean-Paul Beregi

Department of Medical Imaging, IPI Plateform, Nîmes University Hospital, University of Montpellier, Medical Imaging Group Nîmes, IMAGINE, 30029 Nîmes, France; jean.paul.beregi@chu-nimes.fr

* Correspondence: julien.frandon@chu-nimes.fr; Tel.: +33-466-683-309

The field of vascular interventional radiology has witnessed remarkable advancements, transforming the landscape of patient care for both vascular and non-vascular pathologies. Through minimally invasive techniques, we can now offer therapeutic alternatives with reduced complications to patients who are not eligible for conventional treatments. With the emergence of personalized therapies tailored to specific pathologies, disease stages, and patient characteristics, we find ourselves at the forefront of a new era in medicine where treatments are uniquely tailored to each individual.

This Special Issue of the *Journal of Personalized Medicine* features a comprehensive collection of 16 articles, primarily focusing on embolization, a major theme in vascular interventional radiology. Embolization techniques have revolutionized the field, providing effective treatment options for various conditions. Within this issue, we delve into various aspects of embolization, including the embolization of the prostatic artery [1], splenic trauma [2], polycystic liver disease [3], soft tissue hematomas [4], pulmonary arteriovenous malformation [5], gastrointestinal bleeding [6], and even emerging themes such as musculoskeletal embolization [7]. These articles showcase the breadth and depth of research in the field, offering insights into the latest advancements and personalized approaches in embolization therapies.

One prominent focus of this issue revolves around prostatic artery embolization, an increasingly promising technique for treating benign prostatic hyperplasia. The articles within this issue present invaluable insights, offering tips and tricks to enhance the precision of the procedure using real-time navigation [8] devices and showcasing the benefits of radial access in facilitating outpatient management [9]. These techniques not only bolster the safety and efficiency of the procedure but also lead to reduced patient recovery times.

While embolization techniques have effectively addressed vascular pathologies, interventional radiology goes beyond vessel occlusion to include vessel recanalization. In cases of mesenteric ischemia, for instance, revascularization procedures have offered new avenues for treatment, restoring blood flow to ischemic organs and improving patient outcomes [10]. Furthermore, interventional radiologists have played a crucial role in enhancing vascularization by deploying stents in carotid arteries to improve blood supply to the brain [11,12]. Hence, interventional radiology not only occludes vessels but also serves as a powerful tool to reestablish perfusion, ultimately enhancing the overall management of various medical conditions.

In addition to its therapeutic applications, vascular interventional radiology is crucial in the diagnostic realm. By integrating the latest guidance technologies, such as cone beam CT, interventional radiologists can obtain detailed preoperative mapping for complex aortic surgeries [13]. New game-changing technologies such as 4DCT are helping to optimise patient exposure to X-rays for increasingly complex treatments [14]. In the same vein, this issue shows the contribution of MRI in diagnosing pelvic congestion syndrome, a condition often misdiagnosed or misunderstood, causing chronic pain and significant health challenges [15]. The synergy between advanced imaging techniques and interventional

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**Citation:** Frandon, J.; Beregi, J.-P.  
Special Issue: Present and Future  
Perspectives of Vascular  
Interventional Radiology. *J. Pers. Med.*  
**2023**, *13*, 1131. https://doi.org/  
10.3390/jpm13071131

Received: 5 July 2023

Accepted: 10 July 2023

Published: 12 July 2023

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Copyright: © 2023 by the authors.
Licensee MDPI, Basel, Switzerland.
This article is an open access article
distributed under the terms and
conditions of the Creative Commons
Attribution (CC BY) license (https://
creativecommons.org/licenses/by/
4.0/).
radiology empowers clinicians to make informed decisions, resulting in safer and more
effective patient treatments.

Beyond vascular pathologies, several articles shed light on the application of vascular interventional radiology in treating non-vascular pathologies, including tendon pathology [7] and hepatocellular cancer [16]. These contributions underscore the importance of comprehending the underlying pathophysiology of these conditions and developing personalized therapeutic approaches.

Collectively, the articles published in this Special Issue of the *Journal of Personalized Medicine* underscore the pivotal role of vascular interventional radiology in contemporary clinical practice. These advances provide patients with innovative, minimally invasive treatment alternatives that reduce complications and enhance their overall quality of life. As personalized medicine continues to evolve, vascular interventional radiology is poised to play an increasingly significant role in delivering tailored treatments that cater to the specific requirements of individual patients.

In conclusion, we extend our gratitude to the authors for their valuable contributions to this Special Issue. Their research and insights hold immense potential to shape the future of vascular interventional radiology, driving the paradigm of personalized medicine. We encourage readers to delve into the articles and embrace the transformative power of innovative interventions in their pursuit of enhanced patient care.

**Author Contributions:** Conceptualization, J.F. and J.-P.B.; methodology, J.F.; validation, J.F. and J.-P.B.; formal analysis, J.F.; investigation, J.F.; resources, J.F.; data curation, J.F.; writing—original draft preparation, J.F.; writing—review and editing, J.F. and J.-P.B.; visualization, J.-P.B.; supervision, J.-P.B. All authors have read and agreed to the published version of the manuscript.

**Funding:** This research received no external funding.

**Conflicts of Interest:** The authors declare no conflict of interest.

## References

1. Amouyal, G.; Tournier, L.; De Margerie-Mellon, C.; Pachev, A.; Assouline, J.; Bouda, D.; De Bazelaire, C.; Marques, F.; Le Strat, S.; Desgrandchamps, F.; et al. Safety Profile of Ambulatory Prostatic Artery Embolization after a Significant Learning Curve: Update on Adverse Events. *J. Pers. Med.* **2022**, *12*, 1261. [CrossRef] [PubMed]

2. Sammoud, S.; Ghelfi, J.; Barbois, S.; Beregi, J.-P.; Arvieux, C.; Frandon, J. Preventive Proximal Splenic Artery Embolization for High-Grade AAST-OIS Adult Spleen Trauma without Vascular Anomaly on the Initial CT Scan: Technical Aspect, Safety, and Efficacy—An Ancillary Study. *J. Pers. Med.* **2023**, *13*, 889. [CrossRef] [PubMed]

3. Coussy, A.; Jambon, E.; Le Bras, Y.; Combe, C.; Chiche, L.; Grenier, N.; Marcelin, C. The Safety and Efficacy of Hepatic Transarterial Embolization Using Microspheres and Microcoils in Patients with Symptomatic Polycystic Liver Disease. *J. Pers. Med.* **2022**, *12*, 1624. [CrossRef] [PubMed]

4. Grange, R.; Grange, L.; Chevalier, C.; Mayaud, A.; Villeneuve, L.; Boutet, C.; Grange, S. Transarterial Embolization for Spontaneous Soft-Tissue Hematomas: Predictive Factors for Early Death. *J. Pers. Med.* **2022**, *13*, 15. [CrossRef] [PubMed]

5. Si-Mohamed, S.A.; Cierco, A.; Gamondes, D.; Restier, L.M.; Delagrange, L.; Cottin, V.; Dupuis-Girod, S.; Revel, D. Embolization of Recurrent Pulmonary Arteriovenous Malformations by Ethylene Vinyl Alcohol Copolymer (Onyx®) in Hereditary Hemorrhagic Telangiectasia: Safety and Efficacy. *J. Pers. Med.* **2022**, *12*, 1091. [CrossRef] [PubMed]

6. Extrat, C.; Grange, S.; Mayaud, A.; Villeneuve, L.; Chevalier, C.; Williet, N.; Le Roy, B.; Boutet, C.; Grange, R. Transarterial Embolization for Active Gastrointestinal Bleeding: Predictors of Early Mortality and Early Rebleeding. *J. Pers. Med.* **2022**, *12*, 1856. [CrossRef] [PubMed]

7. Ghelfi, J.; Soulairol, I.; Stephanov, O.; Bacle, M.; de Forges, H.; Sanchez-Ballester, N.; Ferretti, G.; Beregi, J.-P.; Frandon, J. Feasibility of Neovessel Embolization in a Large Animal Model of Tendinopathy: Safety and Efficacy of Various Embolization Agents. *J. Pers. Med.* **2022**, *12*, 1530. [CrossRef] [PubMed]

8. Moulin, B.; Di Primio, M.; Vignaux, O.; Sarrazin, J.L.; Angelopoulos, G.; Hakime, A. Prostate Artery Embolization: Challenges, Tips, Tricks, and Perspectives. *J. Pers. Med.* **2022**, *13*, 87. [CrossRef] [PubMed]

9. Amouyal, G.; Tournier, L.; de Margerie-Mellon, C.; Bouda, D.; Pachev, A.; Assouline, J.; de Bazelaire, C.; Marques, F.; Le Strat, S.; Desgrandchamps, F.; et al. Feasibility of Outpatient Transradial Prostatic Artery Embolization and Safety of a Shortened Deflation Protocol for Hemostasis. *J. Pers. Med.* **2022**, *12*, 1138. [CrossRef] [PubMed]

10. Estler, A.; Estler, E.; Feng, Y.-S.; Seith, F.; Wießmeier, M.; Archid, R.; Nikolaou, K.; Grözinger, G.; Artzner, C. Treatment of Acute Mesenteric Ischemia: Individual Challenges for Interventional Radiologists and Abdominal Surgeons. *J. Pers. Med.* **2022**, *13*, 55. [CrossRef] [PubMed]
11. Aita, J.-F.; Agripnidis, T.; Testud, B.; Barral, P.-A.; Jacquier, A.; Reyre, A.; Alnuaimi, A.; Girard, N.; Tradi, F.; Habert, P.; et al. Stenting in Brain Hemodynamic Injury of Carotid Origin Caused by Type A Aortic Dissection: Local Experience and Systematic Literature Review. *J. Pers. Med.* **2022**, *13*, 58. [CrossRef] [PubMed]

12. Hak, J.-F.; Arquizan, C.; Cagnazzo, F.; Mahmoudi, M.; Collemiche, F.-L.; Gascou, G.; Lefevre, P.-H.; Derraz, I.; Labreuche, J.; Mourand, I.; et al. MRI Outcomes Achieved by Simple Flow Blockage Technique in Symptomatic Carotid Artery Stenosis Stenting. *J. Pers. Med.* **2022**, *12*, 1564. [CrossRef] [PubMed]

13. Barral, P.-A.; De Masi, M.; Bartoli, A.; Beunon, P.; Gallon, A.; Tradi, F.; Hak, J.-F.; Gaudry, M.; Jacquier, A. Angio Cone-Beam CT (Angio-CBCT) and 3D Road-Mapping for the Detection of Spinal Cord Vascularization in Patients Requiring Treatment for a Thoracic Aortic Lesion: A Feasibility Study. *J. Pers. Med.* **2022**, *12*, 1890. [CrossRef] [PubMed]

14. Greffier, J.; Dabli, D.; Kammoun, T.; Goupil, J.; Berny, L.; Benjelloun, G.T.; Beregi, J.-P.; Frandon, J. Retrospective Analysis of Doses Delivered during Embolization Procedures over the Last 10 Years. *J. Pers. Med.* **2022**, *12*, 1701. [CrossRef] [PubMed]

15. Jambon, E.; Le Bras, Y.; Cazalas, G.; Grenier, N.; Marcelin, C. Pelvic Venous Insufficiency: Input of Short Tau Inversion Recovery Sequence. *J. Pers. Med.* **2022**, *12*, 2055. [CrossRef] [PubMed]

16. Niu, X.-K.; He, X.-F. A Nomogram Based on Preoperative Lipiodol Deposition after Sequential Retreatment with Transarterial Chemoembolization to Predict Prognoses for Intermediate-Stage Hepatocellular Carcinoma. *J. Pers. Med.* **2022**, *12*, 1375. [CrossRef] [PubMed]

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