<b>Purpose</b><br/>The use of adhesive-pad stabilization devices (SDs) instead of suture fixation (SF) may affect dislocation or infection rates. This study aimed to investigate the impact of SDs compared with SF for securing central venous catheters (CVCs).
<br/><b>Materials and Methods</b><br/>This multicenter retrospective study was conducted in three tertiary institutions. Two institutions secured CVCs using sutures, whereas one used SDs, between February 2021 and July 2022. Rates of inadvertent dislocation and central line– associated bloodstream infection (CLABSI) were compared using incidence rate ratios (IRRs) from Poisson regression and Kaplan-Meier analysis after propensity-score matching. Factors associated with dislocation and CLABSI were evaluated using Cox proportional hazards analysis.
<br/><b>Results</b><br/>A total of 2,110 patients (1,045 female; median age, 61 years [IQR, 50 to 72]) underwent CVC placement (SD, 854; SF, 1,256). After propensity-score matching (455 SD, 666 SF), dislocation occurred more frequently in the SD group (5.85 vs. 2.17 per 1,000 catheter-days; IRR, 2.64; 95% CI, 1.36 to 5.34). CLABSI occurred less frequently in the SD group (IRR, 0.19; 95% CI, 0.04 to 0.54). Kaplan-Meier analysis showed similar results. In multivariable analysis, SD was an independent risk factor for dislocation (adjusted HR [aHR], 2.23; 95% CI, 1.11 to 4.48). SD use showed a protective trend against CLABSI but did not reach statistical significance (aHR, 0.49; 95% CI, 0.13 to 1.82). When dislocation was modeled as a competing event, this protective association reached statistical significance (subdistribution HR, 0.19; 95% CI, 0.05 to 0.66).
<br/><b>Conclusion</b><br/>Securement of CVCs with SDs was associated with a higher rate of catheter dislocation. Although SD use was associated with lower CLABSI rates, this finding requires further validation.
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Risk-Adapted Central Venous Catheter Securement: Which Strategy, for Which Catheter, in Which Patient? Jeong Ho Kim Korean Journal of Interventional Radiology.2026; 31(2): 164. CrossRef
<b>Purpose</b><br/>Transcatheter arterial embolization (TAE) is widely used for managing renal angiomyolipoma (AML) to prevent hemorrhage and control symptoms while preserving renal function. However, the optimal embolic material remains undetermined due to limited comparative data. This study aimed to compare the effectiveness of ethanol-based embolization versus polyvinyl alcohol (PVA) and to evaluate additional benefits of microcoil use in ethanol-based treatments.
<br/><b>Materials and Methods</b><br/> We retrospectively analyzed 119 patients with single renal AML who underwent TAE at two tertiary centers between 2005 and 2023. Patients were grouped into ethanol-based (ethanol alone or ethanol plus microcoil, n = 93) and PVA (n = 26) cohorts. Subgroup analysis compared ethanol alone (n = 24) versus ethanol plus microcoil (n = 69). Inverse probability treatment weighting and linear mixed-effects models were used to assess tumor volume reduction and treatment response (≥50% volume reduction).
<br/><b>Results</b><br/>After adjustment, the ethanol group demonstrated significantly greater tumor volume reduction than the PVA group at 6 and 12 months (adjusted mean difference = –23.9%, p = 0.002; –23.1%, p = 0.001) and a higher response rate (92.1% vs. 78.4%, p = 0.043). In the subgroup analysis, ethanol plus microcoil achieved higher response (91.3% vs. 73.8%; OR, 3.73; p = 0.038) and lower recurrence (7.1% vs. 30.2%; OR, 0.18; p = 0.008) compared with ethanol alone.
<br/><b>Conclusion</b><br/>Ethanol-based embolization provides superior tumor control compared to PVA in renal AML, and the addition of microcoils enhances early volume reduction and reduces recurrence, supporting its use as an effective treatment strategy.
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Ethanol-Based Embolization for Renal Angiomyolipoma: Is the Embolic Agent the Answer, or the Strategy? Ho Jong Chun Korean Journal of Interventional Radiology.2026; 31(2): 47. CrossRef