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            Department of Cardiac and Vascular Surgery, CHU Nantes, L'institut du Thorax, Nantes University, Nantes, France            
            German Aortic Centre, Department of Vascular Medicine, University Heart and Vascular Centre, UKE Hamburg, Hamburg, Germany            
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	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Megjegyzés&lt;/u&gt;: Aortic Center, Department of Vascular Surgery, Hôpital Marie Lannelongue, Groupe Hospitalier Paris Saint Joseph, Université Paris Saclay, Le Plessis-Robinson, France            
            Department of Cardiac and Vascular Surgery, CHU Nantes, L&apos;institut du Thorax, Nantes University, Nantes, France            
            German Aortic Centre, Department of Vascular Medicine, University Heart...&lt;/pre&gt;

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            Division of Vascular Surgery, Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States            
            Export Date: 01 July 2026; Cited By: 0; Correspondence Address: J. Chung; Division of Vascular Surgery and Endovascular Therapy, Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, One Baylor Plaza MS-390, 77030, United States; email: Jayer.Chung@bcm.edu; CODEN: JVSUE</comment>
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&lt;div class=&quot;lastModified&quot;&gt;Utolsó módosítás: 2026.07.01. 09:42 Kondor Zóra (SE_KK_Admin5_KZ, admin)
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	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Megjegyzés&lt;/u&gt;: Division of Vascular Surgery and Endovascular Therapy, Michael E DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, United States            
            Division of Vascular Surgery, Department of Surgery, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States            
            Export Date: 01 July 2026; Cited By: 0; Correspondence Address: J. Ch...&lt;/pre&gt;
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      <abstractText>Our understanding of plaque morphology and its relationship with procedural complexity and immediate technical failure (ITF) in percutaneous vascular intervention (PVI) is poorly understood, particularly in tibial disease due to significant limitations of CTA, DSA and DUS imaging. Ultrashort echo time (UTE) MRI is a non-contrast 3T MRI technique that can identify and differentiate plaque morphology and characteristics. The aim of this study was to create a UTE MRI-defined staging system to support clinicians evaluate endovascular procedural complexity.Patients scheduled for PVI underwent pre-operative UTE MRI. Lesions were graded based on MRI-defined anatomical characteristics and plaque morphology on a four-scale staging system, where stage A was least severe and stage D most severe. The primary outcome was the association of UTE Stage with ITF and was evaluated using logistic regression. Secondary outcomes included associations between UTE Stage and number of wire/catheter escalations required during the procedure, and UTE Stage and number of treatment devices used. TASC scoring was also evaluated and investigated for any influence on ITF.47 patients with 90 arterial lesions were included. Stage D and stage C UTE MRI- defined disease strongly influenced ITF (Odds ratio 114.3, 95% CF 10.4-1257.5, p&lt;0.001 and OR 21.0 95% CF 2.33-189.3, p=0.007 respectively). Logistic regression identified Stage D disease was 99 times more likely to require catheters/wire escalations for crossing (OR 0.01, p=0.004, 95% CF 0.00-0.24). UTE MRI stage did not influence number of treatment devices used (Chi 2.53, p=0.47). Logistic regression showed that TASC score had no influence on ITF (Chi 2.13, p=0.55).UTE-MRI defined staging is strongly associated with ITF, crossing time and need for crossing device escalation whereas TASC staging had no influence on ITF. This study supports the notion that an understanding of plaque morphology and plaque characteristics is pivotal to procedural planning.</abstractText>
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      <comment>Department of Cardiology, Rakuwakai Otowa Hospital, Kyoto, Japan            
            Department of Cardiology, Nagoya Heart Center, Nagoya, Japan            
            Department of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan            
            Department of Cardiology, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Japan            
            Department of Cardiology, Sendai Kousei Hospital, Sendai, Japan            
            Department of Cardiology, Tenyoukai Central Hospital, Kagoshima, Japan            
            Department of Cardiology, Miyazaki Medical Association Hospital, Miyazaki, Japan            
            Department of Cardiology, Saiseikai Yokohama City Eastern Hospital, Yokohama, Japan            
            Export Date: 08 August 2026; Cited By: 0; Correspondence Address: T. Yanagiuchi; Department of Cardiology, Rakuwakai Otowa Hospital, Kyoto, Otowachinji-cho, Yamashina-ku, 607-8062, Japan; email: takashi.yanagiuchi@gmail.com; CODEN: JVSUE</comment>
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	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Megjegyzés&lt;/u&gt;: Department of Cardiology, Rakuwakai Otowa Hospital, Kyoto, Japan            
            Department of Cardiology, Nagoya Heart Center, Nagoya, Japan            
            Department of Cardiology, Ogaki Municipal Hospital, Ogaki, Japan            
            Department of Cardiology, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Japan            
            Department of Cardiology, ...&lt;/pre&gt;
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            Board of Directors (Chair), Reinier de Graaf Gasthuis, Delft, Netherlands            
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	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Megjegyzés&lt;/u&gt;: Department of Vascular Surgery, University Medical Centre Utrecht, Utrecht, Netherlands            
            Board of Directors (Chair), Reinier de Graaf Gasthuis, Delft, Netherlands            
            Export Date: 03 September 2026; Cited By: 0; Correspondence Address: G.J. de Borst; Department of Vascular Surgery, University Medical Center Utrecht, Utrecht, Heidelberglaan 100, 3584 CX...&lt;/pre&gt;
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            Ostbayerische Technische Hochschule Amberg-Weiden, Weiden, Germany            
            Department of General, Visceral Transplant and Thoracic Surgery, University Hospital Frankfurt am Main, Goethe University, Frankfurt am Main, Germany            
            Division of Vascular Medicine, St.-Josefs Hospital, Wiesbaden, Germany            
            EID: 2-s2.0-105050178835            
            Export Date: 06 October 2026            
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            Correspondence Address: D. Branzan; Clinic for Vascular and Endovascular Surgery, Department for Vascular and Endovascular Surgery, School of Medicine, Technical University of Munich, Munich, Ismaninger Str.22, 81675, Germany; email: Daniela.Branzan@mri.tum.de            
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&lt;div class=&quot;lastModified&quot;&gt;Utolsó módosítás: 2026.10.06. 14:47 Molnár-Taga Márta (SE 4-es admin)
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	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Megjegyzés&lt;/u&gt;: Clinic for Vascular and Endovascular Surgery, School of Medicine and Health, Technical University of Munich, Munich, Germany            
            Ostbayerische Technische Hochschule Amberg-Weiden, Weiden, Germany            
            Department of General, Visceral Transplant and Thoracic Surgery, University Hospital Frankfurt am Main, Goethe University, Frankfurt am Main, Germany        ...&lt;/pre&gt;
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            Section of Vascular Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH, United States            
            Division of Vascular and Endovascular Surgery, University of Virginia, Charlottesville, VA, United States            
            Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, United States            
            Division of Vascular and Endovascular Surgery, Duke University Medical Center, Durham, NC, United States            
            Division of Vascular Surgery, Virginia Health Sciences at Old Dominion University, Norfolk, VA, United States            
            HonorHealth Heart, Arizona State University, Scottsdale, AZ, United States            
            Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, United States            
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            Correspondence Address: S.T. Scali; of Surgery, Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville, 1329 SW 16th St, 3rd Floor, PO Box 100128, 32608, United States; email: salvatore.scali@surgery.ufl.edu            
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&lt;div class=&quot;lastModified&quot;&gt;Utolsó módosítás: 2026.10.07. 09:38 Molnár-Taga Márta (SE 4-es admin)
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	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Megjegyzés&lt;/u&gt;: Division of Vascular Surgery and Endovascular Therapy, University of Florida College of Medicine, Gainesville, FL, United States            
            Section of Vascular Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH, United States            
            Division of Vascular and Endovascular Surgery, University of Virginia, Charlottesville, VA, United States            
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            Loyola University Medical Center, Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Maywood, IL, United States            
            Yale School of Medicine, Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, New Haven, CT, United States            
            Export Date: 23 June 2026; Cited By: 0; Correspondence Address: J.A. Cardella; Yale School of Medicine, New Haven, 330 Cedar St, 06520, United States; email: jonathan.cardella@yale.edu; CODEN: JVSUE</comment>
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	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Megjegyzés&lt;/u&gt;: Norton School of Medicine, SUNY Upstate Medical University, Syracuse, NY, United States            
            Loyola University Medical Center, Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Maywood, IL, United States            
            Yale School of Medicine, Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, New Haven, CT, Unit...&lt;/pre&gt;
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            Heart and Vascular Center, Dartmouth Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, NH, United States            
            Division of Vascular and Endovascular Therapy, University of Florida Health, Gainesville, FL, United States            
            Division of Vascular Surgery and Endovascular Therapy, University of Alabama at Birmingham, Birmingham, AL, United States            
            Department of Surgery, Boston University Chobanian and Avedisian School of Medicine, Boston Medical Center, Boston, MA, United States            
            Department of Biostatics, Boston University School of Public Health, Boston, MA, United States            
            Division of Vascular and Endovascular Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States            
            Section of Vascular Medicine and Intervention, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States            
            Export Date: 23 July 2026; Cited By: 1; Correspondence Address: D.W. Jones; UMass Memorial Medical Center, Division of Vascular Surgery, Worcester, 55 Lake Ave North Worcester, United States; email: douglas.jones@umassmemorial.org; CODEN: JVSUE</comment>
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    | &lt;span class=&quot;status-data status-APPROVED&quot;&gt; 	Nyilvános
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&lt;div class=&quot;lastModified&quot;&gt;Utolsó módosítás: 2026.10.06. 14:31 Molnár-Taga Márta (SE 4-es admin)
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	&lt;pre class=&quot;comment&quot; style=&quot;margin-top: 0; margin-bottom: 0;&quot;&gt;&lt;u&gt;Megjegyzés&lt;/u&gt;: Division of Vascular and Endovascular Surgery, University of Massachusetts Chan Medical School, Worcester, MA, United States            
            Heart and Vascular Center, Dartmouth Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, NH, United States            
            Division of Vascular and Endovascular Therapy, University of Florida Health, Gainesville, FL, ...&lt;/pre&gt;

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