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Diagnosis and treatment of venous thromboembolism during pregnancy relate to genetic polymorphism Vascular (IF 1.1) Pub Date : 2024-03-16 Qingcheng Yang, Xuechang Wang, Rui Wang, Aihua Li
ObjectivesPrevious research had shown that age, a positive family history, comorbidities, major surgical operations, gestation, and use of several medications could increase the incidence of venous thromboembolism (VTE). With the development of medical and clinical individualized treatment, many people exposed to above risk factors did not develop VTE, suggested that genetic factors are also involved
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Comparison between covered-stents grafting and ligation in the treatment of infected femoral pseudoaneurysm due to intravenous drug abuse Vascular (IF 1.1) Pub Date : 2024-03-16 Yanzhang Zeng, Ping Yuan, Qiang He
ObjectivesThe study compared the outcomes between covered-stents grafting (CSG) and ligation of femoral artery (LFA) in the treatment of infected femoral pseudoaneurysm (IFP) caused by intravenous drug injection.MethodsFrom 1st January 2016 to 30th November 2021, the clinical data of patients with IFP caused by intravenous drug injection who underwent CSG ( n = 31, 55.4%) and LFA ( n = 25, 45.4%) are
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Hostile neck anatomy contributes to higher rates of reintervention following endovascular aortic repair for ruptured infrarenal abdominal aortic aneurysm Vascular (IF 1.1) Pub Date : 2024-03-13 Ryan Gedney, Christian Barksdale, Antwana Sharee Wright, Elizabeth A Genovese, Jean Marie Ruddy
IntroductionRuptured abdominal aortic aneurysms (AAA) presenting with hostile neck anatomy can represent a challenge in surgical decision-making. We hypothesized that, patients who require reinterventions have higher rates of compromised neck anatomy at initial presentation and may indicate a need for altered surveillance paradigm.MethodsPatients presenting with ruptured AAA to a single tertiary care
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Explant of an infected, endo-trashed IVC filter in an immunosuppressed patient with chronically occluded iliocaval stents Vascular (IF 1.1) Pub Date : 2024-03-13 Alice Alexander, Andrew H Smith, Matthew Krantz, Robert Simon, Francis J Caputo, Jon G Quatromoni
BackgroundIn the absence of a contiguous bowel perforation or intraabdominal source, infection of a retained vena cava filter in an occluded IVC has never been described.ObjectiveTo describe a case of an infected IVC filter in a chronically occluded iliocaval segment.MethodsHere we present a case of an immunosuppressed 35-year-old female with chronically occluded iliocaval stents and an extensive staphylococcus
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Subcutaneous injection of lidocaine around ischemic ankle provides safe and effective foot analgesia in patients with critical limb ischemia Vascular (IF 1.1) Pub Date : 2024-03-07 Akifumi Kanai, Masatomo Ara, Ryusei Saito, Toshiaki Mishima, Yuichiro Takahashi
ObjectiveIt is often difficult to alleviate foot pain associated with critical limb ischemia (CLI) using common analgesics. Neuraxial block is contraindicated in anticoagulant therapy. This study was designed to determine the response to subcutaneous injection of lidocaine around the network of peripheral nerves around the ankle in patients with CLI pain on anticoagulants and antiplatelets.MethodsSixteen
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Thoracic endovascular repair of descending thoracic aorta aneurysm using thoracic stent graft in a challenging complex patient: An innovative access technique during an emergency using a mini-thoracotomy approach Vascular (IF 1.1) Pub Date : 2024-03-07 Abdulmajeed Altoijry
ObjectivesRepairing thoracic aortic aneurysms with endovascular aortic repair (TEVAR) is a safe and minimally invasive method with low morbidity and short postoperative recovery. We developed a novel method to treat descending thoracic aortic aneurysms using a mini-thoracotomy approach in complex patients with difficult access.MethodsA 56-year-old male patient presented with a 3-day history of chest
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Delayed ulnar artery pseudoaneurysm presentation after percutaneous cardiac intervention: A case report and review of the literature Vascular (IF 1.1) Pub Date : 2024-03-06 Eshiemomoh Osilama, Emma K Satchell, Umashankar K Ballehaninna
PurposeHere we present a case of a 62-year-old female with a delayed ulnar artery pseudoaneurysm presentation after cardiac catheterization.Case ReportA 62-year-old woman with multiple medical comorbidities including end-stage renal disease (ESRD) on hemodialysis (HD) and atrial fibrillation on tablet apixaban who presented 8 weeks after cardiac catheterization through right ulnar artery access with
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“Unveiling the invisible: Harnessing AI for carotid web diagnosis—A futuristic approach to enhance vascular healthcare” Vascular (IF 1.1) Pub Date : 2024-03-05 Michael James, Viren S Sehgal, Rooshi Parikh
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Short-term patency of iliofemoral to tibial bypass with vascular allografts in a minority population: A retrospective analysis of a single center acute care facility Vascular (IF 1.1) Pub Date : 2024-03-05 Max Murray-Ramcharan, Brian Donaldson, Syed Ali Raza Rizvi
ObjectiveThe aim of this study was to examine the short-term patency rates and associated factors of open lower limb, iliofemoral to tibial bypass using cryopreserved saphenous vein (CSV) in a minority population at an acute care hospital in New York City.MethodsA retrospective analysis of patients undergoing infra-inguinal bypass from iliofemoral vessels to tibial arteries with CSV between March 2020–April
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Optimizing platelet inhibition in peripheral artery disease: A comparison of mono-antiplatelet therapy and dual-antiplatelet therapy using thromboelastography Vascular (IF 1.1) Pub Date : 2024-03-05 Ivy Lee, Sasha Suarez, Ryan Hall, Monica Majumdar, Tiffany Bellomo, Samuel Jessula, Kathryn Nuzzolo, Douglas M. Jefferson, Nikolaos Zacharias, Anahita Dua
BackgroundAntiplatelet therapy is used to prevent thrombosis in patients with peripheral artery disease (PAD) following revascularization. However, the current standard of care for these patients remains at the physician’s discretion, varying from mono-antiplatelet therapy (MAPT) to dual-antiplatelet therapy (DAPT). Viscoelastic assays such as Thromboelastography with Platelet Mapping (TEG-PM) provide
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Systemic immune-inflammation index as a novel hematological marker for predicting the recurrence of deep venous thrombosis Vascular (IF 1.1) Pub Date : 2024-03-04 Ibrahim Donmez, Ayhan Muduroglu
ObjectiveTo determine whether there was a possible predictive relationship between systemic immune-inflammation index (SII) and recurrence of deep venous thrombosis (DVT).MethodsA total of 231 patients with DVT who met the study criteria and whose data could be accessed were enrolled to this retrospective single-centered cross-sectional study. Of them 26 patients with DVT recurrence consisted of the
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Pharmacomechanical thrombectomy with Angiojet in acute arterial occlusions: A prospective study among the results and outcomes Vascular (IF 1.1) Pub Date : 2024-03-02 Rafael de Athayde Soares, Ana Beatriz Campelo Campos, Matheus Veras Viana Portela, Carolina Sabadoto Brienze, Giovana Quarentei Barros Brancher, Roberto Sacilotto
ObjectiveThe main objective of this present paper was to evaluate the results and outcomes of patients with acute limb ischemia (ALI) submitted to pharmacomechanical thrombectomy (PMT) endovascular surgery with Angiojet, regarding the number of cycles/pumps.MethodsProspective, consecutive cohort study of ALI patients submitted to PMT endovascular intervention subdivided into two groups according to
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Conservative versus stent treatment for spontaneous isolated superior mesenteric artery dissection after the failure of initial 3 days’ conservative treatment: A 10-year follow-up study Vascular (IF 1.1) Pub Date : 2024-03-01 Lei Wang, Miao Xu, Zhaolei Chen, Guoqing Jiang
ObjectivesTo compare the safety and effectiveness of conservative and stent treatment for spontaneous isolated superior mesenteric artery dissection (SISMAD) patients after the failure of initial 3 days’ conservative treatment.MethodsAll newly diagnosed SISMAD patients between 2013 and 2017 were retrospectively reviewed. After the failure of 3 days’ conservative treatment, all patients were recommended
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Clinical value of foot thermometry in patients with acute limb ischemia Vascular (IF 1.1) Pub Date : 2024-03-01 Dumitru Casian, Alexandru Predenciuc, Vasile Culiuc
ObjectiveWe hypothesized that the severity of foot poikilothermy can be used for better differentiation of grades of acute limb ischemia. Thus, the study aim was evaluation of the value of non-contact foot thermometry, performed using a low-cost infrared medical thermometer, as an adjunct for clinical diagnosis of immediately threatened acute limb ischemia.MethodsIt was a single-center observational
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A novel risk assessment tool for postoperative delirium in vascular surgery: The stress model (Siena posTopeRative dElirium in vaScular Surgery) Vascular (IF 1.1) Pub Date : 2024-02-29 Edoardo Pasqui, Gianmarco de Donato, Brenda Brancaccio, Giulia Casilli, Giulia Ferrante, Giancarlo Palasciano
ObjectivePostoperative delirium (POD) is a common complication with a high health-related impact. The creation of a model (Siena posTopeRative dElirium in vaScular Surgery) to identify high-risk patients with consecutive prompt diagnosis and correct management.MethodsThis is an observational retrospective study to evaluate POD incidence in patients who underwent elective vascular surgery procedures
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Short-term outcomes of endovascular management of acute limb ischemia using aspiration mechanical thrombectomy Vascular (IF 1.1) Pub Date : 2024-02-28 Matthew E Auda, Molly Ratner, Michael Pezold, Caron Rockman, Mikel Sadek, Glenn Jacobowitz, Todd Berland, Jeffrey J Siracuse, Katherine Teter, William Johnson, Karan Garg
ObjectiveManagement of acute limb ischemia (ALI) has seen greater utilization of catheter-based interventions over the last two decades. Data on their efficacy is largely based on comparisons of catheter-directed thrombolysis (CDT) and open thrombectomy. During this time, many adjuncts to CDT have emerged with different mechanisms of action, including pharmacomechanical thrombolysis (PMT) and aspiration
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Endovenous glue ablation for chronic venous insufficiency: A comprehensive 5-year assessment of clinical and hemodynamic outcomes Vascular (IF 1.1) Pub Date : 2024-02-28 Hakan Guven
ObjectivesChronic venous insufficiency is mainly caused by reflux, obstruction, or both. Endovenous glue ablation has become one of the widely used methods for treating reflux in recent years. Duplex ultrasonography is the most commonly used method for diagnosing and evaluating treatment. However, there is important information that plethysmographic venous hemodynamics provides, which Duplex USG cannot
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Long-pulsed 1064nm Nd:YAG laser in the treatment of leg veins: Systematic review Vascular (IF 1.1) Pub Date : 2024-02-28 Leonor Baldaia, Marina Dias-Neto, João Almeida Pinto
ObjectiveLong-pulsed 1064 nm Nd:YAG laser can damage vessels with higher diameters and penetrate to a deeper level than other laser therapies. We aim to analyze outcomes of the treatment of leg veins with long-pulsed 1064 nm Nd:YAG laser regarding intervention protocol, technical success, clinical success, and side effects.MethodsA research of the published literature was conducted, using PubMed and
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Endovascular treatment with interwoven nitinol stent for common femoral artery lesions: 2-year outcomes of a single center experience Vascular (IF 1.1) Pub Date : 2024-02-27 Veera Suwanruangsri, Surakiat Bokerd, Virapat Chanchitsopon, Sirakarn Jowcharoen
ObjectiveThe study aimed was to report 2-year outcomes of endovascular treatment with interwoven nitinol (Supera™) stent for common femoral artery (CFA) lesions.MethodsWe reviewed the clinical data of 20 patients who presented with CFA stenosis or occlusion and underwent balloon angioplasty followed by Supera™ stenting in CFA between February 2016 and January 2022. The outcomes were evaluated in these
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Physician-modified inner-branched endovascular repair with re-intervention Vascular (IF 1.1) Pub Date : 2024-02-27 Shingo Tsushima, Tsuyoshi Shibata, Nobuyoshi Kawaharada
ObjectivesTreatment of thoracoabdominal aortic aneurysms in high surgical risk patients can be challenging. Reports of physician-modified inner-branched endovascular repair (PMiBEVAR) are increasing. Despite low morbidity and mortality rates, re-interventions for endoleaks with these grafts are serious. There are no reports of additional treatment for PMiBEVAR failure.Methods/ResultsA 75-year-old man
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A retrospective assessment of venous recanalization outcomes for oral anticoagulant treatment in deep vein thrombosis Vascular (IF 1.1) Pub Date : 2024-02-27 Anil Guzel, Suat Canbaz
ObjectiveThis study aims to provide effective treatment by comparing the venous recanalization responses of oral anticoagulants in deep vein thrombosis therapy.MethodsFrom January 2013 to March 2019, a retrospective analysis was conducted on 109 patients who had been diagnosed with deep vein thrombosis and received treatment with apixaban, rivaroxaban, or warfarin within 1 week of symptom onset. Demographic
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The prevalent causes of death in patients with peripheral artery disease undergoing revascularisation or amputation Vascular (IF 1.1) Pub Date : 2024-02-27 Stacey Telianidis, Sarah Joy Aitken
ObjectivePreventing untimely death in patients with peripheral artery disease (PAD) requires a detailed understanding of the predominant causes of death (COD). This literature review aims to describe how short- and long-term COD are reported in patients who had surgery for PAD.MethodsA literature review was conducted according to Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA)
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Classification of anatomic patterns of peripheral artery disease with automated machine learning (AutoML) Vascular (IF 1.1) Pub Date : 2024-02-26 Yury Rusinovich, Volha Rusinovich, Aliaksei Buhayenka, Vitalii Liashko, Arsen Sabanov, David J.F. Holstein, Samer Aldmour, Markus Doss, Daniela Branzan
AimThe aim of this study was to investigate the potential of novel automated machine learning (AutoML) in vascular medicine by developing a discriminative artificial intelligence (AI) model for the classification of anatomical patterns of peripheral artery disease (PAD).Material and methodsRandom open-source angiograms of lower limbs were collected using a web-indexed search. An experienced researcher
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Extra-anatomic bypass procedures for severe aortoiliac occlusive disease—A cohort study Vascular (IF 1.1) Pub Date : 2024-02-26 George Galyfos, Georgios Charalampopoulos, Alexandros Chamzin, Alexandra Triantafillou, Victoria Michalopoulou, Nikolaos Intzes, Despina Kimpizi, Konstantinos Zarmakoupis, Frangiska Sigala, Konstantinos Filis
ObjectivesExtra-anatomic bypass (ExAB) grafting has been questioned due its inferior durability compared to anatomic bypass for aortoiliac occlusive disease (AIOD). This study aims to present early and late outcomes of patients treated with ExAB as well as to evaluate potential prognostic factors.MethodsThis is a retrospective cohort study presenting a series of patients treated with ExAB for AIOD
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A single center study of the efficacy and safety of Pro-Glide used for closure in thoracic endovascular aortic repair in patients with previous groin intervention Vascular (IF 1.1) Pub Date : 2024-02-26 Recep Gulmez, Mehmet Altunova, Ahmet Anil Sahin, Omer Celik
BackgroundThis study aimed to evaluate the efficacy and safety of Pro-Glide, a suture-mediated vascular closure device, regarding technical success and complications in patients who had undergone aortic intervention and had previous groin intervention (PGI).MethodsOne hundred and thirty-five patients who underwent percutaneous thoracic endovascular aortic repair via the femoral artery and were closed
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Thoracic aortic aneurysms, a single center’s 10-years experience and analysis of outcomes Vascular (IF 1.1) Pub Date : 2024-02-23 Leonor Baldaia, Mariana Duque, Miguel Silva, Eduardo Silva, Celso Nunes, Vânia Constâncio, Luís Orelhas, Manuel Fonseca, Luís F. Antunes
IntroductionThoracic aortic aneurysms (TAAs) are an increasingly prevalent pathology with significant associated morbidity and mortality. Thoracic endovascular aortic repair (TEVAR) is the primary line of treatment. The purpose of this study was to analyse a single center’s experience in the treatment of TAAs and identify possible risk factors for worse outcomes.MethodsA retrospective review of our
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Prospective single-center study on the reliability of ipsilateral cerebral oximetry using near-infrared spectroscopy as a predictor for selective shunting during carotid endarterectomy Vascular (IF 1.1) Pub Date : 2024-01-29 Abdullah Alhaizaey, Mohamed Yousif, Ahmed Azazy, Abdelgawad Saber, Mohamed Safan, Galal A Elgamal, Yahya Almalki, Barrag Alhazmi
ObjectiveMany techniques are available for the intraoperative assessment of brain perfusion during carotid endarterectomy, such as carotid stump pressure, near-infrared spectroscopy, somatosensory evoked potentials, transcranial Doppler, electroencephalography, and clinical assessment. The decision for selective carotid shunt insertion is dependent on clinical deterioration or the detection of cerebral
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A case series of image-guided percutaneous drainage of abdominal aortic graft infection as bridge therapy. Vascular (IF 1.1) Pub Date : 2023-11-30 Helena Baffoe-Bonnie,Khaled I Alnahhal,Kristin Englund,Mark E Baker,Lee Kirksey
INTRODUCTION Aortic graft infection (AGI) is a rare complication following endovascular aneurysm repair and is associated with substantial morbidity and mortality. The traditional management of AGI is intravenous antibiotic therapy and surgical explantation. In this case series, percutaneous drainage was used as a bridge therapy in the treatment of AGI. METHODS We report two cases, 78-year-old male
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Management of complex thoracic aortic diseases with aberrant right subclavian artery. Vascular (IF 1.1) Pub Date : 2023-11-18 Mustafa Akbulut,Ekin C Celik,Adnan Ak,Özgür Arslan,Davut Çekmecelioğlu,Mesut Şişmanoğlu,Mehmet A Tunçer
BACKGROUND We retrospectively evaluated early and intermediate outcomes of hybrid repair of complex thoracic aortic diseases involving an aberrant right subclavian artery. This paper aims to report features and available treatment options for this rare, hard-to-diagnose, and manage, aorta-related vascular condition. METHODS Between January 2012 and May 2019, 13 patients (mean age, 60.1 ± 9.3 years;
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Axillary artery aneurysms in pediatric patients: A narrative review. Vascular (IF 1.1) Pub Date : 2023-11-12 Francesca Palma,Giuseppe Asciutto,Marco Virgilio Usai
OBJECTIVES Axillary artery aneurysms in children are rare and multifactorial. The presenting clinical picture can range from an incidental discovery to threatening symptoms, including loss of extremity function. With the present study we aim to give a comprehensive review of the existing literature focusing on the etiology and management of this rare but threatening pathology. METHOD A comprehensive
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High on-treatment platelet reactivity in peripheral arterial disease: A systematic review. Vascular (IF 1.1) Pub Date : 2023-11-11 Lauren N Goncalves,Veerle van Velze,Frederikus A Klok,Pim Gal,Rimke C Vos,Jaap F Hamming,Koen E A van der Bogt
OBJECTIVES To highlight current evidence pertaining to the measurement methods and prevalence of high on-treatment platelet reactivity (HTPR) in patients with PAD, as well as to evaluate the relationship between HTPR and recurrent adverse cardiovascular and limb events in PAD patients. METHODS A systematic review of English-language literature on HTPR in patients with PAD. An electronic literature
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Minor amputation after revascularization in chronic limb-threatening ischemia: What is the optimal timing? Vascular (IF 1.1) Pub Date : 2023-11-09 Elisabetta Tanda,Giovanni Ruiu,Matteo Casula,Irene Lamia,Arianna Serra,Anna Boscolo Meneguolo,Sara Zappadu,Roberto Sanfilippo,Stefano Camparini,Palmina Petruzzo
OBJECTIVES Patients with chronic limb-threatening ischemia (CLTI) have a high risk of lower limb amputation and loss of walking independence. Minor amputations play a key role in ensuring walking independence and they represent a challenge in terms of timing and level for vascular surgeons. A major cause of re-amputation is a defect in wound healing and a possible predictor of re-amputation for non-healing
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Age-related difference in acute type B aortic dissection. Vascular (IF 1.1) Pub Date : 2023-11-08 Zhigong Zhang,Feng Lin,Xiaoci Huang,Zhipeng He,Haoran Wang,Tingting Cheng
OBJECTIVE The objective is to compare the characteristics of clinical data, imaging data, and treatment methods of young and old patients with acute type B aortic dissection (ABAD). METHODS ABAD patients admitted to the Department of Vascular Surgery of the First Affiliated Hospital of Anhui Medical University from January 2012 to December 2018 were retrospectively reviewed. Patient demographics, such
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Dichotomous grouping of peripheral arterial calcification grades: A practical predictor of outcome after endovascular therapy in peripheral arterial disease. Vascular (IF 1.1) Pub Date : 2023-11-08 Hesham Aboloyoun,Hazem Mohamed Zaki,Ayman Hasaballa,Ahmed Elbadawy
BACKGROUND There is a general agreement that arterial calcification affects the results of endovascular therapy for peripheral arterial disease (PAD). In addition to lacking evidence for their impact, existing calcification scores are complex, and not practical in everyday decision making. The global limb anatomic staging system (GLASS) adopted dichotomous grouping of calcification grades. OBJECTIVE
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Investigation of the effect of visceral adiposity index on venous clinical severity score in patients with chronic venous insufficiency. Vascular (IF 1.1) Pub Date : 2023-11-06 Haci Eskici,Mesut Engin,Cüneyt Eris,Ufuk Aydın,Yusuf Ata,Şenol Yavuz
INTRODUCTION Chronic venous insufficiency (CVI) is a common disease affecting millions worldwide. Age, obesity, female gender, sedentary life, and long-standing at work causing orthostasis have been identified as predisposing factors. OBJECTIVE The visceral adiposity index (VAI) is an important indicator of abdominal obesity. Various studies in the cardiovascular field have shown that it may be more
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Correlation analysis of structural and functional changes in the carotid artery in patients with H-type hypertension using ultrasound radiofrequency. Vascular (IF 1.1) Pub Date : 2023-08-24 Hai-Yan Ma,Xue-Ying Chen,Hong Jin,Yao-Yao Deng,Ya-Ming Xiong,Xuan Chang,Xiang-Hui Kong,Ming Li
OBJECTIVES To perform a correlation analysis on the structural and functional changes of the carotid artery in patients with H-type hypertension. METHODS Outpatients and inpatients with hypertension in our hospital between 2017 and 2018 were selected and divided into the H-type hypertension group (primary hypertension + plasma homocysteine ≥ 10 umol/l) (n = 30) and the simple hypertension group (primary
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Ten-year experience with use of cryopreserved allografts for redo infrapopliteal bypass. Vascular (IF 1.1) Pub Date : 2023-08-22 Davide Mastrorilli,Luca Mezzetto,Gabriele Piffaretti,Mario D'Oria,Salvatore Bruno,Marco Franchin,Gian F Veraldi
INTRODUCTION The aim of this study is to report the early and late outcomes of cryopreserved saphenous vein (CSV) in redo infrainguinal bypass and to investigate possible predictors of primary patency loss. METHODS All patients who underwent a redo bypass for critical limb ischemia from January 2010 to December 2020 were reviewed. Early and late complications were analyzed and included. The endpoints
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The management of spontaneous isolated celiac artery dissection: A case report and literature review. Vascular (IF 1.1) Pub Date : 2023-08-21 Feng Zhu,Liqiang Zhang,Dan Shang
OBJECTIVES Spontaneous isolated celiac artery dissection (SICAD) without associated aortic dissection is a rare disease. Complications are ischemia, aneurysm formation, and rupture. Different treatment options have been reported for managing SICAD, including conservative management, endovascular intervention, and open surgery. Despite the increased recognition of this disease, there are no consensus
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Acute ischemic stroke: The role of emergency carotid endarterectomy in isolated extracranial internal carotid artery occlusion. Vascular (IF 1.1) Pub Date : 2023-08-18 Pierfilippo Acciarri,Alice Camagni,Maddalena Bressan,Gladiol Zenunaj,Ilaria Casetta,Andrea Bernardoni,Vincenzo Gasbarro,Luca Traina
OBJECTIVES The treatment of choice for acute and isolated extracranial internal carotid artery (eICA) occlusion remains, to date, controversial. Although intravenous thrombolysis is recommended, its effectiveness is generally low. This retrospective study aims to assess the clinical outcome and the role of CT perfusion in symptomatic patients who underwent carotid endarterectomy (CEA) for acute occlusion
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Impact of stent compression in patients with non-thrombotic iliac vein lesions on iliac vein blood flow and related symptoms. Vascular (IF 1.1) Pub Date : 2023-08-17 Minyong Peng,Chao Li,Jiangwei Chen,Chengli Nie,Wen Huang
OBJECTIVES To study outcomes in patients with non-thrombotic iliac vein lesions (NIVLs) treated by stents. METHODS We performed a retrospective study that collected 109 patients from January 2016 to August 2020 diagnosed with symptomatic NIVLs. The patients underwent endovenous stenting using the Wallstents. Clinical severity was assessed using the venous clinical severity score and the Villalta scores
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Retrograde tibial access for revascularization of chronic total occlusions in patients with chronic limb-threatening ischemia. Vascular (IF 1.1) Pub Date : 2023-08-08 Daniel Raskin,Yiftach Barash,Daniel Silverberg,Moshe Halak,Hatem Hater,Boris Khaitovich
PURPOSE To evaluate tibial single access in treatment of chronic total occlusions (CTO) in patients with ipsilateral chronic-limb ischemia (CLTI). MATERIALS AND METHODS In this retrospective study, data was collected on patients treated for ipsilateral CTO via a tibial artery access between March 2017 and March 2021. Fifty-nine limbs in 57 patients, (42 men, average age 73 years; range 47-96) were
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Carotid artery dissections from transcarotid artery revascularization as reported by the Food and Drug Administration. Vascular (IF 1.1) Pub Date : 2023-08-08 Dongjin Suh,Yuchi Ma,Daniel H Newton,Michael F Amendola,Kedar S Lavingia
OBJECTIVES Transcarotid artery revascularization (TCAR) is a hybrid procedure that allows reversal of blood flow away from the brain while placing a stent through direct surgical access of the common carotid artery. It has been shown to have a lower risk of perioperative stroke compared with any prospective trial of transfemoral carotid artery stenting. However, intraoperative injuries related to the
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Challenges in normalizing pulse wave velocity scores: Implications for assessing central artery stiffness. Vascular (IF 1.1) Pub Date : 2023-08-08 Alessandro Gentilin
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Analysis of systemic risk factors between diabetic/vascular patients having primary lower limb amputations and re-amputations. Vascular (IF 1.1) Pub Date : 2023-08-08 Kaissar Yammine,Joeffroy Otayek,Emil Haikal,Mohammad Daher,Anthony El Alam,Karl Boulos,Chahine Assi
Background: Patients with diabetes mellitus (DM) are known to be predisposed to many complications in the lower extremities such as neuropathy, peripheral artery disease (PAD) and infection. Diabetic foot ulcers are complications of diabetes that can lead to lower extremity amputations, re-amputations and high mortality rates.Purpose: The aim of this study is to evaluate the risk factors associated
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The effects of high quality team medicine on outcomes of chronic limb-threatening ischemia patients with infrapopliteal bypass. Vascular (IF 1.1) Pub Date : 2023-08-08 Taira Kobayashi,Masaki Hamamoto,Takanobu Okazaki,Ryo Okusako,Misa Hasegawa,Kazufumi Ishida,Tomoaki Honma,Masamichi Ozawa,Shinya Takahashi
OBJECTIVES A team approach for treatment of patients with CLTI is used worldwide. However, the quality of team medicine is a concern. The Global Vascular Guidelines provide recommendations for high quality team medicine, but there is limited knowledge of the significance of team quality in CLTI treatment. The objective of this study is to evaluate the effects of team quality on clinical outcomes after
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A sex-based analysis of 5-year outcomes following stenting for the treatment of aorto-iliac occlusive disease. Vascular (IF 1.1) Pub Date : 2023-08-07 Bibombe Patrice Mwipatayi,Ian Patrick Barry,Joseph Hanna,Reane Macarulay,Jackie Wong,Shannon Thomas,Vikram Vijayan,Vikram Puttaswamy,Natalie C Ward
OBJECTIVES The aim of this study was to evaluate the impact of sex on mid-term outcomes following stenting for aorto-iliac occlusive disease (AIOD). METHODS The Covered versus Balloon Expandable Stent Trial (COBEST) compared the safety and efficacy of the covered stent (CS) with those of the bare metal stent (BMS) in the treatment of hemodynamically significant AIOD. It was identified that CS provided
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Increased anti-thrombotic therapy is associated with decreased major adverse limb events in patients with low wound and foot infection scores. Vascular (IF 1.1) Pub Date : 2023-08-06 Chien Yi Maximilian Png,Jenna G Beardsley,Mitri K Khoury,Sujin Lee,Katherine L Morrow,Tiffany R Bellomo,Sunita D Srivastava,Anahita Dua
INTRODUCTION The optimal anti-thrombotic management of patients after lower extremity bypass has yet to be fully elucidated, in part due to significant heterogeneity in patient presentation and practice patterns. The Wound, Ischemia, and foot Infection (WIfI) score is a validated scoring system to assist in the management of patients with chronic limb threatening ischemia (CLTI). We hypothesized that
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Impact of cilostazol on prevention of late failure of autologous vein grafts. Vascular (IF 1.1) Pub Date : 2023-08-06 Shinsuke Mii,Atsushi Guntani,Sosei Kuma,Masaru Ishida,Sho Yamashita,Kiyoshi Tanaka,Jin Okazaki
OBJECTIVES The effectiveness of postoperative medication for the prevention of late graft failure is controversial. We conducted the present study to investigate whether cilostazol improved the mid-term outcomes after infrainguinal autologous vein bypass for chronic limb-threatening ischemia (CLTI). METHODS From April 1994 to March 2022, we performed 590 de novo infrainguinal bypass procedures using
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Simultaneous aortoiliac kissing Endovascular stenting for management of isolated monolateral common iliac artery aneurysm with no proximal landing zone. Vascular (IF 1.1) Pub Date : 2023-08-05 Roberto Gabrielli,Andrea Siani,Gianluca Smedile,Anna Rita Rizzo,Roberto Antonelli,Gennaro De Vivo,Federico Accrocca,Stefano Bartoli
BACKGROUND Isolated iliac artery aneurysm (IIAA) is an uncommon finding. It, accounts for 0.03% of all patients and 2% of all abdominal aneurysm. Endovascular approach represents the treatment of choice for most patients with IIAA. We reported our experience on iliac aneurysm with no proximal landing zone by simultaneous aortoiliac kissing endovascular (S.A.K.E.) covered stenting. METHODS This is a
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Identifying venous clinical severity score thresholds for Clinical-Etiology-Anatomy-Pathophysiology classifications of venous edema and higher. Vascular (IF 1.1) Pub Date : 2023-08-04 Halbert Bai,Jason B Storch,Vishal Gokani,Pavel Kibrik,Jenny Chen,Windsor Ting
OBJECTIVE Venous Clinical Severity Score (VCSS) is a widely used standard for assessing and grading the severity of chronic venous disease (CVD). Prior research highlighted its high validity in detecting and quantifying venous disease. However, there is little, if any, known about the precise thresholds at which VCSS discriminates important stages of deep venous disease. This study sought to elucidate
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Anesthetic management for lower extremity vascular bypass procedures: The impact of general or regional anesthesia on clinical outcomes. Vascular (IF 1.1) Pub Date : 2023-08-04 André P Schmidt,Marine M Del Maschi,Cristiano F Andrade
PURPOSE Postoperative complications after major surgery, especially vascular procedures, are associated with a significant increase in costs and mortality. Previous studies evaluating general anesthesia versus regional or neuraxial anesthesia for infrainguinal bypass have produced conflicting results. The main aim of the present study is to review current evidence on the application of regional or
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The relationship between plasma atherogenic index and long-term outcomes after endovascular intervention in superficial femoral artery lesions. Vascular (IF 1.1) Pub Date : 2023-08-04 Mehmet Altunova,Muammer Karakayali,Ceren Yildirim Karakan,Seda Tükenmez Karakurt,Gokhan Demirci,Serkan Aslan,Arda Guler,Ali Evsen,Mehmet Erturk
OBJECTIVES Peripheral arterial disease (PAD) results from the systemic atherosclerotic process. In this study, we aimed to determine the relationship between plasma atherogenic index (AIP), a ratio of molar concentrations of triglycerides to HDL-cholesterol, and long-term outcomes after endovascular therapy (EVT) in patients with superficial femoral artery (SFA) stenosis. METHODS We retrospectively
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Factors affecting lower extremity venous insufficiency recurrence following radiofrequency ablation. Vascular (IF 1.1) Pub Date : 2023-08-04 Hakki Kursat Cetin,Eyup Murat Kanber
OBJECTIVE To clarify possible factors for recurrence of venous insufficiency following radiofrequency ablation (RFA) for the treatment of lower extremity chronic venous insufficiency (CVI). METHODS Patients with lower extremity CVI who underwent RFA therapy were reviewed for inclusion in the study. Patients' characteristics, operative parameters and follow-up outcomes were recorded. Patients were divided
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Role of intravascular ultrasound in endovascular management of nutcracker syndrome: A case report. Vascular (IF 1.1) Pub Date : 2023-08-03 Emma K Satchell,Sri H Senapathi,Umashankar K Ballehaninna
PURPOSE Here, we describe nutcracker syndrome management using intravascular ultrasound (IVUS) during endovascular stent placement of the renal vein. CASE REPORT A 60-year-old woman with a known Factor V Leiden mutation, long-standing smoking history, and family history of pancreatic cancer presented with 2 years of intermittent left upper quadrant pain (LUQ) and a 15 lb unintentional weight loss.
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Psoas muscle analysis as a surrogate marker of sarcopenia and frailty: A multicenter analysis of predictive capacities over short- and long-term outcomes after abdominal aortic aneurysm repair. Vascular (IF 1.1) Pub Date : 2023-08-01 Rocío Vázquez Pérez,Francisco Álvarez Marcos,Cristina Tello Díaz,Sergi Bellmunt Montoya,Rafael Fernández-Samos Gutiérrez,Daniel Gil Sala
OBJECTIVES Several predictive models exist for estimating the postoperative risks of abdominal aortic aneurysm (AAA) repair, although no particular tool has seen widespread use. We present the results of a multicenter, historic cohort study comparing the predictive capacity of the psoas muscle area (PMA), radiodensity (PMD), and lean muscle area (LMA) as surrogate markers of sarcopenia, over short-
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Accurate Embolization for Endoleak after F-TEVAR of Thoracic Aortic Dissection by Detachable Coils. Vascular (IF 1.1) Pub Date : 2023-08-01 Tianze Xu,Yi Jin,Tao Tang,Yuanhao Tong,Chen Liu,Tong Qiao,Min Zhou,Tong Yu,Wei Wang,Ming Zhang,Feng Ran,Changjian Liu,Chao Wang,Yinhuan Shi,Wendong Li,Xiaoqiang Li,Zhao Liu
OBJECTIVES To evaluate the efficacy and clinical outcomes of accurate embolization of endoleaks after fenestrated thoracic endovascular aortic repair (F-TEVAR) for thoracic aortic dissections. METHODS Twenty patients with endoleaks (17 type I and 3 type II) after fenestrated thoracic endovascular aortic repair (F-TEVAR) were embolized using detachable and ordinary coils. We assessed the success rate
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Association between statin-use and mobility and long-term survival after major lower limb amputation. Vascular (IF 1.1) Pub Date : 2023-07-31 Arsalan Wafi,Vijay Kolli,Luis Ribeiro,Bilal Azhar,James Budge,Shreya Chawla,Paul Moxey,Ian M Loftus,Peter J E Holt
AIM The aim of this study was to determine if there is an association between statin-use and prosthetic mobility and long-term survival in patients receiving rehabilitation after major amputation for lower limb arterial disease. METHODS A retrospective analysis of prospectively maintained data (2008-2020) from a centre for rehabilitation was performed. Patients were grouped by statin-use status and
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Outcome of different endovascular modalities to treat common iliac artery aneurysms, single center study. Vascular (IF 1.1) Pub Date : 2023-07-31 Ahmed M Morshed,Mohammed Farag,Khalid A Mowafy,Yasser M Elkiran,Tara M Mastracci
INTRODUCTION Iliac aneurysms occur in 10% of patients with abdominal aortic aneurysms (AAA). There are three different endovascular approaches to their treatment in the context of infrarenal Endovascular Aortic Aneurysm Repair (EVAR): occlusion by coiling the internal iliac, incorporation using an iliac branch device, and delaying repair using a bell bottom limb. We sought to determine outcomes associated
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Evaluation of the lower extremity blood supply in no-option critical limb ischemia patients with stem cell transplantation by time maximum intensity projection CT perfusion: A single-centre prospective study. Vascular (IF 1.1) Pub Date : 2023-07-31 Yuan Fang,Hao Liu,Tianyue Pan,Gang Fang,Weiguo Fu,Jiang Lin,Junzhen Liu,Zhihui Dong
OBJECTIVES Cell therapy has had satisfactory safety and efficacy outcomes for no-option critical limb ischaemia (NO-CLI) patients. In the current study, we aimed to compare the image quality of ischaemic lower limb blood vessels shown on volumetric CT-based time maximum intensity projection CT perfusion (t-MIP CTP) versus single-phase CTA (sCTA). We also tried to quantify the blood flow of the ischaemic
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Featured approach in arterial embolization: Shape memory technology. Vascular (IF 1.1) Pub Date : 2023-07-31 Rasit Dinc