{"title":"Chronic wounds – Recommendations for diagnostics and therapy","authors":"Cornelia Erfurt-Berge, Regina Renner","doi":"10.1016/j.rvm.2015.05.001","DOIUrl":"10.1016/j.rvm.2015.05.001","url":null,"abstract":"<div><p>Chronic wounds are a common problem with high requirements for treating physicians, home carers and the patient himself. Frequent recurrence, long lasting therapy duration, high material costs and negative impact on quality of life represent some of the challenges a wound carer is confronted with. The objective of this review is to discuss the diagnostic thoughts and algorithms which are essential when treating patients with chronic wounds, especially chronic leg ulcers. Therapeutic steps in wound care require clear diagnostic investigations to determine causative aetiological factors for chronic wounds and their underlying diseases. Only by knowing the aetiology of an ulcer, the appropriate therapeutic step can be initiated.</p><p>Diagnostic considerations and a short overview of new and current therapeutic approaches are given in this review.</p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"3 1","pages":"Pages 5-9"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2015.05.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91018941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute mesenteric ischaemia—Challenging the multidisciplinary emergency service","authors":"Andras Palffy","doi":"10.1016/j.rvm.2014.12.001","DOIUrl":"10.1016/j.rvm.2014.12.001","url":null,"abstract":"<div><p>Addressing acute conditions which represent an interface between emergency general and vascular surgery is challenging.</p><p><span><span>One of these conditions is acute mesenteric ischaemia (AMI). AMI is a rare, rapidly progressing, fatal condition. All types of aetiologies call for very different therapies and outcome among the subgroups differ significantly. While the prognosis of acute on chronic thrombosis of the </span>superior mesenteric artery (SMA) and non-occlusive mesenteric ischaemia (NOMI) is generally poor, </span>embolisation<span><span> of the SMA and acute mesenteric venous thrombosis can be treated successfully if diagnosed early. Systemic </span>anticoagulation<span> should commence once the diagnosis of AMI is established and this alone may be therapeutic in acute mesenteric venous thrombosis. The commonest aetiology – embolisation of the superior mesenteric artery (SMA) – is successfully treatable by embolectomy, especially before bowel necrosis occurs.</span></span></p><p>If survival is to be achieved, a well co-ordinated reperfusion strategy – delivered by a multidisciplinary team – is required. The importance of interdisciplinary communication between the emergency general surgical, medical and vascular service is highlighted.</p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"3 1","pages":"Pages 10-15"},"PeriodicalIF":0.0,"publicationDate":"2015-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2014.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81746101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ahmad Sharif-Yakan, Dimitar Divchev, Ulrich Trautwein, Christoph A. Nienaber
{"title":"The coronary slow flow phenomena or “cardiac syndrome Y”: A review","authors":"Ahmad Sharif-Yakan, Dimitar Divchev, Ulrich Trautwein, Christoph A. Nienaber","doi":"10.1016/j.rvm.2014.07.001","DOIUrl":"10.1016/j.rvm.2014.07.001","url":null,"abstract":"<div><p><span><span>Myocardial infarction in young individuals is a rare event that is seldom due to atherosclerotic coronary artery diseases, except in the setting of familial </span>hyperlipidemias<span><span> with accelerated atherosclerosis. Potential etiologies of </span>myocardial injury<span> in young patients are various, but non-coronary pathologies causing direct myocardial injury e.g. viral myocarditis, account for the majority of cases. Coronary artery diseases causing myocardial infarction in young patients represent a challenge to any treating physician; they mostly fall into the category of “coronary artery vasomotor disorders”. The coronary slow flow phenomena or as more recently called “cardiac syndrome Y” is a relatively poorly understood microvascular coronary artery disorder caused by increased microvascular </span></span></span>coronary artery resistance<span><span> to flow that may result in myocardial infarction at rest in young individuals, the diagnosis can be especially challenging. The unique characteristics of the CSFP/CSY prompted the call for a separate classification within coronary artery vasomotor disorders. In this review we discuss in brief non-atherosclerotic coronary artery disorders, highlighting key clinical features, then we move to an in depth review of the CSFP/CSY including its: </span>Epidemiology<span>, pathophysiology, diagnosis prognosis and management.</span></span></p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"2 4","pages":"Pages 118-122"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2014.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90541120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Endovascular techniques for the treatment of chronic insufficiency of the lower limb׳s superficial venous system","authors":"Miloš D. Pavlović , Sanja Schuller-Petrović","doi":"10.1016/j.rvm.2014.04.002","DOIUrl":"10.1016/j.rvm.2014.04.002","url":null,"abstract":"<div><p><span><span>Endovenous procedures have nowadays mostly replaced classic surgery in the treatment of superficial </span>venous insufficiency. Over the past 15 years substantial evidence has accumulated for two thermal endovenous procedures (endovenous laser ablation and </span>radiofrequency<span><span> segmental ablation) and novel methods has been developing with the aim to make the treatments even simpler, safer but equally efficacious as the well established thermal methods. Here we have reviewed principles and evidence behind all endovenous procedure with the exception of foam sclerotherapy. Covered are also other thermal interventions like steam ablation, bipolar radiofrequency and microwave ablation, and mechanochemical ablation and </span>cyanoacrylate<span> glue embolization.</span></span></p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"2 4","pages":"Pages 107-117"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2014.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85658726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Geoffrey D Barnes , James B Froehlich , Yogendra Kanthi , Thomas W Wakefield
{"title":"Venous thromboembolism: Diagnosis, treatment and the prevention of long-term complications","authors":"Geoffrey D Barnes , James B Froehlich , Yogendra Kanthi , Thomas W Wakefield","doi":"10.1016/j.rvm.2014.07.005","DOIUrl":"10.1016/j.rvm.2014.07.005","url":null,"abstract":"<div><p><span><span><span>Venous thromboembolism encompasses a wide spectrum of illness, including </span>deep venous thrombosis<span><span> and pulmonary embolism. Appropriate recognition and </span>treatment is critical to preventing serious recurrent thromboembolism events. Use of clinical prediction tools, such as the modified Well׳s criteria, is critical to rapid and efficient diagnosis of venous thromboembolism. Similarly, use of clinical prediction tools can help to identify patients for whom thromboembolism recurrence necessitates extended </span></span>anticoagulation therapy. Choosing an appropriate </span>anticoagulant for the acute management and potential extended therapy requires assessing patient and physician preferences given the recent expansion of treatment choices. In this document, we review the spectrum of disease as well as guideline-based recommendations for diagnosis and management of venous thromboembolism.</p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"2 4","pages":"Pages 136-142"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2014.07.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89122942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mafalda Massara , Giovanni De Caridi , Giuseppina Barberi , Francesco Spinelli , Antonio Cascio
{"title":"Peripheral septic arterial embolism of non-cardiac source: A systematic review of literature","authors":"Mafalda Massara , Giovanni De Caridi , Giuseppina Barberi , Francesco Spinelli , Antonio Cascio","doi":"10.1016/j.rvm.2014.07.004","DOIUrl":"10.1016/j.rvm.2014.07.004","url":null,"abstract":"<div><p><span><span>Peripheral septic arterial embolism of non-cardiac source (NCPSRE) is a rare event, and scientific literature is scanty. The objective of this paper is to carry out a </span>systematic review on this topic. </span><em>Materials and methods</em>: a computerized search was conducted using PubMed from 1946 to 2014. <em>Results</em>: A total of 43 papers describing 53 patients were identified. <span><em>Staphylococcus aureus</em></span><span> was the most frequently involved germ in the infection (32/53 cases). The most frequent cause was arterial complications after catheter insertion for therapeutic or diagnostic procedures (29/53), followed by complications of previous vascular bypass<span><span> (8/53) and aspergillosis (10/53). Diagnosis was made essentially through blood culture (35/53 cases) and biopsy of </span>skin lesions (15/53). A specific antibiotic therapy was helpful in the majority of patients (35/53) and 36/53 patients underwent surgical procedures. Eleven patients died: seven of these were affected by aspergillosis; two cases were recorded during surgery; another two patients died of different causes. </span></span><em>Conclusions</em><span><span>: NCPSRE should always be suspected in patients<span><span> who have undergone invasive diagnostic and therapeutic vascular procedures, in patients submitted to </span>radial artery<span> catheter insertion, in cases of aortofemoral bypass<span> followed by gastro-intestinal bleeding, in patients presenting sudden acute ischemia<span><span> of the lower limb, accompanied by fever, leukocytosis, cutaneous </span>petechiae or purpuric macules or a painful mass associated with a </span></span></span></span></span>pseudoaneurysm<span><span> at the site of a catheter insertion. In immunocompromised hosts, NCPSRE may indicate a diagnosis of aspergillosis, and a </span>skin biopsy and chest X-ray should be performed promptly.</span></span></p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"2 4","pages":"Pages 127-135"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2014.07.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85360787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Office based CHIVA: A conceptual variation of CHIVA. The OB CHIVA survey","authors":"F. Passariello , P. Gammuto","doi":"10.1016/j.rvm.2014.07.003","DOIUrl":"10.1016/j.rvm.2014.07.003","url":null,"abstract":"<div><p><span>CHIVA was ideated in 1988 by C Franceschi in France and was aimed to provide a conservative therapy for chronic venous insufficiency<span>. Though CHIVA is based on an interesting hemodynamics model, many people find it time consuming and difficult to understand. In 2009</span></span> <!-->F Passariello and N Morrison performed the first Office Based CHIVA (OB CHIVA) interventions. The aim of the present interview/review is to underline the issues posed by OB CHIVA. We interviewed well-known and recognized experts like BB Lee, N Morrison, T King, C Lattimer, M Patel, F Passariello and asked them to share their perspectives about OB Chiva.</p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"2 4","pages":"Pages 123-126"},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2014.07.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76783026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mariana Estrelinha, I. Hinterseher, H. Kuivaniemi, H. Kuivaniemi
{"title":"Gene expression studies in human abdominal aortic aneurysm","authors":"Mariana Estrelinha, I. Hinterseher, H. Kuivaniemi, H. Kuivaniemi","doi":"10.1016/J.RVM.2014.02.001","DOIUrl":"https://doi.org/10.1016/J.RVM.2014.02.001","url":null,"abstract":"","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"68 1","pages":"77-82"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87995845","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pieter Eijgenraam , Hugo ten Cate , Arina J. ten Cate-Hoek
{"title":"Venous stenting after deep venous thrombosis and antithrombotic therapy: A systematic review","authors":"Pieter Eijgenraam , Hugo ten Cate , Arina J. ten Cate-Hoek","doi":"10.1016/j.rvm.2014.03.001","DOIUrl":"https://doi.org/10.1016/j.rvm.2014.03.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Over the last years venous stent placement<span><span><span> after deep venous thrombosis (DVT) in the iliofemoral veins has gained more attention. The majority of studies evaluating the safety and efficacy of this intervention are of poor methodological quality and the association with </span>antithrombotic therapy has not been studied explicitly. We performed a </span>systematic review to summarize the available literature on antithrombotic management in relation to the safety and efficacy of venous stenting.</span></p></div><div><h3>Methods</h3><p><span><span>We performed a Medline search to identify studies that addressed anticoagulation<span> and/or antiplatelet </span></span>treatment options after venous stenting </span>in patients with a prior DVT in the iliofemoral area. We identified 192 articles and finally selected 14 articles for use in this review.</p></div><div><h3>Results</h3><p>In 86% (12/14) of the included studies anticoagulation was administered to all patients who underwent iliac venous stenting. In 33% of the studies patients received antiplatelet therapy consisting of aspirin<span><span> and/or clopidogrel (4/12). The duration of antithrombotic treatment was not guided by the stenting procedure in 93% (13/14) of studies. The incidence of re-thrombosis in (sub) groups of only stented patients, ranged from 5% to 25%. Primary, assisted primary, and secondary </span>patency rates 12 months after stent placement ranged from 54%, 72%, 83% respectively to 78%, 83%, 95% in (sub)groups of only stented patients. Rates of major bleedings during long term follow-up ranged from 0% to11%.</span></p></div><div><h3>Conclusion</h3><p>Antithrombotic therapy does not seem to influence any of the outcomes in patients with venous stenting after DVT: recurrent DVT, patency, post-thrombotic syndrome or restenosis and bleeding.</p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"2 3","pages":"Pages 88-97"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2014.03.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91682601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Micheal T Ayad, Phillip Batista, Anu K. Whisenhunt, Dawn Salvatore, Babak Abai, Paul J DiMuzio
{"title":"Endovascular treatment of celiac axis aneurysm with a covered stent: Case presentation and review of the literature","authors":"Micheal T Ayad, Phillip Batista, Anu K. Whisenhunt, Dawn Salvatore, Babak Abai, Paul J DiMuzio","doi":"10.1016/j.rvm.2014.03.002","DOIUrl":"https://doi.org/10.1016/j.rvm.2014.03.002","url":null,"abstract":"<div><h3>Objective</h3><p><span>To report the safe and effective treatment of </span>celiac axis<span> aneurysm (CAA) using a covered stent plus coil embolization of the gastric and splenic arteries, and to assess the results of similar cases treated using endovascular techniques.</span></p></div><div><h3>Methods</h3><p>Case report and PUBMED literature review (2000–2013) of cases treated using endovascular techniques.</p></div><div><h3>Results</h3><p>Successful exclusion of an enlarging CAA was performed using a covered stent placed from the origin of the axis into the common hepatic artery<span> via a brachial approach; concomitantly, the splenic and gastric arteries<span> were embolized. A PUBMED literature review revealed the successful endovascular treatment of CAA in 25. Stent graft exclusion was described a total of seven times: three within the axis itself, three landing in the splenic artery, and one landing in the hepatic artery.</span></span></p></div><div><h3>Conclusions</h3><p>Various methods of endovascular treatment of CAA have been reported to be safe and effective. Depending upon anatomy<span>, this report suggests that preservation of blood flow to the hepatic artery with coil embolization of the gastric and splenic arteries is effective in treating this condition while maintaining important foregut blood flow.</span></p></div>","PeriodicalId":101091,"journal":{"name":"Reviews in Vascular Medicine","volume":"2 3","pages":"Pages 83-87"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rvm.2014.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91682599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}