International Journal of Vascular Medicine最新文献

{"title":"Association of Anatomical Location and Preoperative Blood Biomarkers With Arteriovenous Fistula Maturation in Hemodialysis Patients.","authors":"Davood Dalil, Seyyed Mohammad Hosseini, Morteza Khavanin Zadeh","doi":"10.1155/ijvm/9737630","DOIUrl":"10.1155/ijvm/9737630","url":null,"abstract":"<p><p><b>Introduction:</b> Arteriovenous fistulas (AVFs) are the best choice for providing vascular access for hemodialysis patients. AVF maturation is essential for successful hemodialysis. However, up to 60% of AVFs fail to mature due to multiple risk factors. Thus, this study is aimed at investigating the association of anatomical location and preoperative blood parameters with AVF maturity. <b>Methods:</b> This is a retrospective cohort study of 206 patients who underwent their first AVF creation at the Hasheminejad Kidney Center, Tehran, Iran, from January 2016 to January 2019. Demographic and clinical characteristics and blood biomarkers were recorded for all patients preoperatively. <b>Results:</b> The total maturation rate was 67.2%. The primary failure rate of AVFs was 5.8%. Regarding AVF location, wrist fistulas had a higher rate of maturation than antecubital fistulas (73.2% vs. 55.9%, <i>p</i> = 0.013, OR = 2.15). The WBC (<i>p</i> = 0.03), RBC (<i>p</i> = 0.008), and hemoglobin (<i>p</i> = 0.009) levels were lower in the matured AVFs than in the nonmatured groups. Most kidney function biomarkers were not significantly related to AVF maturation. However, the mature wrist AVFs had lower levels of albumin and calcium-phosphorus index. The wrist AVF in patients with calcium levels under 8.5 mg/dL worked more efficiently than antecubital group (76.4% vs. 52.9%, <i>p</i> = 0.015, OR = 2.87). <b>Conclusion:</b> This study supports the evidence that wrist AVF could be a preferred AVF choice in the patients who met its clinical criteria.</p>","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2025 ","pages":"9737630"},"PeriodicalIF":1.1,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12473738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145185737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic Accuracy of Clinical Findings for Takayasu Arteritis: A Rapid Review and Meta-Analysis.","authors":"Loris Azoyan, Matthieu Bonjour, Olivier Steichen","doi":"10.1155/ijvm/6092362","DOIUrl":"10.1155/ijvm/6092362","url":null,"abstract":"<p><p><b>Objective:</b> Diagnosis of Takayasu arteritis (TA) is based on a combination of demographic, clinical, biological, and imaging data, but the diagnostic value of each clinical sign remains undetermined. The objective of this rapid review and meta-analyses was to estimate the diagnostic accuracy of these clinical signs. <b>Methods:</b> Eligible studies compared the initial clinical presentation of TA with appropriate controls. The diagnostic reference standard had to be specified. We searched PubMed, Embase, and Google Scholar until May 17, 2024. We assessed bias using the QUADAS-2 tool. We performed meta-analyses using a bivariate random effects model for sensitivity and specificity and a sampling-based approach for positive and negative likelihood ratios (PLR, NLR). <b>Results:</b> Of 15 studies included, 13 were case-control. All studies had a high risk of bias. Overall, 1980 patients with TA were compared to 3129 controls, with the majority having another vasculitis, mostly giant cell arteritis (GCA). Among 29 signs, the most suggestive of TA were vascular signs: blood pressure asymmetry (PLR 9.53, 95% CI 3.43-21.9), vascular bruits (9.0, 2.94-22.4), decrease or absent pulse (8.15, 2.35-22.2), and carotid artery with decreased pulse or tenderness (7.23, 3.64-12.5). Compared to GCA only, several signs reduced the likelihood of TA: headache (0.51, 0.25-0.86), jaw claudication (0.15, 0.05-0.35), polymyalgia rheumatica (0.07, 0.01-0.48), and scalp tenderness (0.04, 0.01-0.30). <b>Conclusion:</b> This review highlights the most useful signs for suspecting the disease when compared to other vasculitis and mimics. This will assist clinicians in estimating the likelihood of TA and guiding investigations.</p>","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2025 ","pages":"6092362"},"PeriodicalIF":1.1,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12440657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevention of Catheter-Related Infections and Complications: A Narrative Literature Review of Vascular Care and Maintenance.","authors":"Nathan T Gilmore, Terrence Metz","doi":"10.1155/ijvm/1427129","DOIUrl":"10.1155/ijvm/1427129","url":null,"abstract":"<p><p><b>Objectives:</b> This review assessed the burden of catheter-related infections (CRI), existing gaps in catheter care, and prevention recommendations for catheter-related bloodstream infections (CRBSIs). The review further discusses how the emergence of coronavirus disease (COVID-19) influenced CRBSI rates and prevention strategies in the post-COVID-19 era. <b>Methods:</b> A targeted literature search was conducted of Embase, Ovid MEDLINE, and EBM Reviews. Where applicable, supplemental hand searches were performed to identify evidence for gaps in the targeted search results. The authors reviewed each study and selected those for inclusion based on the population, intervention, comparison, outcomes, and study design (PICOS) criteria. Relevant studies were assessed for inclusion in the present review. <b>Results:</b> Both \"active\" methods (scrubbing, flushing, and locking) and \"passive\" methods (disinfection caps) have consistently been shown to reduce CRBSI risk when assessed individually. These practices have markedly improved CRBSI rates over the past two decades, although there are ongoing gaps in catheter care and adherence to best practices. COVID-19 reversed the trend towards improving CRBSI rates, and persistent challenges for nurse staffing and training have resulted in a failure to return to pre-COVID-19 CRBSI rates in the current post-COVID-19 era. These challenges are further compounded by limited rigorous comparative evidence assessing the relative efficacy of individual CRBSI prevention methods. <b>Conclusions:</b> Improving adherence to hub disinfection, along with catheter care and maintenance protocols, is essential for the prevention of CRIs. Further, innovative approaches for simplifying protocols and \"forcing function\" may increase compliance with CRBSI prevention strategies. In our practice, we routinely use disinfection caps in addition to standard scrubbing and flushing, alongside increased training and monitoring procedures. Additional studies are needed to assess which individual or combination prevention strategies are most efficacious and feasible in the post-COVID-19 era.</p>","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2025 ","pages":"1427129"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tracing the Rise of Galectin-3: A Global Bibliometric Insight Into Its Role in Heart Failure.","authors":"Amjad Bani Hani, Alaa Tarazi, Lubna Alnatour, Ahmad Aburrub, Mohammad Hijah","doi":"10.1155/ijvm/7431078","DOIUrl":"10.1155/ijvm/7431078","url":null,"abstract":"<p><p><b>Background:</b> Heart failure (HF) is a growing clinical syndrome with high morbidity and mortality. Galectin-3, a key player in cardiac fibrosis and inflammation, has emerged as an important biomarker for HF. This bibliometric analysis is aimed at exploring global scientific output and research trends on the relationship between galectin-3 and HF. <b>Methods:</b> A bibliometric literature search was conducted on the Web of Science in September 2024. Microsoft Excel and VOSviewer were used for scientometric analysis and to visualize scientific achievements, including publication counts, key authors, countries, organizations, journals, and research hotspots in the field. <b>Results:</b> A total of 705 publications met the inclusion criteria after screening. Research on galectin-3 and HF is currently experiencing rapid growth. The United States, China, and the Netherlands produced the most articles, contributing approximately 55% (388/705) of all papers. Most institutions and authors were from the United States and the Netherlands, with the University of Groningen (Netherlands) being the top publishing institution. Key authors include De Boer RA, Januzzi JI, and Van Veldhuisen DJ. The <i>European Journal of Heart Failure</i> was the most cited journal and had the highest number of publications. Key research topics include the relationship between galectin-3 and HF prognosis, fibrosis, mortality, and conditions leading to HF. <b>Conclusion:</b> This is the first bibliometric analysis of publications on the association between galectin-3 and HF. This study provides researchers with valuable insights into the most influential articles on this biomarker and its role in HF. Key research areas focus on galectin-3 role in the diagnosis, pathology, and prognosis of various HF types, causes, and outcomes. Further research should explore how galectin-3 can facilitate earlier diagnosis of HF or fibrosis, with increased international collaboration among researchers.</p>","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2025 ","pages":"7431078"},"PeriodicalIF":1.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12313377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting Outcome in Adult Patients With Congenital Heart Disease: A Systematic Review and Meta-Analysis on the Predictive Value of NT-proBNP and High-Sensitive Troponin T.","authors":"Sara Rashki Ghalenoo, Zohreh Mahmoodi","doi":"10.1155/ijvm/1210312","DOIUrl":"10.1155/ijvm/1210312","url":null,"abstract":"<p><p><b>Objective:</b> This study is aimed at evaluating the predictive value of high-sensitive cardiac troponin T (hs-TnT), and N-terminal probrain natriuretic peptide (NT-proBNP), for cardiovascular events and/or survival in stable adult congenital heart disease (ACHD) patients. <b>Methods:</b> A systematic review along with a meta-analysis was done on studies from 2014 to 2024 that examined hs-TnT, NT-proBNP, and their association with cardiac events and/or mortality in adult patients with congenital heart disease. A comprehensive search was conducted across major databases, and studies reporting biomarker levels and relevant outcomes were included. Data on study characteristics and hazard ratios (HRs) were extracted, and pooled estimates were calculated using random-effects meta-analysis, with heterogeneity assessed through the <i>I</i> ² statistic. STATA software was used for data analysis. <b>Results:</b> A total of five studies, consisting of 1294 adult congenital heart disease (ACHD) patients, were included in this meta-analysis. Elevated NT-proBNP levels were significantly associated with an increased risk of mortality or cardiac events (HR: 2.13; 95% CI: 1.84-2.42), which remained significant after adjustment for confounding factors (adjusted HR: 2.34; 95% CI: 1.55-3.13). Elevated hs-TnT levels were also associated with a higher risk of adverse outcomes (HR: 1.57; 95% CI: 1.36-1.78), with the association remaining significant after adjustment (adjusted HR: 2.65; 95% CI: 1.22-5.76). Sensitivity analysis excluding a study with a lower hs-TnT cut-off further strengthened the association (adjusted HR: 3.03; 95% CI: 0.86-5.21) and reduced heterogeneity. <b>Conclusion:</b> In conclusion, this meta-analysis shows the prognostic value of both NT-proBNP and hs-TnT in adults with congenital heart disease. Each of these markers offered a distinct but complementary clinical insight. Although methodological differences of the included studies limit direct comparison, our systematic review supports the potential value of incorporating both biomarkers into routine risk assessment.</p>","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2025 ","pages":"1210312"},"PeriodicalIF":1.1,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12245501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Outcomes of Cyanoacrylate Closure Versus Radiofrequency Ablation for Saphenous Varicose Veins: A Single-Center Retrospective Study.","authors":"Yuki Kamikawa, Takeshi Kinoshita, Yosuke Saito, Tetsuma Oyama, Minoru Tabata, Hirotaka Inaba","doi":"10.1155/ijvm/9668464","DOIUrl":"10.1155/ijvm/9668464","url":null,"abstract":"<p><p><b>Introduction:</b> Varicose veins are a common condition affecting millions worldwide. Cyanoacrylate closure (CAC) and radiofrequency ablation (RFA) are widely used minimally invasive treatments. CAC offers advantages such as eliminating tumescent local anesthesia (TLA) and reducing nerve injury risk. However, there are few reports comparing CAC and RFA outcomes in Japan. This study is aimed at evaluating the efficacy and safety of CAC and RFA for treating great saphenous vein (GSV) and small saphenous vein (SSV) varicose veins. <b>Materials and Methods:</b> A retrospective, single-center study was conducted with 157 patients (178 limbs) who underwent either CAC (<i>n</i> = 96) or RFA (<i>n</i> = 82) from January 2020 to October 2023. Postoperative occlusion rates, complications, and risk factors for phlebitis were analyzed. Follow-up ultrasound examinations were conducted at up to 3 months postoperatively. Statistical analyses included <i>t</i>-tests, Mann-Whitney <i>U</i> tests, and multivariate logistic regression. <b>Results:</b> Both CAC and RFA achieved a 100% occlusion rate at 3 months. In the CAC group, significantly longer vein segments were treated compared to those in the RFA group (46 ± 14 cm vs. 35 ± 13 cm, <i>p</i> < 0.05). However, phlebitis occurred in 15% of the CAC group, whereas none were reported in the RFA group (<i>p</i> < 0.05). Multivariate analysis identified preoperative swelling (OR: 5.60, 95% CI: 1.33-23.6, <i>p</i> < 0.05) and treated vein length as independent risk factors for phlebitis. All phlebitis cases resolved with conservative treatment. One patient in the RFA group experienced transient paresthesia. <b>Conclusion:</b> CAC is a viable alternative to RFA, demonstrated equivalent occlusion rates, though CAC exhibited a higher incidence of phlebitis. Careful patient selection and perioperative management may help mitigate risks. Further studies with larger cohorts and longer follow-up are needed to optimize treatment protocols and long-term outcomes.</p>","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2025 ","pages":"9668464"},"PeriodicalIF":2.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12140822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aortic Clamping Time Is Associated With Postoperative Thrombocytopenia Following Elective Open Abdominal Aortic Surgery.","authors":"Victor Bilman, Jonathan Alk, Moshe Halak, Chen Speter, Ophira Salomon, Daniel Silverberg","doi":"10.1155/ijvm/5560285","DOIUrl":"10.1155/ijvm/5560285","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; The objective of this study was to evaluate the incidence of thrombocytopenia following elective abdominal aortic surgery and identify the associated risk factors. &lt;b&gt;Methods:&lt;/b&gt; From 2009 to 2020, all consecutive patients undergoing elective open infrarenal abdominal aortic repair for aneurysms (AAAs) or aortic occlusive disease (AOD) were included in a prospectively maintained dedicated database and subsequently analyzed retrospectively. The perioperative dataset included the duration of surgery, aortic clamping time, graft configurations, blood loss, and blood products administered during the procedure. Univariate and multivariable analyses were conducted to identify risk factors for postoperative thrombocytopenia and assess its clinical consequences. &lt;b&gt;Results:&lt;/b&gt; A total of 100 patients (male &lt;i&gt;n&lt;/i&gt; = 81, mean age of 68 ± 9.3 years) were included in the present study. The AAA group showed a higher prevalence of hypertension (&lt;i&gt;n&lt;/i&gt; = 58 [76%]) versus AOD (&lt;i&gt;n&lt;/i&gt; = 12 [50%]) with &lt;i&gt;p&lt;/i&gt; = 0.014 and the use of vancomycin presurgery prophylaxis, &lt;i&gt;n&lt;/i&gt; = 36 (47%) and &lt;i&gt;n&lt;/i&gt; = 7 (29%), respectively, with &lt;i&gt;p&lt;/i&gt; = 0.033. The AOD group presented a higher number of active smokers (&lt;i&gt;n&lt;/i&gt; = 19 [79%]) versus AAA group (&lt;i&gt;n&lt;/i&gt; = 30 [39%]) with &lt;i&gt;p&lt;/i&gt; &lt; 0.001. The overall mean operative aortic clamping time was 91.6 ± 35 min, with a significantly longer time in the AAA group (96.0 ± 36.1 min vs. 78.8 ± 28.5 min in the AOD group) with &lt;i&gt;p&lt;/i&gt; = 0.046. The mean estimated blood loss was 1383 ± 834 mL, with a higher average of 1546 ± 878 mL in the AAA group versus 933 ± 472 mL in the AOD group with &lt;i&gt;p&lt;/i&gt; = 0.002. A decrease in the platelet count was observed immediately after surgery, with a mean reduction from baseline of 40.5% ± 16.3% in the AAA, 41.9 ± 16.4% compared to 35.9% ± 15.4% in the AOD group with &lt;i&gt;p&lt;/i&gt; = 0.553, reaching its nadir on postoperative Days 2 and 3. No major bleeding events associated with thrombocytopenia during the postoperative period were recorded. In 54 patients (54%), the platelet count returned to baseline by postoperative Day 5 (POD 5). Five patients exhibited a sustained platelet count drop of &gt; 50% from baseline on POD 5 and were tested for heparin-induced thrombocytopenia, all of which returned negative results. On multivariable analysis, the patient age (OR 1.125; 95% CI: 1.024-1.236; &lt;i&gt;p&lt;/i&gt; = 0.014) and clamping time (OR 1.034; 95% CI: 1.011-1.058; &lt;i&gt;p&lt;/i&gt; = 0.004) were independently associated with a decrease in the platelet count. &lt;b&gt;Conclusion:&lt;/b&gt; Postoperative thrombocytopenia is common following an elective abdominal aortic surgery, but it was demonstrated that it typically resolves on its own by POD 5 without significant clinical consequences. The study identified the patient age, and aortic clamping time as independent risk factors for the development of thrombocytopenia. However, further research involving larger cohorts is needed to confirm these findings","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2025 ","pages":"5560285"},"PeriodicalIF":2.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12129595/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age and Gender Difference in the Association of Metabolic Syndrome and Peripheral Artery Disease Among Patients With Type 2 Diabetes Mellitus.","authors":"Xiaotong Feng, Yongsong Xu, Lin Zhu, Kun Li, Lin Mao, Huan Dong, Dong Zhao, Jing Ke","doi":"10.1155/ijvm/5572344","DOIUrl":"https://doi.org/10.1155/ijvm/5572344","url":null,"abstract":"<p><p><b>Purpose:</b> Our study is aimed at exploring the association between peripheral artery disease (PAD) and metabolic syndrome (MetS) across different age and gender groups among patients with Type 2 diabetes mellitus (T2DM). <b>Patients and Methods:</b> A total of 3638 patients with T2DM were enrolled in the study, including 281 patients with PAD and 3357 patients without PAD. Demographic data and anthropometric measurements, such as height, weight, and waist circumference, were collected. Laboratory tests and ankle-brachial index (ABI) assessment were also conducted. Multiple logistic regression was used to evaluate the relationship between PAD and the number of MetS components across different age and gender groups. <b>Results:</b> After adjusting for potential confounding factors, our results indicated that the ORs for the presence of PAD increased progressively with the number of MetS components. Stratified analysis showed that this effect was particularly pronounced in younger patients (aged < 40 years) and older patients (aged ≥ 60 years), where the risk of PAD rose with an increasing number of MetS components. Furthermore, the positive association between the number of MetS components and PAD presence was significantly stronger in females. <b>Conclusions:</b> In summary, our findings suggest that the risk of PAD is positively correlated with the number of MetS components in patients with T2DM, especially among younger patients and older patients. Additionally, the positive association between the number of MetS components and the presence of PAD was significantly more evident in female patients.</p>","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2025 ","pages":"5572344"},"PeriodicalIF":2.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Objective Assessment of the Cardiorespiratory Fitness Among Individuals With Lymphedema and Lipedema: A Systematic Review and Meta-Analysis.","authors":"Amirparsa Vanaki, Amirhossein Fallah, Negin Rahimidanesh, Arian Ashnaei, Mohammad Mahdi Naghadian Moghaddam, Mohammad Shahrabi Farahani, Masood Soltanipur, Hossein Yarmohammadi","doi":"10.1155/ijvm/8627520","DOIUrl":"10.1155/ijvm/8627520","url":null,"abstract":"<p><p><b>Background:</b> One of the main challenges in managing lymphedema and lipedema is the lack of valid and reliable objective measures for diagnosis and follow-up. This study was aimed at gathering evidence regarding the objective measures of cardiorespiratory fitness (CRF) among these populations. <b>Methods:</b> Scopus, PubMed, and Embase were searched for observational studies investigating the objective measures of CRF among individuals with lipedema and lymphedema. Both primary and secondary lymphedema were included. Different CRF measures reported by the included articles were determined, and the main outcomes regarding these measurements were extracted. The meta-analysis was performed to compare the pooled mean 6-min walk test (6MWT) between individuals with lower limb lymphedema and lipedema using STATA software (Version 17.0). <b>Results:</b> Eight articles were included, and the majority of participants were female. Four distinct objective measures of CRF were reported among the included articles, including hemodynamic indices, spirometry indices, VO₂ peak, and 6MWT. The mean VO₂ peak was significantly lower among women with breast cancer-related lymphedema; however, there was no correlation between affected limb volumes and the VO₂ peak. The meta-analysis revealed a lower mean 6MWT among individuals with lipedema compared to lymphedema (pooled difference: 37.71 [confidence interval (CI): 5.19-70.22], <i>p</i> value: 0.02, <i>I</i> ²: 0%). Also, there was a significant relationship between 6MWT and subjective measures of CRF, such as the Short Form 36 (SF-36) physical function score, in one included article. <b>Conclusion:</b> While limited evidence exists on the objective measures of CRF among individuals with lymphedema and lipedema, there might be a significant difference in 6MWT between these two groups.</p>","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2025 ","pages":"8627520"},"PeriodicalIF":2.5,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Long-Term Progression of Aneurysmal Disease in Common Iliac Arteries After Standard EVAR and Its Clinical Implications.","authors":"Apostolos G Pitoulias, Dimitrios Chatzelas, Matthaios G Pitoulias, Loukia A Politi, Dimitrios C Christopoulos, Ioannis Lazaridis, Nikolaos Saratzis, Georgios A Pitoulias","doi":"10.1155/ijvm/4229582","DOIUrl":"10.1155/ijvm/4229582","url":null,"abstract":"<p><p><b>Introduction:</b> The progression of aneurysmal disease in the common iliac arteries (CIAs) after EVAR remains an insufficiently investigated field. The purpose of this study is to investigate the long-term outcomes of standard elective EVAR with a variety of last-generation bifurcated aortic endografts in relation with the progression of aneurysmal disease in the CIAs. <b>Methods:</b> This is a prospective cohort study of 168 patients, who were treated with six different endografts between 2013 and 2018 and completed the 5-year computed tomography aortoangiography (CTA) follow-up. Postoperative CTA analysis included CIA measurements at four diameters' points and two length levels in three postoperative time spots: first, 24th, and 60th months. All EVAR-related adverse events were recorded, including migrations, endoleaks, limb occlusions, reinterventions, ruptures, and mortality. <b>Results:</b> At both time intervals, a significant and nearly linear dilatation and elongation of CIAs was evident. The mean percent increase, among all diameter points measured, was 11.7% at 24 months and 22.8% at 60 months (<i>p</i> < 0.001) with a nearly constant mean increase rate by 0.07 mm per month. The corresponding monthly elongation rate of total CIA length was 0.26 mm at 24 months and 0.34 mm at 5 years (<i>p</i> < 0.001). The respective monthly lengthening of CIAs' uncovered (from stent graft) segment was 0.10 and 0.15 mm, and the overall increase rate at 60 months was up to 53.9% (<i>p</i> < 0.001). A total of 20 EVAR-related events were recorded, and multivariate analysis revealed that CIA dilatation served as a significant and independent predictor of long-term EVAR failures, increasing the likelihood of adverse events by 2.8-fold. <b>Conclusions:</b> Analysis of long-term geometric CIA remodeling after a standard EVAR revealed a significant progression of aneurysmal disease in CIAs, which was associated with worsening EVAR outcomes and emphasizes the importance of a rigorous and extensive follow-up protocol to maintain the long-term EVAR effectiveness.</p>","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2024 ","pages":"4229582"},"PeriodicalIF":2.5,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}