International Journal of Vascular Medicine最新文献

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Predictors of Improved Walking after a Supervised Walking Exercise Program in Men and Women with Peripheral Artery Disease 患有外周动脉疾病的男性和女性在接受监督的步行锻炼计划后改善步行的预测因素
IF 1.3
International Journal of Vascular Medicine Pub Date : 2016-12-25 DOI: 10.1155/2016/2191350
A. Gardner, D. E. Parker, P. Montgomery
{"title":"Predictors of Improved Walking after a Supervised Walking Exercise Program in Men and Women with Peripheral Artery Disease","authors":"A. Gardner, D. E. Parker, P. Montgomery","doi":"10.1155/2016/2191350","DOIUrl":"https://doi.org/10.1155/2016/2191350","url":null,"abstract":"We compared the changes in ambulatory outcomes between men and women with symptomatic peripheral arterial disease (PAD) following completion of a supervised, on-site, treadmill exercise program, and we determined whether exercise training variables and baseline clinical characteristics were predictive of changes in ambulatory outcomes in men and women. Twenty-three men and 25 women completed the supervised exercise program, consisting of intermittent walking to mild-to-moderate claudication pain for three months. Men and women significantly increased claudication onset time (COT) (p < 0.001 and p < 0.01, resp.) and peak walking time (PWT) (p < 0.001 for each group). However, change in PWT was less in women (54%) than in men (77%) (p < 0.05). Neither group significantly changed 6-minute walk distance (6MWD). In women, baseline COT was the only predictor for the change in COT (p = 0.007) and the change in PWT (p = 0.094). In men, baseline COT (p < 0.01) and obesity (p < 0.10) were predictors for the change in COT, and obesity was the only predictor for the change in PWT (p = 0.002). Following a supervised, on-site, treadmill exercise program, women had less improvement in PWT than men, and neither men nor women improved submaximal, overground 6MWD. Furthermore, obese men and patients with lower baseline COT were least responsive to supervised exercise. This trial is registered with ClinicalTrial.gov, unique identifier: NCT00618670.","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2016 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2016-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/2191350","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64265687","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}
引用次数: 19
Venous Adventitial Cystic Disease: A Review of 45 Cases Treated Since 1963 静脉外膜囊性疾病:1963年以来治疗45例的回顾性分析
IF 1.3
International Journal of Vascular Medicine Pub Date : 2016-11-03 DOI: 10.1155/2016/5287697
Corey M. Bascone, Mazen Iqbal, P. Narh-Martey, M. Szuchmacher, M. Cicchillo, K. Krishnasastry
{"title":"Venous Adventitial Cystic Disease: A Review of 45 Cases Treated Since 1963","authors":"Corey M. Bascone, Mazen Iqbal, P. Narh-Martey, M. Szuchmacher, M. Cicchillo, K. Krishnasastry","doi":"10.1155/2016/5287697","DOIUrl":"https://doi.org/10.1155/2016/5287697","url":null,"abstract":"Purpose. To review and identify the most accurate ways of diagnosing and treating adventitial cystic disease (ACD) of the venous system. Methods. Cases of ACD were collected through three popular medical databases, including PubMed, Cochrane, OVID, and MEDLINE. After reviewing the literature, the sites of occurrence of 323 cases of adventitial cystic disease were documented, and all cases of arterial ACD were excluded. The clinical features, treatment, and subsequent course of 45 cases of venous ACD are included in this paper. Results. After reviewing all 45 cases of venous ACD , we have confirmed that the most common vessel affected is the common femoral vein, which reproduces the most common symptom of venous ACD: asymmetric lower extremity swelling worsening over time. Conclusion. Venous ACD most commonly affects the common femoral vein. When unilateral leg swelling occurs with or without a noticeable mass, ACD should be considered. It is best confirmed with CT venography and the treatment of choice is transluminal cyst evacuation and excision.","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2016 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2016-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/5287697","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64420569","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}
引用次数: 21
New Indices of Endothelial Function Measured by Digital Thermal Monitoring of Vascular Reactivity: Data from 6084 Patients Registry 血管反应性数字热监测测量内皮功能的新指标:来自6084例患者登记的数据
IF 1.3
International Journal of Vascular Medicine Pub Date : 2016-10-18 DOI: 10.1155/2016/1348028
M. Naghavi, A. Yen, A. Lin, Hirofumi Tanaka, S. Kleis
{"title":"New Indices of Endothelial Function Measured by Digital Thermal Monitoring of Vascular Reactivity: Data from 6084 Patients Registry","authors":"M. Naghavi, A. Yen, A. Lin, Hirofumi Tanaka, S. Kleis","doi":"10.1155/2016/1348028","DOIUrl":"https://doi.org/10.1155/2016/1348028","url":null,"abstract":"Background. Endothelial function is viewed as a barometer of cardiovascular health and plays a central role in vascular reactivity. Several studies showed digital thermal monitoring (DTM) as a simple noninvasive method to measure vascular reactivity that is correlated with atherosclerosis risk factors and coronary artery disease. Objectives. To further evaluate the relations between patient characteristics and DTM indices in a large patient registry. Methods. DTM measures were correlated with age, sex, heart rate, and systolic and diastolic blood pressure in 6084 patients from 18 clinics. Results. DTM vascular reactivity index (VRI) was normally distributed and inversely correlated with age (r = −0.21, p < 0.0001). Thirteen percent of VRI tests were categorized as poor vascular reactivity (VRI < 1.0), 70 percent as intermediate (1.0 ≤ VRI < 2.0), and 17 percent as good (VRI ≥ 2.0). Poor VRI (<1.0) was noted in 6% of <50 y, 10% of 50–70 y, and 18% of ≥70 y. In multiple linear regression analyses, age, sex, and diastolic blood pressure were significant but weak predictors of VRI. Conclusions. As the largest database of finger-based vascular reactivity measurement, this report adds to prior findings that VRI is a meaningful physiological marker and reflects a high level of residual risk found in patients currently under care.","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2016 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2016-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/1348028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64218383","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}
引用次数: 32
Endothelial Dysfunction of Patients with Peripheral Arterial Disease Measured by Peripheral Arterial Tonometry 外周动脉张力计测量外周动脉疾病患者内皮功能障碍
IF 1.3
International Journal of Vascular Medicine Pub Date : 2016-10-18 DOI: 10.1155/2016/3805380
K. Igari, T. Kudo, T. Toyofuku, Y. Inoue
{"title":"Endothelial Dysfunction of Patients with Peripheral Arterial Disease Measured by Peripheral Arterial Tonometry","authors":"K. Igari, T. Kudo, T. Toyofuku, Y. Inoue","doi":"10.1155/2016/3805380","DOIUrl":"https://doi.org/10.1155/2016/3805380","url":null,"abstract":"Objective. Endothelial dysfunction plays a key role in atherosclerotic disease. Several methods have been reported to be useful for evaluating the endothelial dysfunction, and we investigated the endothelial dysfunction in patients with peripheral arterial disease (PAD) using peripheral arterial tonometry (PAT) test in this study. Furthermore, we examined the factors significantly correlated with PAT test. Methods. We performed PAT tests in 67 patients with PAD. In addition, we recorded the patients' demographics, including comorbidities, and hemodynamical status, such as ankle brachial pressure index (ABI). Results. In a univariate analysis, the ABI value (r = 0.271, P = 0.029) and a history of cerebrovascular disease (r = 0.208, P = 0.143) were found to significantly correlate with PAT test, which calculated the reactive hyperemia index (RHI). In a multivariate analysis, only the ABI value significantly and independently correlated with RHI (β = 0.254, P = 0.041). Conclusion. This study showed a significant correlation between RHI and ABI. The PAT test is a useful tool for evaluating not only endothelial dysfunction but also the hemodynamical state in patients with PAD.","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2016 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2016-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/3805380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64349787","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}
引用次数: 6
Single Low-Density Lipoprotein Apheresis Does Not Improve Vascular Endothelial Function in Chronically Treated Hypercholesterolemic Patients 单次低密度脂蛋白分离不能改善慢性高胆固醇血症患者的血管内皮功能
IF 1.3
International Journal of Vascular Medicine Pub Date : 2016-02-22 DOI: 10.1155/2016/4613202
K. Ballard, E. Mah, Yi Guo, R. Bruno, B. Taylor, J. Beam, D. Polk, P. Thompson
{"title":"Single Low-Density Lipoprotein Apheresis Does Not Improve Vascular Endothelial Function in Chronically Treated Hypercholesterolemic Patients","authors":"K. Ballard, E. Mah, Yi Guo, R. Bruno, B. Taylor, J. Beam, D. Polk, P. Thompson","doi":"10.1155/2016/4613202","DOIUrl":"https://doi.org/10.1155/2016/4613202","url":null,"abstract":"Objective. To investigate vascular endothelial function (VEF) responses to a single low-density lipoprotein (LDL) apheresis session in hypercholesterolemic patients undergoing chronic treatment. Methods. We measured brachial artery flow-mediated dilation (FMD), plasma lipids, vitamin E (α- and γ-tocopherol), markers of oxidative/nitrative stress (malondialdehyde (MDA) and nitro-γ-tocopherol (NGT)), and regulators of NO metabolism (arginine (ARG) and asymmetric dimethylarginine (ADMA)) prior to (Pre) and immediately following (Post) LDL apheresis and at 1, 3, 7, and 14 d Post in 5 hypercholesterolemic patients (52 ± 11 y). Results. Relative to Pre, total cholesterol (7.8 ± 1.5 mmol/L) and LDL-cholesterol (6.2 ± 1.2 mmol/L) were 61% and 70% lower (P < 0.01), respectively, at Post and returned to Pre levels at 14 d. Brachial FMD responses (6.9 ± 3.6%) and plasma MDA, ARG, and ADMA concentrations were unaffected by LDL apheresis. Plasma α-tocopherol, γ-tocopherol, and NGT concentrations were 52–69% lower at Post (P < 0.01), and α-tocopherol remained 36% lower at 1 d whereas NGT remained 41% lower at d 3. Conclusions. Acute cholesterol reduction by LDL apheresis does not alter VEF, oxidative stress, or NO homeostasis in patients treated chronically for hypercholesterolemia.","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2016 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2016-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/4613202","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64388556","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}
引用次数: 7
Dependence of Proximal GC Boxes and Binding Transcription Factors in the Regulation of Basal and Valproic Acid-Induced Expression of t-PA 近端GC盒和结合转录因子在基础和丙戊酸诱导的t-PA表达调控中的依赖性
IF 1.3
International Journal of Vascular Medicine Pub Date : 2016-02-07 DOI: 10.1155/2016/7928681
E. Ulfhammer, P. Larsson, Mia Magnusson, L. Karlsson, N. Bergh, S. Jern
{"title":"Dependence of Proximal GC Boxes and Binding Transcription Factors in the Regulation of Basal and Valproic Acid-Induced Expression of t-PA","authors":"E. Ulfhammer, P. Larsson, Mia Magnusson, L. Karlsson, N. Bergh, S. Jern","doi":"10.1155/2016/7928681","DOIUrl":"https://doi.org/10.1155/2016/7928681","url":null,"abstract":"Objective. Endothelial tissue-type plasminogen activator (t-PA) release is a pivotal response to protect the circulation from occluding thrombosis. We have shown that the t-PA gene is epigenetically regulated and greatly induced by the histone deacetylase (HDAC) inhibitor valproic acid (VPA). We now investigated involvement of known t-PA promoter regulatory elements and evaluated dependence of potential interacting transcription factors/cofactors. Methods. A reporter vector with an insert, separately mutated at either the t-PA promoter CRE or GC box II or GC box III elements, was transfected into HT-1080 and HUVECs and challenged with VPA. HUVECs were targeted with siRNA against histone acetyl transferases (HAT) and selected transcription factors from the Sp/KLF family. Results. An intact VPA-response was observed with CRE mutated constructs, whereas mutation of GC boxes II and III reduced the magnitude of the induction by 54 and 79% in HT-1080 and 49 and 50% in HUVECs, respectively. An attenuated induction of t-PA mRNA was observed after Sp2, Sp4, and KLF5 depletion. KLF2 and p300 (HAT) were identified as positive regulators of basal t-PA expression and Sp4 and KLF9 as repressors. Conclusion. VPA-induced t-PA expression is dependent on the proximal GC boxes in the t-PA promoter and may involve interactions with Sp2, Sp4, and KLF5.","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2016 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2016-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/7928681","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64539817","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}
引用次数: 3
Imaging Techniques for Diagnosis of Thoracic Aortic Atherosclerosis 胸主动脉粥样硬化的影像学诊断技术
IF 1.3
International Journal of Vascular Medicine Pub Date : 2016-02-04 DOI: 10.1155/2016/4726094
W. J. Jansen Klomp, G. J. Brandon Bravo Bruinsma, A. W. van ’t Hof, J. G. Grandjean, A. Nierich
{"title":"Imaging Techniques for Diagnosis of Thoracic Aortic Atherosclerosis","authors":"W. J. Jansen Klomp, G. J. Brandon Bravo Bruinsma, A. W. van ’t Hof, J. G. Grandjean, A. Nierich","doi":"10.1155/2016/4726094","DOIUrl":"https://doi.org/10.1155/2016/4726094","url":null,"abstract":"The most severe complications after cardiac surgery are neurological complications including stroke which is often caused by emboli merging from atherosclerosis in the ascending aorta to the brain. Information about the thoracic aorta is crucial in reducing the embolization risk for both surgical open and closed chest procedures such as transaortic heart valve implantation. Several techniques are available to screen the ascending aorta, for example, transesophageal echocardiography (TEE), epiaortic ultrasound, TEE A-view method, manual palpation, computed tomography, and magnetic resonance imaging. This paper provides a description of the advantages and disadvantages of these imaging techniques.","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2016 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2016-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/4726094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64395305","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}
引用次数: 17
A Comparison of Measures of Endothelial Function in Patients with Peripheral Arterial Disease and Age and Gender Matched Controls 外周动脉疾病患者与年龄、性别匹配对照组内皮功能指标的比较
IF 1.3
International Journal of Vascular Medicine Pub Date : 2016-01-31 DOI: 10.1155/2016/2969740
Richard B. Allan, Simon V. Vun, J. Ian Spark
{"title":"A Comparison of Measures of Endothelial Function in Patients with Peripheral Arterial Disease and Age and Gender Matched Controls","authors":"Richard B. Allan, Simon V. Vun, J. Ian Spark","doi":"10.1155/2016/2969740","DOIUrl":"https://doi.org/10.1155/2016/2969740","url":null,"abstract":"This study compared flow-mediated dilatation (FMD), peripheral artery tonometry (PAT), and serum nitric oxide (NO) measures of endothelial function in patients with peripheral artery disease (PAD) against age/gender matched controls. 25 patients (mean age: 72.4 years, M : F 18 : 7) with established PAD and an age/gender matched group of 25 healthy controls (mean age: 72.4 years, M : F 18 : 7) were studied. Endothelial function was measured using the % FMD, reactive hyperemia index (RHI) using PAT and serum NO (μmol). Difference for each method between PAD and control patients and correlation between the methods were investigated. FMD and RHI were lower in patients with PAD (median FMD for PAD = 2.16% versus control = 3.77%, p = 0.034 and median RHI in PAD = 1.64 versus control = 1.92, p = 0.005). NO levels were not significantly different between the groups (PAD median = 7.70 μmol, control median = 13.05 μmol, p = 0.662). These results were obtained in elderly patients and cannot be extrapolated to younger individuals. FMD and PAT both demonstrated a lower hyperaemic response in patients with PAD; however, FMD results in PAD patients were unequivocally reduced whereas half the PAD patients had RHI values above the established threshold for endothelial dysfunction. This suggests that FMD is a more appropriate method for the measurement of NO-mediated endothelial function.","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2016 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2016-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/2969740","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64309090","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}
引用次数: 15
Vascular Health in American Football Players: Cardiovascular Risk Increased in Division III Players 美国橄榄球运动员的血管健康:III级运动员心血管风险增加
IF 1.3
International Journal of Vascular Medicine Pub Date : 2016-01-24 DOI: 10.1155/2016/6851256
D. Feairheller, Kristin R. Aichele, Joyann E. Oakman, M. P. Neal, Christina M. Cromwell, Jessica M. Lenzo, Avery N. Perez, Naomi L. Bye, Erica L. Santaniello, Jessica A. Hill, Rachel C. Evans, Karla A. Thiele, Lauren N. Chavis, Allyson K. Getty, Tia R. Wisdo, JoAnna M. McClelland, K. Sturgeon, Pamela S Chlad
{"title":"Vascular Health in American Football Players: Cardiovascular Risk Increased in Division III Players","authors":"D. Feairheller, Kristin R. Aichele, Joyann E. Oakman, M. P. Neal, Christina M. Cromwell, Jessica M. Lenzo, Avery N. Perez, Naomi L. Bye, Erica L. Santaniello, Jessica A. Hill, Rachel C. Evans, Karla A. Thiele, Lauren N. Chavis, Allyson K. Getty, Tia R. Wisdo, JoAnna M. McClelland, K. Sturgeon, Pamela S Chlad","doi":"10.1155/2016/6851256","DOIUrl":"https://doi.org/10.1155/2016/6851256","url":null,"abstract":"Studies report that football players have high blood pressure (BP) and increased cardiovascular risk. There are over 70,000 NCAA football players and 450 Division III schools sponsor football programs, yet limited research exists on vascular health of athletes. This study aimed to compare vascular and cardiovascular health measures between football players and nonathlete controls. Twenty-three athletes and 19 nonathletes participated. Vascular health measures included flow-mediated dilation (FMD) and carotid artery intima-media thickness (IMT). Cardiovascular measures included clinic and 24 hr BP levels, body composition, VO2 max, and fasting glucose/cholesterol levels. Compared to controls, football players had a worse vascular and cardiovascular profile. Football players had thicker carotid artery IMT (0.49 ± 0.06 mm versus 0.46 ± 0.07 mm) and larger brachial artery diameter during FMD (4.3 ± 0.5 mm versus 3.7 ± 0.6 mm), but no difference in percent FMD. Systolic BP was significantly higher in football players at all measurements: resting (128.2 ± 6.4 mmHg versus 122.4 ± 6.8 mmHg), submaximal exercise (150.4 ± 18.8 mmHg versus 137.3 ± 9.5 mmHg), maximal exercise (211.3 ± 25.9 mmHg versus 191.4 ± 19.2 mmHg), and 24-hour BP (124.9 ± 6.3 mmHg versus 109.8 ± 3.7 mmHg). Football players also had higher fasting glucose (91.6 ± 6.5 mg/dL versus 86.6 ± 5.8 mg/dL), lower HDL (36.5 ± 11.2 mg/dL versus 47.1 ± 14.8 mg/dL), and higher body fat percentage (29.2 ± 7.9% versus 23.2 ± 7.0%). Division III collegiate football players remain an understudied population and may be at increased cardiovascular risk.","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2016 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2016-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/6851256","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64493135","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}
引用次数: 11
Retrievable Inferior Vena Cava Filters in Patients with Cancer: Complications and Retrieval Success Rate 可回收下腔静脉过滤器在癌症患者中的并发症及成功率
IF 1.3
International Journal of Vascular Medicine Pub Date : 2016-01-21 DOI: 10.1155/2016/6413541
A. Casanegra, L. Landrum, A. Tafur
{"title":"Retrievable Inferior Vena Cava Filters in Patients with Cancer: Complications and Retrieval Success Rate","authors":"A. Casanegra, L. Landrum, A. Tafur","doi":"10.1155/2016/6413541","DOIUrl":"https://doi.org/10.1155/2016/6413541","url":null,"abstract":"Active cancer (ACa) is strongly associated with venous thromboembolism and bleeding. Retrievable inferior vena cava filters (RIVCF) are frequently placed in these patients when anticoagulation cannot be continued. Objectives. To describe the complications and retrieval rate of inferior vena cava filters in patients with ACa. Methods. Retrospective review of 251 consecutive patients with RIVCF in a single institution. Results. We included 251 patients with RIVCF with a mean age of 58.1 years and a median follow-up of 5.4 months (164 days, IQR: 34–385). Of these patients 32% had ACa. There were no differences in recurrence rate of DVT between patients with ACa and those without ACa (13% versus 17%, p = ns). Also, there were no differences in major filter complications (11% ACa versus 7% no ACa, p = ns). The filter retrieval was not different between groups (log-rank = 0.16). Retrieval rate at 6 months was 49% in ACa patients versus 64% in patients without ACa (p = ns). Filter retrieval was less frequent in ACa patients with metastatic disease (p < 0.01) or a nonsurgical indication for filter placement (p = 0.04). Conclusions. No differences were noted in retrieval rate, recurrent DVT, or filter complications between the two groups. ACa should not preclude the use of RIVCF.","PeriodicalId":14448,"journal":{"name":"International Journal of Vascular Medicine","volume":"2016 1","pages":""},"PeriodicalIF":1.3,"publicationDate":"2016-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2016/6413541","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64477940","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}
引用次数: 3
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