Jornal Vascular Brasileiro最新文献

Bilateral lower limb compartment syndrome after intermittent pneumatic compression and elastic stockings: a therapeutic challenge. 双侧下肢隔室综合征后间歇性气动压缩和弹性袜：治疗的挑战。

IF 1

Jornal Vascular Brasileiro Pub Date : 2025-08-22 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202301712

Adenauer Marinho de Oliveira Góes, Clarisse Gripp Aita, Sellena Polyana Soares de Souza Brito, Fernanda Beatriz de Albuquerque Feijó, Matheus Oliveira Feijó, Flávia Beatriz Araujo de Albuquerque

引用次数: 0

Impact of temperature on the production of 1% polidocanol foam: comparison between the Tessari and double-syringe techniques in an experimental study. 温度对1%聚多元醇泡沫生产的影响：Tessari和双注射器技术在实验研究中的比较。

IF 1

Jornal Vascular Brasileiro Pub Date : 2025-08-01 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202500102

Genaro Fahrnholz Buonsante, Marcos Arêas Marques, Bernardo Cunha Senra Barros, Verônica Cunha Assunção, Stênio Karlos Alvim Fiorelli, Rossano Kepler Alvim Fiorelli

{"title":"Impact of temperature on the production of 1% polidocanol foam: comparison between the Tessari and double-syringe techniques in an experimental study.","authors":"Genaro Fahrnholz Buonsante, Marcos Arêas Marques, Bernardo Cunha Senra Barros, Verônica Cunha Assunção, Stênio Karlos Alvim Fiorelli, Rossano Kepler Alvim Fiorelli","doi":"10.1590/1677-5449.202500102","DOIUrl":"10.1590/1677-5449.202500102","url":null,"abstract":"Background: Polidocanol (POL) foam is widely used in sclerotherapy for the treatment of lower limb varicose veins and its properties are influenced by multiple variables, including preparation methods and room temperature.Objectives: To compare the influence of temperature on the half-life and bubble diameter of 1% polidocanol foam using the Tessari and double syringe techniques.Methods: The study employed 1% polidocanol foam prepared at room temperature and cooled to 4 °C, using two techniques: the Tessari technique and the double syringe technique. The foam half-life was recorded, defined as the time in seconds taken for half of the liquid volume to drain. Bubble diameter was analyzed with microscopy. Differences between groups were considered significant at p ≤ 0.05.Results: Cooling significantly extended the half-life of the foam, especially when the double syringe technique was employed. The Tessari technique produced smaller bubbles under both temperature conditions.Conclusions: Cooling the mixture of 1% polidocanol and room air increased half-life, irrespective of the preparation technique employed. Temperature had no effect on bubble diameter.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20250010"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040114","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}

引用次数: 0

Prevalence of venous thromboembolism and associated factors in COVID-19 patients at a provincial public hospital in southern Brazil. 巴西南部一家省级公立医院COVID-19患者静脉血栓栓塞的患病率及相关因素

IF 1

Jornal Vascular Brasileiro Pub Date : 2025-08-01 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202401432

Bruna Valduga Dutra, Luana Valduga Dutra, Henrique Luiz Weber, Matheus Omairi Reinheimer, Matheos Pezzi, Gabriela Teixeira Macalossi, Simone Bonatto, Clandio de Freitas Dutra

{"title":"Prevalence of venous thromboembolism and associated factors in COVID-19 patients at a provincial public hospital in southern Brazil.","authors":"Bruna Valduga Dutra, Luana Valduga Dutra, Henrique Luiz Weber, Matheus Omairi Reinheimer, Matheos Pezzi, Gabriela Teixeira Macalossi, Simone Bonatto, Clandio de Freitas Dutra","doi":"10.1590/1677-5449.202401432","DOIUrl":"10.1590/1677-5449.202401432","url":null,"abstract":"Background: COVID-19 is a predominantly respiratory disease, but it also has a strong association with thromboembolism, especially among hospitalized patients.Objectives: To evaluate the prevalence of venous thromboembolism (VTE) and associated factors in patients with COVID-19 in a public hospital in the interior of South Brazil.Methods: A retrospective, cross-sectional observational study was carried out by analyzing data from medical records. The VTE outcome was a composite of acute pulmonary thromboembolism (PTE) and deep vein thrombosis (DVT). Associations were analyzed by logistic regression and bivariate analyses using Pearson's chi-square test.Results: The sample comprised 964 patients. 56% were male and 44% female, with a mean age of 58.2 ± 15.1 years. 70% of patients were admitted to the ICU, 44.4% died, 97% required oxygen, and 63.7% required intubation. After adjusted analysis, the factors intubation (p=0.02) and prophylactic anticoagulation (p<0.001) were associated with VTE. The following variables were shown to be important risk factors for VTE: intubation (OR 2.3; 95% CI 1.1-4.8, p=0.020) and excess weight (OR 3.3; 95% CI 0.2-2.2, p=0.02), while prophylactic anticoagulation showed a small protective factor (OR 0.02; 95% CI 0.01-0.04, p<0.001).Conclusions: The results demonstrate how COVID-19, together with several other associated factors, especially intubation, excess weight, and use of anticoagulants, may be related to thromboembolism as risk factors and protective factors. Prophylactic anticoagulation, in particular, was a protective factor.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20240143"},"PeriodicalIF":1.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12334124/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144816703","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}

引用次数: 0

Therapeutic challenge in traumatic arteriovenous fistula of the left lower limb requiring open repair. 外伤性左下肢动静脉瘘开放性修复的治疗挑战。

IF 1

Jornal Vascular Brasileiro Pub Date : 2025-07-30 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202301772

Carlos Eduardo Barbosa Zan, Fábio Husemann Menezes

{"title":"Therapeutic challenge in traumatic arteriovenous fistula of the left lower limb requiring open repair.","authors":"Carlos Eduardo Barbosa Zan, Fábio Husemann Menezes","doi":"10.1590/1677-5449.202301772","DOIUrl":"10.1590/1677-5449.202301772","url":null,"abstract":"We report the case of a 38-year-old man with a traumatic arteriovenous fistula between the left common femoral artery and vein, resulting from a gunshot wound sustained 20 years earlier. He began presenting symptoms, including a venous stasis ulcer and cardiac dysfunction, 4 years ago. Computed tomography revealed the presence of a fistula and downstream dilation of the iliac vessels and inferior vena cava, the latter measuring up to 37.5 mm. Given the patient's complex vascular anatomy and overall good clinical condition, an open surgical approach was selected, resulting in excellent outcomes. Due to the risk of deep vein thrombosis and pulmonary thromboembolism, placement of an inferior vena cava filter and initiation of long-term anticoagulation were also performed. Surgery proved to be the definitive treatment, resolving both heart failure and ulcer, and restoring the patient's quality of life. The open approach was an excellent treatment option, considering the patient's young age, anatomical distortion, and the unavailability of adequate endovascular materials.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20230177"},"PeriodicalIF":1.0,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040026","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}

引用次数: 0

Analysis of the functioning of temporary dialysis catheters in patients with COVID-19. COVID-19患者临时透析导管功能分析。

IF 1

Jornal Vascular Brasileiro Pub Date : 2025-07-28 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202500052

Bruno Jeronimo Ponte, Viviane Galli Dib, Arthur Souza Magnani, Felipe Soares Oliveira Portela, Marcela Juliano Silva Cunha, Lucas Lembrança Pinheiro, Nelson Wolosker

{"title":"Analysis of the functioning of temporary dialysis catheters in patients with COVID-19.","authors":"Bruno Jeronimo Ponte, Viviane Galli Dib, Arthur Souza Magnani, Felipe Soares Oliveira Portela, Marcela Juliano Silva Cunha, Lucas Lembrança Pinheiro, Nelson Wolosker","doi":"10.1590/1677-5449.202500052","DOIUrl":"10.1590/1677-5449.202500052","url":null,"abstract":"Background: Patients with acute renal failure requiring hemodialysis should be treated using temporary hemodialysis catheters due to the urgency and potential reversibility of the condition. To date, 3 studies in North America have suggested a higher risk of catheter-related issues in COVID-19 patients needing hemodialysis.Objectives: This study examines the functionality and complications of temporary hemodialysis access in COVID-19 patients at a Brazilian hospital during the coronavirus outbreak of 2020.Methods: A retrospective analysis was conducted at a COVID-19 referral center from May to July 2020. During this period, the Vascular Surgery team implanted temporary hemodialysis catheters in 107 patients. These patients were monitored, and their demographic and clinical characteristics were analyzed to identify any that correlated with catheter malfunction.Results: Of the 107 patients studied, 22 (20.6%) had catheter-related complications. Eighteen (16.8%) had catheter malfunctions, while 4 (3.7%) developed infections. Five patients had unfavorable clinical status and did not undergo catheter replacement. Catheter tip thrombosis was the cause of the malfunction in 13 of the patients with malfunctions. The analysis revealed that the only variables correlated with higher risk of malfunction were the need for orotracheal intubation (p = 0.009), deep vein thrombosis (p = 0.01), and a history of a previous catheter use (p = 0.002).Conclusions: The rate of temporary dysfunction of the high-flow catheter in patients with COVID-19 in this sample was similar to the rate described in the literature for patients without this disease.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20250005"},"PeriodicalIF":1.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040023","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}

引用次数: 0

Systematic review and meta-analysis of the impact of diabetes mellitus on chronic venous insufficiency. 糖尿病对慢性静脉功能不全影响的系统回顾和荟萃分析。

IF 1

Jornal Vascular Brasileiro Pub Date : 2025-07-28 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202500062

Alex Carlos Ferreira de Castro, Anderson Veiga Barbosa, David Fonseca Lima, João Vitor Rodrigues Vidal, José Maciel Caldas Reis, Saul Rassy Carneiro

{"title":"Systematic review and meta-analysis of the impact of diabetes mellitus on chronic venous insufficiency.","authors":"Alex Carlos Ferreira de Castro, Anderson Veiga Barbosa, David Fonseca Lima, João Vitor Rodrigues Vidal, José Maciel Caldas Reis, Saul Rassy Carneiro","doi":"10.1590/1677-5449.202500062","DOIUrl":"10.1590/1677-5449.202500062","url":null,"abstract":"The systematic review with meta-analysis aimed to investigate the occurrence of Chronic Venous Insufficiency (CVI) in patients with Type II Diabetes Mellitus (T2DM). The guiding research question was structured using the PECOT framework (P: population; E: exposure; C: comparison; O: outcome; T: type of study), and the risk of bias was assessed using the ROBIS-I tool. A total of four studies were included in the analysis. The findings revealed that the prevalence of CVI in patients with T2DM was 55%, with a prevalence ratio of 1.51 (95% CI: 1.01 to 2.26). These results suggest that individuals with T2DM have a significantly higher prevalence of CVI compared to those without the condition. However, the review identified several limitations, such as the scarcity of longitudinal studies and variability in the diagnostic criteria for CVI among the included studies. The authors conclude that further research is warranted to address these gaps and deepen understanding of the relationship between T2DM and CVI.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20250006"},"PeriodicalIF":1.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775391","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}

引用次数: 0

Migration of atrial septal occluder device to the thoracic aorta: case report. 房间隔封堵器移至胸主动脉1例。

IF 1

Jornal Vascular Brasileiro Pub Date : 2025-07-28 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202401062

Felipe Carrasco Ferreira Dionisio, Pedro Henrique Amaral Ângelo da Silva, Bruno Lima Moreira, Augusto Kreling Medeiros

{"title":"Migration of atrial septal occluder device to the thoracic aorta: case report.","authors":"Felipe Carrasco Ferreira Dionisio, Pedro Henrique Amaral Ângelo da Silva, Bruno Lima Moreira, Augusto Kreling Medeiros","doi":"10.1590/1677-5449.202401062","DOIUrl":"10.1590/1677-5449.202401062","url":null,"abstract":"Atrial septal defect (ASD) is a common cardiac defect with significant implications if left untreated. Although open heart surgery is the traditional approach, transcatheter closure devices, such as the Amplatzer™ Septal Occluder Device, have gained prominence due to advantages like shorter hospital stays and reduced costs. Among potential complications, device migration is a rare complication, with an incidence of 0.5 to 1.1%. We report a rare case of migration of an Amplatzer™ device in an asymptomatic patient, diagnosed 6 months after its implantation. After detecting the issue, the medical team opted for percutaneous device removal followed by open surgery to correct the ASD. In conclusion, managing Amplatzer™ device embolization requires careful consideration of the patient's circumstances and device anatomy. This case highlights the importance of correlating clinical and imaging findings when selecting the management approach and assessing the feasibility of a less invasive approach in cases of late migration.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20240106"},"PeriodicalIF":1.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12315574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775390","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}

引用次数: 0

Treatment of type IIIa endoleak and 7-year follow-up: case report. IIIa型渗漏治疗及7年随访1例。

IF 1

Jornal Vascular Brasileiro Pub Date : 2025-07-28 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202400192

Luiz Ronaldo Godinho Pereira, Keller Soares Ávila, Vinicius Oliveira Godoi, Leonardo Augusto D'Avila Gonçalves, Rafael Fortes, Marcelo Adriano de Assis Hudson, Daniel Mendes Pinto

引用次数: 0

New device for assessing the toe-brachial index and a pilot cross-sectional study in diabetic patients. 评估脚趾-肱指数的新装置和糖尿病患者的试点横断面研究。

IF 1

Jornal Vascular Brasileiro Pub Date : 2025-07-28 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202401042

Thiago Paes de Barros De Luccia, Alexandre Donisete Bensi, Nelson De Luccia, Priscilla Matos Cunha, Lia Maristela da Silva Jacob, Leonardo Servato Sanches Martins de Barros, Julio Maganha Gouvêa, Vívian Mei Matuoka

{"title":"New device for assessing the toe-brachial index and a pilot cross-sectional study in diabetic patients.","authors":"Thiago Paes de Barros De Luccia, Alexandre Donisete Bensi, Nelson De Luccia, Priscilla Matos Cunha, Lia Maristela da Silva Jacob, Leonardo Servato Sanches Martins de Barros, Julio Maganha Gouvêa, Vívian Mei Matuoka","doi":"10.1590/1677-5449.202401042","DOIUrl":"10.1590/1677-5449.202401042","url":null,"abstract":"Background: Blood pressure measurements in the hallux and fingers are important in evaluation of patients with diabetes, obese patients, dialysis patients, and those with peripheral artery disease.Objectives: In this article, we tested a prototype of an automatic device for measuring systolic pressure in fingers and toes, combining optical plethysmography and a pressure sensor, with a cuff encircling the finger or toe, and controlled by a microcontroller.Methods: The prototypes (a total of 3 identical devices) were tested for initial validation (with a group of participants who already had symptoms of peripheral arterial disease [PAD], n=30) and also in clinical comparisons between controls (n=15) and participants with diabetes (n=15). The following variables were tested: Ankle-brachial index; Toe-finger index; Toe-brachial index, and toe pressure in isolation. For validation, the toe pressure in isolation was measured with two devices (the prototype under test and the SysToe® device), to analyze the correlation between the two measurements.Results: The correlation between the two devices was strong (R=0.88) in the group with symptoms of PAD. Toe-brachial index was lower in patients with diabetes than in control participants (p=0.005) as was the Toe-finger index (p=0.03), however, the Ankle-brachial index was similar in these two groups (p=0.92).Conclusions: The findings show the feasibility of the device for measuring finger and toe pressures, and possibly indicate greater sensitivity for detecting early-stage arterial disease using this type of measurement.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20240104"},"PeriodicalIF":1.0,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040084","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}

引用次数: 0

Outpatient treatment of varicose veins with endolaser in clinic vs. hospital: cost-benefit and safety assessment. 门诊治疗静脉曲张在诊所与医院：成本效益和安全性评估。

IF 0.8

Jornal Vascular Brasileiro Pub Date : 2025-06-30 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202401602

Camila Biedler Giordani, Mateus Picada Correa, Luiza Brum Borges, Vitória Cerbaro Farias, Renan Camargo Puton, Jaber Nashat Saleh, Rafael Stevan Noel, Julio Cesar Bajerski

{"title":"Outpatient treatment of varicose veins with endolaser in clinic vs. hospital: cost-benefit and safety assessment.","authors":"Camila Biedler Giordani, Mateus Picada Correa, Luiza Brum Borges, Vitória Cerbaro Farias, Renan Camargo Puton, Jaber Nashat Saleh, Rafael Stevan Noel, Julio Cesar Bajerski","doi":"10.1590/1677-5449.202401602","DOIUrl":"10.1590/1677-5449.202401602","url":null,"abstract":"Background: Varicose disease is a common pathology among the population, with an incidence of about 38%. In Brazil, it affects 45% of women and 30% of men. Currently, endovenous thermal ablation (EVTA) of the saphenous vein is the method of choice in the treatment of varicose veins. As a minimally invasive procedure that promotes quick recovery and does not require hospitalization, it can be performed on an outpatient basis.Objectives: To evaluate the safety and cost-benefit of outpatient varicose vein treatment in a clinic compared to the same procedure performed in a hospital environment.Methods: A uncontrolled retrospective transversal study of case series evaluated a random group of 50 patients undergoing EVTA for the treatment of varicose disease by the same group of vascular surgeons. Twenty-five underwent the procedure in a tertiary hospital environment and 25 on an outpatient basis. The average costs of room fees and materials from both groups were analyzed and statistically compared with the Student's t-test. Intraoperative and postoperative complications were assessed.Results: The average hospital cost of the procedure was R$ 1391.99 (± 280.8) in the hospital and R$ 1593.40 (± 99.53) in the clinic. The Student's t-test showed a significant difference with p=0.02. No patient had complications either intraoperatively or postoperatively.Conclusions: Outpatient surgery, despite having a statistically higher cost than hospital surgery in Brazil, is safe and has a positive cost-benefit for the patient.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20240160"},"PeriodicalIF":0.8,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12212346/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144540265","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}

引用次数: 0