Jornal Vascular Brasileiro最新文献

{"title":"Superficial ulnar artery identification with vascular Doppler ultrasound: a cross-sectional study.","authors":"Mariana Jordão França, Guilherme Francisco Cé, Solena Ziemer Kusma Fidalski, Graciliano José França","doi":"10.1590/1677-5449.202500642","DOIUrl":"10.1590/1677-5449.202500642","url":null,"abstract":"<p><strong>Background: </strong>The ulnar artery normally follows a deep and medial course beneath the flexor digitorum profundus muscle. Anatomical variants in the upper limb vasculature are relatively common and may result from disruptions in angiogenesis or vasculogenesis. One example of such anatomic variants is presence of a superficial ulnar artery, which follows an atypical path superficial to the flexor digitorum profundus muscle. This variant is clinically important and can be diagnosed using vascular Doppler ultrasound.</p><p><strong>Objectives: </strong>To determine the incidence of the superficial ulnar artery using vascular Doppler ultrasound and to compare these findings with data from cadaveric studies.</p><p><strong>Methods: </strong>A cross-sectional study was conducted, examining 314 upper limbs from 157 volunteers using vascular Doppler ultrasound.</p><p><strong>Results: </strong>The superficial ulnar artery was detected in 2.5% of the participants. This incidence aligns with previous cadaveric studies, in which reported prevalence rates range from 0.7% to 9.4%. Being aware of this variation is of fundamental importance in procedures such as peripheral venipuncture, vein cannulation, forearm flaps, and emergency surgeries of the upper limb.</p><p><strong>Conclusions: </strong>The superficial ulnar artery is a relatively frequent anatomical variant of the upper limb. The 2.5% incidence observed in this study is consistent with previously published cadaveric studies.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250064"},"PeriodicalIF":1.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574024","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":"Percutaneous mechanical thrombectomy in a patient with extensive deep vein thrombosis: pioneering surgery in the northern region.","authors":"Gabriel da Silva Nunes, Rayssa Dos Anjos Cabral, Andressa Pereira de Souza, Leonardo Pappis Orso, Nelson Ogliari Rezende, João da Silva, William Wakasugui, Vinicius Tadeu Ramos da Silva Grillo","doi":"10.1590/1677-5449.202501162","DOIUrl":"10.1590/1677-5449.202501162","url":null,"abstract":"<p><p>This report presents the first documented case in North Brazil of percutaneous mechanical thrombectomy (PMT) performed in a young patient with extensive iliofemoral-popliteal deep vein thrombosis (DVT). The patient presented with pain and significant swelling of the left lower limb, with ultrasonographic evidence of extensive DVT. The ClotTriever® system was employed via a popliteal approach, combined with adjunctive embolectomy using a Fogarty catheter. The procedure was uneventful and led to rapid clinical recovery. At 14 months of follow-up, the patient was asymptomatic, and venous Doppler ultrasonography findings were normal. PMT proved to be safe, effective, and feasible as an innovative therapeutic option in a regional setting. This case underscores the technique's potential role as a promising alternative for treatment of extensive DVT, particularly in centers outside major urban areas.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250116"},"PeriodicalIF":1.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13021007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574004","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":"Leiomyosarcoma of the inferior vena cava: a case report of a challenging diagnosis of abdominal pain.","authors":"Amélia Gaspar, Matilde Vala Esteves, Filipe Santos Leal, Clarisse Calça Coelho, Cristina Costa Silva, João Arcanjo","doi":"10.1590/1677-5449.202501152","DOIUrl":"10.1590/1677-5449.202501152","url":null,"abstract":"<p><p>Leiomyosarcoma of the inferior vena cava (IVC-LMS) is a rare malignant tumor, accounting for approximately 2% of all leiomyosarcomas, and predominantly affecting women over 50 years of age. Patients are often asymptomatic or present with nonspecific abdominal pain, which can hinder and delay diagnosis. We report the case of an 80-year-old male patient with a 3-month history of nonspecific abdominal pain. The diagnosis was established only intraoperatively, when the smooth muscle neoplasm initially suspected to originate from the duodenum was identified as an IVC-LMS. The patient underwent partial resection of the IVC with prosthetic interposition, followed by adjuvant chemoradiotherapy. Complete surgical resection remains the gold standard treatment of IVC-LMS and the only approach with curative potential. Prognosis largely depends on the stage at diagnosis.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250115"},"PeriodicalIF":1.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574066","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":"Concurrent variations of the left renal and gonadal vessels: a case report.","authors":"Surekha Devadasa Shetty, Mohandas Rao Kappettu Gadahad, Ashwini Aithal Padur, Naveen Kumar, Satheesha Badagabettu Nayak","doi":"10.1590/1677-5449.202500902","DOIUrl":"10.1590/1677-5449.202500902","url":null,"abstract":"<p><p>A thorough knowledge of vascular variations in the vicinity of the kidney is essential due to the increased number of kidney transplants, more so on the left side because the donor's left kidney is preferred for transplantation. We found multiple vascular variations in the vicinity of the left kidney, which were noted during routine dissection classes. The left renal artery arose from the abdominal aorta and supplied the left kidney in a usual manner. There was an additional left renal artery, which took its origin from the abdominal aorta, below the origin of the inferior mesenteric artery. This artery was accompanied by an additional renal vein, which drained into the left common iliac vein. On the left side, there were two testicular veins. Knowledge of these abnormal vessels can be useful during radiological and surgical procedures in cases of nephrectomies, renal tumors, transplants, and renal vascular illnesses.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250090"},"PeriodicalIF":1.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020962/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574061","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":"Surgical treatment of patent ductus arteriosus in different age groups.","authors":"Abdurrahim Colak, Necip Becit, Ugur Kaya, Munacettin Ceviz","doi":"10.1590/1677-5449.202301132","DOIUrl":"10.1590/1677-5449.202301132","url":null,"abstract":"<p><strong>Background: </strong>Patent ductus arteriosus (PDA) is the continuation into postnatal life of a normal fetal vascular structure that makes an anatomical connection between the central pulmonary arterial system and the systemic arterial system.</p><p><strong>Objectives: </strong>Patent ductus arteriosis (PDA) is a normal fetal vascular structure that makes a connection between the central pulmonary arterial system and the systemic arterial system, which is the continuation of the anatomical connection in postnatal life. In this study, we aimed to evaluate the results of PDA in our clinic with current literature.</p><p><strong>Methods: </strong>In this study, data were reviewed retrospectively from 159 cases operated from 2000 to 2018 in the Department of Cardiovascular Surgery after diagnosis of PDA. Patients' ages ranged from 3 days to 47 years and mean age was 5.48 (± 0.70) years. Seventy (44%) of these patients were female and 89 (56%) were male.</p><p><strong>Results: </strong>The most common reason for admission of the patients included in the study was diagnosis at another health institution that referred them to our clinic. PDA interruption was achieved in 3 of them with a division technique. None of our patients entered total cardiopulmonary arrest. A ligation technique was used in 121 (76.1%) of the patients who underwent PDA closure with posterolateral thoracotomy. Seventy-five (47.1%) of the patients who underwent ligation were treated with a silk ligation technique; hemoclips and PDA elimination were employed in 21 (21.2%); and hemoclips and silk ligation were employed together in 25 patients (15.7%).</p><p><strong>Conclusions: </strong>A surgical approach with thoracotomy for PDA closure is a treatment that can be employed successfully in children and adults as well as in older patients.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20230113"},"PeriodicalIF":1.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13023388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574013","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":"Bilateral anomalous veins arising from the popliteal vein with variant termination of the short saphenous vein: a case report.","authors":"Hisham Muhsen, Naveen Kumar, Abdalla Ahmed Eldaw Elamin, Vijay Paul Samuel, Rana Aly Mohamed Elbeshbeishy","doi":"10.1590/1677-5449.202501452","DOIUrl":"10.1590/1677-5449.202501452","url":null,"abstract":"<p><p>This report explores the presence of bilateral anomalous veins with variant termination of the small saphenous veins (SSV) in both lower limbs. The SSV originated normally on the right side, draining into an anomalous vein from the popliteal vein. This vein then ascended cranially to the back of the thigh and terminated in the thigh veins. On the left side, the SSV had its normal draining pattern into the popliteal vein. However, slightly distal to the saphenopopliteal junction, an anomalous vein originated from the popliteal vein, which ascended upwards to the back of the thigh and terminated in the thigh veins. Presence of variant veins are likely to complicate venous ultrasonography and make procedures more difficult for sonographers to perform. Prior knowledge of variant patterns of superficial veins of the lower limbs is useful for clinicians during coronary bypass procedures, as these vessels are commonly used in such surgeries.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250145"},"PeriodicalIF":1.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574033","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":"Subclinical varicose vein recurrence: modern approaches in aesthetic phlebology.","authors":"Serhii Shchukin","doi":"10.1590/1677-5449.202501622","DOIUrl":"10.1590/1677-5449.202501622","url":null,"abstract":"<p><strong>Background: </strong>Recurrence after varicose vein treatment is usually framed as varices on a previously treated limb, potentially overlooking patients with cosmetic C0-C1 concerns who still experience duplex Doppler ultrasound-verified reflux.</p><p><strong>Objectives: </strong>To characterize patterns of subclinical (C1-dominant) recurrences in duplex Doppler ultrasound and evaluate a 2-stage pathway prioritizing hemodynamic correction before aesthetic care.</p><p><strong>Methods: </strong>This retrospective single-center cohort study (2018-2024) was conducted with patients from a vascular clinic. The participants were 354 women with unaesthetic telangiectasias/reticular veins without C2 varices on the index limb after prior varicose treatment. The interventions (exposures) were: (Stage 1) ultrasound-guided 3% polidocanol foam for segments ≤ 3 mm and endovenous laser ablation ≥ 3 mm (anterior accessory saphenous vein/ greater saphenous vein /small saphenous vein/perforators); (Stage 2) 2 sessions of cryo-laser and cryo-sclerotherapy at a 1-month interval, guided by near-infrared augmented-reality. The main outcomes were duplex-verified occlusion of Stage-1 targets at 1 month and aesthetic outcome at 6 months (rated on a 5-point Likert scale). Safety measures included symptomatic venous thromboembolism and minor adverse effects.</p><p><strong>Results: </strong>At 1 month, all targets were occluded and no symptomatic venous thromboembolisms had occurred. Mapping frequently showed multilevel reflux (anterior accessory saphenous vein, angiomatosis in the vein stump or strip tract, junctional complexes, perforators), with 78% of patients having ≥ 2 sources. At 6 months, good/excellent aesthetic outcomes (Likert scale score 4-5) were achieved in 83.1% of patients (mean score: 4.22). The scoring distribution was: 1 point: 7 (2.0%); 2 points: 11 (3.1%); 3 points: 42 (11.9%); 4 points: 131 (37.0%); and 5 points: 163 (46.0%). Minor events were limited to transient pigmentation/matting.</p><p><strong>Conclusions: </strong>Subclinical recurrence is chiefly hemodynamic. An etiology-first strategy using duplex Doppler ultrasound followed by cryo-laser and cryo-sclerotherapy yields high early satisfaction and could mitigate early cosmetic recurrence.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250162"},"PeriodicalIF":1.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13020991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574044","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":"Systemic antibiotics for diabetes mellitus-related foot infections: an integrative literature review.","authors":"Catarina França Dos Santos, Vanessa Prado Dos Santos, Lucas de Mello Ferreira, Neima Prado Dos Santos, André Brito Queiroz, Valter Castelli, Roberto Augusto Caffaro, Carlos Alberto Silveira Alves","doi":"10.1590/1677-5449.202500972","DOIUrl":"10.1590/1677-5449.202500972","url":null,"abstract":"<p><p>Evidence on antibiotic therapy for diabetic foot infections can help clinical management. The objective of this study was to identify the evidence on systemic antibiotics for treatment of diabetes mellitus-related foot infections. An integrative literature review was conducted of randomized clinical trials, systematic reviews, and meta-analyses. The keywords \"Diabetic foot\" AND \"Antibiotics\" were used to search PubMed and 15 articles were selected (nine randomized clinical trials, four systematic reviews, and two meta-analyses). Seven randomized clinical trials revealed clinical results that were comparable for beta lactam antibiotics with beta-lactamase inhibitors, carbapenems, and fluoroquinolones. Two randomized clinical trials found significant differences comparing ertapenem and tigecycline and in analyses of subsets with severe infections between piperacillin-tazobactam and ertapenem. The literature revealed comparable clinical results for different systemic antibiotics used to treat foot infections related to diabetes, except for the difference between ertapenem and tigecycline, which did not meet the parameters for non-inferiority, highlighting the need for higher-quality evidence.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"25 ","pages":"e20250097"},"PeriodicalIF":1.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13021003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574152","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":"Translation and validation into Brazilian Portuguese of the Post-Catheterization Questionnaire, or Cooper Scale, for post-puncture quality of life analysis in diagnostic arteriography of the lower limbs.","authors":"Igor Calixto Novais Dias, Marcelo Passos Teivelis, Gabriel Grizzo Cucato, Felipe Nasser, Marcelo Calil Burihan, Henrique Jorge Guedes","doi":"10.1590/1677-5449.202400652","DOIUrl":"10.1590/1677-5449.202400652","url":null,"abstract":"<p><strong>Background: </strong>The Cooper Scale is an English-language questionnaire specifically designed to analyze quality of life after arterial puncture for procedures such as arteriography and angioplasty. The CS also specifically asks about the patient's preference for radial or femoral artery access.</p><p><strong>Objectives: </strong>To translate the Cooper Scale into Brazilian Portuguese and validate it.</p><p><strong>Methods: </strong>The translation process was conducted in accordance with international linguistic validation guidelines with a sample of 62 patients with peripheral arterial occlusive disease who underwent diagnostic arteriography at a quaternary hospital in São Paulo, Brazil. Reliability was assessed with tests of reproducibility (test-retest with a 24-hour interval) and internal consistency. Construct validity was analyzed in terms of the correlation between the items on the Cooper Scale and those of the EUROQOL 5D-5L, which was also administered to the 62 patients in the sample.</p><p><strong>Results: </strong>The translated Cooper Scale had moderate internal consistency and high reliability in the test-retest analysis, with intraclass correlation coefficients ranging from 0.563 to 0.834 (p < 0.001). Significant correlations were observed between the items on the Cooper Scale and those on the EQ-5D-5L.</p><p><strong>Conclusions: </strong>The Cooper Scale was translated into Brazilian Portuguese and then validated, demonstrating adequate psychometrics and reliability for administration to patients who have undergone arterial punctures.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20240065"},"PeriodicalIF":1.0,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512396","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":"Training with ultrasound-guided puncture simulator of arteriovenous fistula for hemodialysis: experience from a center of excellence in Pará, Brazil.","authors":"Elisa Maria Novaes Barros, Glauco Dos Santos Melo, Murilo Vasconcelos de Oliveira, Victor Hugo Guerreiro Americo Gomes, Gabriel Henrique de Paiva Ramos, Silvio Jorge de Oliveira Bentes, Humberto Balbi Reale, José Maciel Caldas Dos Reis","doi":"10.1590/1677-5449.202401842","DOIUrl":"10.1590/1677-5449.202401842","url":null,"abstract":"<p><strong>Background: </strong>Arteriovenous fistulas (AVF) and arteriovenous grafts are important arteriovenous accesses (AVA) for patients who need hemodialysis. However, in approximately 20 to 40% of AVFs, professionals fail to successfully cannulate a new AVA for consistent use. Therefore, the ability to perform ultrasound-guided puncture is a necessary skill, particularly for accesses classified as 'difficult'. However, only a minority of nursing professionals consider themselves capable of handling ultrasound. Therefore, simulated practice environments can enable trainees to develop the skills and dexterity needed to simultaneously handle the ultrasound probe and insert the needle.</p><p><strong>Objectives: </strong>The object of this study was to analyze the effects of training with an ultrasound-guided arteriovenous fistula access simulator at a center of excellence in Belém, PA, Brazil.</p><p><strong>Methods: </strong>This analytical intervention study assessed a nursing team (17 nurses) before and after training in ultrasound-guided puncture using a simulator model comprising a chicken breast and a latex balloon, chosen because of its low cost and high fidelity. Training was carried out on January 26th and 27th, 2024, at the Fundação Hospital de Clínicas Gaspar Vianna.</p><p><strong>Results: </strong>After training with a simulator, participants' performance improved in all analyzed variables, with statistical significance differences. Furthermore, they rated the model as a good simulation of reality and as important for professional training and reported feeling more confident after training.</p><p><strong>Conclusions: </strong>Training with the ultrasound-guided puncture simulator positively influenced the performance of hemodialysis professionals.</p>","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20240184"},"PeriodicalIF":1.0,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13007339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512451","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}