Jornal Vascular Brasileiro最新文献_第3页

Portal-splenic-mesenteric venous thrombosis in COVID-19 patients: a systematic review.

IF 0.8

Jornal Vascular Brasileiro Pub Date : 2025-02-10 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202301282

Ricardo Zanetti Gomes, Matheus Von Jelita Salina, Vitor Hugo Moro Pironatto, Julia Kapp Lepinski, Tiago Daniel Gueiber, Beatriz Moreira Salles Juliatto, Milena Zadra Prestes, Camila Marinelli Martins

{"title":"Portal-splenic-mesenteric venous thrombosis in COVID-19 patients: a systematic review.","authors":"Ricardo Zanetti Gomes, Matheus Von Jelita Salina, Vitor Hugo Moro Pironatto, Julia Kapp Lepinski, Tiago Daniel Gueiber, Beatriz Moreira Salles Juliatto, Milena Zadra Prestes, Camila Marinelli Martins","doi":"10.1590/1677-5449.202301282","DOIUrl":"10.1590/1677-5449.202301282","url":null,"abstract":"The COVID-19 pandemic affected millions of people worldwide. In addition to respiratory impairment, this viral infection can also provoke gastrointestinal symptoms caused by vascular disorders, such as portal-splenic-mesenteric venous thrombosis (PSMVT). This systematic review aimed to investigate the profile of patients who developed PSMVT concomitant with or after viral infection and its predominant outcomes. The database searches returned 214 articles. Of these, 40 case reports were included in the review, presenting a total of 41 cases of PSMVT addressed. Males were more prevalent (n=27; 65.85%), mean age was 51.54 years, and 19.57% had a previous history of endocrine diseases. Statistically significant relationships (p<0.05) were found between patient death and tachypnea at hospital admission (p=0.043) and between patient death and age (p=0.019). It was therefore possible to identify the main profiles and risk factors for PSMVT development and mortality of COVID-19 infected patients.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20230128"},"PeriodicalIF":0.8,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11815833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414340","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

Brazilian Consensus Statement on Lipedema using the Delphi methodology.

IF 0.8

Jornal Vascular Brasileiro Pub Date : 2025-02-10 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202301832

Alexandre Campos Moraes Amato, Ana Paula Rolim Maia Peclat, Rodrigo Kikuchi, Antonio Carlos de Souza, Mariana Thalyta Bertolin Silva, Roney Hans Prager de Oliveira, Daniel Augusto Benitti, Julio Cesar Peclat de Oliveira

{"title":"Brazilian Consensus Statement on Lipedema using the Delphi methodology.","authors":"Alexandre Campos Moraes Amato, Ana Paula Rolim Maia Peclat, Rodrigo Kikuchi, Antonio Carlos de Souza, Mariana Thalyta Bertolin Silva, Roney Hans Prager de Oliveira, Daniel Augusto Benitti, Julio Cesar Peclat de Oliveira","doi":"10.1590/1677-5449.202301832","DOIUrl":"10.1590/1677-5449.202301832","url":null,"abstract":"Lipedema, historically underrecognized, has recently gained attention due to advancements in research and growing public awareness. The Brazilian Consensus Statement on Lipedema, developed by the Brazilian Society of Angiology and Vascular Surgery, aims to establish clear recommendations for the diagnosis, treatment, and management of lipedema. Using the Delphi methodology, experts elaborated 90 statements about lipedema, which were then evaluated by a panel of 113 professionals. The statements were analyzed using SurveyMonkey, with a 75% agreement threshold required for their inclusion in the consensus statement. Most statements achieved significant consensus, with only 9 topics requiring further investigation. This consensus statement highlights the complexity of lipedema, the effectiveness of conservative treatment over surgery, the need for multidisciplinary approaches, and the importance of awareness to reduce underdiagnosis and stigma. It also underscores the ongoing need for research to develop more effective management strategies.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20230183"},"PeriodicalIF":0.8,"publicationDate":"2025-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11815829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143414338","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

Andexanet alfa for oral fxa inhibitor-associated major acute intracerebral hemorrhage: insights into clinically relevant thromboembolic events from the ANNEXA-I study.

IF 0.8

Jornal Vascular Brasileiro Pub Date : 2025-01-20 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202401332

Mateo Porres-Aguilar, Luis Antonio Meillon-Garcia, João Carlos de Campos Guerra

引用次数: 0

Lipedema: exploring pathophysiology and treatment strategies - state of the art.

IF 0.8

Jornal Vascular Brasileiro Pub Date : 2025-01-20 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202400252

Fabio Kamamoto, Jaqueline Munaretto Timm Baiocchi, Bernardo Nogueira Batista, Renan Diego Américo Ribeiro, Débora Aparecida Oliveira Modena, Vitor Cervantes Gornati

{"title":"Lipedema: exploring pathophysiology and treatment strategies - state of the art.","authors":"Fabio Kamamoto, Jaqueline Munaretto Timm Baiocchi, Bernardo Nogueira Batista, Renan Diego Américo Ribeiro, Débora Aparecida Oliveira Modena, Vitor Cervantes Gornati","doi":"10.1590/1677-5449.202400252","DOIUrl":"10.1590/1677-5449.202400252","url":null,"abstract":"Lipedema is characterized by abnormal fat deposition in areas such as the arms, hips, buttocks, and thighs, sparing the hands and feet. Symptoms include pain, bruising, edema, and subcutaneous nodules, which resist traditional interventions such as diet and exercise. Despite increasing recognition, comprehensive understanding, including pathophysiological, clinical, and therapeutic aspects, has not been fully achieved. This review aims to fill gaps in knowledge of this field, to support more informed management of lipedema. This narrative review provides a deeper understanding of lipedema treatment, addressing pathophysiology and therapeutic options. The data reveal advances in knowledge, especially regarding conservative and surgical treatments, focusing on improving quality of life. However, scientific evidence supporting the safety and efficacy of various treatments is lacking. Additional research is needed to ensure safety and to enhance efficacy of management of this complex condition.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20240025"},"PeriodicalIF":0.8,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758576/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046726","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

Techniques for randomization and allocation for clinical trials.

IF 0.8

Jornal Vascular Brasileiro Pub Date : 2025-01-13 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202400462

Anna Carolina Miola, Ana Cláudia Cavalcante Espósito, Hélio Amante Miot

{"title":"Techniques for randomization and allocation for clinical trials.","authors":"Anna Carolina Miola, Ana Cláudia Cavalcante Espósito, Hélio Amante Miot","doi":"10.1590/1677-5449.202400462","DOIUrl":"10.1590/1677-5449.202400462","url":null,"abstract":"Intervention studies require all participants to originate from the same population, with random allocation to intervention groups to ensure comparability. Randomization is crucial for minimizing confounding factors, allowing differences in outcomes to be attributed to the intervention. Simple randomization performs well for large samples (>100 per group), but smaller samples may require block or stratified randomization to balance group sizes and covariates. When randomization isn't feasible, quasi-randomized methods (e.g., based on dates or enrollment order) can help but must compensate with multivariate adjustments. Moreover, blinding and allocation concealment enhance internal validity and reproducibility. Allocation concealment (e.g., sealed envelopes) prevents bias during participant assignment while blinding mitigates detection and performance biases. Precise methodological descriptions in clinical trial registrations and publications enhance study reliability and reproducibility, highlighting the importance of rigorous planning and transparent reporting in intervention research. This article reviews the key concepts of randomization, blinding, and allocation concealment in interventional studies.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20240046"},"PeriodicalIF":0.8,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046728","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

Transposition of the gastroduodenal artery for vascular reconstruction of invasive lesion of the hepatic hilum due to colorectal adenocarcinoma metastasis: case report.

IF 0.8

Jornal Vascular Brasileiro Pub Date : 2025-01-13 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202400122

Lucas Lourenço de Oliveira, Iasmin Maria Rodrigues Saldanha, Yago Eloy Souza Barbosa, Renato Mazon Lima Verde Leal, Abner Moreira Sampaio, Annya Costa Araújo de Macedo Goes, Marcelo Leite Vieira Costa

{"title":"Transposition of the gastroduodenal artery for vascular reconstruction of invasive lesion of the hepatic hilum due to colorectal adenocarcinoma metastasis: case report.","authors":"Lucas Lourenço de Oliveira, Iasmin Maria Rodrigues Saldanha, Yago Eloy Souza Barbosa, Renato Mazon Lima Verde Leal, Abner Moreira Sampaio, Annya Costa Araújo de Macedo Goes, Marcelo Leite Vieira Costa","doi":"10.1590/1677-5449.202400122","DOIUrl":"10.1590/1677-5449.202400122","url":null,"abstract":"Colorectal cancer is one of the most prevalent malignant neoplasms in Brazil. Hepatectomy for resection of liver metastases plays an essential role in increasing disease-free survival, with the possibility of cure. The feasibility of liver resection depends on factors related to the remaining liver after surgery. In this article, a case is reported on the hepatic metastasectomy approach in a 47-year-old female patient, with colon adenocarcinoma who underwent vascular reconstruction in the same surgical procedure. The intrahepatic mass was transposition of the gastroduodenal artery through the anastomosis of the gastroduodenal artery and the right hepatic artery in a continuous suture, without complications. It is concluded that vascular anastomosis in hepatectomies for colon adenocarcinoma metastases is a complex procedure that requires skill and experience from the surgeon. The success rate is high, but it is important to be aware of the risk factors for complications. The most current data suggest that vascular reconstruction does not alter overall disease-free survival, but further studies are needed.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20240012"},"PeriodicalIF":0.8,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046742","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

Idiopathic pulmonary arteriovenous malformation: a rarity in clinical practice.

IF 0.8

Jornal Vascular Brasileiro Pub Date : 2025-01-13 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202400052

Tarcila Gurgel Aquino, Diogenes de Melo Jacó, Ingryd Gabriella Nascimento Santos, Eliauria Rosa Martins

{"title":"Idiopathic pulmonary arteriovenous malformation: a rarity in clinical practice.","authors":"Tarcila Gurgel Aquino, Diogenes de Melo Jacó, Ingryd Gabriella Nascimento Santos, Eliauria Rosa Martins","doi":"10.1590/1677-5449.202400052","DOIUrl":"10.1590/1677-5449.202400052","url":null,"abstract":"Pulmonary arteriovenous malformations (PAVM) are characterized by abnormal pulmonary vessels forming arteriovenous shunts that compromise oxygenation of the blood, causing hypoxemia, and predispose to infections and cerebral ischemia. The patient in this case was a 38-year-old male who presented with tachypnea and dyspnea, cyanosis of extremities, and significant digital clubbing. The patient had structural epilepsy secondary to neurosurgery for a cerebral abscess during childhood. Arterial blood gas analysis showed significant hypoxemia (PaO2 = 46.2; SaO2 = 77%; PaO2/FiO2 = 70) and a chest computed tomography showed PAVM in the apical segments of the right upper and lower lobes, with ectatic and tortuous vascular structures following an intraparenchymal path, communicating with the pulmonary artery and veins. After confirmation of the PAVM, it was concluded that elevated pulmonary resistance was contributing to refractive hypoxemia and hypercapnia. Gradual reduction of the ventilation parameters, primarily controlled pressure and positive end-expiratory pressure, and consequent reduction of the arteriovenous shunt, resulted in progressive improvement of oxygenation and respiratory mechanics. The vascular surgery team's assessment was that treatment with embolization was warranted.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20240005"},"PeriodicalIF":0.8,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11758929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046725","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

Aneurysm of the arch of the great saphenous vein: therapeutic challenge and review of the literature.

IF 0.8

Jornal Vascular Brasileiro Pub Date : 2025-01-10 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202401072

Badr El Kassimi, Abdelkarim Kharroubi

引用次数: 0

The role of the giacomini vein in preoperative mapping of lower limb varicose veins. 贾科莫尼静脉在下肢静脉曲张术前定位中的作用。

IF 0.8

Jornal Vascular Brasileiro Pub Date : 2024-11-29 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202400582

Carlos Alberto Engelhorn, Ana Luiza Dias Valiente Engelhorn, Elisa da Silva de Oliveira, Julia Marques de Macedo, Leticia Bressan Anizelli, Maria Luiza Oliveira de Mendonça

{"title":"The role of the giacomini vein in preoperative mapping of lower limb varicose veins.","authors":"Carlos Alberto Engelhorn, Ana Luiza Dias Valiente Engelhorn, Elisa da Silva de Oliveira, Julia Marques de Macedo, Leticia Bressan Anizelli, Maria Luiza Oliveira de Mendonça","doi":"10.1590/1677-5449.202400582","DOIUrl":"10.1590/1677-5449.202400582","url":null,"abstract":"Background: The Giacomini vein (GV) can transfer reflux from perineal veins, tributary veins, and perforators of the thigh to the small saphenous vein (SSV). Vascular ultrasound with Doppler (VUD) is the preferred method for detecting reflux in specific veins such as the GV.Objective: To identify GV depth and diameter, reflux in the GV, and presence of reflux in the SSV caused by the GV.Methods: A cross-sectional, retrospective study was conducted in women undergoing lower limb venous mapping for varicose vein surgery. The following parameters were analyzed in GVs in which reflux was detected: segmental or diffuse reflux pattern; GV diameter and depth; and reflux in the SSV caused by the GV.Results: 340 of the 2368 women evaluated were included in the study because they had a GV, totaling 511 veins analyzed, 150 (29.4%) of which had reflux. The diameters of the 150 GVs with reflux ranged from 1.5 to 7.8 mm and their depth varied from 4 to 25 mm. Most GVs with reflux (91.3%) had a segmental reflux pattern. The majority (66%) of refluxing GVs drained reflux into the popliteal vein through the saphenopopliteal junction, while reflux was transferred to the SSV in 34 veins (22.7%), and was drained by a tributary vein in the thigh in 15 veins (11.3%).Conclusions: Approximately one-third of the studied GVs had reflux, mostly segmental, mean caliber was 2.7 mm, and mean depth was 11 mm. Reflux in the SSV originating from the GV was detected in 22% of the evaluated veins.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20240058"},"PeriodicalIF":0.8,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11614100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769087","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 the small saphenous vein and tributary veins with endolaser associated with ultrasound-guided foam in a patient with post-thrombotic syndrome: presenting the TEThA technique. 超声引导泡沫内激光治疗小隐静脉和支静脉1例血栓形成后综合征：TEThA技术

IF 0.8

Jornal Vascular Brasileiro Pub Date : 2024-11-29 eCollection Date: 2024-01-01 DOI: 10.1590/1677-5449.202301422

Nara Medeiros Cunha de Melo Vasconcelos, Harue Santiago Kumakura, Marcelo Halfen Grill, Marília de Castro E Silva

{"title":"Treatment of the small saphenous vein and tributary veins with endolaser associated with ultrasound-guided foam in a patient with post-thrombotic syndrome: presenting the TEThA technique.","authors":"Nara Medeiros Cunha de Melo Vasconcelos, Harue Santiago Kumakura, Marcelo Halfen Grill, Marília de Castro E Silva","doi":"10.1590/1677-5449.202301422","DOIUrl":"10.1590/1677-5449.202301422","url":null,"abstract":"Chronic venous disease of the lower limbs is a highly prevalent pathology and endovenous thermoablation is the technique of choice for treatment of insufficient saphenous veins. However, there is still controversy about the best management for varicose tributaries. This article reports a case of outpatient treatment of reflux of the small saphenous vein and tributary veins in a 52-year-old female patient with post-thrombotic syndrome complaining of pain and edema in the right lower limb. We performed the Transfixing Endovenous Thermal Ablation (TEThA) technique with thermoablation of the small saphenous vein and varicose veins combined with ultrasound-guided administration of 2% polidocanol foam. After 30 days, the control Doppler ultrasound showed occlusion of the short saphenous vein and absence of ultrasound signs of varicose veins and thrombosis. The combined endovenous and perivenous treatment of lower limb varicose veins proved to be safe, fast, and effective.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"23 ","pages":"e20230142"},"PeriodicalIF":0.8,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11614099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142769091","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