Jornal Vascular Brasileiro最新文献_第9页

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

Long-term outcome of endovascular repair of thoracic and abdominal aortic diseases: a retrospective cohort study of 101 patients from a tertiary care centre. 胸腹主动脉疾病血管内修复的长期结果：来自三级保健中心的101例患者的回顾性队列研究

IF 1

Jornal Vascular Brasileiro Pub Date : 2025-07-30 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202401472

Rajesh Vijayvergiya, Basant Kumar, Lipi Uppal, Ashish Sharma, Ajay Savlania, Ankush Gupta, Harkant Singh, Manphool Singhal

{"title":"Long-term outcome of endovascular repair of thoracic and abdominal aortic diseases: a retrospective cohort study of 101 patients from a tertiary care centre.","authors":"Rajesh Vijayvergiya, Basant Kumar, Lipi Uppal, Ashish Sharma, Ajay Savlania, Ankush Gupta, Harkant Singh, Manphool Singhal","doi":"10.1590/1677-5449.202401472","DOIUrl":"10.1590/1677-5449.202401472","url":null,"abstract":"Background: Thoraco-abdominal endovascular aortic repair [(T)EVAR] of thoracic (TEVAR) and abdominal aorta (EVAR) has surpassed open surgical repair for thoraco-abdominal aortic diseases.Objectives: We describe the long-term outcomes of 101 (T)EVAR patients treated over the last eleven years.Methods: A retrospective analysis of 101 consecutive (T)EVAR patients was performed. The primary endpoints were in-hospital and 30-day outcomes, while the secondary endpoints were long-term outcomes and re-intervention rates.Results: Out of 101 patients, EVAR and TEVAR were performed in 40 (39.6%) and 61 (60.3%) patients, respectively. Mean age was 58.04 ± 15.7 years. Technical success rates were 100% and 95% in the EVAR and TEVAR groups, respectively. Intraoperative endoleak was observed in 17 patients. Major perioperative complications (n=16) included retrograde aortic dissection (n=1), stent graft migration (n=2), paraparesis (n=1), device system entrapment in iliac vessels (n=1), acute renal failure (n=2), acute limb ischemia (n=3), and aorto-enteric fistula (n=2). The 30-day mortality rate was 7.9% (8 patients). Kaplan Meyer survival estimates at 1 and 5 years were 79% (95% CI 66.0-87.0, SE 0.053%) and 71% (95%CI 56.0- 81.0, SE 0.065%) for TEVAR and 84% (95% CI 67.0-92.0, SE 0.061%) and 69% (95%CI 46.0-83.0, SE 0.094%) for EVAR, respectively. Diabetes and smoking were associated with increased all-cause mortality in EVAR (p=0.018) and TEVAR (p=0.045) cases, respectively, following Cox regression analysis.Conclusions: We observed favorable short- and long-term outcomes in 101 (T)EVAR patients, proving its safety and long-term efficacy for management of thoracoabdominal aortic disease.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20240147"},"PeriodicalIF":1.0,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040029","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

Prevalence of rare visceral aneurysms. 罕见内脏动脉瘤的患病率。

IF 0.8

Jornal Vascular Brasileiro Pub Date : 2025-07-07 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202500412

Jamile Gomes Pereira de Barros, Luana Vieira de Medeiros Santana, Maria Clara Gomes Pontes, Letícia Lemos Belo, Bárbara Rocha Rodrigues Cox Coelho, Lucas Mendes Reis de Moura, Pedro Pereira Tenório

引用次数: 0

Cost of radiofrequency ablation for chronic venous insufficiency: a pilot study of 9 cases at a teaching hospital in Brazil. 射频消融术治疗慢性静脉功能不全的费用：巴西一家教学医院9例病例的初步研究。

IF 0.8

Jornal Vascular Brasileiro Pub Date : 2025-07-07 eCollection Date: 2025-01-01 DOI: 10.1590/1677-5449.202401722

Ana Luiza Carvalho Sartoreli, Henrique Capistrano Dos Santos, Thais Keltke Santos Felippe, Júlio César Souza Diniz, Luiz Baldini, Gustavo Muçouçah Sampaio Brandão, Michel Nasser

{"title":"Cost of radiofrequency ablation for chronic venous insufficiency: a pilot study of 9 cases at a teaching hospital in Brazil.","authors":"Ana Luiza Carvalho Sartoreli, Henrique Capistrano Dos Santos, Thais Keltke Santos Felippe, Júlio César Souza Diniz, Luiz Baldini, Gustavo Muçouçah Sampaio Brandão, Michel Nasser","doi":"10.1590/1677-5449.202401722","DOIUrl":"10.1590/1677-5449.202401722","url":null,"abstract":"Background: While radiofrequency ablation (RFA) is increasingly used to treat saphenous vein incompetence, its adoption in Brazil may have been hindered by the lack of evidence demonstrating sufficient added value to justify its cost-effectiveness.Objectives: To perform RFA in 9 patients with lower extremity varicose veins and determine the procedural costs per patient at a Brazilian teaching hospital.Methods: Nine single-use RFA catheters were purchased by the teaching hospital affiliated with our institution and used in this pilot study. Direct and indirect costs were calculated as sums of the respective cost components of the procedure based on values from the federal government's price panel. To illustrate the potential cost-effectiveness of RFA, these costs were compared to those of 9 saphenectomy procedures performed on the same day as the RFA procedures. All analyses were descriptive, with no formal statistical testing.Results: The mean operating room hourly rate for RFA was 127.50 BRL. The costs of anesthetics/medications, materials, and single-use catheter per patient were 32.63 BRL, 81.49 BRL, and 1600.00 BRL, respectively. Patients were absent from work for < 15 days (mean, 11.44 days), not incurring sick leave payments from the Social Security Administration. The total mean cost for RFA was lower than that of same-day saphenectomy (1841.62 BRL vs 2045.40 BRL).Conclusions: This pilot study provided essential insights into resource utilization at a Brazilian teaching hospital, with the goal of improving treatment efficiency and ensuring the best cost-benefit ratio for patients.","PeriodicalId":14814,"journal":{"name":"Jornal Vascular Brasileiro","volume":"24 ","pages":"e20240172"},"PeriodicalIF":0.8,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12258812/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144637054","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