Journal of Vascular Medicine & Surgery最新文献

{"title":"Analysis of the Architectural Characteristics of the Abdominal Aortic Aneurysm in Dizygotic Twins","authors":"Maged M. Metias, An, Patel, V. Iyer, T. Rapanos","doi":"10.35248/2329-6925.9.37.402","DOIUrl":"https://doi.org/10.35248/2329-6925.9.37.402","url":null,"abstract":"We report a case of dizygotic twins who were diagnosed with abdominal aortic aneurysms (AAAs) and analyze the differences in architectural characteristics of the abdominal aorta and visceral vessels. Both twins underwent an endovascular repair of their AAAs at the same age. This paper adds to the growing body of evidence of the genetic nature of aneurysmal degeneration.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90581820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Venous Non-Iatrogenic Foreign Bodies and Endovascular Retrieval-A Mini-Review","authors":"Tanner I. Kim, V. Kostiuk, E. Aboian","doi":"10.35248/2329-6925.21.S7.004","DOIUrl":"https://doi.org/10.35248/2329-6925.21.S7.004","url":null,"abstract":"Intravascular foreign body complications continue to increase with the advent of endovascular procedures. These represent both iatrogenic and non-medical foreign bodies, and most commonly present within the venous system. Numerous reports have demonstrated efficacy with an endovascular approach to foreign body retrieval. In this mini-review, we review the literature on venous non-iatrogenic foreign bodies, as well as endovascular strategies for removal.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82830161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Special Considerations in the Diagnosis and Treatment of Acute Arterial Occlusion Caused by Tumor Embolization","authors":"R. McLachlan","doi":"10.35248/2329-6925.21.S7.005","DOIUrl":"https://doi.org/10.35248/2329-6925.21.S7.005","url":null,"abstract":"Tumor embolism differs from other forms of thromboembolism with special considerations for diagnosis and treatment. This report summarises what we know about this unique pathological process and outlines an approach to surgical treatment. With the advent of new endovascular technologies, there may be several different options available for patients and each individual case needs to be carefully considered given there are no formal guidelines advising the best way to manage this distinct subset of patients.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76730209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Distal Peri-Arterial Sympathectomy: The Over-Ratted Option in Management of Peripheral Cyanotic Disorders","authors":"E. Hamed","doi":"10.47363/JCCSR/2020(2)139","DOIUrl":"https://doi.org/10.47363/JCCSR/2020(2)139","url":null,"abstract":"Background: Digital ischemia in upper and lower extremity, with ulceration and gangrene can be a manifestation of Raynaud’s phenomenon (RP). The early manifestation of Raynaud’s may be informed of ischemic pain and numbness, cold intolerance and in severe cases manifested as ulceration and gangrene. Aim of the study: to evaluate the results of digital sympathectomy in cases of severe ischemia of digits manifesting as digital ulceration and ischemic pain refractory to medical treatment. Patient and method: Distal sympathectomy of the ulnar and radial arteritis of the affected limb. Results: The patient developed dramatic improvement of symptoms, we were surprised for patient satisfaction and appreciation. We touched firmly the affected finger and the patient was smiling. On follow up, no return of annoying symptoms.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82996888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Respiratory Rehabilitation in Patients with Abdominal Aortic Aneurysm Submitted to OPEN and EVAR Treatment: Predictive Factors of Postoperative Pulmonary Complications and Clinical Implications","authors":"A. Marchetti, G. Citoni, C. Foti, A. Ippoliti","doi":"10.35248/2329-6925.20.8.390","DOIUrl":"https://doi.org/10.35248/2329-6925.20.8.390","url":null,"abstract":"Background: In the conventional surgical treatment of aneurysms, the respiratory physiotherapy is one of the cornerstones of patient rehabilitation. The endovascular technique, with less invasiveness, has significantly changed the rehabilitative approach to the operated subject. \u0000 \u0000Objective of the study: to evaluate and compare the effectiveness of the pre and post-operative rehabilitation treatment associated with the conventional OPEN surgery compared to the EVAR procedure and their incidence in preventing postoperative respiratory complications. \u0000 \u0000Design: Longitudinal case control study to compare patients who have open surgery with patients who do not have the laparotomy, as in ENDO technique, to look how frequently the postoperative pneumonia and the risk factor was present in each group to determine the relationship between the risk factor, the type of operation and the pneumonia incidence. \u0000 \u0000Setting Data were collected from patients admitted consecutively at the Tor Vergata Hospital with diagnosis of an abdominal aortic aneurysm. Risk factors, type of intervention, pneumonia incidence in postoperative period was evaluted at 30 days. \u0000 \u0000Population: Three hundred and twenty patient were enrolled. \u0000 \u0000Materials and methods: From 2005 to 2016, 320 patients suffering from an abdominal aortic aneurysm were treated consecutively. One hundred eighty one patients were treated using the open technique (group A) and 139 using the EVAR technique (group B). All patients in OPEN group were submitted to respiratory rehabilitation protocol. Risk factors, type of intervention, anesthesia and results of treatment with complications, observed mortality, mean hospital stay were studied. Pre and postoperative respiratory rehabilitation treatment protocol was performed in all of the patients. The data were analyzed with descriptive statistics and inferential statistics using SPSS 18.0 for Windows. \u0000 \u0000Results: From 2005-2010, the postoperative stay (days) was significant shorter for EVAR compared to open (6.47 vs. 10.48; P 0.001). From 2011-2016, the postoperative stay (days) was significant shorter EVAR compared open (4.07 vs. 11.41; P 0.001). The patients treated from 2011 to 2016 for both OPEN and EVAR groups presented an average age 3 years lower compared to the patients treated in the period from 2005-2011 (75.5 to 72.8 for EVAR and from 71,2 to 68,2). The patients treated from 2011 to 2016 for EVAR group presented an average reduction in post-operative hospitalization of 2.4 days (-37.09%) compared to 2005-2011 period. There was a significant higher incidence of pneumonia in the open group (P=0.001). The reduction of the incidence of pneumonia in group A and B during the two different periods from 2005 to 2010 and from 2011 to 2016 was observed. There wasn’t a significant difference in the incidence of pneumonia in patients treated from 2005 to 2010 (P-value=0.1). In patients treated from 2011 to2016 there was a significant increasing the incidence of pn","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72571334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilobectomy in a 49 Years Man Presenting Hemoptysis Associated to a Partial Anomalous Pulmonary Venous Return: A Case Report","authors":"M. Abdennadher, Mariem Hadj Dahmane, H. Zribi, I. Bouassida, S. Zairi, S. Hantous, A. Kaddour, H. Smadhi, S. Ouerghi, T. Mestiri, A. Marghli","doi":"10.35248/2329-6925.20.8.388","DOIUrl":"https://doi.org/10.35248/2329-6925.20.8.388","url":null,"abstract":"Partial Anomalous Pulmonary Venous Connection (PAPVC) is a rare congenital abnormality characterized by drainage of one or more pulmonary veins to the right atrium or to one of the systemic veins. This pathology has low prevalence, although it is probably underestimated and is rarely diagnosed in adults. We reported a rare case of hemoptysis in adult associated to isolated partial anomalous pulmonary venous return. He is a patient of 49 years-old man who had a partial anomalous pulmonary venous connection (PAPVC) from the right upper lobe to the superior vena cava without other congenital heart disease. A right bilobectomy (superior and middle lobe) was performed for the treatment for hemoptysis and PAPVC. The patient has an uneventful postoperative recovery and remained well at follow-up 8 months after surgery.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82376896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial Note for Journal of Vascular Medicine and Surgery","authors":"T. Schmitz-Rixen","doi":"10.35248/2329-6925.20.9","DOIUrl":"https://doi.org/10.35248/2329-6925.20.9","url":null,"abstract":"I am delighted to introduce the Journal of Vascular Medicine & Surgery (JVMS) a rapid peer reviewed journal which is a valuable source of information for scholars, researchers, professionals, and students, providing in-depth perspectives on intriguing contemporary topics of Vascular Medicine. Built on an ethos of openness, we are passionate about working with the global academic community to promote open scholarly research to the world. I am pleased to announce that, 3 issues of the 8 th Edition were published online well within the time and the print issues were also brought out and dispatched within 30 days of publishing the issue online during the year of 2020. The major objective of JVMS is to publish up-to-date, high-quality and original research papers alongside relevant and insightful reviews. The Journal aims to flourish and to maintain the standards in Vascular Medicine research and practices, providing an excellent platform and opportunity to present evidence based research, reviews, case studies and analytical assessment of research that probably is much in deed for students, professors, aspiring researchers and health care professionals to enhance the patient care.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80181992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Targeted Beta Blocker Use in Trauma Patients Admitted to the Intensive Care Unit","authors":"A. Chendrasekhar, S. Hodge, Jakey Patwari, V. Rubinshteyn, L. Richmond","doi":"10.35248/2329-6925.20.8.391","DOIUrl":"https://doi.org/10.35248/2329-6925.20.8.391","url":null,"abstract":"Beta-blockers are used to reduce heart rate (HR) and thereby reduce myocardial oxygen demand. Current guidelines include a recommendation for the use of beta-blockers titrated to a target HR of 60 to 70 beats per minute (bpm) in certain populations; however, the value of this intervention has not yet been studied in the trauma population. Our objective was to determine whether beta-blockers used to titrate heart rate to 60-70 bpm within the first 24 hours of intensive care unit (ICU) admission affect outcome in trauma patients. We retrospectively examined the trauma registry to identify patients admitted to the ICU of an urban level-I trauma center over the course of January to December 2013; medical records were further reviewed to identify those who received treatment with beta-blockers. Data was collected on patient demographics, maximum/minimum HR within 24 hours of admission, achievement of target HR (60-70 bpm), type of beta-blocker administered, length of stay (LOS), injury severity score (ISS), and survival to discharge. Patients were stratified into two groups based upon whether target HR was achieved at least once during the first 24 hours of ICU admission. Statistical analysis was performed using chi-square analysis or t-test as appropriate. A total of 208 patients, 65 females and 143 males with an average age of 59.3 ± 19.3 years, were included. The majority of patients (88.9%) were treated with metoprolol while the rest received atenolol, labetalol, or carvedilol. Eighty-six patients reached target HR on the first day of ICU admission. Heart rate ranged from 48 to 150 bpm; maximum HR was significantly lower in the target HR achieved group (82 ± 2.4 vs 99.9 ± 2.8 bpm, p<0.001). There was no significant difference between the amount of injury sustained by the target HR achieved (ISS 14.2 ± 1.9) and target HR not achieved (ISS 15.9 ± 1.9) groups. Achievement of target HR was associated with a shorter LOS (5.8 ± 1.3 d vs. 10.5 ± 2.3 d, p-value 0.002) and increased likelihood of survival (OR 5.02, 95%CI 1.67-15.2, p=0.004).","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86490737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Klippel Trenaunay Syndrome in a 5 Year Old Boy: A Rare Embryological Vascular Anomaly","authors":"Heena Singdia","doi":"10.35248/2329-6925.20.8.398","DOIUrl":"https://doi.org/10.35248/2329-6925.20.8.398","url":null,"abstract":"We present a case history of 5 years old boy, born of a non-consanguineous marriage with uneventful vaginal delivery brought to OPD with complaints of limb length discrepancy where the length and girth of right leg was greater than the left leg, dilated veins over right inguinal area and port wine stain over right half of the body for 4 years, the condition progresses with progressing age of child. There was no history of ulceration, Raynauds phenomenon, paresthesia, difficulty in walking or pedal edema. Baseline investigations, Color Doppler, and X-ray lower limb were normal. Klippel trenaunay syndrome is a vascular malformation disorder comprising a triad of port wine stain, limb hypertrophy and varicosities with a global incidence of 5 cases/100000.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77602696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor Note: Vascular Medicine and Surgery","authors":"Suowen Xu","doi":"10.35248/2329-6925.20.8","DOIUrl":"https://doi.org/10.35248/2329-6925.20.8","url":null,"abstract":"I am pleased to mention that during the year 2019, all issues of Journal of of Vascular Medicine and Surgery, volume 7 were published online well within the time and the print issues were also brought out and dispatched within 30 days of publishing the issue online. The objective of JVMS is to publish up-to-date, high quality and original research papers alongside relevant and insightful reviews. Impact factor of JVMS for the year 2018-2019 was 0.334.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74089858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}