Journal of Vascular Surgery最新文献

{"title":"Simultaneous percutaneous transmural arterial bypass and deep venous arterialization for treatment of critical limb ischemia","authors":"V. Madabhushi, E. Dunlap, K. Nagarsheth","doi":"10.1016/j.jvs.2025.04.052","DOIUrl":"10.1016/j.jvs.2025.04.052","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 1","pages":"Page A15"},"PeriodicalIF":3.9,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contrast-enhanced ultrasound microbubble uptake and abnormal plasma biomarkers are seen in patients with abdominal aortic aneurysms","authors":"A.N. Abou Ali, P. Cherfan, A.G. Taha, M.S. Makaroun, Y. Zhang, X.X. Chen, F.S. Villanueva, R.A. Chaer","doi":"10.1016/j.jvs.2025.04.054","DOIUrl":"10.1016/j.jvs.2025.04.054","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 1","pages":"Pages A15-A16"},"PeriodicalIF":3.9,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"More evidence of the importance of protocol-driven care in the prevention of spinal cord ischemia","authors":"Claire M. Motyl MD, Adam W. Beck MD","doi":"10.1016/j.jvs.2025.03.056","DOIUrl":"10.1016/j.jvs.2025.03.056","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 1","pages":"Page 61"},"PeriodicalIF":3.9,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is the Eversion Technique Associated with Lower Peri-operative Stroke or Death Compared with Carotid Endarterectomy with Patch Angioplasty? Secondary Data Analysis of the German Statutory Quality Assurance Database","authors":"C. Knappich, B. Bohmann, F. Kirchhoff, V. Lohe, S. Naher, M. Kallmayer, A. Kühnl","doi":"10.1016/j.jvs.2025.04.049","DOIUrl":"10.1016/j.jvs.2025.04.049","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 1","pages":"Pages 295-296"},"PeriodicalIF":3.9,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Results from the Italian Nexus aRCH Endovascular repair Registry for endovascular aortic arch repair.","authors":"Michele Antonello, Andrea Spertino, Emanuele Gatta, Gabriele Piffaretti, Giacomo Isernia, Wassim Mansour, Luca Bertoglio, Eugenio Martelli, Gian Franco Veraldi, Roberto Silingardi, Fabrizio Farneti, Riccardo Corbetta, Augusto D'onofrio, Alessandra Rinaldi Garofalo, Francesco Squizzato, Michele Piazza","doi":"10.1016/j.jvs.2025.05.201","DOIUrl":"https://doi.org/10.1016/j.jvs.2025.05.201","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study is to evaluate the safety, efficacy, and clinical outcomes of endovascular aortic arch repair using the Nexus and Nexus Duo endograft systems.</p><p><strong>Methods: </strong>A multicenter, retrospective study with prospectively collected data was conducted as part of the Italian Nexus Aortic aRCH Endovascular Repair Registry (INARCHER) between 2019 and 2024. Nexus platforms include an off the shelf bimodular single branch endograft and a custom-made double branch custom made device. Patients who underwent endovascular aortic arch repair with the Nexus and Nexus Duo endograft systems at participating centers were included. The study addressed both aortic arch aneurysm and dissection. Data collection included baseline patient characteristics, procedural details, and follow-up results. The primary endpoints were early (30 days) major adverse events (MAEs), major stroke and mortality. Secondary endpoints included the need for device related reintervention and the device-related endoleak.</p><p><strong>Results: </strong>We collected 31 cases from 11 centers. Mean age was 73.4 ± 7.32 and 77.4% were male. Thirteen patients had a degenerative aneurysm, 3 a pseudoaneurysm after prior surgical repair, 2 penetrating aortic ulcers and 13 cases an aortic dissection (subacute, n=1; chronic, n=12). Prior ascending aorta replacement was present in 15 cases (48.4%). Seven (22.6%) patients received an urgent treatment. Twenty-five cases were treated with complete supra-aortic-trunks debranching and Nexus, six cases with LSA- LCA debranching and Nexus Duo. The mean operative time was 230 ± 73 minutes. Technical success was achieved in 97% of procedures owing to one case of type IA endoleak. Perioperative mortality was 6.5%, related to a massive pulmonary embolism and a cardiac arrest. Major strokes occurred in 6.5%. MAEs rate was 22.6%. The mean follow-up period was 29.7 ± 24.9 months. Beyond 30 days there were no aortic related mortality and freedom from related reintervention was 97% (95%CI 91-100).</p><p><strong>Conclusions: </strong>The use of the Nexus and Nexus Duo endograft systems appears to be a safe option for the treatment of aortic arch dissection and aneurysm, with complication rates consistent with existing literature for such high-complexity cases. Endovascular aortic arch repair remains a challenging procedure with non-negligible neurological complication, requiring ongoing improvements to enhance patient outcomes.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Post-Operative Outcomes of General versus Regional Anesthesia for Lower Extremity Amputation.","authors":"Shannon McDonnell, Rylie O'Meara, Irena Helenowski, Pegge Halandras","doi":"10.1016/j.jvs.2025.06.009","DOIUrl":"https://doi.org/10.1016/j.jvs.2025.06.009","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction/objectives: &lt;/strong&gt;Despite advances to open and endovascular surgery, lower extremity amputation remains an essential component of vascular surgery. Regional anesthesia with peripheral nerve blocks can help avoid the postoperative morbidity associated with general anesthesia. Despite regional anesthesia as an option for patients, a recent large database study found that up to 90% of cases were still performed under general anesthesia. The aim of our study was to further evaluate if there is a significant difference in surgical outcomes that supports the use of regional over general anesthesia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This was a single institution retrospective cohort study of patients who received lower extremity amputations from January 1, 2019 until December 31, 2023. Above- and below-knee amputations were included, and all amputations were performed by vascular surgeons. Patients were divided into three groups based on the anesthesia type they received during the case: general anesthesia, general and regional block, and regional block only. Patient characteristics, preoperative comorbidities, and postoperative outcomes were then studied for each group. Continuous variables were summarized by medians and interquartile ranges (IQRs), while categorical variables were summarized by frequencies and percentages. As there were repeated measures for several patients, GEE (generalized estimating equations) models with anesthesia group as the response were fit to assess differences between anesthesia groups. Multivariable models were fit assuming a binomial distribution, Poisson distribution, or multinomial distribution.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 176 amputations were included in this study of whom 55 (35%) received regional block only, 94 (60%) received general anesthesia and block, and 27 (15%) received only general anesthesia. Above knee amputations were performed in 74 (42%) and below knee amputations were performed in 102 (58%) of patients in the study. The block only group was significantly associated with an older population (p = 0.006) and significantly associated with higher percentages of CHF (p = 0.001), CKD (p = 0.006), and diabetes (p = 0.002). The general only group had higher postoperative morbidity, with significantly higher percentages of PE (p &lt; 0.001), DVT (p &lt; 0.001), pneumonia (p = 0.032), and post-op ventilator use (p &lt; 0.001). The general only group had significantly longer hospital length of stay (p = 0.03) and higher rates of expiration (p = 0.002). On multivariable analysis, receiving general anesthesia only was significantly associated with a 30-day (p=0.009), 60-day (p=0.009), and 1 year mortality (p = 0.006).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Our study demonstrates that the use of general anesthesia for lower extremity amputation has a significant and independent correlation with higher 30-day, 60-day, and 1-year mortality rates. Thus, a continued shift toward regional block","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation of Plaque Vulnerability Stratified by Carotid Plaque-RADS with Outcomes of Endarterectomy vs. Stenting.","authors":"Zhe Huang, Xue-Qing Cheng, Rui-Rui Lu, Ya-Ni Liu, Xiao-Jun Bi, You-Bin Deng","doi":"10.1016/j.jvs.2025.06.004","DOIUrl":"https://doi.org/10.1016/j.jvs.2025.06.004","url":null,"abstract":"<p><strong>Background: </strong>Carotid endarterectomy (CEA) and carotid artery stenting (CAS) are the main treatment options for carotid atherosclerotic stenosis; however, determining the most appropriate intervention remains challenging.</p><p><strong>Objectives: </strong>This study evaluates whether Carotid Plaque-RADS enhances risk stratification for ipsilateral recurrent stroke after CAS or CEA in patients with anterior circulation ischemic stroke, and investigates whether stratification based on plaque characteristics can help identify patient subgroups more likely to benefit from CEA versus CAS.</p><p><strong>Methods: </strong>This retrospective study included 636 patients who underwent carotid interventions, comprising 290 CEA and 346 CAS cases. Plaque characteristics were assessed using Plaque-RADS. AUC analysis with DeLong test was used to compare predictive accuracy. Univariate and multivariate analyses were performed to identify factors associated with stroke recurrence, and events-free survival (EFS) was compared between CEA and CAS in patients with different Plaque-RADS scores.</p><p><strong>Results: </strong>The median follow-up duration for the overall cohort was 29 months (IQR: 12-51 months). Stroke recurrence was observed in 94 patients (14.8%) overall: 30 patients (10.3%) in the CEA group and 64 patients (18.5%) in the CAS group. The Carotid Plaque-RADS 4 classification outperformed all other imaging features, with significantly higher C-index values and larger AUCs for primary outcome prediction (all P < 0.05). Multivariate Cox regression analysis showed that Plaque-RADS 4 (HR 3.683, 95% CI 2.217-4.520, P < 0.001) and CAS treatment (HR 1.630, 95% CI 1.055-2.520, P = 0.028) were independent predictors of stroke recurrence. For patients with Plaque-RADS 4, EFS was significantly higher with CEA compared to CAS (P = 0.004), while no significant difference was observed between CEA and CAS in patients with Plaque-RADS 3 (P = 0.639).</p><p><strong>Conclusion: </strong>Carotid Plaque-RADS demonstrated superior predictive accuracy for primary outcomes compared to individual plaque characteristics. CEA may provide better outcomes than CAS in patients with high-risk plaques (Plaque-RADS 4).</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safety and Outcomes of Self-Expanding Covered Stents in Carotid Revascularization for Shamblin Class III Carotid Body Tumors.","authors":"Shiying Wang, Kaiwen Zhao, Quan Chen, Wen Li, Zhiqing Zhao, Bin Zhao, Xiaolong Wei","doi":"10.1016/j.jvs.2025.06.003","DOIUrl":"https://doi.org/10.1016/j.jvs.2025.06.003","url":null,"abstract":"<p><strong>Objectives: </strong>A carotid body tumor (CBT) located near the skull base presents considerable challenges for revascularization. This study presents a 15-year experience utilizing a novel sutureless anastomotic technique for carotid artery revascularization, aimed at minimizing blood flow interruption and reducing the risk of cerebral ischemia.</p><p><strong>Methods: </strong>This multicenter retrospective cohort study included patients with Shamblin Class III CBT who underwent tumor excision and carotid revascularization at three medical centers. Patients were categorized based on the carotid revascularization technique employed: the traditional method using artificial and saphenous vascular graft (CR-VG group) and the method involving the use of a self-expanding covered stent (CR-CS group). Patients were monitored through follow-up evaluations over a one-year period. The primary endpoint was defined as graft occlusion within 1-year post-surgery. Secondary endpoints encompassed recurrence of CBT, temporary and persistent cranial nerve damage (CND), and stroke.</p><p><strong>Results: </strong>There were 93 Shamblin class III CBT patients included during a mean follow-up time of 2.35 years. In comparison to the CR-VG group (n = 57), the CR-CS group (n = 36) demonstrated a statistically significant reduction in operation duration (p < 0.001), intraoperative blood flow interruption time (p < 0.001), incidence of temporary CND symptoms (p = 0.002), and rate of persistent CND (p < 0.001). Additionally, there was a statistically significant increase in graft patency (p = 0.003).</p><p><strong>Conclusions: </strong>Our study demonstrated the safety, rapid revascularization, and favorable patient outcomes of the novel technique. Long-term observation is warranted to prove the durability.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144285120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of radiation protective surgical gloves reduces hand radiation exposure without increasing operator radiation dose during fluoroscopically guided interventions.","authors":"Antonio Solano, Andrea Klein, Michael C Siah, Gerardo Gonzalez-Guardiola, Khalil Chamseddin, Aaron Wagner, Vivek Prakash, Michael Shih, M Shadman Baig, Carlos H Timaran, Jeffrey Guild, Melissa L Kirkwood","doi":"10.1016/j.jvs.2025.05.015","DOIUrl":"10.1016/j.jvs.2025.05.015","url":null,"abstract":"<p><strong>Objective: </strong>Although it is contraindicated for physicians performing fluoroscopically guided interventions (FGIs) to position their hand directly in the beam, it can be unavoidable and results in greater operator exposure and risk. Clinical guidelines recommend against the use of radiation-protective gloves (PGs) during FGIs given the concern for higher radiation accumulation related to increased procedure scatter fraction (PSF). We describe hand radiation dose and procedural scatter during FGIs with regular surgical gloves (RGs) compared to lead-free PGs.</p><p><strong>Methods: </strong>Our primary end point was to evaluate hand radiation dose attenuation of tungsten PG and their effect on operator PSF. In the clinical setting, optically stimulated luminescence detectors were placed bilaterally at the volar and dorsal aspects of the operator's hands at the radioulnar joint and base of the ring finger. Control dots were positioned on the sternum. All operators were trained in applying as low as reasonably achievable principles. In the simulation, fluorography was performed on a 25 × 50 cm, 15-cm thick acrylic phantom for an exposure of 250 mGy reference air kerma. An anthropomorphic hand was placed at 7.5-cm intervals along the length of the table from the point of the fingertips at the center of the x-ray beam, 0 to 30 cm caudally. Radiation dose was calculated based on a calibration coefficient factor to estimate radiation at 80 kVp. The PSF was estimated by normalizing the sternum dose measurement with the dose area product. Wrist and finger radiation doses were normalized by dividing by the sternum dose to control for case length and procedure factors. A paired Wilcoxon test was performed to identify statistically significant differences of normalized PSF, finger, and wrist dose with RG vs PG.</p><p><strong>Results: </strong>A total of 50 FGIs were performed: 25 with RGs and 25 with PGs. The median procedure reference air kerma was 98 mGy (interquartile range [IQR], 26-137 mGy) with RGs and 63 mGy (IQR, 38-134 mGy) with PGs. The hand radiation dose was lower for both dominant and nondominant hands with the PGs (270 μGy [IQR, 200-520 μGy] vs 590 μGy [IQR, 300-830 μGy], P = .015; and 260 μGy [IQR, 180-240 μGy] vs 660 μGy [IQR, 410-870 μGy]; P < .001) vs RGs. There was no significant increase in PSF with PGs vs RGs (4.46 [IQR, 3.15-5.67] vs 8.21 [IQR, 7.09-12.19]; P = .777). In the simulated setting, hand radiation dose was 58% lower with PG vs RG at all distances (8600 μGy vs 21,000 μGy; P < .001), with no significant differences in PSF for PGs vs RGs.</p><p><strong>Conclusions: </strong>Operator hands are directly in the x-ray beam more than recognized, leading to an increased lifetime risk. PGs can be expensive and cumbersome, but are effective at decreasing hand radiation exposure without increasing operator radiation dose. They should be considered for use in procedures where hand proximity to the beam is likely.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation of an acute care vascular surgery \"Surgeon of the Week\" model improves efficiency of inpatient care delivery.","authors":"Young Kim, Christina L Cui, E Hope Weissler, Brian F Gilmore, Kevin W Southerland, Zachary F Williams, Chandler A Long, Adam P Johnson, Dawn M Coleman","doi":"10.1016/j.jvs.2025.05.025","DOIUrl":"10.1016/j.jvs.2025.05.025","url":null,"abstract":"<p><strong>Objective: </strong>Acute care vascular surgery (ACVS) comprises a significant proportion of modern vascular surgery practice. Given the burden of ACVS at our institution, we have transitioned from a traditional \"on call\" model to a \"Surgeon of the Week\" (SOW) model, in which a single surgeon covers all daytime inpatient consults and resultant operations over the course of a week. The SOW surgeon has no overnight call, outpatient clinic, and minimizes elective operations during this week, enabling dedicated care to inpatient responsibilities. In this study, we report our 2-year experience with the SOW model for ACVS.</p><p><strong>Methods: </strong>Institutional medical records were retrospectively queried for all operations performed by the SOW surgeon at a single academic medical center from 2023 to 2024. The 1-year SOW period was then compared with the antecedent 5-year period from 2018 to 2023 (pre-SOW) to evaluate care delivery metrics.</p><p><strong>Results: </strong>A total of six vascular surgeons covered 51 weeks as the SOW over the study period. The SOW surgeon performed a total of 598 cases, averaging a median of 11.5 cases per week (interquartile range [IQR], 9-14 cases per week). The median weekly operative time was 28.6 hours (IQR, 21.0-33.5 hours). The most common indications for primary vascular operations included acute limb ischemia (n = 31), aortic disease (n = 44), carotid disease (n = 32), hemodialysis access (n = 71), major amputations (n = 112), mesenteric ischemia (n = 23), peripheral artery disease (n = 105), and wound complications (n = 87). Urgent and emergent procedures comprised 21.7% of all operations. An additional 61 intraoperative consultations were requested from 14 other surgical services over the study period. Compared with the pre-SOW period, preoperative length of stay for inpatient operations was shorter in the SOW period (2 days [IQR, 0-7 days] vs 3 days [IQR, 1-8 days]; P < .0001). Elective case cancellations (4.0% vs 3.7%; P = .55) and the proportion of weekend operations (8.3% vs 8.1%; P = .75) were similar between periods.</p><p><strong>Conclusions: </strong>In this study, we report our experience following implementation of the SOW model at a tertiary academic medical center. This alternative model for ACVS coverage enabled the SOW to perform a wide breadth of primary vascular operations and provide intraoperative assistance to many other surgical services, without being encumbered by competing responsibilities. Furthermore, the SOW model was associated with more efficient delivery of inpatient care, as reflected in a reduced time-to-operating room. Other medical centers with similar, high-volume ACVS responsibilities may also benefit from implementing a SOW model.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144258364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}