Journal of vascular surgery. Venous and lymphatic disorders最新文献

{"title":"Thigh lymphocutaneous fistula in a child.","authors":"Qi Di, Kai Zheng, Qiang-Qiang Nie, San-Lin Li, Cheng-Hao Chen, Gang Shen","doi":"10.1016/j.jvsv.2025.102341","DOIUrl":"https://doi.org/10.1016/j.jvsv.2025.102341","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102341"},"PeriodicalIF":2.8,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258238","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":"Spontaneous saccular aneurysm of the External Jugular Vein with Thrombosis.","authors":"Zhuoyuan Li, Tan Li","doi":"10.1016/j.jvsv.2025.102339","DOIUrl":"https://doi.org/10.1016/j.jvsv.2025.102339","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102339"},"PeriodicalIF":2.8,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258193","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":"Prevalence of gynecologic disorders in women with symptomatic pelvic venous disorders.","authors":"Syona Satwah, Natalie Ma, Theresa Soto, Gaurav Lakhanpal, Richard Kennedy, Sanjiv Lakhanpal, Peter Pappas","doi":"10.1016/j.jvsv.2025.102338","DOIUrl":"https://doi.org/10.1016/j.jvsv.2025.102338","url":null,"abstract":"<p><strong>Introduction: </strong>The diagnosis of symptomatic pelvic venous insufficiency (PVI) in women is complicated when concomitant gynecologic disorders are present. The purpose of this investigation is to determine the prevalence of concomitant gynecologic disorders in women with a PeVD secondary to PVI and to assess the effectiveness of therapeutic interventions in women with a history of these disorders.</p><p><strong>Methods: </strong>We retrospectively reviewed the results of 2544 women treated for symptomatic PVI, from January 2017 to March 2024. Women were divided in three groups. Pelvic pain alone, leg pain alone or combined pelvic and leg pain (mixed). Patient demographics, prevalence of concomitant gynecologic disorders, presenting symptoms, CEAP, rVCSS, pre and post visual analog pain scores (VAS), stent type, and vein territory covered were assessed.</p><p><strong>Results: </strong>Of the 2544 women, 70 presented with pelvic pain alone, 1012 with leg pain alone and 1454 with mixed symptoms. The average age of the cohort was 52±13.8. Racial distribution was the following: 49% Caucasian, 16% African American, 11% Hispanic, 1% Asian and 23% unknown. The most common gynecologic disorders reported were hysterectomy (31%), uterine fibroids (4%), endometriosis (4.4%), ovarian cysts (2.8%) and polycystic ovaries (1.5%). Average follow-up was 2.32±2.4 years. Pre and post intervention visual analog pain (VAS) scores were the following: Pelvic (7.61±3.72/1.93±3.2), Leg (6.18±2.95/2.42±3.2) and mixed (5.72± 3.72/2.4±3.1)(p≤0.05). For women with a history of endometriosis pre and post VAS scores were the following: 6.52±3.15 and 2.5±0.6 (p≤0.05). There was no difference in pre and post VAS scores in women with a history of endometriosis compared to the other presenting symptom groups. A total of 1738 stents were placed: Pelvic (n=27), Leg (n=564) and Mixed (n=935). The most common stent diameters and lengths were 14 and 16 millimeters(mm) and 140 and 160 mm. The left common and external iliac veins were the most common vein territories covered. There were 768 reinterventions for a 25.6% reintervention rate at 25±24 months.</p><p><strong>Conclusions: </strong>The prevalence of concomitant gynecologic disorders in women with symptomatic PVI is very low and calls into question whether or not gynecologic assessments for etiologies other than PVI are necessary. Even in women with a history of endometriosis, endovascular interventions are very successful at ameliorating pelvic and/or leg symptoms. A history of concomitant gynecologic disorders should not prevent the performance of endovascular therapies in women with symptomatic PVI.</p>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102338"},"PeriodicalIF":2.8,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258214","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":"Iatrogenic Superficial Femoral Arteriovenous Fistula and Pseudoaneurysm.","authors":"Xu Li, Juan Yang, Hua Yi Zhang","doi":"10.1016/j.jvsv.2025.102335","DOIUrl":"https://doi.org/10.1016/j.jvsv.2025.102335","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102335"},"PeriodicalIF":2.8,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228607","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":"Stewart-Treves syndrome: a rare complication of lymphedema.","authors":"Marta Machado, Miguel Machado, Arlindo Matos, Rui Machado, Cuf Viseu","doi":"10.1016/j.jvsv.2025.102336","DOIUrl":"https://doi.org/10.1016/j.jvsv.2025.102336","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102336"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225710","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":"Complex decongestive therapy combined with needle electrode stimulation facilitates postoperative rehabilitation of lymphedema.","authors":"Qiong Wu, Longxin An, Li Xu, Wen Zhou, Xiaojing Li, Longfei Liu, Qi Tan, Xuecheng Sun, Naibo Feng","doi":"10.1016/j.jvsv.2025.102337","DOIUrl":"https://doi.org/10.1016/j.jvsv.2025.102337","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical efficacy of complex decongestive therapy (CDT) combined with needle electrode stimulation in the management of lymphedema following lymphaticovenular anastomosis (LVA) and to compare its therapeutic outcomes with conventional CDT alone.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on 50 patients with secondary lymphedema who underwent lymphovenous anastomosis (LVA) at the Department of Traumatic Orthopedics, Weifang People's Hospital, between June 2023 and June 2024. All patients met strict inclusion criteria and were randomly assigned to two groups: Group A (complex decongestive therapy [CDT] combined with needle electrode stimulation; n = 25; 3 males, 22 females) and Group B (CDT alone; n = 25; 3 males, 22 females). There was no significant difference in sex distribution between groups (χ² = 0.00, p > 0.99), indicating baseline comparability.</p><p><strong>Results: </strong>No significant main effect of group was observed for limb swelling rate (p = 0.46, N = 50), indicating comparable overall swelling levels between groups. A significant main effect of time was found across all time points (preoperatively and at 2 weeks, 1 month, 3 months, 6 months, and 12 months postoperatively; p < 0.01, N = 25), suggesting a general reduction in swelling over time. Importantly, a significant group × time interaction was identified (p = 0.03, N = 25), indicating that the rate of swelling reduction differed, with Group A showing a greater and faster improvement. For quality of life assessed by the Lymphedema Life Impact Scale (LLIS), the between-group difference was not statistically significant (p = 0.09, N = 25). However, a significant time effect was observed (p < 0.01), and a significant group × time interaction (p = 0.02) indicated a more favorable trajectory in Group A. No adverse events, including infection, poor wound healing, or cellulitis, were reported during the study.</p><p><strong>Conclusion: </strong>CDT combined with needle electrode stimulation demonstrates superior efficacy in reducing limb swelling and improving LLIS scores compared to CDT alone in the postoperative management of lymphedema following LVA. This combination therapy significantly enhances postoperative recovery, suggesting its potential as a more effective approach for lymphedema rehabilitation.</p>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102337"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225721","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 efficacy for the treatment of C1-C2 patients with a new method Hemodynamic Hybrid Nd YAG 1064 LASER and Cryo-Sclerotherapy (HHLCS).","authors":"Cláudia Carvalho Sathler de Melo, Felipe Puricelli Faccini","doi":"10.1016/j.jvsv.2025.102320","DOIUrl":"https://doi.org/10.1016/j.jvsv.2025.102320","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the safety and efficacy of Hemodynamic Hybrid LASER Cryo-Sclerotherapy (HHLCS) for the treatment of CVD in patients with telangiectasias, reticular veins, and varicose veins.</p><p><strong>Methods: </strong>This retrospective cohort included patients classified as C1 and C2 \"low\" treated between February 2022 and November 2024. A total of 41 women were included. All patients underwent clinical evaluation, Doppler Ultrasound Venous Mapping (DUVM) for evidence of deep and superficial reflux and standardized pre- and post-treatment photography. Exclusion criteria included previous saphenous treatment, thromboembolic events, and Fitzpatrick skin type VI. We used YAG Laser and cooled 67-75% Dextrose injection.</p><p><strong>Results: </strong>A total of 71 treatment sessions were performed. Lesion clearance was categorized as insufficient (<50%), moderate (50-69%), or complete (70-100%) based on photographic comparison by the treating physician and patient consensus. Complete clearance was achieved in 83% (34/41) of patients. Post-inflammatory hyperpigmentation (PIH) was the most frequent complication, with no cases of skin necrosis. Two minor thrombotic events were observed. No allergic reactions were reported.</p><p><strong>Conclusions: </strong>HHLCS appears to be a safe and effective office-based treatment for C1 and C2 \"low\" patients, potentially reducing the need for invasive saphenous vein procedures in early-stage CVD.</p>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102320"},"PeriodicalIF":2.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213148","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":"Surgical treatment of perineal lymphatic malformations: a single-center retrospective study of 24 years.","authors":"Pingping Liu, Yilong Guo, Ning Ma, Sen Chen, Yan Cao, Zhe Yang, Yangqun Li","doi":"10.1016/j.jvsv.2025.102328","DOIUrl":"https://doi.org/10.1016/j.jvsv.2025.102328","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the long-term outcomes and recurrence patterns of surgical treatment for perineal lymphatic malformations (LMs), which are rare but functionally and cosmetically disabling.</p><p><strong>Methods: </strong>We conducted a retrospective review of 19 patients with perineal LMs who underwent surgical excision between 2000 and 2024. All patients were followed for at least 1 year. Clinical presentation, surgical details, complications, and recurrence were analyzed. Recurrence-free survival was estimated using the Kaplan-Meier method, and risk factors were explored using univariate analysis.</p><p><strong>Results: </strong>The cohort included 17 males and 2 females. Lesions were primarily located on the penis and scrotum; Symptoms included local swelling, disfigurement, cutaneous masses, lymphostatic elephantiasis, pain, skin discoloration, and functional compromise. No patients underwent surgery at 0-1 year of age, 6 were treated at 1-6 years, 1 at 6-12 years, 6 at 12-18 years, and 6 as adults (>18 years). The median follow-up duration was 12 years (range: 1-24 years). All skin grafts and flaps survived, and patient-reported functional and cosmetic outcomes improved significantly. The complication rate was 26.3%, including wound dehiscence, lymphatic leakage, and hypertrophic scars. Overall patient satisfaction was 84.2%. Primary surgical success (no recurrence after one procedure) was achieved in 63.2% of cases. Seven patients experienced recurrence. The estimated 20-year recurrence-free survival was 42.3%. Lymphostatic elephantiasis was significantly associated with recurrence (p<0.05).</p><p><strong>Conclusion: </strong>Surgical excision of perineal LMs is safe and effective. Most patients achieved lasting symptom relief and cosmetic benefits after one operation. However, recurrence is a long-term concern, highlighting the need for ongoing surveillance.</p>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102328"},"PeriodicalIF":2.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186316","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":"Higher Clinical CEAP Classification is Associated with Lower Odds of Improvement in Patient-Reported Outcomes After Endovenous Thermal Ablation of Truncal Veins.","authors":"Daniel J Lehane, Joshua T Geiger, Baqir J Kedwai, Grayson S Pitcher, Michael C Stoner, Jennifer L Ellis, Karina A Newhall","doi":"10.1016/j.jvsv.2025.102327","DOIUrl":"https://doi.org/10.1016/j.jvsv.2025.102327","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;Endovenous thermal ablation (EVTA) of superficial lower extremity veins performed with laser or radiofrequency ablation has high rates of technical success. However, it is understudied how improvement in patient-reported outcomes (PROs) after EVTA is related to the pre-operative clinical class in the clinical, etiological, anatomical, and pathophysiological (CEAP) classification. This study investigated whether patients with higher CEAP clinical class have lower odds of perceived symptomatic improvement than patients with lower pre-procedural clinical class.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A retrospective cohort analysis of Vascular Quality Initiative (VQI) Varicose Vein Registry data from 2014-2021 was conducted. Patients &gt;18 years of age that underwent EVTA alone and followed up within 3 months were included, while those with a clinical CEAP class of C0 or C1, non-truncal ablation, missing baseline CEAP score, or weight and height outside VQI data standards were excluded. Patient-reported limb appearance, work impact, and a composite score of heaviness, achiness, swelling, throbbing and itching (HASTI) were analyzed on a per-limb basis. Factors associated with improvement in PROs were tested with multivariable mixed-effects logistic regression. The models adjusted for CEAP class, demographics, and anatomic variables as fixed effects and were clustered by VQI center. Demographic and comorbidity data were compared across CEAP classes with Chi-squared, Kruskal-Wallis, or ANOVA testing as appropriate.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;6,364 patients met inclusion criteria, and 7,607 limbs were analyzed for the study period. Patient demographics and comorbid venous pathologies were not evenly distributed among the CEAP classes. Patients with C6 disease (odds ratio [OR]:0.63, 95% confidence interval [CI]:0.45-0.88; p=0.01) and patients with a history of phlebitis (OR:0.76, 95% CI:0.59-0.99; p=0.04) had lower odds of improvement in HASTI score. For patient-reported appearance, C3 (OR:0.79, 95% CI:0.66-0.94; p=0.01) and C6 (OR:0.50, 95% CI:0.38-0.67; p&lt;0.01) disease were associated with lower odds of improvement. Obesity (OR:0.87, 95% CI:0.76-0.99; p=0.04), preoperative anticoagulation (OR:0.77, 95% CI:0.62-0.97; p=0.03), and prior vein treatment (OR:0.81, 95% CI:0.71-0.93; p&lt;0.01) were also negatively associated with appearance, while age ≥ 65 was positively associated (OR:1.17, 95% CI:1.01-1.35; p=0.04). Clinical class showed no association with an improvement in impact on work. Female sex was positively associated with improved impact on work (OR:1.17, 95% CI:1.02-1.36; p=0.03).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Higher CEAP clinical class was associated with odds of improvement in HASTI and appearance but not associated with improvement in patients' perception of impact on work. These findings are important for patient counseling regarding what outcomes they can expect with EVTA based on their pre-operative clinical pr","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102327"},"PeriodicalIF":2.8,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145176220","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":"Predictive Biomarkers for Post-thrombotic Syndrome (PTS).","authors":"Oscar Moreno, Nathaniel Parchment, Kate Micallef, Sabrina Rocco, Amber Clay, Catherine Luke, Kiran Kumar, Jorge H Ulloa, Thomas Wakefield, Andrea Obi, Peter Henke","doi":"10.1016/j.jvsv.2025.102325","DOIUrl":"https://doi.org/10.1016/j.jvsv.2025.102325","url":null,"abstract":"<p><p>Post-thrombotic syndrome (PTS) is a long-term sequela of Deep venous thrombosis (DVT). This review summarizes the best currently available biomarker candidates to identify high-risk progression patients. We examined indexed literature, including clinical studies and review articles, to identify biomarkers indicating the progression of DVT to PTS. Among the most studied biomarkers, associations between PTS and ICAM-1 and IL-10 were consistently found to be associated with PTS development, whereas D-Dimer, CRP, and IL-6 showed inconsistent results. Other less-studied biomarkers, including cell adhesion molecules, adipokines, thrombotic/fibrinolytic molecules, and novel imaging modalities, have been associated with PTS. Further clinical research on PTS biomarkers is warranted with standardized study designs to compare outcomes. A panel of biomarkers adjusted by age and BMI, including inflammatory (IL-10), coagulation (D-dimer), adhesion (ICAM-1), remodeling (MMP-1/8), and metabolic molecules (adiponectin/leptin) in conjunction with imaging, is recommended for future studies.</p>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102325"},"PeriodicalIF":2.8,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137909","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}