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

{"title":"PREDICTORS OF INFERIOR VENA CAVA FILTER RETRIEVAL IN A POPULATION-BASED CANADIAN COHORT.","authors":"Serena Ip, Konrad Salata, Graham Roche-Nagle, Charles de Mestral, Jin Luo","doi":"10.1016/j.jvsv.2025.102283","DOIUrl":"https://doi.org/10.1016/j.jvsv.2025.102283","url":null,"abstract":"<p><strong>Background: </strong>The objective of this study was to determine the predictors of inferior vena cava (IVC) filter retrieval in a contemporary North American cohort of patients who received an IVC filter.</p><p><strong>Methods: </strong>A retrospective population-based cohort study was conducted using Ontario administrative health data. Physician service fee codes were used to identify all adults with an IVC filter placement from Jan 1, 2010, to December 31, 2019. The cumulative incidence of filter retrieval over time was calculated, accounting for death as a competing risk. Multivariable sub-distribution hazard regression models were constructed to quantify the association between covariates and the likelihood of filter retrieval.</p><p><strong>Results: </strong>A total of 5,617 people received an IVC filter during the study period. Median follow-up was 1.8 years (interquartile range 0.2 - 5.4 years). The probability of filter retrieval plateaued under 40% with most retrievals, 96% (N = 2,049 of 2,135), occurring within 1 year of placement. Filter placement in a teaching hospital (HR 1.85, 95% CI 1.60, 2.02), and placement after 2016 were associated with a greater likelihood of filter retrieval. Older age and greater comorbidity were associated with a lower likelihood of filter retrieval.</p><p><strong>Conclusion: </strong>In this population-based study of IVC filter retrieval, less than 40% of filters were retrieved, mostly within 1 year of insertion. Better co-ordination and standardization of services responsible for follow-up of patients with IVC filters are needed.</p>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102283"},"PeriodicalIF":2.8,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528581","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":"Comparison of clinical outcomes among patients with proximal vs isolated distal deep vein thrombosis: A systematic review and meta-analysis.","authors":"Siyi Zhang, Can Shi, Xia Wang, Huilin Xu, Ziwei Liu, Songhua Chen, Tian Wu, Ren Guo","doi":"10.1016/j.jvsv.2025.102281","DOIUrl":"10.1016/j.jvsv.2025.102281","url":null,"abstract":"<p><strong>Objective: </strong>Deep vein thrombosis (DVT) ranks among the top five most prevalent vascular diseases globally and encompasses proximal deep vein thrombosis (PDVT) and isolated distal deep vein thrombosis (IDDVT). IDDVT affects approximately 50-65% of DVT patients. However, due to a lack of prospective studies and conflicting perspectives on its potential to lead to pulmonary embolism (PE), the management of IDDVT remains contentious. Therefore, this meta-analysis was conducted to compare the clinical outcomes of PDVT and IDDVT.</p><p><strong>Method: </strong>We searched studies including proximal and isolated distal thrombotic outcomes in the electronic databases PubMed, EMBASE, Cochrane, and Web of Science. The literature was then screened based on title, abstract, and full text to exclude those that did not meet the criteria. A total of 21 cohort and randomized controlled studies were included.</p><p><strong>Results: </strong>Compared with IDDVT, PDVT was associated with higher rates in recurrent vein thromboembolism (OR: 1.62; 95% CI:1.35-1.93, p < .001), PE (OR: 1.52; 95% CI: 1.16-1.99, p = .002), major bleeding (OR: 1.95; 95% CI: 1.23-3.09, p = .005), and all-cause mortality (OR: 2.02; 95% CI: 1.19-3.44, p = .009). However, no significant differences were found in the rates of any bleeding (OR: 1.57 95% CI: 0.96-2.58, p = .070) and non-major bleeding (OR: 1.03; 95% CI: 0.69-1.54, p = .88).</p><p><strong>Conclusion: </strong>Compared to PDVT, patients with IDDVT may have lower rates of recurrent VTE, PE, major bleeding events, and all-cause mortality, demonstrating safer clinical outcomes.</p>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102281"},"PeriodicalIF":2.8,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144368939","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":"Frequency of left common iliac vein compression in asymptomatic adolescents and young adults.","authors":"Kevin Wang, Luie Siegel, Alexis Betancourt, Nicole A Keefe, Gloria Salazar, Sydney Browder, William A Marston","doi":"10.1016/j.jvsv.2025.102282","DOIUrl":"10.1016/j.jvsv.2025.102282","url":null,"abstract":"<p><strong>Objective: </strong>Venous compression at the iliac confluence is a reported risk factor for deep vein thrombosis (DVT), with venous stenting as the standard management for relieving this compression. Kibbe et al. demonstrated that left common iliac vein (LCIV) compression is present in 35.3% of asymptomatic patients. However, this study included only adults with an average age of 40. The iliac vein confluence in patients under 21 with no symptoms attributable to venous disease was evaluated in this study. The study goal is to determine prevalence of LCIV narrowing in patients under age 21, and as such, assist in determining the appropriate treatment for iliac vein compression in this patient population.</p><p><strong>Methods: </strong>A retrospective review of patients aged 13-20 undergoing abdominal/pelvic CT imaging for non-vascular indications was performed. This group was compared to patients aged 35-65 undergoing CT imaging for similar reasons. Axial CT images were reviewed by 2 independent examiners to identify the diameter of the non-compressed left and right CIVs below the confluence and the diameter of the LCIV at the site of compression between the right common iliac artery and spine.</p><p><strong>Results: </strong>122 patients aged 13-20 were identified with high quality CT imaging and no venous symptoms for image review. Mean left common iliac vein (LCIV) diameter was 12.7 ± 2.5 mm and mean right CIV diameter was 13.1 ± 2.2 mm. The diameter of the LCIV at the confluence was 4.2 ± 1.8 mm, resulting in a mean diameter stenosis of the LCIV of 69.4% ± 12.6%. In this population, 55.7% of patients were found to have ≥70% stenosis of the LCIV on CT imaging compared to 1.7% of patients aged 35-65 (P < .001). There was no statistical difference in the percentage of LCIV stenosis in young patients based on body mass index, gender, race, or ethnicity.</p><p><strong>Conclusions: </strong>Severe compression of the LCIV at the iliac confluence was identified in over 50% of asymptomatic patients aged 13-20 on CT imaging performed for non-vascular reasons. This suggests that narrowing of the LCIV is a normal anatomic finding in this age group. The incidence of severe compression is significantly lower in older persons. In young persons, the high incidence of iliac vein compression on CT imaging suggests that this finding may not be a significant risk factor for DVT or limb symptoms, questioning the need for routine intervention for compression correction in this patient population.</p>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102282"},"PeriodicalIF":2.8,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144368940","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":"Venous bypass using the internal jugular vein as the outflow tract for treating central venous stenosis and cephalic arch stenosis in hemodialysis access.","authors":"Mo Wang, Peng Lu, Quanming Li, Chang Shu, Yang Zhou, Tun Wang","doi":"10.1016/j.jvsv.2025.102280","DOIUrl":"https://doi.org/10.1016/j.jvsv.2025.102280","url":null,"abstract":"<p><strong>Objective: </strong>Central venous stenosis (CVS) and cephalic arch stenosis (CAS) remain significant issues in the long-term management of hemodialysis access. Surgical bypass serves as a crucial option for symptom relief and access preservation when endovascular treatments fail. This study aimed to evaluate the effectiveness and safety of using the internal jugular vein (IJV) as the outflow tract in bypass surgery for CVS and CAS.</p><p><strong>Methods: </strong>From December 2021 to September 2024, 21 patients undergoing hemodialysis who developed CVS (n=15) or CAS (n=6), were undertaken. Extra-anatomic venous bypass using the IJV were performed. Before surgical bypass, all patients had computed tomography angiography (CTA) and bilateral venograms of the upper central venous system. Color doppler ultrasound was used to measure flow volume. A literature review was conducted to analyze the outcomes of previous studies that using venous bypass for the treatment of CVS in upper extremity hemodialysis access patients.</p><p><strong>Results: </strong>Technical success was achieved in all cases. 15 cases presented with CVS (11 men and 4 women with a mean age of 56±11 years, range 37 to 82 years) were treated by six surgical approaches include cephalic vein to contralateral-IJV bypass (n=3), axillary vein to contralateral -IJV bypass (n=5), external jugular vein to contralateral -IJV bypass (n=2), IJV to contralateral -IJV bypass (n=2), axillary vein to ipsilateral-IJV bypass (n=1), cephalic vein to ipsilateral-IJV bypass (n=1), and AVG to ipsilateral -IJV bypass (n=1). The median follow-up was 22 months (IQR, 12 to 24 months). The primary patency rate and secondary patency were 79% and 79% at 1 year, 65% and 79% at 2 years. 6 patients presented with CAS (2 men and 4 women with a mean age of 51±9 years, range 38 to 59 years) were treated by cephalic vein to ipsilateral-IJV bypass (n=6). The median follow-up was 22 months (IQR, 15 to 26 months). The primary patency rate and secondary patency were 100% and 100% at 1 year, 60% and 60% at 2 years. All patients showed significant symptom improvement post-operation, with no perioperative mortality.</p><p><strong>Conclusion: </strong>Extra-anatomic venous bypass using the IJV as outflow tract is an effective and safe alternative, providing good graft patency and low postoperative complications during midterm follow-up. Careful selection of inflow and outflow tracts is crucial for optimal outcomes.</p>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102280"},"PeriodicalIF":2.8,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144484835","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":"Rationale for glue embolization rather than foam sclerosis in the endovascular treatment of pelvic reservoir in pelvic venous disorders","authors":"Romaric Loffroy MD, PhD","doi":"10.1016/j.jvsv.2025.102216","DOIUrl":"10.1016/j.jvsv.2025.102216","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"13 4","pages":"Article 102216"},"PeriodicalIF":2.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270685","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":"Natural course of portal vein aneurysm - does morphology matter?","authors":"Admir Kurtcehajic PhD,&nbsp;Enver Zerem MD,&nbsp;Suad Kunosic PhD,&nbsp;Ervin Alibegovic MD,&nbsp;Predrag Jovanovic MD,&nbsp;Ahmed Hujdurovic PhD","doi":"10.1016/j.jvsv.2025.102231","DOIUrl":"10.1016/j.jvsv.2025.102231","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"13 4","pages":"Article 102231"},"PeriodicalIF":2.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270686","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":"Events of Interest","authors":"","doi":"10.1016/S2213-333X(25)00102-7","DOIUrl":"10.1016/S2213-333X(25)00102-7","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"13 4","pages":"Article 102267"},"PeriodicalIF":2.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271561","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":"Information for Readers","authors":"","doi":"10.1016/S2213-333X(25)00101-5","DOIUrl":"10.1016/S2213-333X(25)00101-5","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"13 4","pages":"Article 102266"},"PeriodicalIF":2.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271560","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":"Commentary on compression after radiofrequency ablation: Limitations and research gaps","authors":"Yang Xiao PhD,&nbsp;Shi Hongshuo PhD,&nbsp;Liu Guobin PhD","doi":"10.1016/j.jvsv.2025.102218","DOIUrl":"10.1016/j.jvsv.2025.102218","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"13 4","pages":"Article 102218"},"PeriodicalIF":2.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144270720","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":"Successful treatment of severe venous leg ulcers (VLUs) and diabetic foot ulcers (DFUs) using ozone.","authors":"Giuseppe Masiello, Marianno Franzini, Umberto Tirelli, Tommaso Richelmi, Luigi Valdenassi, Francesco Vaiano, Salvatore Chirumbolo","doi":"10.1016/j.jvsv.2025.102278","DOIUrl":"https://doi.org/10.1016/j.jvsv.2025.102278","url":null,"abstract":"<p><strong>Background: </strong>Venous leg ulcers (VLUs) and diabetic foot ulcers (DFUs) are chronic wounds associated with significant morbidity, high recurrence rates, and poor healing outcomes. Conventional treatments often fail to achieve satisfactory results, leading to prolonged pain, infection risks, and reduced quality of life. Oxygen-ozone therapy (OOT) has emerged as a potential adjunct to conventional wound care, with antimicrobial, anti-inflammatory, and tissue-regenerating properties. This study evaluates the efficacy of OOT in treating severe VLUs and DFUs.</p><p><strong>Methods: </strong>A total of 25 patients (mean age 57.2 ± 10.51 SD) with refractory VLUs (n=18) or DFUs (n=7) received OOT alongside standard care. Treatment protocols included major autohaemotherapy (O₂-O₃-MAHT), topical ozone application, and localized ozone injections. Clinical assessments included pain scoring (Numeric Rating Scale, NRS), microbiological evaluations, and logistic regression analysis to determine healing rates.</p><p><strong>Results: </strong>At four weeks, pain scores decreased by 73.27% (p < 0.0001), and 92% of septic lesions showed negative bacterial cultures. Logistic regression analysis indicated a significant improvement in healing rates (p < 0.0001), with 80% of patients achieving complete wound closure. Inflammatory markers were reduced, and tissue regeneration was enhanced.</p><p><strong>Conclusions: </strong>OOT demonstrated substantial efficacy in reducing infection, alleviating pain, and promoting wound healing in patients with severe VLUs and DFUs. These findings support the use of OOT as a valuable adjunctive treatment. Further large-scale, randomized trials are needed to optimize treatment protocols and confirm long-term benefits.</p>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102278"},"PeriodicalIF":2.8,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302399","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}