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

{"title":"Evolution of the Caprini risk assessment score: 1991 to present: A living risk assessment tool","authors":"Joann Lohr MD","doi":"10.1016/j.jvsv.2026.102484","DOIUrl":"10.1016/j.jvsv.2026.102484","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 4","pages":"Article 102484"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balancing early thrombus removal with durable decompression in Paget-Schroetter syndrome","authors":"Rafael Demarchi Malgor MD, MBA, FSVS, FACS","doi":"10.1016/j.jvsv.2026.102486","DOIUrl":"10.1016/j.jvsv.2026.102486","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 4","pages":"Article 102486"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regarding “Anticoagulation noncompliance and inflow factors drive early stent failure patterns”","authors":"Kishankumar Mahida MD, Snehal Rajendra Jagtap PhD","doi":"10.1016/j.jvsv.2026.102471","DOIUrl":"10.1016/j.jvsv.2026.102471","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 4","pages":"Article 102471"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for Readers","authors":"","doi":"10.1016/S2213-333X(26)00103-4","DOIUrl":"10.1016/S2213-333X(26)00103-4","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 4","pages":"Article 102543"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148499496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regarding “Long-term efficacy following venous stenting for symptomatic iliofemoral venous obstruction: 5-year clinical and stent outcomes in a Southeast Asian population”","authors":"Saad Ahmad MBBS Student, Syed Mujtaba Hussain MBBS Student","doi":"10.1016/j.jvsv.2026.102474","DOIUrl":"10.1016/j.jvsv.2026.102474","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 4","pages":"Article 102474"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Events of Interest","authors":"","doi":"10.1016/S2213-333X(26)00104-6","DOIUrl":"10.1016/S2213-333X(26)00104-6","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 4","pages":"Article 102544"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148499497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From scientific inquiry to identifying critical research topics in varicose veins pathophysiology","authors":"Joseph D. Raffetto MD","doi":"10.1016/j.jvsv.2026.102464","DOIUrl":"10.1016/j.jvsv.2026.102464","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 4","pages":"Article 102464"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on “Laparoscopic and robotic extravascular stenting of the left renal vein for anterior nutcracker syndrome in a single-center series”","authors":"Sangameshwar Manikya BDS, Varshini Vadhithala MBBS, Rajnish Kumar PhD, Pankaj Nainwal PhD","doi":"10.1016/j.jvsv.2026.102465","DOIUrl":"10.1016/j.jvsv.2026.102465","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 4","pages":"Article 102465"},"PeriodicalIF":3.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic and robotic extravascular stenting of the left renal vein for anterior nutcracker syndrome in a single-center series","authors":"Shuai Tang MD ,&nbsp;Kai Li MD ,&nbsp;Fan Chang MD ,&nbsp;Song Li MD ,&nbsp;Zheng Lv MD ,&nbsp;Jianghui Zhang MD ,&nbsp;Wensong Wu MD ,&nbsp;Huiyuan Shi MD ,&nbsp;Fangmin Chen MD, PhD","doi":"10.1016/j.jvsv.2026.102459","DOIUrl":"10.1016/j.jvsv.2026.102459","url":null,"abstract":"<div><h3>Background</h3><div>Nutcracker syndrome (NCS) arises from extrinsic compression of the left renal vein (LRV) between the superior mesenteric artery and the abdominal aorta. Extravascular stenting (EVS) has emerged as a minimally invasive alternative to historical operations and endovascular stents. We report a single-center series spanning 2010 to 2025 and propose a standardized, reproducible framework that couples intraoperative process quality with objective postoperative hemodynamic targets.</div></div><div><h3>Methods</h3><div>We retrospectively analyzed 22 consecutive NCS patients treated with laparoscopic or robot-assisted EVS. We standardized five intraoperative steps (five-in-a-row: fibrotic-ring resection, proper length tailoring/placement, sufficient superior mesenteric artery mobilization, complete division of LRV tributaries, stable anterior fixation). Postoperative duplex ultrasound metrics included aortomesenteric (AM) LRV peak systolic velocity and the AM/hilum peak systolic velocity (PSV) ratio. Thresholds were determined by receiver operating characteristic-Youden index; performance was summarized at fixed cutoffs, with bootstrap for the ratio and exploratory OR/AND combinations.</div></div><div><h3>Results</h3><div>Complete success was achieved in 18 of 22 patients (81.8%). Data-driven analysis identified a postoperative AM PSV of ≤72 cm/s as the primary attainment threshold, yielding a sensitivity of 1.00, specificity of 0.75, accuracy of 0.95, and area under the receiver operating characteristic curve (AUC) of ≈0.917. The AM/hilum ratio showed a Youden-optimal cutoff of ≈1.90 (clinically ≈2.0) with an AUC of ≈0.56, supporting its role as a sensitivity/replicability metric rather than a standalone gatekeeper. OR and AND combinations demonstrated expected trade-offs; a simple 0/1/2 composite score achieved an AUC of ≈0.78. The five-in-a-row checklist was concordant with attaining the AM-PSV target on Doppler ultrasound examination.</div></div><div><h3>Conclusions</h3><div>Laparoscopic or robot-assisted EVS is a safe, feasible, and effective option for NCS. We a propose postoperative AM PSV of ≤72 cm/s as a unified, reproducible primary quantitative end point, with an AM/hilum ratio of ≈2.0 as a secondary, replicability-oriented metric. Integrating these targets with a standardized five-in-a-row checklist establishes a process-outcome loop that enhances procedural reproducibility and supports sustained symptom relief over the available follow-up.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 3","pages":"Article 102459"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146197843","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":"Artificial intelligence risk stratification from dynamic digital subtraction angiography radiomics predicts pulmonary embolism and associates with clinical outcomes in deep vein thrombosis: A retrospective cohort study","authors":"Tao Kang MD ,&nbsp;Song Han MD ,&nbsp;Yao-Liang Lu MD ,&nbsp;Xiao-Qiang Li MD, PhD","doi":"10.1016/j.jvsv.2026.102450","DOIUrl":"10.1016/j.jvsv.2026.102450","url":null,"abstract":"<div><h3>Objective</h3><div>Current risk stratification for lower extremity deep vein thrombosis remains limited, often failing to identify high-risk patients for impending pulmonary embolism (PE) and leading to non-guideline-concordant overtreatment. We aimed to develop and validate a novel artificial intelligence (AI) system that processes dynamic digital subtraction angiography (DSA) radiomics, with the potential to guide precision therapy during endovascular intervention.</div></div><div><h3>Methods</h3><div>In a retrospective cohort study of 168 patients treated at a single vascular surgery center (2019-2023), we developed a hybrid deep learning model integrating a transformer-UNet for spatial feature extraction and a long short-term memory (LSTM) network for temporal hemodynamic analysis. This model processed intraprocedural dynamic DSA sequences to quantify novel thrombus kinematic parameters (eg, displacement velocity, oscillation angle θ) and hemodynamic parameters venous (quantitative flow ratio). The model's performance for predicting subsequent PE was compared against the Wells score. Its impact on clinical decision-making and 12-month outcomes was evaluated rigorously.</div></div><div><h3>Results</h3><div>The AI model demonstrated significantly superior discriminative performance for predicting PE compared with the Wells score (area under the curve, 0.88; 95% confidence interval [CI], 0.85-0.92 vs 0.76; 95% CI, 0.70-0.83; <em>P</em> = .026). Implementation of the AI-guided strategy was associated with markedly improved clinical outcomes at the 12-month follow-up: a 54% lower incidence of PE (3.4% vs 11.1%; relative risk [RR], 0.46; 95% CI, 0.08-0.82; <em>P</em> = .005), a 62% lower incidence of severe post-thrombotic syndrome (Villalta score ≥10; 8.0% vs 21.0%; RR, 0.38; 95% CI, 0.17-0.86; <em>P</em> = .008), and a lower prevalence of preexisting inferior vena cava filters in the AI-stratified high-risk group (25.3% vs 44.4%; RR, 0.57; 95% CI, 0.36-0.89; <em>P</em> &lt; .001), without a significant increase in major bleeding events (2.3% vs 7.4%; <em>P</em> = .096).</div></div><div><h3>Conclusions</h3><div>An AI-guided risk stratification system based on dynamic DSA radiomics accurately identifies thrombus instability and hemodynamic impairment in real time and suggests its potential to help enable more personalized therapeutic decisions during intervention. In this retrospective analysis, AI-based risk stratification was associated with a significantly lower incidence of PE and severe post-thrombotic syndrome while safely curbing the overuse of inferior vena cava filters, representing a transformative advancement in the precision management of acute deep vein thrombosis.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 3","pages":"Article 102450"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119420","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}