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

{"title":"Events of Interest","authors":"","doi":"10.1016/S2213-333X(25)00132-5","DOIUrl":"10.1016/S2213-333X(25)00132-5","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"13 5","pages":"Article 102297"},"PeriodicalIF":2.8,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830402","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 iPad-based three-dimensional scanning the future for evaluating lower extremity volume or edema in clinic?","authors":"Christine L. Shokrzadeh MD, Jose I. Ortiz De Elguea-Lizarraga MD","doi":"10.1016/j.jvsv.2025.102276","DOIUrl":"10.1016/j.jvsv.2025.102276","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"13 5","pages":"Article 102276"},"PeriodicalIF":2.8,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830406","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":"What's race got to do with it? Unraveling disparities in venous thromboembolism","authors":"Sheila N. Blumberg MD, MS","doi":"10.1016/j.jvsv.2025.102271","DOIUrl":"10.1016/j.jvsv.2025.102271","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"13 5","pages":"Article 102271"},"PeriodicalIF":2.8,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144830403","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":"Repair of a popliteal vein aneurysm following a torn meniscus","authors":"Jack Petroski BS , Raj Patel BS , Gurpreet Singh DO , Raghuram Gorti MD","doi":"10.1016/j.jvsv.2025.102301","DOIUrl":"10.1016/j.jvsv.2025.102301","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"13 6","pages":"Article 102301"},"PeriodicalIF":2.8,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144847192","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":"A predictive model for early detection of concomitant pulmonary embolism in patients with deep vein thrombosis immediately upon hospital admission","authors":"Maofeng Gong MD ,&nbsp;Rui Jiang MD ,&nbsp;Kang Guo MBBS ,&nbsp;Xu He MD ,&nbsp;Jianping Gu MBBS","doi":"10.1016/j.jvsv.2025.102299","DOIUrl":"10.1016/j.jvsv.2025.102299","url":null,"abstract":"<div><h3>Objective</h3><div>To develop and validate a predictive model for the early identification of concomitant pulmonary embolism (PE) in patients with deep vein thrombosis (DVT) upon hospital admission.</div></div><div><h3>Methods</h3><div>We retrospectively collected data from a cohort of patients diagnosed with DVT, including baseline demographics, clinical characteristics, laboratory parameters, and imaging-based measurements of compression of the iliac vein to develop a predictive model. The least absolute shrinkage and selection operator regression, widely used in clinical decision-making algorithms for its ability to perform variable selection and regularization simultaneously, was used for variables selection. A multivariate logistic regression was then conducted to construct a predictive model. The model's discriminatory ability was assessed using the area under the curve. Calibration analysis and decision curve analysis were performed.</div></div><div><h3>Results</h3><div>Patients were randomly divided into a development dataset (69.8% [143 with PE and 130 without PE]) and a validation dataset (30.2% [63 with PE and 55 without PE]) for model construction and internal validation. Seven predictors, including female gender, hypertension, cardiovascular disease, fracture, age, D-dimer, and compression of the iliac vein percentage were identified by least absolute shrinkage and selection operator regression and finally incorporated into the nomogram. The model achieved an area under the curve of 0.727 (95% confidence interval, 0.667-0.787) in the training set, and 0.707 (95% confidence interval, 0.611-0.803) in the validation set. The model was well-calibrated, and decision curve analysis demonstrated a net benefit for predicting PE at threshold probabilities ranged between 18% and 80%.</div></div><div><h3>Conclusions</h3><div>A novel predictive model with strong calibration and discriminative power was developed for assessing concomitant PE risk in patients with DVT. This model may facilitate early estimating of PE probability before obtaining definitive <span>CT</span> angiography results and support timely management processes.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"13 6","pages":"Article 102299"},"PeriodicalIF":2.8,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144768758","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":"Rapid post exercise venous refilling time is an independent contributor to chronic venous insufficiency","authors":"Hossam Elbenawi MD ,&nbsp;Atefeh Ghorbanzadeh MD ,&nbsp;David Liedl RNP ,&nbsp;Thom Rooke MD ,&nbsp;Paul Wennberg MD ,&nbsp;Robert McBane MD ,&nbsp;Damon E. Houghton MD, MS","doi":"10.1016/j.jvsv.2025.102292","DOIUrl":"10.1016/j.jvsv.2025.102292","url":null,"abstract":"<div><h3>Background</h3><div>Chronic venous insufficiency (CVI) results in complications such as pain, swelling, edema, skin changes, and ulcerations of the lower extremities. Valvular incompetence and venous obstruction are well-recognized contributors to CVI. Post-exercise venous refilling time (P-EVRT), the time to refill veins after calf muscle contractions during venous plethysmography study, is an understudied contributor to CVI.</div></div><div><h3>Methods</h3><div>In this cross-sectional study of 4755 patients who were evaluated with venous air plethysmography, 9510 lower limbs were categorized based on P-EVRT into two groups: rapid (&lt;20 seconds; n = 5256) and normal (n = 4254).</div></div><div><h3>Results</h3><div>Rapid P-EVRT was associated with higher mean CEAP scores (3.2 vs 2.5; <em>P</em> &lt; .001) and a higher prevalence of active/prior ulcers (11.6 vs 4.1%; <em>P</em> &lt; .001). Univariable analysis showed that age, male sex, the severity of incompetence, obstruction, calf pump function, and rapid P-EVRT were all significantly associated with active/prior ulcers. After multivariable adjustment for these significant factors, rapid P-EVRT was an independent contributor to active/prior ulcers (odds ratio, 1.44; 95% confidence interval, 1.17-1.77). Among limbs without other venous pathology by plethysmography (incompetence, obstruction, reduced calf pump function), rapid P-EVRT remained significantly associated with higher mean CEAP scores (<em>P</em> &lt; .001) and a higher prevalence of venous ulcers than limbs with normal P-EVRT (5.7% vs 2.7%; <em>P</em> = .001).</div></div><div><h3>Conclusions</h3><div>In this large contemporary study using venous air plethysmography, we demonstrate that rapid P-EVRT is an important and unique venous physiologic parameter that informs our understanding of the clinical severity of CVI.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"13 6","pages":"Article 102292"},"PeriodicalIF":2.8,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144718086","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":"Robotic-assisted left renal vein transposition with distal gonadal vein anastomosis: A novel technique for dual venous drainage in nutcracker syndrome","authors":"JinBin Xu MD,&nbsp;Sam Un Cheong MD,&nbsp;GengGuo Deng MD,&nbsp;Zifeng Xu MD,&nbsp;ZhanSen Huang MD,&nbsp;Yuedian Ye MD,&nbsp;Hua Wang MD,&nbsp;Weihao Liu MD,&nbsp;Xiaoming Li MD,&nbsp;Jiang Li MD,&nbsp;Qunxiong Huang MD,&nbsp;Tengcheng Li MD,&nbsp;Jinming Di MD","doi":"10.1016/j.jvsv.2025.102289","DOIUrl":"10.1016/j.jvsv.2025.102289","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the feasibility and outcomes of a novel robotic-assisted laparoscopic technique—Di's II robotic-assisted left renal vein (LRV) transposition with distal gonadal vein (GV) anastomosis—creating dual venous drainage for treating nutcracker syndrome (NCS).</div></div><div><h3>Methods</h3><div>Between December 2023 and October 2024, three male patients (median age, 14 years) with NCS underwent robotic-assisted LRV transposition using the Di's II technique. Key procedural innovations included selective occlusion of the infrarenal inferior vena cava (IVC) and LRV without right renal vein clamping, combined with distal GV anastomosis to enhance venous drainage. Operative parameters, including anastomosis time, blood loss, and postoperative outcomes, were analyzed retrospectively.</div></div><div><h3>Results</h3><div>All procedures were successfully completed robotically. Median total operative time was 145 minutes (range, 135-160 minutes), with LRV and GV anastomosis times of 25 minutes (range, 24-27 minutes). The median estimated blood loss was 40 mL (range, 30-50 mL). Postoperative imaging confirmed resolution of LRV compression, with pressure gradients reduced to ≤2.8 mm Hg. Symptoms (hematuria, proteinuria, and varicocele) resolved within 6 months, and no perioperative complications occurred during follow-up.</div></div><div><h3>Conclusions</h3><div>The Di's II technique represents a safe and effective minimally invasive approach for NCS, combining robotic precision with dual venous drainage to alleviate LRV hypertension and pelvic congestion. Preliminary outcomes demonstrate technical feasibility, a lower ischemia risk, and symptom resolution, supporting further validation in larger cohorts.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"13 6","pages":"Article 102289"},"PeriodicalIF":2.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667935","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":"Clinical outcomes of venous tumor thrombectomy in renal cell carcinoma.","authors":"Sang Ah Lee, Hyeyeon Jang, Youngjin Han, Yong-Pil Cho, Jun Gyo Gwon","doi":"10.1016/j.jvsv.2025.102290","DOIUrl":"10.1016/j.jvsv.2025.102290","url":null,"abstract":"<p><strong>Objective: </strong>Renal cell carcinoma (RCC) has a unique feature in which tumor thrombus extends through the vein into the inferior vena cava. RCC with venous tumor thrombus is classified based on the level of thrombus. Standard treatment involves a combination of radical nephrectomy and tumor thrombectomy, despite the technical challenges associated with this approach. We aimed to evaluate the clinical outcomes based on the tumor thrombus level.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of patients who underwent tumor resection and thrombectomy for RCC with venous tumor thrombus at a single center between January 2001 and December 2022. Tumor thrombus levels were classified into four levels (I-IV) according to the Mayo Clinic grading system, and patients were grouped based on the hepatic vein level: levels 0, I, and II were categorized as group 1, while levels III and IV were categorized as group 2. Survival outcomes were compared between the two groups using Kaplan-Meier survival analysis.</p><p><strong>Results: </strong>A total of 287 patients with RCC with venous tumor thrombus who underwent tumor resection and thrombectomy were identified. The distribution of patients according to the tumor thrombus level was as follows: 84 patients had level 0 thrombus, 71 had level I, 85 had level II, 19 had level III, and 28 had level IV. This results in 240 patients in group 1 (levels 0, I, and II) and 47 patients in group 2 (levels III and IV). The 5-year survival rates were 46.7% for group 1 and 53.2% for group 2. Kaplan-Meier survival analysis showed no significant difference in 5-year overall survival between the two groups (P = .75). However, patients in group 2 had a significantly longer postoperative hospital stay (21.43 ± 23.09 days) compared with those in group 1 (10.63 ± 6.31 days; P = .004).</p><p><strong>Conclusions: </strong>Tumor thrombus level is not a significant prognostic factor in RCC. Aggressive surgical removal should be considered, even for thrombus extending beyond the hepatic vein, given the acceptable prognosis.</p>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102290"},"PeriodicalIF":2.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667867","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":"Left renal vein thrombosis with nutcracker syndrome.","authors":"Xin Wei Zhou, Dong Zhe Chai, Hua Yi Zhang","doi":"10.1016/j.jvsv.2025.102288","DOIUrl":"10.1016/j.jvsv.2025.102288","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":" ","pages":"102288"},"PeriodicalIF":2.8,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12356302/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667868","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":"Pigmentation after foam or cryo-laser cryo-sclerotherapy for lower limb reticular veins: A within-patient randomized trial","authors":"Anelise Rodrigues MD ,&nbsp;Juliana Puggina MD, PhD ,&nbsp;Viviane Santana da Silva BSc ,&nbsp;Camilla Moreira Ribeiro PhD ,&nbsp;Fabrício Rodrigues Santiago MD, PhD ,&nbsp;Samantha Neves MD, PhD ,&nbsp;Gabriel Henrique Simoni MS4 ,&nbsp;Maria Fernanda Portugal MD, PhD ,&nbsp;Eduardo Ramacciotti MD, PhD","doi":"10.1016/j.jvsv.2025.102285","DOIUrl":"10.1016/j.jvsv.2025.102285","url":null,"abstract":"<div><h3>Objective</h3><div>Skin hyperpigmentation is a common complication after leg vein sclerotherapy and a primary concern for patients with cosmetic complaints. The aim of this study was to determine if cryo-laser cryo-sclerotherapy technique (CLaCS) presents a lower incidence and intensity pigmentation after procedure compared with 0.5% polidocanol foam sclerotherapy, 60 days after a single treatment of reticular veins.</div></div><div><h3>Methods</h3><div>This was an open-label, prospective, within-patient, randomized, active controlled, safety trial with blind evaluators. Interventions took place from August through September 2021, with a 2-month follow-up. Interventions were performed in a private clinic. Eligible patients were volunteers over 18 years old, with aesthetic discomfort related to bilateral lower limb reticular veins, similar length and distribution, with veins' internal diameter up to 2.2 mm in B-mode ultrasound. Patients underwent consecutive CLaCS treatment in one limb and 0.5% polidocanol foam in the contralateral limb on the same day. The primary outcome was the presence of post-procedure pigmentation in treated areas 60 days after a single treatment, determined through photo evaluation and objective measurement of skin color dissimilarity between the treated area and the adjacent skin, using a precision colorimeter. Patients’ aesthetic satisfaction improvement, vein diameter reduction, and minor/major adverse events were also assessed.</div></div><div><h3>Results</h3><div>Twenty-three women (46 limbs) were treated, and two were lost to follow-up. No significant statistical difference in the number of limbs that developed posttreatment pigmentation was found for both photo (7 CLaCS vs 5 foam; <em>P</em> = .8906) and colorimetric (9 CLaCS vs 13 foam; <em>P</em> = .1445) evaluations. The CLaCS group had significantly lower intensity of pigmentation in colorimetry (mean ΔE of 1.30 for CLaCS vs 1.44 for foam; <em>P</em> = .02735). No significant difference in veins’ diameter reduction was found. Both groups presented substantial improvement in patients’ satisfaction with their leg appearance.</div></div><div><h3>Conclusions</h3><div>Although no statistical difference was found regarding the number of limbs that developed hypercromia after treatment of the reticular veins, CLaCS resulted in a lower intensity of skin color dissimilarity, less microthrombi formation and drainage, less bruising and lower volume of sclerosant needed, without difference in diameter reduction rates, compared with polidocanol foam sclerotherapy. No major adverse events were reported.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"13 6","pages":"Article 102285"},"PeriodicalIF":2.8,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144626661","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}