Vascular最新文献

{"title":"Perceptions, awareness, and implementation surrounding the assessment of frailty amongst vascular surgeons in Italy: Results from a nationwide cross-sectional survey.","authors":"Mario D'Oria, Elena Giacomelli, Aaron T Fargion, Walter Dorigo, Cristiano Calvagna, Marco Campolmi, Raffaele Pulli, Sandro Lepidi","doi":"10.1177/17085381241257740","DOIUrl":"10.1177/17085381241257740","url":null,"abstract":"<p><p>ObjectivesWe conducted this survey to gain insight into the real-life application and perceptions regarding the importance of peri-operative frailty assessment amongst vascular surgeons in Italy.MethodsItalian vascular surgeons were invited to participate in the survey using the list provided by the Italian Society for Vascular and Endovascular Surgery (1050 invited participants). A dedicated link to the survey was emailed through Google Forms, and reminders were automatically sent on a bi-weekly basis for a total of 8 weeks before stopping data collection.ResultsThe survey was completed by 225 respondents, thereby yielding an overall 21.5% response rate. While the vast majority of respondents stated they were aware of the meaning of frailty (93%) and agreed that its assessment was clinically relevant for patients undergoing vascular surgery (99%), only 44% of surveyed surgeons reported that they used a specific tool for peri-operative frailty assessment. However, most respondents indicated that routine evaluation of frailty was not performed at their institution (87%). The main limitations were identified as being the lack of confidence in choosing the best tool, followed by lack of awareness, lack of skilled operators, and lack of time.ConclusionsOur study showed that whilst most vascular surgeons in Italy are aware of the importance of frailty in affecting surgical outcomes across various interventions in the elective and non-elective settings, there is poor implementation of formal frailty assessment.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"640-647"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154021","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the between-day reliability and likelihood of change of a test battery incorporating vastus lateralis muscle thickness, ankle-brachial pressure index, maximal voluntary torque, and six-minute walk test in patients with claudication.","authors":"Thomas Parkington, David Broom, Thomas Maden-Wilkinson, Shah Nawaz, Markos Klonizakis","doi":"10.1177/17085381241257735","DOIUrl":"10.1177/17085381241257735","url":null,"abstract":"<p><p>ObjectiveThe study aims to evaluate the between-day reliability of a proposed test battery for patients with claudication that can be used for monitoring the effectiveness of exercise interventions and other therapeutic strategies tailored to this patient population.MethodsTwenty-five men with claudication were recruited. The test battery consisted of the Vastus Lateralis muscle thickness (VL-MT), ankle-brachial pressure index (ABI), unilateral isometric knee extension maximal voluntary torque (MVT) and 6-minute walk test (6MWT). A single investigator conducted the tests for each patient on two separate testing sessions (T1 and T2) 5-7 days apart.ResultsGood to excellent reliability was observed for VL-MT (ICC = 0.95, 95% LOA = ±3.10 mm, SEM = 0.81 mm), ABI (ICC = 0.97, 95% LOA = ±0.10, SEM = 0.02), MVT (ICC = 0.97, 95% LOA = ±24.0 N·m, SEM = 6.31 N·m), 6MWT distance (ICC = 0.99, 95% LOA = ±39.6 m, SEM = 11.0 m), 6MWT time to claudication (ICC = 0.99, 95% LOA = ±30.8 s, SEM = 7.8 s), and 6MWT ratings of pain (ICC = 0.87, 95% LOA = ±2.4 CR-10⁺, SEM = 0.7 CR-10⁺ ). Analysis derived from reliability data indicates a change of 1.4 mm for VL-MT, 0.14 for ABI, 12 N·m for MVT, 25 m for 6MWT distance, 15 s for 6MWT time to claudication and 1 CR-10⁺ for 6MWT ratings of pain is required to be interpreted as the minimum 'likely' change (76% chance).ConclusionsThe test battery provides a reliable assessment of patients with claudication and can be widely used to evaluate the effects of exercise programmes and other therapeutic interventions. For the individual, changes in VL-MT, ABI, MVT, and 6MWT greater than the minimum likely change as a result of an exercise programme or an intervention are likely changes and less influenced by error associated with the test.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"687-694"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Carotid endarterectomy for symptomic and asymptomic stenosis: Report of 65388 cases (Russian register).","authors":"Anton N Kazantsev, Alexander V Korotkikh, Showen Wang, Okenu Gloria Nonye, Sergey V Artyukhov, Otabek Sh Mukhtorov, Lyudmila V Roshkovskaya, Kristina L Zakharova, Vladimir M Unguryan, Dmitry V Shmatov, Davron A Urokov, Abdurazok A Choriev, Vadim N Zabolotniy, Oleg V Lebedev, Nona E Zarkua, Vyacheslav N Kravchuk, Elena O Alekseyeva, Goderzi Sh Bagdavadze, Maxim P Chernyavin, Roman Yu Leader, Alexey I Solobuev, Evgeniy F Vaiman, Elizaveta G Kazantseva, Viktor A Lutsenko, Roman V Sultanov, Vyacheslav V Matusevich, Aslan B Zakeryaev, Pavel V Sukhoruchkin","doi":"10.1177/17085381241259928","DOIUrl":"10.1177/17085381241259928","url":null,"abstract":"&lt;p&gt;&lt;p&gt;AimAnalysis of in-hospital and long-term results of carotid endarterectomy in patients with asymptomatic and symptomatic stenoses.Materials and methodsThe sample was formed by completely including all cases of carotid endarterectomy (&lt;i&gt;n&lt;/i&gt; = 65,388) performed during the period from May 1, 2015 to November 1, 2023. Depending on the symptomatic/asymptomatic nature of the stenosis, all patients were divided into two groups: group 1 - &lt;i&gt;n&lt;/i&gt; = 39,172 (75.2%) - patients with asymptomatic stenosis; Group 2 - &lt;i&gt;n&lt;/i&gt; = 26216 (24.8%) - patients with symptomatic stenosis. The postoperative follow-up period was 53.5 ± 31.4 months.ResultsIn the hospital postoperative period, the groups were comparable in the incidence of death (group 1: &lt;i&gt;n&lt;/i&gt; = 164 (0.41%); group 2: &lt;i&gt;n&lt;/i&gt; = 124 (0.47%); &lt;i&gt;p&lt;/i&gt; = .3), transient ischemic attack (group 1: &lt;i&gt;n&lt;/i&gt; = 116 (0.29%); group 2: &lt;i&gt;n&lt;/i&gt; = 88 (0.33%); &lt;i&gt;p&lt;/i&gt; = .37), myocardial infarction (group 1: &lt;i&gt;n&lt;/i&gt; = 32 (0.08%); group 2: &lt;i&gt;n&lt;/i&gt; = 19 (0.07%); &lt;i&gt;p&lt;/i&gt; = .68), thrombosis of the internal carotid artery (group 1: &lt;i&gt;n&lt;/i&gt; = 8 (0.02%); group 2: &lt;i&gt;n&lt;/i&gt; = 2 (0.007%); &lt;i&gt;p&lt;/i&gt; = 0, 19), bleeding (group 1: &lt;i&gt;n&lt;/i&gt; = 58 (0.14%); group 2: &lt;i&gt;n&lt;/i&gt; = 33 (0.12%); &lt;i&gt;p&lt;/i&gt; = .45). In group 2, ischemic stroke developed statistically more often (group 1: &lt;i&gt;n&lt;/i&gt; = 328 (0.83%); group 2: &lt;i&gt;n&lt;/i&gt; = 286 (1.09%); &lt;i&gt;p&lt;/i&gt; = .001), which led to a higher value of the combined endpoint (group 1: &lt;i&gt;n&lt;/i&gt; = 640 (1.63%); group 2: &lt;i&gt;n&lt;/i&gt; = 517 (1.97%); &lt;i&gt;p&lt;/i&gt; = .001). In the long-term postoperative period, the groups were comparable in cases of death (group 1: &lt;i&gt;n&lt;/i&gt; = 65 (0.16%); group 2: &lt;i&gt;n&lt;/i&gt; = 41 (0.15%); &lt;i&gt;p&lt;/i&gt; = .76) and death from cardiovascular causes (group 1: &lt;i&gt;n&lt;/i&gt; = 59 (0.15%); group 2: &lt;i&gt;n&lt;/i&gt; = 33 (0.12%); &lt;i&gt;p&lt;/i&gt; = .4). A greater number of ischemic strokes were detected in patients of group 2 (group 1: &lt;i&gt;n&lt;/i&gt; = 213 (0.54%); group 2: &lt;i&gt;n&lt;/i&gt; = 187 (0.71%); &lt;i&gt;p&lt;/i&gt; = .006). In group 1, hemodynamically significant restenosis (≥70%) of the internal carotid artery was more often diagnosed (group 1: &lt;i&gt;n&lt;/i&gt; = 974 (2.49%); group 2: &lt;i&gt;n&lt;/i&gt; = 351 (1.34%); &lt;i&gt;p&lt;/i&gt; &lt; .0001) and myocardial infarction (group 1: &lt;i&gt;n&lt;/i&gt; = 66 (0.16%); group 2: &lt;i&gt;n&lt;/i&gt; = 34 (0.13%); &lt;i&gt;p&lt;/i&gt; &lt; .0001). When analyzing stroke-free survival, analysis of Kaplan-Meier curves showed that a statistically larger number of strokes were diagnosed in group 2 (&lt;i&gt;p&lt;/i&gt; &lt; .0001).ConclusionDue to the fact that the patients were initially not comparable for a number of indicators, to achieve balance, we applied propensity score matching analysis. Thus, group 1 consisted of 24,381 patients, and group 2 consisted of 17,219 patients. In the hospital postoperative period, statistically significant differences were obtained only in the combined end point, which was greater in group 2 (group 1: &lt;i&gt;n&lt;/i&gt; = 465 (1.9%); group 2: &lt;i&gt;n&lt;/i&gt; = 382 (2.2%); &lt;i&gt;p&lt;/i&gt; = .02). In the long-term follow-up period, after applying propensi","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"591-601"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In reply to letter to the editor regarding \"In-stent restenosis estimation following carotid artery stenting: The robust predictive value of atherogenic index of plasma and other non-traditional lipid profiles\".","authors":"Cemalettin Yılmaz, Büşra Güvendi Şengör, Regayip Zehir, Ahmet Ferhat Kaya, Mehmet Hasan Özdil, Ahmet Karaduman, Barkın Kültürsay","doi":"10.1177/17085381241259240","DOIUrl":"10.1177/17085381241259240","url":null,"abstract":"","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"729-730"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of the Amplatzer vascular plug to treat carotid body tumors extending to the skull base.","authors":"Zuanbiao Yu, Tiequan Yang, Dehai Lang, Di Wang, Songjie Hu","doi":"10.1177/17085381241254428","DOIUrl":"10.1177/17085381241254428","url":null,"abstract":"<p><p>BackgroundCarotid body tumors extending to the skull base are hypervascular tumors which are difficult to access using a traditional lateral cervical approach. Preoperative embolization can reduce intraoperative blood loss.Case PresentationWe report two patients with a carotid body tumor extending to the skull base who underwent preoperative embolization of the external carotid artery using an Amplatzer vascular plug. Two days after embolization, surgical resection was performed. Embolization was successful in both patients and resection proceeded smoothly. Both were discharged on postoperative day 9 without complications. The tumor in each patient was classified as Shamblin group III. Computed tomography angiography of the neck six months after surgery showed patency of the ipsilateral internal carotid artery and no tumor recurrence.ConclusionPreoperative embolization of the external carotid artery using the Amplatzer vascular plug is safe and feasible for patients with carotid body tumors extending to the skull base.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"602-608"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Protein-based tissue adhesive reduces time to haemostasis in peripheral vascular surgery.","authors":"Nicola Troisi, Michele Marconi, Stefano Michelagnoli, Patrizia Dalla Caneva, Pierfrancesco Frosini, Rossella Di Domenico, Carlo Pratesi, Raffaella Berchiolli","doi":"10.1177/17085381241258556","DOIUrl":"10.1177/17085381241258556","url":null,"abstract":"<p><p>ObjectivesThe aim of this study was to evaluate the effectiveness of protein-based tissue adhesive (Bioglue^®) in reducing time to haemostasis in patients undergoing peripheral vascular surgery.MethodsFrom January to December 2021, 100 consecutive patients from 4 centres have been treated with open peripheral vascular surgery including upper and lower limb interventions. Patients have been allocated in each centre into control with no use of Bioglue^® (<i>Group no-Bio</i>, 50 patients) or use of Bioglue^® (<i>Group Bio</i>, 50 patients) by a block randomization method 10:10 until the required sample size was reached. Perioperative parameters including time to haemostasis, number of adjunctive stitches, and in-hospital bleeding have been analysed and compared in the two groups by means of mean independent-samples <i>t</i>T -test and Gehan-Breslow-Wilcoxon test.ResultsBoth groups were homogeneous in terms of demographic data, preoperative risk factors, and preoperative medical therapy except for a higher percentage of active smokers in <i>Group Bio</i> (52% vs. 24%, <i>p</i> = 0.004). Femoral endarterectomy was most common in <i>Group Bio</i> (44% vs. 24%, <i>p</i> = 0.03), whilst the percentage of lower limb vein bypasses was higher in <i>Group no-Bio</i> (50% vs. 36%, <i>p</i> = 0.03). Bovine pericardium was the preferred material in <i>Group Bio</i> (20 cases, 40%), whilst autologous vein is mostly used in <i>Group no-Bio</i> (26 cases, 52%) (<i>p</i> = 0.01). Time to haemostasis was faster in <i>Group Bio</i> (4.4 vs. 9.6 minutes, <i>p</i> < 0.001). The need for adjunctive stitches was higher in <i>Group no-Bio</i> (8 cases, 16%, <i>Group Bio</i> vs. 25 cases, 50%, <i>Group no-Bio</i>; <i>p</i> < 0.001). The overall rate of in-hospital bleeding, including those requiring reintervention, was not different between the two groups (9 cases, 18%, <i>Group Bio</i> vs. 7 cases, 14%, <i>Group no-Bio</i>; <i>p</i> = 0.39).ConclusionsThe protein-based tissue adhesive Bioglue^® reduced time to haemostasis and need for adjunctive stitches in peripheral vascular surgery. However, it did not affect the overall rate of perioperative bleedings. Further studies with larger sample sizes are needed to validate these outcomes.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"710-716"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141178118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prior abdominal surgery is not associated with 30-day mortality or morbidities after endovascular repair of complex abdominal aortic aneurysm.","authors":"Renxi Li, Anton Sidawy, Bao-Ngoc Nguyen","doi":"10.1177/17085381241256442","DOIUrl":"10.1177/17085381241256442","url":null,"abstract":"<p><p>BackgroundPrior abdominal surgery (PAS) has the potential to affect outcomes of abdominal aortic aneurysm (AAA) repair. Recently, endovascular aneurysm repair (EVAR) has been expanded among patients with complex AAA, which involves visceral branches in the upper abdominal aortic. However, outcomes of EVAR for complex AAA in patients with PAS have not been examined. This study aimed to investigate the impact of PAS on 30-day outcomes in EVAR for complex AAA.MethodsPatients who underwent EVAR for complex AAA were identified in ACS-NSQIP targeted database from 2012 to 2022. Complex AAA was defined as juxtarenal, suprarenal, or pararenal proximal extent, Type IV thoracoabdominal aneurysm, or aneurysms treated with Zenith Fenestrated endograft. Patients with age less than 18 years, ruptured AAA with or without hypotension, acute intraoperative conversion to open, and emergency presentation were excluded. Multivariable logistic regression was used to compare 30-day postoperative outcomes of patients with and without PAS. Demographics, baseline characteristics, aneurysm diameter, indication for surgery, proximal and distant aneurysm extent, anesthesia, and concomitant procedures were adjusted.ResultsThere were 515 (28.34%) and 1302 (71.66%) patients with and without PAS, respectively, who underwent EVAR for complex AAA. Patients with and without PAS had comparable 30-day mortality (3.11% vs 3.00%, aOR = 0.766, 95 CI = 0.407-1.442, <i>p</i> = .41). Organ system complications including cardiac complications, stroke, pulmonary complications, and renal complications were comparable between patients with and without PAS. All other 30-day outcomes were similar between groups. However, patients with PAS had higher 30-day readmission rate (11.65% vs 7.14%, aOR = 1.634, 95 CI = 1.145-2.331, <i>p</i> = .01).ConclusionWhile PAS has high prevalence among patients undergoing EVAR for complex AAA, it does not impact 30-day mortality and morbidities. Thus, EVAR for complex AAA can be considered safe for patients with PAS in terms of short-term outcomes, despite the long-term prognosis in these patients being needed in further studies.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"541-547"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141076910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 radiofrequency ablation using a radiofrequency needle device for varicose ulcer: A non-randomized controlled prospective study.","authors":"Huanwei Wang, Jianqin Guo, Guoyong Hua, Lina Qi, Yuying Zhang, Bin Ye, Jingxin Yan, Lushun Zhang","doi":"10.1177/17085381241258192","DOIUrl":"10.1177/17085381241258192","url":null,"abstract":"<p><p>ObjectiveTo evaluate the short-term clinical outcomes of radiofrequency ablation (RFA) using a radiofrequency (RF) needle device for varicose ulcers.MethodsFrom September 2020 to September 2021, a total of 80 patients with varicose ulcers were included in this study. Based on the different surgical methods, the patients were divided into RF group and control groups, with 40 cases in each group. In the RF group, RFA was performed using an RF needle device and foam sclerotherapy was used for superficial veins. The control group was treated with conventional high-ligation stripping. The surgical data, hospitalization data, clinical efficacy, and postoperative complications of two groups were compared. Meanwhile, the correlation between RBC, HB, HCT, and ulcer healing time was analyzed.ResultsCompared to the control group, RF group had shorter surgery time, duration in the hospital, and less intraoperative bleeding (<i>p</i> < .05). The VCSS and CIVIQ scores in RF group were significantly higher than that in control group (<i>p</i> < .05). The healing time of ulcers was shorter in the RF group (<i>x</i>² = 19.766, <i>p</i> = .000). The RF group had fewer postoperative complications. There was a positive correlation between RBC, HB, and HCT, and ulcer healing time (<i>p</i> < .05).ConclusionThe use of the RF needle device for RFA to treat patients with varicose ulcers showed acceptable short-term clinical outcomes with less incidence of trauma, faster recovery, and fewer complications.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"582-590"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inflammation markers and peripheral arterial disease severity: The elephant in the room.","authors":"Mesut Engin, Ümran Karaca, Filiz Ata, Ahmet Kağan As, Ufuk Aydın, Yusuf Ata","doi":"10.1177/17085381241259911","DOIUrl":"10.1177/17085381241259911","url":null,"abstract":"","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"725-726"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141238315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intravascular lithotripsy-assisted percutaneous deep vein arterialization for no-option chronic limb-threatening patients and heavily calcified tibial occlusive disease.","authors":"Dimitrios Kapetanios, Michael Czihal, Nikolaos Tsilimparis, Giovanni Torsello, Julian Rieck, Konstantinos Stavroulakis","doi":"10.1177/17085381241257736","DOIUrl":"10.1177/17085381241257736","url":null,"abstract":"<p><p>PurposeTo report the first chronic limb-threatening ischemia (CLTI) patients who underwent an intravascular lithotripsy (IVL)-assisted percutaneous deep vein arterialization (pDVA).Case Report 1An 81-year-old patient presented with CLTI and a heavily calcified lesion of the popliteal artery and tibioperoneal trunk (TPT), with a distal tibial and foot arch occlusion. The patient underwent IVL and drug-coated balloon angioplasty for the distal popliteal artery and of the TPT to improve the inflow prior to pDVA. The wound situation remained stable without secondary procedure until the patient`s deaths due to complications of urosepsis 3 months later.Case Report 2A 64-year-old patient with rest pain of the left limb with a single-vessel tibial run-off (peroneal artery) and occluded pedal arch was treated with 3.5 mm IVL followed by a successful pDVA as mentioned above. IVL performed in the proximal posterior tibial artery to optimize the inflow to the circuit and change the compliance of the crossing point from the arterial to the vein system. The patient underwent repeat angioplasty of the plantar vein arch 5 months after the index procedure and thereafter remained asymptomatic during 2 years of follow-up.ConclusionThe combined use of IVL and pDVA could improve the patency of the reconstruction with clinical benefits in no-option CTLI patients.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"698-701"},"PeriodicalIF":1.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12092933/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141162651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}