VascularPub Date : 2025-02-01Epub Date: 2024-02-27DOI: 10.1177/17085381241236927
Hakan Guven
{"title":"Endovenous glue ablation for chronic venous insufficiency: A comprehensive 5-year assessment of clinical and hemodynamic outcomes.","authors":"Hakan Guven","doi":"10.1177/17085381241236927","DOIUrl":"10.1177/17085381241236927","url":null,"abstract":"<p><strong>Objectives: </strong>Chronic venous insufficiency is mainly caused by reflux, obstruction, or both. Endovenous glue ablation has become one of the widely used methods for treating reflux in recent years. Duplex ultrasonography is the most commonly used method for diagnosing and evaluating treatment. However, there is important information that plethysmographic venous hemodynamics provides, which Duplex USG cannot provide. This retrospective study aimed to evaluate the 5-year clinical, anatomical, and hemodynamic results of endovenous glue ablation in the treatment of chronic venous insufficience, accompanied by the data from the plethysmographic study.</p><p><strong>Patients and method: </strong>Between January 2018 and August 2018, 133 patients with symptomatic CEAP 2-6 varicose veins with reflux of the great saphenous vein lasting longer than 0.5 seconds and a diameter of 5.5 mm in the standing great saphenous vein underwent EVGA. CEAP, VCSS, CIVIQ 20, Doppler USG, GSV diameters and insufficiency times, and hemodynamically Venous Refilling Time and Venous Half-Value Time measurements were performed before the procedure. In the same way, measurements were made at the 1st, 3rd, 6th, 12th, 24th, and 60th months of the patients who were called and came to the postoperative follow-up.</p><p><strong>Results: </strong>Procedural success was 100%, and complete occlusion was observed %93 after treatment, at the 60 month. The improvement in VCSS (from 4.4 ± 1.3 to 1.7 ± 0.9), CIVIQ20 (from 8.5 ± 3.1 to 4.7 ± 2.0), VRT (from 20.3 ± 5.0 to 131.1 ± 4.0), and TH (from 2.8 ± 0.3 to 2.4 ± 0.2) was significant (<i>p</i> < .001 was for all).</p><p><strong>Conclusion: </strong>Endovenous glue ablation is a preferred method for the treatment of great saphenous vein insufficiency due to its ease of use and the comfort it provides to patients, as well as its effectiveness and safety. In particular, it can be considered an effective method for improving venous hemodynamics and relieving associated symptoms.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"174-181"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139983882","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}
VascularPub Date : 2025-02-01Epub Date: 2024-03-03DOI: 10.1177/17085381241237146
Ibrahim Donmez, Ayhan Muduroglu
{"title":"Systemic immune-inflammation index as a novel hematological marker for predicting the recurrence of deep venous thrombosis.","authors":"Ibrahim Donmez, Ayhan Muduroglu","doi":"10.1177/17085381241237146","DOIUrl":"10.1177/17085381241237146","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether there was a possible predictive relationship between systemic immune-inflammation index (SII) and recurrence of deep venous thrombosis (DVT).</p><p><strong>Methods: </strong>A total of 231 patients with DVT who met the study criteria and whose data could be accessed were enrolled to this retrospective single-centered cross-sectional study. Of them 26 patients with DVT recurrence consisted of the study group (Group 1) while remaining 205 cases without recurrence were considered as the control population (Group 2). The patients' basic clinical features and laboratory results from the complete blood count (CBC) test were recorded and compared between groups. Following univariate analyses, a multivariate logistic regression analysis was performed to identify the independent predictors of the recurrence of DVT. Additionally, a receiver-operating characteristic (ROC) curve analysis was performed to detect the cut-off values of the predictors with sensitivity and specificity rates.</p><p><strong>Results: </strong>There were no significant differences between the groups for basic clinical features, except for diabetes mellitus, pulmonary embolism, and atrial fibrillation. Although the univariate analysis revealed that the median values of NLR, PLR, and SII were significantly higher in the DVT recurrence group, only SII was determined to be a significant and independent predictor of DVT recurrence in the multivariate logistic regression analysis. According to ROC curve analysis, SII of 1685 × 10<sup>3</sup>/mm<sup>3</sup> constituted the cut-off value for predicting DVT recurrence with 61.5% sensitivity and 76.6% specificity (AUC = 0.686, <i>p</i> = .001).</p><p><strong>Conclusion: </strong>The present study demonstrated for the first time in the literature that SII significantly predicted the recurrence of DVT.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"167-173"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022672","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":"Physician-modified inner-branched endovascular repair with re-intervention.","authors":"Shingo Tsushima, Tsuyoshi Shibata, Nobuyoshi Kawaharada","doi":"10.1177/17085381241236569","DOIUrl":"10.1177/17085381241236569","url":null,"abstract":"<p><strong>Objectives: </strong>Treatment of thoracoabdominal aortic aneurysms in high surgical risk patients can be challenging. Reports of physician-modified inner-branched endovascular repair (PMiBEVAR) are increasing. Despite low morbidity and mortality rates, re-interventions for endoleaks with these grafts are serious. There are no reports of additional treatment for PMiBEVAR failure.</p><p><strong>Methods/results: </strong>A 75-year-old man presented to our hospital with a Crawford's type IV thoracoabdominal aortic aneurysm. A PMiBEVAR was performed. Postoperative computed tomographic angiography revealed an endoleak from the inner branch of the right renal artery. A re-intervention was performed with coil embolization of the endoleak. Imaging after re-intervention showed successful obliteration of the endoleak.</p><p><strong>Conclusions: </strong>We thereby report a successful case of re-intervention for PMiBEVAR failure.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"139-142"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139973729","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":"Subcutaneous injection of lidocaine around ischemic ankle provides safe and effective foot analgesia in patients with critical limb ischemia.","authors":"Akifumi Kanai, Masatomo Ara, Ryusei Saito, Toshiaki Mishima, Yuichiro Takahashi","doi":"10.1177/17085381241238841","DOIUrl":"10.1177/17085381241238841","url":null,"abstract":"<p><strong>Objective: </strong>It is often difficult to alleviate foot pain associated with critical limb ischemia (CLI) using common analgesics. Neuraxial block is contraindicated in anticoagulant therapy. This study was designed to determine the response to subcutaneous injection of lidocaine around the network of peripheral nerves around the ankle in patients with CLI pain on anticoagulants and antiplatelets.</p><p><strong>Methods: </strong>Sixteen patients with CLI pain in the foot were enrolled in this double-blind placebo-controlled crossover study. Patients were randomized to receive either 2% lidocaine or saline via catheters inserted into the subcutaneous area around the ankle. After recurrence of pain, the patients were crossed over to receive the alternative treatment. Pain was assessed with a numerical rating scale (NRS) before and 15 min after injection. Patients used a descriptive scale to grade pain control and were asked to determine the duration of analgesia in each arm of the study.</p><p><strong>Results: </strong>No serious complications including protracted bleeding occurred. Lidocaine significantly decreased the NRS on movement from 10 (6, 10) [median (range)] to 2 (0, 10) (<i>p</i> < .001), and the differences in the Δ change in NRS between lidocaine and placebo were significant (<i>p =</i> .009). Of the 16 patients, 14 patients were very satisfied after lidocaine but only one described the same after saline. The effect of lidocaine and placebo lasted 11 (0, 28) and 1 (0, 22) h, respectively.</p><p><strong>Conclusion: </strong>Subcutaneous injection of lidocaine around the ischemic ankle affectively alleviated pain in patients with CLI without serious adverse effects under anticoagulant therapy.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"73-79"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060662","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}
VascularPub Date : 2025-02-01Epub Date: 2024-03-06DOI: 10.1177/17085381241238267
Eshiemomoh Osilama, Emma K Satchell, Umashankar K Ballehaninna
{"title":"Delayed ulnar artery pseudoaneurysm presentation after percutaneous cardiac intervention: A case report and review of the literature.","authors":"Eshiemomoh Osilama, Emma K Satchell, Umashankar K Ballehaninna","doi":"10.1177/17085381241238267","DOIUrl":"10.1177/17085381241238267","url":null,"abstract":"<p><strong>Purpose: </strong>Here we present a case of a 62-year-old female with a delayed ulnar artery pseudoaneurysm presentation after cardiac catheterization.</p><p><strong>Case report: </strong>A 62-year-old woman with multiple medical comorbidities including end-stage renal disease (ESRD) on hemodialysis (HD) and atrial fibrillation on tablet apixaban who presented 8 weeks after cardiac catheterization through right ulnar artery access with a pulsatile mass, pain, and tingling of her right-hand fingers. Ultrasound exam confirmed presence of ulnar artery pseudoaneurysm with >2 cm active chamber. This pseudoaneurysm was repaired via forearm exploration, evacuation of hematoma, and primary repair with non-absorbable sutures.</p><p><strong>Conclusion: </strong>We report a case of delayed ulnar artery pseudoaneurysm presentation following cardiac catheterization through the right ulnar artery. Open surgical repair offers a definitive addressal of ulnar artery pseudoaneurysm and removes ulnar nerve compressive neuropathy with less risk of distal embolization in patients with delayed pseudoaneurysm presentation whenever ultrasound-guided thrombin injection (UGTI) is contraindicated.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"223-228"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050409","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}
VascularPub Date : 2025-02-01Epub Date: 2024-03-15DOI: 10.1177/17085381241240554
Qingcheng Yang, Xuechang Wang, Rui Wang, Aihua Li
{"title":"Diagnosis and treatment of venous thromboembolism during pregnancy relate to genetic polymorphism.","authors":"Qingcheng Yang, Xuechang Wang, Rui Wang, Aihua Li","doi":"10.1177/17085381241240554","DOIUrl":"10.1177/17085381241240554","url":null,"abstract":"<p><strong>Objectives: </strong>Previous research had shown that age, a positive family history, comorbidities, major surgical operations, gestation, and use of several medications could increase the incidence of venous thromboembolism (VTE). With the development of medical and clinical individualized treatment, many people exposed to above risk factors did not develop VTE, suggested that genetic factors are also involved in the development of VTE. In this review, we aim to summarize VTE diagnosis and treatment in pregnancy women related to gene polymorphism.</p><p><strong>Methods: </strong>A comprehensive electronic search using PubMed, MEDLINE, EMBASE and Web of Science was conducted to find relevant journal articles with key search terms including: \"pregnancy OR pregnant,\" \"venous thromboembolism OR VTE,\" \"deep vein thrombosis OR DVT,\" \"pulmonary embolism OR PE,\" and \"genetic OR gene.\" Prominent publications from establishment of database till present were analysed to achieve a deeper understanding of VTE during pregnancy relate to genetic polymorphism, and the information was then collated to form this review.</p><p><strong>Results: </strong>The literature review revealed that inherited thrombophilia significantly associated with the development of VTE, especially the factor V Leiden (FVL) and prothrombin gene mutation (PGM). Furthermore, the role of methylenetetrahydrofolate reductase (MTHFR) gene mutation in the development of pregnancy-related VTE remains controversial, further study is required. In the present study, Marburg I polymorphism (G511 E), c.1538 G>A and c.1601 G>A in Factor V (FV), JAK2V617 F mutation were reported as an independent risk factor for VTE, there is no sufficient evidence to confirm the gene mutation is related to VTE during pregnancy, these factors appearing as another promising potential diagnostic marker of VTE during pregnancy. Besides, the dosages of heparin in the treatment of VTE during pregnancy need be adjusted according to gene polymorphism of these population, particularly FVL or PGM carriers, and this area is not studied deeply, it is worth further study.</p><p><strong>Conclusion: </strong>Inherited thrombophilia significantly associated with the development of VTE, especially the FVL and PGM, however the relation between MTHFR gene mutation and pregnancy-related VTE remains controversial, further study is needed. In addition, the dosages of heparin in the treatment of VTE during pregnancy suggested to adjusted based on gene polymorphism in FVL and PGM, and establish better prediction models is a direction of future research.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"186-191"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137244","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}
VascularPub Date : 2025-02-01Epub Date: 2024-03-18DOI: 10.1177/17085381241241108
Chenghao Wang, Qingquan Liu, Dalei Xiao, Xiaohua Chen, Rong Liu, Shikai Wang
{"title":"Laparoscopic-assisted retrieval of inferior vena cava filter: A case report and literature review.","authors":"Chenghao Wang, Qingquan Liu, Dalei Xiao, Xiaohua Chen, Rong Liu, Shikai Wang","doi":"10.1177/17085381241241108","DOIUrl":"10.1177/17085381241241108","url":null,"abstract":"<p><strong>Background: </strong>The retrieval of inferior vena cava filters beyond the retrieval window poses challenges, requiring alternative techniques.</p><p><strong>Objectives: </strong>To discuss the laparoscopy-assisted retrieval approach for difficult inferior vena cava filters.</p><p><strong>Research design: </strong>Case report.</p><p><strong>Subjects: </strong>A 57-year-old male with a retrievable inferior vena cava filter placed 8 months prior.</p><p><strong>Measures: </strong>Laparoscopy-assisted retrieval technique utilized after unsuccessful interventional attempts.</p><p><strong>Results: </strong>Successful retrieval of the filter despite thickened intimal tissue involvement, with no postoperative complications.</p><p><strong>Conclusions: </strong>Laparoscopy-assisted retrieval offers a direct visual approach for challenging filter removal, proving minimally invasive, safe, and effective.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"200-204"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159167","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}
VascularPub Date : 2025-02-01Epub Date: 2024-02-26DOI: 10.1177/17085381241236931
Anil Guzel, Suat Canbaz
{"title":"A retrospective assessment of venous recanalization outcomes for oral anticoagulant treatment in deep vein thrombosis.","authors":"Anil Guzel, Suat Canbaz","doi":"10.1177/17085381241236931","DOIUrl":"10.1177/17085381241236931","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to provide effective treatment by comparing the venous recanalization responses of oral anticoagulants in deep vein thrombosis therapy.</p><p><strong>Methods: </strong>From January 2013 to March 2019, a retrospective analysis was conducted on 109 patients who had been diagnosed with deep vein thrombosis and received treatment with apixaban, rivaroxaban, or warfarin within 1 week of symptom onset. Demographic, clinical data, and venous recanalization responses on Doppler ultrasonography of the patients that were followed-up 1 year from the date of diagnosis were evaluated.</p><p><strong>Results: </strong>At the end of the 1-year follow-up, 21 (19.3%) patients had delayed recanalization, 39 (35.8%) patients had partial recanalization, and 49 (44.9%) patients had complete recanalization. The mean time to complete recanalization was 9.178 months for apixaban, 8.986 months for rivaroxaban, and 10.641 months for warfarin. Rivaroxaban was found to result in earlier completion of recanalization compared to warfarin (<i>p</i> = .012).</p><p><strong>Conclusion: </strong>Direct oral anticoagulants might be more effective than vitamin K antagonists in achieving complete recanalization in patients that have deep vein thrombosis. Improving outcomes can be achieved by evaluating current treatment options.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"143-150"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139973725","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}
VascularPub Date : 2025-02-01Epub Date: 2024-02-25DOI: 10.1177/17085381241236571
Yury Rusinovich, Volha Rusinovich, Aliaksei Buhayenka, Vitalii Liashko, Arsen Sabanov, David J F Holstein, Samer Aldmour, Markus Doss, Daniela Branzan
{"title":"Classification of anatomic patterns of peripheral artery disease with automated machine learning (AutoML).","authors":"Yury Rusinovich, Volha Rusinovich, Aliaksei Buhayenka, Vitalii Liashko, Arsen Sabanov, David J F Holstein, Samer Aldmour, Markus Doss, Daniela Branzan","doi":"10.1177/17085381241236571","DOIUrl":"10.1177/17085381241236571","url":null,"abstract":"<p><strong>Aim: </strong>The aim of this study was to investigate the potential of novel automated machine learning (AutoML) in vascular medicine by developing a discriminative artificial intelligence (AI) model for the classification of anatomical patterns of peripheral artery disease (PAD).</p><p><strong>Material and methods: </strong>Random open-source angiograms of lower limbs were collected using a web-indexed search. An experienced researcher in vascular medicine labelled the angiograms according to the most applicable grade of femoropopliteal disease in the Global Limb Anatomic Staging System (GLASS). An AutoML model was trained using the Vertex AI (Google Cloud) platform to classify the angiograms according to the GLASS grade with a multi-label algorithm. Following deployment, we conducted a test using 25 random angiograms (five from each GLASS grade). Model tuning through incremental training by introducing new angiograms was executed to the limit of the allocated quota following the initial evaluation to determine its effect on the software's performance.</p><p><strong>Results: </strong>We collected 323 angiograms to create the AutoML model. Among these, 80 angiograms were labelled as grade 0 of femoropopliteal disease in GLASS, 114 as grade 1, 34 as grade 2, 25 as grade 3 and 70 as grade 4. After 4.5 h of training, the AI model was deployed. The AI self-assessed average precision was 0.77 (0 is minimal and 1 is maximal). During the testing phase, the AI model successfully determined the GLASS grade in 100% of the cases. The agreement with the researcher was almost perfect with the number of observed agreements being 22 (88%), Kappa = 0.85 (95% CI 0.69-1.0). The best results were achieved in predicting GLASS grade 0 and grade 4 (initial precision: 0.76 and 0.84). However, the AI model exhibited poorer results in classifying GLASS grade 3 (initial precision: 0.2) compared to other grades. Disagreements between the AI and the researcher were associated with the low resolution of the test images. Incremental training expanded the initial dataset by 23% to a total of 417 images, which improved the model's average precision by 11% to 0.86.</p><p><strong>Conclusion: </strong>After a brief training period with a limited dataset, AutoML has demonstrated its potential in identifying and classifying the anatomical patterns of PAD, operating unhindered by the factors that can affect human analysts, such as fatigue or lack of experience. This technology bears the potential to revolutionize outcome prediction and standardize evidence-based revascularization strategies for patients with PAD, leveraging its adaptability and ability to continuously improve with additional data. The pursuit of further research in AutoML within the field of vascular medicine is both promising and warranted. However, it necessitates additional financial support to realize its full potential.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"26-33"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139973726","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}
VascularPub Date : 2025-02-01Epub Date: 2024-03-15DOI: 10.1177/17085381241240237
Yanzhang Zeng, Ping Yuan, Qiang He
{"title":"Comparison between covered-stents grafting and ligation in the treatment of infected femoral pseudoaneurysm due to intravenous drug abuse.","authors":"Yanzhang Zeng, Ping Yuan, Qiang He","doi":"10.1177/17085381241240237","DOIUrl":"10.1177/17085381241240237","url":null,"abstract":"<p><strong>Objectives: </strong>The study compared the outcomes between covered-stents grafting (CSG) and ligation of femoral artery (LFA) in the treatment of infected femoral pseudoaneurysm (IFP) caused by intravenous drug injection.</p><p><strong>Methods: </strong>From 1<sup>st</sup> January 2016 to 30<sup>th</sup> November 2021, the clinical data of patients with IFP caused by intravenous drug injection who underwent CSG (<i>n</i> = 31, 55.4%) and LFA (<i>n</i> = 25, 45.4%) are retrospectively analyzed. We compared the baseline characteristics and clinical outcomes of the two groups, including early and late mortality and morbidity.</p><p><strong>Results: </strong>A total of 56 patients were enrolled in the study, comprising 50 (89.3%) men and 6 (10.7%) women, with a mean age of 34.3 years. There was no significant difference observed between the two groups in terms of 30-day mortality (3.2% vs 0%, <i>p</i> = .365) and length of stay (9 [7, 12] vs 11 [8.5, 12.5] days, <i>p</i> = .236). However, group CSG exhibited a lower rate of intermittent claudication (0% vs 32%, <i>p</i> = .001), less blood loss (67.1 ± 22.5 mL vs 177.0 ± 59.8 mL, <i>p</i> < .001), and shorter surgery duration (57.5 ± 9.9 min vs 84.4 ± 22.8 min, <i>p</i> < .001) compared to group LFA. The LFA group were divided into subgroups according to the ligation site. The amputation rate of superficial femoral artery ligation group (0 vs 27.3%, <i>p</i> = .014) was significantly lower than common femoral artery ligation.</p><p><strong>Conclusions: </strong>Covered-stents grafting may be a preferable treatment to LFA for IFP due to intravenous drug abuse, particularly when the entry tear is located in the common femoral artery.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"80-86"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137243","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}