Vascular最新文献

筛选
英文 中文
Interventional treatment for true aneurysm of superior mesenteric artery: A systematic review of the literature on open surgical strategies. 介入治疗真肠系膜上动脉动脉瘤:系统回顾开放手术策略的文献。
IF 0.9 4区 医学
Vascular Pub Date : 2025-09-12 DOI: 10.1177/17085381251379848
Laura Rascio, Nicolò Peluso, Domenico Pascucci, Lucia Mangiacotti, Ottavia Borghese, Yamume Tshomba
{"title":"Interventional treatment for true aneurysm of superior mesenteric artery: A systematic review of the literature on open surgical strategies.","authors":"Laura Rascio, Nicolò Peluso, Domenico Pascucci, Lucia Mangiacotti, Ottavia Borghese, Yamume Tshomba","doi":"10.1177/17085381251379848","DOIUrl":"https://doi.org/10.1177/17085381251379848","url":null,"abstract":"<p><p>BackgroundTrue aneurysms of the superior mesenteric artery (SMAA) are rare but clinically significant due to the risk of severe complications such as mesenteric ischemia and fatal hemorrhage upon rupture. While the European Society for Vascular Surgery (ESVS) recommends endovascular repair as the first-line treatment, open surgery remains a valuable option when endovascular repair is not feasible due to clinical or technical constraints.MethodA systematic literature review was conducted covering the period from 2010 to 2024. Twenty-five surgically treated SMAA cases were identified. Data were collected on patient characteristics, surgical indications, procedures performed, and clinical outcomes.ResultThe majority of patients were male (80%) with a mean age of 46 years. Indications for open repair included mycotic aneurysm (48%), collagenous disease or fibrodysplasia (20%), emergency repair for hemoperitoneum (4%), and unfavorable anatomy for endovascular treatment (28%). Surgical techniques included simple aneurysmectomy (56%) and aneurysm resection with graft reconstruction (44%). No intra- or postoperative bleeding or major complications were reported. In-hospital mortality was 16%, primarily due to acute bowel ischemia (12%). Among survivors, vascular reconstructions demonstrated 100% patency at a mean follow-up of 14 months (range 1-48 months), with no need for reintervention and no deaths during follow-up.ConclusionOpen surgical repair remains a viable treatment option in cases of infected SMAA, collagenous disease, or complex anatomy unsuitable for endovascular repair. It ensures satisfactory survival, favorable clinical outcomes, and durable mid-term patency without the need for reintervention.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"17085381251379848"},"PeriodicalIF":0.9,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145056002","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}
引用次数: 0
Physician-modified endograft for repairing iatrogenic innominate artery injury: A case report and literature review. 内科改良内移植物修复医源性无名动脉损伤1例报告并文献复习。
IF 0.9 4区 医学
Vascular Pub Date : 2025-09-11 DOI: 10.1177/17085381251379106
Yongpan Cui, Jiawei Fan, Wenfei Guan, Peng Jiang, Chengpeng Tan, Wuming Zhang, Fei Mei
{"title":"Physician-modified endograft for repairing iatrogenic innominate artery injury: A case report and literature review.","authors":"Yongpan Cui, Jiawei Fan, Wenfei Guan, Peng Jiang, Chengpeng Tan, Wuming Zhang, Fei Mei","doi":"10.1177/17085381251379106","DOIUrl":"https://doi.org/10.1177/17085381251379106","url":null,"abstract":"<p><p>BackgroundInnominate artery (IA) injury resulting from right subclavian vein (RSV) puncture is a relatively rare and life-threatening iatrogenic vascular injury.MethodsIn a 72-year-old female patient, in whom iatrogenic IA injury occurred during the RSV puncture, a 6-Fr sheath had entered into ascending aorta through IA. Due to the concern about the difficulty in hemostasis after removing the sheath, the patient was immediately transferred to our hospital. In emergency situations, when there were no covered stents of appropriate sizes available, we ultimately opted to physician-modified endograft (PMEG) for endovascular repair. A 16 × 124 mm Medtronic iliac branch (Endurant, Medtronic Vascular, Santa Rosa, CA, USA) was released on a sterile operating table, trimmed to 16 × 37 mm, and then reassembled into the delivery sheath.ResultsThe right subclavian artery (RSA) was exposed in the right supraclavicular fossa and punctured. After established the guidewire pathway from the RSA puncture site to the ascending aorta, the PMEG was delivered to IA and precisely deployed. Subsequently, the 6-Fr sheath was removed, and final angiography confirmed patent blood flow in IA, right common carotid artery, and RSA, with no bleeding. The patient recovered well and discharged.ConclusionIn emergencies, PMEG can be tailored to fit the anatomical structure of IA, providing a viable and effective alternative for managing complex iatrogenic IA injury.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"17085381251379106"},"PeriodicalIF":0.9,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041345","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}
引用次数: 0
Mid-term outcomes of covered and bare metal stents for femoropopliteal atherosclerotic disease. 覆盖和裸金属支架治疗股腘动脉粥样硬化疾病的中期结果
IF 0.9 4区 医学
Vascular Pub Date : 2025-09-11 DOI: 10.1177/17085381251379289
Margaret Kurop, Andrew Bedford, Sara Beudoin, Jennifer Huffman, Chase Schlesselman, Todd R Vogel, Steven Cheung, Jonathan Bath
{"title":"Mid-term outcomes of covered and bare metal stents for femoropopliteal atherosclerotic disease.","authors":"Margaret Kurop, Andrew Bedford, Sara Beudoin, Jennifer Huffman, Chase Schlesselman, Todd R Vogel, Steven Cheung, Jonathan Bath","doi":"10.1177/17085381251379289","DOIUrl":"https://doi.org/10.1177/17085381251379289","url":null,"abstract":"<p><p>ObjectiveEndovascular modality used in peripheral vascular intervention (PVI) varies widely. Long-term outcomes are poorly studied between covered stents (CS) and bare metal stents (BMS) for the SFA.MethodsPatients (2017-2021) undergoing CS and BMS to the SFA were identified at an academic institution. Comparative statistics and Kaplan-Meier analysis were used to evaluate outcomes by group.ResultsOne hundred and nineteen patients undergoing stenting were included with 60 patients undergoing CS (50%) and BMS in 59 (50%). There were no differences in sex (<i>p</i> = 0.5), preoperative ABI (<i>p</i> = 0.2) or indication for surgery between groups (<i>p</i> = 0.8). CS patients had undergone more prior SFA interventions (<i>p</i> = 0.03) and were younger (62 vs. 66 years; <i>p</i> = 0.04). Regarding anatomic and operative characteristics, CS patients had more TASC C/D lesions (69 vs. 47%; <i>p</i> = 0.006) less severe calcification (8 vs.17%; <i>p</i> = 0.0006) and more often underwent angioplasty and stenting (90 vs 51%; <i>p</i> < 0.0001) and less often angioplasty, DCB and stenting (5 vs. 43%; <i>p</i> < 0.0001). CS patients had larger SFA (5.7 vs 4; <i>p</i> < .0001), longer lesions (119 vs. 89 mm; <i>p</i> = 0.0008), higher popliteal runoff score (8.3 vs. 6.4; <i>p</i> = 0.02), longer surgery (140 vs. 118 min; <i>p</i> = 0.03), less fluoroscopy time (21 vs. 26 min; <i>p</i> = 0.03), larger SFA stent (6.2 vs. 5.6 mm; <i>p</i> < 0.0001), and longer stented length (260 vs. 171 mm; <i>p</i> < 0.0001). There were no differences in concomitant iliac/tibial treatment between groups (<i>p</i> = 0.3). Regarding outcomes, there were no differences in amputation (CS 10 vs. BMS 10.2%; <i>p</i> = 1) but overall mortality was lower in CS patients (8 vs 22%; <i>p</i> = 0.04) as was acute limb ischemia (17 vs. 34%; <i>p</i> = 0.03). CS patients underwent fewer endovascular (<i>p</i> = 0.03) and open reinterventions (<i>p</i> = 0.005) but a shorter time to first endovascular reintervention (5.6 vs. 17.8 months; <i>p</i> = 0.0002) on unadjusted analysis. Kaplan-Meier estimated survival at 48 months was 83% for CS and 75% for BMS (<i>p</i> = 0.28). At 36 months, primary patency was 35% for CS vs. 41% for BMS (<i>p</i> = 0.09), primary-assisted patency was 57% for CS vs. 68% for BMS (<i>p</i> = 0.04) and secondary patency for CS was 61% vs. 61% for BMS (<i>p</i> = 0.99).ConclusionsIn this series, CS was associated with lower reintervention rates than BMS despite higher TASC classification, longer lesions, and higher popliteal runoff scores. CS was more often used to salvage previous SFA intervention. At 3 years, however, patency was similar between groups. These data suggest some advantages for CS over BMS in endovascular salvage of failed SFA intervention and potentially a preferred modality for more complex SFA lesions than BMS.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"17085381251379289"},"PeriodicalIF":0.9,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041515","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}
引用次数: 0
Pediatric idiopathic iliac artery aneurysm repair with limited conduit options. 小儿特发性髂动脉瘤与有限的导管选择修复。
IF 0.9 4区 医学
Vascular Pub Date : 2025-09-11 DOI: 10.1177/17085381251379286
David N DeVaro, Alexander S Fairman
{"title":"Pediatric idiopathic iliac artery aneurysm repair with limited conduit options.","authors":"David N DeVaro, Alexander S Fairman","doi":"10.1177/17085381251379286","DOIUrl":"https://doi.org/10.1177/17085381251379286","url":null,"abstract":"<p><p>ObjectivesPediatric arterial aneurysms are very uncommon. Those without an underlying identifiable etiology such as infection or autoimmune disease are even rarer. In young children, options for repair are limited. We report the case of a pediatric common iliac artery aneurysm that was surgically repaired.MethodsA 27-month-old male presenting for an evaluation of persistent hypertension underwent an abdominal CT scan and was incidentally found to have a large right common iliac artery aneurysm along with a thrombosed, proximal right internal iliac artery aneurysm. Given the size, the aneurysm was repaired with a bypass constructed from cryopreserved femoral artery allograft.ResultsThe procedure was uncomplicated, with continued patency of the graft determined via ultrasound at 7 months.ConclusionA pediatric iliac artery aneurysm was successfully repaired with a cadaveric femoral artery graft in the setting of limited conduit options.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"17085381251379286"},"PeriodicalIF":0.9,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145040830","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}
引用次数: 0
Midterm results of catheter-directed thrombolysis combined with drug-coated balloon dilatation in the treatment of femoral-popliteal thromboangiitis obliterans. 导管溶栓联合药物包被球囊扩张治疗股腘静脉血栓闭塞性脉管炎的中期结果
IF 0.9 4区 医学
Vascular Pub Date : 2025-09-11 DOI: 10.1177/17085381251379324
Jianhuang Zhuang, Lei Wang, Meilin Liu, Songlin Guo, Zhang Zhang
{"title":"Midterm results of catheter-directed thrombolysis combined with drug-coated balloon dilatation in the treatment of femoral-popliteal thromboangiitis obliterans.","authors":"Jianhuang Zhuang, Lei Wang, Meilin Liu, Songlin Guo, Zhang Zhang","doi":"10.1177/17085381251379324","DOIUrl":"https://doi.org/10.1177/17085381251379324","url":null,"abstract":"<p><p>ObjectivesTo investigate the effect of catheter-directed thrombolysis (CDT) combined with drug-coated balloon (DCB) dilatation in the treatment of femoral-popliteal thromboangiitis obliterans (TAO).Materials and MethodsThe clinical data of 26 patients with femoral-popliteal TAO who underwent CDT combined with DCB dilatation were collected from April 2020 to November 2023. The clinical efficacy at different time points (preoperative, 24 hours postoperatively. and every 6-month intervals after the procedure) in terms of the pain score, Rutherford classification, and ankle-brachial index (ABI) was compared. The primary patency was assessed at 6 months and 1 year postoperatively. Amputation-free survival and limb salvage rate were also evaluated.ResultThe femoral-popliteal artery occlusions were successfully recanalized in all 26 patients. No complications such as thrombosis, rupture of vessel, and distal embolism occurred during the operation. Thrombolytic-related hemorrhage occurred in one patient. The pain score and Rutherford grade were lower and ABI was higher at 24 hours, 6 months, and 1 year postoperatively (<i>p</i> < .05). The primary patency rate was 88.5% (23/26) at 6 months and 65.3% (17/26) at 1 year postoperatively. Amputation-free survival and limb salvage rate were both 92.3% at 1 year.ConclusionThe efficacy of CDT therapy combined with DCB dilatation for femoral-popliteal thromboangiitis obliterans is acceptable at 6 months and 1 year, and the long-term effects need to be further observed.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"17085381251379324"},"PeriodicalIF":0.9,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041518","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}
引用次数: 0
Relationship between global limb anatomic staging system (GLASS) and short- and mid-term endovascular treatment outcomes in chronic limb-threatening ischemia (CLTI) patients with infra-inguinal lesions. 伴有腹股沟下病变的慢性肢体威胁性缺血(CLTI)患者整体肢体解剖分期系统(GLASS)与中短期血管内治疗结果的关系
IF 0.9 4区 医学
Vascular Pub Date : 2025-09-10 DOI: 10.1177/17085381251379297
Mohammed Shahat, Haitham Ali Hassan Ali, Abdelrahman Ahmed Shawki, Mohamed Mahmoud
{"title":"Relationship between global limb anatomic staging system (GLASS) and short- and mid-term endovascular treatment outcomes in chronic limb-threatening ischemia (CLTI) patients with infra-inguinal lesions.","authors":"Mohammed Shahat, Haitham Ali Hassan Ali, Abdelrahman Ahmed Shawki, Mohamed Mahmoud","doi":"10.1177/17085381251379297","DOIUrl":"https://doi.org/10.1177/17085381251379297","url":null,"abstract":"<p><p>BackgroundChronic limb-threatening ischemia (CLTI), a severe form of peripheral artery disease (PAD), results in significant morbidity and mortality. The Global Limb Anatomic Staging System (GLASS) is a new tool designed to predict outcomes in CLTI patients undergoing endovascular treatments, yet its relationship with short-term outcomes requires further investigation.ObjectiveThis study evaluates the correlation between GLASS staging and short-term outcomes in CLTI patients treated with endovascular procedures for infrainguinal lesions.MethodsProspective cohort of 160 CLTI patients who received endovascular treatment for infrainguinal lesions was analyzed. GLASS staging was assigned based on angiographic data, and short-term outcomes, including immediate technical failure (ITF), limb-based patency (LBP) at 1 year, and amputation-free survival (AFS) at 1 year, were measured.ResultsIn the cohort of patients, a significant association was found between GLASS staging and short-term outcomes. Higher GLASS stages correlated with increased ITF rates, lower 1-year LBP rates, and reduced 1-year AFS rates. Specific GLASS parameters, such as femoropopliteal and infrapopliteal scores, independently predicted short-term outcomes.ConclusionThis study indicates that GLASS staging is a useful prognostic tool for assessing short-term outcomes in CLTI patients undergoing endovascular treatment for infrainguinal lesions. Utilizing GLASS staging in clinical settings may enhance treatment planning and patient prognoses.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"17085381251379297"},"PeriodicalIF":0.9,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034209","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}
引用次数: 0
Iliofemoral endarterectomy and stenting improves mid-term patency for advanced aortoiliac disease with concomitant common femoral disease. 髂股动脉内膜切除术和支架置入术可改善晚期髂动脉疾病合并普通股动脉疾病的中期通畅。
IF 0.9 4区 医学
Vascular Pub Date : 2025-09-04 DOI: 10.1177/17085381251377294
Nathan J Reinert, Francis J Caputo, Natasha Ahuja, Alice Alexander, James Bena, Andrew Smith, Ali Khalifeh, Courtney Hanak, Ravi Ambani, Nicholas G Hoell, Levester Kirksey, Sean P Lyden, Jon G Quatromoni
{"title":"Iliofemoral endarterectomy and stenting improves mid-term patency for advanced aortoiliac disease with concomitant common femoral disease.","authors":"Nathan J Reinert, Francis J Caputo, Natasha Ahuja, Alice Alexander, James Bena, Andrew Smith, Ali Khalifeh, Courtney Hanak, Ravi Ambani, Nicholas G Hoell, Levester Kirksey, Sean P Lyden, Jon G Quatromoni","doi":"10.1177/17085381251377294","DOIUrl":"https://doi.org/10.1177/17085381251377294","url":null,"abstract":"<p><p>ObjectiveCombined iliofemoral endarterectomy and iliac stenting (IFE + S) is a proven surgical approach for TransAtlantic Inter-society Consensus (TASC) C and D aortoiliac occlusive disease (AIOD). Iliac stenting alone (ISA) may be an attractive, minimally invasive option in select cases; however, untreated moderate-to-severe common femoral disease may threaten iliac stent patency and limit symptom improvement. This study evaluates the mid-term patency rates after IFE + S versus ISA for TASC C and D AIOD as well as the rate of interval femoral endarterectomies in those who underwent ISA.MethodsThis is a retrospective, single-center analysis of patients from 2011 to 2018 with TASC C or D AIOD and concomitant femoral artery stenosis of >50% who underwent IFE + S or ISA. Baseline lesion and patient characteristics such as TASC classification, degree of stenosis, calcification severity, lesion length, and baseline ankle-brachial index (ABI) were collected. Primary, primary-assisted, and secondary patency rates were calculated over three years with Kaplan-Meier estimates. The rate of interval femoral endarterectomies in the ISA cohort was measured at the same time endpoint.ResultsOf the 78 limbs identified, 64 (82.1%) underwent IFE + S and 14 (17.9%) underwent ISA. No significant differences in aortoiliac or femoral lesion characteristics existed. Iliac stent primary patency was significantly improved in the IFE + S group at three years [85.1% versus 55.6%, HR 3.96 (95% CI 1.54, 10.2, p = .004)]. Primary-assisted and secondary patency rates were not significantly different. Five (35.7%) patients in the ISA cohort required an interval femoral endarterectomy for ischemic symptoms over the three-year endpoint.<b>Conclusions:</b> In select patient populations with concomitant TASC C or D AIOD and common femoral artery disease, IFE + S may provide improved mid-term primary stent patency when compared to ISA. A subset of patients who undergo ISA may require future femoral endarterectomies for ischemic symptoms.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"17085381251377294"},"PeriodicalIF":0.9,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001131","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}
引用次数: 0
Three-stage extensive aortic substitution in a young man with a variant of uncertain significance in myosin heavy chain 11 gene. 年轻男性肌球蛋白重链11基因变异不确定意义的三期广泛主动脉置换。
IF 0.9 4区 医学
Vascular Pub Date : 2025-08-13 DOI: 10.1177/17085381251359315
Federico Pascucci, Tommaso Donati, Albino Vallabini, Mauro Cassese, Yamume Tshomba
{"title":"Three-stage extensive aortic substitution in a young man with a variant of uncertain significance in myosin heavy chain 11 gene.","authors":"Federico Pascucci, Tommaso Donati, Albino Vallabini, Mauro Cassese, Yamume Tshomba","doi":"10.1177/17085381251359315","DOIUrl":"https://doi.org/10.1177/17085381251359315","url":null,"abstract":"<p><p>BackgroundNon-syndromic hereditary aortic diseases are caused by mutations in genes encoding for connective tissue components, involving structural integrity of aortic tissue. Amongst them, MYH11 gene mutation is a known causative factor for aortic diseases, especially in young patients.Research DesignWe report the case of a 37 years-old male which came to our attention for an acute DeBakey type I aortic dissection. In three different operations he was submitted to a total aortic substitution with a Bentall operation, a Frozen Elephant Trunk and a Thoracoabdominal Aortic open repair. During the last two operations particular technical tips, which are reported in this work, have been adopted to optimize surgical strategy.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"17085381251359315"},"PeriodicalIF":0.9,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849221","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}
引用次数: 0
Unsupervised machine learning cluster analysis to identification EVAR patients clinical phenotypes based on radiomics. 基于放射组学的无监督机器学习聚类分析,用于识别 EVAR 患者的临床表型。
IF 0.9 4区 医学
Vascular Pub Date : 2025-08-01 Epub Date: 2024-06-17 DOI: 10.1177/17085381241262575
Yonggang Wang, Min Zhou, Yong Ding, Xu Li, Tianchen Xie, Zhenyu Zhou, Weiguo Fu, Zhenyu Shi
{"title":"Unsupervised machine learning cluster analysis to identification EVAR patients clinical phenotypes based on radiomics.","authors":"Yonggang Wang, Min Zhou, Yong Ding, Xu Li, Tianchen Xie, Zhenyu Zhou, Weiguo Fu, Zhenyu Shi","doi":"10.1177/17085381241262575","DOIUrl":"10.1177/17085381241262575","url":null,"abstract":"<p><p>ObjectiveThis study used unsupervised machine learning (UML) cluster analysis to explore clinical phenotypes of endovascular aortic repair (EVAR) for abdominal aortic aneurysm (AAA) patients based on radiomics.MethodWe retrospectively reviewed 1785 patients with infra-renal AAA who underwent elective EVAR procedures between January 2010 and December 2020. Pyradiomics was used to extract the radiomics features. Statistical analysis was applied to determine the radiomics features that related to severe adverse events (SAEs) after EVAR. The selected features were used for UML cluster analysis in training set and validation in test set. Comparison of basic characteristics and radiomics features of different clusters. The Kaplan-Meier analysis was conducted to generate the cumulative incidence of freedom from SAEs rate.ResultA total of 1180 patients were enrolled. During the follow-up, 353 patients experienced EVAR-related SAEs. In total, 1223 radiomics features were extracted from each patient, of which 23 radiomics features were finally preserved to identify different clinical phenotypes. 944 patients were allocated to the training set. Three clusters were identified in training set, in which patients had identical clinical characteristics and morphological features, while varied considerably of selected radiomics features. This encouraging performance was further approved in the test set. In addition, each cluster was well differentiated from other clusters and Kaplan-Meier analysis showed significant differences of freedom from SAEs rate between different clusters both in the training (<i>p</i> = .0216) and test sets (<i>p</i> = .0253).ConclusionBased on radiomics, UML cluster analysis can identify clinical phenotypes in EVAR patients with distinct long-term outcomes.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"735-745"},"PeriodicalIF":0.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421149","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}
引用次数: 0
Comparison of the mechanical properties of bypass grafts: Experimental assays. 旁路移植物机械性能的比较:实验测试
IF 0.9 4区 医学
Vascular Pub Date : 2025-08-01 Epub Date: 2024-07-19 DOI: 10.1177/17085381241264309
Aisa Rassoli, Shirin Changizi, Alireza Behrouz Jazi, Paniz Ghorbani
{"title":"Comparison of the mechanical properties of bypass grafts: Experimental assays.","authors":"Aisa Rassoli, Shirin Changizi, Alireza Behrouz Jazi, Paniz Ghorbani","doi":"10.1177/17085381241264309","DOIUrl":"10.1177/17085381241264309","url":null,"abstract":"<p><p>ObjectiveOne prevalent therapeutic strategy for addressing atherosclerosis is using an alternative blood supply route to the heart, referred to as bypass surgery. In these surgeries, the saphenous vein, radial artery, and internal mammary artery are commonly used to create this bypass route. Unfortunately, due to negligence regarding the compatibility of the graft with the host tissue, reoperation is often required after several years. One method that can aid in selecting a suitable vein for bypass is simulating the solid-fluid interaction, and performing such simulations requires knowledge of the mechanical properties of bypass grafts. Therefore, extracting the mechanical properties of bypass grafts is essential.MethodsIn this study, human bypass grafts were subjected to uniaxial tensile testing, and their elastic modulus was extracted and compared. Additionally, the hyperelastic properties of these grafts were extracted using the Mooney-Rivlin model for use in numerical software.ResultsThe average elastic modulus in the circumferential direction for radial artery, mammary artery, and saphenous vein samples were determined to be 1.384 ± 0.268 MPa, 3.108 ± 1.652 MPa, and 7.912 ± 2.509 MPa, respectively. Based on the results of uniaxial tests, the saphenous vein exhibited the highest stiffness among the three vascular tissues.ConclusionThe mechanical characterization results of the bypass vessels can be applied to the clinical studies of heart diseases. They may help develop an appropriate treatment approach.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"956-961"},"PeriodicalIF":0.9,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724518","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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信