Vascular MedicinePub Date : 2026-04-22DOI: 10.1177/1358863X261430636
Sharika Bamezai, Anuush Vejalla, Alexandra Mansour, Craig Brown, Andrea Obi
{"title":"Case-control study of risk determination for obstetric postpartum venous thromboembolism.","authors":"Sharika Bamezai, Anuush Vejalla, Alexandra Mansour, Craig Brown, Andrea Obi","doi":"10.1177/1358863X261430636","DOIUrl":"https://doi.org/10.1177/1358863X261430636","url":null,"abstract":"","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":" ","pages":"1358863X261430636"},"PeriodicalIF":3.3,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147782565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vascular MedicinePub Date : 2026-04-01Epub Date: 2026-04-27DOI: 10.1177/1358863X261430689
Esther Sh Kim, Junyang Lou, G Jay Bishop
{"title":"Message from the Society for Vascular Medicine President and highlights from the Practice and Compensation Survey 2.0.","authors":"Esther Sh Kim, Junyang Lou, G Jay Bishop","doi":"10.1177/1358863X261430689","DOIUrl":"https://doi.org/10.1177/1358863X261430689","url":null,"abstract":"","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":"31 2","pages":"254-255"},"PeriodicalIF":3.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147782563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vascular MedicinePub Date : 2026-04-01Epub Date: 2026-02-25DOI: 10.1177/1358863X251410527
Benjamin Wagner, Sasha Mukhija, Mohamed Kassem, Andrea Wiencierz, Mandy D Müller, Henrik Gensicke, Daniel Staub, Thomas Wolff, Edin Mujagic, Ioannis Tsogkas, Marios Psychogios, M Eline Kooi, Stefan T Engelter, Philippe Lyrer, Leo Bonati
{"title":"Diagnostic accuracy of gray-scale analysis on B-mode ultrasound for identifying intraplaque hemorrhage and lipid-rich necrotic core in carotid plaques.","authors":"Benjamin Wagner, Sasha Mukhija, Mohamed Kassem, Andrea Wiencierz, Mandy D Müller, Henrik Gensicke, Daniel Staub, Thomas Wolff, Edin Mujagic, Ioannis Tsogkas, Marios Psychogios, M Eline Kooi, Stefan T Engelter, Philippe Lyrer, Leo Bonati","doi":"10.1177/1358863X251410527","DOIUrl":"10.1177/1358863X251410527","url":null,"abstract":"<p><strong>Background: </strong>Intraplaque hemorrhage (IPH) and lipid-rich necrotic core (LRNC) are key markers of carotid plaque vulnerability and stroke risk. Though magnetic resonance imaging (MRI) can detect both, duplex ultrasound is more accessible and may identify echolucent plaque areas that correlate with IPH or LRNC. This study investigated whether quantitative ultrasound can predict the presence of IPH or LRNC in atherosclerotic carotid artery stenosis (CS).</p><p><strong>Methods: </strong>In this prospective single-center study, patients with moderate to severe asymptomatic or symptomatic CS underwent MR plaque imaging and quantitative ultrasound with color mapping. Echolucency was measured in various plaque areas using several gray-scale thresholds. IPH was defined as part of the LRNC. Receiver operating characteristic (ROC) curve analysis assessed the predictive value of ultrasound for MRI-detected IPH or LRNC.</p><p><strong>Results: </strong>Among 113 enrolled patients, 75 patients (mean age 75 years; 69% men; 40% with symptomatic CS) were included in the analysis. On MRI, 43 patients (57%) had LRNC, and 32 patients (43%) showed IPH in the index artery. In the group without IPH, LRNC status could not be scored for 19 index arteries. Echolucency of the plaque surface with a gray-scale value < 20 showed the strongest association with IPH, with an area under the ROC curve (AUC) of 0.58 (95% CI 0.43, 0.71) and a negative predictive value of 0.64 (95% CI 0.50, 0.69) for the presence of IPH (sensitivity 0.50, specificity 0.65). For LRNC without IPH, several thresholds yielded the best-performing AUC of 0.48 (95% CI 0.23, 0.73/0.74)Conclusion:Quantitative ultrasound does not reliably predict the presence of IPH or LRNC, as detected by MRI, in patients with atherosclerotic internal CS.</p>","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":" ","pages":"175-184"},"PeriodicalIF":3.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147290944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of osteoporosis on survival and aneurysm remodeling after endovascular aortic repair.","authors":"Nagi Hayashi, Junji Yunoki, Hirohito Hirata, Tadatsugu Morimoto, Keiji Kamohara","doi":"10.1177/1358863X261417348","DOIUrl":"10.1177/1358863X261417348","url":null,"abstract":"<p><strong>Background: </strong>Osteoporosis has been suggested to be associated with abdominal aortic aneurysms, yet its impact on endovascular aneurysm repair (EVAR) outcomes remains unclear. This study evaluated the impact of osteoporosis on long-term outcomes and aneurysm sac remodeling in patients undergoing EVAR.</p><p><strong>Methods: </strong>This single-center retrospective study included 119 patients who underwent EVAR between 2014 and 2018. Osteoporosis was defined as morphological vertebral compression fractures or an L1 vertebral trabecular attenuation (⩽ 110 Hounsfield units [HU]) on preoperative computed tomography. Patients were stratified into osteoporosis (O; <i>n</i> = 74) and nonosteoporosis (NO; <i>n</i> = 45) groups to compare clinical outcomes and aneurysm sac behavior. Multivariable analyses were performed to identify predictors of mortality and sac changes.</p><p><strong>Results: </strong>The O group had a significantly higher all-cause mortality (39.2% vs 18.1%, <i>p</i> = 0.012) and lower 10-year survival (40.8% vs 79.5%, <i>p</i> < 0.05). Sac shrinkage was more frequent in the NO group (1.6 ± 8.6 vs -7.6 ± 10.3 mm, <i>p</i> < 0.001). Lower L1 HU was significantly associated with sac expansion. Pharmacologic treatment yielded greater sac reduction than nontreatment (-4.3 ± 2.6 vs 2.6 ± 1.0 mm, <i>p</i> = 0.015). Multivariable analysis identified osteoporosis, older age, and type II endoleaks as independent predictors of sac enlargement, whereas osteoporosis treatment was independently associated with sac shrinkage.</p><p><strong>Conclusions: </strong>Osteoporosis is associated with reduced survival and impaired aneurysm sac remodeling following EVAR. Pharmacological treatment may promote sac remodeling and improve clinical outcomes. Routine evaluation and management of osteoporosis may be important post-EVAR care strategies.</p>","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":" ","pages":"194-201"},"PeriodicalIF":3.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147345334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}