Vascular MedicinePub Date : 2024-10-13DOI: 10.1177/1358863X241282635
Emeraude Rivoire, Nellie Della Schiava, Olivier Rouvière, Gaele Pagnoux, Tae-Hee Cho, Antoine Millon, Anne Long
{"title":"Carotid web: Pathophysiology, diagnostic, and therapeutic options. A narrative review.","authors":"Emeraude Rivoire, Nellie Della Schiava, Olivier Rouvière, Gaele Pagnoux, Tae-Hee Cho, Antoine Millon, Anne Long","doi":"10.1177/1358863X241282635","DOIUrl":"https://doi.org/10.1177/1358863X241282635","url":null,"abstract":"<p><p>A carotid web (CaWeb), otherwise known as a carotid bulb diaphragm, is a spur of intimal fibrous tissue extending into the carotid bulb. It is a rare, underdiagnosed cause of ischemic strokes in young people. The purpose of this narrative review was to provide an update on CaWebs, highlighting recent evolutions in their management. We undertook a comprehensive literature search on main electronic databases - MEDLINE/PubMed, Cochrane Library, Web of Science, and EMBASE - using a dedicated equation to include studies up to February 13, 2024. We also searched for the most recent guidelines about carotid disease or stroke including CaWeb management. A CaWeb is found in up to 10% of young patients, particularly young women, with severe anterior stroke due to an arterial-arterial embolism from the intra-nidus thrombus. Most patients with a CaWeb have less than 50% stenosis on duplex ultrasound, and diagnosis is mostly obtained by computed tomography angiography. When applying traditional stenosis criteria for symptomatic disease (> 50% stenosis), this highly morbid condition is easily overlooked, leading to recurrent strokes. Antithrombotic treatment is associated with a high recurrence rate of stroke after the index event. The first-line treatment of symptomatic CaWebs is increasingly based on endarterectomy or stenting. The lack of recommendations before 2021 and recent discordant guidelines make CaWeb management complex. No guidelines are available to manage patients with asymptomatic CaWebs. Results from ongoing multicenter registries will be useful in guiding management decisions.</p>","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142475943","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 : 2024-10-08DOI: 10.1177/1358863X241285533
Elizabeth V Ratchford, Alexandra L Solomon, Mark Dp Davis
{"title":"Vascular Disease Patient Information Page: Erythromelalgia.","authors":"Elizabeth V Ratchford, Alexandra L Solomon, Mark Dp Davis","doi":"10.1177/1358863X241285533","DOIUrl":"https://doi.org/10.1177/1358863X241285533","url":null,"abstract":"","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142393691","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 : 2024-10-01Epub Date: 2024-06-11DOI: 10.1177/1358863X241257140
Matthew R Alexander, Neeraja B Peterson, Suman Kundu, Eric Farber-Eger, Wanpen Vongpatanasin, Matthew S Freiberg, Quinn S Wells, Phillip A Cook, Joshua A Beckman
{"title":"Predictors of blood pressure reductions with a second measurement in individuals with uncontrolled blood pressure in primary care clinics.","authors":"Matthew R Alexander, Neeraja B Peterson, Suman Kundu, Eric Farber-Eger, Wanpen Vongpatanasin, Matthew S Freiberg, Quinn S Wells, Phillip A Cook, Joshua A Beckman","doi":"10.1177/1358863X241257140","DOIUrl":"10.1177/1358863X241257140","url":null,"abstract":"","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141301738","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 : 2024-10-01Epub Date: 2024-09-04DOI: 10.1177/1358863X241265662
Osman Öcal, Matthias P Fabritius
{"title":"Celiac truncus agenesis with median arcuate ligament syndrome.","authors":"Osman Öcal, Matthias P Fabritius","doi":"10.1177/1358863X241265662","DOIUrl":"10.1177/1358863X241265662","url":null,"abstract":"","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142126827","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 : 2024-10-01Epub Date: 2024-09-06DOI: 10.1177/1358863X241268450
Natalie S Evans, Alexandra L Solomon, Elizabeth V Ratchford
{"title":"Thromboangiitis obliterans (Buerger disease).","authors":"Natalie S Evans, Alexandra L Solomon, Elizabeth V Ratchford","doi":"10.1177/1358863X241268450","DOIUrl":"10.1177/1358863X241268450","url":null,"abstract":"","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141243","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 : 2024-10-01Epub Date: 2024-08-23DOI: 10.1177/1358863X241264478
Nelish Ardeshna, Thane Feldeisen, Xiaowen Kong, Brian Haymart, Scott Kaatz, Mona Ali, Geoffrey D Barnes, James B Froehlich
{"title":"Comparing DOAC and warfarin outcomes in an obese population using the 'real-world' Michigan Anticoagulation Quality Improvement Initiative (MAQI<sup>2</sup>) registry.","authors":"Nelish Ardeshna, Thane Feldeisen, Xiaowen Kong, Brian Haymart, Scott Kaatz, Mona Ali, Geoffrey D Barnes, James B Froehlich","doi":"10.1177/1358863X241264478","DOIUrl":"10.1177/1358863X241264478","url":null,"abstract":"<p><strong>Introduction: </strong>Direct oral anticoagulants (DOACs) have overtaken warfarin in the treatment of nonvalvular atrial fibrillation (AF) and venous thromboembolism (VTE). Limited data explore the safety of DOACs in obesity.</p><p><strong>Methods: </strong>This multicenter retrospective study between June 2015 and September 2019 uses the Michigan Anticoagulation Quality Improvement Initiative (MAQI<sup>2</sup>) registry to compare DOACs and warfarin across weight classes (not obese: body mass index (BMI) ⩾ 18.5 and < 30; obese: BMI ⩾ 30 and < 40; severely obese: BMI ⩾ 40). Primary outcomes include major, clinically relevant nonmajor (CRNM), and minor bleeding events per 100 patient-years. Secondary outcomes include stroke, recurrent VTE, and all-cause mortality.</p><p><strong>Results: </strong>DOACs were prescribed to 49% of the 4089 patients with AF and 46% of the 3162 patients with VTE. Compared to patients treated with warfarin, those treated with DOACs had a higher estimated glomerular filtration rate across BMI categories regardless of indication. In the AF population, severely obese patients treated with DOACs had more major (3.4 vs 1.8, <i>p</i> = 0.004), CRNM (8.6 vs 5.9, <i>p</i> = 0.019), and minor bleeding (11.4 vs 9.9, <i>p</i> = 0.001). There was no difference in stroke or all-cause mortality. In the VTE population, both CRNM (7.5 vs 6.7, <i>p</i> = 0.042) and minor bleeding (19.3 vs 10.5, <i>p</i> < 0.001) events occurred at higher rates in patients treated with DOACs. There was no difference in recurrent pulmonary embolism, stroke, or all-cause mortality.</p><p><strong>Conclusion: </strong>There is a higher rate of bleeding in severely obese patients with VTE and AF treated with DOACs compared to warfarin, without a difference in secondary outcomes. Further studies to compare the anticoagulant classes and understand bleeding drivers in this population are needed.</p>","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037067","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 : 2024-10-01Epub Date: 2024-08-23DOI: 10.1177/1358863X241268661
Carlos Mena-Hurtado, Herbert D Aronow, Joshua Beckman, Behnood Bikdeli, Ulf Bronas, Yulanka Castro-Dominguez, Saurav Chatterjee, Islam Y Elgendy, Daniella Kadian-Dodov, Shea Hogan, Sanjum Sethi, Farina Mohamad Yusoff, Debabrata Mukherjee
{"title":"Executive Summary of Standard Operating Procedures for Society for Vascular Medicine (SVM) publications.","authors":"Carlos Mena-Hurtado, Herbert D Aronow, Joshua Beckman, Behnood Bikdeli, Ulf Bronas, Yulanka Castro-Dominguez, Saurav Chatterjee, Islam Y Elgendy, Daniella Kadian-Dodov, Shea Hogan, Sanjum Sethi, Farina Mohamad Yusoff, Debabrata Mukherjee","doi":"10.1177/1358863X241268661","DOIUrl":"10.1177/1358863X241268661","url":null,"abstract":"","PeriodicalId":23604,"journal":{"name":"Vascular Medicine","volume":null,"pages":null},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037068","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}