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Vascular and Endovascular Review最新文献

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Acute Complicated Type B Aortic Dissection: Do Alternative Strategies Versus Central Aortic Repair Make Sense? 急性复杂B型主动脉夹层：替代策略与中央主动脉修复有意义吗？
Vascular and Endovascular Review Pub Date : 2023-06-02 DOI: 10.15420/ver.2022.02
Yasaman Kavousi, C. Hicks
{"title":"Acute Complicated Type B Aortic Dissection: Do Alternative Strategies Versus Central Aortic Repair Make Sense?","authors":"Yasaman Kavousi, C. Hicks","doi":"10.15420/ver.2022.02","DOIUrl":"https://doi.org/10.15420/ver.2022.02","url":null,"abstract":"Current guidelines dictate emergency repair for an acute complicated type B aortic dissection (TBAD). Surgical approaches for the treatment of acute complicated TBAD can be divided into open and endovascular. The endovascular approach is further divided into central aortic repair and alternative endovascular techniques. Central repair includes endoluminal aortic stent graft repair, such as thoracic endovascular aortic aneurysm repair and provisional extension to induce complete attachment, extended provisional extension to induce complete attachment and stent-assisted balloon-induced intimal disruption and re-lamination in aortic dissection repair techniques. Alternative endovascular techniques include reno-visceral stenting, endovascular aortic membrane fenestration and targeted false lumen thrombosis. This review discusses and compares the various endovascular approaches to repair of acute complicated TBAD, focusing on central versus alternative endovascular techniques. We also discuss indications for technique selection, focusing on the acute management of complicated TBAD.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49668961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review 靶向腘下血管内成形术在血管小体模型治疗糖尿病足溃疡中的作用:系统综述
Vascular and Endovascular Review Pub Date : 2023-06-02 DOI: 10.15420/ver.2022.08
E. Saricilar, Raleene Gatmaitan, Kiraati Patel, Mark Yang
{"title":"The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review","authors":"E. Saricilar, Raleene Gatmaitan, Kiraati Patel, Mark Yang","doi":"10.15420/ver.2022.08","DOIUrl":"https://doi.org/10.15420/ver.2022.08","url":null,"abstract":"Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44224901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is There a Difference in Patency Between Patients Undergoing Venous Stenting for Acute Deep Venous Thrombosis Following Thrombus Removal Versus Post-thrombotic Syndrome Stenoses? 急性深静脉血栓移除后接受静脉支架治疗的患者与血栓综合征后狭窄患者的通畅度有差异吗?
Vascular and Endovascular Review Pub Date : 2023-06-01 DOI: 10.15420/ver.2022.07
L. Rucker, Audrey Muck, M. Broering, P. Muck
{"title":"Is There a Difference in Patency Between Patients Undergoing Venous Stenting for Acute Deep Venous Thrombosis Following Thrombus Removal Versus Post-thrombotic Syndrome Stenoses?","authors":"L. Rucker, Audrey Muck, M. Broering, P. Muck","doi":"10.15420/ver.2022.07","DOIUrl":"https://doi.org/10.15420/ver.2022.07","url":null,"abstract":"Venous stenting was introduced in the 1990s and has continued to evolve to become the first-line therapy for symptomatic iliofemoral venous outflow pathology. There are several dedicated venous stents available in addition to Boston Scientific’s Wallstent and Cook’s Z-Stent. Numerous studies from tertiary referral centres, as well as industry-sponsored trials, have demonstrated the safety and efficacy of these endovascular devices for non-thrombotic iliac vein (NIVL) and post-thrombotic syndrome (PTS) lesions. Patients presenting with acute deep venous thrombosis (aDVT) may also undergo stenting following thrombus removal. The standard of care for NIVL, PTS and aDVT patients has become venography and intravascular ultrasound, and if an underlying iliofemoral stenosis is identified, a stent is placed. There is a concern that inflammation may affect the results of stenting in the aDVT population. Although endovascular stenting for acute venous diseases appears promising and safe, there is a paucity of data on efficacy in aDVT patients. There are only two industry-sponsored trials and a few publications and presentations at academic society meetings to examine. This review assesses the available results for endovascular stenting for aDVT and PTS patients, but not for NIVL.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48301331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endovascular Management of Juxtarenal and Pararenal Abdominal Aortic Aneurysms: Role of Chimney Technique 肾旁及肾旁腹主动脉瘤的血管内治疗:烟囱技术的作用
Vascular and Endovascular Review Pub Date : 2023-05-15 DOI: 10.15420/ver.2022.03
S. Fazzini, Valerio Turriziani, Federico Francisco Pennetta, Simona Vona, F. M. Oddi, A. Marchetti, K. Donas, A. Ippoliti
{"title":"Endovascular Management of Juxtarenal and Pararenal Abdominal Aortic Aneurysms: Role of Chimney Technique","authors":"S. Fazzini, Valerio Turriziani, Federico Francisco Pennetta, Simona Vona, F. M. Oddi, A. Marchetti, K. Donas, A. Ippoliti","doi":"10.15420/ver.2022.03","DOIUrl":"https://doi.org/10.15420/ver.2022.03","url":null,"abstract":"The use of chimney technique in endovascular repair of abdominal aortic aneurysms (ChEVAR) has had a secondary role. Although it was first developed in an emergent/urgent setting, the publication of various important studies has helped overcome scepticism towards this technique in elective procedures. This paper reviews current evidence about ChEVAR, focusing on clinical results, technical notes and comparisons with other techniques. The new ChEVAR findings show favourable mid- and long-term clinical outcomes, even in elective patients. These results, comparable to those related to fenestrated endografts, have been achieved through standardisation in planning and materials. An adequate endograft oversizing associated to the right aortic neck length is fundamental to avoid ChEVAR-related complications, such as type 1a endoleaks. These data indicate that ChEVAR, compared to other complex endovascular treatments, has comparable outcomes along with features that could make it an essential option in every clinical setting.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41611123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Novel Scaffolds for the Treatment of Below-the-Knee Peripheral Arterial Disease With Chronic Limb Threatening Ischemia: A Review 新型支架治疗膝下慢性肢体缺血性外周动脉疾病的研究进展
Vascular and Endovascular Review Pub Date : 2023-02-03 DOI: 10.15420/ver.2022.04
Robert S Zilinyi, M. Alsaloum, Aishwarya Raja, M. Finn, Sanjum S Sethi, Sahil A Parikh
{"title":"Novel Scaffolds for the Treatment of Below-the-Knee Peripheral Arterial Disease With Chronic Limb Threatening Ischemia: A Review","authors":"Robert S Zilinyi, M. Alsaloum, Aishwarya Raja, M. Finn, Sanjum S Sethi, Sahil A Parikh","doi":"10.15420/ver.2022.04","DOIUrl":"https://doi.org/10.15420/ver.2022.04","url":null,"abstract":"Below-the-knee (BTK) peripheral arterial disease (PAD) is a significant source of cardiovascular morbidity and mortality. Patients with chronic limb-threatening ischaemia in BTK PAD represent one of the highest-risk cohorts of PAD patients, with little progress having been made regarding long-term patency and mortality over the past four decades. Although conventional balloon angioplasty has long been the standard of care, several novel scaffolds have been introduced over the past decade with promising 1-year patency rates and freedom from clinically driven target limb revascularisation, which may herald a new age of endovascular intervention for BTK PAD. In this review, we present a critical appraisal of the literature surrounding novel scaffolds and drug-eluting technology in the treatment of BTK PAD.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41853111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Framework for Developing a Comprehensive Venous Practice 开发综合静脉实践的框架
Vascular and Endovascular Review Pub Date : 2022-12-21 DOI: 10.15420/ver.2022.06
Ryan M Cobb, D. Sudheendra
{"title":"A Framework for Developing a Comprehensive Venous Practice","authors":"Ryan M Cobb, D. Sudheendra","doi":"10.15420/ver.2022.06","DOIUrl":"https://doi.org/10.15420/ver.2022.06","url":null,"abstract":"Chronic venous disease (CVD) of the lower extremities is a complex process encompassing abnormalities related to venous drainage secondary to thrombotic and non-thrombotic pathologies. CVD can have an untold economic impact due to lost productivity and the costs of treating its sequela and underlying aetiologies. Building a comprehensive venous service for the treatment of CVD requires a multifaceted approach with longitudinal care, similar to those that have been developed for peripheral arterial disease and oncology.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43151368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Importance of Early Thrombus Removal 早期血栓清除的重要性
Vascular and Endovascular Review Pub Date : 2022-11-24 DOI: 10.15420/ver.2021.10
J. Cottrell, Mitchell J Silver
{"title":"The Importance of Early Thrombus Removal","authors":"J. Cottrell, Mitchell J Silver","doi":"10.15420/ver.2021.10","DOIUrl":"https://doi.org/10.15420/ver.2021.10","url":null,"abstract":"Historically, anticoagulation has been the primary treatment for acute lower extremity deep venous thrombosis (DVT) with or without thrombolysis. Despite large amounts of clinical research data supporting an ‘open vein hypothesis’, which favours early thrombus removal, clinicians have been hesitant to take this option due to a historically high risk of major bleeding and a few notable studies that failed to show any meaningful benefit. The ATTRACT trial failed to show the benefit of using pharmacomechanical catheter-directed thrombolysis (PCDT) for iliofemoral and femoropopliteal DVT but did result in more bleeding. However, the CaVent study before it revealed a significant reduction in post-thrombotic syndrome (PTS) for patients with iliofemoral and femoral DVT after long-term follow-up past 24 months that grew over time. Since these trials, there have been significant advancements in magnetic resonance and CT venography, intravascular ultrasound (IVUS), venous stenting and thrombectomy catheters meaning there is little to no need for adjunct thrombolytics. Results from ongoing research such as CLEAR-DVT reflect the advances in modern technology.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42617774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Renal Artery Embolisation in the Management of Blunt Renal Injuries: A Review 肾动脉栓塞在钝性肾损伤治疗中的作用：综述
Vascular and Endovascular Review Pub Date : 2022-11-22 DOI: 10.15420/ver.2022.01
Rosemary Denning Ho, V. Shrivastava, A. Mokhtari, R. Lakshminarayan
{"title":"The Role of Renal Artery Embolisation in the Management of Blunt Renal Injuries: A Review","authors":"Rosemary Denning Ho, V. Shrivastava, A. Mokhtari, R. Lakshminarayan","doi":"10.15420/ver.2022.01","DOIUrl":"https://doi.org/10.15420/ver.2022.01","url":null,"abstract":"Renal injuries are the most common urinary tract injury secondary to external abdominal trauma. They are caused by blunt, penetrating and iatrogenic mechanisms. Despite the high number of blunt renal injuries, little evidence is available to guide management, especially with the evolution of embolisation as a minimally invasive treatment. Consequently, clinical practice is driven by results of observational studies and anecdote. We have reviewed the current trends in practice when using renal artery embolisation in the management of blunt renal injuries. Three key principles are highlighted. First, high-grade blunt renal injuries can be successfully managed with embolisation. Second, embolisation should be considered when there is radiological evidence of active contrast extravasation, pseudoaneurysm or arteriovenous fistula. Third, embolisation can be used to manage blunt renal injuries in haemodynamically unstable patients. Beyond this, evidence regarding optimal technique, CT indications, clinical status, comorbidities and complications are inconclusive. We discuss the implications for clinical practice and how these findings should define the agenda for future clinical research.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49483724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does Current Evidence Support Carotid Artery Stenting for Asymptomatic Patients? 目前的证据支持无症状患者使用颈动脉支架吗？
Vascular and Endovascular Review Pub Date : 2022-06-22 DOI: 10.15420/ver.2020.18
Mustafa Abbas, T. Cleveland
{"title":"Does Current Evidence Support Carotid Artery Stenting for Asymptomatic Patients?","authors":"Mustafa Abbas, T. Cleveland","doi":"10.15420/ver.2020.18","DOIUrl":"https://doi.org/10.15420/ver.2020.18","url":null,"abstract":"Carotid interventions, carotid endarterectomy and carotid artery stenting (CAS) have proven to be effective treatments for the prevention of ischaemic stroke in recently symptomatic patients. Most studies were conducted before the development of strict statin guidance and the systematic use of antiplatelet drugs. The advances in medical treatments have raised questions regarding the benefit of carotid endarterectomy or CAS, especially for high-grade asymptomatic internal carotid artery stenosis. Reviewing the literature indicates that carotid artery stenosis of any degree is a relatively weak predictor of ipsilateral stroke, in the absence of recent symptoms referable to the carotid disease. This risk does not appear reduced by revascularisation by CAS if added to modern day best medical therapy. On-going trials are key to understanding if current techniques can provide an additional benefit.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47629313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
New Technology Focus: Smart Polymer in Vascular Surgery 新技术聚焦：血管外科中的智能聚合物
Vascular and Endovascular Review Pub Date : 2022-05-18 DOI: 10.15420/ver.2022.5.s1
R. Milner
{"title":"New Technology Focus: Smart Polymer in Vascular Surgery","authors":"R. Milner","doi":"10.15420/ver.2022.5.s1","DOIUrl":"https://doi.org/10.15420/ver.2022.5.s1","url":null,"abstract":"A new smart polymer technology developed by Shape Memory Medical is available to endovascular specialists. The shape memory polymer is incorporated into vascular plugs and coils. Dr Ross Milner, a vascular surgeon at University of Chicago Medicine, gives his perspective on the properties of the shape memory polymer and how smart polymer devices may be used in vascular surgery.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47110691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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