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Vascular and Endovascular Review最新文献

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Acute Deep Vein Thrombosis Involving the Inferior Vena Cava: Interventional Perspectives 累及下腔静脉的急性深静脉血栓:介入性观点
Vascular and Endovascular Review Pub Date : 2022-05-16 DOI: 10.15420/ver.2021.08
Adham N. Abou Ali, O. Malak, K. Salem, G. Alkhoury, N. Sridharan, R. Chaer, E. Avgerinos
{"title":"Acute Deep Vein Thrombosis Involving the Inferior Vena Cava: Interventional Perspectives","authors":"Adham N. Abou Ali, O. Malak, K. Salem, G. Alkhoury, N. Sridharan, R. Chaer, E. Avgerinos","doi":"10.15420/ver.2021.08","DOIUrl":"https://doi.org/10.15420/ver.2021.08","url":null,"abstract":"Extension of an iliofemoral thrombosis into the inferior vena cava (IVC), or from the IVC descending into the iliofemoral segments, can confer significant morbidity and mortality. Interventional management of acute deep vein thrombosis (DVT) has been controversial, but there is little doubt that certain subpopulations benefit, such as those with symptomatic IVC thrombosis. When considering an intervention, caval involvement introduces technical difficulties due to its larger diameter, high thrombus burden, bilateral limb clot extension and need for dual access. The frequent coexistence of an IVC filter increases the complexity even more. This review summarises the current indications and treatment modalities available for the management of acute DVT involving the vena cava.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43386585","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
Stent Grafting for Aortoiliac Occlusive Disease: Review of the VBX FLEX Study 主动脉髂闭塞性疾病的支架移植:VBX FLEX研究综述
Vascular and Endovascular Review Pub Date : 2022-04-11 DOI: 10.15420/ver.2021.12
Nolan Mann, Hosam F. El Sayed, J. Panneton
{"title":"Stent Grafting for Aortoiliac Occlusive Disease: Review of the VBX FLEX Study","authors":"Nolan Mann, Hosam F. El Sayed, J. Panneton","doi":"10.15420/ver.2021.12","DOIUrl":"https://doi.org/10.15420/ver.2021.12","url":null,"abstract":"Endovascular treatment has become an accepted method in the treatment of aortoiliac occlusive disease. Bare metal stents have been used in the treatment of aortoiliac disease since the early 1990s. More recently, the use of covered stent grafts in the aortoiliac segment has shown clinical benefit in terms of patency, freedom from reintervention and quality of life. The VBX FLEX study evaluated the safety and efficacy of the Gore VBX stent graft for use in the aortoiliac segment. The early and mid-term data on the Gore VBX stent graft have shown it to be a safe device for use in the treatment of aortoiliac occlusive disease. This review examines the use of stents in aortoiliac occlusive disease with specific focus on the VBX FLEX Study.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44240778","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
Aetiology and Therapeutic Options of Acute Subclavian Vein Thrombosis 急性锁骨下静脉血栓形成的病因及治疗选择
Vascular and Endovascular Review Pub Date : 2022-03-16 DOI: 10.15420/ver.2021.20
G. Taneva, Jaime Muñoz Castellanos, K. Donas
{"title":"Aetiology and Therapeutic Options of Acute Subclavian Vein Thrombosis","authors":"G. Taneva, Jaime Muñoz Castellanos, K. Donas","doi":"10.15420/ver.2021.20","DOIUrl":"https://doi.org/10.15420/ver.2021.20","url":null,"abstract":"","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43129980","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
Combined Treatment of the Anterior Accessory Saphenous Vein and the Great Saphenous Vein 前副隐静脉和大隐静脉的联合治疗
Vascular and Endovascular Review Pub Date : 2022-02-07 DOI: 10.15420/ver.2021.07
H. Welch
{"title":"Combined Treatment of the Anterior Accessory Saphenous Vein and the Great Saphenous Vein","authors":"H. Welch","doi":"10.15420/ver.2021.07","DOIUrl":"https://doi.org/10.15420/ver.2021.07","url":null,"abstract":"The anterior accessory saphenous vein (AASV) is a common source of primary and recurrent lower extremity varicose veins. Reflux in the AASV can occur independently or simultaneously with great saphenous vein (GSV) reflux. A number of published reports describe recommendations and treatment of symptomatic refluxing AASVs, but descriptions of combined treatment are sparse. Treatment options for ablation of the AASV include both thermal and non-thermal techniques, and results are equivalent to ablation of the great and small saphenous veins. Although not commonly performed, concomitant ablation of the AASV and the GSV is effective and safe, and can be accomplished with minimal additional time. Concomitant treatment is an appropriate option that should be discussed with the patient.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43422063","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 Clinical Trial of Venous Stent Placement for Post-thrombotic Syndrome: Current Status and Pandemic-related Changes. 静脉支架植入治疗血栓后综合征的临床试验：现状及与大流行相关的变化。
Vascular and Endovascular Review Pub Date : 2022-02-01 Epub Date: 2022-06-21 DOI: 10.15420/ver.2021.19
Suresh Vedantham, Sameer Parpia, Susan R Kahn
{"title":"A Clinical Trial of Venous Stent Placement for Post-thrombotic Syndrome: Current Status and Pandemic-related Changes.","authors":"Suresh Vedantham, Sameer Parpia, Susan R Kahn","doi":"10.15420/ver.2021.19","DOIUrl":"10.15420/ver.2021.19","url":null,"abstract":"<p><p>Patients with post-thrombotic syndrome (PTS) and iliac vein obstruction have lower extremity symptoms, activity limitation and impairment of health-related quality of life. Preliminary studies suggest that iliac vein stent placement, which eliminates venous outflow obstruction, may reduce the clinical severity of PTS. However, stent placement is associated with patient risk, inconvenience and cost. Therefore, the Chronic Venous Thrombosis - Relief with Adjunctive Catheter-directed Therapy (C-TRACT) trial was launched to rigorously assess the risk-benefit ratio of stent placement for the treatment of moderate or severe PTS. In the trial, patients in both treatment groups receive a high quality of multimodality PTS care that includes medical, compressive, and ulcer therapies. Due to the COVID-19 pandemic, the trial protocol and practices were modified to enhance the study feasibility while preserving its ability to answer its primary question. This review summarises the current status of the trial and the potential impact of the pandemic-related adaptations to future venous clinical practice and research.</p>","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":"5 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c4/f6/nihms-1901503.PMC10230505.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9571322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Paclitaxel Exposure and Dosage of Drug-coated Devices for the Treatment of Femoropopliteal Peripheral Artery Disease 紫杉醇暴露量和药物包衣装置治疗股腘动脉疾病的剂量
Vascular and Endovascular Review Pub Date : 2021-07-22 DOI: 10.15420/VER.2020.14
Ceazón T Edwards, P. Schneider, C. Huynh
{"title":"Paclitaxel Exposure and Dosage of Drug-coated Devices for the Treatment of Femoropopliteal Peripheral Artery Disease","authors":"Ceazón T Edwards, P. Schneider, C. Huynh","doi":"10.15420/VER.2020.14","DOIUrl":"https://doi.org/10.15420/VER.2020.14","url":null,"abstract":"The role of paclitaxel in the treatment of femoropopliteal peripheral arterial disease is currently ambiguous. A summary-level meta-analysis of randomised trials published in 2018 demonstrated that paclitaxel-coated devices were associated with an increased all-cause mortality in those who underwent treatment at 2 years and 5 years. Further evaluation has been undertaken to establish whether there is a specific dose response, mechanism or reproducible signal. At this time, there has been no confirmation of dose response, as was initially asserted by the summary-level meta-analysis. No mechanism of harm has been identified. Although an association with increased mortality has been confirmed by patient-level meta-analysis, the strength of the signal has been inconsistent. The information suggests there is only an association between paclitaxel-coated devices and increased all-cause mortality, not causation. The authors encourage additional studies designed to follow long-term results after treatment with paclitaxel-coated devices, using real patient data, before a conclusion can be made.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49312596","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
Incidental Finding of an Asymptomatic Migrated Coil to the Right Ventricle Following Pelvic Vein Embolisation 盆腔静脉栓塞后偶然发现无症状的右心室线圈移位
Vascular and Endovascular Review Pub Date : 2021-06-23 DOI: 10.15420/ver.2020.22
Luca Scott, J. Cullen
{"title":"Incidental Finding of an Asymptomatic Migrated Coil to the Right Ventricle Following Pelvic Vein Embolisation","authors":"Luca Scott, J. Cullen","doi":"10.15420/ver.2020.22","DOIUrl":"https://doi.org/10.15420/ver.2020.22","url":null,"abstract":"Pelvic vein embolisation (PVE) with metallic coils is an effective treatment for pelvic venous congestion. The migration of coils following the procedure has been well-reported; however, the most effective approach to management is still unclear. In the present case, the authors describe the delayed identification of a migrated coil to the right ventricle following an ovarian vein embolisation. The patient presented to the emergency department with chest pain and subsequent radiology identified a coil in the right ventricle. This was found to be present on previous radiology, but had not been reported on. The position of the coil had remained stable and therefore was deemed an unlikely cause for the chest pain. The coil was managed conservatively. This demonstrates how asymptomatic coil migration may go undetected and thus the migration rates in the literature may be underreported. Post-PVE screening to assess for migration could improve the accuracy of complication rates and prevent delayed complications associated with migrated coils.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48231717","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: 2
Paclitaxel- and Sirolimus-coated Balloons in Peripheral Artery Disease Treatment: Current Perspectives and Concerns 紫杉醇和西罗莫司包被球囊在外周动脉疾病的治疗:当前的观点和关注
Vascular and Endovascular Review Pub Date : 2021-04-05 DOI: 10.15420/VER.2020.16
M. Mori, A. Sakamoto, R. Kawakami, Y. Sato, H. Jinnouchi, K. Kawai, A. Cornelissen, R. Virmani, A. Finn
{"title":"Paclitaxel- and Sirolimus-coated Balloons in Peripheral Artery Disease Treatment: Current Perspectives and Concerns","authors":"M. Mori, A. Sakamoto, R. Kawakami, Y. Sato, H. Jinnouchi, K. Kawai, A. Cornelissen, R. Virmani, A. Finn","doi":"10.15420/VER.2020.16","DOIUrl":"https://doi.org/10.15420/VER.2020.16","url":null,"abstract":"Drug-coated balloons (DCBs) have become an established therapy for the treatment of above-the-knee peripheral artery disease. The paclitaxel DCB has shown clinical benefit in terms of patency and freedom from re-intervention in multiple randomised trials. However, a recent meta-analysis has suggested an association between mortality and the use of paclitaxel-coated devices. Sirolimus is another potential choice of anti-proliferative agent for use in DCBs because of its wider therapeutic index and lower risk for dose-dependent toxicity. More recently, encapsulating sirolimus in micro-reservoirs or polymers has facilitated the development of effective sirolimus DCBs, some of which are available in Europe and Asia. In this review, the authors focus on paclitaxel and sirolimus DCB technologies from the standpoint of drug characteristics and clinical trials.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43630119","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: 3
Ultrasound Detection of Extracranial Carotid Artery Aneurysms: A Case Report 超声检测颅内外颈动脉动脉瘤1例报告
Vascular and Endovascular Review Pub Date : 2020-12-23 DOI: 10.15420/ver.2020.09
F. D'Abate, C. Vitale
{"title":"Ultrasound Detection of Extracranial Carotid Artery Aneurysms: A Case Report","authors":"F. D'Abate, C. Vitale","doi":"10.15420/ver.2020.09","DOIUrl":"https://doi.org/10.15420/ver.2020.09","url":null,"abstract":"The ultrasound definition of extracranial carotid artery aneurysms (ECCAs) is unclear. The threshold diameter to use for defining an extracranial carotid artery as aneurysmal is still debated. Similarly, the ultrasound method of choice for measuring the maximum diameter of ECCAs has not been agreed. In this paper we report the case of a patient with a fusiform aneurysm at the level of the carotid artery bifurcation and a large saccular aneurysm of the proximal internal carotid artery, and discuss the information essential to acquire when ECCAs are detected with ultrasound.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46427652","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
Conservative Management of a Splenic Artery Aneurysm in Pregnancy: A Case Report 妊娠期脾动脉瘤的保守治疗1例报告
Vascular and Endovascular Review Pub Date : 2020-12-21 DOI: 10.15420/ver.2020.11
Raleene Gatmaitan, Keagan Werner-Gibbings, M. Sallam, R. Bell, P. Gkoutzios
{"title":"Conservative Management of a Splenic Artery Aneurysm in Pregnancy: A Case Report","authors":"Raleene Gatmaitan, Keagan Werner-Gibbings, M. Sallam, R. Bell, P. Gkoutzios","doi":"10.15420/ver.2020.11","DOIUrl":"https://doi.org/10.15420/ver.2020.11","url":null,"abstract":"Splenic artery aneurysms (SAA) are a rare and life-threatening pathology. Ruptured SAA has a mortality rate of up to 25%, with increased rates of rupture in pregnancy, pseudoaneurysm, liver transplantation, portal hypertension, symptomatic SAA and diameter >2 cm. Management of SAA in pregnant women is poorly described in the literature, making treatment of these patients difficult. Furthermore, careful consideration of complications for both the mother and the foetus need to be taken into account. This case report demonstrates that conservative management with monthly surveillance MRI can be used as viable treatment option of an asymptomatic 17 mm splenic artery aneurysm in a pregnant woman.","PeriodicalId":33745,"journal":{"name":"Vascular and Endovascular Review","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48584421","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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