Vascular Investigation and Therapy最新文献

{"title":"Application of a custom-manufactured directional multibranched stent graft to treat thoracoabdominal aneurysms: A case report","authors":"Hao He, Quan-ming Li, Zijian Ye, C. Shu","doi":"10.4103/2589-9686.348225","DOIUrl":"https://doi.org/10.4103/2589-9686.348225","url":null,"abstract":"OBJECTIVE: The objective of this study was performed to demonstrate the feasibility and effectiveness of a custom-manufactured stent graft (CMSG) with directional multibranches for the treatment of a complex thoracoabdominal aortic aneurysm (TAAA) patient. METHODS: A 73-year-old man presented with Crawford Type V TAAA was treated with a CMSG with four down-going directional branches including two proximal directional branches for the celiac artery and superior mesenteric artery and two distal side directional branches for the bilateral renal arteries. RESULTS: Postoperative course was unremarkable and 6-month follow-up demonstrated sac regression, absence of endoleaks, and all of the visceral branches remained patent. CONCLUSIONS: Total endovascular repair using CMSG with directional multibranches is a suitable alternative in higher risk patients with TAAA who are not suited for open surgery. Longer follow-up is needed to confirm the preliminary results.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"48 1","pages":"51 - 53"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80150645","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}

{"title":"Successful endovascular recanalization of a thrombosed arteriovenous fistula with extensive stenosis: A case report","authors":"Hai-Lei Li, Y. Chan, P. Pai, S. Cheng","doi":"10.4103/2589-9686.346192","DOIUrl":"https://doi.org/10.4103/2589-9686.346192","url":null,"abstract":"Management of chronic arteriovenous fistula (AVF) thrombosis is challenging. In this case report, we described successful endovascular treatment for a thrombosed AVF with extensive stenosis. A 50-year-old woman presented with diminishing blood flow of her forearm AVF. Diagnostic angiogram showed a long segment of cephalic vein outflow stenosis, occlusion of one accessory cephalic vein branch, and proximal stenosis of the cephalic vein. After angioplasty, the occluded fistula was recanalized without any significant residual stenosis. The AVF had been functional at 6-month follow-up.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"52 1","pages":"48 - 50"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90822662","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}

{"title":"Fuzzy inference analysis of the arterial hypertension effect on aneurysm","authors":"Bouharati Imene, Boubendir Nasser-Eddine, Bouharati Khaoula, Laouari Slimane","doi":"10.4103/2589-9686.348228","DOIUrl":"https://doi.org/10.4103/2589-9686.348228","url":null,"abstract":"BACKGROUND: Several factors are at the root of the aneurysm. This disease is characterized by the loss of parallelism of the abdominal aorta, which widens to a breaking point. This anomaly is silent, and it is discovered by accident during the diagnosis of another patient. High blood pressure is often associated with the aneurysm. The age factor is directly linked to other factors that are often poorly understood. SUBJECTS AND METHODS: This study proposes the analysis of these factors by artificial intelligence techniques, in particular fuzzy analysis. This mode of reasoning compensates for the uncertainties inherent in the process. A fuzzy system is established, allowing factors recorded from 100 diagnosed patients to be entered as input variables to the system to read the predicted aortic diameter. RESULTS: The result at the output of the system will be as precise as possible, because, it is calculated from the aggregation of all the variables. This study compensates for imprecision and uncertainty by considering blood pressure as an imprecise and therefore fuzzy variable CONCLUSIONS: The result at the output of the system will be as precise as possible, because it is calculated from the aggregation of all the variables. In the absence of a systematic screening program, this system can be a tool to help prevent this disease.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"78 1","pages":"37 - 41"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73914722","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}

{"title":"Perclose ProGlide devices simplified the removal of the femoral venous cannulas for the transcatheter closure of atrial septal defect: A single-center retrospective study","authors":"Xiaofeng Han, Xi Guo, Tie-zheng Li, Guangrui Liu","doi":"10.4103/2589-9686.348221","DOIUrl":"https://doi.org/10.4103/2589-9686.348221","url":null,"abstract":"OBJECTIVE: This study aimed to assess the effectiveness, feasibility, and security of the Perclose ProGlide device that was used to remove the femoral venous cannulas for the transcatheter closure of atrial septal defect (ASD). METHODS: A total of 145 cases were analyzed retrospectively, who performed transcatheter closure of ASD in our center from March 2019 to March 2021. Based on whether the Perclose ProGlide device was placed or not in the femoral vein, 48 patients were assigned to the Perclose group and 97 ones to the non-Perclose group. The data of general characteristics, femoral venous cannulas, and related puncture complications were compared between the two groups. RESULTS: The data of general characteristics or femoral venous cannulas were not significantly different between the two groups, but the procedure duration of removing venous cannulas was shorter in the Perclose group (0.5 min [0.35, 0.70] vs. 5 min [3.6, 7.4], P < 0.001). The puncture procedure-related blood lose was not significantly different between the two groups (Hemoglobin reduction value: 0.10 [−0.47, 0.30] g/dL vs. 0.10 [−0.50, 0.30] g/dL, P = 0.905). In addition, other complications caused by the removal of venous cannulas, length of stay in the ward, puncture infection, reintervention, and so on were not significantly different between the groups. CONCLUSIONS: The Perclose ProGlide device could simplify the removal of femoral venous cannulas for ASD transcatheter closure by decreasing procedure duration and time in bed. The efficiency, feasibility, and safety of Perclose ProGlide devices, which were used to remove venous cannulas, are good enough for their clinical application.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"16 1","pages":"31 - 36"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79706259","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}

{"title":"Case report of type IIIa endoleak after endovascular aortic repair","authors":"Xiaofeng Han, Xi Guo, Guangrui Liu, Tie-zheng Li","doi":"10.4103/2589-9686.348223","DOIUrl":"https://doi.org/10.4103/2589-9686.348223","url":null,"abstract":"An 81-year-old male presented to our emergency department for abdominal pain and distension. The patient had previously undergone endovascular aortic repair (EVAR) procedure 9 years ago for infrarenal abdominal aortic aneurysm with regular follow-up in postoperative. Three years ago, computed tomography angiography (CT) revealed Type Ib endoleak with right common iliac artery expansion and Type II endoleak from inferior mesenteric artery (IMA). Then, the patient was successfully treated by relining the iliac stent-graft to cover the common iliac expansion and coil embolism to occlude IMA through the Riolan's arch using endovascular technique. Recently, the following up CTA displayed a new Type IIIa endoleak, which the left iliac limb was disconnected with the main body graft. The patient was ultimately successful to treat by implanting stent-grafts using endovascular therapy. This case emphasizes the necessity of follow-up examination for lifelong stent-grafts surveillance. We debated the current late-related complication of EVAR and stent-graft migration treatment choices.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"33 1","pages":"54 - 57"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81004519","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}

{"title":"The endovascular aortic repair for patients with traumatic thoracic aortic blunt injury: A single-center experience","authors":"Mengmeng Ye, Qingyun Zhou, Yiqing Wei, Jia-Chian Wu, Yiming Shen, Tao Zheng, Guofeng Shao","doi":"10.4103/2589-9686.348222","DOIUrl":"https://doi.org/10.4103/2589-9686.348222","url":null,"abstract":"OBJECTIVE: Blunt thoracic aortic injury is the second most common cause of death in trauma patients. Traumatic aortic injury is an emergency that patients will face death soonly, even there is no enough time to transport the patient to the hospital. In our center, all patients were treated with thoracic endovascular aortic repair (TEVAR). We retrospectively analyze the therapeutic effects of TEVAR of blunt traumatic aortic injury (BTAI) to get some inspiration for the follow-up treatment and provide valuable guidance. METHODS: We retrospectively reviewed our institutional database to identify all patients treated with TEVAR for traumatic lesions of the aortic isthmus. We have identified 22 patients since 2017. Patients' charts were analyzed for preoperative characteristics and intraoperative variables. RESULTS: Forty-six patients were included. The median age was 56 years (23–79 years). Sixteen patients were male (73%). Most of them were graded III/IV of aortic injury. All patients were undergone endovascular treatment successfully. Six of 22 patients, showing no chest pain before admission, were presented with classic type B aortic dissection. Moreover, one patient was presented with thoracoabdominal dissection. Emergency surgery (<24 h) was performed in seven patients (32%) who experienced life-threatening injury resulting in hemorrhagic shock and hematoma formation in the mediastinum. All patients were discharged smoothly with no residual symptoms. CONCLUSIONS: Endovascular treatment of traumatic aortic dissection reduces the mortality rate of these patients who cannot tolerate traditional open surgery. According to our experience, patients who presented with simple pseudoaneurysm in enhanced computed tomography were more stable. Therefore, a postponed operation could be recommended after symptomatically hypotensive management. However, emergency surgery was necessary if patients presented with obviously mediastinal hematoma, especially progressive pleural effusion, which could result in hematoma rupture and death.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"37 1","pages":"42 - 47"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90727839","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}

{"title":"Application of nonsteroidal anti-inflammatory drugs in aortic aneurysm","authors":"Rubén Moro Rodríguez, D. Olivera, Jose Valdes Cantero, V. Ferrer","doi":"10.4103/2589-9686.340412","DOIUrl":"https://doi.org/10.4103/2589-9686.340412","url":null,"abstract":"INTRODUCTION: Aortic aneurysms have among their main factor for rupture, growth, produced by the weakening of the aneurysmal wall influenced by different risk factors. MATERIAL AND METHOD: A 5-year investigation was carried out with a group of 63 patients with aortic aneurysms who, for different reasons, were not operated on during the study period. They were divided into two groups, one called a study with 48 patients and another with 15 who use in the study group, ibuprofen-based medical treatment (non-steroidal anti-inflammatory drugs [NSAIDs) in doses of 800 mg per day and sixmonthly ultrasound controls throughout the period of the investigation, measuring the aneurysmal diameters to demonstrate the growth, detection or reduction of the same. RESULTS: The usefulness and efficacy of the use of NSAIDs in the field of medical treatment of aortic aneurysms was demonstrated, since during the investigation of the two study groups, we achieved higher survival rates for the group treated with NSAIDs. CONCLUSIONS: Through growth control as the main rupture factor and therefore a complication that in most cases is fatal, we achieved a reduction in the aneurysmal diameter in a number of patients with higher survival rates than in the control group. Graphs up to 5 years are presented that support the results achieved.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"66 12","pages":"1 - 9"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72496136","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}

{"title":"Right aberrant subclavian artery with Kommerell's diverticulum, hybrid treatment","authors":"D. Moniaci, Federica Corrado, Franceso Maiorano, Elisa Pagliasso, Tania Peretti","doi":"10.4103/2589-9686.376923","DOIUrl":"https://doi.org/10.4103/2589-9686.376923","url":null,"abstract":"","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85436654","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}

{"title":"An observational study of the correlation between Clinical/Etiological/Anatomical/Pathophysiological, Venous Clinical Severity Score, and heaviness/ache/swelling/throbbing/itching classifications for chronic venous insufficiency","authors":"Y. Chi, Xi Chen, Yong-Feng Zhao, Yongfeng Han, Li An, Qian Yang, Junfeng Zhao, Li-wen Liu","doi":"10.4103/2589-9686.376920","DOIUrl":"https://doi.org/10.4103/2589-9686.376920","url":null,"abstract":"","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88013668","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}

{"title":"The choice of bridging stents in fenestrated endovascular aortic repair","authors":"X. Dai, F. Niu, J. Bi, Peng Li, Guangze Luo, H. Pan, Yonghui Chen, Chao Qu, Zongwei Liu, Xiaoxing Zhang","doi":"10.4103/2589-9686.376924","DOIUrl":"https://doi.org/10.4103/2589-9686.376924","url":null,"abstract":"","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77885208","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}