K. Huang, Z. Xia, Chen Yao, Runnan Shen, Guochang You
{"title":"Foam sclerotherapy for below knee varicosities after great saphenous ligation and stripping: Comparison of multiple injections with infusion","authors":"K. Huang, Z. Xia, Chen Yao, Runnan Shen, Guochang You","doi":"10.4103/2589-9686.328157","DOIUrl":"https://doi.org/10.4103/2589-9686.328157","url":null,"abstract":"","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75590202","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":"Endovascular treatment of the superficial femoral artery aneurysm infected by typhoid Salmonella","authors":"Ziqiang Sun, Xiaoqin Li, Liyong Tang, Song Jin","doi":"10.4103/VIT-D-21-00003","DOIUrl":"https://doi.org/10.4103/VIT-D-21-00003","url":null,"abstract":"Salmonella aortitis accounts for approximately 40% of all infectious aortitis. Superficial femoral artery aneurysm infected by Salmonella typhi has rarely been reported. The study reported a 71-year-old Chinese woman with a previous history of nephrotic syndrome and long-term oral hormone therapy, who was admitted to the hospital with a gradually increasing pulsatile mass in the right thigh and pain. After admission, computed tomography angiography revealed rupture and bleeding of an aneurysm in the middle and lower segment of the right superficial femoral artery (SFA). The aneurysm of the SFA was satisfactorily isolated by the covered stent. The bacterial culture of the secretion from the punctured mass showed the S. typhi infection. Based on the results of the drug sensitivity test, the patient received anti-infective treatment for 4 weeks. The patient recovered well after 1-year follow-up.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"15 1","pages":"22 - 24"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87077928","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}
M. Cipolla, M. Savo, I. Cipolla, L. Gentile, A. Gaddi
{"title":"Telemedicine and multichronic comorbidities in the days of COVID.19: Preliminary results from Calabria Project","authors":"M. Cipolla, M. Savo, I. Cipolla, L. Gentile, A. Gaddi","doi":"10.4103/VIT-1","DOIUrl":"https://doi.org/10.4103/VIT-1","url":null,"abstract":"CONTEXT: The COVID-19 pandemic is probably the most challenging health crisis of the modern era as international health systems were not prepared to fight a virus whose capacity of spread is still being debated. The following are the two main challenges: the management of patients with acute infection of SARS-CoV-2, which needs more attention to have results in brief time, and the prevention of resultant neglect of patients who are not infected but need constant care for their chronic diseases. AIMS: To prevent the deaths from the “indirect effect” of the virus, the main aim was, with the help of telemedicine, to follow-up patients with high risk of poor outcome and to develop a protective system to reduce emergency department and hospitalizations access. The secondary aim was to develop an efficient telehealth model to be applied also after the COVID-19 pandemic. SETTINGS AND DESIGN: The study was voluntary and observational on patients enrolled between March and May 2020, during the first wave of the Italian pandemic. The project involved primary care and specialist physicians, nurses, informatics, and administrative services in the complex unity of primary care in Catanzaro Lido, Calabria Region. MATERIALS AND METHODS: Data such as blood pressure, heart rate, blood oxygenation, and glycemia were recorded using sphygmomanometer, oximeter, and glucometer and were communicated with a smartphone or a Bluetooth directly to a control room. The alerts were stratified according to the common emergency code: green for low risk, yellow for intermediate risk, red for high risk, and critic red for very high risk. RESULTS: Regarding patients with glycemic alerts, totally, 2135 were alert, 25% of them were at high risk, but only in 1 single case (0.04%), the intervention of 118 was necessary. The rest was resolved by telemedicine system with the help, when necessary, of first-level medical intervention. In 6.1% of cases, a specialist advice was required. Moreover, cardiovascular alerts were all resolved by the telemedicine system. CONCLUSIONS: The results obtained are preliminary but satisfying, a clear sign of how telemedicine could improve the management of disease chronicity but also of infectious disease.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"33 1","pages":"1 - 5"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89474357","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":"Surgical treatment of traumatic arteriovenous fistula after failed endovascular treatment","authors":"H. Cai, K. Li, Ziqiang Sun, Song Jin","doi":"10.4103/VIT-D-21-00002","DOIUrl":"https://doi.org/10.4103/VIT-D-21-00002","url":null,"abstract":"Endovascular interventional therapy is the first choice for the treatment of the traumatic arteriovenous fistula (AVF) because of its small trauma, fast recovery, exact effect, and low incidence of complications. However, surgery is still an important option for patients with contraindications to endovascular treatment or failure of endovascular treatment. We present the case of a 64-year-old male who was carried out with traumatic AVF and given endovascular treatment in other hospital 10 years ago. However, AVF did not disappear after surgery, and symptoms of venous hypertension such as lower limb swelling and ulcers appeared. We removed the stent and repaired the AVF with opening surgery. AVF did not recur after 1-year follow-up.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"25 1","pages":"19 - 21"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72990511","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":"Psychological effects of COVID-19 on hospital staff: A national cross-sectional survey in mainland China","authors":"Jian-ming Guo, Lianming Liao, Baoguo Wang, Xiaoqiang Li, Lianrui Guo, Z. Tong, Qinghua Guan, Mingyue Zhou, Ying-feng Wu, Jian Zhang, A. Dardik, Yongquan Gu","doi":"10.4103/VIT-2","DOIUrl":"https://doi.org/10.4103/VIT-2","url":null,"abstract":"OBJECTIVE: This study examined the psychological impact of the coronavirus disease 2019 (COVID-2019) outbreak on medical staff in China. MATERIALS AND METHODS: In February 2020, an online survey was carried out by using an online survey tool (WeChat) to evaluate the effects of the outbreak on the mental health of medical staff in China. RESULTS: A total of 11,118 medical staff responded to the survey. About 4.98% of the respondents reported middle and high levels of anxiety, while 13.47% of the respondents reported middle and high levels of depression since the COVID-19 outbreak. Nurses, frontline medical staff, and younger medical staff were more likely to have anxiety and depression than physicians, nonfrontline medical staff, and older medical staff. CONCLUSIONS: Although the serious psychological impact of COVID-19 is not so common in medical staff in China, programs are needed to protect them against the negative impacts of COVID-19.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"9 1","pages":"6 - 11"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81992326","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}
Chuanqi Cai, Yi Guo, Y. You, F. Cai, M. Xie, Yiqing Li, Weici Wang
{"title":"A case series of inferior vena cava filter implantation in three COVID-19 patients with deep venous thrombosis","authors":"Chuanqi Cai, Yi Guo, Y. You, F. Cai, M. Xie, Yiqing Li, Weici Wang","doi":"10.22541/au.159559746.62867088","DOIUrl":"https://doi.org/10.22541/au.159559746.62867088","url":null,"abstract":"The coronavirus disease 2019 (COVID-19) can cause venous thromboembolism, including deep venous thrombosis (DVT) and pulmonary embolism (PE), but there has been little research on the implantation of an inferior vena cava filter (IVCF) to prevent lethal PE complications. The purpose of this study is to determine the feasibility and effectiveness of IVCF implantation in DVT-COVID-19 patients through the aid of X-ray and bedside color ultrasound (US) techniques. We present three COVID-19 cases that were simultaneously confirmed as acute DVT. The first DVT-COVID-19 patient suffered from unexpected hemiplegia in the right limb. Due to the possibility of a cerebral hemorrhage, we performed X-ray-guided IVCF insertion to prevent PE occurrence. The second patient was diagnosed as having right limb gangrene. Due to the severe infection, we performed one bedside US-guided IVCF implantation before his acute right thigh amputation on the same day. The third patient complained of a feeling of paralysis in his left lower extremity. The X-ray radiograph determined thoracic and lumbar vertebra fractures. We also performed one bedside US-guided IVCF implantation before his vertebra internal fixation surgery. After the standard treatments, the first and third patients were discharged, while the second patient died due to an unexpected acute cardiovascular disease event in the intensive care unit. US-guided IVCF implantation is an effective method that can be considered as a precautionary strategy for preventing lethal PE occurrence, especially for critical DVT-COVID-19 patients who are not suitable to be transferred to a routine X-ray operation room.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"9 1","pages":"57 - 62"},"PeriodicalIF":0.0,"publicationDate":"2020-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87067023","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}
Thilina Gunawardena, Balasubramanium Saseekaran, R. Cassim, M. Wijeyaratne
{"title":"Acute limb ischemia due to tumor embolism","authors":"Thilina Gunawardena, Balasubramanium Saseekaran, R. Cassim, M. Wijeyaratne","doi":"10.4103/vit.vit_17_20","DOIUrl":"https://doi.org/10.4103/vit.vit_17_20","url":null,"abstract":"Acute limb ischemia (ALI) is a surgical emergency that should be promptly recognized and treated. Tumor embolism is a rare cause for acute arterial occlusion and ALI. It has been reported with atrial myxomas and primary/secondary tumors of the lung. Here, we present a case report of bilateral lower limb ischemia due to acute occlusion of the aorta by a tumor embolus originating from a disseminated soft tissue sarcoma.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"36 1","pages":"94 - 96"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73673340","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":"Psychological effects of COVID-19 on the general population: A national cross-sectional survey of china mainland","authors":"Jian-ming Guo, Lianming Liao, Qinghua Guan, Lianrui Guo, Z. Tong, Ying-feng Wu, Jian Zhang, Yongquan Gu","doi":"10.4103/vit.vit_16_20","DOIUrl":"https://doi.org/10.4103/vit.vit_16_20","url":null,"abstract":"OBJECTIVE: We sought to determine the psychological impact of the COVID-2019 outbreak on general population in China. MATERIALS AND METHODS: In 20–22 February 2020, an online survey was implemented using an internet survey tool to collect the information and analyze the effects of the outbreak on the mental health of public population around China. RESULTS: A total of 6471 person responded the survey. About 3.46% of the respondents reported middle and high levels of anxiety while 0.62% of the respondents reported middle and high levels of depression since the COVID-19 outbreak. Respondents who were female younger or had middle-level education were more likely to have anxiety and depression than those who were male, older or had high-level education, respectively. CONCLUSIONS: The prevalence of COVID-19-related anxiety was higher among female and younger respondents, and those with low education. Preventing, detecting, and intervention to mental health conditions should be an important component of public health policy during COVID-19 outbreak.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"42 1","pages":"76 - 81"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83000350","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":"Clinical efficacy of AngioJet™ mechanical thrombectomy for the treatment of acute lower extremity arterial embolism and thrombosis","authors":"Qibing Niu, Quan-jing Chen, Shiqi Wen, Anqiang Li, Fang Dong, Hao Shi, Wanli Sun","doi":"10.4103/vit.vit_15_20","DOIUrl":"https://doi.org/10.4103/vit.vit_15_20","url":null,"abstract":"PURPOSE: This study aimed to evaluate the clinical efficacy of mechanical thrombectomy using the AngioJet™ System for the treatment of lower extremity acute arterial embolism and thrombosis. METHODS: A total of twenty patients who had acute arterial embolism and thrombosis of the lower extremity were recruited. All patients were treated using the AngioJet mechanical thrombectomy system. Clinical data of the patients were retrospectively collected. The clinical efficacy of thrombectomy was analyzed. RESULTS: Eighteen (90%) of the twenty patients successfully completed the mechanical thrombectomy using the AngioJet system. The mean time for hospital stay and operation was 4.2 ± 1.4 days and 1.31 ± 0.41 h, respectively. The average doses of urokinase and heparin during operation were 358,000 ± 123,000 U and 45.10 ± 8.30 mg, respectively. Two patients received a complementary treatment of incision for removing the thrombus. Two patients received catheter-directed thrombolysis (CDT) after the mechanical thrombectomy. Five patients received bare-metal stent implantation after balloon expansion. According to the Cooley standard, ten patients were in excellent conditions, six in good conditions, two in fair conditions, and two in poor conditions. No severe bleeding or renal function impairment was observed. CONCLUSION: The AngioJet mechanical thrombectomy system is safe and effective. Combined with the use of CDT and stent implantation, the AngioJet system could lead to quick recoveries of the perfusion of the lower extremity and improve the limb salvage rates, exhibiting excellent clinical values.","PeriodicalId":34849,"journal":{"name":"Vascular Investigation and Therapy","volume":"68 1","pages":"71 - 75"},"PeriodicalIF":0.0,"publicationDate":"2020-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83129114","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}