Acta Angiologica最新文献_第6页

Non-traumatic ulnar artery aneurysm in a middle-aged male 非创伤性尺动脉动脉瘤一例中年男性

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Acta Angiologica Pub Date : 2021-03-22 DOI: 10.5603/AA.2020.0022

N. Gunawansa, Prasath Subramaniyam

引用次数: 0

Fibrin sealant injection through the drain with adjuvant compression as a treatment of groin lymphatic complications after vascular operation 纤维蛋白封闭剂引流辅助压迫治疗血管手术后腹股沟淋巴管并发症

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Acta Angiologica Pub Date : 2021-01-17 DOI: 10.5603/AA.2020.0015

T. Grochowiecki, Michał Macech, T. Jakimowicz, M. Jędrasik, S. Nazarewski

{"title":"Fibrin sealant injection through the drain with adjuvant compression as a treatment of groin lymphatic complications after vascular operation","authors":"T. Grochowiecki, Michał Macech, T. Jakimowicz, M. Jędrasik, S. Nazarewski","doi":"10.5603/AA.2020.0015","DOIUrl":"https://doi.org/10.5603/AA.2020.0015","url":null,"abstract":"Introduction: Groin lymphatic complications after femoral artery operations are rare, but if developed, they could be a source of severe complications that could be potentially fatal. The novel technique of combining compression and application of Tisseel sealant (Baxter AG, Vienna, Austria) to treat lymphatic fistulas in the groin region after common femoral artery exposure was evaluated. Material and methods: Twelve groins from eleven patients with groin lymphatic complications were enrolled into the study. Patients had femoral artery exposure during one of the following procedures: endovascular aortic aneurysm repair, thrombendarterectomy or extra-anatomic by-pass. Postoperatively, average lymphatic drainage through the drain was 140 ± 60 (range 48–300) mL per day. Intervention was performed at a median of 12 (9–23) days after operation. The drain was cut off close to the skin, a thin double-channel catheter was introduced as deep as possible through the drain and sealant was injected into the wound. Simultaneously, the remaining part of the drain was removed, the orifice in the skin was sutured and a compression dressing was kept in place for 24 hours. The median patient observation period was 13 months (range 2.5–23) and surveillance of the groin was performed using ultrasonography. Results: Early outcomes showed full technical success. None of the patients were readmitted due to lymphorrhea, infection or poor wound healing during follow-up. No lymphoceles were detected by ultrasonography. Conclusion: Fibrin glue injection augmented by compression is an effective method for treating postoperative lymphatic fistulas and to prevent lymphorrhagia and lymphocele formation in the groin region after femoral artery exposure.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42388518","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

Neurogenic muscle hypertrophy as an uncommon case of the calf enlargement — a case report and literature review 神经源性肌肉肥大是一种罕见的小腿肥大病例——病例报告和文献复习

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Acta Angiologica Pub Date : 2021-01-17 DOI: 10.5603/AA.2020.0016

A. Kujawa, A. Szuba, R. Małecki

引用次数: 0

Investigation of clinical and genetic factors in patients with deep vein thrombosis. A retrospective study 深静脉血栓形成患者的临床和遗传因素调查。回顾性研究

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Acta Angiologica Pub Date : 2021-01-17 DOI: 10.5603/AA.2020.0017

N. Inandiklioğlu, H. Uzun, F. Çiçekçioğlu

{"title":"Investigation of clinical and genetic factors in patients with deep vein thrombosis. A retrospective study","authors":"N. Inandiklioğlu, H. Uzun, F. Çiçekçioğlu","doi":"10.5603/AA.2020.0017","DOIUrl":"https://doi.org/10.5603/AA.2020.0017","url":null,"abstract":"Introduction: Generally, risk factors for deep vein thrombosis (DVT) include advanced age, surgery, fractures, pregnancy, puerperium, use of oral contraceptives, hormone replacement therapy, cancer and genetics associated with the hemostatic system in influencing thrombotic risk. The aim of this study was to evaluate routine complete blood count parameters, the clinical and genetic data of patients with diagnosis of DVT in our hospital and to contribute to the literature with our results. Material and methods: This retrospective study included a total of 152 patients (67 males and 85 females) diagnosed with DVT between January 2016 and September 2019. The history, clinical findings, venous doppler ultrasonography and genetic analysis results of patients were evaluated. Results: The study included 152 DVT patients. When the lower extremity venous doppler ultrasonography (VDU) results were evaluated, venous insufficiency was detected in 126 patients (82.9%), 57 of whom were male and 69 were female. Genetic results of F2 G20210A, FVL G1691A, MTHFR C677T and MTHFR A1298C were examined. FLV gene distributions were statistically different between genders (38.8% of men; 16.5% of women). This difference was also statistically significant (p = 0.003). Conclusion: The hemogram parameters were found to be insufficient markers. VDU was seen to be a clinically necessary marker in diagnosis; and genetic outcomes were important in initiating appropriate treatment in the early period. These results also show that there are differences according to gender in determining thrombotic risk.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44174548","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

Infectious arteritis of the femoral artery as a cause of recurrent hemorrhage after endovascular treatment of thrombosed popliteal artery aneurysm. 股动脉感染性动脉炎是血管内治疗血栓性腘动脉瘤后复发出血的原因。

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Acta Angiologica Pub Date : 2021-01-17 DOI: 10.5603/AA.2020.0018

W. Woźniak, P. Ciostek

{"title":"Infectious arteritis of the femoral artery as a cause of recurrent hemorrhage after endovascular treatment of thrombosed popliteal artery aneurysm.","authors":"W. Woźniak, P. Ciostek","doi":"10.5603/AA.2020.0018","DOIUrl":"https://doi.org/10.5603/AA.2020.0018","url":null,"abstract":"Due to a great number of endovascular interventions, conducted over the last decades, a huge percentage of obese patients and administration of double antiplatelet therapy, manual compression (MC) is more and more frequently replaced by a vascular closure device of which the most common is Angio-Seal. The study presents a case of a 63-year old female patient with recurrent hemorrhages of the common femoral artery (CFA), originally closed after an endovascular intervention of a popliteal artery aneurysm with the use of Angio-Seal VIP. After around 3 weeks following the original surgery, the patient at first developed a pseudoaneurysm and then septic inflammation of the femoral artery, manifested with recurrent hemorrhages from the groin. The patient was operated on many times and an implantation of an ilio-femoral bypass from the femoral vein turned out to be an effective solution. Staphylococcus epidermidis MRSA was cultured in the femoral artery wall and a histopathological examination confirmed infectious arteritis. The presented case of a rare septic complication after the application of a closure device shows that it is essential to carefully monitor surgical approach areas in patients who are quickly discharged from hospital after surgical interventions, to select treatment methods tailored for individual patients as well as implement particular surgical management.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46918026","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

Impact of risk factors on serum levels of vasoactive substances in patients with peripheral arterial occlusive disease at different Fontaine’s stages 危险因素对不同方丹阶段外周动脉闭塞性疾病患者血清血管活性物质水平的影响

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Acta Angiologica Pub Date : 2021-01-17 DOI: 10.5603/AA.2020.0008

S. Dragic, Danica Momčičević, Biljana Zlojutro, Milka Jandrić, T. Kovačević, V. Djajić, A. Gajić, G. Talić, P. Kovacevic

{"title":"Impact of risk factors on serum levels of vasoactive substances in patients with peripheral arterial occlusive disease at different Fontaine’s stages","authors":"S. Dragic, Danica Momčičević, Biljana Zlojutro, Milka Jandrić, T. Kovačević, V. Djajić, A. Gajić, G. Talić, P. Kovacevic","doi":"10.5603/AA.2020.0008","DOIUrl":"https://doi.org/10.5603/AA.2020.0008","url":null,"abstract":"Introduction: There is a bulk of literature data on the physiological roles of nitric oxide (NO) and endothelin- 1 (ET-1), but many facts remain unknown, especially in certain diseases such as peripheral arterial disease. Material and methods: This is an observational cross-sectional study. The subjects were patients diagnosed with PAD. Serum levels of NO and ET-1 were determined for all patients, and statistical data processing was performed according to the set goals. Results: The study included 64 patients with mean age 60.2 ± 12.7 years, mostly in stage II PAD according to Fontain (46.9%). Statistical analysis failed to determine a significant difference in serum NO or ET-1 values with respect to disease stage, sex, and body mass index (BMI). Certain oscillations were found in the mean values of NO related to smoking and diabetes but without statistical significance. There were also oscillations in the values of ET-1, with higher levels found in women, smokers and non-diabetics in whom this difference reached statistical significance (p = 0.041). Conclusion: Serum levels of NO and ET-1 in this study show some causal relationship with certain risk factors for PAD such as diabetes and smoking, but additional research is needed to fully understand their effects and interactions.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48368980","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

Clinical symptoms and signs and severity of venous disease are not associated with non-thrombotic iliac vein lesions in patients with primary varicose veins 原发性静脉曲张患者的临床症状、体征和静脉疾病的严重程度与非血栓性髂静脉病变无关

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Acta Angiologica Pub Date : 2021-01-17 DOI: 10.5603/AA.2020.0019

R. Krzyżański, Ł. Kruszyna, Ł. Dzieciuchowicz

{"title":"Clinical symptoms and signs and severity of venous disease are not associated with non-thrombotic iliac vein lesions in patients with primary varicose veins","authors":"R. Krzyżański, Ł. Kruszyna, Ł. Dzieciuchowicz","doi":"10.5603/AA.2020.0019","DOIUrl":"https://doi.org/10.5603/AA.2020.0019","url":null,"abstract":"Introduction and purpose. The purpose of this study was to determine relationship between non-thrombotic iliac vein lesions and symptomatology of primary varicose veins (PVV). The identification of such association would be helpful in selecting patients with PVV for further diagnostic evaluation. \u0000Material and methods. Thirty-two patients with unilateral PVV scheduled for great saphenous vein high ligation and stripping were enrolled in the study. There were 25 (78%) women. The mean age of the patients was 48 years. The patients were asked about pain, oedema, night cramps, heaviness and a history of superficial thrombophlebitis in PVV limb. A clinical stage of CEAP classification was determined and Venous Clinical Severity Score (VCSS) was calculated. During the surgery right and left iliac venous axes were interrogated with an intravascular ultrasound with Volcano s5 Imaging System (Volcano Corporation, Rancho Cordova, CA, USA) and catheters Visions PV .035 minimal lumen area (MLA) and percentage of stenosis (%S) of examined veins were calculated. An association between clinical symptoms and signs in PVV limb and %S of ipsilateral common iliac vein (CIV) and external iliac vein (EIV) was statistically analysed. \u0000Results. Pain, oedema, night cramps, heaviness and history of superficial thrombophlebitis were reported by 14 (44%), 17 (53%), 11 (34%), 19 (59%) and 6 (19%) of patients respectively. Twenty-five (78%) limbs were classified as C2 and 7 (22%) limbs as C4a according to CEAP classification. The median VCSS was 4. The mean MLA and %S was 92,9 mm2 and 47% and 74,2 mm2 and 48% for CIV and EIV respectively. Neither smaller MLA nor greater %S of CIV and EIV were associated with symptoms, more advanced stage of CEAP classification or higher VCSS. \u0000Conclusions. Neither clinical symptoms nor severity of venous disease can identify non-thrombotic iliac vein lesions in patients with primary varicose veins.","PeriodicalId":41754,"journal":{"name":"Acta Angiologica","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46334732","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

Type I cryoglobulinemia related to Sjögren’s syndrome and MGUS: a case report 与干燥综合征和MGUS相关的I型冷球蛋白血症1例报告

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Acta Angiologica Pub Date : 2020-09-25 DOI: 10.5603/aa.2020.0013

K. Klimas, R. Małecki

引用次数: 0

Retained neuroprotection filter after stenting of the internal carotid artery 颈内动脉支架置入术后保留的神经保护过滤器

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Acta Angiologica Pub Date : 2020-09-25 DOI: 10.5603/aa.2020.0014

P. Myrcha, Dawid Siemieniuk, M. Kozak, D. Różański, T. Miłek, W. Woźniak, P. Ciostek

引用次数: 1

Management of isolated distal deep vein thrombosis. A persistent conundrum? 孤立性远端深静脉血栓形成的治疗。一个持续的难题？

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Acta Angiologica Pub Date : 2020-09-25 DOI: 10.5603/aa.2020.0011

N. Gunawansa, Thilina Gunawardena

引用次数: 0