Seminars in Vascular Surgery最新文献_第7页

The supraclavicular approach to decompression of the thoracic outlet 锁骨上入路胸廓出口减压术

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2024-03-01 DOI: 10.1053/j.semvascsurg.2024.01.006

Prem Chand Gupta , Prajna B. Kota , Vamsikrishna Yerramsetty , Velladuraichi Boologapandian , Viswanath Atreyapurapu , Pritee Sharma , Ajay Savlania

{"title":"The supraclavicular approach to decompression of the thoracic outlet","authors":"Prem Chand Gupta , Prajna B. Kota , Vamsikrishna Yerramsetty , Velladuraichi Boologapandian , Viswanath Atreyapurapu , Pritee Sharma , Ajay Savlania","doi":"10.1053/j.semvascsurg.2024.01.006","DOIUrl":"10.1053/j.semvascsurg.2024.01.006","url":null,"abstract":"<div>Surgical decompression of the thoracic outlet, along with treatment of the involved nerve or vessel, is the accepted treatment modality when indicated. Although neurogenic thoracic outlet syndrome (TOS) is often operated via the axillary approach and venous TOS via the paraclavicular approach, arterial TOS is almost always operated via the supraclavicular approach. The supraclavicular approach provides excellent access to the artery, brachial plexus, phrenic nerve, and the cervical and/or first ribs, along with any bony or fibrous or muscular abnormality that may be causing compression of the neurovascular structures. Even for neurogenic TOS, for which the axillary approach offers good cosmesis, the supraclavicular approach helps with adequate decompression while preserving the first rib. This approach may also be sufficient for thin patients with venous TOS. For arterial TOS, a supraclavicular incision usually suffices for excision of bony abnormality and repair of the subclavian artery.</div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"37 1","pages":"Pages 57-65"},"PeriodicalIF":2.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139578662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Introduction and history of thoracic outlet syndrome 胸廓出口综合征简介和病史

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2024-03-01 DOI: 10.1053/j.semvascsurg.2024.02.005

Anahita Dua , Ramesh K. Tripathi

引用次数: 0

Thoracic outlet syndrome in women 女性胸廓出口综合征

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2024-03-01 DOI: 10.1053/j.semvascsurg.2024.01.002

Grace Carvajal Mulatti , Marcelo Bellini Dalio , Tayrine Mazotti de Moraes , Gabriela Araújo Attie , André Brito-Queiroz , Edwaldo Edner Joviliano

引用次数: 0

Systematic review of intermediate and long-term results of thoracic outlet decompression 胸廓出口减压术中期和长期效果的系统回顾

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2024-03-01 DOI: 10.1053/j.semvascsurg.2024.01.001

Mitri K. Khoury, Micah A. Thornton, Anahita Dua

{"title":"Systematic review of intermediate and long-term results of thoracic outlet decompression","authors":"Mitri K. Khoury, Micah A. Thornton, Anahita Dua","doi":"10.1053/j.semvascsurg.2024.01.001","DOIUrl":"10.1053/j.semvascsurg.2024.01.001","url":null,"abstract":"<div>Thoracic outlet syndrome (TOS) consists of a group of disorders resulting from compression of the neurovascular bundle exiting through the thoracic outlet. TOS can be classified as follows based on the etiology of the pathophysiology: neurogenic TOS, venous TOS, arterial TOS, and mixed TOS. The constellation of symptoms a patient may experience varies, depending on the structures involved. Due to the wide range of etiologies and presenting symptoms, treatments for TOS also differ. Furthermore, most studies focus on the perioperative and short-term outcomes after surgical decompression for TOS. This systematic review aimed to provide a pooled analysis of studies to better understand the intermediate and long-term outcomes of surgical decompression for TOS. We conducted a systematic literature search in the Ovid MEDLINE, Embase, and Google Scholar databases for studies that analyzed long-term outcomes after surgical decompression for TOS. The inclusion period was from January 2015 to May 2023. The primary outcome was postoperative QuickDASH Outcome Measure scores. A total of 16 studies were included in the final analysis. The differences between postoperative and preoperative QuickDASH Outcome Measure scores were calculated, when possible, and there was a mean overall difference of 33.5 points (95% CI, 25.2–41.8; P = .001) after surgical decompression. There was a higher proportion of excellent outcomes reported for patients undergoing intervention for arterial and mixed TOS etiologies, whereas those with venous and neurogenic etiologies had the lowest proportion of excellent outcomes reported. Patients with neurogenic TOS had the highest proportion of poor outcomes reported. In conclusion, surgical decompression for TOS has favorable long-term outcomes, especially in patients with arterial and mixed etiologies.</div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"37 1","pages":"Pages 90-97"},"PeriodicalIF":2.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139552176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Upper-limb neurovascular compression, pectoralis minor and quadrilateral space syndromes: A narrative review of current literature 上肢神经血管压迫、小胸肌和四边空间综合征：最新文献综述

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2024-03-01 DOI: 10.1053/j.semvascsurg.2024.02.004

Peter N. Drossopoulos , Colby Ruiz , Jonathan Mengistu , Charlotte B. Smith , Luigi Pascarella

{"title":"Upper-limb neurovascular compression, pectoralis minor and quadrilateral space syndromes: A narrative review of current literature","authors":"Peter N. Drossopoulos , Colby Ruiz , Jonathan Mengistu , Charlotte B. Smith , Luigi Pascarella","doi":"10.1053/j.semvascsurg.2024.02.004","DOIUrl":"10.1053/j.semvascsurg.2024.02.004","url":null,"abstract":"<div>Pectoralis minor syndrome (PMS) and quadrilateral space syndrome (QSS) are uncommon neurovascular compression disorders affecting the upper extremity. PMS involves compression under the pectoralis minor muscle, and QSS results from compression in the quadrilateral space—both are classically observed in overhead-motion athletes. Diagnosing PMS and QSS may be challenging due to variable presentations and similarities with other, more common, upper-limb pathologies. Although there is no gold standard diagnostic, local analgesic muscle-block response in a patient with the appropriate clinical context is often all that is required for an accurate diagnosis after excluding more common etiologies. Treatment ranges from conservative physical therapy to decompressive surgery, which is reserved for refractory cases or severe, acute vascular presentations. Decompression generally yields favorable outcomes, with most patients experiencing significant relief and restored baseline function. In conclusion, PMS and QSS, although rare, can cause debilitating upper-extremity symptoms; accurate diagnosis and appropriate treatment offer excellent outcomes, alleviating pain and disability.</div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"37 1","pages":"Pages 26-34"},"PeriodicalIF":2.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139924806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bridging the Divide: Addressing Sex Disparities in Vascular Surgery 弥合鸿沟:解决血管手术中的性别差异

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-11-10 DOI: 10.1053/j.semvascsurg.2023.11.001

Yana Etkin (Guest Editors) , Linda M. Harris , Caitlin W. Hicks (Editor-in-Chief)

引用次数: 0

Sex disparities in hemodialysis access outcomes: A systematic review 血液透析可及性结局的性别差异

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-10-29 DOI: 10.1053/j.semvascsurg.2023.10.002

Jeffrey Silpe , Issam Koleilat , Justin Yu , Young Hun Kim , Ella Taubenfeld , Sonia Talathi , Maria Coluccio , Karissa Wang , Karen Woo , Yana Etkin

{"title":"Sex disparities in hemodialysis access outcomes: A systematic review","authors":"Jeffrey Silpe , Issam Koleilat , Justin Yu , Young Hun Kim , Ella Taubenfeld , Sonia Talathi , Maria Coluccio , Karissa Wang , Karen Woo , Yana Etkin","doi":"10.1053/j.semvascsurg.2023.10.002","DOIUrl":"10.1053/j.semvascsurg.2023.10.002","url":null,"abstract":"<div>The goal of this systematic review was to collate and summarize the current literature on hemodialysis access outcomes in females, identify differences between females and men, and provide a foundation for future research. A systematic review of the English-language literature was conducted by searching PubMed and Google Scholar for the following terms: “sex,” “hemodialysis access,” “arteriovenous fistula,” “arteriovenous graft,” and “dialysis catheter.” Reference lists from the resulting articles were also evaluated to ensure that any and all relevant primary sources were identified. Studies were then screened by two independent reviewers for inclusion. Of 967 total studies, 53 ultimately met inclusion criteria. Females have lower maturation rates; have decreased rates of primary, primary-assisted, and secondary patency; require more procedures per capita to achieve maturation and to maintain fistula patency; are more likely to receive dialysis via an arteriovenous graft or central venous catheter; and require a longer time and potentially more assistive invasive interventions to achieve a mature fistula. Our findings emphasize the urgent need for further research to evaluate and address the causes of these disparities. Discussion with patients undergoing hemodialysis should include these findings to improve patient education, expectations, satisfaction, and outcomes.</div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"36 4","pages":"Pages 560-570"},"PeriodicalIF":2.5,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136127702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comprehensive framework of factors accounting for worse aortic aneurysm outcomes in females: A scoping review 考虑女性主动脉瘤预后恶化因素的综合框架:范围综述

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-10-29 DOI: 10.1053/j.semvascsurg.2023.10.007

Simon De Freitas , Garietta Falls , Tahlia Weis , Kirran Bakhshi , Lindsey M. Korepta , Carlos F. Bechara , Young Erben , Shipra Arya , Javairiah Fatima

{"title":"Comprehensive framework of factors accounting for worse aortic aneurysm outcomes in females: A scoping review","authors":"Simon De Freitas , Garietta Falls , Tahlia Weis , Kirran Bakhshi , Lindsey M. Korepta , Carlos F. Bechara , Young Erben , Shipra Arya , Javairiah Fatima","doi":"10.1053/j.semvascsurg.2023.10.007","DOIUrl":"10.1053/j.semvascsurg.2023.10.007","url":null,"abstract":"<div>Sex-based outcome studies have consistently documented worse results for females undergoing care for abdominal aortic aneurysms. This review explores the underlying factors that account for worse outcomes in the females sex. A scoping review of studies reporting sex-based disparities on abdominal aortic aneurysms was performed. The review was conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews. Factors that account for worse outcomes in the females sex were identified, grouped into themes, and analyzed. Key findings of each study are reported and a comprehensive framework of these factors is presented. A total of 35 studies were identified as critical in highlighting sex-based disparities in care of patients with aortic aneurysms. We identified the following 10 interrelated themes in the chain of aneurysm care that account for differential outcomes in females: natural history, risk factors, pathobiology, biomechanics, screening, morphology, device design and adherence to instructions for use, technique, trial enrollment, and social determinants. Factors accounting for worse outcomes in the care of females with aortic aneurysms were identified and described. Some factors are immediately actionable, such as screening criteria, whereas device design improvement will require further research and development. This comprehensive framework of factors affecting care of aneurysms in females should serve as a blueprint to develop education, outreach, and future research efforts to improve outcomes in females.</div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"36 4","pages":"Pages 508-516"},"PeriodicalIF":2.5,"publicationDate":"2023-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136127996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Venous compression syndromes in females: A descriptive review 女性静脉压迫综合征

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-10-20 DOI: 10.1053/j.semvascsurg.2023.10.006

Kathleen Ozsvath , Joseph D. Raffetto , Eva Lindner , Erin H. Murphy

{"title":"Venous compression syndromes in females: A descriptive review","authors":"Kathleen Ozsvath , Joseph D. Raffetto , Eva Lindner , Erin H. Murphy","doi":"10.1053/j.semvascsurg.2023.10.006","DOIUrl":"10.1053/j.semvascsurg.2023.10.006","url":null,"abstract":"<div>Venous compression syndromes have been described, yet the role of sex is poorly understood. Although iliac vein compression has been discussed more often with the advent of newer technologies, research has fallen short on defining epidemiology, best practices for evaluation and treatment, and differences in responses to treatment between men and females. The authors report on iliac vein compression, nonthrombotic renal vein compression, and other venous compression syndromes in females. Literature searches of PubMed were performed using the following keywords: females/females and May Thurner, venous stenting, venous outcomes, deep venous disease, deep venous compression, venous stenting, renal vein compression, renal vein surgery/stent, popliteal vein entrapment, venous thoracic vein entrapment, and popliteal vein entrapment. The articles prompted the authors to research further as the referenced articles were reviewed. Sex representation has not been addressed adequately in the research of venous compression syndromes, making the discussion of best treatment options and long-term outcomes difficult. More specific understanding of epidemiology and response to interventions will only come from research that addresses these issues directly, understanding that some of these syndromes occur rarely.</div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"36 4","pages":"Pages 550-559"},"PeriodicalIF":2.5,"publicationDate":"2023-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136007629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A systematic review of disparities in the medical management of atherosclerotic cardiovascular disease in females 对女性动脉粥样硬化性心血管疾病医疗管理差异的系统回顾

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2023-10-15 DOI: 10.1053/j.semvascsurg.2023.10.005

Andrea Simioni , Jeniann A. Yi , Rabbia Imran , Anahita Dua

{"title":"A systematic review of disparities in the medical management of atherosclerotic cardiovascular disease in females","authors":"Andrea Simioni , Jeniann A. Yi , Rabbia Imran , Anahita Dua","doi":"10.1053/j.semvascsurg.2023.10.005","DOIUrl":"10.1053/j.semvascsurg.2023.10.005","url":null,"abstract":"<div>Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of death in the United States and worldwide. Medical management of known modifiable risk factors, such as dyslipidemia, hypertension, and diabetes, is a key aspect to its treatment. Unfortunately, there are substantial sex-based differences in the treatment of ASCVD that result in poor medical management and worse clinical outcomes. The objective of this systematic review was to summarize known disparities in the medical management of ASCVD in females. We included prior studies with specific sex- and sex-based analyses regarding the medical treatment of the following three major disease entities within ASCVD: cerebrovascular disease, coronary artery disease, and peripheral artery disease. A total of 43 articles met inclusion criteria. In our analysis, we found that females were less likely to receive appropriate treatment of dyslipidemia or be prescribed antithrombotic medications. However, treatment differences for diabetes and hypertension by sex were not as clearly represented in the included studies. In addition to rectifying these disparities in the medical management of ASCVD, this systematic review highlights the need to address larger issues, such as underrepresentation of females in clinical trials, decreased access to care, and underdiagnosis of ASCVD to improve overall care for females.</div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":"36 4","pages":"Pages 517-530"},"PeriodicalIF":2.5,"publicationDate":"2023-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135761668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0