Vascular diseases (Paris, France)最新文献_第4页

Vascular diseases (Paris, France) Pub Date : 2026-04-01 Epub Date: 2026-02-26 DOI: 10.1016/j.vasdi.2026.02.003

Jonathan Ouédraogo, Clara Cherdo, Emanuele Boatta, Elena-Mihaela Cordeanu, Dominique Stephan

引用次数: 0

Intra- and inter-observer agreements of duplex ultrasonography in arteriovenous fistula follow-up. 双超声在动静脉瘘随访中的观察一致性。

Vascular diseases (Paris, France) Pub Date : 2025-12-01 Epub Date: 2025-10-07 DOI: 10.1016/j.vasdi.2025.09.002

Adélaïde Guézais, Jean Bréro, Damien Lanéelle, Jean-Eudes Trihan, Marjolaine Talbot, Guillaume Mahé

{"title":"Intra- and inter-observer agreements of duplex ultrasonography in arteriovenous fistula follow-up.","authors":"Adélaïde Guézais, Jean Bréro, Damien Lanéelle, Jean-Eudes Trihan, Marjolaine Talbot, Guillaume Mahé","doi":"10.1016/j.vasdi.2025.09.002","DOIUrl":"10.1016/j.vasdi.2025.09.002","url":null,"abstract":"Objectives: Duplex ultrasound (DUS) is widely recommended and used as the first line imaging modality in arteriovenous fistula (AVF) dysfunction in hemodialysis patients. However, intra- and inter-observer DUS reproducibility for AVF follow-up has not been thoroughly assessed. This study aimed to evaluate the reproducibility of several DUS parameters commonly employed in clinical settings.Methods: In this prospective, single-center study, we included patients with AVFs referred to our unit for ultrasound assessment. Two operators independently performed DUS examinations. At the axillary (Ax) and brachial (Brach) artery levels, the following parameters were assessed: blood flow (Q), peak systolic velocity (PSV), resistance index (RI), and Q/RI ratio. In cases of venous stenosis, lumen diameter, PSV, and lesion length were also recorded at the stenosis site. Reproducibility was evaluated using intraclass correlation coefficients (ICCs), coefficients of variation (CVs), and Bland-Altman plots.Results: From March to May 2025, eighteen patients (61% men, median age 63 [56-74] years) were included. Among the included population, 10 patients had a venous stenosis. For intra-observer agreements, ICCs ranged from 0.88 [0.77-0.95] to 0.99 [0.99-1.00] for both observers. For inter-observer agreements, ICCs were good to excellent for most of the parameters. CVs ranged from 5% to 34%. For Qbrach, Q/RIbrach, CVs were 14 [6-19]% and 12 [8-16]%, respectively. For the quantification of the lumen of the venous stenosis, ICC was 0.92 [0.72-0.98] and the CV was 7 [1-10]%.Conclusion: This study showed that intra- and inter-observers can be considered as good to excellent for the commonly used DUS parameters for AVF follow-up except for the measurement of the anastomosis diameters.","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":" ","pages":"148-154"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254416","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

Blood pressure control in Morocco: A cross-sectional study in urban primary health care facilities. 摩洛哥血压控制：城市初级卫生保健设施的横断面研究。

Vascular diseases (Paris, France) Pub Date : 2025-12-01 Epub Date: 2025-10-25 DOI: 10.1016/j.vasdi.2025.10.001

Manar Aarrad, Saad El Madani, Sanaa Touzami, El Hassan Roussi, Mohamed Hilal, Fatimazahra Laamiri

{"title":"Blood pressure control in Morocco: A cross-sectional study in urban primary health care facilities.","authors":"Manar Aarrad, Saad El Madani, Sanaa Touzami, El Hassan Roussi, Mohamed Hilal, Fatimazahra Laamiri","doi":"10.1016/j.vasdi.2025.10.001","DOIUrl":"https://doi.org/10.1016/j.vasdi.2025.10.001","url":null,"abstract":"Background and objectives: The control of hypertension is often suboptimal, influenced by individual and environmental factors. This study aims to identify the prevalence of risk factors associated with uncontrolled blood pressure in urban hypertensive patients.Population and methods: A cross-sectional analytical study conducted on 604 hypertensive patients followed up in Settat's urban primary health centers. A questionnaire was developed to assess their knowledge of hypertension. Medication compliance was measured using the GIRERD test, and physical activity was assessed using the GPAQ questionnaire. Anthropometric and blood pressure measurements were also taken.Results: Blood pressure control was inadequate in 61.1% (n=369) of participants, the risk factors associated with uncontrolled blood pressure were: non-adherence to a low-salt diet (aOR: 1.17; 95% CI: 1.08-1.27; P<0.001), low physical activity (aOR: 4.91; 95% CI: 1.37-17.51; P<0.01), poor compliance with medication (aOR: 8.83; 95% CI: 5.10-15.26; P<0.001) and dissatisfaction with PHCF services (aOR: 1.42; 95% CI: 1.15-1.52; P=0.003).Conclusion: The inadequate blood pressure control observed in this population highlights the need for targeted interventions to reinforce therapeutic education on the importance of appropriate diet, physical activity and medication compliance. Improving the quality of care in health centers will be essential to optimize the management of hypertension.","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":"50 5-6","pages":"155-161"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145812732","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

Risk factors for intra-stent thrombosis after venous angioplasty stenting in the treatment of post-thrombotic syndrome. 静脉血管成形术治疗血栓后综合征后支架内血栓形成的危险因素。

Vascular diseases (Paris, France) Pub Date : 2025-12-01 Epub Date: 2025-08-12 DOI: 10.1016/j.vasdi.2025.07.001

N El Hbari, C Menez, P Gillois, M Rodière, M Joly, M Finas, G Pernod

{"title":"Risk factors for intra-stent thrombosis after venous angioplasty stenting in the treatment of post-thrombotic syndrome.","authors":"N El Hbari, C Menez, P Gillois, M Rodière, M Joly, M Finas, G Pernod","doi":"10.1016/j.vasdi.2025.07.001","DOIUrl":"10.1016/j.vasdi.2025.07.001","url":null,"abstract":"Background: Endovascular treatment of post-thrombotic venous lesions has gained considerable acceptance. However, despite technical advances, intra-stent thrombosis remains common.Objective: To determine the incidence and identify risk factors for intra-stent thrombosis after endovascular treatment of post-thrombotic venous lesions.Methods: We conducted a retrospective single-center cohort study of 240 patients who underwent endovascular treatment for post-thrombotic syndrome. Multidisciplinary management of the patients was conducted in collaboration with the departments of vascular medicine and interventional radiology departments. Demographic, biological and clinical characteristics, venous lesions and antithrombotic treatment were collected. Constitutional and acquired thrombophilia were recorded. We assessed the severity of post-thrombotic femoro-popliteal sequelae according to the previously reported scanographic severity grade. The mean follow-up was 30months (1-150).Results: The incidence of venous thrombosis after endovascular treatment was 16.7%. More than 25% of thromboses occurred on the first day and most (52.5%) occurred within the first month. Intra-stent thrombosis was highly significantly correlated with the severity of post-thrombotic femoro-popliteal sequelae, with an incidence of 47% (95% CI: 34-60), HR: 7.4 (95% CI: 2.87-19.3) for grade 3 sequelae (P=0.001).Conclusions: The main risk factor identified in this cohort was the severity of post-thrombotic sequelae in the femoral vein, which resulted in slow endoprosthetic flow.","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":" ","pages":"141-147"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144850377","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

Thrombotic storm with paradoxical embolism in ovarian clear cell carcinoma. 卵巢透明细胞癌伴悖论性栓塞的血栓性风暴。

Vascular diseases (Paris, France) Pub Date : 2025-12-01 Epub Date: 2025-09-23 DOI: 10.1016/j.vasdi.2025.09.001

Elena-Mihaela Cordeanu, Corina Mirea, Solène Brouder, Camille Zamperini, Olivier Ploncard, Dominique Stephan

{"title":"Thrombotic storm with paradoxical embolism in ovarian clear cell carcinoma.","authors":"Elena-Mihaela Cordeanu, Corina Mirea, Solène Brouder, Camille Zamperini, Olivier Ploncard, Dominique Stephan","doi":"10.1016/j.vasdi.2025.09.001","DOIUrl":"10.1016/j.vasdi.2025.09.001","url":null,"abstract":"Cancer-associated thromboembolism remains a significant therapeutic challenge, particularly in ovarian clear cell carcinoma, which is among the most thrombogenic, gynecologic malignancies. We report the case of a 54-year-old woman who developed a catastrophic thrombotic storm shortly after the diagnosis of advanced ovarian clear cell carcinoma. Despite therapeutic anticoagulation, she experienced multiple arterial thromboembolic events, including ischemic stroke, acute upper limb ischemia, and ST-elevation myocardial infarction, possibly due to paradoxical embolism through a patent foramen ovale. Laboratory investigations revealed markedly elevated tumor markers and features of cancer-associated coagulopathy. This case highlights the extreme thrombotic potential of ovarian clear cell carcinoma and underscores the importance of considering paradoxical embolism as a mechanism of arterial events in patients with concurrent venous thrombosis and intracardiac shunting. Early recognition and coordinated multidisciplinary management, including critical care support, are essential in this life-threatening scenario.","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":" ","pages":"162-165"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139742","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

Diagnostic assessment for venous leg ulcers: Recommendations from the Wounds and Healing working group of the French Society of Vascular Medicine. 下肢静脉性溃疡的诊断评估：来自法国血管医学学会伤口和愈合工作组的建议。

Vascular diseases (Paris, France) Pub Date : 2025-08-01 Epub Date: 2025-05-06 DOI: 10.1016/j.vasdi.2025.04.001

M Nou Howaldt, A Diard, M-C Courtois, S Mestre, J Guillaumat

引用次数: 0

Sociodemographic and pharmacological characteristics of patients with primary and secondary Raynaud's phenomenon. A cross-sectional study. 原发性和继发性雷诺氏现象患者的社会人口学和药理学特征。横断面研究。

Vascular diseases (Paris, France) Pub Date : 2025-08-01 Epub Date: 2025-05-29 DOI: 10.1016/j.vasdi.2025.05.001

Luis Fernando Valladales-Restrepo, Manuela Henao-Martínez, Santiago Velasquez-Quimara, Sebastián Giraldo-Galeano, Lina María Saldarriaga-Rivera, Jorge Enrique Machado-Alba

{"title":"Sociodemographic and pharmacological characteristics of patients with primary and secondary Raynaud's phenomenon. A cross-sectional study.","authors":"Luis Fernando Valladales-Restrepo, Manuela Henao-Martínez, Santiago Velasquez-Quimara, Sebastián Giraldo-Galeano, Lina María Saldarriaga-Rivera, Jorge Enrique Machado-Alba","doi":"10.1016/j.vasdi.2025.05.001","DOIUrl":"10.1016/j.vasdi.2025.05.001","url":null,"abstract":"Raynaud's phenomenon is a vasospastic condition that negatively affects the quality of life of patients. Symptoms may improve with the use of vasodilators and may worsen with the use of vasoconstrictors. The objective was to describe the sociodemographic and pharmacological characteristics of patients with a diagnosis of primary or secondary Raynaud's phenomenon in Colombia. This cross-sectional study investigated the use of drugs by patients diagnosed with Raynaud's phenomenon between June-2021, and June-2024, collected from a population database of 9.5 million Colombians affiliated with the Colombian health care system. Descriptive and bivariate analyses were performed. A total of 567 patients were identified. The average age was 51.9±17.9 years, and 82.5% were women. A total of 58.7% were diagnosed with primary Raynaud's phenomenon and 41.3% with secondary Raynaud's phenomenon. The most frequent secondary cause was systemic sclerosis (36.8%). A total of 58.9% of patients received pharmacological treatment, with a greater proportion among patients with secondary Raynaud's phenomenon than among those with primary Raynaud's phenomenon (71.8 vs. 49.8%; P<0.001). The most used drugs were calcium channel blockers (45.7%). A total of 9.2% of patients received drugs that can worsen Raynaud's phenomenon, most of which were non-selective β-blockers (6.9%). Primary Raynaud's phenomenon was more common than secondary Raynaud's phenomenon. Systemic sclerosis was the main cause of the secondary Raynaud's phenomenon. Calcium channel blockers were the most used medications for the management of Raynaud's phenomenon. Some patients were exposed to medications that can worsen Raynaud's phenomenon, but these medications may be necessary for the management of other conditions.","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":" ","pages":"99-103"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144786465","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

Erectile dysfunction: A public health issue? The need for consistent treatment. 勃起功能障碍：一个公共健康问题？需要持续的治疗。

Vascular diseases (Paris, France) Pub Date : 2025-08-01 Epub Date: 2025-06-17 DOI: 10.1016/j.vasdi.2025.05.003

Ronald Virag, Hélène Sussman

{"title":"Erectile dysfunction: A public health issue? The need for consistent treatment.","authors":"Ronald Virag, Hélène Sussman","doi":"10.1016/j.vasdi.2025.05.003","DOIUrl":"10.1016/j.vasdi.2025.05.003","url":null,"abstract":"Erectile dysfunction (ED), like any pathology, merits diagnostic evaluation prior to treatment. Listening, accompanied by validated questionnaires, Doppler ultrasound under pharmacological erectile stimulation and testosterone levels are the basic elements. These are complemented by nerve tract examinations, angiography and/or cavernoscans. In the light of these assessments: This is a curable pathology, but it has a serious impact on quality of life, since 30% of our consultants consider their disability to be unbearable. Cardiovascular risk factors (diabetes, hypertension, smoking, TML, obesity) considerably exacerbate the ageing factor, which is considered to be predominant after the age of 50. When ED is of arterial origin, coronary lesions are found in almost 80% of cases, in subjects with no known cardiovascular history. This makes vascular ED the first sign of atheromatous disease, five years before more severe events (myocardial infarction, stroke). There is a specific pathology of younger subjects suffering from primary ED linked to surgically repairable venous malformations. Anamnesis reveals a delay, sometimes numbering years, before effective management of the problem. We therefore recommend that this pathology be managed by specialized multidisciplinary entities. Last but not least, a better understanding of the biochemical processes involved in erection raises hopes for the development of innovative curative therapies targeting easily accessible erectile tissue, for which trials are already underway (plasmatherapy, stem cells).","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":" ","pages":"120-126"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144328492","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

An asymptomatic persistent sciatic artery in SACRAL syndrome: About a case in ultrasonography. 骶骨综合征无症状持续性坐骨动脉：超声检查1例。

Vascular diseases (Paris, France) Pub Date : 2025-08-01 Epub Date: 2025-05-09 DOI: 10.1016/j.vasdi.2025.04.002

S Mettai, T Foret, A Gatinot, C Monhen, E Puzenat, S Rinckenbach, P Costa

引用次数: 0

Constrictive, calcific pericarditis in a systemic sclerosis patient. 系统性硬化症患者的缩窄性钙化心包炎。

Vascular diseases (Paris, France) Pub Date : 2025-08-01 Epub Date: 2025-05-16 DOI: 10.1016/j.vasdi.2025.04.003

Mariam Ghribi, Sahar Mekki, Faten Triki, Zouhir Bahloul, Sameh Marzouk

引用次数: 0