Vascular diseases (Paris, France)最新文献

{"title":"Effectiveness of a short duration program combining supervised exercises, nutritional advice and therapeutic education in patients with peripheral artery disease: A retrospective cohort study.","authors":"A Guézais, M Talbot, D Lanéelle, A Le Faucheur, C Bossée-Pilon, T Tueguem Moyo, J E Trihan, G Mahé","doi":"10.1016/j.vasdi.2025.06.001","DOIUrl":"10.1016/j.vasdi.2025.06.001","url":null,"abstract":"<p><strong>Objectives: </strong>Supervised exercise training (SET) for at least 3months is a cornerstone in the management of lower extremity peripheral artery disease (PAD). However, optimal duration of SET is discussed. This study aimed to evaluate the effectiveness of a short-duration program combining SET, nutritional advice and therapeutic education on maximal walking distance (MWD). Secondary objectives included assessing the impact of this program on smoking cessation, low-density lipoprotein cholesterol (LDL-c) levels, optimization of medical therapy, and to identify factors associated with MWD improvement.</p><p><strong>Methods: </strong>We conducted a retrospective, monocentric study. Parameters assessed before and after the program included ankle-brachial index (ABI) at rest, MWD on treadmill, post-exercise ABI, and exercise transcutaneous oxygen pressure (TcPO2) using the Decrease from Rest of Oxygen Pressure (DROP). LDL-c levels, smoking status, and medical therapy were documented before and after the program.</p><p><strong>Results: </strong>Forty-three patients (77% men, median age 67 [57-74]years) were included. The median program duration was 23.5 days [20.8-30.5], with 20.7h [16.8-25.1] of supervised physical activity. MWD increased significantly from 208m [139-294] to 251m [171-574] (P<0.001). Improvements in smoking status, LDL-c levels, and medical treatment optimization were also observed. Among all parameters, only the DROP TcPO2 before the program was significantly associated with MWD improvement (P<0.05).</p><p><strong>Conclusion: </strong>A short-duration program effectively improved median MWD (+56% [10-159%]), cardiovascular risk management, and was associated with baseline ischemia severity. These findings support the utility of shorter combined programs and the potential value of exercise TcPO2 in selecting responsive patients.</p>","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":" ","pages":"111-115"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144532935","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":"A life-threatening discovery: How hematemesis unveiled a splenic artery aneurysm in Behçet's disease.","authors":"Imane Guettaf, Adel Rechach, Ahcene Chibane","doi":"10.1016/j.vasdi.2025.06.002","DOIUrl":"10.1016/j.vasdi.2025.06.002","url":null,"abstract":"<p><p>Behçet's disease BD is a rare, chronic, systemic vasculitis of unknown origin characterized by recurrences of inflammatory episodes that may affect various organs, including the skin, eyes, joints, nervous system, and blood vessels. The vascular involvement in BD, generally referred to as Angio-Behçet, predominantly involves the venous system, although arterial involvement is less common. The arterial complications include stenosis, occlusion, or aneurysm. Peripheral and pulmonary arteries may be involved, while involvement of the splenic artery is exceptionally rare. This report describes an uncommon presentation of BD manifested by the development of a splenic artery aneurysm in a young woman, revealed by hematemesis.</p>","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":" ","pages":"137-139"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562720","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":"Practical survey on the use of herbal medicine by patients with systemic sclerosis.","authors":"S Blaise, F Garcin, C Seinturier, M Gilson, B Imbert, A Mercan","doi":"10.1016/j.vasdi.2025.05.002","DOIUrl":"10.1016/j.vasdi.2025.05.002","url":null,"abstract":"<p><strong>Introduction: </strong>Systemic scleroderma (SSc) is a rare disease with no aetiological treatment. In this context, and with the development of alternative or complementary medicine, patients may be tempted to use therapies that have not been scientifically evaluated.</p><p><strong>Method: </strong>The aim was to carry out a one-off survey of phytotherapy practices among SSc patients.</p><p><strong>Results: </strong>Out of 33 patients, 23 responded to the questionnaire, 8 said they used complementary medicines (yoga, acupuncture, etc.). Nine patients reported using phytotherapy (4 essential oils, 1 herbal tea, 2 Bach flowers, 3 vegetable oils, 3 gemmotherapy). The average efficacy score given was 7.2/10 (ranging from 4 to 10) and the average monthly cost was approximately 65 euros.</p><p><strong>Discussion: </strong>The survey revealed the use of 'adaptogenic' plants (blackcurrant, Asian ginseng), healing plants (helichrysum, cistus), plants improving skin suppleness (helichrysum, cistus, argan, evening primrose, borage), anti-infective plants (thyme, tea tree, ravintsara, clove), plants to aid digestion (walnut, fig, propolis, spirulina), anti-stress plants (Rescue blend, unspecified Bach flowers) and plants to combat pain and headaches (arnica, wintergreen, mint). A priori, there were no risky practices and no identifiable toxicity.</p><p><strong>Conclusion: </strong>The practices reported were numerous and heterogeneous, although practitioners are not always aware of them. This point should be addressed more systematically during conventional medical management. The potential benefits for skin disorders could be explored further.</p>","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":" ","pages":"104-110"},"PeriodicalIF":0.0,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144786464","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":"Acute abdominal aortic thrombosis with flaccid paraplegia in Basedow's disease: A case report.","authors":"Hajar El Bhali, Amine Azghari, Aude Grognet, Jean-Pierre Favre","doi":"10.1016/j.vasdi.2025.01.129","DOIUrl":"10.1016/j.vasdi.2025.01.129","url":null,"abstract":"<p><p>Acute aortic thrombosis is a very rare vascular emergency with high mortality and morbidity rates. It presents clinically as acute bilateral ischemia of the lower limbs. Its association with flaccid paraplegia remains a very rare event, which should prompt examination of the pulses for rapid diagnosis and management. There are many causes, including cardiac rhythm disorders. Acute embolic thrombosis of the aorta, secondary to a cardiac rhythm disorder in Basedow's disease, makes this event even rarer. We report the case of a 73-year-old woman with Basedow's disease, who presented with acute thrombosis of the subrenal aorta, revealed by flaccid paraplegia. The patient underwent aortic thrombectomy within 4hours, by surgical approach of both common femoral arteries. The postoperative course was marked by persistent motor monoplegia of the right lower limb despite rapid revascularization and cruralgia of the left lower limb. The patient recovered after physiotherapy sessions.</p>","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":"50 2","pages":"88-91"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777718","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":"Fever of unknown origin in a patient with ulcerative colitis: Do not forget large vessel vasculitis.","authors":"Loïc Bertault, Hédia Brixi, Maxime Hentzien, Abdenasser Moubtakir, Amélie Servettaz, Firouzé Bani-Sadr","doi":"10.1016/j.vasdi.2025.02.006","DOIUrl":"10.1016/j.vasdi.2025.02.006","url":null,"abstract":"<p><p>We report the case of a patient with ulcerative colitis (UC) who, 4 years after diagnosis, developed large vessel vasculitis (LVV), revealed by high fever, joint pain and headache. Laboratory tests showed C-reactive protein at 326mg/L, leukocytosis at 18.9 G/L, with 14.2G/L of neutrophils and elevated serum IL6 (12pg/mL [N 0.76-6.38]). Thoraco-abdominal CT scan was normal, apart from evidence of involvement of the rectum and colon consistent with UC. The diagnosis of LVV was established by a positron emission tomography (PET-CT) scan that revealed thoracic and abdominal aortitis.</p>","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":"50 2","pages":"95-97"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777720","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":"Prognostic factors of acute pulmonary embolism in a Sub-Saharan African country: The case of Togo.","authors":"Soulemane Pessinaba, Yaovi Mignazonzon Afassinou, Gernique Nkuitché, Mohamed Kpélafia, Komlavi Yayehd, Wiyao Dieudonné Kaziga, Ekpé Togbossi, Tcha Tchérou, Borgatia Atta, Mario Bakai, Machihude Pio, Soodougoua Baragou, Findibé Damorou","doi":"10.1016/j.vasdi.2024.12.001","DOIUrl":"https://doi.org/10.1016/j.vasdi.2024.12.001","url":null,"abstract":"<p><strong>Background: </strong>Pulmonary embolism (PE) is a serious and frequently encountered disease whose incidence increases with age. Its prevalence, etiological factors and mortality are known in the literature, particularly in Togo. However, factors associated with worse outcomes of PE have not yet been studied in our setting. This study was therefore designed to investigate the factors associated with worse outcomes in PE.</p><p><strong>Methods: </strong>We conducted a 4-year retrospective, descriptive and analytic study from January 1st of 2019 to December 31st, 2022, including records of patients admitted in cardiology departments of Campus of Lomé and Sylvanus Olympio University hospitals for PE confirmed at the CT pulmonary angiography.</p><p><strong>Results: </strong>In total, 232 cases of PE were included in the study. The mean age of patients was 56.52±15.04years and sex ratio (H/F) of 0.47. Low-risk PE accounted for 22%, intermediate-risk PE for 66.4% and high-risk PE for 11.6%. The average duration prior to admission after symptom onset was 3±1.2days. In-hospital mortality was 8.7%. Mortality was significantly associated with age≥60years, duration prior to admission greater than 72hours, sPESI score≥2, presence of right intracavitary thrombus and shock status.</p><p><strong>Conclusions: </strong>PE remains a serious and highly fatal pathology in Lome. Factors associated with in-hospital mortality include advanced age, long duration prior to admission, presence of intracavitary thrombus, high sPESI score and shock on admission.</p>","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":"50 2","pages":"64-68"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777722","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":"Prolonged fever revealing fractured stent with infection of hemodialysis fistula.","authors":"Youssef Lyazidi","doi":"10.1016/j.vasdi.2025.02.001","DOIUrl":"10.1016/j.vasdi.2025.02.001","url":null,"abstract":"<p><p>We report an unusual case of a chronic hemodialysis patient, who presented with an infection of a fractured stent of the hemodialysis fistula. The stent infection was revealed by an isolated prolonged fever, leading to a diagnostic delay. Stent infection should be considered in a patient who presents with local signs, fever, and bacteremia after recent stent placement. As this case shows, presentation may be limited to long-lasting infections of unclear etiology.</p>","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":"50 2","pages":"92-94"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777723","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":"A new title, new ambitions.","authors":"Pascal Priollet, Alexandra Yannoutsos","doi":"10.1016/j.vasdi.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.vasdi.2025.02.005","url":null,"abstract":"","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":"50 2","pages":"63"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777717","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":"Analysis of differences in treating peripheral arterial disease in men and women.","authors":"Pauline Duprez-Larnier, Olivier Espitia, Jérôme Connault, Marc-Antoine Pistorius, Vianney Guardiolle, Matthieu Wargny, Bertrand Cariou, Blandine Maurel-Desanlis, Mathieu Artifoni","doi":"10.1016/j.vasdi.2025.01.126","DOIUrl":"https://doi.org/10.1016/j.vasdi.2025.01.126","url":null,"abstract":"<p><strong>Objective: </strong>PAD is a frequent and growing pathology in recent years. Knowledge of PAD in women compared to men is surprisingly low compared to literature data concerning other cardiovascular diseases and general illnesses. For example, studies comparing endovascular or surgical revascularization in men versus women have reported conflicting results.</p><p><strong>Methods: </strong>In this retrospective cohort study based on medical records, we included adult patients (men and women) who had been hospitalized in the vascular surgery department of Nantes University Hospital Center for PAD revascularization by angioplasty with or without stent. The primary outcome was a composite of revascularization failures, collected intraoperatively, at one month (M1) and at one year (A1). Secondary outcome included various risk factors for PAD.</p><p><strong>Results: </strong>A total of 447 patients including 315 men and 132 women were enrolled in the trial. The prevalence of tobacco was different between the two groups with 245 men (78.0%) who were smoking or had quit smoking, while only 13 women (9.8%) were smoking and 30 (22.7%) had quit smoking. Post-surgical anticoagulant, calcium channel blocker, beta-blocker and antiplatelet drugs were similarly prescribed in men and women. Differences were found for treatment with a renin-angiotensin system inhibitor, prescribed in 48.5% in women and in 60.2% in men (P=0.028). Similarly, statin treatment was prescribed in 59.1% of women and 76.4% of men (P<0.001). The 1-month incidence of the primary-outcome was higher in women than in men (27.8% vs. 19.3%), with a risk ratio of 1.43 (95% confidence interval [CI], 0.99 to 2.06; P=0.071). At one year, we found a risk ratio of 1.13 (95% confidence interval [CI], 0.94 to 1.37; P=0.20). In multivariable regression model, the adjusted odds ratio for primary outcome was 1.65 for women/men (95% confidence interval [CI], 0.95 to 2.86; P=0.075). Finally, there were significantly more cardiovascular deaths in women than in men at one month (P=0.003) and one year (P=0.005).</p><p><strong>Conclusions: </strong>Women are more at risk of failure after lower extremity surgery, especially in the first month. After a year of hindsight, women have more cardiovascular mortality than men. This can be explained by management at a later stage, a higher age or more distal damage, but also by differences in optimal medical treatment in men and women.</p>","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":"50 2","pages":"69-74"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777719","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":"Giant cell arteritis: Diagnostic approach based on a retrospective study on 21 cases.","authors":"Haifa Tounsi, Jaafer Aouni, Ghada Kharrat, Wafa Skouri, Sana Ferchichi, Wafa Garbouj, Sabrine Bachrouch, Manel Lajmi, Selma Dghaies, Abir Chaabene, Yassine Kaabar, Khaled Bouzaidi, Raja Amri, Zeineb Alaya","doi":"10.1016/j.vasdi.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.vasdi.2025.02.003","url":null,"abstract":"<p><strong>Objectives: </strong>To describe diagnostic and therapeutic difficulties encountered in the management of giant cell arteritis (GCA).</p><p><strong>Patients and methods: </strong>We retrospectively included patients with GCA based on the 1990 ACR criteria, who were followed in the Internal Medicine Department of Mohamed Tahar Maamouri Hospital in Nabeul, Tunisia, over a 5-year period, from 1st January 2014 to 1st January 2019.</p><p><strong>Results: </strong>Twenty-one patients (16 women and 5 men) were included. The average age at diagnosis was 70 years. Predominant revealing symptoms were headache reported in 13 cases and ocular manifestations in 11 cases. Jaw claudication, scalp hyperesthesia and polymyalgia rheumatica were noted in 8 cases each. Ocular manifestations included acute anterior ischemic optic neuropathy in 8 cases, retrobulbar optic neuritis in 3 cases and central retinal artery occlusion in a single case. Inflammatory syndrome was consistently noted. Doppler ultrasound showed temporal artery 'halo sign' in one case and stenosis of the external carotid in another. In computed tomography (CT) scan, we found a thoracic aortitis in one case and an aortic ectasia in another. Temporal artery biopsy contributed to the diagnosis in 9 cases. Corticosteroid therapy was prescribed for all patients, preceded by three methylprednisolone pulses in 5 cases. Osteoporosis, steroid-induced diabetes and infections were the main adverse effects noted respectively in 14, 8 and 4 cases. Improvement was noted in 19 cases. Blindness was noted in two cases due to delayed consultation. Methotrexate was introduced in four patients for disease relapse.</p><p><strong>Conclusion: </strong>Although rare in Tunisia, GCA remains a medical emergency because of the risk of sudden irreversible sight loss and stroke.</p>","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":"50 2","pages":"75-79"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777721","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}