F Raherinantenaina, E Solofoarimanana, M J Rakotonaivo, E O Rakotomalala, A J C Rakotoarisoa, H N Rakoto Ratsimba, L H Samison, H Y H Rantomalala, T M A Rajaonanahary
{"title":"Superior mesenteric artery transposition for Nutcracker and Wilkie syndrome.","authors":"F Raherinantenaina, E Solofoarimanana, M J Rakotonaivo, E O Rakotomalala, A J C Rakotoarisoa, H N Rakoto Ratsimba, L H Samison, H Y H Rantomalala, T M A Rajaonanahary","doi":"10.1016/j.vasdi.2025.01.128","DOIUrl":"10.1016/j.vasdi.2025.01.128","url":null,"abstract":"<p><p>Two women, aged 39 and 54 years, had been experiencing episodes of lumbar and left flank pain for several years, with a gradual worsening of symptoms. In addition to the pain, they began to suffer from nausea, weight loss, and occasional fatigue. A CTA revealed dilatation of the left renal vein, which was compressed as it passed between the abdominal aorta and the superior mesenteric artery (SMA), confirming a diagnosis of nutcracker syndrome. Due to the presence of upper gastrointestinal symptoms suggestive of Wilkie syndrome, a decision was made to transpose the SMA. The procedure involved a median supraumbilical laparotomy performed under general anesthesia, followed by infrarenal reimplantation of the SMA, which resulted in a smooth postoperative recovery.</p>","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":"50 2","pages":"84-87"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777725","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}
H Marchand, C Lecompte, S Roisin, O Varennes, M-A Sevestre, S Soudet
{"title":"Reproducibility and concordance of Pedal Acceleration Time between students, residents and experts operators: Single-center prospective study.","authors":"H Marchand, C Lecompte, S Roisin, O Varennes, M-A Sevestre, S Soudet","doi":"10.1016/j.vasdi.2025.02.002","DOIUrl":"https://doi.org/10.1016/j.vasdi.2025.02.002","url":null,"abstract":"<p><p>Critical limb threatening ischemia (CLTI) is defined as peripheral artery disease (PAD) with rest pain, nonhealing wounds, or tissue loss. At this stage, this is a severe pathology with a high rate of ischemic events in the lower limbs and cardiovascular events. The ankle brachial pressure index (ABI) is the first line diagnostic method, but can be falsely high because of stiffened ankle arteries related to medial artery calcifications. The Pedal Acceleration Time (PAT) has been described as valid even in cases of diabetes or chronic renal failure. In order to evaluate this measurement in untrained operators, we carried out a prospective study comparing measurement performance between medical students, residents and senior doctors. We performed a prospective monocentric study. All patients were included from the departments of Vascular Medicine and Surgery of the CHU Amiens-Picardie from February 2024 to June 2024. The main objective of the study was to measure the inter-observer agreement of PAT in patients with PAD. Twenty-five patients were consecutively included in this study. ABI was successfully performed in 19 (76%) with a mean of 0.72 (±0.2). PAT was performed in 24 patients (96%) with a mean of 126ms (±40). All inter-observer comparison tests showed good agreement. The concordance between senior doctors and residents was 0.900 [0.768-0.957]. The concordance between senior doctors and students was 0.962 [0.923-0.984]. We show that PAT which is a recently described measurement can be performed not only by doctors with experience using Doppler ultrasound, but also by operators with minimal training.</p>","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":"50 2","pages":"80-83"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144777724","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}
Eléonore Langlais, Stéphane Zuily, Denis Wahl, Elena Martin, Virginie Dufrost
{"title":"Attitude des médecins vasculaires vis-à-vis de la contraception lors d’un événement thrombotique veineux en contexte hormonal.","authors":"Eléonore Langlais, Stéphane Zuily, Denis Wahl, Elena Martin, Virginie Dufrost","doi":"10.1016/j.vasdi.2025.01.028","DOIUrl":"https://doi.org/10.1016/j.vasdi.2025.01.028","url":null,"abstract":"","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":"50 1","pages":"45"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487714","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":"Contraception chez la femme à risque vasculaire.","authors":"Justine Hugon Rodin","doi":"10.1016/j.vasdi.2025.01.082","DOIUrl":"https://doi.org/10.1016/j.vasdi.2025.01.082","url":null,"abstract":"","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":"50 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487719","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":"Intérêt de l’évaluation des calcifications coronaires au diagnostic d’embolie pulmonaire pour prédire le risque coronarien.","authors":"Hossam Amarouche","doi":"10.1016/j.vasdi.2025.01.010","DOIUrl":"https://doi.org/10.1016/j.vasdi.2025.01.010","url":null,"abstract":"","PeriodicalId":520901,"journal":{"name":"Vascular diseases (Paris, France)","volume":"50 1","pages":"33"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144487811","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}