Vascular Specialist International最新文献

Renal Artery Bypass and Both Renal Vein Reimplantation for Acute Onset Renal Artery Aneurysm Following Urinary Tract Infection: A Case Report. 肾动脉搭桥及双肾静脉再植入术治疗尿路感染后急性肾动脉瘤1例。

IF 1

Vascular Specialist International Pub Date : 2025-09-30 DOI: 10.5758/vsi.250024

Choshin Kim, Young-Nam Roh

引用次数: 0

Primary Basilic Vein Aneurysm: A Case Report and Literature Review. 原发性基底静脉动脉瘤1例报告及文献复习。

IF 1

Vascular Specialist International Pub Date : 2025-09-24 DOI: 10.5758/vsi.250074

Dimitrios A Chatzelas, Ioanna I Kiose, Theodosia N Zampaka, Georgios V Tsamourlidis, Vasiliki-Elisavet P Stratinaki, Georgios A Pitoulias, Apostolos G Pitoulias

引用次数: 0

Genetic Pathogenesis of Abdominal Aortic Aneurysm and the Role of PCSK9 (Proprotein Convertase Subtilisin/Kexin Type 9). 腹主动脉瘤的遗传发病机制及PCSK9（蛋白转化酶枯草杆菌素/可欣9型）的作用

IF 1

Vascular Specialist International Pub Date : 2025-09-11 DOI: 10.5758/vsi.250043

Ju Yeon Choi, Jun Gyo Gwon

{"title":"Genetic Pathogenesis of Abdominal Aortic Aneurysm and the Role of PCSK9 (Proprotein Convertase Subtilisin/Kexin Type 9).","authors":"Ju Yeon Choi, Jun Gyo Gwon","doi":"10.5758/vsi.250043","DOIUrl":"10.5758/vsi.250043","url":null,"abstract":"An abdominal aortic aneurysm (AAA) is defined as a localized dilation of the abdominal aorta measuring at least 1.5 times its normal diameter. If left untreated, AAA can progress to a life-threatening condition. In the field of AAA, treatment strategies have evolved significantly, with endovascular aneurysm repair serving as a representative example. However, despite developments in surgical techniques, postoperative morbidity and mortality rates remain significant. Extensive research is being conducted to examine the genetic and environmental risk factors of AAA to better understand its pathophysiology and develop novel therapeutic or preventive strategies. Numerous genome-wide association studies have identified factors associated with AAA progression, including mechanisms involving lipid metabolism. Proprotein convertase subtilisin/kexin type 9 (PCSK9) is important in abnormal lipid metabolism because it regulates low-density lipoprotein levels. PCSK9 also inhibits the proliferation of human aortic smooth muscle cells (SMCs). Loss of SMCs due to PCSK9-induced apoptosis can lead to thinning of the fibrous cap and contribute to plaque vulnerability and degeneration of the medial layer. PCSK9 inhibitors are widely used in clinical practice, particularly in cardiovascular diseases. The aim of this study was to elucidate the genetic pathophysiology of AAA and explore how PCSK9 can be utilized for the prevention and treatment of AAA.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"41 ","pages":"26"},"PeriodicalIF":1.0,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12423627/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145034663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnostic Approach and Management of Iliac Artery Endofibrosis in Athletes: A Scoping Review. 运动员髂动脉内纤维化的诊断方法和治疗：范围回顾。

IF 1

Vascular Specialist International Pub Date : 2025-09-09 DOI: 10.5758/vsi.250029

Claire Kung, Harivarsha Puttam, Maham Khan, Pallavi Rangan, Sai Varun Bethina, Sameer Deshmukh, Priyal Mehta, Smitesh Padte, Zara Arshad, Faisal Nawaz, Rahul Kashyap

{"title":"Diagnostic Approach and Management of Iliac Artery Endofibrosis in Athletes: A Scoping Review.","authors":"Claire Kung, Harivarsha Puttam, Maham Khan, Pallavi Rangan, Sai Varun Bethina, Sameer Deshmukh, Priyal Mehta, Smitesh Padte, Zara Arshad, Faisal Nawaz, Rahul Kashyap","doi":"10.5758/vsi.250029","DOIUrl":"10.5758/vsi.250029","url":null,"abstract":"Iliac artery endofibrosis (IAE) is a rare vascular condition with an estimated global prevalence of 0.01%. It primarily affects endurance athletes, especially cyclists, and often presents with exercise-induced leg discomfort or reduced performance. This scoping review provides a comprehensive overview of IAE in athletes, with a focus on the current understanding of IAE, diagnostic approaches, and treatment strategies. A total of 43 studies published between 1997 and 2023 were analyzed, including 443 athletes diagnosed with IAE. Most participants were male endurance cyclists, with a predominance of left-sided lesions. The diagnostic tools primarily included ankle-brachial index measurement (used in approximately 84% of studies), Doppler ultrasonography, and angiography. Balloon angioplasty and stenting were associated with a higher likelihood of symptom relapse and often required secondary interventions. In contrast, endarterectomy with patch angioplasty remains the preferred treatment for athletes who continue to participate in competitive sports because of its high success rate, long-term durability, and sustained symptom relief.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"41 ","pages":"24"},"PeriodicalIF":1.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12417855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145024775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Conservative Management of Massive Retroperitoneal Hemorrhage in a Patient with Vascular Ehlers-Danlos Syndrome: A Case Report. 血管性埃勒-丹洛斯综合征患者腹膜后大出血的保守治疗：1例报告。

IF 1

Vascular Specialist International Pub Date : 2025-09-09 DOI: 10.5758/vsi.250044

Atsushi Tanikawa, Masaru Nemoto, Kozue Watabe

引用次数: 0

Endovascular Salvage of Iliac Limb Maldeployment during EVAR Using a CODA Balloon and Bridging Stent: A Case Report. 使用CODA球囊和桥式支架在EVAR中挽救髂肢体错位：1例报告。

IF 1

Vascular Specialist International Pub Date : 2025-09-05 DOI: 10.5758/vsi.250041

Dipankar Mukherjee, Bibhas Amatya

引用次数: 0

Relationship Between the Primary Entry Tear Locations and Surgical Outcomes of Acute Type A Aortic Dissection: A Single-Center Experience. 急性A型主动脉夹层主要入口撕裂位置与手术结果的关系：单中心经验。

IF 1

Vascular Specialist International Pub Date : 2025-08-29 DOI: 10.5758/vsi.250011

The Anh Hoang, Thang Duc Vu, Duy Hong Son Phung

{"title":"Relationship Between the Primary Entry Tear Locations and Surgical Outcomes of Acute Type A Aortic Dissection: A Single-Center Experience.","authors":"The Anh Hoang, Thang Duc Vu, Duy Hong Son Phung","doi":"10.5758/vsi.250011","DOIUrl":"10.5758/vsi.250011","url":null,"abstract":"Purpose: The primary entry tear location affects the prognosis and treatment strategies in aortic dissection. This study aimed to investigate the relationship between entry tear location and surgical outcomes in patients with acute type A aortic dissection (TAAD).Materials and methods: We retrospectively reviewed 89 patients with acute TAAD who underwent surgery between January 2021 and December 2022 at a single center in Vietnam. Patients were categorized into three groups according to entry tear location: ascending aorta, arch, and descending aorta.Results: Primary entry tears were located in the ascending aorta in 43.8% of patients, the arch in 29.2%, and the descending aorta in 26.9%. False lumen thrombosis occurred most frequently in the descending aorta group. The location of the entry tear influenced the surgical technique; most patients with entry tears at the arch underwent hemiarch or total arch replacement. The overall early mortality and reoperation rates were 11.2% and 5.6%, respectively. Early mortality tended to be higher in the arch group (19.2%) compared with the ascending (12.8%) and descending (0%) aorta groups (P=0.080). The most common cause of reoperation was bleeding, which was more common in the ascending aorta group (P=0.070).Conclusion: The ascending aorta was the most frequent site of primary entry tear in acute TAAD. Although the differences in early outcomes did not reach statistical significance, the observed trends, including higher early mortality in the arch group and more frequent postoperative bleeding in the ascending aorta group, may reflect the influence of tear location. These findings should be further investigated in larger, multicenter studies.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"41 ","pages":"22"},"PeriodicalIF":1.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395266/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Chronic Contained Rupture of a Common Iliac Artery Aneurysm Presenting with Iliac Artery Occlusion: A Case Report. 髂总动脉瘤慢性包涵性破裂伴髂动脉闭塞1例报告。

IF 1

Vascular Specialist International Pub Date : 2025-08-26 DOI: 10.5758/vsi.250045

Hiroyuki Miyamoto, Shinsuke Kikuchi, Tomoki Nakatsu, Nobuyoshi Azuma

{"title":"Chronic Contained Rupture of a Common Iliac Artery Aneurysm Presenting with Iliac Artery Occlusion: A Case Report.","authors":"Hiroyuki Miyamoto, Shinsuke Kikuchi, Tomoki Nakatsu, Nobuyoshi Azuma","doi":"10.5758/vsi.250045","DOIUrl":"10.5758/vsi.250045","url":null,"abstract":"Iliac artery aneurysm rupture usually causes acute hemorrhagic shock requiring urgent intervention, whereas chronic contained rupture is rare and seldom reported. An 86-year-old male with hypertension presented with sudden lower back and left lower limb pain causing difficulty in walking. Four weeks later, his back pain improved; however, intermittent claudication persisted. Computed tomography and magnetic resonance imaging revealed a large retroperitoneal hematoma due to rupture of the left iliac artery aneurysm and occlusion of the iliac arteries. Despite treatment recommendations, conservative management was selected in accordance with the patient's preference. Five months later, with persistent claudication and aneurysm enlargement, endovascular treatment was performed. Using intravascular ultrasound, we crossed the true lumen and deployed a stent graft from the common to external iliac artery, achieving reperfusion without endoleak. This case report highlights the chronic course of a ruptured common iliac artery aneurysm associated with iliac artery occlusion and massive retroperitoneal hematoma.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"41 ","pages":"21"},"PeriodicalIF":1.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Disseminated Melioidosis from a Ruptured Infective Aortic Aneurysm and Pedal Ulcers to Septic Arthritis and Osteomyelitis: A Case Report. 感染性主动脉瘤破裂、足部溃疡到感染性关节炎和骨髓炎的弥散性类鼻疽：1例报告。

IF 1

Vascular Specialist International Pub Date : 2025-08-14 DOI: 10.5758/vsi.250025

Jithin Jagan Sebastian, Bricilla Gnana Preethe, Sairam Subramanian

{"title":"Disseminated Melioidosis from a Ruptured Infective Aortic Aneurysm and Pedal Ulcers to Septic Arthritis and Osteomyelitis: A Case Report.","authors":"Jithin Jagan Sebastian, Bricilla Gnana Preethe, Sairam Subramanian","doi":"10.5758/vsi.250025","DOIUrl":"10.5758/vsi.250025","url":null,"abstract":"Burkholderia pseudomallei (BP) is a gram-negative bacterium that causes melioidosis. Prolonged infection can lead to dissemination with rare presentations. A 65-year-old male presented with worsening back pain, persistent fever, and bilateral infected pedal ulcers. Four months previously, he had been treated for fever of unknown origin. Computed tomography (CT) aortography revealed a 63×54 mm saccular infrarenal aneurysm. Blood cultures revealed BP sensitive to cephalosporins and carbapenems. The patient underwent emergency surgical repair. Postoperatively, fever persisted, and he developed right knee pain and ankle swelling. Positron emission tomography (PET)-CT revealed further dissemination, leading to osteomyelitis and septic arthritis. Antibiotic therapy was changed, and the symptoms improved. He was discharged on a prolonged course of antibiotics and remained well at 1-year follow-up. Diagnosis is often missed initially because BP is not usually speciated on routine cultures. PET-CT helps diagnose disseminated melioidosis. Mortality is frequently caused by perioperative dissemination.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"41 ","pages":"20"},"PeriodicalIF":1.0,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intravascular Ultrasound-Guided Covered Endovascular Reconstruction of the Aortic Bifurcation for Acute Aortic Occlusion Concurrent with Severe Acute Necrotizing Pancreatitis: A Case Report. 超声引导下血管内覆盖主动脉分叉重建治疗急性主动脉闭塞并发重症急性坏死性胰腺炎1例。

IF 1

Vascular Specialist International Pub Date : 2025-08-11 DOI: 10.5758/vsi.250033

Diego Soto V, Paulo Cassis C, Cristian Marín O, Sebastián Morales Z, Lucas Líbano B, Maite Rojas M

{"title":"Intravascular Ultrasound-Guided Covered Endovascular Reconstruction of the Aortic Bifurcation for Acute Aortic Occlusion Concurrent with Severe Acute Necrotizing Pancreatitis: A Case Report.","authors":"Diego Soto V, Paulo Cassis C, Cristian Marín O, Sebastián Morales Z, Lucas Líbano B, Maite Rojas M","doi":"10.5758/vsi.250033","DOIUrl":"10.5758/vsi.250033","url":null,"abstract":"Acute aortic occlusion (AAO) is a high-mortality condition, and its occurrence during severe acute necrotizing pancreatitis (SANP) is rare. A 62-year-old male with SANP developed AAO. Urgent hybrid revascularization-including thrombectomy and the covered endovascular reconstruction of the aortic bifurcation (CERAB) technique guided by intravascular ultrasound (IVUS)-was performed. The patient recovered bilateral lower limb perfusion and distal pulses without requiring further vascular reinterventions or other major surgical procedures. However, he developed severe medical complications during the postoperative period, including pelvic infections and acute renal failure. Nonetheless, the patient recovered and was discharged on postoperative day 64. A hybrid approach-combining thrombectomy with IVUS-guided CERAB-appears technically feasible as an urgent revascularization strategy for AAO. However, despite procedural feasibility of a hybrid approach, the combination of AAO and severe SANP-related medical complications is associated with an elevated risk of short-term morbidity and mortality.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"41 ","pages":"19"},"PeriodicalIF":1.0,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12339192/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0