Vascular Specialist International最新文献

{"title":"Late Complete Endograft Occlusion After Endovascular Aneurysm Repair Successfully Treated With Unilateral Endograft Relining and Femoro-femoral Bypass: A Case Report.","authors":"Kenichiro Suno, Mika Yamamoto, Hiroki Uchiyama, Takahiko Masuda, Naritomo Nishioka, Shuichi Naraoka, Yoshihiko Kurimoto","doi":"10.5758/vsi.260064","DOIUrl":"10.5758/vsi.260064","url":null,"abstract":"<p><p>Complete endograft occlusion involving the main body and both limbs after endovascular aneurysm repair (EVAR) is rare, and the optimal treatment remains unclear. We report an 85-year-old male with late complete endograft occlusion after EVAR for an abdominal aortic aneurysm. Computed tomography (CT) showed complete thrombotic occlusion extending from just below the renal arteries to both iliac limbs and distally to the level of the external iliac arteries. A hybrid procedure was performed. After proximal recanalization under right renal artery protection, thrombectomy was performed through the left groin. Next, unilateral endograft relining was carried out using Ovation iX limbs, followed by femoro-femoral bypass. Postoperative CT confirmed patency of the relined limb, femoro-femoral bypass, and left external iliac artery reconstruction, with preserved bilateral renal perfusion. The ankle-brachial index improved from 0.58/0.49 to 0.95/0.88. Hybrid revascularization based on unilateral inflow reconstruction may be an effective option for selected patients with this rare complication.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"42 ","pages":"28"},"PeriodicalIF":1.2,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13439296/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674566","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}

{"title":"Chronic Periaortitis After Endovascular Aneurysm Repair Revealing Graft-Associated <i>Listeria monocytogenes</i> Infection Diagnosed by Multimodal Imaging and Invasive Sampling: A Case Report.","authors":"Yasmin Zeidan, Wulf Dieker, Anna Trimborn, Freba Grawe, Martin Sigl","doi":"10.5758/vsi.260047","DOIUrl":"10.5758/vsi.260047","url":null,"abstract":"<p><p>Chronic peri-aortic inflammation after endovascular aneurysm repair (EVAR) is rare and may reflect sterile postoperative inflammation, immune-mediated periaortitis, or graft-associated infection. Differentiating between these entities is challenging but essential for appropriate management. An 84-year-old male with prior infrarenal EVAR in 2005 presented with persistent inflammation and peri-aortic fluid collection, initially considered immune-mediated periaortitis based on a partial response to corticosteroids. Computed tomography (CT) showed progressive enlargement of the lesion, and contrast-enhanced ultrasound demonstrated early arterial enhancement within it, supporting an active inflammatory process. Two CT-guided peri-aortic sampling yielded <i>Listeria monocytogenes</i>, confirming localized graft-associated infection despite negative blood cultures. The patient was treated with intravenous ampicillin for 6 weeks, followed by oral trimethoprim-sulfamethoxazole for 2 months, which led to clinical and radiological improvement. This case highlights the diagnostic value of invasive sampling and the potential role of targeted antimicrobial therapy with close imaging surveillance in selected high-risk patients with localized infection.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"42 ","pages":"27"},"PeriodicalIF":1.2,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13388019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148537718","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}

{"title":"Surgical Treatment of Abdominal Aortoiliac Aneurysms in Children: A Case Series and Systematic Literature Review.","authors":"Donghyun Lim, Song-Yi Kim, Sanghyun Ahn, Hyun-Young Kim, Woong-Han Kim, Seung-Kee Min","doi":"10.5758/vsi.260024","DOIUrl":"10.5758/vsi.260024","url":null,"abstract":"<p><strong>Purpose: </strong>Abdominal aortoiliac aneurysms (AAIAs) in pediatric patients are very rare, but rupture is often fatal. This study aimed to analyze causes, surgical management strategies, and clinical outcomes in pediatric patients with AAIAs who underwent surgical treatment. We also performed a systematic literature review of previously reported cases to inform diagnostic and therapeutic approaches.</p><p><strong>Materials and methods: </strong>A retrospective case series analysis was conducted of consecutive pediatric patients (age <20 years) diagnosed with abdominal aortic or iliac artery aneurysms who underwent surgical treatment at Seoul National University Hospital from 1997 through 2025. A systematic literature review was performed according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. PubMed, Embase, and Web of Science were searched for publications from 1913 through 2025 using search terms including \"child\", \"pediatric\", \"abdominal aortic aneurysm\" and \"iliac artery aneurysm\".</p><p><strong>Results: </strong>Surgical treatment was successfully performed in five patients, with no perioperative mortality. During a median follow-up of 5 years, four patients were alive with stable outcomes and no aneurysm recurrence or ischemic complications. One patient with tuberous sclerosis complex died 5 years after surgery from seizure-related complications. One patient developed early graft thrombosis but remained asymptomatic due to good collateral circulation. The systematic literature review summarized 96 reported cases of pediatric AAIAs, showing diverse etiologies and surgical approaches and generally favorable long-term outcomes when appropriately managed.</p><p><strong>Conclusion: </strong>Although rare, pediatric AAIAs carry a significant risk of rupture and death, requiring prompt diagnosis and surgical treatment. Experience from pediatric vascular reconstruction suggests that appropriate graft selection and anticipation of somatic growth are key for durable outcomes. Preservation of collateral circulation is crucial, as children demonstrate remarkable tolerance to graft occlusion. Further multicenter studies are needed to establish standardized management protocols for this rare condition.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"42 ","pages":"25"},"PeriodicalIF":1.2,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13314641/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354090","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}

{"title":"Sequential Single-Conduit Antegrade Flow Reconstruction for Multivessel Chronic Mesenteric Ischemia After Failed Endovascular Therapy.","authors":"Gökçen Özkan, Cihan Yücel, Helin El Kılıç, Abdullah Burak Balcı, Necdet Kılıçaslan, Zakir İbrahim Kılınç, Hakan Yırgın, Yasir Musa Kesgin","doi":"10.5758/vsi.260037","DOIUrl":"10.5758/vsi.260037","url":null,"abstract":"<p><p>Chronic mesenteric ischemia (CMI) with multivessel occlusive disease remains challenging when endovascular therapy fails. We describe sequential antegrade reconstruction of the superior mesenteric artery (SMA) and celiac artery using a single 8-mm Dacron conduit originating from the supraceliac aorta. A 59-year-old man with severe malnutrition presented with progressive postprandial abdominal pain and substantial weight loss. Computed tomography angiography revealed flush occlusion of the celiac trunk, heavily calcified chronic total occlusion of the proximal SMA, patent distal target vessels, and limited collateralization through a diminutive inferior mesenteric artery. After two unsuccessful endovascular attempts, open revascularization was performed. The distal SMA was selected beyond the occluded segment, and the celiac trunk was reimplanted onto the same graft to preserve antegrade physiologic inflow while avoiding additional conduits. The patient recovered uneventfully and remained asymptomatic with patent graft at 3 months. This report outlines considerations for conduit configuration in CMI after failed endovascular therapy.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"42 ","pages":"26"},"PeriodicalIF":1.2,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13314640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148354136","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}

{"title":"Persistent Sciatic Artery and Vein with Iliac Vein Fenestration Presenting as Chronic Venous Insufficiency: A Case Report.","authors":"Garima Sharma, Rajanikant R Yadav, Gurubasava Sajjan","doi":"10.5758/vsi.250152","DOIUrl":"10.5758/vsi.250152","url":null,"abstract":"<p><p>Persistent sciatic vessels are rare but recognized anatomical variants associated with anomalous mesodermal development. An association between this entity and multiple vascular, visceral, and soft tissue anomalies has been described in the literature. Few reports have described the association of persistent sciatic vessels with lower limb varicosities and limb hypertrophy. Herein, we describe the case of a 24-year-old male who presented with extensive unilateral lower limb varicosities. Diagnostic imaging revealed persistent sciatic vessels with features of chronic venous insufficiency. Further evaluation revealed the coexistence of iliac vein fenestration. The patient underwent endovenous and endovascular management, with improved clinical outcome. In young patients with atypical unilateral varicosities and soft-tissue hypertrophy, comprehensive evaluation of the pelvic venous outflow and deep venous anatomy should precede superficial venous intervention.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"42 ","pages":"23"},"PeriodicalIF":1.2,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13280735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279890","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}

{"title":"Surgical Management and Outcomes of Carotid Body Tumors in a High-Altitude Region of Yemen: A Prospective Cohort Study.","authors":"Nabeel Yahya Al-Madhwahi, Ahmed Mohammed Sabbar, Haitham Mohammed Jowah","doi":"10.5758/vsi.260007","DOIUrl":"10.5758/vsi.260007","url":null,"abstract":"<p><strong>Purpose: </strong>Carotid body tumors (CBTs) are more prevalent in high-altitude populations, possibly owing to chronic hypoxia-induced carotid body hyperplasia. This study evaluated the clinical characteristics and surgical outcomes of CBTs at a tertiary center in Sana'a, Yemen, located approximately 2,250 m above sea level.</p><p><strong>Materials and methods: </strong>This prospective observational study included 24 patients who underwent CBT resection between October 2023 and November 2025 at our institution. We analyzed patient demographics, tumor volume, Shamblin classification, operative details, and surgical outcomes. Factors associated with cranial nerve injury (CNI) were evaluated using Fisher exact and non-parametric tests.</p><p><strong>Results: </strong>The cohort had a mean age of 37.8±11.3 years, with marked female predominance (87.5%) and a high prevalence of blood group O (83.3%). Most tumors were advanced, with Shamblin class II or III tumors accounting for 91.7% of cases. External carotid artery (ECA) management, including permanent ligation in three patients and temporary clamping in one patient, was required in 16.7% of cases. The overall transient CNI rate was 29.2% (7/24), and no permanent neurological deficits or perioperative stroke occurred. Transient CNI was numerically more frequent in patients with Shamblin class III tumors than in those with Class I/II tumors (45.5% vs. 15.4%; P=0.182). Intraoperative ECA management was significantly associated with transient CNI (100.0% vs. 15.0%; P=0.003), whereas tumor volume was not significantly associated with CNI (P=0.820).</p><p><strong>Conclusion: </strong>In this cohort, surgical resection of CBTs in a high-altitude region of Yemen was feasible without preoperative embolization, with no permanent neurologic deficits or perioperative stroke. The observed high prevalence of blood group O may suggest a distinctive demographic feature in this population, although this finding requires further investigation. Shamblin class III tumors showed a numerically higher rate of transient CNI, and the need for ECA management appeared to reflect greater surgical complexity. Long-term follow-up and larger studies are needed to validate these findings.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"42 ","pages":"24"},"PeriodicalIF":1.2,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13280733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279911","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}

{"title":"Vascular Disease Prospective-Retrospective Observational Registry for Aortic Aneurysm and Peripheral Artery Disease in Korea: Study Rationale and Methodology.","authors":"Ju Yeon Choi, Tae Oh Kim, Jun Gyo Gwon","doi":"10.5758/vsi.250144","DOIUrl":"10.5758/vsi.250144","url":null,"abstract":"<p><strong>Purpose: </strong>Peripheral artery disease (PAD) and aortic aneurysm (AA) are major manifestations of systemic atherosclerosis. Although they differ in pathophysiology and clinical presentation, they share common risk factors and overlapping biological pathways. However, long-term integrated data encompassing both conditions remain limited in Korea, constraining real-world evidence generation and outcome evaluation.</p><p><strong>Materials and methods: </strong>To address this gap, the Vascular disease Prospective-Retrospective Observational Registry (VAPOR) was established as a mixed retrospective- prospective registry. VAPOR was initially implemented at a single coordinating center and was designed for stepwise expansion to multiple institutions. The registry systematically collects clinical, imaging, and procedural data from patients with AA and PAD. It aims to identify shared and disease-specific risk factors, evaluate outcomes, and apply established risk-stratification frameworks, thereby supporting the development of an interoperable vascular data infrastructure for precision medicine, quality benchmarking, and policy development.</p><p><strong>Results: </strong>As of April 15, 2026, VAPOR included 5,249 unique patients, comprising 4,438 patients in the retrospective cohort and 811 patients in the prospective cohort. The registry included 2,193 patients with AA and 3,287 patients with PAD; 231 patients had both AA and PAD. The primary outcomes are the incidence of major adverse cardiovascular events, major adverse limb events, and aneurysm- or procedure-related adverse events. Secondary outcomes include technical success, hemodynamic and imaging parameters, safety outcomes, and patient-centered endpoints.</p><p><strong>Conclusion: </strong>VAPOR provides a comprehensive real-world dataset for evaluating treatment outcomes and long-term prognoses in patients with AA or PAD. By integrating retrospective and prospective cohorts and establishing an infrastructure for multicenter expansion, VAPOR represents an important initiative in Korean vascular surgery and has the potential to enhance evidence-based management and advance precision vascular care.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"42 ","pages":"22"},"PeriodicalIF":1.2,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13244144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201245","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}

{"title":"Intravascular Lithotripsy-Assisted Stenting of Supraceliac Coral Reef Aorta Using a Partially Deployed WALLSTENT for Temporary Embolic Protection: A Case Report.","authors":"Jithin Jagan Sebastian, Naveen Kumar K, Rajasekar Arumugam","doi":"10.5758/vsi.260014","DOIUrl":"10.5758/vsi.260014","url":null,"abstract":"<p><p>Coral reef aorta (CRA) is characterized by dense, rock-hard intraluminal calcified plaques that can cause critical aortic stenosis or occlusion. We report the case of a 59-year-old man who presented with accelerated hypertension, acute decompensated heart failure, bilateral pleural effusions, acute kidney injury, adrenal insufficiency, and progressive inability to ambulate. Computed tomography angiography demonstrated a near-occlusive supraceliac CRA lesion with markedly reduced infraceliac aortic flow. The lesion was successfully treated with intravascular lithotripsy-assisted stenting, During the procedure, a partially deployed WALLSTENT (Boston Scientific) was used for temporary distal embolic protection. The postoperative course was uneventful, with resolution of heart failure, normalization of renal function, improvement in adrenal function, and reduction in antihypertensive requirements from four to two agents. The patient remained asymptomatic at the 6-month follow-up. This case suggests that endovascular management using intravascular lithotripsy-assisted stenting with temporary WALLSTENT-based embolic protection may be feasible for selected patients with complex supraceliac CRA.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"42 ","pages":"21"},"PeriodicalIF":1.2,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13223709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139636","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}

{"title":"Great Saphenous Vein Availability in Lower‑Extremity Arterial Disease: Analysis of a Prospectively Mapped Nonselective Cohort.","authors":"Sangho Lee, Jihye Kim, Yumi Jeon, Hyung-Kee Kim","doi":"10.5758/vsi.260003","DOIUrl":"10.5758/vsi.260003","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to quantify the real-world availability of a single-segment great saphenous vein (GSV) in a nonselective Korean cohort with peripheral arterial disease and to identify patient-level predictors that may limit the adoption of a vein-first strategy.</p><p><strong>Materials and methods: </strong>This retrospective analysis of prospectively collected data included 115 consecutive patients admitted for evaluation and planning of lower-extremity revascularization (53 with claudication and 62 with chronic limb-threatening ischemia [CLTI]) from 2023 to 2024. All patients underwent mandatory bilateral duplex mapping before treatment by registered vascular technologists under a standardized protocol (reverse Trendelenburg position, temperature 25°C-26°C, inner-to-inner measurements). A suitable single-segment conduit was defined as a continuous, thrombus-free GSV from the saphenofemoral junction to the proximal calf without duplex-detected reflux and was categorized by minimum diameter as ideal (≥3.0 mm), acceptable (≥2.5 mm), or borderline (≥2.0 mm).</p><p><strong>Results: </strong>In the ipsilateral limb, the GSV met the ideal, acceptable, and borderline thresholds in 23/115 (20.0%), 39/115 (33.9%), and 57/115 (49.6%) patients, respectively. When the contralateral limb was included, overall availability (either limb) increased to 28/115 (24.3%), 58/115 (50.4%), and 75/115 (65.2%), corresponding to absolute gains of 4.3, 16.5, and 15.6 percentage points, respectively. Ipsilateral and overall ideal availability tended to be lower in CLTI than in claudication (14.5% vs. 26.4%, P=0.112 for ipsilateral; 17.7% vs. 32.1%, P=0.074 for overall). On multivariable analysis, older age and female sex were independently associated with reduced overall ideal availability (adjusted odds ratio [aOR] per year, 0.932; 95% confidence interval [CI], 0.887-0.979; female sex: aOR, 0.201; 95% CI, 0.046-0.869).</p><p><strong>Conclusion: </strong>In this consecutive real-world cohort, ideal single-segment GSV availability (≥3.0 mm) was low and was further limited by older age and female sex. These findings highlight an important limitation of a vein-first strategy in routine practice and support standardized bilateral mapping to clarify conduit availability and guide individualized revascularization planning.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"42 ","pages":"20"},"PeriodicalIF":1.2,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13187774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977119","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}

{"title":"Ruptured Popliteal Artery Aneurysm Treated with Open Surgical Repair in a 91-Year-Old Woman: A Case Report.","authors":"Shinichi Tanaka, Kiyoshi Tanaka, Jin Okazaki","doi":"10.5758/vsi.250159","DOIUrl":"10.5758/vsi.250159","url":null,"abstract":"<p><p>Popliteal artery aneurysms (PAAs) are the most common peripheral arterial aneurysms, although they remain relatively rare. Symptomatic PAAs generally present with limb ischemia due to distal embolization; however, rupture is extremely uncommon, and the optimal management has not yet been established. A 91-year-old woman presented with acute pain in the right leg and swelling of the popliteal fossa and posterior thigh. Computed tomography revealed a 45.1×44.7-mm right PAA. Emergency intervention was indicated, and open surgical repair via a posterior approach using a prosthetic graft was performed. Intraoperatively, a defect in the aneurysmal wall with active bleeding was identified, confirming rupture. The postoperative course was uneventful, and limb viability and graft patency were maintained for 3 years. Prosthetic graft interposition may be a feasible therapeutic option in carefully selected very elderly patients with ruptured PAA, even in the presence of limited distal runoff.</p>","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"42 ","pages":"19"},"PeriodicalIF":1.2,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13181369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965364","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}