Vascular Specialist International最新文献_第6页

Effect of Selenium on Lung Injury Induced by Limb Ischemic Reperfusion Injury in Sprague-Dawley Rats. 硒对Sprague-Dawley大鼠肢体缺血再灌注损伤所致肺损伤的影响。

IF 0.9

Vascular Specialist International Pub Date : 2023-11-10 DOI: 10.5758/vsi.230065

Dudy Arman Hanafy, Christha Zenithy Tamburian, Lisnawati Rachmadi, Gerald Aldian Wijaya, Widya Trianita Suwatri, Sugisman

{"title":"Effect of Selenium on Lung Injury Induced by Limb Ischemic Reperfusion Injury in Sprague-Dawley Rats.","authors":"Dudy Arman Hanafy, Christha Zenithy Tamburian, Lisnawati Rachmadi, Gerald Aldian Wijaya, Widya Trianita Suwatri, Sugisman","doi":"10.5758/vsi.230065","DOIUrl":"10.5758/vsi.230065","url":null,"abstract":"Purpose: : Ischemia-reperfusion injury (IRI) plays an important role in the pathophysiology of acute limb ischemia, leading to damage to distant organs, including the lungs. A complex mechanism is involved in the formation of reactive oxygen species (ROS), release of inflammatory mediators, and neutrophil activation. One strategy to reduce the damage is administering selenium, an antioxidant enzyme component that can bind ROS and protect cells. This study aimed to compare the degree of lung injury due to limb IRI in Sprague-Dawley (SD) rats with selenium administration versus those without selenium treatment.Materials and methods: : Fifteen male SD rats were divided into three groups: the control group (Group A), the ischemia-reperfusion with pre-reperfusion selenium (Group B), and the ischemia-reperfusion with post-reperfusion selenium (Group C). All animals underwent two hours of limb ischemia and three hours of reperfusion. Selenium was given intravenously at a dose of 0.2 mg/kg body weight. After reperfusion, lung specimens were histopathologically examined.Results: : The median degree of lung injury was severe in Group A, mild in Group B, and moderate in Group C (P=0.01). Post hoc analysis revealed a significant difference in the degree of lung injury between Groups A and B (P=0.01), while a comparison between Groups A and C (P=0.06) and Groups B and C (P=0.31) revealed no significant difference.Conclusion: : The administration of pre-reperfusion selenium significantly decreases lung injury induced by limb ischemia-reperfusion in SD rats.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"36"},"PeriodicalIF":0.9,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10636257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72016144","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

Failure of Limb Salvage in a Patient with Chronic Limb-Threatening Ischemia due to Persistent Sciatic Artery Stenosis: Direct Therapeutic Intervention is Important. 因持续性坐骨动脉狭窄导致的慢性肢体缺血患者的肢体挽救失败：直接治疗干预很重要。

IF 0.9

Vascular Specialist International Pub Date : 2023-11-08 DOI: 10.5758/vsi.230081

Kensuke Kobayashi, Takuma Fukunishi, Yusuke Mizuno

{"title":"Failure of Limb Salvage in a Patient with Chronic Limb-Threatening Ischemia due to Persistent Sciatic Artery Stenosis: Direct Therapeutic Intervention is Important.","authors":"Kensuke Kobayashi, Takuma Fukunishi, Yusuke Mizuno","doi":"10.5758/vsi.230081","DOIUrl":"10.5758/vsi.230081","url":null,"abstract":"A 79-year-old woman presented to our hospital with a complaint of feeling a cold sensation in her right foot. After performing a contrast-enhanced computed tomography angiography, severe stenosis in the right persistent sciatic artery (PSA) was identified. However, stenting was considered inadvisable due to compression issues when sitting. Following anticoagulant therapy, the patient's symptoms improved. However, after seventeen months, she experienced recurrent severe pain in her right foot. Catheter angiography revealed occlusions in both the anterior and posterior tibial arteries. To address the issue, we conducted endovascular therapy, followed by a femoro-popliteal artery bypass and ligation of the PSA. Unfortunately, despite these efforts, a below-knee amputation was eventually performed. Limited experience with the PSA and delayed intervention may have led to the need for amputation. Therefore, it is crucial to emphasize the importance of prompt therapeutic intervention following the onset of initial symptoms.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"35"},"PeriodicalIF":0.9,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10630739/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488816","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

Multiple Arterial Thrombosis after COVID-19: A Case Report. 新冠肺炎后多发性动脉血栓形成：病例报告。

IF 0.9

Vascular Specialist International Pub Date : 2023-11-08 DOI: 10.5758/vsi.230063

Ferhat Borulu, Gökhan Ceyhun, Eyüp Serhat Çalik, Izatullah Jalalzai, Hakan Usta

引用次数: 0

Limb Salvage Surgery in a Rare Case of Recurrent Parosteal Osteosarcoma with Vascular Graft Thrombosis. 罕见复发性腮腺骨肉瘤伴血管移植血栓形成的保肢手术。

IF 0.9

Vascular Specialist International Pub Date : 2023-11-06 DOI: 10.5758/vsi.230058

Gaurav Ravi Kumar, Chandra Kumar Krishnan, Krishna Muralidharan, Shirley Sundersingh, Karthigaiselvi Murugesan, Anand Raja

{"title":"Limb Salvage Surgery in a Rare Case of Recurrent Parosteal Osteosarcoma with Vascular Graft Thrombosis.","authors":"Gaurav Ravi Kumar, Chandra Kumar Krishnan, Krishna Muralidharan, Shirley Sundersingh, Karthigaiselvi Murugesan, Anand Raja","doi":"10.5758/vsi.230058","DOIUrl":"10.5758/vsi.230058","url":null,"abstract":"Recurrent parosteal sarcomas with vascular involvement are rare and present unique challenges in their diagnosis and management. We report the case of a 21-year-old woman with parosteal osteosarcoma of the left distal femur, encasing the popliteal vessels. En bloc transarticular resection of the distal femur and popliteal vessels was performed, followed by reconstruction using a modular prosthesis and a saphenous vein autograft for both the artery and vein. On the 1st postoperative day, the patient developed an arterial thrombus requiring reintervention with a jump polytetrafluoroethylene (PTFE) graft. Histopathology confirmed parosteal osteosarcoma. After a disease-free survival of 41 months, the patient experienced local recurrence involving the PTFE graft, leading to graft compression, erosion, and subsequent thrombosis. Despite these complications, limb salvage was possible due to adequate collateral blood supply. This case highlights the feasibility of limb salvage surgery in select cases of parosteal osteosarcoma with vascular involvement.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"33"},"PeriodicalIF":0.9,"publicationDate":"2023-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10626314/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71488817","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

Layered Sheath-Assisted Dissection and Retrieval of Stuck Port Catheters: A Single-Center Experience. 分层鞘管辅助解剖和取出卡阻口导管：单中心经验。

IF 0.9

Vascular Specialist International Pub Date : 2023-10-31 DOI: 10.5758/vsi.230066

Nityanand Jain, Piyush Chaudhary, Amit Shrivastava, Ravul Jindal

引用次数: 0

Conservative Treatment of Ruptured Abdominal Aortic Aneurysm. 腹主动脉瘤破裂的保守治疗。

IF 0.9

Vascular Specialist International Pub Date : 2023-10-31 DOI: 10.5758/vsi.230073

Imama Taiba Nasir, Sulaiman Syed Shoab, Mohamed Ghaleb Bani-Hani

引用次数: 0

Popliteal Artery Entrapment Syndrome Presented with Popliteal Artery Pseudoaneurysm: A Case Report. 以腘动脉假性动脉瘤为表现的腘动脉压迫综合征：一例报告。

IF 0.9

Vascular Specialist International Pub Date : 2023-10-27 DOI: 10.5758/vsi.230077

Hyeon Ju Kim, Seung Huh, Hyung-Kee Kim

引用次数: 0

Simultaneous Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm Combined with Saccular Thoracic Aortic Aneurysm. 腹主动脉瘤合并囊胸主动脉瘤的血管内动脉瘤同时修复术。

IF 0.9

Vascular Specialist International Pub Date : 2023-09-25 DOI: 10.5758/vsi.230075

Minju Kim, Jeong Hee Han, Dae Hwan Kim, Myunghee Yoon, Hyuk Jae Jung

引用次数: 0

Complex Hypersensitivity and Irritation Reaction (CHAIR) Phenomenon after Cyanoacrylate Closure of Varicose Vein. 氰基丙烯酸酯封闭静脉曲张后的复杂超敏和刺激反应（CHAIR）现象。

IF 0.9

Vascular Specialist International Pub Date : 2023-09-25 DOI: 10.5758/vsi.230062

Jin Hyun Joh, Sun Hyung Joo

{"title":"Complex Hypersensitivity and Irritation Reaction (CHAIR) Phenomenon after Cyanoacrylate Closure of Varicose Vein.","authors":"Jin Hyun Joh, Sun Hyung Joo","doi":"10.5758/vsi.230062","DOIUrl":"10.5758/vsi.230062","url":null,"abstract":"Cyanoacrylate glue is a non-thermal, non-tumescent agent used to treat saphenous reflux. It was introduced to overcome heat-related discomfort and complications. Multiple randomized controlled trials using this therapy have demonstrated excellent clinical outcomes at long-term follow-up. However, diffuse injection-site inflammation and systemic urticaria are worrisome complications. In preclinical studies, serial histopathological findings demonstrated acute inflammatory reaction, subacute vasculitis, chronic granulomatous foreign body reaction, fibrotic changes with partial vascular recanalization, and chronic foreign body-type inflammatory response. While the exact nature of this unique complication remains undefined, complex hypersensitivity and irritation reaction phenomena have been suggested based on reported clinical presentations. The incidence of this complication has been reported as ranging from 0.3%-25.4%. Typically, erythematous reactions can occur near treatment sites, with symptoms ranging from mild pruritus and/or erythema that resolves without treatment to recurrent severe inflammation and pruritus requiring nonsteroidal anti-inflammatory drugs, antihistamines, and/or corticosteroids. Surgical excision has been rarely reported in patients with severe intractable inflammation or treatment-site infections. Although several anecdotal studies reported on using antihistaminics or corticosteroids, no effective strategies have been established to prevent this complication.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"27"},"PeriodicalIF":0.9,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e2/1b/vsi-39-27.PMC10519939.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41120196","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

Carotid Endarterectomy in the Very Elderly: Short-, Medium-, and Long-Term Outcomes. 高龄患者颈动脉内膜切除术：短期、中期和长期疗效。

IF 0.9

Vascular Specialist International Pub Date : 2023-09-25 DOI: 10.5758/vsi.230060

Shabin Fahad, Sayali Shirsath, Matthew Metcalfe, Ahmed Elmallah

{"title":"Carotid Endarterectomy in the Very Elderly: Short-, Medium-, and Long-Term Outcomes.","authors":"Shabin Fahad, Sayali Shirsath, Matthew Metcalfe, Ahmed Elmallah","doi":"10.5758/vsi.230060","DOIUrl":"https://doi.org/10.5758/vsi.230060","url":null,"abstract":"Purpose: : Carotid endarterectomy (CEA) has an established effect on stroke-free survival in patients with carotid artery stenosis. Most landmark trials excluded patients ≥80 years of age due to their perceived high risk and uncertainty regarding the benefits of CEA. Despite the ongoing global increase in life expectancy, guidelines have not changed. The current study aimed to assess CEA outcomes in patients ≥80 years of age.Materials and methods: : Data from patients ≥80 years of age, who underwent CEA between April 2016 and April 2022, were collected. Demographic information, comorbidities, surgical details, operative details, outcomes, and post-CEA survival were reviewed, and long-term data up to April 2023 were collected.Results: : Over the 6-year study period, 258 CEA procedures were recorded, of which 70 (27.1%) were performed in patients ≥80 years of age; the mean age was 84 years (range, 80-96 years), 47 (67.1%) were males, and 69 (98.6%) were symptomatic. Twenty-three (32.9%) patients were American Society of Anesthesiologists (ASA) grade 2, and 47 (67.1%) were grade 3. The 30-day stroke and mortality rates were 4.3% and 1.4%, respectively. At 1, 3, and 5 years, the cumulative freedom-from-stroke rates were 95.7%, 92.9%, and 91.4%, respectively, and the cumulative survival rates were 94.3%, 75.7%, and 61.4%, respectively. No risk factors affected early or late stroke or early mortality rates. Patients with ASA grade 3 had significantly lower cumulative survival than those with grade 2 (HR, 5.29; 95% CI, 1.590-17.603; P<0.01).Conclusion: : CEA was safe and effective in average-risk, elderly patients. Higher risk patients (i.e., ASA 3) showed no increased 30-day risk for stroke or mortality but exhibited significantly worse long-term survival. Hence, careful consideration of the benefits before performing CEA is crucial.","PeriodicalId":52311,"journal":{"name":"Vascular Specialist International","volume":"39 ","pages":"28"},"PeriodicalIF":0.9,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ce/5f/vsi-39-28.PMC10519940.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41160732","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