JMV-Journal de Medecine Vasculaire最新文献

Unresolved questions on venous thromboembolic disease. Venous thromboembolism (VTE) management in obese patients. Consensus statement of the French Society of Vascular Medicine (SFMV) 静脉血栓栓塞性疾病的未决问题。肥胖患者的静脉血栓栓塞症（VTE）治疗。法国血管医学会（SFMV）共识声明

JMV-Journal de Medecine Vasculaire Pub Date : 2024-09-01 DOI: 10.1016/j.jdmv.2024.08.001

引用次数: 0

Impact on healing of double-layered compression stocking in the treatment of severe venous leg ulcers: A prospective, multicenter, controlled trial 双层压力袜治疗严重静脉性腿部溃疡对愈合的影响：前瞻性多中心对照试验

JMV-Journal de Medecine Vasculaire Pub Date : 2024-09-01 DOI: 10.1016/j.jdmv.2024.07.001

{"title":"Impact on healing of double-layered compression stocking in the treatment of severe venous leg ulcers: A prospective, multicenter, controlled trial","authors":"","doi":"10.1016/j.jdmv.2024.07.001","DOIUrl":"10.1016/j.jdmv.2024.07.001","url":null,"abstract":"<div><p>Venous leg ulcer refers to chronic wounds, generally difficult to heal and often prone to recurrence. The objective of this research was to assess a double layered compression stocking VenoTrain® ulcertec on a population with mostly severe pathologies. This prospective, multicenter, interventional type II study was conducted between September 2018 and January 2022. Out of 124 patients enrolled, 97.6% had a history of previous leg ulceration, 72.6% were already being followed for leg ulcerations, 30.9% were severely overweight and 24.2% diabetic. Overall, a majority of target ulcers were present for 6months or more, and the ulcer surface area was larger than 8cm<sup>2</sup> in nearly one in every five cases. The primary endpoint was the rate of closed ulcer after a maximum follow-up of 20weeks. While most of the treated venous leg ulcerations may be regarded as hard-to-heal wounds, closure rate at 20weeks ranged between 50.0% (two severity criteria) and 69.0% (no severity criteria) according to baseline wound severity criteria. Besides, VenoTrain® ulcertec device was particularly well accepted and tolerated by patients. In 93.2% of visits, patients stated using it every day. When managing venous ulcerations not requiring strongly thick absorbent dressings, VenoTrain® ulcertec device represents an efficient and more suitable alternative to venous compression bandaging.</p></div>","PeriodicalId":53149,"journal":{"name":"JMV-Journal de Medecine Vasculaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2542451324001330/pdfft?md5=9480918d81db129f2e57cb1287772827&pid=1-s2.0-S2542451324001330-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848470","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

Bilateral dolichoarteriopathy of internal carotid arteries as cause of bilateral ischemic strokes: Case report 导致双侧缺血性脑卒中的双侧颈内动脉胆脂瘤病：病例报告

JMV-Journal de Medecine Vasculaire Pub Date : 2024-09-01 DOI: 10.1016/j.jdmv.2024.05.001

{"title":"Bilateral dolichoarteriopathy of internal carotid arteries as cause of bilateral ischemic strokes: Case report","authors":"","doi":"10.1016/j.jdmv.2024.05.001","DOIUrl":"10.1016/j.jdmv.2024.05.001","url":null,"abstract":"<div><p><span><span><span>Most anatomic features of the internal carotid artery (ICA) are described as a straight course to the </span>skull base<span> free of branches. In some cases, the excessive elongation of the internal carotid artery in a confined space results in a curvature showing a “C” or “S” shape, or in an abnormal vascular shape made of a single or double vessel loop. These anatomic variants are called dolichoarteriopathies of the internal carotid artery. The correlation between dolichoarteriopathy of the ICA and stroke is still questionable, however it is believed that it can be associated with cerebral ischemia<span> with a clinical symptomatology that accompanies ischemic stroke. We report a case of a 41-year-old patient, with a history of hypertension, who was admitted for right </span></span></span>hemiparesis with </span>Broca's aphasia. The rest of the clinical examination was normal. Radiological investigations confirmed an acute left sylvian ischemic stroke with an abrupt occlusion of the posterior trunk of the left M2 segment on the CT angiogram, an excessive elongation of the ICA on both sides, describing a shape of coils or loops. Etiologic workup for ischemic stroke was negative.</p></div>","PeriodicalId":53149,"journal":{"name":"JMV-Journal de Medecine Vasculaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142228950","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}

引用次数: 0

Update on the diagnosis of recurrence of lower limb deep vein thrombosis. A Consensus statement of the French Society for Vascular Medicine (SFMV) 下肢深静脉血栓复发诊断的最新进展。法国血管医学会（SFMV）共识声明

JMV-Journal de Medecine Vasculaire Pub Date : 2024-09-01 DOI: 10.1016/j.jdmv.2024.08.002

{"title":"Update on the diagnosis of recurrence of lower limb deep vein thrombosis. A Consensus statement of the French Society for Vascular Medicine (SFMV)","authors":"","doi":"10.1016/j.jdmv.2024.08.002","DOIUrl":"10.1016/j.jdmv.2024.08.002","url":null,"abstract":"<div><p>An accurate diagnosis of lower limb deep vein thrombosis (DVT) recurrence is mandatory. The diagnosis is difficult and has not been well investigated. Our objective was to define the role of clinical probability assessment, D-dimer assay, venous ultrasound and other imaging methods in the diagnosis of this condition based on a review of published data. Our review did not find any clinical prediction rule (CPR) specific to the diagnosis of DVT recurrence. D-dimer assays have not been sufficiently validated or proved effective either alone or when combined with the assessment of clinical probability or with ultrasound. The only validated ultrasound criteria are a new non-compressible vein segment and a≥2mm or>4mm increase in diameter of the common femoral or popliteal vein under compression in the transverse plane between two examinations. Limitations of these criteria include poor inter-observer agreement, non-availability of previous ultrasound reports and measurements, a high percentage of non-diagnostic ultrasound results, lack of power in diagnostic accuracy and diagnostic management studies, and lack of external validation. The analysis of venous obstruction, thrombus appearance, vein diameter and blood flow based on colour Doppler ultrasound criteria has not yet been validated in studies. Magnetic resonance direct thrombus imaging (MRDTI) is a new promising diagnostic imaging method, but is hardly accessible, costly and needs large scale validation studies. Based on this review, an update of the guidance for clinical practice is proposed for the diagnostic management of patients with clinically suspected lower limb DVT recurrence.</p></div>","PeriodicalId":53149,"journal":{"name":"JMV-Journal de Medecine Vasculaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142228947","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}

引用次数: 0

New insights in breast cancer-related lymphedema 淋巴水肿相关乳腺癌的新发现

JMV-Journal de Medecine Vasculaire Pub Date : 2024-09-01 DOI: 10.1016/j.jdmv.2024.06.001

引用次数: 0

An isolated right renal hilum false aneurysm: A rare complication of Behçet's disease 孤立的右肾盂假性动脉瘤：贝赫切特氏病的罕见并发症

JMV-Journal de Medecine Vasculaire Pub Date : 2024-09-01 DOI: 10.1016/j.jdmv.2024.07.003

引用次数: 0

Unresolved questions on venous thromboembolic disease. Therapeutic management of superficial vein thrombosis (SVT). Consensus statement of the French Society for Vascular Medicine (SFMV) 静脉血栓栓塞性疾病的未解之谜。浅静脉血栓（SVT）的治疗管理。法国血管医学会（SFMV）共识声明

JMV-Journal de Medecine Vasculaire Pub Date : 2024-09-01 DOI: 10.1016/j.jdmv.2024.07.002

{"title":"Unresolved questions on venous thromboembolic disease. Therapeutic management of superficial vein thrombosis (SVT). Consensus statement of the French Society for Vascular Medicine (SFMV)","authors":"","doi":"10.1016/j.jdmv.2024.07.002","DOIUrl":"10.1016/j.jdmv.2024.07.002","url":null,"abstract":"<div><p>Superficial vein thrombosis (SVT), a manifestation of venous thromboembolism (VTE), is a common condition, yet of all the types of VTE, it has been the least well studied. Recent studies have challenged the conception that SVT is a benign disease, showing that its risk factors overlap with those of deep-vein thrombosis (DVT) and that it is frequently associated with DVT or pulmonary embolism (PE). In 2010, the CALISTO trial demonstrated the benefit of treatment with fondaparinux at the dose of 2.5mg (one injection per day) for 45days for lower limb SVT. Prior to CALISTO, the treatment of SVT was based on venous compression therapy, nonsteroidal anti-inflammatory drugs (NSAID) and anticoagulation using various therapeutic regimens. Surgery could also be envisaged in certain cases. In CALISTO, the inclusion criteria designed to obtain a homogeneous population meant that numerous questions remained unanswered with respect to SVT occurring in other locations and under other circumstances, notably in pregnant women, patients with renal insufficiency, and patients with recurrent SVT or superficial vein thrombosis less than 5cm long. The aim of this section is to review the current state of knowledge of SVT and to propose or recommend therapeutic strategies for the management of SVT according to the clinical context, the location of the thrombosis, and the presence of particular risk factors.</p></div>","PeriodicalId":53149,"journal":{"name":"JMV-Journal de Medecine Vasculaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142228945","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}

引用次数: 0

Venous recanalisation in the setting of post-thrombotic syndrome: An expert consensus from the French Society of Vascular Medicine (SFMV) and the French Society of Cardiovascular Imaging and Interventional Radiology (SFICV) 血栓后综合征情况下的静脉再通术：法国血管医学会 (SFMV) 和法国心血管成像与介入放射学会 (SFICV) 专家共识

JMV-Journal de Medecine Vasculaire Pub Date : 2024-09-01 DOI: 10.1016/j.jdmv.2024.06.002

引用次数: 0

Epidemiological, clinical, therapeutic and evolutionary specificities of the association between venous thromboembolic event and cancer in sub-Saharan Africa: Case of Togo 撒哈拉以南非洲静脉血栓栓塞事件与癌症之间关联的流行病学、临床、治疗和进化特性：多哥案例

JMV-Journal de Medecine Vasculaire Pub Date : 2024-04-01 DOI: 10.1016/j.jdmv.2023.12.046

Y.M. Afassinou , A.A. Adani-Ifè , Y.I. Sossou , S. Pessinaba , B. Atta , M. Pio , S. Baragou , F. Damorou

{"title":"Epidemiological, clinical, therapeutic and evolutionary specificities of the association between venous thromboembolic event and cancer in sub-Saharan Africa: Case of Togo","authors":"Y.M. Afassinou , A.A. Adani-Ifè , Y.I. Sossou , S. Pessinaba , B. Atta , M. Pio , S. Baragou , F. Damorou","doi":"10.1016/j.jdmv.2023.12.046","DOIUrl":"10.1016/j.jdmv.2023.12.046","url":null,"abstract":"<div><h3>Background</h3><p>Our study aimed to describe the clinical, paraclinical, therapeutic and outcomes of patients with venous thromboembolic event (VTE) associated with cancer in the context of limited resources.</p></div><div><h3>Materials and methods</h3><p><span>This was a descriptive cross-sectional study over a period of six years from March 1, 2016 to March 31, 2022, in the cardiology<span> department and the oncology unit of the Sylvanus Olympio Teaching Hospital of Lome. Our study examined </span></span>medical records<span><span> of patients who were at least 18 years old and had venous thromboembolic disease and cancer that was histologically confirmed. This study did not include records that were incomplete or records from patients with </span>coronavirus disease.</span></p></div><div><h3>Results</h3><p>Our study included 87 patients with average age of 56.36±<!--> <span>15.26 years. The discovery of VTE occurred incidentally in 28.74%. Venous thrombosis<span> was isolated in 68.96% and proximal in 95%. Pulmonary embolism<span> was bilateral in 77.77%. Gynaecological and urological cancers<span><span> were found in 33.33% and 32.19% respectively. Adenocarcinoma was the histological type of cancer found in 47.13%. Cancers were at a very advanced stage in 74.71%. Treatment with </span>antivitamin K was prescribed in 12.65%. In our study, there were 58 patients who passed away with a mortality rate of 66.66%. The cause of death was a complication of VTE in 22.42% and related to the course of cancer in 63.79% of cases.</span></span></span></span></p></div><div><h3>Conclusion</h3><p>VTE during cancer is particular with a fatal evolution due to the severity of VTE and the very advanced stage of cancer.</p></div>","PeriodicalId":53149,"journal":{"name":"JMV-Journal de Medecine Vasculaire","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139640711","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}

引用次数: 0

From guidelines to current practices: Suboptimal hypertension management in France. GPs’ point of view 从指导方针到现行做法：法国高血压管理的不足。全科医生的观点

JMV-Journal de Medecine Vasculaire Pub Date : 2024-04-01 DOI: 10.1016/j.jdmv.2024.03.002

Xavier Humbert, Julie Dupouy, Vincent Renard, Denis Pouchain, Benoit Tudrej, Henri Partouche, Nicolas Rousselot, Yves-Marie Vincent, Gladys Ibanez, Alexandre Malmartel, Maëva Jego, Serge Gilberg, Mathilde François, Emilie Ferrat, Olivier Saint-Lary, Rémy Boussageon, behalf of the Scientific Council of CNGE

引用次数: 0