血管与腔内血管外科杂志最新文献

{"title":"Factors That Influence Thrombus Formation in Early Catheter Dysfunction and Success of Alteplase Therapy in Children with Hemodialysis","authors":"Alexander Jayadi Utama, P. Trihono, R. Suhartono","doi":"10.36864/jinasvs.2020.2.005","DOIUrl":"https://doi.org/10.36864/jinasvs.2020.2.005","url":null,"abstract":"Introduction: The vascular access modality that is often used to perform regular hemodialysis (HD) measures in children with kidney failure is a tunneled double lumen catheter (TDLC), which has increased its use from 60% in 2011 to 78% in 2014 in Indonesia. The incidence of blockage caused by thrombosis is around 50%. These conditions can occur within the first 24 hours after TDLC, and usually develop within two weeks, causing early catheter dysfunction. Alteplase (rt-PA) is a thrombolytic choice for TDLC dysfunction and heparin, streptokinase, and urokinase. This study aims to determine the factors of thrombus formation in early catheter dysfunction and the effectiveness of alteplase as a therapeutic modality.\u0000\u0000Method: This study was a case-control study with children aged 0-18 years and suffering from stage 4-5 chronic kidney disease (CKD) who underwent regular HD at Cipto Mangunkusumo National Hospital. Statistical analysis using Mann-Whitney, Chi-square, Fisher’s exact, linear regression, and receiver operating characteristic (ROC) statistical tests. The test was carried out using SPSS version 20 for Windows software.\u0000\u0000Results: During the period of January 2016 to November 2017, 111 subjects met the criteria. A total of 65 subjects (58.6%) were male, and 46 subjects (41.1%) were female. Analysis showed that each albumin level <3.5 g/dL, hemoglobin (Hb) <10 g/dL, and creatinine> 5 mg/dL were risk factors for early catheter dysfunction that improved with rt- PA (p<0, 05). In multivariate analysis, only albumin levels <3.5 g/dL were associated with early catheter dysfunction. Receiver operating characteristics (ROC) curves show that early catheter dysfunction is at risk of albumin levels with a cutoff of ≤3.71 g/dL (sensitivity of 90.9% and specificity of 52.5%) and Hb levels with a cutoff of ≤8.58 g/dL (sensitivity 54.5% and specificity 77.5%). Rt-PA therapy successfully improves the condition of early catheter dysfunction in 20/22 (90.9%) cases. There were no significant side effects on the use of rt- PA in this study.\u0000\u0000Conclusion: In children undergoing regular HD with TDLC, hypoalbuminemia <3.5 g/dL, Hb <10 g/dL, and creatinine >5 mg/dL were risk factors for early catheter dysfunction. Alteplase may be useful as a safe therapeutic option.\u0000\u0000Keywords: tunneled double lumen catheter in children, early catheter dysfunction, rt-PA","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"79 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82361432","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":"V-Possum Score as a Predictor of 30-Day Post-Mortality of Endovascular Aortic Aneurysm Repair – Thoracic Endovascular Aneurysm Repair Procedure in Cipto Mangunkusumo Hospital","authors":"Irwan Mulyantara, R. Suhartono, A. Kekalih","doi":"10.36864/jinasvs.2020.1.005","DOIUrl":"https://doi.org/10.36864/jinasvs.2020.1.005","url":null,"abstract":"Introduction: This study aims to know the performance of the Vascular – Physiological and Operative Severity Score for Enumeration of Mortality and Morbidity (V-POSSUM) score as a predictor of 30-day mortality after the Endovascular Aortic Aneurysm Repair (EVAR) – Thoracic Endovascular Aortic Repair (TEVAR) procedure in Abdominal Aortic Aneurysms (AAA) and Thoracic Aortic Aneurysms (TAA) patients in Cipto Mangunkusumo Hospital.\u0000\u0000Method: This was a retrospective cohort study using data from medical records. Data were taken according to the variables contained in the V-POSSUM scoring system in the patient who undergone EVAR – TEVAR procedure, on the period of 2013 to July 2018.\u0000\u0000Results: The study involved 85 patients who met the study requirements. It was known that physiological scores, morbidity risk, and mortality risk could be used as a model to predict mortality outcomes because they had good accuracy and discrimination performance, while the severity of the operation score cannot. The result of the goodness of fit model’s physiological score, morbidity risk, and mortality risk was significant (p <0.001), while the severity score of the operation was 0.18 (p >0.05). The Area Under the Curve (AUC) was 94%, 93%, 93%, with the cut points at 31, 68.8, and 10.6 for the physiological score, morbidity risk, and mortality risk, respectively.\u0000\u0000Conclusion: The V-POSSUM score had good accuracy and discrimination for the physiological score, morbidity risk, and mortality risk.\u0000\u0000Keywords: abdominal aortic aneurysm, thoracic aortic aneurysm, EVAR, TEVAR, V-POSSUM score, validation","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82059749","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":"The Relationship Between Renal Artery Stenosis and Degree of Angio Score on the Lower Extremity Peripheral Arterial Disease in Cipto Mangunkusumo Hospital","authors":"Alexander Jayadi Utama, H. Kam, A. Kekalih","doi":"10.36864/jinasvs.2020.1.003","DOIUrl":"https://doi.org/10.36864/jinasvs.2020.1.003","url":null,"abstract":"Introduction: The most common cause of the peripheral arterial disease (PAD) is atherosclerosis. PAD is associated with other atherosclerotic diseases such as renal artery stenosis (RAS). Life expectancy decreases in patients with RAS, especially those whose stenosis is above 60% but has not reached the stage of chronic kidney failure. This study aims to determine the prevalence of RAS in PAD patients, the relationship between angiographic scoring system (ANGIO Score), history of hypertension, and diabetes mellitus with the degree of RAS.\u0000\u0000Method: This research was a cross-sectional study conducted at Cipto Mangunkusumo Hospital from February to May 2019. Patients with a diagnosis of lower extremity PAD and had been assessed with CT angiography examination, were included in this study. The degree of RAS and ANGIO Score were calculated. Sampling was done by the total sampling method.\u0000\u0000Results Most patients were women 33 (50.8%), while men were 32 (49.2%). 90.8% of the patients had diabetes, while 61.5% of the sample had hypertension. Grade 1 RAS was the most found. There was no correlation between ANGIO Score on age, sex, and diabetes mellitus, but there was a significant relationship with hypertension. There was a relationship between RAS with age and hypertension, but there was no relationship with diabetes mellitus and gender. ANGIO Score and RAS had a significant relationship (p <0.001).\u0000\u0000Conclusion: There was a relationship between the ANGIO Score and the severity of RAS. The cut-off score of 9 for the ANGIO Score had a sensitivity of 85.7% and a specificity of 61.4% for predicting RAS.\u0000\u0000Keywords: peripheral arterial disease, angiographic scoring system, renal artery stenosis, CT angiography","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81867575","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":"Corrigendum. Combined Directional Atherectomy and Drug-Eluting Balloon Angioplasty for Isolated Popliteal Artery Lesions in Patients With Peripheral Artery Disease.","authors":"K. Stavroulakis, T. Bisdas, G. Torsello","doi":"10.1177/1526602815624329","DOIUrl":"https://doi.org/10.1177/1526602815624329","url":null,"abstract":"","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"252 1","pages":"238"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83494335","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":"Local Diameter, Wall Stress, and Thrombus Thickness Influence the Local Growth of Abdominal Aortic Aneurysms.","authors":"G. Martufi, M. Lindquist Liljeqvist, N. Sakalihasan, G. Panuccio, R. Hultgren, J. Roy, T. Gasser","doi":"10.1016/J.EJVS.2014.06.032","DOIUrl":"https://doi.org/10.1016/J.EJVS.2014.06.032","url":null,"abstract":"","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"70 1","pages":"957-966"},"PeriodicalIF":0.0,"publicationDate":"2014-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80890200","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":"TASC II section F on revascularization in PAD.","authors":"L. Norgren, W. Hiatt, K. Harris, J. Lammer","doi":"10.1583/1545-1550(2007)14[743:TISFOR]2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1545-1550(2007)14[743:TISFOR]2.0.CO;2","url":null,"abstract":"","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"10 1","pages":"743-4"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85754310","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":"Strategies to reduce the rate of type II endoleaks: routine intraoperative embolization of the inferior mesenteric artery and thrombin injection into the aneurysm sac.","authors":"C. Muthu, Jason Maani, L. Plank, A. Holden, A. Hill","doi":"10.1583/1545-1550(2007)14[661:STRTRO]2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1545-1550(2007)14[661:STRTRO]2.0.CO;2","url":null,"abstract":"PURPOSE\u0000To determine whether the rate of type II endoleaks following endovascular aneurysm repair (EVAR) can be decreased using a branch vessel management strategy.\u0000\u0000\u0000METHODS\u0000The branch vessel management strategy consisted of routine intraoperative embolization of all patent inferior mesenteric arteries (IMA) and thrombin injection into all aneurysm sacs that showed branch vessel filling on the \"sacogram.\" Sixty-nine consecutive patients (65 men; median age 77 years, range 58-90) undergoing elective EVAR since the protocol was introduced in July 2003 were included; 69 consecutive patients (65 men; median age 76 years, range 60-90) who underwent EVAR immediately prior to the protocol were used as controls. Primary outcome measures were type II endoleak rates and secondary intervention rates.\u0000\u0000\u0000RESULTS\u0000The median follow-up was 36 months (range 0.25-72) for the pre-protocol group and 12 months (range 0.25-24) for the post-protocol group. The type II endoleak rate for the pre-protocol group was 26% compared to 14% for the post-protocol group (p=0.14). This difference was not significant on Kaplan-Meir analysis (p=0.23). The 18 type II endoleaks in the pre-protocol group included 14 lumbar endoleaks, 1 IMA endoleak, and 3 combined lumbar and IMA endoleaks. The 10 type II endoleaks in the post-protocol group included 9 lumbar artery endoleaks and 1 IMA endoleak. Ten (14%) patients in the pre-protocol group required 15 interventions for type II endoleak compared to 2 (3%) in the post-protocol group who required 3 secondary procedures for type II endoleak (p=0.03). This difference was not significant on Kaplan-Meier analysis (p=0.22). Of the 12 interventions for lumbar endoleaks, only 5 (42%) were successful.\u0000\u0000\u0000CONCLUSION\u0000Although there was a trend toward lower type II endoleak rates with our branch vessel management strategy, this did not reach statistical significance. Our data also indicated that there is a high incidence of lumbar endoleaks, and they are difficult to treat. Therefore, we believe there should be ongoing research into means to prevent lumbar endoleaks.","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"47 1","pages":"661-8"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85566596","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":"Natural history of the iliac arteries after endovascular abdominal aortic aneurysm repair and suitability of ectatic iliac arteries as a distal sealing zone.","authors":"J. Falkensammer, A. Hakaim, W. Andrew Oldenburg, B. Neuhauser, R. Paz-Fumagalli, J. McKinney, B. Hugl, M. Biebl, J. Klocker","doi":"10.1583/1545-1550(2007)14[619:NHOTIA]2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1545-1550(2007)14[619:NHOTIA]2.0.CO;2","url":null,"abstract":"PURPOSE\u0000To investigate the natural history of dilated common iliac arteries (CIA) exposed to pulsatile blood flow after endovascular abdominal aortic aneurysm repair (EVAR) and the suitability of ectatic iliac arteries as sealing zones using flared iliac limbs.\u0000\u0000\u0000METHODS\u0000Follow-up computed tomograms of 102 CIAs in 60 EVAR patients were investigated. Diameter changes in CIAs < or =16 mm (group 1) were compared with changes in vessels where a dilated segment >16 mm in diameter continued to be exposed to pulsatile blood flow (group 2). Within group 2, cases in which the stent terminated proximal to the dilated artery segment (2a) were compared with those that had been treated with a flared limb (2b).\u0000\u0000\u0000RESULTS\u0000The mean CIA diameter increased by 1.0+/-1.0 mm in group 1 (p<0.001 versus immediately after EVAR) and by 1.5+/-1.7 mm in group 2 (p<0.001 versus immediately after EVAR) within an average follow-up of 43.6+/-18.0 months. Diameter increase was more pronounced in dilated CIAs (p=0.048), and it was not significantly different between groups 2a and 2b (p=0.188). No late distal type I endoleak or stent-graft migration associated with CIA ectasia was observed.\u0000\u0000\u0000CONCLUSION\u0000Dilatation of the CIA is significant after EVAR, and it is more pronounced in ectatic iliac arteries. Although ectatic iliac arteries appear to be suitable sealing zones in the short term, continued follow-up is mandatory.","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"56 1","pages":"619-24"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90553064","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":"Drug-eluting stent for recurrent mesenteric artery in-stent restenosis.","authors":"P. Cardaioli, G. Rigatelli, L. Zattoni, M. Giordan","doi":"10.1583/1545-1550(2007)14[748:DSFRMA]2.0.CO;2","DOIUrl":"https://doi.org/10.1583/1545-1550(2007)14[748:DSFRMA]2.0.CO;2","url":null,"abstract":"PURPOSE\u0000To report the use of a drug-eluting stent (DES) for treatment of symptomatic in-stent restenosis (ISR) in the superior mesenteric artery (SMA).\u0000\u0000\u0000CASE REPORT\u0000A 79-year-old woman suffering from chronic renal failure and needing dialysis was admitted for vomiting, postprandial abdominal pain, and weight loss for 3 months. Computed tomographic angiography (CTA) documented massive calcification of the vascular bed, mainly in the aorta, and a very tight ostial stenosis of the SMA. A 4.5-x20-mm Genesis stent was deployed at the ostium, with good angiographic result and immediate symptomatic benefit. After 3 months, symptoms recurred; angiography demonstrated ISR. Percutaneous angioplasty with a 4-x15-mm cutting balloon was performed. The patient remained asymptomatic for only 2 months; recurrent ISR at this time was treated with a 3.5-x24-mm coronary TAXUS Express paclitaxel-eluting coronary stent deployed inside the previously implanted stent. Under prolonged double antiplatelet regimen, the patient was asymptomatic at the 8-month follow-up; CTA demonstrated patency of the SMA.\u0000\u0000\u0000CONCLUSION\u0000Considering the high rate of restenosis and the periprocedural complications described with endovascular treatment of SMA stenosis, a drug-eluting stent may be a good option not only for the treatment of restenosis but also in de novo lesions, at least when the vessel diameter is <4.5 mm.","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"14 1","pages":"748-51"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86001767","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":"Best suited for stenting versus endarterectomy. The controversial issue.","authors":"M. Wholey","doi":"10.1583/1545-1550(2007)14[687:bsfsve]2.0.co;2","DOIUrl":"https://doi.org/10.1583/1545-1550(2007)14[687:bsfsve]2.0.co;2","url":null,"abstract":"","PeriodicalId":60152,"journal":{"name":"血管与腔内血管外科杂志","volume":"84 2 1","pages":"687-8"},"PeriodicalIF":0.0,"publicationDate":"2007-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77532321","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}