Annals of vascular surgery. Brief reports and innovations最新文献

{"title":"Zone 2.5 homemade fenestrated tevar for a saccular aneurysm just distal to the left subclavian artery without additional devices","authors":"Norimasa Haijima ,&nbsp;Mikihiko Kudo ,&nbsp;Satoru Murata ,&nbsp;Takuya Ono ,&nbsp;Hideyuki Shimizu","doi":"10.1016/j.avsurg.2026.100424","DOIUrl":"10.1016/j.avsurg.2026.100424","url":null,"abstract":"<div><h3>Background</h3><div>Thoracic endovascular aortic repair (TEVAR) for saccular aneurysms located just distal to the left subclavian artery (LSA) often necessitates proximal landing in Zone 2. Preserving LSA perfusion in such cases typically requires additional devices such as Viabahn® stents or surgical debranching, which may be invasive, costly, or off-label in Japan.</div></div><div><h3>Case Presentation</h3><div>We report the case of a 67-year-old man with multiple comorbidities, including prior abdominal aortic aneurysm repair, who was found to have a 33-mm saccular aneurysm located 7 mm distal to the LSA. To preserve LSA perfusion without using adjunctive devices, we modified a Valiant® thoracic stent graft by creating a 1-cm square fenestration in the non-stented portion of the graft fabric. The fenestration was reinforced with 5–0 Prolene sutures and marked with an <span>l</span>-shaped radiopaque marker using a Micropuncture® sheath. The stent graft was deployed in a “Zone 2.5″ position, wherein the fenestration partially overlapped the LSA ostium. Intraoperative angiography confirmed adequate LSA perfusion via the fenestration. No additional stent or bypass procedure was required.</div></div><div><h3>Outcome</h3><div>The postoperative course was uneventful. Six-month follow-up computed tomography angiography confirmed complete aneurysm exclusion, appropriate graft positioning, and sustained LSA perfusion without endoleak or complications.</div></div><div><h3>Conclusion</h3><div>Homemade fenestrated TEVAR with Zone 2.5 deployment using a self-modified stent graft represents a safe, effective, and economical alternative to conventional techniques requiring adjunctive devices. This strategy may be particularly beneficial for elderly or high-risk patients.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 1","pages":"Article 100424"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978099","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":"Is surgical management of visceral artery aneurysms still relevant in the endovascular era?","authors":"Huu Uoc NGUYEN ,&nbsp;Quoc Hung DOAN ,&nbsp;Duc Hung DUONG ,&nbsp;Duy Hong Son PHUNG ,&nbsp;Huu Lu PHAM ,&nbsp;Trong Hai HOANG ,&nbsp;Minh Tri NGUYEN ,&nbsp;Van Dan NGUYEN ,&nbsp;Xuan Hiep VU ,&nbsp;Thi Thu Hien DO ,&nbsp;Ngoc Thang DUONG","doi":"10.1016/j.avsurg.2026.100423","DOIUrl":"10.1016/j.avsurg.2026.100423","url":null,"abstract":"<div><h3>Background</h3><div>Visceral artery aneurysms (VAAs) are rare vascular lesions with potentially life-threatening complications, particularly when rupture occurs. The role of open surgery in managing VAAs is evolving in the context of expanding endovascular therapies.</div></div><div><h3>Objective</h3><div>To evaluate the clinical presentation, imaging features, surgical management strategies, and early outcomes of patients undergoing open surgical repair for VAAs at a tertiary referral center.</div></div><div><h3>Methods</h3><div>A retrospective cross-sectional study was conducted, including adult patients treated for VAAs via open surgery between June 2021 and December 2024 at Viet Duc university hospital. Data collected included demographic characteristics, aneurysm location and morphology, surgical techniques, and perioperative outcomes.</div></div><div><h3>Results</h3><div>Nine patients underwent open surgery. Six had renal artery aneurysms, two had superior mesenteric artery aneurysms, and one had a common hepatic artery aneurysm. Renal aneurysms were mostly asymptomatic, with a mean diameter of 30.8 ± 8.78 mm. All patients underwent midline laparotomy. One hepatic aneurysm caused biliary obstruction and was treated with saphenous vein interposition graft. No perioperative mortality was observed. Two patients experienced self-limited postoperative complications.</div></div><div><h3>Conclusion</h3><div>Open surgical repair remains a safe and effective option for patients with complex or symptomatic VAAs, particularly in settings where endovascular treatment is not feasible. Careful preoperative planning and tailored surgical techniques are essential to achieving good outcomes.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 1","pages":"Article 100423"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145978098","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":"Structural aortic arch shift and supraaortic angle configuration changes after subclavian to carotid transposition as a proposed mechanism for relief of severe esophageal compression in aberrant subclavian artery anatomy","authors":"Charles A. West Jr. ,&nbsp;John L. Crawford ,&nbsp;Cortland W. Ewing","doi":"10.1016/j.avsurg.2026.100432","DOIUrl":"10.1016/j.avsurg.2026.100432","url":null,"abstract":"<div><h3>Objective</h3><div>– Adult patients with a right-sided aortic arch and aberrant left subclavian artery with a co-existing Kommerell’s diverticulum (KD) can develop clinically significant esophageal compression requiring staged, open, followed by endovascular hybrid repair. No current guidelines exist to guide the surgical treatment of the rare subset of these patients who present without a KD or concomitant aortic arch pathology.</div></div><div><h3>Methods</h3><div>– a 41-year-old female presented with severe dysphagia and weight loss due to compression of the esophagus by an aberrant left subclavian artery arising from a right-sided aortic arch without distal aortic pathology. There was no evidence of a connective tissue disorder. A left subclavian to carotid transposition was performed through a small left supraclavicular incision. The postoperative computed tomographic images were interpreted by a board-certified staff radiologist.</div></div><div><h3>Results</h3><div>– The patient did well and follow-up imaging at two months demonstrated patency of the subclavian artery transposition and shifting of the upper mediastinal structures with relief of esophageal compression. At 21 months follow-up the patient had gained 28 pounds and had resumed a normal quality of life.</div></div><div><h3>Conclusion</h3><div>– Left subclavian to carotid transposition as a singular procedure appears to be a viable treatment option for the adult patient suffering from severe dysphagia resulting from the rare anomaly of an aberrant left subclavian artery arising from a right-sided aortic arch without associated aortic pathology, when combined with lifetime surveillance of the aortic arch. The resulting structural shift in the upper mediastinum resulting in relief of esophageal compression has not been previously reported.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 1","pages":"Article 100432"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396559","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":"Open conversion for endograft infection using the Ovation Alto endograft","authors":"Yoshikatsu Nomura,&nbsp;Mikoto Hata,&nbsp;Masashi Nakamura,&nbsp;Sonoko Eizawa,&nbsp;Satoru Eizawa,&nbsp;Hiroshi Tanaka,&nbsp;Hirohisa Murakami","doi":"10.1016/j.avsurg.2026.100429","DOIUrl":"10.1016/j.avsurg.2026.100429","url":null,"abstract":"<div><div>The Ovation Alto device exhibits unique adaptive sealing owing to its polymer-filled sealing ring and has a large bare stent on the proximal side with no stent in the main body portion. We report a case of device infection after endovascular aneurysm repair (EVAR) using the Ovation Alto device. An 85-year-old man with a history EVAR using the Ovation Alto for abdominal aortic aneurysm (AAA) presented two years postoperatively with fever and pyogenic arthritis. Imaging revealed an enlarged AAA, a new type II endoleak, and periaortic inflammation. Laboratory findings showed elevated inflammatory markers, and <em>Streptococcus dysgalactiae</em> was detected in synovial fluid. A diagnosis of endograft infection and septic arthritis was made. Open conversion was performed via laparotomy. Proximal aortic control was achieved at the mid-crown above the renal arteries, and the distal stent graft leg was removed. Extensive debridement was performed, followed by graft replacement and omental wrapping. The fabric portion was explanted, while the bare stent was left in situ. Postoperatively, the patient underwent arthroscopic debridement and local antibiotic therapy for septic arthritis, followed by systemic antibiotics. Although the patient’s infection was controlled, he was ultimately diagnosed with advanced colorectal cancer with liver metastases, leading to death six months after surgery. This case highlights the complexity of managing stent graft infections after EVAR with the Ovation Alto. While complete device explantation may not always be feasible due to anatomical constraints, tailored surgical strategies can achieve infection control.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 1","pages":"Article 100429"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396565","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":"Axillo-subclavian venous thrombosis due to venous thoracic outlet syndrome: experience at a Chilean center (2000-2025)","authors":"Leopoldo Marine,&nbsp;Ana Sutherland,&nbsp;Fernanda Castro,&nbsp;Jose Francisco Vargas,&nbsp;Michel Bergoeing,&nbsp;Francisco Valdes,&nbsp;Sebastian Sepulveda","doi":"10.1016/j.avsurg.2025.100421","DOIUrl":"10.1016/j.avsurg.2025.100421","url":null,"abstract":"<div><h3>Introduction</h3><div><strong>:</strong> Axillo-subclavian venous thrombosis (ASVT) is a complication of venous thoracic outlet syndrome (vTOS).</div></div><div><h3>Objective</h3><div><strong>:</strong> To describe our 25 years of experience in the endovascular and surgical management of ASVT.</div></div><div><h3>Materials and Methods</h3><div><strong>:</strong> Retrospective, single-center analysis between 2000 and 2025 of sequential patients over 15 years of age with AVST. Patients who consulted for venous thrombosis lasting more than 30 days and/or those who underwent surgery at another center were excluded. Long-term functional disability was measured using the QuickDASH Score and UEFI-15 surveys.</div></div><div><h3>Results</h3><div><strong>:</strong> Seventeen patients with ASVT were treated, with a mean age of 30.6±10.2 years^17-57, predominantly male (58.8%). They consulted for edema (100%) and pain (88.2%) in the affected limb. The diagnosis was confirmed by Doppler ultrasound (58.8%), venous angiography (23.5%), or both (17.6%). All patients were started on intravenous heparin at therapeutic doses. They then underwent catheter-directed thrombolysis (35.3%), pharmacomechanical thrombectomy (35.3%), or mechanical thrombectomy alone (29.4%), followed by venous angioplasty in 16 patients (94.1%), without stent placement. Finally, resection of the first rib and vein release were performed in 16 patients (94.1%). The median time between symptom onset and endovascular treatment was 10 days^1-30, and between endovascular treatment and first rib resection was 9 days^2-150. The most frequent postoperative complication was pneumothorax in 2 cases. The average follow-up was 51.5 months^1-110. Seventy-point-six percent were asymptomatic, and 29.4% presented with pain and mild edema, with a new ASVT diagnosed in two cases (13.3%). One of these cases corresponded to a patient who refused rib resection, and the other to a patient who did not undergo angioplasty after thrombolysis. One patient underwent reoperation 32 months after rib resection due to recurrence of symptoms. In the assessment of functional disability, 81.3% had no disability.</div></div><div><h3>Conclusion</h3><div><strong>:</strong> In our experience, the management of ASVT is based on a combination of anticoagulation, endovascular procedures with angioplasty, and the need for subsequent decompression surgery.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 1","pages":"Article 100421"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078377","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":"Salvage of bilateral renal artery bridging stent occlusion following inner- branched endovascular aneurysm repair treatment of failing endovascular aneurysm repair - Case report","authors":"Oluwatobi Shekoni ,&nbsp;Amr Eissa ,&nbsp;Mohamed Elsherif","doi":"10.1016/j.avsurg.2026.100430","DOIUrl":"10.1016/j.avsurg.2026.100430","url":null,"abstract":"<div><div>Endovascular aneurysm repair (EVAR) has transformed the treatment of abdominal aortic aneurysms (AAA). However, complications such as endoleaks may need additional procedures, such as custom-made devices like inner branch endovascular aneurysm repair (iBEVAR). Although these stents have evolved, their uses are not without complications. One of the risks associated with branched devices is branch occlusion and its management. We present a case of bilateral renal artery stent occlusion 18 months following iBEVAR, successfully treated with endovascular intervention using mechanical thrombectomy and re-stenting. This case highlights the importance of immediate recognition and management of renal complications after complex aortic repairs, the role of surveillance imaging, and the feasibility of the endovascular salvage technique, especially in elderly patients with multiple comorbidities.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 1","pages":"Article 100430"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396558","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":"A silent threat turned fatal: Aortic rupture following balloon angioplasty for multilayer flow modulator stent thrombosis – A case report","authors":"Gözde Tekin ,&nbsp;Mukan Kağan Kuş ,&nbsp;Talib Durak ,&nbsp;Sinan Şahin","doi":"10.1016/j.avsurg.2026.100428","DOIUrl":"10.1016/j.avsurg.2026.100428","url":null,"abstract":"<div><div>Multilayer flow modulator (MFM) stents have been <strong>reported in the literature as an alternative endovascular option in selected patients with complex aortic pathologies involving visceral branches</strong>, particularly when conventional open surgery or advanced branched or fenestrated endovascular techniques are unsuitable. We report a fatal complication following balloon angioplasty of a thrombosed MFM stent in a patient with chronic type B aortic dissection. A 58-year-old man presented with uncontrolled hypertension and acute renal failure two months after thoracic endovascular aortic repair with distal MFM stent extension. Imaging revealed subtotal thrombosis of the MFM stent due to inadequate proximal and distal expansion. Balloon angioplasty was performed to restore flow; however, the patient subsequently developed distal abdominal aortic rupture, necessitating emergency open surgical repair. Despite operative intervention, the patient died from multiple organ failure. This case highlights the potential catastrophic consequences of balloon angioplasty in thrombosed MFM stents and underscores the need for extreme caution when considering re-expansion strategies in fragile aortic segments.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 1","pages":"Article 100428"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396554","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":"Pulmonary embolism associated with recreational nitrous oxide use: a case report","authors":"Camille Zampérini,&nbsp;Elena-Mihaela Cordeanu,&nbsp;Dominique Stephan","doi":"10.1016/j.avsurg.2026.100427","DOIUrl":"10.1016/j.avsurg.2026.100427","url":null,"abstract":"<div><h3>Background</h3><div>Recreational nitrous oxide (N₂O) abuse has become increasingly prevalent, particularly among young adults. While neurological complications are well documented, thromboembolic events remain underrecognized.</div></div><div><h3>Case presentation</h3><div>A 25-year-old man with a history of heavy recreational N₂O consumption presented with retrosternal chest pain worsening with deep inspiration. Computed tomography pulmonary angiography revealed bilateral subsegmental pulmonary embolism with pulmonary infarction. Lower extremity venous duplex ultrasonography showed no deep venous thrombosis. The thrombophilia workup was unremarkable except for severe hyperhomocysteinemia (89 µmol/L; normal &lt;12 µmol/L) associated with profound vitamin B12 deficiency (&lt;150 pg/mL). The patient was treated with apixaban and vitamin B9/B12 supplementation. Follow-up biological assessment is pending due to suboptimal patient adherence. A report was filed with the regional addiction vigilance center.</div></div><div><h3>Conclusions</h3><div>Recreational N₂O use can lead to severe hyperhomocysteinemia through vitamin B12 inactivation, resulting in thromboembolic complications. Clinicians should consider N₂O abuse in young patients presenting with unexplained venous thromboembolism and systematically screen for hyperhomocysteinemia and vitamin B12 deficiency in such cases.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 1","pages":"Article 100427"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146187902","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":"Transcarotid artery revascularization (TCAR) in a patient with high grade stenoses of bilateral retropharyngeal carotid arteries","authors":"Ibraheem M. Bade ,&nbsp;Joshua A. Gabel ,&nbsp;Reagan W. Quan","doi":"10.1016/j.avsurg.2025.100415","DOIUrl":"10.1016/j.avsurg.2025.100415","url":null,"abstract":"<div><div>Transcarotid artery revascularization (TCAR) offers an alternative to carotid endarterectomy for the treatment of surgically indicated carotid occlusive disease in patients with complex arterial anatomy. We present the first reported case to our knowledge of a patient with bilateral retropharyngeal carotid arteries who underwent bilateral TCAR. TCAR should be considered for the treatment of patients with surgically indicated carotid occlusive disease who have retropharyngeal carotid arteries.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"6 1","pages":"Article 100415"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145718977","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":"Modern approach to the resection of carotid region schwannoma: The utility of continuous intraoperative neurophysiological monitoring","authors":"Giuseppe Carpenzano ,&nbsp;Maria Giuseppina Palmieri ,&nbsp;Federica Novegno ,&nbsp;Fabio Massimo Oddi ,&nbsp;Fabrizio Cum ,&nbsp;Andrea Ascoli Marchetti","doi":"10.1016/j.avsurg.2025.100411","DOIUrl":"10.1016/j.avsurg.2025.100411","url":null,"abstract":"<div><h3>Objective</h3><div>In the extracranial carotidopaty the most frequent paragangliomas are chemodectomas; because of the complex anatomy of the surrounding structures, a lateral neck mass may arise by muscular, osseous, epithelial, mesenchymal or nervous tissues: a rare presentation is the vagus nerve neoplasia. The described technique compares the intraoperative neurological monitoring methods and their usefulness in avoiding neurological damage.</div></div><div><h3>Methods</h3><div>The surgical procedure was totally performed under neurophysiological monitoring with: A) Electroencephalogram. B) Transcranial electric motor evoked potential (MEP) with recording of left and right laryngeal and cricothyroid muscles. C) Somatosensory evoked potential (SEP) by the stimulation of the right and left median nerves. D) Free run registration from laryngeal and cricothyroid bilateral muscles. During the procedure was performed the direct stimulation (DNS) of the right vagus nerve and registration from the target muscles.</div></div><div><h3>Results</h3><div>The DNS of the neck mass was associated with finding of eloquent and non–eloquent nervous tissue allowing a safe gross total resection. The SEP and MEP did not show any significative changes during the surgical treatment.</div></div><div><h3>Conclusions</h3><div>Multidisciplinary approach is mandatory to perform perioperative evaluation and safe surgical treatment, which is the gold standard of Schwannoma treatment.</div></div>","PeriodicalId":72235,"journal":{"name":"Annals of vascular surgery. Brief reports and innovations","volume":"5 4","pages":"Article 100411"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145417563","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}