Journal of vascular diseases最新文献

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Evaluation of the Molecular Mechanism of Chlorogenic Acid in the Treatment of Pulmonary Arterial Hypertension Based on Analysis Network Pharmacology and Molecular Docking 基于分析网络药理学和分子对接评估绿原酸治疗肺动脉高压的分子机制
Journal of vascular diseases Pub Date : 2024-01-05 DOI: 10.3390/jvd3010002
Jovito Cesar Santos-Álvarez, Juan Manuel Velázquez-Enríquez, Rafael Baltiérrez-Hoyos
{"title":"Evaluation of the Molecular Mechanism of Chlorogenic Acid in the Treatment of Pulmonary Arterial Hypertension Based on Analysis Network Pharmacology and Molecular Docking","authors":"Jovito Cesar Santos-Álvarez, Juan Manuel Velázquez-Enríquez, Rafael Baltiérrez-Hoyos","doi":"10.3390/jvd3010002","DOIUrl":"https://doi.org/10.3390/jvd3010002","url":null,"abstract":"Background: Pulmonary arterial hypertension (PAH) is a serious disease characterized by increased pressure in the pulmonary arteries, which can lead to heart failure and death. Chlorogenic acid (CGA) is a natural compound present in several foods and medicinal plants and has been described to exert a therapeutic effect in various diseases. However, its potential therapeutic effect on PAH remains undeciphered. In this study, the potential of CGA for the treatment of PAH was investigated using network pharmacology analysis and molecular docking. Methods: Potential CGA targets were obtained from the SwissTargetPrediction and GeneCards databases. Moreover, potential PAH targets were collected from the GeneCards and DisGNET databases. Then, common targets were selected, and a protein-protein network (PPI) was constructed between common CGA and PAH targets using the STRING database. The common hub targets were selected, and GO enrichment analysis was performed via KEGG using the DAVID 6.8 database. Additionally, molecular docking analysis was performed to investigate the interaction between CGA and these potential therapeutic targets. Results: We obtained 168 potential targets for CGA and 5779 potential targets associated with PAH. Among them, 133 were common to both CGA and PAH. The main hub targets identified through PPI network analysis were TP53, HIF1A, CASP3, IL1B, JUN, MMP9, CCL2, VEGFA, SRC, IKBKB, MMP2, CASP8, NOS3, MMP1, and CASP1. KEGG pathway analysis showed that these hub targets are associated with pathways such as lipid and atherosclerosis, fluid shear stress and atherosclerosis, and the IL-17 signaling pathway. In addition, the molecular docking results showed a high binding affinity between CGA and the 15 hub PAH-associated targets, further supporting its therapeutic potential. Conclusions: This study provides preliminary evidence on the underlying molecular mechanism of CGA in the treatment of PAH. The findings suggest that CGA could be a promising option for the development of new PAH drugs.","PeriodicalId":74009,"journal":{"name":"Journal of vascular diseases","volume":"69 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139381474","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
Factors Associated with the Evolution of Superficial Vein Thrombosis and Its Impact on the Quality of Life: Results from a Prospective, Unicentric Study 浅静脉血栓演变的相关因素及其对生活质量的影响:一项前瞻性单中心研究的结果
Journal of vascular diseases Pub Date : 2024-01-02 DOI: 10.3390/jvd3010001
Blanca Ros Gómez, Javier Gómez-López, M. Quintana-Díaz, Sheila Victoria Calvo Sevilla, Pablo Rodríguez-Fuertes, Fabián Tejeda-Jurado, Paula Berrocal-Espinosa, Juan Francisco Martínez-Ballester, Sonia Rodríguez-Roca, M. A. Rivera Núñez, A. M. Martínez Virto, Alberto Martín-Vega, C. Fernández‐Capitán, Giorgina Salgueiro-Origlia, Raquel Marín-Baselga, Alicia Lorenzo Hernández, T. Bueso, Ramón Puchades Rincón de Arellano, Belén Gutiérrez-Sancerni, Alejandro Díez-Vidal, Sergio Carrasco-Molina, Y. Tung-Chen
{"title":"Factors Associated with the Evolution of Superficial Vein Thrombosis and Its Impact on the Quality of Life: Results from a Prospective, Unicentric Study","authors":"Blanca Ros Gómez, Javier Gómez-López, M. Quintana-Díaz, Sheila Victoria Calvo Sevilla, Pablo Rodríguez-Fuertes, Fabián Tejeda-Jurado, Paula Berrocal-Espinosa, Juan Francisco Martínez-Ballester, Sonia Rodríguez-Roca, M. A. Rivera Núñez, A. M. Martínez Virto, Alberto Martín-Vega, C. Fernández‐Capitán, Giorgina Salgueiro-Origlia, Raquel Marín-Baselga, Alicia Lorenzo Hernández, T. Bueso, Ramón Puchades Rincón de Arellano, Belén Gutiérrez-Sancerni, Alejandro Díez-Vidal, Sergio Carrasco-Molina, Y. Tung-Chen","doi":"10.3390/jvd3010001","DOIUrl":"https://doi.org/10.3390/jvd3010001","url":null,"abstract":"Background: Superficial venous thrombosis (SVT) is a common clinical condition caused by inflammation and the presence of a thrombus inside a superficial vein. It has traditionally been considered a benign and banal disorder, although it can progress or can be associated with thromboembolic disease of deep territories in up to 20%, asymptomatic or symptomatic pulmonary embolism (PE), especially if it affects the main trunk of the internal saphenous vein. The impact of deep vein thrombosis on the quality of life and its sequelae have long been described in the literature; however, they have not been studied in superficial vein thrombosis. Objectives: We aimed to evaluate the risk factors, management, and complications of SVT and its impact on the quality of life of our patients. Methods: Observational, prospective, single-center study to evaluate the management of SVT. The ultrasound (US) was performed initially on symptomatic patients, during treatment with low-molecular-weight heparin (LMWH), at a follow-up, and at the end of 45 days of treatment. A quality-of-life questionnaire was administered to determine the risk factors, management, and complications of SVT at the moment of diagnosis and at the end of treatment. We included patients referred from the emergency department to a monographic consultation for thromboembolic disease, over 18 years of age with a diagnosis of acute SVT symptomatic, without contraindication to initiate anticoagulation. Results: In total, 63 patients were evaluated between October 2020 and April 2022. The mean age was 65.8 years (SD 13.5), of which 35 were women (55.6%), 39 presented cardiovascular risk factors (61.9%), 25 had a history of previous personal venous thromboembolism (VTE) (39.7%), and 10 had obesity (15.9%), 47 had chronic venous insufficiency or varicose veins (74.9%). During follow-up with ultrasound, 39.7% had partial revascularization, and at discharge, 63.5% had permeabilized the thrombosis against 19% who had residual thrombosis or progression of thrombosis. There was a positive correlation between mobility parameters and improvement in the performance of daily activities (rho = 0.35; p = 0.012) and with improvement in pain/discomfort (rho = 0.37; p = 0.007). An improvement in pain parameters was statistically significantly related to a global assessment health perception (rho = 0.48; p < 0.001). Anxiety and depression parameters were related to a global assessment health perception (rho = 0.462; p = 0.001) and to an overall improvement at 12 months (rho = 0.45; p = 0.001). CONCLUSIONS: Superficial venous thrombosis (SVT) is a highly prevalent disease, which is traditionally considered banal and has good evolution, with heterogeneous management in clinical practice and limited information on patient selection for therapies, current treatment routes, and drug use, as well as outcomes. In recent years, the importance of this entity has become evident due to its frequency in clinical practice, its ri","PeriodicalId":74009,"journal":{"name":"Journal of vascular diseases","volume":"128 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139453458","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
Abnormal Heart Sound Classification and Model Interpretability: A Transfer Learning Approach with Deep Learning 异常心音分类与模型可解释性:利用深度学习的迁移学习方法
Journal of vascular diseases Pub Date : 2023-12-04 DOI: 10.3390/jvd2040034
Milan Marocchi, Leigh Abbott, Yue Rong, Sven Nordholm, Girish Dwivedi
{"title":"Abnormal Heart Sound Classification and Model Interpretability: A Transfer Learning Approach with Deep Learning","authors":"Milan Marocchi, Leigh Abbott, Yue Rong, Sven Nordholm, Girish Dwivedi","doi":"10.3390/jvd2040034","DOIUrl":"https://doi.org/10.3390/jvd2040034","url":null,"abstract":"Physician detection of heart sound abnormality is complicated by the inherent difficulty of detecting critical abnormalities in the presence of noise. Computer-aided heart auscultation provides a promising alternative for more accurate detection, with recent deep learning approaches exceeding expert accuracy. Although combining phonocardiogram (PCG) data with electrocardiogram (ECG) data provides more information to an abnormal heart sound classifier, the scarce presence of labelled datasets with this combination impedes training. This paper explores fine-tuning deep convolutional neural networks such as ResNet, VGG, and inceptionv3, on images of spectrograms, mel-spectrograms, and scalograms. By fine-tuning deep pre-trained models on image representations of ECG and PCG, we achieve 91.25% accuracy on the training-a dataset of the PhysioNet Computing in Cardiology Challenge 2016, compared to a previous result of 81.48%. Interpretation of the model’s learned features is also provided, with the results indicative of clinical significance.","PeriodicalId":74009,"journal":{"name":"Journal of vascular diseases","volume":"32 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602717","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
Unravelling the Threads: A Brief Insight into Vascular Dementia 解开线索:对血管性痴呆的简要洞察
Journal of vascular diseases Pub Date : 2023-11-02 DOI: 10.3390/jvd2040033
Syed Haris Omar
{"title":"Unravelling the Threads: A Brief Insight into Vascular Dementia","authors":"Syed Haris Omar","doi":"10.3390/jvd2040033","DOIUrl":"https://doi.org/10.3390/jvd2040033","url":null,"abstract":"Vascular dementia (VaD), characterized by cognitive decline attributable to cerebrovascular disease, is the second most common type of dementia after Alzheimer’s disease. This review aims to explore the prevalent risk factors, pharmacological interventions, and non-pharmacotherapeutic strategies associated with the condition. Recognized risk factors include advanced age, hypertension, diabetes mellitus, obesity, and hyperlipidemia with emerging evidence implicating additional lifestyle and genetic factors. Pharmacotherapy for VaD mainly focuses on managing these underlying risk factors, coupled with symptomatic treatments. Therapeutic agents commonly used include antihypertensives, statins, antiplatelet drugs, antidiabetic agents, and specific cognitive enhancers like cholinesterase inhibitors. However, the effectiveness of these treatments remains under continuous study, underscoring the need for comprehensive, individualized treatment plans. Non-pharmacotherapeutic strategies, encompassing lifestyle modifications such as diet and exercise have gained considerable attention. They have shown promise in improving cognitive function and enhancing the quality of life in patients with VaD. The application of a multi-domain intervention approach may provide a more holistic management strategy for VaD. Further research is needed to define the best practices in both pharmacotherapy and non-pharmacotherapy treatments, considering the multifactorial and heterogeneous nature of this condition.","PeriodicalId":74009,"journal":{"name":"Journal of vascular diseases","volume":"13 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135934101","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 Paradigms for Thoracic Outlet Compression and Thoracic Outlet Syndrome, with or without Complications or Sequelae: A Trans-Continental and Trans-Disciplinary Opinion Paper 胸廓出口压迫和胸廓出口综合征的新范例,有无并发症或后遗症:一篇跨大陆和跨学科的意见论文
Journal of vascular diseases Pub Date : 2023-11-02 DOI: 10.3390/jvd2040032
Pierre Abraham, Paul W. Wennberg, Pascal Bauer, Yongquan Gu, Nafi Ouedraogo, Lianrui Guo, Garry Tew, Lucia Mazzolai, Romeo Martini, Samir Henni
{"title":"New Paradigms for Thoracic Outlet Compression and Thoracic Outlet Syndrome, with or without Complications or Sequelae: A Trans-Continental and Trans-Disciplinary Opinion Paper","authors":"Pierre Abraham, Paul W. Wennberg, Pascal Bauer, Yongquan Gu, Nafi Ouedraogo, Lianrui Guo, Garry Tew, Lucia Mazzolai, Romeo Martini, Samir Henni","doi":"10.3390/jvd2040032","DOIUrl":"https://doi.org/10.3390/jvd2040032","url":null,"abstract":"The anatomy of the human shoulder predisposes the neurovascular bundle to compression at different levels of the thoracic outlet during abduction of the arm. There are four possible levels of compression at the thoracic outlet pathway: at the costo-clavicular angle, the inter-scalenic angle, under the pectoralis minor muscle or at the level of the humeral head. The positional thoracic outlet compression (TOC) often remains completely asymptomatic. When symptomatic, compressions are collectively referred to as thoracic outlet syndrome (TOS) and may require surgery if physical therapy fails to improve symptoms. The “thoracic outlet compression with complications or sequelae” (the acronym of which is “TOC-CS”, which can be simplified as “TOX”) will almost invariably lead to surgery to release the compression, and other possible treatment targeting the complications as required. There is a continuum between TOC, TOS and TOX, which are simply different clinical stages of the same mechanical issue, just like the Rutherford grades represent different stages of lower extremity arterial disease. We believe that discriminating between TOC, TOS and TOX clarifies clinical definitions and their respective treatment options. TOC is to be considered as a physiological positional phenomenon, TOS requires medical or surgical treatment and surgery should be considered as a primary option in TOX.","PeriodicalId":74009,"journal":{"name":"Journal of vascular diseases","volume":"12 7","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135933939","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
Covered Stent Herniation into Coronary Aneurysm Sac—A Case-Inspired Review of Neurointerventional Realignment Techniques 冠状动脉瘤囊内覆盖支架疝出:神经介入调整技术的病例回顾
Journal of vascular diseases Pub Date : 2023-11-01 DOI: 10.3390/jvd2040031
Jacek Klaudel, Piotr Radowski, Wojciech Trenkner, Michał Glaza, Krzysztof Pawłowski, Dariusz Surman, Włodzimierz Krasowski, Marek Szołkiewicz
{"title":"Covered Stent Herniation into Coronary Aneurysm Sac—A Case-Inspired Review of Neurointerventional Realignment Techniques","authors":"Jacek Klaudel, Piotr Radowski, Wojciech Trenkner, Michał Glaza, Krzysztof Pawłowski, Dariusz Surman, Włodzimierz Krasowski, Marek Szołkiewicz","doi":"10.3390/jvd2040031","DOIUrl":"https://doi.org/10.3390/jvd2040031","url":null,"abstract":"Background: Coronary aneurysms are an infrequent finding in diagnostic angiography, with a reported incidence of 0.35–0.7% in the largest contemporary registries. At least half of them have an atherosclerotic etiology and as such they are often diagnosed in the setting of acute coronary syndrome. The wiring of a thrombosed aneurysm is a difficult task and after successful recanalization, the operator has to decide on the optimal method of aneurysm exclusion. Covered stents are commonly deployed, but their use involves the risk of delivery failure as well as device dislodgement and loss due to their stiffness and size. Moreover, proper stent sizing and apposition is difficult in the case of thrombosed aneurysms. Case presentation: We present a case of coronary aneurysm recanalization and exclusion with a covered stent, with a postdilation-induced stent foreshortening. Due to the subsequent stent migration into the aneurysm sac, its repositioning was attempted. The pitfalls of coronary aneurysm stenting and neurointerventional techniques of prolapsed device realignment are discussed. Conclusions: An adequate landing zone is of the utmost importance in aneurysm exclusion with covered stents. In the case of a short stent anchoring in the normal vessel, another covered or conventional stent should be deployed to mitigate the risk of the device migration.","PeriodicalId":74009,"journal":{"name":"Journal of vascular diseases","volume":"61 1-2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135271962","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
Arterial and Venous Pressure Monitoring during Cardiopulmonary Resuscitation for Out-of-Hospital Arrests: Four Case Reports 院外骤停心肺复苏期间的动脉和静脉压监测:4例报告
Journal of vascular diseases Pub Date : 2023-10-07 DOI: 10.3390/jvd2040030
Hirokazu Onishi, Tasuku Matsuyama, Yuki Yasutake, Daichi Inaba, Tatsuji Katsue, Masaki Nagama, Yuto Iwasaki, Hitoshi Kano
{"title":"Arterial and Venous Pressure Monitoring during Cardiopulmonary Resuscitation for Out-of-Hospital Arrests: Four Case Reports","authors":"Hirokazu Onishi, Tasuku Matsuyama, Yuki Yasutake, Daichi Inaba, Tatsuji Katsue, Masaki Nagama, Yuto Iwasaki, Hitoshi Kano","doi":"10.3390/jvd2040030","DOIUrl":"https://doi.org/10.3390/jvd2040030","url":null,"abstract":"Background: A new physiological monitoring system that simultaneously measures femoral arterial pressure, femoral venous pressure, and cerebral tissue oxygen saturation during CPR was used to evaluate the quality of cardiopulmonary resuscitation. In this case report, we would like to present four representative cases with this physiological monitoring system during CPR. Cases: We invasively measured femoral arterial pressure and femoral venous pressure if catheters were immediately inserted into the femoral artery and femoral vein for potential candidates who required extracorporeal cardiopulmonary resuscitation but did not receive such interventions. We presented several cases, including two cases in which cardiopulmonary resuscitation resulted in higher femoral arterial pressure compared to femoral venous pressure, an upward trend in cerebral tissue oxygen saturation values was observed, and both instances achieved the return of spontaneous circulation. In contrast, we also presented two patients with significant increases in femoral venous pressure and low cerebral tissue oxygen saturation values. In both cases, the return of spontaneous circulation was not achieved. Conclusions: We presented cases in which the femoral venous pressure exceeded the femoral arterial pressure using a simultaneous physiological monitoring system to monitor arterial pressure, venous pressure, and cerebral tissue oxygen saturation during cardiopulmonary resuscitation. Further case accumulations will be necessary to assess the variations in hemodynamic status during cardiopulmonary resuscitation and the association between each hemodynamic status and outcomes after cardiac arrest.","PeriodicalId":74009,"journal":{"name":"Journal of vascular diseases","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135301743","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
Urgent Off-Label Use of Flow–Diverter Stents in the Endovascular Management of Tonsillar Loop-Associated Internal Carotid Artery Dissections Presenting with Carotid Occlusion or Near-Occlusion and Major Ischemic Stroke 血管内治疗扁桃体环相关颈内动脉夹层合并颈动脉闭塞或近闭塞及缺血性卒中的紧急非适应症使用血流分流支架
Journal of vascular diseases Pub Date : 2023-10-03 DOI: 10.3390/jvd2040029
José E. Cohen, Andrei Filioglo, John Moshe Gomori, Asaf Honig, Ronen R. Leker, Hans Henkes
{"title":"Urgent Off-Label Use of Flow–Diverter Stents in the Endovascular Management of Tonsillar Loop-Associated Internal Carotid Artery Dissections Presenting with Carotid Occlusion or Near-Occlusion and Major Ischemic Stroke","authors":"José E. Cohen, Andrei Filioglo, John Moshe Gomori, Asaf Honig, Ronen R. Leker, Hans Henkes","doi":"10.3390/jvd2040029","DOIUrl":"https://doi.org/10.3390/jvd2040029","url":null,"abstract":"We present our experience with the implantation of flow diverter stents (FDSs) for the management of internal carotid artery (ICA) dissections in tortuous tonsillar loop segments. A total of 16 patients (10 women, 62.5%; mean age 39 ± 8 years; median baseline NIHSS 13; median ASPECTS 8.5) with acute ischemic stroke due to ICA dissection in a tortuous tonsillar loop segment, with/without large intracranial vessel thrombotic occlusion diagnosed between June 2015–February 2022 were included in this retrospective study under a waiver of informed consent. An FDS device was deployed from the petrous ICA toward the upper cervical ICA, completely covering the tonsillar loop. Stentriever-assisted thrombectomy was performed when indicated. A dual antiplatelet regimen was used during and after the procedure. Thrombocyte inhibition levels were evaluated before, during, and after the intervention. The ICA occlusion/near occlusion was successfully recanalized in all 16 patients with mean postangioplasty residual stenosis of 34 ± 14% (range 0–50%). Stent-assisted thrombectomy was performed in 15/16 patients (93.7%), achieving revascularization (TICI 2b–3) in all. There were no procedural complications and no intraprocedural embolic events; one asymptomatic petechial hemorrhage was detected. At 3-month follow-up, mRS 0–2 was seen in all patients. This report provides pilot data for a subsequent study on the use of flow diverter stents for ischemic cerebrovascular conditions. Our encouraging preliminary results await confirmation from further experience and prospective randomized studies.","PeriodicalId":74009,"journal":{"name":"Journal of vascular diseases","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135697043","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
Computed Tomography Imaging Features of Pulmonary Sequestration 肺隔离的计算机断层成像特征
Journal of vascular diseases Pub Date : 2023-10-01 DOI: 10.3390/jvd2040028
Tingqian Yang, Zhaoyu Wang, Jun Qiang, Qinxiang Mao, Shufeng Kong, Zhonghua Sun, Yu Li
{"title":"Computed Tomography Imaging Features of Pulmonary Sequestration","authors":"Tingqian Yang, Zhaoyu Wang, Jun Qiang, Qinxiang Mao, Shufeng Kong, Zhonghua Sun, Yu Li","doi":"10.3390/jvd2040028","DOIUrl":"https://doi.org/10.3390/jvd2040028","url":null,"abstract":"Background: Pulmonary sequestration (PS), generally diagnosed using computed tomography pulmonary angiography (CTPA), is a rare congenital developmental malformation of the lung that is characterized by nonfunctional lung tissue, independent of the normal lung tissue. This paper summarizes the imaging features of the supplying arteries and draining vessels in patients with PS with an aim to assist in timely clinical diagnosis and operation guidance. Materials and Methods: A total of 55 patients with PS diagnosed using CTPA from multiple clinical centers were retrospectively analyzed. Data included demographic characteristics, imaging features, disease location, isolation type, and the features of supplying and draining vessels, as shown on CTPA images. Results: Of the 55 patients reviewed, 3 (5.45%) were children, 3 (5.45%) were adolescents, and 49 (89.09%) were adults; the mean age was 44 years. Fifty-four (98.18%) patients had intralobar sequestration and one (1.82%) had extralobar sequestration. PS was noted 3.5 times more frequently in the left lower lobe than in the right lower lobe. For the supplying arteries, 47 (85.45%) were derived from the descending thoracic aorta, 1 (1.82%) from the abdominal aorta, 7 (12.73%) from the celiac axis, and 1 (1.82%) from the bronchial artery. The draining vessels were the pulmonary veins in 49 patients (89.09%), the umbilical vein in 1 (1.82%), the venae intercostal in 1 (1.82%), the pulmonary arteries in 11 (20.00%), and the vessels were not shown on the images in 2 patients (3.64%). Conclusion: Clinical presentations of PS are non-specific and can be easily missed or misdiagnosed. However, CTPA can help to improve the diagnostic accuracy and identify the supplying arteries and draining vessels, which significantly contribute to surgical planning.","PeriodicalId":74009,"journal":{"name":"Journal of vascular diseases","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135459126","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
Comparison of Performance of Micro-Computed Tomography (Micro-CT) and Synchrotron Radiation CT in Assessing Coronary Stenosis Caused by Calcified Plaques in Coronary Artery Phantoms 微计算机断层扫描(Micro-CT)与同步辐射CT在评估冠状动脉显影中钙化斑块所致冠状动脉狭窄中的作用比较
Journal of vascular diseases Pub Date : 2023-09-01 DOI: 10.3390/jvd2030026
C. Ng, Zhonghua Sun, S. Jansen
{"title":"Comparison of Performance of Micro-Computed Tomography (Micro-CT) and Synchrotron Radiation CT in Assessing Coronary Stenosis Caused by Calcified Plaques in Coronary Artery Phantoms","authors":"C. Ng, Zhonghua Sun, S. Jansen","doi":"10.3390/jvd2030026","DOIUrl":"https://doi.org/10.3390/jvd2030026","url":null,"abstract":"Synchrotron-radiation-computed tomography (SRCT) allows more accurate calcified plaque and coronary stenosis assessment as a result of its superior spatial resolution; however, typical micro-computed tomography (micro-CT) systems have even higher resolution. The purpose of this study was to compare the performance of high-resolution micro-CT with SRCT in the assessment of calcified plaques and a previously published dataset of coronary stenosis assessment. This experimental study involved micro-CT scanning of three-dimensional printed coronary artery models with calcification in situ used in our previously published SRCT study on coronary stenosis assessment. Measurements of coronary stenosis utilizing both modalities were compared using a paired sample t-test. The degrees of stenosis measured on all but one micro-CT dataset were statistically significantly lower than the corresponding SRCT measurements reported in our previous paper (p < 0.0005–0.05). This indicates that the superior spatial resolution of micro-CT was able to further reduce over-estimation of stenosis caused by extensive calcification of coronary arteries and, hence, false positive results. Our results showed that the high-resolution micro-CT used in this study outperformed the Australian Synchrotron SRCT in both calcified plaque and coronary stenosis assessment. These findings will become clinically important for cardiovascular event prediction and enable reclassification of individuals with low and intermediate risk into appropriate risk categories when the technical challenges of micro-CT in clinical practice such as the small field of view and demanding on image processing power are addressed.","PeriodicalId":74009,"journal":{"name":"Journal of vascular diseases","volume":"55 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86195793","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: 1
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