Annals of vascular diseases最新文献

Machine Learning and Abdominal Aortic Aneurysm: A New Paradigm in Prediction and Prognosis after Endovascular Aneurysm Repair. 机器学习与腹主动脉瘤：血管内动脉瘤修复后预测和预后的新范式。

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Annals of vascular diseases Pub Date : 2026-01-01 Epub Date: 2026-01-20 DOI: 10.3400/avd.ra.25-00120

Toshiya Nishibe, Tsuyoshi Iwasa, Shoji Fukuda, Tomohiro Nakajima, Shinichiro Shimura, Masayasu Nishibe, Alan Dardik

{"title":"Machine Learning and Abdominal Aortic Aneurysm: A New Paradigm in Prediction and Prognosis after Endovascular Aneurysm Repair.","authors":"Toshiya Nishibe, Tsuyoshi Iwasa, Shoji Fukuda, Tomohiro Nakajima, Shinichiro Shimura, Masayasu Nishibe, Alan Dardik","doi":"10.3400/avd.ra.25-00120","DOIUrl":"10.3400/avd.ra.25-00120","url":null,"abstract":"Artificial intelligence (AI) and machine learning (ML) are transforming vascular surgery by enabling precise risk stratification, individualized treatment planning, and improved prognostic prediction. In abdominal aortic aneurysm (AAA) management, ML algorithms integrate complex clinical and imaging data to estimate survival, guide procedural decisions, and identify key factors influencing aneurysm remodeling. These models outperform traditional statistical approaches by capturing nonlinear interactions among variables such as nutritional status, immune function, and anatomical features. Despite these advances, challenges remain. Many studies rely on single-center datasets, raising concerns about overfitting and limited generalizability. The use of black-box models can hinder clinical trust due to limited interpretability. However, recent developments in multicenter data collection and explainable AI techniques are improving model robustness and transparency. As these tools continue to evolve, ML is poised to contribute meaningfully to precision vascular care. By supporting more individualized and data-informed decision-making, ML has the potential to enhance long-term outcomes and guide the future of AAA management after endovascular aneurysm repair.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12826844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146045826","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

A Case of Chronic Expanding Hematoma in the Thoracic Cavity Treated with Transcatheter Arterial Embolization. 经导管动脉栓塞治疗慢性胸腔扩张性血肿1例。

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Annals of vascular diseases Pub Date : 2026-01-01 Epub Date: 2026-03-18 DOI: 10.3400/avd.cr.25-00148

Takahiro Higuchi, Shunsuke Inaki, Akira Baba, Keitaro Enoki, Takayuki Suzuki, Hideomi Yamauchi, Tetsuya Shimizu, Saeko Kubomae, Haruki Mori, Naoki Kurata

引用次数: 0

A Case of Surgical Revascularization in a Patient with Uncontrolled Renovascular Hypertension and Renal Dysfunction after Repeated Percutaneous Transluminal Renal Angioplasty (PTRA) for More Than 10 Years. 反复经皮腔内肾血管成形术（PTRA）治疗10年以上无控制的肾血管性高血压和肾功能不全患者的外科血运重建术一例。

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Annals of vascular diseases Pub Date : 2026-01-01 Epub Date: 2026-03-19 DOI: 10.3400/avd.cr.25-00022

Yasutake Momokawa, Koji Maeda

引用次数: 0

Stent-Assisted Double Microcatheter Coil Embolization for an Inferior Pancreaticoduodenal Artery Aneurysm after Multiple Stent-Graft Procedures: A Case Report. 支架辅助双微导管线圈栓塞治疗多次支架移植后胰十二指肠下动脉瘤一例报告。

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Annals of vascular diseases Pub Date : 2026-01-01 Epub Date: 2026-04-24 DOI: 10.3400/avd.cr.26-00021

Yoshiki Yamasaki, Hiroshi Nishimaki, Tsuyoshi Kono, Masahiro Tomita, Satoshi Kinebuchi, Daijun Tomimoto, Masahide Komagamine, Kan Nawata

引用次数: 0

Clinical Impact of Familial Hypercholesterolemia on Lower Extremity Artery Disease in Premature Patients. 家族性高胆固醇血症对早产儿下肢动脉疾病的临床影响

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Annals of vascular diseases Pub Date : 2026-01-01 Epub Date: 2026-02-04 DOI: 10.3400/avd.oa.25-00141

Eisaku Ito, Takao Ohki, Hiroshi Yoshida, Kenjiro Kaneko

{"title":"Clinical Impact of Familial Hypercholesterolemia on Lower Extremity Artery Disease in Premature Patients.","authors":"Eisaku Ito, Takao Ohki, Hiroshi Yoshida, Kenjiro Kaneko","doi":"10.3400/avd.oa.25-00141","DOIUrl":"10.3400/avd.oa.25-00141","url":null,"abstract":"Objectives: Familial hypercholesterolemia (FH) accelerates systemic atherosclerosis and worsens prognosis from youth. While present in 5%-10% of premature coronary artery disease (pCAD) cases, its prevalence and impact in lower extremity artery disease (LEAD) remain unclear. This study investigated FH prevalence and prognostic impact in premature LEAD (pLEAD).Methods: We retrospectively analyzed LEAD patients aged ≤70 years undergoing first revascularization. FH was diagnosed according to the 2022 Japan Atherosclerosis Society Guidelines, based on dyslipidemia and Achilles tendon thickness. Primary outcomes were survival, amputation-free rate, and secondary intervention-free rate.Results: Among 66 pLEAD patients (median age 66 years, 76% male), 10 (15%) met the FH criteria. Compared with non-FH patients, FH patients more frequently presented with chronic limb-threatening ischemia (CLTI) (90% vs. 36%, p = 0.001), bilateral lesions (100% vs. 36%, p <0.001), and dialysis dependence (90% vs. 25%, p <0.001). Three-year survival (28% vs. 90%, p <0.001), amputation-free rate (64% vs. 89%, p = 0.028), and secondary intervention-free rate (38% vs. 63%, p = 0.031) were significantly lower in FH patients. In the CLTI subgroup, survival was markedly reduced in FH (17% vs. 71%, p = 0.011).Conclusions: FH was present in 15% of pLEAD patients and associated with poor outcomes. Routine FH screening, including pCAD history and Achilles tendon evaluation, may improve prognosis.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12872392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146140638","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

Innominate Artery Transection via Combined Suprasternal and Intercostal Approach Prevents Tracheoinnominate Artery Fistula. 胸骨上肋间联合入路横断无名动脉预防气管无名动脉瘘。

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Annals of vascular diseases Pub Date : 2026-01-01 Epub Date: 2026-01-14 DOI: 10.3400/avd.cr.25-00099

Masahide Shichijo, Hiroyuki Morokuma, Nagi Hayashi, Takashi Teishikata, Masafumi Hiratsuka, Keiji Kamohara

引用次数: 0

TEVAR-Only Management of Abdominal Aortic Aneurysm Rupture Caused by Acute Type B Aortic Dissection after EVAR: A Case Report. 单纯tevar治疗急性B型主动脉夹层EVAR后腹主动脉瘤破裂1例。

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Annals of vascular diseases Pub Date : 2026-01-01 Epub Date: 2026-04-11 DOI: 10.3400/avd.cr.26-00009

Toshinori Takahashi, Osamu Namura, Shinya Mimura

引用次数: 0

Impact of Arteriovenous Access Formation on Cardiac Structure and Function in Hemodialysis Patients. 血液透析患者动静脉通路形成对心脏结构和功能的影响。

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Annals of vascular diseases Pub Date : 2026-01-01 Epub Date: 2026-04-23 DOI: 10.3400/avd.oa.25-00112

Nadeem Ahmed Siddiqui, Mohammad Zakriya, Muhammad Anees, Farhala Baloch, Kashmala Hussain, Fareed Ahmed Shaikh, Zia Ur Rehman

{"title":"Impact of Arteriovenous Access Formation on Cardiac Structure and Function in Hemodialysis Patients.","authors":"Nadeem Ahmed Siddiqui, Mohammad Zakriya, Muhammad Anees, Farhala Baloch, Kashmala Hussain, Fareed Ahmed Shaikh, Zia Ur Rehman","doi":"10.3400/avd.oa.25-00112","DOIUrl":"https://doi.org/10.3400/avd.oa.25-00112","url":null,"abstract":"Objectives: We aimed to determine echocardiographic changes following arteriovenous fistula (AVF) creation and identify predictors of major adverse cardiac events (MACE) in end-stage renal disease (ESRD) patients.Methods: A retrospective study of ESRD patients who underwent AVF creation between 2014 and 2022 was conducted at a tertiary care center. Cardiac echocardiograms performed within 3 months before and at least 6 months after surgery were compared using paired t-tests. Predictors of MACE were assessed using Cox regression, with results reported as hazard ratios (HR).Results: A total of 119 patient records were included. Mean age was 58.2 ± 13.6 years, and 66 (55.5%) patients were male. Following the procedure, left atrial volume index (LAVI) increased (34.339 ± 10.361 vs. 37.964 ± 9.739, p = 0.001), whereas E' velocity (0.052 ± 0.018 vs. 0.047 ± 0.016, p = 0.011) and left-ventricular ejection fraction (50.798 ± 11.442 vs. 47.374 ± 12.277, p <0.001) decreased significantly. Ejection fraction was maintained in 81 patients (68.07%), improved in 12 (10.08%), and declined in 26 (21.85%). Cox regression showed a significant association between preoperative atrial fibrillation (p = 0.019) and severe left ventricular dysfunction (p = 0.026) with MACE.Conclusion: AVF creation was associated with increased LAVI and decreased E' velocity. Preoperative atrial fibrillation and severe left ventricular dysfunction were associated with increased risk of postoperative MACE.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760297","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

Efficacy and Safety of Endovascular Therapy with Common Femoral Artery Endarterectomy Site Access in Patients with Lower Extremity Artery Disease. 股总动脉内膜切除术在下肢动脉疾病患者血管内治疗中的疗效和安全性。

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Annals of vascular diseases Pub Date : 2026-01-01 Epub Date: 2026-01-24 DOI: 10.3400/avd.oa.25-00121

Shingo Mochizuki, Taira Kobayashi, Takanobu Okazaki, Kazuki Maeda, Shogo Emura, Katsutoshi Sato, Hitoshi Tachibana, Daisuke Futagami, Toshifumi Hiraoka, Risa Inoue, Tomoyasu Sato, Shinya Takahashi

{"title":"Efficacy and Safety of Endovascular Therapy with Common Femoral Artery Endarterectomy Site Access in Patients with Lower Extremity Artery Disease.","authors":"Shingo Mochizuki, Taira Kobayashi, Takanobu Okazaki, Kazuki Maeda, Shogo Emura, Katsutoshi Sato, Hitoshi Tachibana, Daisuke Futagami, Toshifumi Hiraoka, Risa Inoue, Tomoyasu Sato, Shinya Takahashi","doi":"10.3400/avd.oa.25-00121","DOIUrl":"https://doi.org/10.3400/avd.oa.25-00121","url":null,"abstract":"Objectives: The purpose of this study was to evaluate the results of endovascular therapy (EVT) with common femoral artery (CFA) endarterectomy site access for lower extremity artery disease (LEAD).Methods: Records were reviewed retrospectively for patients who underwent EVT with CFA endarterectomy site access from 2014 to 2023 at 7 hospitals.Results: A total of 74 EVT procedures with CFA endarterectomy site access were performed in 65 patients with LEAD. The median [interquartile range] interval between CFA endarterectomy and the first EVT access was 435 [237-1153] days. Technical success of EVT was achieved in 72 procedures (97%). Technical success of the puncture was achieved in all 74 procedures (100%). The median [interquartile range] puncture time and hemostasis time were 4 [2-6] and 13 [10-20] min, respectively. Two cases (3%) had access site hematoma, which was cured with conservative treatment.Conclusions: The CFA after endarterectomy may be a safe and suitable access site for EVT.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12846759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146091780","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}

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Physician-Modified Endografts for Complex Aortic Aneurysms in Japan: Current Status, Clinical Outcomes, and Guideline Integration. 日本复杂主动脉瘤的内科改良内移植物：现状、临床结果和指南整合。

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Annals of vascular diseases Pub Date : 2026-01-01 Epub Date: 2026-02-07 DOI: 10.3400/avd.ra.25-00095

Tsuyoshi Shibata, Yutaka Iba, Shingo Tsushima, Tomohiro Nakajima, Junji Nakazawa, Ayaka Arihara, Kenichi Kato, Shigeki Komatsu, Masato Yonemori, Kenta Yoshikawa, Shun Hayasaka, Hirokazu Sugiura, Hajime Maeda, Nobuyoshi Kawaharada

{"title":"Physician-Modified Endografts for Complex Aortic Aneurysms in Japan: Current Status, Clinical Outcomes, and Guideline Integration.","authors":"Tsuyoshi Shibata, Yutaka Iba, Shingo Tsushima, Tomohiro Nakajima, Junji Nakazawa, Ayaka Arihara, Kenichi Kato, Shigeki Komatsu, Masato Yonemori, Kenta Yoshikawa, Shun Hayasaka, Hirokazu Sugiura, Hajime Maeda, Nobuyoshi Kawaharada","doi":"10.3400/avd.ra.25-00095","DOIUrl":"10.3400/avd.ra.25-00095","url":null,"abstract":"In Japan, the absence of commercially available fenestrated and/or branched endografts has necessitated widespread adoption of physician-modified endografts (PMEGs) for complex aortic aneurysms. This paper compares PMEG use in Western countries and Japan, summarizes multicenter outcome data, and highlights the gap between real-world practice and current Japanese aortic disease guidelines. Recent Japanese series report high technical success and acceptable mid-term outcomes, comparable to Western reports. While long-term durability remains uncertain, structured training, national registries, and standardized protocols are essential. Guideline acknowledgment of PMEGs could improve safety, consistency, and international alignment in complex endovascular therapy. Establishing structured training, national registries, and evidence-based policy recognition of PMEGs is essential to ensure safe and standardized practice in Japan.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12900572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146199926","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