Annals of vascular diseases最新文献

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Elephantiasis Nostras Verrucosa of the Lower Limb: A Case Report and Literature Review. 下肢疣状象皮病:病例报告与文献综述
IF 0.8
Annals of vascular diseases Pub Date : 2024-03-25 DOI: 10.3400/avd.cr.22-00113
Abdelkarim Kharroubi, Kenza Benzmane, Oumaima Lakhal, Lahcen Kaddouri
{"title":"Elephantiasis Nostras Verrucosa of the Lower Limb: A Case Report and Literature Review.","authors":"Abdelkarim Kharroubi, Kenza Benzmane, Oumaima Lakhal, Lahcen Kaddouri","doi":"10.3400/avd.cr.22-00113","DOIUrl":"10.3400/avd.cr.22-00113","url":null,"abstract":"<p><p>Elephantiasis nostras verrucosa (ENV) is a rare complication of chronic lymphedema, leading to progressive cutaneous hypertrophy and disfigured lower extremities. We present an unusual case of a 79-year-old man with ENV, who had an episode of erysipelas treated and cured with antibiotics. The patient presented with progressive painless lymphedema of the lower limb years ago, complicated with skin changes. The biology and radiology test does not objective any causes. The compression therapy was proposed to the patient. ENV is characterized by lymphedema and skin anomaly. Management of ENV is often challenging, but a variety of successful medical and surgical treatment strategies have been reported.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 1","pages":"43-49"},"PeriodicalIF":0.8,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11018103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851276","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
Prophylactic Anticoagulation and Thrombosis in Hospitalized Patients with Clinically Stable COVID-19 at Admission: From the Practice-Based Observational Study. 入院时临床症状稳定的 COVID-19 住院患者的预防性抗凝和血栓形成:基于实践的观察研究。
IF 0.8
Annals of vascular diseases Pub Date : 2024-03-25 Epub Date: 2023-11-28 DOI: 10.3400/avd.oa.23-00031
Yugo Yamashita, Sen Yachi, Makoto Takeyama, Yuji Nishimoto, Ichizo Tsujino, Junichi Nakamura, Naoto Yamamoto, Hiroko Nakata, Satoshi Ikeda, Michihisa Umetsu, Shizu Aikawa, Hiroya Hayashi, Hirono Satokawa, Yoshinori Okuno, Eriko Iwata, Yoshito Ogihara, Nobutaka Ikeda, Akane Kondo, Takehisa Iwai, Norikazu Yamada, Tomohiro Ogawa, Takao Kobayashi, Makoto Mo
{"title":"Prophylactic Anticoagulation and Thrombosis in Hospitalized Patients with Clinically Stable COVID-19 at Admission: From the Practice-Based Observational Study.","authors":"Yugo Yamashita, Sen Yachi, Makoto Takeyama, Yuji Nishimoto, Ichizo Tsujino, Junichi Nakamura, Naoto Yamamoto, Hiroko Nakata, Satoshi Ikeda, Michihisa Umetsu, Shizu Aikawa, Hiroya Hayashi, Hirono Satokawa, Yoshinori Okuno, Eriko Iwata, Yoshito Ogihara, Nobutaka Ikeda, Akane Kondo, Takehisa Iwai, Norikazu Yamada, Tomohiro Ogawa, Takao Kobayashi, Makoto Mo","doi":"10.3400/avd.oa.23-00031","DOIUrl":"10.3400/avd.oa.23-00031","url":null,"abstract":"<p><p><b>Objectives:</b> The potential benefit of routine prophylactic anticoagulation for all hospitalized patients with clinically stable coronavirus disease 2019 (COVID-19) is still controversial. <b>Method:</b> The CLOT-COVID Study was a multicenter observational study enrolling 2894 consecutive hospitalized patients with COVID-19. The current study population consisted of 1738 hospitalized patients with mild COVID-19 at admission not requiring oxygen administration, who were divided into 2 groups: patients with prophylactic anticoagulation (n = 326) and those without (n = 1412). <b>Results:</b> Patients with prophylactic anticoagulation had more severe status of the worst severity of COVID-19 during hospitalization compared with those without (mild: 38% versus 82%, moderate: 55% versus 17%, and severe or death at discharge: 6.4% versus 0.7%, P <0.001). During hospitalization, 8 patients (0.5%) developed thrombosis, and the incidences of thrombosis were numerically higher in patients with more severe status of worst severity of COVID-19 during hospitalization (mild: 0.2%, moderate: 1.2%, and severe or death at discharge: 3.2%). <b>Conclusions:</b> Among hospitalized patients with clinically stable COVID-19 at admission, patients who did not worsen in COVID-19 severity after admission rarely developed thrombosis, although patients with worsening of COVID-19 severity after admission more often received prophylactic anticoagulation and might have a higher risk of thrombosis.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 1","pages":"1-8"},"PeriodicalIF":0.8,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11018098/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140848414","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
Type 1a Endoleak after Fenestrated Frozen Elephant Trunk Technique. 冷冻象鼻技术后的 1a 型内漏
IF 0.8
Annals of vascular diseases Pub Date : 2024-03-25 Epub Date: 2024-02-09 DOI: 10.3400/avd.cr.23-00074
Yoshitaka Yamane, Tomokuni Furukawa
{"title":"Type 1a Endoleak after Fenestrated Frozen Elephant Trunk Technique.","authors":"Yoshitaka Yamane, Tomokuni Furukawa","doi":"10.3400/avd.cr.23-00074","DOIUrl":"https://doi.org/10.3400/avd.cr.23-00074","url":null,"abstract":"<p><p>The patient was a 48-year-old man who had undergone fenestrated frozen elephant trunk (FET) technique for acute type A aortic dissection. Postoperative enhanced computed tomography (CT) imaging revealed a type 1a endoleak from the fenestration. Nevertheless, the stented portion of the FET exhibited circular expansion. However, 2 months after surgery, enhanced CT imaging revealed the flattening of the FET due to the persistent endoleak and we performed an urgent zone 2 thoracic endovascular aortic repair (TEVAR). When type 1a endoleak from the fenestration is observed, the FET can be flattened, as in this patient, additional intervention should be considered.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 1","pages":"69-71"},"PeriodicalIF":0.8,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11018101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849370","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
Long-Term Outcomes of Endovascular Aneurysm Repair in Patients Aged ≤70 Years. 年龄≤70 岁患者血管内动脉瘤修补术的长期疗效。
IF 0.8
Annals of vascular diseases Pub Date : 2024-03-25 Epub Date: 2024-02-06 DOI: 10.3400/avd.oa.23-00072
Toshihiro Onohara, Nobuhiro Handa, Masakazu Kawasaki, Fuminori Kasashima, Tetsuya Saito, Teruya Nakamura, Dai Une, Mikizo Nakai, Suguru Shiraya, Kazuki Maeda, Katsuhiko Imai, Tsuyoshi Yamamoto, Yasushi Shimoe, Minoru Okamoto, Yoshikazu Kawazu
{"title":"Long-Term Outcomes of Endovascular Aneurysm Repair in Patients Aged ≤70 Years.","authors":"Toshihiro Onohara, Nobuhiro Handa, Masakazu Kawasaki, Fuminori Kasashima, Tetsuya Saito, Teruya Nakamura, Dai Une, Mikizo Nakai, Suguru Shiraya, Kazuki Maeda, Katsuhiko Imai, Tsuyoshi Yamamoto, Yasushi Shimoe, Minoru Okamoto, Yoshikazu Kawazu","doi":"10.3400/avd.oa.23-00072","DOIUrl":"https://doi.org/10.3400/avd.oa.23-00072","url":null,"abstract":"<p><p><b>Objectives:</b> The efficacy of endovascular aneurysm repair (EVAR) against abdominal aortic aneurysm (AAA) in younger patients remains unknown. Hence, the current study aimed to investigate whether the aneurysm-related mortality rate of EVAR is acceptable among patients aged ≤70 years. <b>Methods:</b> Among 644 patients, 148 underwent EVAR (EVAR group), and 496 received open surgical repair (OSR group). The cumulative incidence rates of aneurysm-related death, any intervention, and serious aneurysm-related events after AAA repair were evaluated using the cumulative incidence function in the presence of competing risks. <b>Results:</b> The EVAR group had higher prevalences of several comorbidities, and overall survival for the EVAR group was significantly inferior to that of the OSR group. The cumulative incidence rates of aneurysm-related death, any intervention, and serious aneurysm-related events at 5 years were 1.5%, 11.7%, and 6.4% in the EVAR group and 1.3%, 5.3%, and 5.9% in the OSR group, respectively. EVAR was not a significant prognostic factor of aneurysm-related mortality and serious aneurysm-related events. However, it was an independent poor prognostic factor of any intervention. <b>Conclusion:</b> EVAR was not a significant prognostic factor of aneurysm-related mortality and serious aneurysm-related events. Therefore, it demonstrated acceptable procedure-related long-term outcomes, at least in high-risk young patients.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 1","pages":"25-33"},"PeriodicalIF":0.8,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11018108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851572","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
Fenestrated Thoracic Endovascular Repair for Acute Type B Aortic Dissection with Isolated Left Vertebral Artery: A Case Report. 急性 B 型主动脉夹层伴孤立左侧椎动脉的栅栏式胸腔内血管修复术:病例报告。
IF 0.8
Annals of vascular diseases Pub Date : 2024-03-25 Epub Date: 2024-01-17 DOI: 10.3400/avd.cr.23-00067
Yuta Yamada, Takao Ohki, Naoki Toya, Eisaku Ito, Hikaru Nakagawa
{"title":"Fenestrated Thoracic Endovascular Repair for Acute Type B Aortic Dissection with Isolated Left Vertebral Artery: A Case Report.","authors":"Yuta Yamada, Takao Ohki, Naoki Toya, Eisaku Ito, Hikaru Nakagawa","doi":"10.3400/avd.cr.23-00067","DOIUrl":"https://doi.org/10.3400/avd.cr.23-00067","url":null,"abstract":"<p><p>Thoracic endovascular aortic repair (TEVAR) of acute uncomplicated type B aortic dissection (uTBAD) has been discussed for its potential to prevent future aortic events. We present a fenestrated TEVAR in the case of an 86-year-old man with acute uTBAD with an isolated left vertebral artery (ILVA). The ILVA originated from the distal side of the left subclavian artery, the left subclavian artery, and the intramural hematoma with an ulcer-like projection extended close to the left subclavian artery. We selected a fenestrated stent graft to achieve a proximal healthy landing. This case demonstrates that a fenestrated stent graft for acute uTBAD is useful for preserving arch vessels.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 1","pages":"55-58"},"PeriodicalIF":0.8,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11018099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853020","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
Short-Term Results of Varicose Vein Graft Used for Lower-Limb Bypass Surgery. 下肢静脉曲张移植术的近期疗效。
IF 0.8
Annals of vascular diseases Pub Date : 2023-09-25 DOI: 10.3400/avd.oa.22-00122
Atsushi Guntani, Sho Yamashita, Shinsuke Mii
{"title":"Short-Term Results of Varicose Vein Graft Used for Lower-Limb Bypass Surgery.","authors":"Atsushi Guntani,&nbsp;Sho Yamashita,&nbsp;Shinsuke Mii","doi":"10.3400/avd.oa.22-00122","DOIUrl":"https://doi.org/10.3400/avd.oa.22-00122","url":null,"abstract":"<p><p><b>Objective</b>: Due to the potential of thrombus blockage and aneurysm rupture, saphenous veins with varicose veins are not advised for use as bypass grafts. However, if no other autologous vein is accessible for use as a conduit in lower-limb bypass; varicose vein transplants may be employed. Few reports have studied the clinical results of lower-limb bypass using varicose vein grafts. We therefore investigated whether or not acceptable patency rates of varicose vein graft for lower-limb bypass could be achieved. <b>Methods</b>: We performed lower-limb bypass using varicose vein graft on nine limbs from June 2017 to May 2020 and conducted a retrospective analysis of prospectively collected data. <b>Results</b>: Early graft failure following bypass surgery using a varicose vein transplant was not detected, and major complications, such as acute graft occlusion or aneurysm dilatation, were not noted throughout the follow-up period. The primary and secondary patency of varicose vein graft was 70.0% and 100% at 3 years, respectively. <b>Conclusion</b>: The incidence of major problems of the varicose vein transplants does not seem to be higher than with conventional saphenous vein grafts. If there are no other appropriate autologous veins, a varicose vein graft may be useful as a conduit for bypass surgery.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"16 3","pages":"169-173"},"PeriodicalIF":0.8,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4f/ed/avd-16-3-oa.22-00122.PMC10539130.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41112233","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
Risk and Prognosis of Upper Extremity Deep Vein Thrombosis. 上肢深静脉血栓形成的风险和预后。
IF 0.8
Annals of vascular diseases Pub Date : 2023-09-25 DOI: 10.3400/avd.oa.23-00005
Yusuke Endo, Naoki Unno, Naoto Yamamoto, Masaki Sano, Kazuto Katahashi, Takafumi Kayama, Yuta Yamanaka, Hajime Tsuyuki, Hiroya Takeuchi, Kazunori Inuzuka
{"title":"Risk and Prognosis of Upper Extremity Deep Vein Thrombosis.","authors":"Yusuke Endo,&nbsp;Naoki Unno,&nbsp;Naoto Yamamoto,&nbsp;Masaki Sano,&nbsp;Kazuto Katahashi,&nbsp;Takafumi Kayama,&nbsp;Yuta Yamanaka,&nbsp;Hajime Tsuyuki,&nbsp;Hiroya Takeuchi,&nbsp;Kazunori Inuzuka","doi":"10.3400/avd.oa.23-00005","DOIUrl":"10.3400/avd.oa.23-00005","url":null,"abstract":"<p><p><b>Objectives:</b> We aimed to investigate the clinical features of upper extremity deep vein thrombosis (UEDVT). <b>Methods:</b> We retrospectively reviewed the background, thrombus site, treatment, and outcome of 76 UEDVT patients. <b>Results:</b> Of the 76 UEDVT patients, 44 (57.9%) were men, and 51 (67.1%) were complicated by malignancy, 44 (57.9%) had an indwelling central vein (CV) catheter, 8 (10.5%) had concomitant pulmonary embolization (PE), and 33 (43.3%) were symptomatic. Regarding the thrombus site, the right internal jugular vein was the most common, with 30 cases (35.3%). As regards the treatment method, 53 patients (69.7%) received oral anticoagulants. In 2015, when direct oral anticoagulants (DOACs) was covered by insurance, there were 44 UEDVT cases, of which 34 (77.3%) received DOACs. Outcomes at a mean observation period of 37.5±41.5 months included 40 deaths (52.6%) with a mean survival of 16.3±21.3 months. The most common cause of death was malignancy, with 33 cases (82.5%). <b>Conclusion:</b> In the background of UEDVT, the combination of indwelling CV catheter placement and malignancy was frequently observed. While the risk of recurrence or PE complications is low, the prognosis of UEDVT complicated by malignancy is extremely poor.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"16 3","pages":"200-204"},"PeriodicalIF":0.8,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/de/d6/avd-16-3-oa.23-00005.PMC10539128.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41109504","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
Reply. 回复
IF 0.8
Annals of vascular diseases Pub Date : 2023-09-25 DOI: 10.3400/avd.co.23-01001
Kiyoshi Tamura
{"title":"Reply.","authors":"Kiyoshi Tamura","doi":"10.3400/avd.co.23-01001","DOIUrl":"https://doi.org/10.3400/avd.co.23-01001","url":null,"abstract":"We defined diabetes mellitus (DM) as the recent use of antidiabetic drugs, fasting blood glucose >126 mg/dL, and/or hemoglobin A1c >6.5% because 2-h plasma glucose level was a more difficult and time-consuming test to perform than evaluating HbA1c level and fasting plasma glucose. Thus, DM was defined as FPG ≥126 mg/dL, previous diagnosis of diabetes made by a medical doctor, current use of antidiabetic medications, and/or HbA1c ≥6.5%.1) We described that chronic kidney disease (CKD) was defined as having an estimated glomerular filtration rate (eGFR) less than 30 mL/min/1.73 m. In this study, we presented that a person having eGFR less than 30 mL/min/1.73 m was in the stage of near renal failure (Stages 4 and 5 CKD). Moreover, the prevalence of Stage 4 CKD (GFR: 30–15 mL/min/1.73 m2) was also higher in the Japanese general population than in populations of US (for Japan: 0.20% in 2000–20042); for the US: 0.13% in 1999–20003)). One of the post operative major complications in our study was endothermal heat-induced thrombosis (EHIT); however, to classify the injuries, we used only the Kabnick classification. Previously, the American Venous Forum (AVF) reported combining the Kabnick and Lawrence classification into AVF EHIT classification to properly manage and treat EHIT. So, we reported this study in the same way. The purpose of this study was the effectiveness of endovenous radiofrequency ablation (RFA) for older people. Varicose veins in the lower extremities can affect great and small saphenous veins; however, we did not elaborate that in this study because we clarified our purpose. With growing age, healing becomes a slower process. However, we believe that RFA is a minimally invasive therapy. Therefore, healing might not be affected by age. We appreciate these aspects that you pointed out in our study to improve its quality and applicability. We will investigate the further study based on these indications. Further, we hope that you will report more detailed study for RFA.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"16 3","pages":"244"},"PeriodicalIF":0.8,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/4a/avd-16-3-co.23-01001.PMC10539119.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41112232","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
Hemolytic Anemia Occurring 14 Years after Ascending Aortic Replacement for Acute Type A Aortic Dissection Due to Aortic Pseudoaneurysm Derived from Anastomotic Leakage: A Case Report. 吻合口瘘引起的主动脉假性动脉瘤引起的急性A型主动脉夹层升主动脉置换术后14年发生的溶血性贫血:一例报告。
IF 0.8
Annals of vascular diseases Pub Date : 2023-09-25 DOI: 10.3400/avd.cr.23-00008
Keishiro Izaki, Yujiro Kawai, Kanako Kobayashi, Takahito Itoh, Satoshi Ohtsubo
{"title":"Hemolytic Anemia Occurring 14 Years after Ascending Aortic Replacement for Acute Type A Aortic Dissection Due to Aortic Pseudoaneurysm Derived from Anastomotic Leakage: A Case Report.","authors":"Keishiro Izaki,&nbsp;Yujiro Kawai,&nbsp;Kanako Kobayashi,&nbsp;Takahito Itoh,&nbsp;Satoshi Ohtsubo","doi":"10.3400/avd.cr.23-00008","DOIUrl":"10.3400/avd.cr.23-00008","url":null,"abstract":"<p><p>A 64-year-old male patient who presented with symptoms indicative of hemolytic anemia was referred to our hospital. After obtaining the patient's history, it was found that hemolysis occurred 14 years after he underwent ascending aortic replacement for acute type A aortic dissection. Enhanced computed tomography revealed an aortic pseudoaneurysm at the proximal anastomosis, which was thought to be the cause of hemolysis. Furthermore, aortic valve regurgitation and dilatation of the sinus of Valsalva were also found on a transthoracic echocardiogram. Therefore, the Bentall procedure was performed. During the surgery, aortic pseudoaneurysm formation and vascular graft stenosis were observed. The postoperative course was uneventful, and hemolysis diminished soon after the surgery.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"16 3","pages":"226-229"},"PeriodicalIF":0.8,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/bc/avd-16-3-cr.23-00008.PMC10539129.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41116673","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 of Revision Using Distal Inflow in Patients with Symptomatic Dialysis Access-Associated Steal Syndrome. 有症状的透析通路相关Steal综合征患者远端流入翻修术的疗效。
IF 0.8
Annals of vascular diseases Pub Date : 2023-09-25 DOI: 10.3400/avd.oa.23-00043
Rashid Usman, Muhammad Jamil, Rabail Fatima, Minahil Mazhar, Shahid Majeed, Amna Shahab
{"title":"Efficacy of Revision Using Distal Inflow in Patients with Symptomatic Dialysis Access-Associated Steal Syndrome.","authors":"Rashid Usman,&nbsp;Muhammad Jamil,&nbsp;Rabail Fatima,&nbsp;Minahil Mazhar,&nbsp;Shahid Majeed,&nbsp;Amna Shahab","doi":"10.3400/avd.oa.23-00043","DOIUrl":"https://doi.org/10.3400/avd.oa.23-00043","url":null,"abstract":"<p><p><b>Objectives:</b> In this study, we aim to assess the efficacy of revision using distal inflow (RUDI) in patients with symptomatic dialysis access-associated steal syndrome (DASS). <b>Materials and Methods:</b> All consecutive patients who were diagnosed with grade 3 or 4 DASS and have undergone RUDI in 4 years were included in this study. <b>Results:</b> In total, 35 patients were included in this study; participants had a mean age of 47.5±7.52 years and 54% (n=19) were males. As per our findings, significant improvement was noted in terms of paresthesia (81.2%, p-value: 0.012), coolness (79.4%, p-value: 0.006), pain (78.1%, p-value: 0.006), discoloration (76.4%, p-value: 0.044), paresis (71.4%, p-value: 0.016), and ulcer healing (50%, p-value: 0.044). Gangrene did not further progress in all patients (n=35). Reduction in fistula flow rate after RUDI was 57.5% (682±121 ml/min, p-value: 0.001). Digital systolic pressure was noted to improve by 71.4% (60±9.2 mmHg, p-value: 0.002) after RUDI. Peak systolic velocity increased in both ulnar (66.1±8.2 cm/s, p-value: 0.04) and radial (64.2±7.6 cm/s, p-value: 0.024) arteries of the wrist. Cumulative patency of RUDI graft was 100%, 91.4%, and 85.7% at 3, 6, and 12 months, respectively. <b>Conclusion:</b> RUDI has resulted in significant improvements in terms of DASS symptoms. Using a native vein as conduit, RUDI should be considered a procedure of choice for patients with high-flow DASS.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"16 3","pages":"205-209"},"PeriodicalIF":0.8,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2e/df/avd-16-3-oa.23-00043.PMC10539131.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41099190","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
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