Annals of vascular diseases最新文献_第2页

Clinical Outcomes after Revascularization in Patients with Chronic Limb-Threatening Ischemia. 慢性肢体缺血患者血运重建术后的临床结果。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-01-20 DOI: 10.3400/avd.ra.24-00135

Akio Kodama

{"title":"Clinical Outcomes after Revascularization in Patients with Chronic Limb-Threatening Ischemia.","authors":"Akio Kodama","doi":"10.3400/avd.ra.24-00135","DOIUrl":"10.3400/avd.ra.24-00135","url":null,"abstract":"Chronic limb-threatening ischemia (CLTI) occurs in the advanced stage of peripheral artery disease and is associated with high risks of mortality and amputation. Universal management strategies are not always applicable, owing to population diversity, and the Western trials may not be applicable to Japanese patients, owing to differences in demographics and clinical profiles. This paper examines the outcomes of revascularization in Japanese CLTI patients and emphasizes the benefits of tailored management. Post-hoc analysis of the bypass versus angioplasty in severe ischemia of the leg (BASIL)-1 trial validated the use of the Global Limb Anatomic Staging System for predicting the outcomes of endovascular therapy (EVT) but not bypass surgery (BS). The SPINACH (surgical reconstruction versus peripheral intervention in patients with critical limb ischemia) registry revealed comparable 3-year amputation-free survival rates between patients who underwent EVT and those who underwent BS, with patient-specific factors such as limb status and general health influencing its success. Revascularization improved the quality of life, but benefits declined over time, especially in non-ambulatory and older patients on dialysis. Surgical reconstruction is better for preserving ambulation. Retrospective studies revealed pedal branch artery bypass as a viable option, functional independence as a predictor of survival, and zinc supplementation as promising for wound healing. Future research should focus on refining these strategies and exploring innovative approaches to overcome persistent challenges in CLTI care.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"18 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057712","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

Metagenomic Analysis of Gut Microbiota for Abdominal Aortic Aneurysm. 腹主动脉瘤患者肠道微生物群的宏基因组分析。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-01-07 DOI: 10.3400/avd.oa.24-00105

Eisaku Ito, Takao Ohki, Naoki Toya, Takuo Emoto, Tomoya Yamashita, Tomomi Sugiyama, Takuji Yamada, Hiroshi Mori, Atsushi Toyoda, Ken-Ichi Hirata

{"title":"Metagenomic Analysis of Gut Microbiota for Abdominal Aortic Aneurysm.","authors":"Eisaku Ito, Takao Ohki, Naoki Toya, Takuo Emoto, Tomoya Yamashita, Tomomi Sugiyama, Takuji Yamada, Hiroshi Mori, Atsushi Toyoda, Ken-Ichi Hirata","doi":"10.3400/avd.oa.24-00105","DOIUrl":"10.3400/avd.oa.24-00105","url":null,"abstract":"Objectives: The pathophysiological mechanism of abdominal aortic aneurysm (AAA) remains unclear. We previously reported that Bifidobacterium adolescentis levels were reduced in the feces of patients with AAA by 16S ribosomal ribonucleic acid (RNA) gene sequencing. In this study, we increased the number of cases and conducted metagenomic analyses to examine bacterial genes associated with the pathophysiology of AAA. Methods: For gut microbiota data, feces from 55 patients with AAA and 52 patients with no history of AAA, lower extremity artery disease, or coronary artery disease (control group) were collected. Metagenomic analysis was performed by collecting raw stool samples from patients. For intestinal microbiota analysis, metagenomic analysis of the fecal samples was performed. Results: Oral bacteria, including Actinomyces oris (p <0.0001), Streptococcus salivarius (p <0.001), Lactobacillus salivarius (p <0.001), and Streptococcus sp. (p <0.001), were increased in the feces of patients with AAA. In addition, bacterial genes related to alpha lipoic acid (ALA) biosynthesis (M00882, M00883, and M00884, p <0.0001) were decreased in patients with AAA. Conclusions: In the feces of patients with AAA, there was an increase in oral bacteria, and the expression of bacterial genes related to ALA biosynthesis was reduced. The results suggest the possibility of developing gut microbial drug treatments for AAA.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"18 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11771153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057715","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

Successful Hybrid Endovascular and Open Approach for Exclusion of a Left Subclavian Artery Aneurysm. 血管内和开放混合入路成功切除左锁骨下动脉瘤。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-05-17 DOI: 10.3400/avd.cr.24-00139

Kotaro Mukasa, Yasunori Yakita, Ryosuke Marushima, Shinichiro Abe, Soichi Asano

引用次数: 0

Laparoscopic Resection of an Unruptured Aneurysm of the Right Gastric Artery. 腹腔镜下胃右动脉未破裂动脉瘤切除术。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-02-12 DOI: 10.3400/avd.cr.24-00091

Keiichiro Kawamura, Munetaka Hashimoto, Hiroko Sato, Shinichiro Horii, Atsumi Kosaka, Yoshihisa Tamate, Yuji Goukon

引用次数: 0

Endovascular Therapy as an Emerging Paradigm for the Treatment of Popliteal Artery Thrombosis Following Total Knee Arthroplasty: A New Approach to Acute Limb Ischemia Management. 血管内治疗作为全膝关节置换术后腘动脉血栓形成的新模式：急性肢体缺血管理的新途径。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-02-05 DOI: 10.3400/avd.oa.24-00068

Tammiraju Iragavarapu, Gurrala Kartheek Krishna, Subhendra Nath Sobhanadri, Aditya Kota, V Venkata Sushma

{"title":"Endovascular Therapy as an Emerging Paradigm for the Treatment of Popliteal Artery Thrombosis Following Total Knee Arthroplasty: A New Approach to Acute Limb Ischemia Management.","authors":"Tammiraju Iragavarapu, Gurrala Kartheek Krishna, Subhendra Nath Sobhanadri, Aditya Kota, V Venkata Sushma","doi":"10.3400/avd.oa.24-00068","DOIUrl":"10.3400/avd.oa.24-00068","url":null,"abstract":"Objectives: The objective of this research was to examine the occurrence, clinical features, treatment approaches, and results associated with a rare complication of thrombosis of the popliteal artery after total knee arthroplasty (TKA), leading to acute limb ischemia (ALI). Methods: A retrospective study on 1020 TKA procedures spanning 5 years. Cases of ALI were identified through clinical evaluation and arterial Doppler studies. Peripheral angioplasty was done to recanalize the popliteal artery. Manifestations, complications, and management strategies were evaluated. Results: Among the 1020 TKA cases, 5 cases of ALI were identified which accounts for 0.49% of all TKA cases. Female predominance and left-sided presentations are notable observations. Most patients presented within 8 hours of symptom onset with diverse complications ranging from foot drop to compartment syndrome. Except for 1 case, all patients recovered with thrombosuction and balloon dilatation. Conclusions: A rare but potentially fatal complication of TKA is popliteal artery thrombosis leading to ALI so it becomes important for early recognition and intervention to mitigate the adverse outcomes. In our study, endovascular treatment has emerged as the preferred modality in terms of effective management and reducing complications and morbidity from surgical procedures.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"18 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11807706/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381580","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 Multifaceted Approach to Abdominal Aortic Aneurysm. 腹主动脉瘤的多面入路。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-01-21 DOI: 10.3400/avd.ra.24-00137

Katsuyuki Hoshina

引用次数: 0

Acute Effect of Two Different Hand Exercises on Vessel Size in Patients Undergoing Arteriovenous Fistula Creation. 两种不同的手部运动对动静脉造瘘患者血管大小的急性影响。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-04-17 DOI: 10.3400/avd.oa.24-00136

Yuthapong Wongmahisorn, Pong Kanchanasuttirak, Waigoon Stapanavatr, Yupadee Fusakul

{"title":"Acute Effect of Two Different Hand Exercises on Vessel Size in Patients Undergoing Arteriovenous Fistula Creation.","authors":"Yuthapong Wongmahisorn, Pong Kanchanasuttirak, Waigoon Stapanavatr, Yupadee Fusakul","doi":"10.3400/avd.oa.24-00136","DOIUrl":"https://doi.org/10.3400/avd.oa.24-00136","url":null,"abstract":"Objectives: We primarily aimed to compare the acute effects of hand-squeezing exercises, with and without tourniquet-like compression, on vessel size 5 minutes post-exercise in patients after arteriovenous fistula (AVF) creation. The secondary aim was to assess differences in AVF blood flow rates between the 2 interventions. Methods: A randomized study was conducted at a university hospital in Bangkok, Thailand, from October 2018 to September 2023. Seventy-eight participants, 2 weeks post-first-time autogenous AVF creation, were randomized into 2 groups: a non-compression group (n = 39) performing 5 minutes of hand-squeezing exercises and a compression group (n = 39) performing the same exercises with tourniquet-like compression. Ultrasound measured venous diameter and blood flow rates pre- and post-exercise. Results: Both groups showed increased venous diameter, but the difference between the groups was not statistically significant (mean difference: 0.18 mm with compression vs. 0.12 mm without; P = 0.489). Blood flow rates increased significantly in the compression group compared to the non-compression group (mean difference: 171.49 vs. 24.44 mL/min; P = 0.002). Conclusion: Hand-squeezing exercises with tourniquet-like compression significantly improved AVF blood flow rates acutely, supporting its potential to enhance AVF maturation. Further research is needed to assess long-term benefits.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"18 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143966808","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

Predicting Early Mortality after Thoracic Endovascular Aneurysm Repair: A Machine Learning-Based Decision Tree Analysis. 预测胸腔血管内动脉瘤修复后的早期死亡率：基于机器学习的决策树分析。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-05-23 DOI: 10.3400/avd.oa.25-00009

Masaki Kano, Toshiya Nishibe, Tsuyoshi Iwasa, Seiji Matsuda, Shinobu Akiyama, Toru Iwahashi, Shoji Fukuda, Yusuke Shimahara, Masayasu Nishibe

{"title":"Predicting Early Mortality after Thoracic Endovascular Aneurysm Repair: A Machine Learning-Based Decision Tree Analysis.","authors":"Masaki Kano, Toshiya Nishibe, Tsuyoshi Iwasa, Seiji Matsuda, Shinobu Akiyama, Toru Iwahashi, Shoji Fukuda, Yusuke Shimahara, Masayasu Nishibe","doi":"10.3400/avd.oa.25-00009","DOIUrl":"https://doi.org/10.3400/avd.oa.25-00009","url":null,"abstract":"Objectives: Thoracic endovascular aneurysm repair (TEVAR) has revolutionized the treatment of thoracic aortic aneurysms (TAA) by providing a less invasive alternative to open surgery. This study aims to identify risk factors for early mortality following TEVAR for degenerative TAA using a machine learning-based decision tree analysis (DTA). Methods: This retrospective observational study analyzed 79 patients who underwent elective TEVAR to identify predictors of early mortality (within 2 years) using decision tree analysis. The dataset included 36 variables, covering age, sex, nutritional status, comorbidities, inflammation, immune status, and surgical details. The decision tree classifier was developed and validated using Python 3.7 with the scikit-learn toolkit. Results: DTA identified octogenarian status as the strongest predictor of early mortality, followed by poor nutritional status, debranching procedures, and compromised immunity. The model identified 7 terminal nodes, with early mortality risk ranging from 0% to 77.7%. It demonstrated moderate accuracy (65.8%) and high sensitivity (81.0%) but had relatively low specificity (60.3%), effectively identifying high-risk patients. Conclusions: Machine learning-based DTA identified key predictors of early mortality following TEVAR, including octogenarian status, poor nutritional status, compromised immunity, and debranching procedures. The model provides an interpretable risk stratification tool, but its clinical applicability requires further validation.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"18 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12117201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144172457","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

Common Femoral Artery Aneurysm: A Rare Manifestation of Immunoglobulin G4-Related Disease. 普通股动脉动脉瘤：免疫球蛋白g4相关疾病的一种罕见表现。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-04-03 DOI: 10.3400/avd.cr.25-00014

Masaru Yoshikai, Hisashi Sato, Akito Kuwano, Naoyo Nishida

引用次数: 0

Invasion of Diffuse Large B-Cell Lymphoma to Right Axillary Arterial Graft. 弥漫性大b细胞淋巴瘤对右腋窝动脉移植物的侵袭。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-03-25 DOI: 10.3400/avd.cr.24-00132

Koki Yokawa, Yukihiro Imai, Taku Nakagawa, Makoto Kusakizako, Yosuke Tanaka, Tomonori Higuma, Kazunori Yoshida, Yoshihiro Oshima, Hidefumi Obo, Hidetaka Wakiyama

引用次数: 0