Annals of vascular diseases最新文献_第2页

Spinal Cord Injury Risk in Open Repair for Descending Thoracic and Thoracoabdominal Aneurysm. 胸腹降部动脉瘤开放性修复术中的脊髓损伤风险。

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-06-19 DOI: 10.3400/avd.oa.24-00028

Masato Furui, Hitoshi Matsumura, Yoshio Hayashida, Go Kuwahara, Mitsuru Fujii, Masayuki Shimizu, Yuichi Morita, Chihaya Ito, Masato Hayama, Kayo Wakamatsu, Hideichi Wada

{"title":"Spinal Cord Injury Risk in Open Repair for Descending Thoracic and Thoracoabdominal Aneurysm.","authors":"Masato Furui, Hitoshi Matsumura, Yoshio Hayashida, Go Kuwahara, Mitsuru Fujii, Masayuki Shimizu, Yuichi Morita, Chihaya Ito, Masato Hayama, Kayo Wakamatsu, Hideichi Wada","doi":"10.3400/avd.oa.24-00028","DOIUrl":"10.3400/avd.oa.24-00028","url":null,"abstract":"Objective: In open repair for descending thoracic aortic aneurysm (DTAA) or thoracoabdominal aortic aneurysm (TAAA), the influence of re-interventions on spinal cord injury (SCI) remains unclear. This study evaluated the relationships between re-interventions, atherosclerosis, and SCI. Methods: We retrospectively reviewed 78 patients who underwent open surgical repair for DTAA or TAAA between April 2011 and May 2023. The associations of SCI with (i) re-interventions with a history of endovascular therapy and graft replacement and (ii) atherosclerotic factors, including monocyte count, triglyceride levels (TG), and intra-aortic plaques, were examined. Results: The rates of SCI complications and 30-day mortality were both 3.8% (3/78). There was no significant difference between the incidence of SCI in the re-intervention and first-time intervention groups (p >0.90). However, patients with protruding plaque on computed tomography (CT) were more affected by SCI than those without (13.3% vs. 1.6%, p = 0.034). Univariate analysis revealed that SCI was associated with increased monocyte count, TG, protruding plaques on CT, and intraoperative blood loss. Conclusion: Re-interventions for DTAA and TAAA showed no association with the development of SCI under appropriate protective measures. The implicated risk factors may be atherosclerosis factors such as elevated monocyte count, TG, and protruding plaques on CT.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 3","pages":"241-247"},"PeriodicalIF":0.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444834/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364048","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

Infrapopliteal Surgical and Endovascular Intervention. 膝下手术和血管内介入治疗。

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-08-02 DOI: 10.3400/avd.ra.24-00070

Akio Kodama

引用次数: 0

Skill Mastery and Learning Curve Analysis in Fenestrated Endovascular Aortic Repair with Physician-Modified Endograft. 使用医生改良的内移植物进行血管内主动脉修补术的技能掌握和学习曲线分析。

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-06-27 DOI: 10.3400/avd.oa.24-00037

Hiroshi Mitsuoka, Yasuhiko Terai, Yuta Miyano, Takahiro Ozawa, Takahiro Suzuki

{"title":"Skill Mastery and Learning Curve Analysis in Fenestrated Endovascular Aortic Repair with Physician-Modified Endograft.","authors":"Hiroshi Mitsuoka, Yasuhiko Terai, Yuta Miyano, Takahiro Ozawa, Takahiro Suzuki","doi":"10.3400/avd.oa.24-00037","DOIUrl":"10.3400/avd.oa.24-00037","url":null,"abstract":"Objectives: This study aims to delineate the unique learning curve for fenestrated endovascular aortic repair (FEVAR) at our institution. Materials and Methods: We measured the FEVAR-specific procedure time (FSPT) as the duration from device deployment to bridging stent completion. To maintain consistency in technical complexity, the study focused on 38 cases with four-fenestration FEVAR for juxtarenal abdominal aortic aneurysms, selected from 103 of all FEVAR procedures between June 2011 and February 2024. In these cases, superior mesenteric and bilateral renal arteries were preserved with fenestration with bridging stents insertion, while celiac arteries fenestrations without fenestrations. Learning curve and cumulative sum (CUSUM) analyses assessed FSPT reduction against increased FEVAR experiences. Results: A significant learning curve was observed, with the procedure time (y) and experience (X) correlation given by y = -39.95 log(X) + 283.6 (R2 = 0.5758). CUSUM indicated that 30 to 50 cases were required for skill stabilization and maturation. Conclusion: Our endovascular team required 30-50 cases to establish reliable FEVAR proficiency. Beyond cumulative experiences, pivotal elements in the learning trajectory seemed to include technological advancements and team augmentation.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 3","pages":"264-269"},"PeriodicalIF":0.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364046","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 Acute Aortic Occlusion Occurring in Association with COVID-19 Infection and Ulcerative Colitis. 一例急性主动脉闭塞并发 COVID-19 感染和溃疡性结肠炎的病例

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-06-01 DOI: 10.3400/avd.cr.24-00007

Moeka Yagi, Naoyuki Kimura, Mitsunori Nakano, Naota Okabe, Manabu Shiraishi, Homare Okamura, Hisashi Oshiro, Atsushi Yamaguchi

引用次数: 0

Coronary-Pulmonary Artery Fistula Provides Collateral Flow to an Occluded Left Anterior Descending Artery. 冠状动脉-肺动脉瘘为闭塞的左前降支动脉提供侧支血流

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-07-02 DOI: 10.3400/avd.cr.23-00113

Baku Takahashi, Hideyuki Fumoto, Yoshihiro Nakayama

引用次数: 0

Collapse and Occlusion of Balloon-Expandable Covered Stent in the Right Common Iliac Arteries Due to External Stress. 外部压力导致右髂总动脉球囊扩张型带盖支架塌陷和闭塞。

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-07-06 DOI: 10.3400/avd.cr.24-00038

Seimei Go, Taira Kobayashi, Taiichi Takasaki, Shinya Takahashi

引用次数: 0

Major Lower Limb Amputation for Chronic Limb-Threatening Ischemia Is Associated with Poor Long-Term Survival: 4-Year Follow-Up of a Single-Center Experience. 因慢性肢体缺血而进行下肢大截肢与长期存活率低有关：单中心 4 年随访经验。

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-07-06 DOI: 10.3400/avd.oa.23-00078

Thushan Gooneratne, Rezni Cassim, Mandika Wijeyaratne

{"title":"Major Lower Limb Amputation for Chronic Limb-Threatening Ischemia Is Associated with Poor Long-Term Survival: 4-Year Follow-Up of a Single-Center Experience.","authors":"Thushan Gooneratne, Rezni Cassim, Mandika Wijeyaratne","doi":"10.3400/avd.oa.23-00078","DOIUrl":"10.3400/avd.oa.23-00078","url":null,"abstract":"Objective: Despite advances in medicine, 30% of patients with chronic limb-threatening ischemia (CLTI) require major lower limb amputation (MLLA). The long-term outcome of this cohort is poorly described. Methods: In all, 154 patients undergoing MLLA for CLTI during 2018-2020 were analyzed for short-term and long-term outcomes and prosthesis use. Results: In total, 106 below-knee amputations and 48 above-knee amputations were followed up for a mean duration of 50 months (37-78). The mean age of the cohort was 63 years. The majority were male (60%) with multiple comorbidities, including diabetes (83.8%), hypertension (49.4%), ischemic heart disease (20%), and smoking (32.5%). An equal proportion underwent MLLA as primary (45%) or secondary (55%). 30-day mortality was 6%. The mean length of in-hospital stay was 18 days (3-56). Overall survival rates at 1st, 2nd, and 4th year were 73%, 64%, and 35%, respectively. On a multivariate regression analysis, a higher level of amputation had a significant impact on mortality (p = 0.015). 54% of amputees had a prosthetic limb. However, the primary use of prosthesis was for cosmesis, with only 12% mobile independently. Conclusions: MLLA for CLTI is associated with poor early and long-term survival. Prosthesis use and mobility are extremely poor in the Sri Lankan context.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 3","pages":"234-240"},"PeriodicalIF":0.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364039","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

Mid-Term Outcomes Following TEVAR for Chronic Type B Aortic Dissection. 慢性 B 型主动脉夹层 TEVAR 术后的中期疗效。

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-08-21 DOI: 10.3400/avd.oa.24-00078

Masato Ohno, Nobuya Zempo, Yuki Jinzai, Hideki Sakashita, Tomohiko Uetsuki, Takayuki Okada

{"title":"Mid-Term Outcomes Following TEVAR for Chronic Type B Aortic Dissection.","authors":"Masato Ohno, Nobuya Zempo, Yuki Jinzai, Hideki Sakashita, Tomohiko Uetsuki, Takayuki Okada","doi":"10.3400/avd.oa.24-00078","DOIUrl":"10.3400/avd.oa.24-00078","url":null,"abstract":"Objective: To evaluate the mid-term outcomes following thoracic endovascular aortic repair (TEVAR) for chronic type B aortic dissection (TBD), especially to know which re-entry closure affects the thoracic false lumen remodeling in the late chronic TBD. Methods: From April 2017 to April 2022, 25 patients with chronic TBD underwent TEVAR. The late chronic TBD received the re-entry closure including stent-graft deployment in the renal artery, infrarenal aorta, and unilateral or bilateral iliac artery. Results: Complete shrinkage of the thoracic false lumen was accomplished in 67% of the early chronic cases but only 13% of the late chronic cases. The thoracic false lumen shrinkage over 5 mm in diameter was obtained in 78% of the early chronic cases and 69% of the late chronic cases. Univariate and multiple logistic regression analyses revealed the re-entry closure of common or external iliac artery affects the thoracic false lumen remodeling. Conclusion: The re-entry closure in the common or external iliac artery could affect the thoracic false lumen remodeling following TEVAR for the late chronic TBD. (This is a translation of Jpn J Vasc Surg 2023; 32: 351-356).","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 3","pages":"222-227"},"PeriodicalIF":0.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364040","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

Neutrophil-Lymphocyte Ratio as a Predictor of Persistent Type 2 Endoleak after Endovascular Aneurysm Repair. 中性粒细胞-淋巴细胞比率作为血管内动脉瘤修补术后持续存在的 2 型内膜渗漏的预测因子

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-06-29 DOI: 10.3400/avd.oa.24-00016

Toru Kikuchi, Toshifumi Kudo, Yohei Yamamoto

{"title":"Neutrophil-Lymphocyte Ratio as a Predictor of Persistent Type 2 Endoleak after Endovascular Aneurysm Repair.","authors":"Toru Kikuchi, Toshifumi Kudo, Yohei Yamamoto","doi":"10.3400/avd.oa.24-00016","DOIUrl":"10.3400/avd.oa.24-00016","url":null,"abstract":"Objectives: One of the important postoperative complications of endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) is type 2 endoleak (T2EL). However, there is no well-established biomarker. We aimed to evaluate the validity of the neutrophil-lymphocyte ratio (NLR) as a predictor of T2EL. Methods: Data were retrospectively collected from 146 patients who underwent EVAR for AAA at our institution between April 1, 2008 and March 31, 2021. Within 90 days before surgery, preoperative NLR was calculated from the same blood sample. The receiver operating characteristic curve (ROC) was used to determine the cutoff NLR values for persistent T2EL. Univariate and multivariate analyses were performed. Results: Compared with patients without persistent T2EL, those who had persistent T2EL had lower preoperative NLR (P = 0.041), based on a cutoff value of 1.918, and the entire group was then divided into two groups based on these values for comparison. Univariate analysis showed significant differences in NLR, the white blood cell (WBC) count, the percentage of mural thrombus of aneurysm, history of the hypertension, follow-up term, and aneurysm diameter at final follow-up. Multivariate analysis showed that NLR and AAA diameter on the last follow-up were significantly associated with T2EL persistence. Conclusions: Preoperative low NLR can be a useful predictor of postoperative persistent T2EL.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 3","pages":"255-263"},"PeriodicalIF":0.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364041","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

Resection of Giant Mycotic Aneurysm in the Tibioperoneal Trunk by Posterior Approach in a Prone Position with Air Tourniquet. 用空气止血带俯卧位从后方入路切除胫骨主干巨大霉菌性动脉瘤

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-06-13 DOI: 10.3400/avd.cr.24-00021

Ryo Ikeda, Genta Chikazawa, Arudo Hiraoka, Satoru Kishimoto, Yuki Yoshioka, Hidenori Yoshitaka

引用次数: 0