Annals of vascular diseases最新文献_第3页

Surgical Outcomes of the Boat-Form Vein Cuff Technique in Peripheral Artery Bypass Grafting. 船形静脉袖技术在外周动脉搭桥术中的手术效果。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-05-30 DOI: 10.3400/avd.oa.24-00134

Shun-Ichiro Sakamoto, Anna Tsuji, Motohiro Maeda, Atsushi Hiromoto, Kenji Suzuki, Jiro Honda, Yosuke Ishii

{"title":"Surgical Outcomes of the Boat-Form Vein Cuff Technique in Peripheral Artery Bypass Grafting.","authors":"Shun-Ichiro Sakamoto, Anna Tsuji, Motohiro Maeda, Atsushi Hiromoto, Kenji Suzuki, Jiro Honda, Yosuke Ishii","doi":"10.3400/avd.oa.24-00134","DOIUrl":"10.3400/avd.oa.24-00134","url":null,"abstract":"Objectives: The venous cuff technique has been used primarily for arterial bypass using artificial grafts to the lower extremities. The boat-form vein cuff was designed to allow adjustment of the size and angle of the anastomosis at any anatomic site. We report our experience and outcomes of the original vein cuff technique in various peripheral artery bypass grafting procedures. Methods: A total of 10 patients underwent arterial bypass grafting using a polytetrafluoroethylene (PTFE) graft with a boat-form venous cuff. The indications for the surgery consisted of peripheral artery disease (n = 4), acute limb ischemia (n = 4), chronic mesenteric ischemia (n = 1), and traumatic upper limb ischemia (n = 1). Five patients required emergency surgery. Surgical outcomes, such as mortality and morbidity, limb salvage rate, and graft patency, were examined using perioperative and postoperative follow-up data. Results: There were no operative deaths or serious complications, including amputation of the lower extremity. During the follow-up period (44 ± 36.9 months), the PTFE graft remained patent in 9 patients (90%). In 1 patient, occlusion of the femoropopliteal bypass graft was observed 3 months after surgery. Conclusions: The simple design and creation of the boat-form vein cuff are useful at any anatomical site in peripheral artery bypass grafting with a PTFE graft.","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/PMC12129623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144207471","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

Renal Stent Graft Migration Following Chimney Endovascular Aneurysm Repair. 烟囱血管内动脉瘤修复后肾支架移植物迁移。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-06-11 DOI: 10.3400/avd.cr.25-00034

Shun-Ichi Kawarai, Yuichi Ono

引用次数: 0

Retrospective Observational Study on Diagnosis and Treatment Trends of DVT in Japan: Japanese Vein Study XXVI. 日本深静脉血栓诊断与治疗趋势的回顾性观察研究：日本静脉研究XXVI。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-08-14 DOI: 10.3400/avd.oa.25-00061

Michihisa Umetsu, Takashi Yamaki, Tomohiro Ogawa, Toshiya Nishibe, Yasushi Shiraishi, Norikazu Yamada, Takashi Matsumoto, Tadashi Nomura, Atsushi Tabuchi, Yugo Yamashita, Hiroko Nemoto, Shinichi Hiromatsu, Makoto Mo

{"title":"Retrospective Observational Study on Diagnosis and Treatment Trends of DVT in Japan: Japanese Vein Study XXVI.","authors":"Michihisa Umetsu, Takashi Yamaki, Tomohiro Ogawa, Toshiya Nishibe, Yasushi Shiraishi, Norikazu Yamada, Takashi Matsumoto, Tadashi Nomura, Atsushi Tabuchi, Yugo Yamashita, Hiroko Nemoto, Shinichi Hiromatsu, Makoto Mo","doi":"10.3400/avd.oa.25-00061","DOIUrl":"10.3400/avd.oa.25-00061","url":null,"abstract":"Objectives: The introduction of direct oral anticoagulants (DOACs) has significantly changed the management of deep vein thrombosis (DVT) in Japan. This study aimed to elucidate recent trend0s in the diagnosis and management of DVT following this shift. Methods: This retrospective observational study involved 154 patients with acute and subacute DVT, and 96 patients with chronic or unknown-onset DVT, diagnosed between October 1 and 31, 2020, across 29 institutions affiliated with the Japanese Society of Phlebology. Data included patient demographics, diagnostic modalities, thrombus location, treatments, and clinical outcomes. Results: The mean age was 70.0 years, and 57.8% of patients were female. Duplex ultrasonography was the predominant diagnostic modality (96.1%). DOACs were prescribed in 64.9% of patients, replacing warfarin and heparin. Compression therapy was used in 41.6% of patients. Soleal vein thrombosis was significantly more common in isolated distal DVT (right: 50.6% vs. 30.0%, p = 0.0082; left: 66.3% vs. 35.2%, p = 0.0001). Major bleeding occurred in 3.2% of patients. Post-thrombotic syndrome was observed in 0.6% of patients with acute/subacute DVT and 12.0% of those with chronic DVT patients. Conclusions: Since the introduction of DOACs, DVT management in Japan has evolved considerably. Periodic multicenter surveys would be beneficial for evaluating long-term outcomes, treatment safety, and evolving clinical practices.","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/PMC12368433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144939601","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

Supplement of Clinical Practice Guidelines for Endovenous Thermal Ablation for Varicose Veins 2019: Laser Ablation of Varicose Tributaries. 2019静脉内热消融治疗静脉曲张临床实践指南补充：激光消融静脉曲张

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-06-06 DOI: 10.3400/avd.gl.25-00053

Masayuki Hirokawa, Junichi Utoh, Satoru Sugiyama, Osamu Suzuki, Takashi Yamamoto, Tomohiro Ogawa, Makoto Mo

{"title":"Supplement of Clinical Practice Guidelines for Endovenous Thermal Ablation for Varicose Veins 2019: Laser Ablation of Varicose Tributaries.","authors":"Masayuki Hirokawa, Junichi Utoh, Satoru Sugiyama, Osamu Suzuki, Takashi Yamamoto, Tomohiro Ogawa, Makoto Mo","doi":"10.3400/avd.gl.25-00053","DOIUrl":"10.3400/avd.gl.25-00053","url":null,"abstract":"In the treatment of saphenous varicose veins with endovenous laser ablation, simultaneous treatment of varicose tributaries using stab avulsion or sclerotherapy is commonly performed. To address the limitations of these conventional treatments, laser ablation for varicose tributaries has recently gained widespread acceptance. This guideline, developed by the Japanese Society of Phlebology, outlines appropriate treatment protocols for laser ablation of varicose tributaries. Indications include primary varicose veins requiring concurrent treatment of the saphenous trunk and varicose tributaries. The procedure utilizes slim radial fibers, with puncture and ablation performed using either short- or long-axis approaches. Although rare, adverse events such as skin burns, nerve injury, and fiber breakage have been reported. A learning curve is necessary to ensure the safe execution of the procedure. Further clinical studies are essential to enhance the safety and efficacy of laser ablation for varicose tributaries. (This is a secondary publication from Jpn J Phlebol 2025; 36: 51-58.).","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/PMC12148710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265063","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

Two-Stage Hybrid Treatment of Residual Inferior Pancreaticoduodenal Artery Aneurysm Following Treatment of Ruptured Superior Pancreaticoduodenal Artery Aneurysm: A Case Report. 上胰十二指肠动脉瘤破裂后残余下胰十二指肠动脉瘤两阶段混合治疗1例。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-05-27 DOI: 10.3400/avd.cr.25-00018

Hodaka Wakisaka, Taiki Kakiuchi, Kohei Hachiro, Noriyuki Takashima, Tetsuya Katsumori, Tomoaki Suzuki

引用次数: 0

Impact of Dementia on the Outcome of Surgical Revascularization for Chronic Limb-Threatening Ischemia. 痴呆对慢性肢体缺血手术血运重建术结果的影响。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-07-09 DOI: 10.3400/avd.oa.25-00040

Atsushi Guntani, Shinsuke Mii, Kimihiro Komori

{"title":"Impact of Dementia on the Outcome of Surgical Revascularization for Chronic Limb-Threatening Ischemia.","authors":"Atsushi Guntani, Shinsuke Mii, Kimihiro Komori","doi":"10.3400/avd.oa.25-00040","DOIUrl":"10.3400/avd.oa.25-00040","url":null,"abstract":"Objectives: Dementia and chronic limb-threatening ischemia (CLTI) are independent risk factors for a poor life prognosis. We investigated the long-term results of surgical revascularization for CLTI complicated by dementia. Methods: The clinical records of 174 consecutive patients with CLTI and 205 revascularized limbs were prospectively collected from a database. According to the criteria for dementia, the patients were divided into a low-grade dementia group (L group, n = 152) and a high-grade dementia group (H group, n = 22), and the long-term results after surgery were retrospectively analyzed. Results: The 2-year amputation-free survival (AFS) after surgery was significantly lower in the H group than in the L group (L group, 82.3%; H group, 39.3%; p <0.001). However, no marked differences were observed between the dementia groups regarding the freedom from major adverse limb event (MALE) (L group, 86.6%; H group, 83.1%; p = 0.103), freedom from major adverse cardiovascular event (MACE) (L group, 75.6%; H group, 71.3%; p = 0.685), and limb salvage (L group, 75.6%; H, group 71.3%; p = 0.685) after surgery. Conclusions: Dementia may be a predictor of a poor prognosis after surgery for CLTI. However, surgical revascularization may lead to limb salvage without serious postoperative complications. Therefore, surgical revascularization may be a useful treatment option if the patient or family requires such treatment.","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/PMC12245535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144607214","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

One-Stage Hybrid Surgery for Complicated Acute Type B Aortic Dissection Involving Distal Arch Aneurysm: A Case Report. 一期混合手术治疗合并远端弓动脉瘤的复杂急性B型主动脉夹层1例。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-08-20 DOI: 10.3400/avd.cr.25-00039

Kenji Kishita, Naoki Washiyama, Yuki Takeuchi, Masahiro Hirano, Ken Yamanaka, Yuko Ohashi, Kazumasa Tsuda, Kazuma Okamoto

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