Annals of vascular diseases最新文献_第3页

Abdominal Aortic Aneurysm with Primary Cold Agglutinin Disease Treated with Endovascular Aortic Repair. 血管内主动脉修复术治疗原发性冷凝素病腹主动脉瘤。

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Annals of vascular diseases Pub Date : 2025-01-01 DOI: 10.3400/avd.cr.24-00107

Shinichi Tanaka, Takahiro Ohmine, Ryota Imanaka, Takashi Maeda

引用次数: 0

Clinical Management of Peri-Aortitis Following Endovascular Aortic Repair for Abdominal Aortic Aneurysm. 腹主动脉瘤血管内修复术后主动脉周围炎的临床处理。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-05-13 DOI: 10.3400/avd.oa.24-00143

Yuriko Takeuchi, Noriyasu Morikage, Ryunosuke Sakamoto, Takahiro Mizoguchi, Makoto Samura, Takasuke Harada, Hiroshi Kurazumi, Ryo Suzuki, Kotaro Suehiro, Kimikazu Hamano

{"title":"Clinical Management of Peri-Aortitis Following Endovascular Aortic Repair for Abdominal Aortic Aneurysm.","authors":"Yuriko Takeuchi, Noriyasu Morikage, Ryunosuke Sakamoto, Takahiro Mizoguchi, Makoto Samura, Takasuke Harada, Hiroshi Kurazumi, Ryo Suzuki, Kotaro Suehiro, Kimikazu Hamano","doi":"10.3400/avd.oa.24-00143","DOIUrl":"https://doi.org/10.3400/avd.oa.24-00143","url":null,"abstract":"Objectives: Peri-aortitis following endovascular aneurysm repair (EVAR) is a rare phenomenon with unclear pathogenesis. In this study, we investigated its clinical features and sac prognosis. Methods: A retrospective analysis was conducted on 1369 EVAR. Peri-aortitis was defined using post-EVAR computed tomography. Clinical and imaging data were assessed. Results: Peri-aortitis following EVAR was identified in 12 patients (0.89%) with a mean age of 74 ± 8.9 years; 83.3% were male, and 41.7% had allergic or autoimmune histories. There were eight symptomatic cases (66.7%), including seven with fever, three with back or abdominal pain, and one with hydronephrosis. Precautionary antibiotic treatment was administered in five febrile cases. Although persistent and recurrent inflammation was observed in two cases (16.7%) each, inflammation resolved spontaneously in seven patients (58.3%). One (8.3%) needed steroid therapy for severe back pain. Aneurysm shrinkage was observed in seven cases (58.3%), while enlargement was noted in one case (8.3%) with type II endoleak. No correlation was found between aneurysm growth and peri-aortitis development. Conclusions: Peri-aortitis following EVAR may present significant challenges, including differentiation from infection, management of symptomatic cases requiring medical therapy, and addressing recurrences. Accurate diagnosis, individualized treatment, and meticulous follow-up are essential for favorable outcomes.","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/PMC12078785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144075047","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

Intravenous Leiomyomatosis of the Uterus Extending to the Right Atrium: A Case Report. 静脉内子宫平滑肌瘤病延伸至右心房1例报告。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-01-21 DOI: 10.3400/avd.cr.24-00084

Kaori Katsumata, Yasunori Iida, Kento Kuroo, Yu Inaba, Takahisa Miki, Takashi Hachiya, Hideyuki Shimizu

引用次数: 0

The Effectiveness of Surgical Thrombectomy via Below-Knee Popliteal Artery for the Treatment of Acute Limb Ischemia. 经膝下腘动脉取栓治疗急性肢体缺血的疗效观察。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-01-21 DOI: 10.3400/avd.oa.24-00115

Kentaro Kasa, Takao Ohki, Kota Shukuzawa, Soichiro Fukushima, Hirotsugu Ozawa, Makiko Omori, Yoshihiko Chono, Hiromasa Tachihara

{"title":"The Effectiveness of Surgical Thrombectomy via Below-Knee Popliteal Artery for the Treatment of Acute Limb Ischemia.","authors":"Kentaro Kasa, Takao Ohki, Kota Shukuzawa, Soichiro Fukushima, Hirotsugu Ozawa, Makiko Omori, Yoshihiko Chono, Hiromasa Tachihara","doi":"10.3400/avd.oa.24-00115","DOIUrl":"10.3400/avd.oa.24-00115","url":null,"abstract":"Objectives: Surgical thrombectomy has been established as an effective treatment for acute limb ischemia (ALI). Nevertheless, manipulation via the common femoral artery (CFA) to retrieve thrombus in the infra-popliteal artery sometimes proves less effective. Methods: We retrospectively reviewed patients undergoing surgical thrombectomy for infra-inguinal ALI from January 2010 to December 2022. The primary endpoint was the rate of amputation. Secondary endpoints were technical and clinical success rates, incidence of distal embolism, and freedom from reintervention. Results: A total of 35 patients underwent surgical thrombectomy where the popliteal artery or below is occluded. The CFA approach was utilized in 13, and the below-knee popliteal artery (BKPA) approach in 22. There were no differences in background between groups. The reintervention rate was lower in the BKPA group (BKPA group: 0% vs. CFA group: 30.8%; P = 0.01). The BKPA group showed a significantly lower incidence of distal embolism (BKPA group: 4.5% vs. CFA group: 38.5%; P = 0.02) and freedom from reintervention (BKPA group 100% at 12 months vs. CFA group: 68.7% at 12 months; log-rank P = 0.01). Conclusions: The BKPA approach-first strategy for surgical thrombectomy in the management of ALI is feasible with better outcomes compared with the CFA approach.","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/PMC11774520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057717","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

Endovascular Repair of Iliac Aneurysms Using the Gore Iliac Branch Endoprosthesis with Up-and-Over Technique. 血管内修复髂动脉瘤的戈尔髂分支内假体与上翻技术。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-03-04 DOI: 10.3400/avd.oa.24-00114

Takuya Shimizu, Miho Kamakura, Yoshihisa Murata, Kazuhiro Ota, Miki Takeda, Wakiko Hiranuma, Takayuki Matsuoka, Tadanori Minagawa, Shunsuke Kawamoto

{"title":"Endovascular Repair of Iliac Aneurysms Using the Gore Iliac Branch Endoprosthesis with Up-and-Over Technique.","authors":"Takuya Shimizu, Miho Kamakura, Yoshihisa Murata, Kazuhiro Ota, Miki Takeda, Wakiko Hiranuma, Takayuki Matsuoka, Tadanori Minagawa, Shunsuke Kawamoto","doi":"10.3400/avd.oa.24-00114","DOIUrl":"10.3400/avd.oa.24-00114","url":null,"abstract":"Objectives: The Gore iliac branch endoprosthesis (IBE) enables internal iliac artery (IIA) reconstruction, extending the indications of endovascular aneurysmal repair (EVAR); however, the up-and-over technique is challenging. This study aimed to clarify the advantages and procedural limitations of the up-and-over technique. Methods: From January 2019 to October 2022, 22 patients who underwent IIA reconstruction with Gore IBE were enrolled. The patients were divided into the S and Up groups that underwent IIA reconstruction using the standard and up-and-over techniques, respectively. Aortic anatomic measurements, surgical factors, and postoperative outcomes were examined. Results: No significant differences in operative time, fluoroscopy time, contrast medium use, blood loss volume, and length of postoperative hospital stay were observed between the S (12 patients) and Up (10 patients) groups. However, the distance from the lower renal artery to the reconstructed IIA origin was considerably shorter in the Up group than in the S group. During the 19-month follow-up, no adverse events were observed in the Up group. Conclusions: The up-and-over technique can be a valuable option for cases where IIA reconstruction is difficult with standard procedures with Gore IBE. Therefore, understanding the procedural precautions and ensuring safety are crucial to its success.","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/PMC11885932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143584403","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

2021 JAPAN Chronic Limb Threatening Ischemia Database (JCLIMB) Annual Report. 2021日本慢性肢体威胁缺血数据库（JCLIMB）年度报告。

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Annals of vascular diseases Pub Date : 2024-12-25 Epub Date: 2024-10-16 DOI: 10.3400/avd.ar.24-00106

{"title":"2021 JAPAN Chronic Limb Threatening Ischemia Database (JCLIMB) Annual Report.","authors":"","doi":"10.3400/avd.ar.24-00106","DOIUrl":"10.3400/avd.ar.24-00106","url":null,"abstract":"Since 2013, the Japanese Society for Vascular Surgery has started the project of nationwide registration and tracking database for patients with critical limb ischemia (CLI) who are treated by vascular surgeons. The purpose of this project is to clarify the current status of the medical practice for patients with CLI to contribute to the improvement of the quality of medical care. This database is created on the National Clinical Database (NCD) and collects data on patients' backgrounds, therapeutic measures, early results, and long-term prognoses as long as 5 years after the initial treatment. The name of this database was changed from the JAPAN Critical Limb Ischemia Database to the JAPAN Chronic Limb Threatening Ischemia Database in 2021 because of the alteration of the definition of registered patients. The abbreviation remains JCLIMB. The limbs managed conservatively are also registered in JCLIMB, together with those treated by surgery and/or endovascular treatment (EVT). In 2021, 1338 CLTI limbs (male 916 limbs: 68%) were registered by 78 facilities. Arteriosclerosis obliterans (ASO) has accounted for 99% of the pathogenesis of these limbs. In this manuscript, the background data and the early prognosis of the registered limbs of the ASO cohort are reported. (This is a translation of Jpn J Vasc Surg 2024; 33: 229-250.).","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 4","pages":"488-507"},"PeriodicalIF":0.6,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891372","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

Single-Center Experience in Treating Peripheral Vascular Injuries in Vietnamese Children. 越南儿童外周血管损伤的单中心治疗经验。

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Annals of vascular diseases Pub Date : 2024-12-25 Epub Date: 2024-11-06 DOI: 10.3400/avd.oa.24-00042

Thang Ngoc Duong, Quyen Tu Vu Doan, Long Hoang Vo, Hung Quoc Doan

{"title":"Single-Center Experience in Treating Peripheral Vascular Injuries in Vietnamese Children.","authors":"Thang Ngoc Duong, Quyen Tu Vu Doan, Long Hoang Vo, Hung Quoc Doan","doi":"10.3400/avd.oa.24-00042","DOIUrl":"10.3400/avd.oa.24-00042","url":null,"abstract":"Objectives: We report our hospital-based experience in management strategies and outcomes for pediatric extremity vascular trauma at a major trauma center. Methods: A retrospective chart review was conducted on patients under 18 with extremity vascular injuries who had surgery between May 2021 and February 2023. Results: Among 46 children, 16 (34.8%) had upper extremity injuries, while 30 (65.2%) had lower extremity injuries. Blunt trauma mechanism (82.6%) was dominant, followed by penetrating (17.4%). In all, 34 patients (73.9%) had at least 1 extremity injury, including 14 open fractures. 58.9% of patients did not present with acute ischemic syndrome. Regarding vascular repair, 16 patients (34.8%) underwent direct revascularization, 13 (28.3%) cases involved arterial dilatation using a Fogarty catheter, 9 patients (19.5%) had vascular repair using the great saphenous vein, and 1 case had cephalic and basilic venous repair using an allograft vein. Six patients had a temporary external fixation for complex lower limb fractures. One patient had a secondary amputation after a popliteal injury. One death was documented (2.7%). Conclusions: Blunt trauma poses challenges in pediatric cases. Vascular surgeons must consider children's future growth. Early diagnosis and treatment by experienced vascular surgeons at major surgical centers can lower mortality and amputation rates.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 4","pages":"378-382"},"PeriodicalIF":0.6,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891454","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

Clearing Disseminated Venous Thromboembolism in a Single Procedure Using Thrombolytic-Free Large Bore Suction Thrombectomy: A Versatile Toolbox to Unclog the Venous Circulation. 利用无溶栓剂的大口径吸栓术清除弥散性静脉血栓栓塞：一个通用性工具箱来疏通静脉循环。

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Annals of vascular diseases Pub Date : 2024-12-25 Epub Date: 2024-10-24 DOI: 10.3400/avd.cr.24-00069

Pipin Kojodjojo, Edgar Tay, Gim Chuah Chua, Victor Lee

引用次数: 0

A Case of Arterial Bypass for Extensive Stenosis of the Ulnar Artery and Superficial Palmar Arch due to Hypothenar Hammer Syndrome. 下鱼际锤综合征所致尺动脉及掌浅弓广泛狭窄行动脉旁路治疗1例。

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Annals of vascular diseases Pub Date : 2024-12-25 Epub Date: 2024-09-10 DOI: 10.3400/avd.cr.24-00060

Fumikazu Tamura, Kaoru Sasaki, Junya Oshima, Yoichiro Shibuya, Masahiro Sasaki, Yukiko Aihara, Mitsuru Sekido

引用次数: 0

Foundational Image Analyses for Ultrasonographic Screening of Abdominal Aortic Aneurysm. 腹主动脉瘤超声筛查的基础影像学分析。

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Annals of vascular diseases Pub Date : 2024-12-25 Epub Date: 2024-09-13 DOI: 10.3400/avd.oa.24-00059

Kazumasa Orihashi

{"title":"Foundational Image Analyses for Ultrasonographic Screening of Abdominal Aortic Aneurysm.","authors":"Kazumasa Orihashi","doi":"10.3400/avd.oa.24-00059","DOIUrl":"10.3400/avd.oa.24-00059","url":null,"abstract":"Objectives: With improved surgical outcomes for non-ruptured abdominal aortic aneurysm (AAA), the primary objective has shifted toward the detection of asymptomatic AAA. Since ultrasonographic visualization from the anterior abdominal wall is often obstructed by intestinal gas, utilizing additional bilateral posterior approaches via the retroperitoneal tissue may be beneficial. This study investigates the feasibility of assessment using three approaches through computed tomography (CT) data analyses. Methods: The study included 27 surgical patients with AAA (AAA group) and 37 patients with other atherosclerotic diseases (non-AAA group). CT data were analyzed to locate the infrarenal aorta relative to the navel, availability of acoustic window, depth of the aorta, and assessment of aneurysmal aorta using three approaches. Results: The \"AAA area\" for ultrasonographic screening may be set at 0-4 cm above the navel. An acoustic window was unavailable in 8.1% of AAA cases and 7.4% of non-AAA cases in the anterior approach; however, it was available in the posterior approach. Although the depth of the aorta was greater in obese patients, it remained within 20 cm. Conclusion: Ultrasonographic screening is feasible by incorporating posterior approaches in cases where anterior visualization is difficult, enhancing the detection of asymptomatic AAA.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 4","pages":"358-364"},"PeriodicalIF":0.6,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142891404","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