Annals of vascular diseases最新文献

{"title":"Treatment of a Type II Endoleak from an Atypical Mediastinal Collateral Branch Following Total Arch Replacement with Frozen Elephant Trunk.","authors":"Emiko Chiba, Kohei Hamamoto, Mamoru Arakawa, Satoshi Uesugi, Soichiro Kojima, Ryoma Kobayashi, Tatsuya Ogawa, Hiroyuki Fujii, Mitsuru Matsuki, Harushi Mori","doi":"10.3400/avd.cr.25-00124","DOIUrl":"https://doi.org/10.3400/avd.cr.25-00124","url":null,"abstract":"<p><p>We present a rare case of type II endoleak (T2EL) from an atypical mediastinal artery following total arch replacement with a frozen elephant trunk (FET) for chronic aortic dissection. A 63-year-old male with a history of multiple thoracic aortic surgeries, including FET, developed enlargement of an aortic arch aneurysm on follow-up. Computed tomography and diagnostic angiography revealed a T2EL due to a newly developed mediastinal collateral artery arising from the left subclavian artery feeding the sac. Selective transcatheter embolization with N-butyl-2-cyanoacrylate successfully eliminated the endoleak. Recognizing such atypical T2EL sources is crucial for managing post-FET aneurysm expansion.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12916235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146225295","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}

{"title":"Femoral Arterial Perfusion Guided by Intraoperative Transesophageal Echocardiography for Mesenteric Malperfusion in Acute Type A Aortic Dissection.","authors":"Chihaya Ito, Go Kuwahara, Hiromitsu Teratani, Yuichi Morita, Yuta Sukehiro, Masato Furui, Hideichi Wada","doi":"10.3400/avd.oa.26-00006","DOIUrl":"https://doi.org/10.3400/avd.oa.26-00006","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated the outcomes of acute type A aortic dissection (ATAAD) complicated by mesenteric malperfusion managed with femoral arterial perfusion and intraoperative transesophageal echocardiography (TEE).</p><p><strong>Methods: </strong>We retrospectively reviewed 246 patients who underwent surgery for ATAAD between April 2011 and May 2022. Mesenteric malperfusion was identified in 8 of 49 patients (20%) with malperfusion syndrome. Femoral arterial perfusion was initiated to restore true lumen flow, and intraoperative TEE was used to assess abdominal aortic true lumen expansion and superior mesenteric artery (SMA) perfusion. Central aortic repair was performed after confirmation of mesenteric reperfusion.</p><p><strong>Results: </strong>Dynamic and static mesenteric obstructions were present in 5 and 3 patients, respectively. Femoral perfusion improved SMA flow in all dynamic cases and in 2 static cases. Seven patients (87.5%) survived to discharge; 1 patient with preoperative coma, shock, and static SMA obstruction died. In 1 patient with combined SMA and celiac artery obstruction, residual celiac malperfusion was not detected intraoperatively.</p><p><strong>Conclusions: </strong>Femoral arterial perfusion guided by intraoperative TEE is a feasible and effective strategy for mesenteric malperfusion in ATAAD. However, static branch obstruction and limitations of TEE warrant consideration of hybrid approaches.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13082909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697226","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}

{"title":"Two Surgical Cases of Thymic Tumor Requiring Resection and Reconstruction of the Superior Vena Cava and the Brachiocephalic Vein.","authors":"Makoto Shirakawa, Hikari Kimura, Ryosuke Amitani, Kenji Suzuki, Yasuo Miyagi, Jiro Honda, Kento Suzuki, Takumi Sonokawa, Yuichiro Machida, Norihito Kawasaki, Jitsuo Usuda, Yosuke Ishii","doi":"10.3400/avd.cr.25-00145","DOIUrl":"https://doi.org/10.3400/avd.cr.25-00145","url":null,"abstract":"<p><p>Surgery for thymic tumor involving major vessels remains challenging; however, complete surgical resection is recommended when the resected major vessels can be reconstructed safely. Two cases are described in this report. In Case 1, complete surgical resection followed by reconstruction using an autologous pericardial patch was achieved owing to the temporary bypass assist. In Case 2, complete surgical resection followed by reconstruction using an autologous pericardial roll was achieved owing to the cardiopulmonary bypass assist. Complete surgical resection of thymic tumor involving the major veins can be achieved safely with appropriate extracorporeal circulatory assist. Autologous pericardium is useful for venous reconstruction.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13036412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147589485","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}

{"title":"Preliminary Observations of Spatial Imbalance between Lymphangiogenesis and Angiogenesis within Carotid Atherosclerotic Plaques: A Pilot Histopathological Study.","authors":"Yohei Tateishi, Hiroaki Otsuka, Daiji Torimura, Aya Yamashita, Yuki Tomita, Takuro Hirayama, Tomoaki Shima, Shunsuke Yoshimura, Teiichiro Miyazaki, Reiko Ideguchi, Yuki Matsunaga, Hajime Maeda, Junya Fukuoka, Yoichi Morofuji, Tsuyoshi Izumo, Akira Tsujino","doi":"10.3400/avd.oa.25-00157","DOIUrl":"https://doi.org/10.3400/avd.oa.25-00157","url":null,"abstract":"<p><strong>Objectives: </strong>Atherosclerotic plaque progression involves dynamic interactions between angiogenesis and lymphangiogenesis. This pilot, hypothesis-generating study aimed to explore the spatial balance between blood microvessels and lymphatic vessels in human carotid plaques.</p><p><strong>Methods: </strong>Carotid plaques from 4 patients who underwent carotid endarterectomy were examined histologically. Blood microvessels (CD31+) and lymphatic vessels (Podoplanin+) were quantified in severely and mildly thickened lesions. The blood microvessel-to-lymphatic vessel (BMV/LV) ratio was compared between regions, along with macrophage polarization (CD80+: M1 and CD163+: M2).</p><p><strong>Results: </strong>Severely thickened lesions exhibited a 15.5-fold higher density of blood microvessels than mildly thickened lesions (median 31 vs. 2 vessels; p = 0.012), whereas lymphatic vessel counts were comparable (median 31 vs. 32 vessels; p = 0.978). Consequently, the BMV/LV ratio was 16-fold higher in severely thickened lesions (1.203 vs. 0.121, p = 0.060). CD80-positive areas were larger in severely thickened lesions (0.395% vs. 0.078% area, p = 0.006), whereas CD163-positive areas were comparable between regions (1.036% vs. 0.215%, p = 0.154).</p><p><strong>Conclusions: </strong>Mildly thickened carotid atherosclerotic plaques demonstrated relative lymphatic predominance, whereas severely thickened lesions showed angiogenic predominance accompanied by increased M1 macrophage infiltration. These exploratory findings suggest that regional imbalance between lymphatic vessels and blood microvessels within individual plaques may contribute to localized plaque vulnerability.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147632261","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}

{"title":"A Preliminary Investigation into the Effects of Immunosuppressive Therapy on Outcomes of Endovascular Aneurysm Repair.","authors":"Yohei Yamamoto, Toru Kikuchi, Kazuki Tsukuda, Natsuho Maekawa, Ai Kazama, Yoshiki Wada, Tsuyoshi Ichinose, Toshifumi Kudo","doi":"10.3400/avd.oa.25-00134","DOIUrl":"https://doi.org/10.3400/avd.oa.25-00134","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the short- and long-term outcomes of endovascular aneurysm repair (EVAR) for abdominal aortic aneurysms (AAAs), with a particular focus on the impact of immunosuppressive therapy.</p><p><strong>Methods: </strong>The authors retrospectively reviewed the institutional data of patients with AAAs who underwent EVAR between 2008 and 2023.</p><p><strong>Results: </strong>A total of 307 consecutive patients underwent elective EVAR for AAA. Of these, 26 patients (8.5%) were receiving immunosuppressive therapy (IT group). Patients in the IT group had a significantly higher incidence of early postoperative complications than those in the non-IT group (42.3% vs. 17.4%). The mean follow-up period was 40.7 ± 33.6 months. The cumulative incidence of sac shrinkage was similar between the groups, whereas the cumulative incidence of sac expansion was significantly higher in the IT group. The rates of reintervention and open aneurysmorrhaphy were also significantly higher in the IT group. The use of immunosuppressive therapy was one of the significant risk factors for late sac expansion (hazard ratio, 4.66, 95% confidence interval, 2.12-10.23). Overall survival was similar regardless of immunosuppressive therapy status.</p><p><strong>Conclusions: </strong>Immunosuppressive therapy may be associated with an increased risk of early postoperative complications and late sac expansion in patients undergoing EVAR.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13100662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760308","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}

{"title":"Vascular Surgery in Japan: 2019 Annual Report by the Japanese Society for Vascular Surgery.","authors":"","doi":"10.3400/avd.ar.25-00007","DOIUrl":"https://doi.org/10.3400/avd.ar.25-00007","url":null,"abstract":"<p><p><b>Objectives:</b> This is an annual report indicating the number and early clinical results of annual vascular treatment performed by vascular surgeons in Japan in 2019, as analyzed by database management committee (DBC) members of the JSVS. <b>Materials and Methods:</b> To survey the current status of vascular treatments performed by vascular surgeons in Japan, the DBC members of the JSVS analyzed the vascular treatment data provided by the National Clinical Database (NCD), including the number of treatments and early results such as operative and hospital mortality. <b>Results:</b> In total 154,460 vascular treatments were registered by 1,082 institutions in 2019. This database is composed of 7 fields including treatment of aneurysms, chronic arterial occlusive disease, acute arterial occlusive disease, vascular injury, complication of previous vascular reconstruction, venous diseases, and other vascular treatments. The number of vascular treatments in each field was 23,826, 17,100, 4,947, 2,369, 674, 54,023, and 51,521, respectively. In the field of aneurysm treatment, 20,369 cases of abdominal aortic aneurysm (AAA) including common iliac aneurysm were registered, and 63.3% were treated by endovascular aneurysm repair (EVAR). Among AAA cases, 1,739 (8.5%) cases were registered as ruptured AAA. The operative mortality rates of ruptured and un-ruptured AAA were 15.0%, and 0.6%, respectively. 43.8% of ruptured AAA were treated by EVAR, and the EVAR ratio was gradually increasing, but the operative mortality rates of open repair and EVAR for ruptured AAA were 12.6%, and 15.4%, respectively. Regarding chronic arterial occlusive disease, open repair was performed in 8,026 cases, including 1,250 distal bypasses to the crural or pedal artery, whereas endovascular treatment (EVT) was performed in 8,879 cases. The EVT ratio was gradually increased at 51.9%. Varicose vein treatment was decreased in 42,313 cases (1.9% less than in 2018), and 79.8% of the cases were treated by endovenous thermal ablation (ETA) including endovenous laser ablation (EVLA) and radio-frequency ablation (RFA). Regarding other vascular operations, 47,605 cases of vascular access operations and 1,703 lower limb amputation surgeries were included. <b>Conclusions:</b> The number of vascular treatments increased since 2011, and the proportion of endovascular procedures increased in almost all fields of vascular diseases, especially EVAR for AAA, EVT for chronic arterial occlusive disease, and ETA for varicose veins. (This is a translation of Jpn J Vasc Surg 2024; 33: 307-335.).</p>","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/PMC12009669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143952952","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}

{"title":"Acute Occlusion of a Persistent Sciatic Artery in a Patient with COVID-19 Infection.","authors":"Daisuke Futagami, Taira Kobayashi, Hironobu Morimoto, Junya Kitaura, Shogo Mukai, Shinya Takahashi","doi":"10.3400/avd.cr.24-00126","DOIUrl":"10.3400/avd.cr.24-00126","url":null,"abstract":"<p><p>Persistent sciatic artery (PSA) is an exceptionally rare vascular condition that occurs in approximately 0.025%-0.04% of the general population. We describe the case of a 51-year-old man who presented with acute left lower limb pain and high fever. He was diagnosed with COVID-19 and isolated, and conservative treatment was performed for toe pain, resulting in left toe necrosis. Computed tomography revealed PSA occlusion in the left lower extremity. We diagnosed the patient with acute occlusion of the PSA due to COVID-19. The complicated disease was successfully treated using distal artery bypass.</p>","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/PMC11891447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143596119","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}

{"title":"Successful Endovascular Entry Closure for Retrograde Type A Aortic Dissection Originating from the Right Subclavian Artery: A Case Report.","authors":"Haruo Suzuki, Shoji Sakaguchi, Bunpachi Kakii, Gaku Uchino, Masato Furui, Norikazu Oshiro, Shinichi Mitsuyama, Yasutaka Hirai, Takeshi Yoshida","doi":"10.3400/avd.cr.25-00056","DOIUrl":"10.3400/avd.cr.25-00056","url":null,"abstract":"<p><p>Iatrogenic type A aortic dissection (TAAD) is a rare but potentially fatal complication of coronary angiography. We report a case of iatrogenic retrograde TAAD originating from the right subclavian artery. Endovascular entry closure using a stent graft led to resolution of the false lumen and favorable aortic remodeling. The patient remained free from cardiovascular events over a 4-year follow-up. This case highlights the potential efficacy of endovascular treatment, even in retrograde TAAD with its entry located in the subclavian artery.</p>","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/PMC12279548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688742","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}

{"title":"Clinical Results 5 Years after Radiofrequency Ablation of Saphenous Veins.","authors":"Hitoshi Kusagawa","doi":"10.3400/avd.oa.25-00097","DOIUrl":"10.3400/avd.oa.25-00097","url":null,"abstract":"<p><strong>Objectives: </strong>In Japan, radiofrequency ablation (RFA) was covered by insurance in 2014. Regarding the early results, there are many reports that it is excellent, but the long-term results are rarely shown. Therefore, the purpose of this study was to examine the results up to 5 years after RFA, which was the only means of endovascular treatment at my facility, and to evaluate recurrent varices after surgery (REVAS), reoperation, and complications.</p><p><strong>Methods: </strong>In 2017, 275 consecutive cases (male 83, female 192, 67.5 ± 10.0 years old), involving 350 limbs (C2, 3, 4a, 4b, 5, 6 = 217, 18, 89, 18, 1, 7) and 354 veins (great saphenous vein [GSV]: 290, small saphenous vein [SSV]: 64), underwent RFA. Postoperative follow-up was usually performed at 3 days (100%), 1 week (100%), 1 month (99.4%), and 6 months (93.5%) after RFA. Of the 334 patients contacted 5 years later, 327 (92.4%), excluding deaths from other diseases, were interviewed about reoperation, recurrence, and neuropathy. Of these, 223 patients (63%, GSV: 180, SSV: 43) underwent an ultrasound examination.</p><p><strong>Results: </strong>Endovenous heat-induced thrombosis (EHIT) of more than grade 2 occurred in 5.9% of cases (GSV: 6.6%, SSV: 3.1%) and regressed within 1 month in all cases using anticoagulant therapy. Neuropathy occurred in 6.3%, mainly in GSV full-length ablation cases, and 41% of these disappeared completely between 6 months and 5 years after RFA. The reoperation rate up to 5 years after RFA was 10.7% (GSV: 9.7, SSV: 15.6%). In the reoperation cases after the RFA of GSV, the sites of reflux were 14 incompetent perforating veins (IPVs), 7 deep venous junction-related, and 6 distal GSVs. In the reoperation cases after the RFA of SSV, there were 5 IPVs and 3 isolated branch varices. The time of diagnosis of recurrence by ultrasonography was within 6 months of regular follow-up in 61% of GSVs and 79% of SSVs. The occlusion rate after 5 years was 98.9% for GSV and 95.3% for SSV. Only 1 recanalized vein was symptomatic and underwent retreatment. After RFA of GSV, 80% of accessory saphenous veins were retained at 5 years.</p><p><strong>Conclusions: </strong>1) The 5-year results after RFA were generally good. 2) IPV played the most important role in reoperation cases by REVAS after RFA of the saphenous veins. 3) The majority of postoperative recurrences could be identified by follow-up up to 6 months. 4) Neuropathy after RFA disappeared completely in half of the cases within 5 years. 5) After GSV-RFA, accessory saphenous vein blood flow persisted in most cases. (This is a translation of Jpn J Phlebol 2024; 35: 403-408.).</p>","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/PMC12436687/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145079481","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}

{"title":"Three Cases of Stent-Assisted Balloon-Induced Intimal Disruption and Relamination in Aortic Dissection Repair Effectively Treating Chronic Type B Aortic Dissection with False Lumen Aneurysm.","authors":"Kanako Kobayashi, Naoki Fujimura, Ayaka Yu, Kyosuke Hosokawa, Yujiro Kawai, Takahito Itoh, Takahiro Shoji, Hirohisa Harada","doi":"10.3400/avd.cr.25-00046","DOIUrl":"10.3400/avd.cr.25-00046","url":null,"abstract":"<p><p>Successful thoracic endovascular aortic repair for chronic type B aortic dissection with an enlarged false lumen depends on complete exclusion of the false lumen. Stent-assisted balloon-induced intimal disruption and relamination in aortic dissection repair (STABILISE) creates a single lumen in the dissected thoracic and abdominal aorta by disrupting the intima. We report our experience in the treatment of 3 cases of chronic dissection using the STABILISE procedure at our hospital from December 2019 to May 2022. The STABILISE technique appears to be an effective procedure; however, further evaluation of risk factors for complications such as intraoperative aortic rupture is necessary.</p>","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/PMC12460030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147541","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}