Annals of vascular diseases最新文献_第5页

Short and Mid-term Outcome of Radiofrequency Ablation without Concomitant Phlebectomy/Sclerotherapy for Tributary Varicose Veins. 无静脉切除术/硬化治疗的静脉曲张的射频消融的短期和中期结果。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-01-08 DOI: 10.3400/avd.oa.24-00130

Toshihiro Kawahira, Fumihiro Miyashita, Eiji Hitomi, Masahide Enomoto, Yasuo Kondo, Masanori Morimoto, Naoshi Minamidate, Noriyuki Takashima, Tomoaki Suzuki

{"title":"Short and Mid-term Outcome of Radiofrequency Ablation without Concomitant Phlebectomy/Sclerotherapy for Tributary Varicose Veins.","authors":"Toshihiro Kawahira, Fumihiro Miyashita, Eiji Hitomi, Masahide Enomoto, Yasuo Kondo, Masanori Morimoto, Naoshi Minamidate, Noriyuki Takashima, Tomoaki Suzuki","doi":"10.3400/avd.oa.24-00130","DOIUrl":"10.3400/avd.oa.24-00130","url":null,"abstract":"Endovenous surgery in the treatment of varicose veins generally consists of laser or radiofrequency ablation (RFA) as endovenous thermal ablation (ETA) with a phlebectomy or foam sclerotherapy of tributary varicose veins to improve symptomatic or cosmetic problems. Nevertheless, the efficacy of their concomitant treatments is still controversial for a decade. In the guidelines of the Japanese Society of Phlebology, concomitant phlebectomy of tributary varicose veins with ETA is described that it is not recommended officially. In our hospital, RFA without concomitant phlebectomy of tributary varicose veins accounts for 74% of the RFA cases and it shows a relatively higher percentage than other institutions in Japan. The data of RFA without concomitant phlebectomy of tributary varicose veins are evenly matched in RFA with concomitant treatments in our data concerning recurrence, remnants, endovenous heat-induced thrombosis (EHIT), and complications. This article provides the conclusion that it would be acceptable to perform isolated RFA compared to RFA with concomitant phlebectomy or foam sclerotherapy of tributary varicose veins in short- and mid-term periods. In addition, concomitant treatments might contribute to rapid improvement of the short-term and better long-term outcomes, not to mention cosmetic problems that are not identified demonstrably. (This is a translation of J Jpn Coll Angiol 2022; 62: 49-54.).","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/PMC11771147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057716","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

Mechanical Evaluation of Stenting for Saccular Abdominal Aortic Aneurysm Using Fluid Structure Interaction Analysis. 应用流体结构相互作用分析评价囊性腹主动脉瘤支架植入术的力学性能。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-02-20 DOI: 10.3400/avd.oa.24-00131

Masanori Murakami, Fei Jiang, Shahreen Bin Saiful Yew, Xian Chen

引用次数: 0

Retrospective Study of 43 Cases of Visceral Artery Aneurysms: Evaluation of Surgical Indications Based on the 2020 Revised Guidelines of the Society for Vascular Surgery. 43例内脏动脉瘤的回顾性研究：基于血管外科学会2020年修订指南的手术指征评价

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-06-13 DOI: 10.3400/avd.oa.24-00128

Nozomu Ishikawa, Kazunori Inuzuka, Masaki Sano, Kazuto Katahashi, Hajime Tsuyuki, Yusuke Endo, Takaaki Saito, Hiroya Takeuchi, Naoki Unno

{"title":"Retrospective Study of 43 Cases of Visceral Artery Aneurysms: Evaluation of Surgical Indications Based on the 2020 Revised Guidelines of the Society for Vascular Surgery.","authors":"Nozomu Ishikawa, Kazunori Inuzuka, Masaki Sano, Kazuto Katahashi, Hajime Tsuyuki, Yusuke Endo, Takaaki Saito, Hiroya Takeuchi, Naoki Unno","doi":"10.3400/avd.oa.24-00128","DOIUrl":"10.3400/avd.oa.24-00128","url":null,"abstract":"Objectives: Advancements in imaging technology have led to an increase in the incidental detection of visceral artery aneurysms (VAAs), which are associated with high mortality when ruptured. In 2020, the Society for Vascular Surgery (SVS) released updated guidelines, replacing the previous 2005 ACC/AHA recommendations. This study aimed to evaluate the impact of the new guidelines through a retrospective analysis of VAA cases treated at our department. Methods: We retrospectively reviewed 43 cases of VAA treated between 2002 and 2024 at our department. Each case was re-evaluated to determine whether it met the treatment criteria defined in the 2020 SVS guidelines. Results: Of the 43 cases, 23 (53.5%) met the new guideline criteria. Notably, treatment eligibility for renal and splenic artery aneurysms decreased significantly due to the revised aneurysm size threshold, raised from 2 to 3 cm. The remaining 20 cases were considered ineligible based solely on size, with the exception of cases involving young female patients, ruptured aneurysms, symptomatic lesions, or pseudoaneurysms. Conclusions: The 2020 SVS guidelines impose stricter treatment indications for VAAs. However, clinical decisions should also consider aneurysm location, patient age, gender, symptoms, and rupture risk on an individual basis.","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/PMC12170097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309443","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

Improvement of Gait Biomechanics after Endovascular Therapy for Patients with Intermittent Claudication Associated with Aortoiliac Occlusive Disease. 主动脉髂闭塞性间歇性跛行血管内治疗后步态生物力学的改善

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-06-10 DOI: 10.3400/avd.oa.25-00006

Norinobu Ogasawara, Takaaki Kakihana, Daijirou Akamatsu, Yuta Tajima, Michihisa Umetsu, Takanori Ishida, Michiaki Unno, Hitoshi Goto, Takashi Kamei, Masahiro Kohzuki

{"title":"Improvement of Gait Biomechanics after Endovascular Therapy for Patients with Intermittent Claudication Associated with Aortoiliac Occlusive Disease.","authors":"Norinobu Ogasawara, Takaaki Kakihana, Daijirou Akamatsu, Yuta Tajima, Michihisa Umetsu, Takanori Ishida, Michiaki Unno, Hitoshi Goto, Takashi Kamei, Masahiro Kohzuki","doi":"10.3400/avd.oa.25-00006","DOIUrl":"10.3400/avd.oa.25-00006","url":null,"abstract":"Objectives: Gait disturbances increase mortality rates in lower extremity artery disease. Changes in gait biomechanics after endovascular therapy for intermittent claudication associated with lower extremity artery disease remain unknown. This prospective study investigated the effect of endovascular therapy on gait biomechanics in intermittent claudication. Methods: We recruited 10 patients (14 affected limbs) with intermittent claudication caused by isolated aortoiliac artery lesions who underwent endovascular therapy, and 10 healthy controls. Using 3-dimensional motion analysis, we measured biomechanical gait parameters preoperatively and over 6 months postoperatively, comparing them with those of healthy controls. Results: One month after endovascular therapy, parameters improved significantly compared with preoperative values: step length (preoperative median 52.47 [interquartile range 47.11, 60.33]-postoperative 58.53 [54.63, 64.54] cm; P < 0.0037), walking speed (90.17 [73.98, 108.9]-103.49 [97.66, 117.94] cm/s; P = 0.0022), hip flexor moment (-0.75 [-1.04, -0.51] to -0.94 [-1.07, -0.74] Nm/kg; P = 0.04), and pull-off power generated by hip flexor muscles (H3, 0.68 [0.38, 1]-0.86 [0.72, 1.1] W/kg; P = 0.018). Preoperative joint power declined significantly compared to control parameters. However, 6 months postoperatively, no significant differences were observed. Conclusions: Endovascular therapy for isolated aortoiliac artery lesions improved biomechanical gait parameters in patients with intermittent claudication.","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/PMC12158554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144274037","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}

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Surgical Strategy of Intravenous Leiomyomatosis with Intracardiac Extension: A Case Report. 静脉平滑肌瘤病伴心内扩张的手术治疗策略1例。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-08-28 DOI: 10.3400/avd.cr.25-00062

Shun Sato, Kazuo Yamanaka, Yuri Hashimura, Michiyuki Ichikawa, Yuichi Tara, Daisuke Nakatsuka, Takeshi Nishina

引用次数: 0

Risk Factors for Acute Hemorrhagic Rectal Ulcers after Bypass Surgery for Chronic Limb-Threatening Ischemia. 慢性肢体缺血旁路手术后急性出血性直肠溃疡的危险因素。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-04-01 DOI: 10.3400/avd.oa.24-00125

Yohei Kawai, Masayuki Sugimoto, Takuya Osawa, Changi Lee, Shuta Ikeda, Kiyoaki Niimi, Hiroshi Banno

{"title":"Risk Factors for Acute Hemorrhagic Rectal Ulcers after Bypass Surgery for Chronic Limb-Threatening Ischemia.","authors":"Yohei Kawai, Masayuki Sugimoto, Takuya Osawa, Changi Lee, Shuta Ikeda, Kiyoaki Niimi, Hiroshi Banno","doi":"10.3400/avd.oa.24-00125","DOIUrl":"10.3400/avd.oa.24-00125","url":null,"abstract":"Objectives: Acute hemorrhagic rectal ulcer (AHRU) occurs with a sudden onset of painless bloody stools and is caused by impaired blood flow in the rectal mucosa due to arteriosclerosis or prolonged bedridden status. Little information is available about AHRU in patients with chronic limb-threatening ischemia (CLTI). This study aimed to identify factors related to AHRU among CLTI patients after bypass surgery. Methods: Between 2019 and 2023, we enrolled 80 CLTI patients at our institution who underwent bypass surgery using autogenous veins. Data were collected prospectively and supplemented with retrospective medical record reviews. Information regarding demographic and clinical characteristics was collected. The outcomes of patients without AHRU (non-AHRU group) and those with AHRU (AHRU group) were compared. Logistic regression analysis was used to assess factors associated with AHRU after bypass surgery. Results: During the study period, 6 of the 80 patients (7.5%) experienced AHRU after bypass surgery. There was no significant difference in the global limb anatomic staging system (GLASS) or wound ischemia and foot infection (WIfI) stage between the 2 groups. The percentage of patients taking oral steroids was significantly greater in the AHRU group. In addition, the AHRU group had a significantly greater percentage of postoperative ambulatory failure and a longer hospital stay. In the univariate analysis of factors associated with the incidence of AHRU after bypass surgery, steroid use (odds ratio [OR], 13.8; 95% confidence interval [CI], 2.19-86.9; P = 0.005) and nonambulatory status after surgery (OR, 7.22; 95% CI, 1.26-41.4; P = 0.026) were significant factors. Conclusions: Steroid use and postoperative nonambulatory status were associated with AHRU after bypass surgery for CLTI.","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/PMC11964780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770949","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}

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Acute Inflammatory Pseudoaneurysm of the Gastroepiploic Artery in a Patient with Multiple Aneurysms: A Case Highlighting Systemic Vascular Remodeling. 多发性动脉瘤患者胃网膜动脉急性炎性假性动脉瘤：一例系统性血管重构。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-08-20 DOI: 10.3400/avd.cr.25-00072

Yuri Yoshida, Shinsuke Kikuchi, Daiki Uchida, Naoya Kuriyama, Yuki Tada, Atsuhiro Koya, Sayaka Yuzawa, Hisashi Uchida, Mishie Tanino, Nobuyoshi Azuma

引用次数: 0

Current Status of Diagnostic Process in Asymptomatic Abdominal Aortic Aneurysm in Japan. 日本无症状腹主动脉瘤的诊断现状

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-03-28 DOI: 10.3400/avd.oa.25-00025

Yoshimasa Seike, Nobuyoshi Azuma, Takao Ohki, Noriyasu Morikage, Akio Kodama, Makoto Sumi, Koji Maeda, Hitoshi Matsuda

{"title":"Current Status of Diagnostic Process in Asymptomatic Abdominal Aortic Aneurysm in Japan.","authors":"Yoshimasa Seike, Nobuyoshi Azuma, Takao Ohki, Noriyasu Morikage, Akio Kodama, Makoto Sumi, Koji Maeda, Hitoshi Matsuda","doi":"10.3400/avd.oa.25-00025","DOIUrl":"10.3400/avd.oa.25-00025","url":null,"abstract":"Objectives: This study aimed to investigate the actual detection process and diagnostic methods for asymptomatic abdominal aortic aneurysm (AAA) in a multicenter setting, and to plan an effective screening strategy for asymptomatic AAA. Methods: The subjects of this multicenter study were collected in a retrospective manner at 7 facilities. A total of 1894 patients with AAA, including iliac artery aneurysms, who were considered asymptomatic with a confirmed initial diagnosis from January 2018 to December 2022, were collected and reviewed. Results: A total of 1666 patients who were diagnosed with asymptomatic AAA were included [83.9% males, median age of 75 (69-81) years]. Asymptomatic AAAs were frequently diagnosed during examinations for other diseases in 1339 patients (80.4%), whereas health screenings accounted for only 313 (18.8%). Computed tomography (CT) was the most commonly used diagnostic method (n = 1352, 81.2%) compared to abdominal ultrasonography (n = 252, 15.2%). Conclusions: Asymptomatic AAAs are detected incidentally during examinations for other diseases, and there is an urgent need to promote health screening. Most AAAs are diagnosed by CT; nevertheless, we consider that abdominal ultrasonography would be the most appropriate modality for AAA screening because of its reasonable accuracy, noninvasiveness, and low cost.","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/PMC11957909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143750786","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

Revascularization of the Superficialized Brachial Artery. 浅表肱动脉血运重建术。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-12-17 DOI: 10.3400/avd.oa.25-00093

Shunichiro Fujioka, Kenjiro Sakaki

{"title":"Revascularization of the Superficialized Brachial Artery.","authors":"Shunichiro Fujioka, Kenjiro Sakaki","doi":"10.3400/avd.oa.25-00093","DOIUrl":"10.3400/avd.oa.25-00093","url":null,"abstract":"Objectives: The superficialized brachial artery (SBA) is an important alternative vascular access for hemodialysis patients when autogenous vein fistula creation is not feasible. However, repeated puncture of the SBA can lead to severe complications such as aneurysm formation, pseudoaneurysm, and infection. This study aimed to review surgical strategies for revascularization and infection control in SBA aneurysms.Methods: We retrospectively analyzed 8 cases of SBA aneurysms treated at our institution between November 2020 and June 2025. Patient demographics, comorbidities, surgical procedures, and outcomes were evaluated based on medical records and follow-up data.Results: Patients ranged in age from 43 to 81 years and had been on dialysis for an average of 19 years. Six aneurysms were ruptured, and 5 were associated with infection. Brachial artery bypass was the most common procedure, performed in 6 patients using autologous veins or prosthetic grafts. One patient underwent fistula closure with a bovine pericardial patch, and another received direct arterial anastomosis. In infected cases, autologous vein bypass or aneurysm resection with direct anastomosis was performed after thorough debridement. All patients maintained adequate dialysis access postoperatively.Conclusions: Revascularization of the SBA using autologous vein bypass is effective for managing aneurysms, especially in infected cases. Careful infection control and individualized surgical planning are essential for maintaining safe dialysis access and preserving limb function.","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/PMC12719405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145817460","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

Challenges in Identifying and Interpreting Intercostal Branches of the Adamkiewicz Artery. 识别和解释Adamkiewicz动脉肋间分支的挑战。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-12-11 DOI: 10.3400/avd.cr.25-00092

Satoru Tomita, Yoshimasa Seike, Tatsuya Nishii, Kazufumi Yoshida, Yojiro Koda, Takayuki Shijo, Yosuke Inoue, Tetsuya Fukuda, Hitoshi Matsuda

引用次数: 0