Annals of vascular diseases最新文献_第6页

Interface Pressures Derived from a Calibrated Bandage Applied for Compression Therapy. 应用于压缩治疗的校准绷带产生的界面压力。

IF 0.6

Annals of vascular diseases Pub Date : 2025-01-01 DOI: 10.3400/avd.oa.24-00103

Kotaro Suehiro, Hitoshi Sakuda, Takasuke Harada, Yuriko Takeuchi, Takahiro Mizoguchi, Ryunosuke Sakamoto, Hiroshi Kurazumi, Ryo Suzuki, Kimikazu Hamano

{"title":"Interface Pressures Derived from a Calibrated Bandage Applied for Compression Therapy.","authors":"Kotaro Suehiro, Hitoshi Sakuda, Takasuke Harada, Yuriko Takeuchi, Takahiro Mizoguchi, Ryunosuke Sakamoto, Hiroshi Kurazumi, Ryo Suzuki, Kimikazu Hamano","doi":"10.3400/avd.oa.24-00103","DOIUrl":"10.3400/avd.oa.24-00103","url":null,"abstract":"Objectives: We sought to clarify the interface pressure (IP) and its variation by applying Biflex16, a calibrated bandage, to the lower leg. Methods: In Study I, 50 participants applied a bandage to the lower leg of a single subject in two ways: first, with 50% overlap, while the calibration rectangle became a square (Application 1), and then with 50% overlap without intentional stretch (Application 2) which served as a control. In Study II, another 51 participants applied the bandage to their lower leg via Application 1. The IP was measured at the level of the transposition of the medial gastrocnemius muscle into the Achilles tendon (B1). Results: In Study I, the median IP (37 mmHg) and interquartile range (IQR; 9 mmHg) in the standing position were the same for Applications 1 and 2. In Study II, the obtained IP and IQR values were 38 and 12 mmHg, respectively, in the sitting position. This IP was similar to that obtained in Study I, and no correlation was found between IP and leg circumference. Conclusions: The variation in the IP obtained by the calibrated bandage was reasonably small when applied via Application 1. The obtained IPs did not correlate with the leg circumference.","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/PMC11771149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057713","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

The Practice of Percutaneous EVAR under Local Anesthesia. 局麻下经皮EVAR的实践。

IF 0.6

Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-01-24 DOI: 10.3400/avd.oa.24-00129

Yuika Kameda, Naohiko Nemoto, Bon Inoue, Satoru Takaesu, Hiroki Takenaka, Yoshinori Nagashima, Hitoshi Anzai

{"title":"The Practice of Percutaneous EVAR under Local Anesthesia.","authors":"Yuika Kameda, Naohiko Nemoto, Bon Inoue, Satoru Takaesu, Hiroki Takenaka, Yoshinori Nagashima, Hitoshi Anzai","doi":"10.3400/avd.oa.24-00129","DOIUrl":"10.3400/avd.oa.24-00129","url":null,"abstract":"Objectives: Endovascular aortic repair (EVAR) should be performed using a less invasive procedure based on the patient's clinical condition, as many patients who undergo this procedure are elderly and have poor surgical tolerance. We report our experience and results of percutaneous EVAR under local anesthesia in order to practice minimally invasive EVAR at our hospital. Methods: In August 2019, we started percutaneous EVAR using Perclose ProGlide under local anesthesia. We compared the backgrounds and surgical outcomes of patients who underwent EVAR at our hospital before and after the introduction of percutaneous EVAR under local anesthesia. Results: We included 148 patients in this study. The age at surgery and prevalence of severe renal dysfunction were significantly higher in percutaneous EVAR under local anesthesia group. The operative time and postoperative hospital stay were significantly shorter in the percutaneous EVAR group under local anesthesia. Conclusions: The introduction of percutaneous EVAR under local anesthesia enabled minimally invasive EVAR to be performed safely even in high-risk patients. (This is a translation of J Jpn Coll Angiol 2022; 62: 1-5.).","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/PMC11774565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057718","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

Comparative Study of Endovascular Aneurysm Repair in Patients with Narrow Aortic Bifurcation Using the Unibody AFX2 vs the Bifurcated ALTO Endoluminal System. 单体AFX2与分体ALTO腔内系统修复狭窄主动脉分叉患者血管内动脉瘤的比较研究。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-06-14 DOI: 10.3400/avd.oa.25-00027

Nikolaos Kontopodis, Michalis Pesmatzoglou, Ifigeneia Tzartzalou, Konstantinos Litinas, George Tzouliadakis, Nikolaos Galanakis, Elias Kehagias, Christos Ioannou

{"title":"Comparative Study of Endovascular Aneurysm Repair in Patients with Narrow Aortic Bifurcation Using the Unibody AFX2 vs the Bifurcated ALTO Endoluminal System.","authors":"Nikolaos Kontopodis, Michalis Pesmatzoglou, Ifigeneia Tzartzalou, Konstantinos Litinas, George Tzouliadakis, Nikolaos Galanakis, Elias Kehagias, Christos Ioannou","doi":"10.3400/avd.oa.25-00027","DOIUrl":"10.3400/avd.oa.25-00027","url":null,"abstract":"Objectives: A narrow aortic bifurcation poses technical challenges during endovascular aneurysm repair (EVAR). We aim to compare the unibody AFX2 (Endologix, Irvine, CA, USA) vs the bifurcated ALTO (Endologix) system in EVAR patients with a narrow bifurcation. Methods: Retrospective single-center study, including patients undergoing standard EVAR over 3 years. Patients with a bifurcation diameter <20 mm were identified, and outcomes were compared between the AFX2 and ALTO groups. Primary endpoints were primary and overall technical success, primary and overall clinical success, rate of adverse limb events, rate of limb occlusion, and need for secondary interventions. The analysis was repeated using a diameter threshold of <18 mm. Results: Among 151 cases, 26 presented with bifurcations <20 mm and 12 with <18 mm. In the primary analysis, 15 patients were treated with the AFX2 and 11 with the ALTO endograft. Both groups achieved 100% technical and clinical success. No limb occlusions occurred, and no reinterventions were recorded. Preoperative anatomy was suitable for ALTO in all cases, while eligibility for AFX2 was 15 out of 26 cases. Secondary analysis displayed similar results. Conclusions: In patients with narrow aortic bifurcation, the AFX2 endograft can be safely used when appropriate anatomic conditions are met. If the AFX2 system is unsuitable due to other anatomic restrictions, the ALTO endograft is a viable alternative.","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/PMC12170096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144309442","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 Surgery for Myxoma in the Inferior Vena Cava Using Deep Hypothermic Circulatory Arrest. 深低温停循环术治疗下腔静脉黏液瘤1例。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-03-25 DOI: 10.3400/avd.cr.24-00118

Masato Hayama, Kayo Wakamatsu, Yuko Teratani, Yuki Kunitomo, Chihaya Ito, Masayuki Shimizu, Hiromitsu Teratani, Yuta Sukehiro, Masato Furui, Mizuki Sumi, Mau Amako, Yoshio Hayashida, Go Kuwahara, Hideichi Wada

引用次数: 0

Interval Skin Necrosis in the Infrapopliteal Segment after Successful Distal Bypass Grafting in a Patient with Chronic Limb-Threatening Ischemia Complicated by Rheumatoid Arthritis Receiving Long-Term Corticosteroid Therapy. 慢性危及肢体缺血合并类风湿关节炎患者接受长期皮质类固醇治疗成功远端旁路移植术后腘下段间期皮肤坏死。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-10-21 DOI: 10.3400/avd.cr.25-00071

Tsutomu Doita, Shinsuke Kikuchi, Yuya Tamaru, Hirofumi Jinno, Keisuke Kamada, Naoya Kuriyama, Keisuke Miyake, Shigeru Miyagawa, Nobuyoshi Azuma

引用次数: 0

Progressive Stenosis of Thoraflex Hybrid Prosthesis after Total Arch Replacement Leading to a Fatal Outcome: A Case Report. 全弓置换术后胸屈混合型假体进行性狭窄致致命1例报告。

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Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-12-09 DOI: 10.3400/avd.cr.25-00094

Norimasa Haijima, Mikihiko Kudo, Satoru Murata, Takuya Ono, Hideyuki Shimizu

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

Brachial-Ankle Pulse Wave Velocity Reflects Regional Arterial Stiffness and Distensibility in Patients with Abdominal Aortic Aneurysm. 肱-踝脉波速度反映腹主动脉瘤患者局部动脉僵硬性和扩张性。

IF 0.6

Annals of vascular diseases Pub Date : 2025-01-01 DOI: 10.3400/avd.oa.24-00097

Toshiya Nishibe, Shinobu Akiyama, Masaki Kano, Shoji Fukuda, Fumio Chiba, Jun Koizumi, Masayasu Nishibe

{"title":"Brachial-Ankle Pulse Wave Velocity Reflects Regional Arterial Stiffness and Distensibility in Patients with Abdominal Aortic Aneurysm.","authors":"Toshiya Nishibe, Shinobu Akiyama, Masaki Kano, Shoji Fukuda, Fumio Chiba, Jun Koizumi, Masayasu Nishibe","doi":"10.3400/avd.oa.24-00097","DOIUrl":"10.3400/avd.oa.24-00097","url":null,"abstract":"Objectives: We investigated the association between brachial-ankle pulse wave velocity (PWV) and arterial stiffness and distensibility in the aneurysmal sac of abdominal aortic aneurysm (AAA). Methods: Data from 49 patients with AAA from June 2020 to November 2022 at Tokyo Medical University Hospital were retrospectively analyzed. Brachial-ankle PWV (cm/s) was obtained via an automated oscillometric method. Regional arterial stiffness and distensibility parameters, such as stiffness parameter (β), pressure-strain elasticity modulus (Ep, kPa), one-point PWV (PWV β, m/s), and arterial compliance (AC, mm2/kPa-1), were assessed using 2-dimensional automated tissue tracking (2DTT) ultrasonography. Patients were divided into two groups: high PWV (≥1800) and low PWV (<1800). Results: Patients with high PWV showed significantly higher β and PWV β (30.6 ± 10.1 vs. 25.2 ± 6.3, p = 0.047; 11.6 ± 2.3 vs. 10.5 ± 1.5, p = 0.048) and significantly lower AC in the aneurysmal sac (10.6 ± 5.3 vs. 14.7 ± 8.1, p = 0.045) than those with low PWV. AC was negatively correlated with PWV (r = -0.361, p = 0.011). Conclusions: Brachial-ankle PWV can reflect arterial stiffness and distensibility, as measured by 2DTT ultrasonography, in the aneurysmal sac of AAA, suggesting its potential as an elasticity index for assessing regional arterial stiffness and distensibility in AAA.","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/PMC11771152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057711","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

Clinical Outcomes after Revascularization in Patients with Chronic Limb-Threatening Ischemia. 慢性肢体缺血患者血运重建术后的临床结果。

IF 0.6

Annals of vascular diseases Pub Date : 2025-01-01 Epub Date: 2025-01-20 DOI: 10.3400/avd.ra.24-00135

Akio Kodama

{"title":"Clinical Outcomes after Revascularization in Patients with Chronic Limb-Threatening Ischemia.","authors":"Akio Kodama","doi":"10.3400/avd.ra.24-00135","DOIUrl":"10.3400/avd.ra.24-00135","url":null,"abstract":"Chronic limb-threatening ischemia (CLTI) occurs in the advanced stage of peripheral artery disease and is associated with high risks of mortality and amputation. Universal management strategies are not always applicable, owing to population diversity, and the Western trials may not be applicable to Japanese patients, owing to differences in demographics and clinical profiles. This paper examines the outcomes of revascularization in Japanese CLTI patients and emphasizes the benefits of tailored management. Post-hoc analysis of the bypass versus angioplasty in severe ischemia of the leg (BASIL)-1 trial validated the use of the Global Limb Anatomic Staging System for predicting the outcomes of endovascular therapy (EVT) but not bypass surgery (BS). The SPINACH (surgical reconstruction versus peripheral intervention in patients with critical limb ischemia) registry revealed comparable 3-year amputation-free survival rates between patients who underwent EVT and those who underwent BS, with patient-specific factors such as limb status and general health influencing its success. Revascularization improved the quality of life, but benefits declined over time, especially in non-ambulatory and older patients on dialysis. Surgical reconstruction is better for preserving ambulation. Retrospective studies revealed pedal branch artery bypass as a viable option, functional independence as a predictor of survival, and zinc supplementation as promising for wound healing. Future research should focus on refining these strategies and exploring innovative approaches to overcome persistent challenges in CLTI care.","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/PMC11771150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143057712","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