{"title":"Revascularization for the Patients with Common Femoral Artery Occlusive Lesion.","authors":"Taira Kobayashi","doi":"10.3400/avd.ra.26-00058","DOIUrl":"10.3400/avd.ra.26-00058","url":null,"abstract":"<p><p>Endovascular treatment (EVT) is now performed worldwide for patients with lower extremity artery disease due to its safety and advances in devices. However, a common femoral artery (CFA) lesion often has severe calcification, and balloon angioplasty alone for such a lesion is ineffective in terms of patency. EVT with stent implantation for a CFA lesion may result in stent fracture and difficulty with puncture for subsequent interventions during the follow-up period. Given these issues, endarterectomy for a CFA lesion remains as the gold standard treatment in the endovascular era. However, the method of endarterectomy (i.e., arterial incision, patch use or not, patch material, intimal layer fixation or not) differs among centers. Thus, further investigation is needed for each method to promote the performance of high-quality CFA endarterectomy by vascular surgeons in the current endovascular era. (This is a translation of Jpn J Vasc Surg 2024; 33: 91-95.).</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13201082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148025862","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":"Endovascular Treatment for Femoropopliteal Arterial Lesions with a Focus on Long-Term Limb Prognosis.","authors":"Shigeo Ichihashi","doi":"10.3400/avd.ra.26-00050","DOIUrl":"10.3400/avd.ra.26-00050","url":null,"abstract":"<p><p>Femoropopliteal (FP) arterial lesions represent the most prevalent and challenging targets for endovascular therapy (EVT) in patients with lower extremity artery disease (LEAD). Despite significant advances in device technology, FP interventions continue to be limited by high rates of restenosis and occlusion. To date, no conclusive evidence has demonstrated the superiority of any specific endovascular device strategy for FP artery disease. Importantly, stent restenosis is characterized by longer lesion lengths and a higher incidence of occlusive failure, which may substantially compromise the feasibility of subsequent reintervention.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13175765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147962017","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":"Ventilator Weaning Failure Induced by Oral Beraprost in a Patient after Femoral Endarterectomy: A Case Report.","authors":"Masato Obayashi, Shoji Fukuda, Akinari Iwahori, Toru Iwahashi, Toshiki Fujiyoshi, Shun Suzuki, Masaki Kano, Ikki Kojima, Makoto Matsuda, Shinobu Akiyama, Yusuke Shimahara","doi":"10.3400/avd.cr.25-00140","DOIUrl":"10.3400/avd.cr.25-00140","url":null,"abstract":"<p><p>Beraprost sodium, an oral prostacyclin analog, is a systemic vasodilator whose role in ventilator weaning failure has not been widely described. We present the case of a 90-year-old man with extensive atelectasis who received beraprost for critical limb ischemia and developed refractory ventilator weaning failure. Each weaning attempt was interrupted by recurrent episodes of tachypnea and marked hypoxemia. These events resolved after discontinuation of beraprost; however, reintroduction of the drug reproduced identical respiratory deterioration, suggesting a potential association. Oral beraprost may contribute to recurrent hypoxemia and tachypnea in patients with severe pre-existing ventilation-perfusion mismatch, potentially leading to ventilator weaning failure.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13231185/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148161602","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}
Ami Kojima, Yutaka Matsubara, Takuma Kai, Kazuomi Iwasa, Tadashi Furuyama
{"title":"Acute Limb Ischemia Caused by Mural Thrombus from an Abdominal Aortic Aneurysm Treated with Thrombectomy and Endovascular Aneurysm Repair: A Case Report.","authors":"Ami Kojima, Yutaka Matsubara, Takuma Kai, Kazuomi Iwasa, Tadashi Furuyama","doi":"10.3400/avd.cr.26-00005","DOIUrl":"10.3400/avd.cr.26-00005","url":null,"abstract":"<p><p>Acute limb ischemia (ALI) attributable to mural thrombus in an abdominal aortic aneurysm (AAA) is a clinically relevant complication owing to its high mortality risk. We encountered a patient with a floating thrombus in an AAA, which caused ALI. Computed tomography revealed an AAA with irregular mural thrombi, along with left popliteal artery occlusion. We performed urgent thrombectomy followed by elective endovascular aneurysm repair without any major complications. The keys to this successful outcome were earlier extremity reperfusion and less invasive aortic repair.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13225902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148148137","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":"Asymptomatic Periaortitis Following Endovascular Abdominal Aortic Repair: A Case Report of Spontaneous Resolution with Recurrence and Reactivation during Treatment.","authors":"Masahiro Aiba, Makoto Hamaishi","doi":"10.3400/avd.cr.26-00013","DOIUrl":"10.3400/avd.cr.26-00013","url":null,"abstract":"<p><p>A patient who underwent endovascular abdominal aortic repair for a non-inflammatory abdominal aortic aneurysm developed asymptomatic periaortitis 2.5 years postoperatively. Conservative management resulted in aneurysm shrinkage and reduced inflammation. However, at 6 years postoperatively, tumor-like soft tissue shadows appeared around the aorta and the aneurysm diameter re-expanded. This was diagnosed as a recurrence and worsening. Prednisolone was initiated, leading to reductions in both aneurysm size and the mass-like shadow size. When the dosage was decreased, inflammation flared up again. The medication dose was then increased. Gradual dose reduction was subsequently attempted and treatment was successfully discontinued without recurrence.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13373625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148468282","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":"Stent Grafting for a Saccular Aneurysm of Cryopreserved Homograft after Implantation for Infectious Abdominal Aortic Aneurysm.","authors":"Yosuke Yanase, Yuka Matsuda, Junichi Sakata, Masanori Nakamura","doi":"10.3400/avd.cr.26-00051","DOIUrl":"10.3400/avd.cr.26-00051","url":null,"abstract":"<p><p>An 82-year-old man underwent surgical repair of an infectious abdominal aortic aneurysm using a cryopreserved homograft. Twelve years later, a pseudoaneurysm at the right iliac anastomosis was treated with a stent-graft limb. Sixteen years after the initial surgery, a saccular aneurysm developed in the mid-portion of the homograft without signs of infection. Endovascular aortic repair using an AFX2 stent graft (Endologix, Irvine, CA, USA) was performed to cover the entire graft. Postoperative CT showed no endoleaks or aneurysm enlargement. Although homografts are considered infection-resistant, late degenerative complications may occur, requiring lifelong follow-up.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13429510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148668187","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":"Mechanical Evaluation of Stenting for Saccular Abdominal Aortic Aneurysm Using Fluid-Structure Interaction Analysis: A Study on Stent Size.","authors":"Masanori Murakami, Fei Jiang, Seigo Osakada, Tatsuo Yamashita, Xian Chen","doi":"10.3400/avd.oa.26-00034","DOIUrl":"10.3400/avd.oa.26-00034","url":null,"abstract":"<p><p>We previously analyzed a saccular abdominal aortic aneurysm model and elucidated that saccular abdominal aortic aneurysms manifest abnormal hemodynamic factors from an early stage and that stenting improves these factors. In this study, we analyzed a model of a saccular abdominal aortic aneurysm implanted with stents of different diameters and lengths to determine the optimal stent size for improving hemodynamic factors. The stent diameter was set in 3 patterns as follows: 24 mm, the same as the aortic diameter; 26.4 mm, a 10% increase; and 28.8 mm, a +20% increase. The stent length was extended 10 mm vertically from the 28-mm length of the aneurysmal portion to 50 and 70 mm in 2 patterns, for a total of 6 types. The analysis revealed that all hemodynamic factors improved for all sizes compared with those prior to stenting. Streamlines entering the aneurysm were reduced with larger stent diameters; however, no difference in length was observed. Moreover, no clear differences in the mean flow velocity within the aneurysm, maximum shear stress, or pressure loss coefficient between the models were observed. An implanted stent was sufficient in terms of efficacy if it adhered to the aortic wall and covered the saccular aneurysm area. (This is a secondary publication from J Jpn Coll Angiol 2024; 64: 69-78.).</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13092364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147727916","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":"Simple Renal Cysts and Aortic Aneurysms: From Imaging Markers to Prognostic Indicators of Postoperative Outcomes.","authors":"Toshiya Nishibe, Masaki Kano, Shinobu Akiyama, Shoji Fukuda, Tomohiro Nakajima, Kenichi Kato, Masayasu Nishibe, Alan Dardik","doi":"10.3400/avd.ra.26-00044","DOIUrl":"10.3400/avd.ra.26-00044","url":null,"abstract":"<p><p>Simple renal cysts (SRCs) have traditionally been regarded as benign, age-related incidental findings with limited clinical significance. However, accumulating evidence suggests that SRCs are associated with abdominal aortic aneurysm (AAA), thoracic aortic aneurysm (TAA), and aortic dissection (AD), indicating that they may reflect systemic extracellular matrix (ECM) degeneration rather than isolated renal aging. This narrative review summarizes the current evidence linking SRCs to aortic disease, explores the underlying biological mechanisms, and discusses their potential prognostic significance following endovascular aortic repair. Observational studies have consistently reported a 2- to 3-fold higher prevalence of SRCs in patients with aortic disease compared with controls. Shared mechanisms, including ECM remodeling, matrix metalloproteinase activation, genetic susceptibility, and arterial stiffening, provide biological plausibility for this association. Emerging evidence further suggests that SRCs are independently associated with reduced sac shrinkage after endovascular aneurysm repair (EVAR) and thoracic endovascular aortic repair (TEVAR), as well as with an increased risk of aortic-related adverse events following TEVAR for type B AD. Although the current evidence is derived predominantly from retrospective studies, SRCs represent a readily identifiable imaging marker that may enhance risk stratification and postoperative surveillance. Prospective multicenter studies are warranted to validate these findings and clarify their clinical implications.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148904985","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}
Noman Shahzad, Muhammad Asad Moosa, Nadeem Ahmed Siddiqui, Fareed Ahmed Shaikh
{"title":"Ligation Versus Repair of Isolated Traumatic Peripheral Venous Injury: A Systematic Review and Meta-Analysis.","authors":"Noman Shahzad, Muhammad Asad Moosa, Nadeem Ahmed Siddiqui, Fareed Ahmed Shaikh","doi":"10.3400/avd.ra.25-00107","DOIUrl":"10.3400/avd.ra.25-00107","url":null,"abstract":"<p><p>There are no guidelines to suggest repair versus ligation for traumatic deep venous injuries. We aimed to compare the outcomes after reconstruction versus ligation of isolated traumatic venous injuries. This systematic review and meta-analysis (PROSPERO Registration Number: CRD42019143136) included all literature reported on the management of isolated venous injuries in adult trauma patients, excluding case reports from 1950 to 2020. Primary outcomes were mortality and amputation, while compartment syndrome, chronic venous hypertension, deep venous thrombosis, and pulmonary embolism were the secondary outcomes. PubMed, Google Scholar, Cochrane database, and Web of Science were searched. Study selection and synthesis were done following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A total of 25 studies were included. All the studies were observational, with the majority being retrospective in nature. Results of our meta-analysis show that ligation is significantly associated with higher rates of amputation (odds ratio [OR] = 1.73, 95% confidence interval [CI] = 1.20-2.48, p = 0.003) and mortality (OR = 1.50, 95% CI = 1.09-2.06, p = 0.01), whereas there is no significant difference in the rates of chronic venous insufficiency, deep venous thrombosis, and pulmonary embolism. There is insufficient data to analyze various types of venous repair, as well as to account for clinical severity at the time of presentation. Our results favor repair over ligation.</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147760276","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":"Effect of Drug-Coated Balloons on Recurrent Venous Hypertension Due to Central Venous Lesions in Patients with Hemodialysis Vascular Access.","authors":"Daihiko Eguchi, Kenichi Honma","doi":"10.3400/avd.oa.26-00161","DOIUrl":"https://doi.org/10.3400/avd.oa.26-00161","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the efficacy of drug-coated balloons (DCBs) for symptomatic and recurrent central venous lesions (including in-stent restenosis and occlusion) in patients undergoing hemodialysis.</p><p><strong>Methods: </strong>Twenty-seven patients treated with DCBs for symptomatic central venous lesions between June 2021 and September 2025 were included. We examined the overall efficacy of DCBs, the outcomes of repeated use, and factors affecting patency.</p><p><strong>Results: </strong>Target lesion patency at 6 months was significantly improved following initial DCB use (77% vs. 30% prior to DCB use, p <0.0001). The efficacy of repeated DCB use was not significantly different between the first and second applications. In a subgroup analysis, there was a trend toward better patency rates in patients treated with peripheral cutting balloons (PCBs) for pre-dilatation compared to those treated with conventional balloons, although the difference was not statistically significant.</p><p><strong>Conclusions: </strong>DCBs demonstrated satisfactory efficacy for recurrent central venous lesions, which was maintained with repeated use. Additionally, pre-dilatation using PCBs showed a trend toward improved patency rates. (This is a translation of Jpn J Vasc Surg 2026; 35: 23-28.).</p>","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"19 1","pages":""},"PeriodicalIF":0.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13630509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149102931","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}