Annals of vascular diseases最新文献_第7页

Major Lower Limb Amputation for Chronic Limb-Threatening Ischemia Is Associated with Poor Long-Term Survival: 4-Year Follow-Up of a Single-Center Experience. 因慢性肢体缺血而进行下肢大截肢与长期存活率低有关：单中心 4 年随访经验。

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-07-06 DOI: 10.3400/avd.oa.23-00078

Thushan Gooneratne, Rezni Cassim, Mandika Wijeyaratne

{"title":"Major Lower Limb Amputation for Chronic Limb-Threatening Ischemia Is Associated with Poor Long-Term Survival: 4-Year Follow-Up of a Single-Center Experience.","authors":"Thushan Gooneratne, Rezni Cassim, Mandika Wijeyaratne","doi":"10.3400/avd.oa.23-00078","DOIUrl":"10.3400/avd.oa.23-00078","url":null,"abstract":"Objective: Despite advances in medicine, 30% of patients with chronic limb-threatening ischemia (CLTI) require major lower limb amputation (MLLA). The long-term outcome of this cohort is poorly described. Methods: In all, 154 patients undergoing MLLA for CLTI during 2018-2020 were analyzed for short-term and long-term outcomes and prosthesis use. Results: In total, 106 below-knee amputations and 48 above-knee amputations were followed up for a mean duration of 50 months (37-78). The mean age of the cohort was 63 years. The majority were male (60%) with multiple comorbidities, including diabetes (83.8%), hypertension (49.4%), ischemic heart disease (20%), and smoking (32.5%). An equal proportion underwent MLLA as primary (45%) or secondary (55%). 30-day mortality was 6%. The mean length of in-hospital stay was 18 days (3-56). Overall survival rates at 1st, 2nd, and 4th year were 73%, 64%, and 35%, respectively. On a multivariate regression analysis, a higher level of amputation had a significant impact on mortality (p = 0.015). 54% of amputees had a prosthetic limb. However, the primary use of prosthesis was for cosmesis, with only 12% mobile independently. Conclusions: MLLA for CLTI is associated with poor early and long-term survival. Prosthesis use and mobility are extremely poor in the Sri Lankan context.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 3","pages":"234-240"},"PeriodicalIF":0.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364039","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

Mid-Term Outcomes Following TEVAR for Chronic Type B Aortic Dissection. 慢性 B 型主动脉夹层 TEVAR 术后的中期疗效。

IF 0.6

Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-08-21 DOI: 10.3400/avd.oa.24-00078

Masato Ohno, Nobuya Zempo, Yuki Jinzai, Hideki Sakashita, Tomohiko Uetsuki, Takayuki Okada

{"title":"Mid-Term Outcomes Following TEVAR for Chronic Type B Aortic Dissection.","authors":"Masato Ohno, Nobuya Zempo, Yuki Jinzai, Hideki Sakashita, Tomohiko Uetsuki, Takayuki Okada","doi":"10.3400/avd.oa.24-00078","DOIUrl":"10.3400/avd.oa.24-00078","url":null,"abstract":"Objective: To evaluate the mid-term outcomes following thoracic endovascular aortic repair (TEVAR) for chronic type B aortic dissection (TBD), especially to know which re-entry closure affects the thoracic false lumen remodeling in the late chronic TBD. Methods: From April 2017 to April 2022, 25 patients with chronic TBD underwent TEVAR. The late chronic TBD received the re-entry closure including stent-graft deployment in the renal artery, infrarenal aorta, and unilateral or bilateral iliac artery. Results: Complete shrinkage of the thoracic false lumen was accomplished in 67% of the early chronic cases but only 13% of the late chronic cases. The thoracic false lumen shrinkage over 5 mm in diameter was obtained in 78% of the early chronic cases and 69% of the late chronic cases. Univariate and multiple logistic regression analyses revealed the re-entry closure of common or external iliac artery affects the thoracic false lumen remodeling. Conclusion: The re-entry closure in the common or external iliac artery could affect the thoracic false lumen remodeling following TEVAR for the late chronic TBD. (This is a translation of Jpn J Vasc Surg 2023; 32: 351-356).","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 3","pages":"222-227"},"PeriodicalIF":0.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364040","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

Neutrophil-Lymphocyte Ratio as a Predictor of Persistent Type 2 Endoleak after Endovascular Aneurysm Repair. 中性粒细胞-淋巴细胞比率作为血管内动脉瘤修补术后持续存在的 2 型内膜渗漏的预测因子

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-06-29 DOI: 10.3400/avd.oa.24-00016

Toru Kikuchi, Toshifumi Kudo, Yohei Yamamoto

{"title":"Neutrophil-Lymphocyte Ratio as a Predictor of Persistent Type 2 Endoleak after Endovascular Aneurysm Repair.","authors":"Toru Kikuchi, Toshifumi Kudo, Yohei Yamamoto","doi":"10.3400/avd.oa.24-00016","DOIUrl":"10.3400/avd.oa.24-00016","url":null,"abstract":"Objectives: One of the important postoperative complications of endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) is type 2 endoleak (T2EL). However, there is no well-established biomarker. We aimed to evaluate the validity of the neutrophil-lymphocyte ratio (NLR) as a predictor of T2EL. Methods: Data were retrospectively collected from 146 patients who underwent EVAR for AAA at our institution between April 1, 2008 and March 31, 2021. Within 90 days before surgery, preoperative NLR was calculated from the same blood sample. The receiver operating characteristic curve (ROC) was used to determine the cutoff NLR values for persistent T2EL. Univariate and multivariate analyses were performed. Results: Compared with patients without persistent T2EL, those who had persistent T2EL had lower preoperative NLR (P = 0.041), based on a cutoff value of 1.918, and the entire group was then divided into two groups based on these values for comparison. Univariate analysis showed significant differences in NLR, the white blood cell (WBC) count, the percentage of mural thrombus of aneurysm, history of the hypertension, follow-up term, and aneurysm diameter at final follow-up. Multivariate analysis showed that NLR and AAA diameter on the last follow-up were significantly associated with T2EL persistence. Conclusions: Preoperative low NLR can be a useful predictor of postoperative persistent T2EL.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 3","pages":"255-263"},"PeriodicalIF":0.6,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142364041","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

Resection of Giant Mycotic Aneurysm in the Tibioperoneal Trunk by Posterior Approach in a Prone Position with Air Tourniquet. 用空气止血带俯卧位从后方入路切除胫骨主干巨大霉菌性动脉瘤

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-06-13 DOI: 10.3400/avd.cr.24-00021

Ryo Ikeda, Genta Chikazawa, Arudo Hiraoka, Satoru Kishimoto, Yuki Yoshioka, Hidenori Yoshitaka

引用次数: 0

Revascularization of the Femoropopliteal Artery Region. 股腘动脉区域的血管再造。

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Annals of vascular diseases Pub Date : 2024-09-25 Epub Date: 2024-08-06 DOI: 10.3400/avd.ra.24-00065

Atsushi Guntani

引用次数: 0

Opportunistic Ultrasound Screening for Abdominal Aortic Aneurysm. 腹主动脉瘤的机会性超声波筛查。

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Annals of vascular diseases Pub Date : 2024-06-25 Epub Date: 2024-04-10 DOI: 10.3400/avd.oa.23-00110

Yasuharu Funamizu, Hitoshi Goto, Ayaka Oda, Takashi Miki, Yoshifumi Saijo

{"title":"Opportunistic Ultrasound Screening for Abdominal Aortic Aneurysm.","authors":"Yasuharu Funamizu, Hitoshi Goto, Ayaka Oda, Takashi Miki, Yoshifumi Saijo","doi":"10.3400/avd.oa.23-00110","DOIUrl":"10.3400/avd.oa.23-00110","url":null,"abstract":"Objective: In patients with abdominal aortic aneurysm (AAA), early detection and optimal elective treatment before rupture are desirable. In the absence of an established public screening system, opportunistic screening during ultrasound examination for another purpose might be efficacious. The aim of this study was to evaluate the efficacy of opportunistic screening for AAA. Methods: This prospective multicenter observational study enrolled patients who were scheduled to undergo ultrasound for reasons other than AAA. After the ultrasound for the original purpose, evaluation of the abdominal aorta was added. If the abdominal aorta was clear enough for measurement, its diameter and shape were recorded. Furthermore, information on comorbidities was collected for each patient. Results: A total of 10325 patients (echocardiography: 6150; abdominal ultrasound: 4162) from 16 institutions were enrolled. The abdominal aorta was well visualized in 92.9% of patients who underwent echocardiography. Among 9791 patients, AAA was diagnosed in 122 (1.3%) (107 fusiform and 15 saccular), with a diameter range of 30-63 mm. The diagnostic rate increased with age. On multivariate analysis, older age, male sex, coronary artery disease, peripheral arterial disease, and smoking habituation were the risk factors for AAA. Conclusion: Opportunistic screening for AAA was efficacious.","PeriodicalId":7995,"journal":{"name":"Annals of vascular diseases","volume":"17 2","pages":"157-163"},"PeriodicalIF":0.6,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11196171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141449441","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

Right Carotid Artery Origin Compression Caused by Endovascular Repair for Kommerell Diverticulum Associated with a Right-Sided Aortic Arch. 与右侧主动脉弓相关的 Kommerell憩室血管内修复术导致右侧颈动脉起源压迫。

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Annals of vascular diseases Pub Date : 2024-06-25 Epub Date: 2024-04-10 DOI: 10.3400/avd.cr.24-00002

Hiroomi Nishio, Atsushi Iwakura, Naoki Takahashi, Kenji Aida, Kyozo Inoue, Fumie Takai, Masanosuke Ishigami, Hiroshi Yukawa, Hisashi Sakaguchi, Takashi Fukushima, Fujio Hayashi

引用次数: 0

Vascular Disease and Diabetes. 血管疾病与糖尿病。

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Annals of vascular diseases Pub Date : 2024-06-25 Epub Date: 2024-03-13 DOI: 10.3400/avd.ra.24-00010

Hiroyoshi Komai

引用次数: 0

A Case of Popliteal Venous Aneurysm Diagnosed after Sudden Cardiac Arrest. 一例心脏骤停后确诊的腘静脉动脉瘤。

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Annals of vascular diseases Pub Date : 2024-06-25 Epub Date: 2024-03-13 DOI: 10.3400/avd.cr.23-00097

Daigo Shinoda, Koichi Yuri, Atsushi Miyagawa, Nobu Yokoyama

引用次数: 0

A Novel Splice Donor Site Mutation Leading to Inherited Type I Protein S Deficiency. 导致遗传性 I 型蛋白质 S 缺乏症的新型剪接供体位点突变。