Annals of vascular surgery最新文献_第6页

Coil Embolization of the Common Hepatic Artery in Preparation of Surgical Management of Pancreatic Adenocarcinoma Requiring Resection of the Distal Pancreas, Spleen, And Celiac Access: The Appleby Procedure 胰腺癌需要切除远端胰腺、脾脏和腹腔通路时，肝总动脉线圈栓塞为胰腺癌手术治疗做准备：Appleby手术

IF 1.4 4区医学

Annals of vascular surgery Pub Date : 2025-03-10 DOI: 10.1016/j.avsg.2024.12.018

Luke B. Miller DO , Christopher B. Looney MD , Christopher W. Mangieri MD , Andrew J. Soo Hoo MD

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Endovascular Repair of Mycotic Transplant Renal Artery Pseudoaneurysm with Allograft Salvage 同种异体移植修复真菌移植肾动脉假性动脉瘤

IF 1.4 4区医学

Annals of vascular surgery Pub Date : 2025-03-10 DOI: 10.1016/j.avsg.2024.12.022

Deborah S. Seong BS , Danielle Frischmann MSN, ACNPC-AG , Ahmad Mirza MD , Andrew Soo Hoo MD , Gautam Agarwal MD

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Kissing Covered Stents for the Management of Traumatic Injuries of the Innominate Artery Bifurcation 吻合器覆盖支架治疗创伤性无名动脉分叉损伤

IF 1.4 4区医学

Annals of vascular surgery Pub Date : 2025-03-10 DOI: 10.1016/j.avsg.2024.12.023

Vivek A. Pisharody BA, Jaime Benarroch-Gampel MD

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Utility of Psoas Muscle Index as Predictor of Worse Outcomes Following Major Amputation from Peripheral Vascular Disease 腰肌指数作为外周血管疾病截肢后不良预后预测指标的应用

IF 1.4 4区医学

Annals of vascular surgery Pub Date : 2025-03-10 DOI: 10.1016/j.avsg.2025.02.003

Veena Mehta , Mikayla Hurwitz , Frances Dygean , Amy H. Kaji , Nina Bowens

{"title":"Utility of Psoas Muscle Index as Predictor of Worse Outcomes Following Major Amputation from Peripheral Vascular Disease","authors":"Veena Mehta , Mikayla Hurwitz , Frances Dygean , Amy H. Kaji , Nina Bowens","doi":"10.1016/j.avsg.2025.02.003","DOIUrl":"10.1016/j.avsg.2025.02.003","url":null,"abstract":"<div><h3>Background</h3><div>Frailty has been reported as a predictor of adverse outcomes after various surgical procedures. There are several models for defining frailty, including 5-factor modified frailty index, clinical frailty scale, and psoas muscle index. Low psoas muscle index has been associated with higher postoperative mortality and complications after various surgical procedures. Our objective was to assess psoas muscle index as a predictor of outcomes after major amputation in patients with peripheral vascular disease.</div></div><div><h3>Methods</h3><div>We performed retrospective chart review of patients with peripheral vascular disease who underwent major amputation at a safety-net hospital from 2016 to 2022. Psoas index was evaluated based on computed tomography scans within 6 months of amputation. Outcomes included postoperative 30-day mortality, wound complications, respiratory complications, cardiac complications, and 1-year mortality. Psoas muscle index was calculated using psoas muscle area measured from computed tomography scans at the level of the L4 vertebral body divided by the body surface area. Univariate and multivariate analysis was used to compare postoperative outcomes by gender and by psoas muscle index.</div></div><div><h3>Results</h3><div>A total of 106 patients were analyzed (68 males, 38 females). Females had higher rates of above-knee amputation (AKA) compared to males (55.2% vs. 27.9%, <em>P</em> = 0.04). Males had a significantly higher baseline mean psoas muscle index compared to females (1,088 mm<sup>2</sup>/m<sup>2</sup> vs. 787 mm<sup>2</sup>/m<sup>2</sup>, <em>P</em> < 0.01). AKA within 30 days (20% vs. 10.8%, <em>P</em> = 0.05) and respiratory complications (9.5% vs. 1.2%, <em>P</em> = 0.04) were more likely in patients with low psoas muscle index compared to those with high psoas muscle index when low psoas muscle index was defined as the lowest 20th percentile of patients. Females with a low psoas muscle index were more likely to have wound complications (60% vs. 21%, <em>P</em> = 0.03). Females were more likely to require AKA within 30 days after below knee amputation (19.4% vs. 9%, <em>P</em> = 0.02) and have a higher rate of mortality at 1 year (45.8% vs. 23.1%, <em>P</em> = 0.04) compared to males regardless of psoas index.</div></div><div><h3>Conclusions</h3><div>Our results demonstrate that low psoas muscle index is associated with worse outcomes after major amputation for peripheral vascular disease, particularly in female patients. These data may be helpful for preoperative risk assessment and decision-making regarding amputation level.</div></div>","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"115 ","pages":"Pages 217-224"},"PeriodicalIF":1.4,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143613186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Vascular Injuries from Nonfatal Firearm Injuries, an Evaluation of Financial Costs 非致命火器伤害造成的血管损伤，经济成本的评估

IF 1.4 4区医学

Annals of vascular surgery Pub Date : 2025-03-10 DOI: 10.1016/j.avsg.2024.12.025

Melanie Jones BS , Katharine Tracy BS , Ryan Langston BS , Amanda Schaefer MD , Tena Nguyen BS , Taylor Tidwell MD , Jack Yu MD, DMD, MS Ed , Gautam Agarwal MD , Erika Simmerman Mabes DO

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Deep Venous Arterialization in Critical Limb-Threatening Ischemia: Case Series and Literature Review 深静脉动脉化治疗严重肢体缺血：病例分析和文献回顾

IF 1.4 4区医学

Annals of vascular surgery Pub Date : 2025-03-10 DOI: 10.1016/j.avsg.2024.12.058

Yaman Alsabbagh MD, Young Erben MD, Santh Prakash Lanka MD, Houssam Farres MD

引用次数: 0

Popliteal Venous Aneurysm 腘静脉动脉瘤

IF 1.4 4区医学

Annals of vascular surgery Pub Date : 2025-03-10 DOI: 10.1016/j.avsg.2024.12.028

Ji Young Baik BA , Ankit Dhiman MD , Gautam Agarwal MD , Purandath Lall MD

引用次数: 0

Anterior Lumbar Interbody Fusion in the Setting of Ectopic Pelvic Kidney 前路腰椎椎体间融合术治疗盆腔异位肾

IF 1.4 4区医学

Annals of vascular surgery Pub Date : 2025-03-10 DOI: 10.1016/j.avsg.2024.12.027

Juan A. Ayerdi BS , Chad Evans BA , Juan Ayerdi MD , James McGrory MD

引用次数: 0

Assessing the Accuracy, Completeness, and Readability of AI-Generated Medical Responses to Dialysis: An Evaluation of ChatGPT, Gemini, and Copilot Model 评估ai生成的透析医疗响应的准确性、完整性和可读性：ChatGPT、Gemini和Copilot模型的评估

IF 1.4 4区医学

Annals of vascular surgery Pub Date : 2025-03-10 DOI: 10.1016/j.avsg.2024.12.021

Justin Abes BS , Rishab Agarwal , Andrew Soo Hoo MD , Gautam Agarwal MD , William D. Jordon Jr. MD

引用次数: 0

Endovascular Treatment and Hybrid Surgery for Extracranial Internal Carotid Artery Aneurysms 颅内外颈内动脉瘤的血管内治疗与混合手术。

IF 1.4 4区医学

Annals of vascular surgery Pub Date : 2025-03-08 DOI: 10.1016/j.avsg.2025.02.022

Yiyang Xu , Wei Yang , Xinwei Li , Xun Wang , Dihao Pan , Zhenpeng Yuan , Lei Han , Kaiyuan Huang , Zhenwei Ding , Ziheng Wu , Chenyang Qiu , Xiaohui Wang

{"title":"Endovascular Treatment and Hybrid Surgery for Extracranial Internal Carotid Artery Aneurysms","authors":"Yiyang Xu , Wei Yang , Xinwei Li , Xun Wang , Dihao Pan , Zhenpeng Yuan , Lei Han , Kaiyuan Huang , Zhenwei Ding , Ziheng Wu , Chenyang Qiu , Xiaohui Wang","doi":"10.1016/j.avsg.2025.02.022","DOIUrl":"10.1016/j.avsg.2025.02.022","url":null,"abstract":"<div><h3>Background</h3><div>Extracranial internal carotid artery aneurysms (EICAAs) are rare, and both endovascular treatment and hybrid surgery have been used to treat them. Herein, we evaluated the outcomes of endovascular treatment and hybrid surgery for EICAAs treated at our institution.</div></div><div><h3>Methods</h3><div>Twenty-eight patients diagnosed with EICAA and treated with endovascular treatment or hybrid surgery in our center from January 2013 to June 2023 were retrospectively reviewed. Clinical characteristics, aneurysm features, perioperative outcomes, and follow-up results were collected and analyzed.</div></div><div><h3>Results</h3><div>A total of 28 patients with 30 EICAAs received endovascular treatment and hybrid surgery. The mean age of patients was 61.0 years, and 21 patients (75.0%) were male. Fifteen true aneurysms (50.0%) and 15 pseudoaneurysms (50.0%) were detected. Fifteen patients with 15 aneurysms received endovascular treatment and 13 patients with 15 aneurysms received hybrid surgery. The overall technical success rate was 90.0% (27/30). During the perioperative period, one patient (1/15, 6.7%) in the endovascular group experienced a minor stroke. The median follow-up duration was 17.5 months (range, 2–100 months). Excluding the patient who received carotid ligation during surgery, the overall patency rate was 93.1% (27/29) during the follow-up period. One patient (1/15, 6.7%) in the endovascular group experienced a minor ipsilateral stroke. Of the 29 patients with aneurysms receiving stent employment, one (1/29, 3.4%) underwent endovascular reintervention 12 months after the procedure because of severe restenosis.</div></div><div><h3>Conclusion</h3><div>Endovascular treatment and hybrid surgery are feasible options in the treatment of EICAAs that achieve satisfactory short-term results.</div></div>","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"115 ","pages":"Pages 206-216"},"PeriodicalIF":1.4,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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