Pub Date : 2021-01-01DOI: 10.35248/2329-6925.9.37.402
Maged M. Metias, An, Patel, V. Iyer, T. Rapanos
We report a case of dizygotic twins who were diagnosed with abdominal aortic aneurysms (AAAs) and analyze the differences in architectural characteristics of the abdominal aorta and visceral vessels. Both twins underwent an endovascular repair of their AAAs at the same age. This paper adds to the growing body of evidence of the genetic nature of aneurysmal degeneration.
{"title":"Analysis of the Architectural Characteristics of the Abdominal Aortic Aneurysm in Dizygotic Twins","authors":"Maged M. Metias, An, Patel, V. Iyer, T. Rapanos","doi":"10.35248/2329-6925.9.37.402","DOIUrl":"https://doi.org/10.35248/2329-6925.9.37.402","url":null,"abstract":"We report a case of dizygotic twins who were diagnosed with abdominal aortic aneurysms (AAAs) and analyze the differences in architectural characteristics of the abdominal aorta and visceral vessels. Both twins underwent an endovascular repair of their AAAs at the same age. This paper adds to the growing body of evidence of the genetic nature of aneurysmal degeneration.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":"4 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90581820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-6925.21.S7.004
Tanner I. Kim, V. Kostiuk, E. Aboian
Intravascular foreign body complications continue to increase with the advent of endovascular procedures. These represent both iatrogenic and non-medical foreign bodies, and most commonly present within the venous system. Numerous reports have demonstrated efficacy with an endovascular approach to foreign body retrieval. In this mini-review, we review the literature on venous non-iatrogenic foreign bodies, as well as endovascular strategies for removal.
{"title":"Venous Non-Iatrogenic Foreign Bodies and Endovascular Retrieval-A Mini-Review","authors":"Tanner I. Kim, V. Kostiuk, E. Aboian","doi":"10.35248/2329-6925.21.S7.004","DOIUrl":"https://doi.org/10.35248/2329-6925.21.S7.004","url":null,"abstract":"Intravascular foreign body complications continue to increase with the advent of endovascular procedures. These represent both iatrogenic and non-medical foreign bodies, and most commonly present within the venous system. Numerous reports have demonstrated efficacy with an endovascular approach to foreign body retrieval. In this mini-review, we review the literature on venous non-iatrogenic foreign bodies, as well as endovascular strategies for removal.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":"24 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82830161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-01-01DOI: 10.35248/2329-6925.21.S7.005
R. McLachlan
Tumor embolism differs from other forms of thromboembolism with special considerations for diagnosis and treatment. This report summarises what we know about this unique pathological process and outlines an approach to surgical treatment. With the advent of new endovascular technologies, there may be several different options available for patients and each individual case needs to be carefully considered given there are no formal guidelines advising the best way to manage this distinct subset of patients.
{"title":"Special Considerations in the Diagnosis and Treatment of Acute Arterial Occlusion Caused by Tumor Embolization","authors":"R. McLachlan","doi":"10.35248/2329-6925.21.S7.005","DOIUrl":"https://doi.org/10.35248/2329-6925.21.S7.005","url":null,"abstract":"Tumor embolism differs from other forms of thromboembolism with special considerations for diagnosis and treatment. This report summarises what we know about this unique pathological process and outlines an approach to surgical treatment. With the advent of new endovascular technologies, there may be several different options available for patients and each individual case needs to be carefully considered given there are no formal guidelines advising the best way to manage this distinct subset of patients.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":"127 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76730209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-31DOI: 10.47363/JCCSR/2020(2)139
E. Hamed
Background: Digital ischemia in upper and lower extremity, with ulceration and gangrene can be a manifestation of Raynaud’s phenomenon (RP). The early manifestation of Raynaud’s may be informed of ischemic pain and numbness, cold intolerance and in severe cases manifested as ulceration and gangrene. Aim of the study: to evaluate the results of digital sympathectomy in cases of severe ischemia of digits manifesting as digital ulceration and ischemic pain refractory to medical treatment. Patient and method: Distal sympathectomy of the ulnar and radial arteritis of the affected limb. Results: The patient developed dramatic improvement of symptoms, we were surprised for patient satisfaction and appreciation. We touched firmly the affected finger and the patient was smiling. On follow up, no return of annoying symptoms.
{"title":"Distal Peri-Arterial Sympathectomy: The Over-Ratted Option in Management of Peripheral Cyanotic Disorders","authors":"E. Hamed","doi":"10.47363/JCCSR/2020(2)139","DOIUrl":"https://doi.org/10.47363/JCCSR/2020(2)139","url":null,"abstract":"Background: Digital ischemia in upper and lower extremity, with ulceration and gangrene can be a manifestation of Raynaud’s phenomenon (RP). The early manifestation of Raynaud’s may be informed of ischemic pain and numbness, cold intolerance and in severe cases manifested as ulceration and gangrene. Aim of the study: to evaluate the results of digital sympathectomy in cases of severe ischemia of digits manifesting as digital ulceration and ischemic pain refractory to medical treatment. Patient and method: Distal sympathectomy of the ulnar and radial arteritis of the affected limb. Results: The patient developed dramatic improvement of symptoms, we were surprised for patient satisfaction and appreciation. We touched firmly the affected finger and the patient was smiling. On follow up, no return of annoying symptoms.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":"51 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2020-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82996888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-04-16DOI: 10.35248/2329-6925.20.8.390
A. Marchetti, G. Citoni, C. Foti, A. Ippoliti
Background: In the conventional surgical treatment of aneurysms, the respiratory physiotherapy is one of the cornerstones of patient rehabilitation. The endovascular technique, with less invasiveness, has significantly changed the rehabilitative approach to the operated subject. Objective of the study: to evaluate and compare the effectiveness of the pre and post-operative rehabilitation treatment associated with the conventional OPEN surgery compared to the EVAR procedure and their incidence in preventing postoperative respiratory complications. Design: Longitudinal case control study to compare patients who have open surgery with patients who do not have the laparotomy, as in ENDO technique, to look how frequently the postoperative pneumonia and the risk factor was present in each group to determine the relationship between the risk factor, the type of operation and the pneumonia incidence. Setting Data were collected from patients admitted consecutively at the Tor Vergata Hospital with diagnosis of an abdominal aortic aneurysm. Risk factors, type of intervention, pneumonia incidence in postoperative period was evaluted at 30 days. Population: Three hundred and twenty patient were enrolled. Materials and methods: From 2005 to 2016, 320 patients suffering from an abdominal aortic aneurysm were treated consecutively. One hundred eighty one patients were treated using the open technique (group A) and 139 using the EVAR technique (group B). All patients in OPEN group were submitted to respiratory rehabilitation protocol. Risk factors, type of intervention, anesthesia and results of treatment with complications, observed mortality, mean hospital stay were studied. Pre and postoperative respiratory rehabilitation treatment protocol was performed in all of the patients. The data were analyzed with descriptive statistics and inferential statistics using SPSS 18.0 for Windows. Results: From 2005-2010, the postoperative stay (days) was significant shorter for EVAR compared to open (6.47 vs. 10.48; P 0.001). From 2011-2016, the postoperative stay (days) was significant shorter EVAR compared open (4.07 vs. 11.41; P 0.001). The patients treated from 2011 to 2016 for both OPEN and EVAR groups presented an average age 3 years lower compared to the patients treated in the period from 2005-2011 (75.5 to 72.8 for EVAR and from 71,2 to 68,2). The patients treated from 2011 to 2016 for EVAR group presented an average reduction in post-operative hospitalization of 2.4 days (-37.09%) compared to 2005-2011 period. There was a significant higher incidence of pneumonia in the open group (P=0.001). The reduction of the incidence of pneumonia in group A and B during the two different periods from 2005 to 2010 and from 2011 to 2016 was observed. There wasn’t a significant difference in the incidence of pneumonia in patients treated from 2005 to 2010 (P-value=0.1). In patients treated from 2011 to2016 there was a significant increasing the incidence of pn
背景:在传统的动脉瘤手术治疗中，呼吸物理治疗是患者康复的基石之一。血管内技术侵入性小，显著改变了手术患者的康复方式。本研究目的:评价和比较常规OPEN手术与EVAR手术术前、术后康复治疗的有效性及其在预防术后呼吸并发症方面的发生率。设计:纵向病例对照研究，比较开腹手术患者和未开腹手术患者，如在ENDO技术中，观察每组术后肺炎和危险因素的出现频率，以确定危险因素、手术类型和肺炎发病率之间的关系。数据收集自Tor Vergata医院诊断为腹主动脉瘤的连续住院患者。术后30天评估危险因素、干预方式、肺炎发生率。人群:320例患者入组。材料与方法:2005 - 2016年，对320例腹主动脉瘤患者进行连续治疗。采用开放式技术181例(A组)，采用EVAR技术139例(B组)。open组均采用呼吸康复方案。研究危险因素、干预方式、麻醉及并发症治疗结果、观察死亡率、平均住院时间。所有患者均采用术前及术后呼吸康复治疗方案。采用SPSS 18.0 for Windows软件对数据进行描述性统计和推理统计。结果:2005-2010年，EVAR的术后停留时间明显短于开腹手术(6.47 vs. 10.48;P 0.001)。2011-2016年，术后EVAR停留时间(天)明显短于对照组(4.07 vs 11.41;P 0.001)。与2005-2011年治疗的患者相比，2011 - 2016年OPEN组和EVAR组患者的平均年龄降低了3岁(EVAR组为75.5 - 72.8岁，EVAR组为71.2 - 68.2岁)。2011 - 2016年EVAR组患者术后住院时间较2005-2011年平均减少2.4天(-37.09%)。开放组肺炎的发生率明显高于开放组(P=0.001)。观察A组和B组在2005 - 2010年和2011 - 2016年两个不同时期肺炎发病率的下降情况。2005年与2010年两组患者肺炎发生率比较，差异无统计学意义(p值=0.1)。在2011 - 2016年治疗的患者中，OPEN组肺炎的发病率显著增加(P=0.001)。结论:康复物理治疗对预防OPEN术后并发症起着重要作用。尽管接受OPEN治疗的患者获得了良好的效果，但EVAR组并发症发生率较低，表明该治疗效果较好。
{"title":"Respiratory Rehabilitation in Patients with Abdominal Aortic Aneurysm Submitted to OPEN and EVAR Treatment: Predictive Factors of Postoperative Pulmonary Complications and Clinical Implications","authors":"A. Marchetti, G. Citoni, C. Foti, A. Ippoliti","doi":"10.35248/2329-6925.20.8.390","DOIUrl":"https://doi.org/10.35248/2329-6925.20.8.390","url":null,"abstract":"Background: In the conventional surgical treatment of aneurysms, the respiratory physiotherapy is one of the cornerstones of patient rehabilitation. The endovascular technique, with less invasiveness, has significantly changed the rehabilitative approach to the operated subject. \u0000 \u0000Objective of the study: to evaluate and compare the effectiveness of the pre and post-operative rehabilitation treatment associated with the conventional OPEN surgery compared to the EVAR procedure and their incidence in preventing postoperative respiratory complications. \u0000 \u0000Design: Longitudinal case control study to compare patients who have open surgery with patients who do not have the laparotomy, as in ENDO technique, to look how frequently the postoperative pneumonia and the risk factor was present in each group to determine the relationship between the risk factor, the type of operation and the pneumonia incidence. \u0000 \u0000Setting Data were collected from patients admitted consecutively at the Tor Vergata Hospital with diagnosis of an abdominal aortic aneurysm. Risk factors, type of intervention, pneumonia incidence in postoperative period was evaluted at 30 days. \u0000 \u0000Population: Three hundred and twenty patient were enrolled. \u0000 \u0000Materials and methods: From 2005 to 2016, 320 patients suffering from an abdominal aortic aneurysm were treated consecutively. One hundred eighty one patients were treated using the open technique (group A) and 139 using the EVAR technique (group B). All patients in OPEN group were submitted to respiratory rehabilitation protocol. Risk factors, type of intervention, anesthesia and results of treatment with complications, observed mortality, mean hospital stay were studied. Pre and postoperative respiratory rehabilitation treatment protocol was performed in all of the patients. The data were analyzed with descriptive statistics and inferential statistics using SPSS 18.0 for Windows. \u0000 \u0000Results: From 2005-2010, the postoperative stay (days) was significant shorter for EVAR compared to open (6.47 vs. 10.48; P 0.001). From 2011-2016, the postoperative stay (days) was significant shorter EVAR compared open (4.07 vs. 11.41; P 0.001). The patients treated from 2011 to 2016 for both OPEN and EVAR groups presented an average age 3 years lower compared to the patients treated in the period from 2005-2011 (75.5 to 72.8 for EVAR and from 71,2 to 68,2). The patients treated from 2011 to 2016 for EVAR group presented an average reduction in post-operative hospitalization of 2.4 days (-37.09%) compared to 2005-2011 period. There was a significant higher incidence of pneumonia in the open group (P=0.001). The reduction of the incidence of pneumonia in group A and B during the two different periods from 2005 to 2010 and from 2011 to 2016 was observed. There wasn’t a significant difference in the incidence of pneumonia in patients treated from 2005 to 2010 (P-value=0.1). In patients treated from 2011 to2016 there was a significant increasing the incidence of pn","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":"24 1","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2020-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72571334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.35248/2329-6925.20.8.388
M. Abdennadher, Mariem Hadj Dahmane, H. Zribi, I. Bouassida, S. Zairi, S. Hantous, A. Kaddour, H. Smadhi, S. Ouerghi, T. Mestiri, A. Marghli
Partial Anomalous Pulmonary Venous Connection (PAPVC) is a rare congenital abnormality characterized by drainage of one or more pulmonary veins to the right atrium or to one of the systemic veins. This pathology has low prevalence, although it is probably underestimated and is rarely diagnosed in adults. We reported a rare case of hemoptysis in adult associated to isolated partial anomalous pulmonary venous return. He is a patient of 49 years-old man who had a partial anomalous pulmonary venous connection (PAPVC) from the right upper lobe to the superior vena cava without other congenital heart disease. A right bilobectomy (superior and middle lobe) was performed for the treatment for hemoptysis and PAPVC. The patient has an uneventful postoperative recovery and remained well at follow-up 8 months after surgery.
{"title":"Bilobectomy in a 49 Years Man Presenting Hemoptysis Associated to a Partial Anomalous Pulmonary Venous Return: A Case Report","authors":"M. Abdennadher, Mariem Hadj Dahmane, H. Zribi, I. Bouassida, S. Zairi, S. Hantous, A. Kaddour, H. Smadhi, S. Ouerghi, T. Mestiri, A. Marghli","doi":"10.35248/2329-6925.20.8.388","DOIUrl":"https://doi.org/10.35248/2329-6925.20.8.388","url":null,"abstract":"Partial Anomalous Pulmonary Venous Connection (PAPVC) is a rare congenital abnormality characterized by drainage of one or more pulmonary veins to the right atrium or to one of the systemic veins. This pathology has low prevalence, although it is probably underestimated and is rarely diagnosed in adults. We reported a rare case of hemoptysis in adult associated to isolated partial anomalous pulmonary venous return. He is a patient of 49 years-old man who had a partial anomalous pulmonary venous connection (PAPVC) from the right upper lobe to the superior vena cava without other congenital heart disease. A right bilobectomy (superior and middle lobe) was performed for the treatment for hemoptysis and PAPVC. The patient has an uneventful postoperative recovery and remained well at follow-up 8 months after surgery.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":"1 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82376896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I am delighted to introduce the Journal of Vascular Medicine & Surgery (JVMS) a rapid peer reviewed journal which is a valuable source of information for scholars, researchers, professionals, and students, providing in-depth perspectives on intriguing contemporary topics of Vascular Medicine. Built on an ethos of openness, we are passionate about working with the global academic community to promote open scholarly research to the world. I am pleased to announce that, 3 issues of the 8 th Edition were published online well within the time and the print issues were also brought out and dispatched within 30 days of publishing the issue online during the year of 2020. The major objective of JVMS is to publish up-to-date, high-quality and original research papers alongside relevant and insightful reviews. The Journal aims to flourish and to maintain the standards in Vascular Medicine research and practices, providing an excellent platform and opportunity to present evidence based research, reviews, case studies and analytical assessment of research that probably is much in deed for students, professors, aspiring researchers and health care professionals to enhance the patient care.
{"title":"Editorial Note for Journal of Vascular Medicine and Surgery","authors":"T. Schmitz-Rixen","doi":"10.35248/2329-6925.20.9","DOIUrl":"https://doi.org/10.35248/2329-6925.20.9","url":null,"abstract":"I am delighted to introduce the Journal of Vascular Medicine & Surgery (JVMS) a rapid peer reviewed journal which is a valuable source of information for scholars, researchers, professionals, and students, providing in-depth perspectives on intriguing contemporary topics of Vascular Medicine. Built on an ethos of openness, we are passionate about working with the global academic community to promote open scholarly research to the world. I am pleased to announce that, 3 issues of the 8 th Edition were published online well within the time and the print issues were also brought out and dispatched within 30 days of publishing the issue online during the year of 2020. The major objective of JVMS is to publish up-to-date, high-quality and original research papers alongside relevant and insightful reviews. The Journal aims to flourish and to maintain the standards in Vascular Medicine research and practices, providing an excellent platform and opportunity to present evidence based research, reviews, case studies and analytical assessment of research that probably is much in deed for students, professors, aspiring researchers and health care professionals to enhance the patient care.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":"54 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80181992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.35248/2329-6925.20.8.391
A. Chendrasekhar, S. Hodge, Jakey Patwari, V. Rubinshteyn, L. Richmond
Beta-blockers are used to reduce heart rate (HR) and thereby reduce myocardial oxygen demand. Current guidelines include a recommendation for the use of beta-blockers titrated to a target HR of 60 to 70 beats per minute (bpm) in certain populations; however, the value of this intervention has not yet been studied in the trauma population. Our objective was to determine whether beta-blockers used to titrate heart rate to 60-70 bpm within the first 24 hours of intensive care unit (ICU) admission affect outcome in trauma patients. We retrospectively examined the trauma registry to identify patients admitted to the ICU of an urban level-I trauma center over the course of January to December 2013; medical records were further reviewed to identify those who received treatment with beta-blockers. Data was collected on patient demographics, maximum/minimum HR within 24 hours of admission, achievement of target HR (60-70 bpm), type of beta-blocker administered, length of stay (LOS), injury severity score (ISS), and survival to discharge. Patients were stratified into two groups based upon whether target HR was achieved at least once during the first 24 hours of ICU admission. Statistical analysis was performed using chi-square analysis or t-test as appropriate. A total of 208 patients, 65 females and 143 males with an average age of 59.3 ± 19.3 years, were included. The majority of patients (88.9%) were treated with metoprolol while the rest received atenolol, labetalol, or carvedilol. Eighty-six patients reached target HR on the first day of ICU admission. Heart rate ranged from 48 to 150 bpm; maximum HR was significantly lower in the target HR achieved group (82 ± 2.4 vs 99.9 ± 2.8 bpm, p<0.001). There was no significant difference between the amount of injury sustained by the target HR achieved (ISS 14.2 ± 1.9) and target HR not achieved (ISS 15.9 ± 1.9) groups. Achievement of target HR was associated with a shorter LOS (5.8 ± 1.3 d vs. 10.5 ± 2.3 d, p-value 0.002) and increased likelihood of survival (OR 5.02, 95%CI 1.67-15.2, p=0.004).
受体阻滞剂用于降低心率(HR)，从而降低心肌耗氧量。目前的指南包括建议在某些人群中使用β受体阻滞剂，其目标心率为每分钟60至70次(bpm);然而，这种干预的价值尚未在创伤人群中得到研究。我们的目的是确定在重症监护病房(ICU)入院前24小时内将心率滴定至60-70 bpm的β受体阻滞剂是否会影响创伤患者的预后。我们回顾性地检查了创伤登记，以确定2013年1月至12月期间入住城市一级创伤中心ICU的患者;进一步审查了医疗记录，以确定接受β受体阻滞剂治疗的患者。收集患者人口统计数据，入院24小时内的最大/最小HR，目标HR (60-70 bpm)的实现，使用β受体阻滞剂的类型，住院时间(LOS)，损伤严重程度评分(ISS)和出院存活率。根据在ICU入院前24小时内是否至少达到一次目标HR，将患者分为两组。统计分析酌情采用卡方分析或t检验。共纳入208例患者，其中女性65例，男性143例，平均年龄59.3±19.3岁。大多数患者(88.9%)接受美托洛尔治疗，其余患者接受阿替洛尔、拉贝他洛尔或卡维地洛。86例患者在入院第一天达到目标HR。心率从48到150 bpm不等;目标心率达到组最大心率显著低于目标心率达到组(82±2.4 vs 99.9±2.8 bpm, p<0.001)。达到目标心率组(ISS 14.2±1.9)与未达到目标心率组(ISS 15.9±1.9)的损伤量差异无统计学意义。达到目标HR与较短的LOS(5.8±1.3 d vs 10.5±2.3 d, p值0.002)和增加的生存可能性相关(OR 5.02, 95%CI 1.67-15.2, p=0.004)。
{"title":"The Effect of Targeted Beta Blocker Use in Trauma Patients Admitted to the Intensive Care Unit","authors":"A. Chendrasekhar, S. Hodge, Jakey Patwari, V. Rubinshteyn, L. Richmond","doi":"10.35248/2329-6925.20.8.391","DOIUrl":"https://doi.org/10.35248/2329-6925.20.8.391","url":null,"abstract":"Beta-blockers are used to reduce heart rate (HR) and thereby reduce myocardial oxygen demand. Current guidelines include a recommendation for the use of beta-blockers titrated to a target HR of 60 to 70 beats per minute (bpm) in certain populations; however, the value of this intervention has not yet been studied in the trauma population. Our objective was to determine whether beta-blockers used to titrate heart rate to 60-70 bpm within the first 24 hours of intensive care unit (ICU) admission affect outcome in trauma patients. We retrospectively examined the trauma registry to identify patients admitted to the ICU of an urban level-I trauma center over the course of January to December 2013; medical records were further reviewed to identify those who received treatment with beta-blockers. Data was collected on patient demographics, maximum/minimum HR within 24 hours of admission, achievement of target HR (60-70 bpm), type of beta-blocker administered, length of stay (LOS), injury severity score (ISS), and survival to discharge. Patients were stratified into two groups based upon whether target HR was achieved at least once during the first 24 hours of ICU admission. Statistical analysis was performed using chi-square analysis or t-test as appropriate. A total of 208 patients, 65 females and 143 males with an average age of 59.3 ± 19.3 years, were included. The majority of patients (88.9%) were treated with metoprolol while the rest received atenolol, labetalol, or carvedilol. Eighty-six patients reached target HR on the first day of ICU admission. Heart rate ranged from 48 to 150 bpm; maximum HR was significantly lower in the target HR achieved group (82 ± 2.4 vs 99.9 ± 2.8 bpm, p<0.001). There was no significant difference between the amount of injury sustained by the target HR achieved (ISS 14.2 ± 1.9) and target HR not achieved (ISS 15.9 ± 1.9) groups. Achievement of target HR was associated with a shorter LOS (5.8 ± 1.3 d vs. 10.5 ± 2.3 d, p-value 0.002) and increased likelihood of survival (OR 5.02, 95%CI 1.67-15.2, p=0.004).","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":"107 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86490737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-01-01DOI: 10.35248/2329-6925.20.8.398
Heena Singdia
We present a case history of 5 years old boy, born of a non-consanguineous marriage with uneventful vaginal delivery brought to OPD with complaints of limb length discrepancy where the length and girth of right leg was greater than the left leg, dilated veins over right inguinal area and port wine stain over right half of the body for 4 years, the condition progresses with progressing age of child. There was no history of ulceration, Raynauds phenomenon, paresthesia, difficulty in walking or pedal edema. Baseline investigations, Color Doppler, and X-ray lower limb were normal. Klippel trenaunay syndrome is a vascular malformation disorder comprising a triad of port wine stain, limb hypertrophy and varicosities with a global incidence of 5 cases/100000.
{"title":"Klippel Trenaunay Syndrome in a 5 Year Old Boy: A Rare Embryological Vascular Anomaly","authors":"Heena Singdia","doi":"10.35248/2329-6925.20.8.398","DOIUrl":"https://doi.org/10.35248/2329-6925.20.8.398","url":null,"abstract":"We present a case history of 5 years old boy, born of a non-consanguineous marriage with uneventful vaginal delivery brought to OPD with complaints of limb length discrepancy where the length and girth of right leg was greater than the left leg, dilated veins over right inguinal area and port wine stain over right half of the body for 4 years, the condition progresses with progressing age of child. There was no history of ulceration, Raynauds phenomenon, paresthesia, difficulty in walking or pedal edema. Baseline investigations, Color Doppler, and X-ray lower limb were normal. Klippel trenaunay syndrome is a vascular malformation disorder comprising a triad of port wine stain, limb hypertrophy and varicosities with a global incidence of 5 cases/100000.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":"320 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77602696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I am pleased to mention that during the year 2019, all issues of Journal of of Vascular Medicine and Surgery, volume 7 were published online well within the time and the print issues were also brought out and dispatched within 30 days of publishing the issue online. The objective of JVMS is to publish up-to-date, high quality and original research papers alongside relevant and insightful reviews. Impact factor of JVMS for the year 2018-2019 was 0.334.
{"title":"Editor Note: Vascular Medicine and Surgery","authors":"Suowen Xu","doi":"10.35248/2329-6925.20.8","DOIUrl":"https://doi.org/10.35248/2329-6925.20.8","url":null,"abstract":"I am pleased to mention that during the year 2019, all issues of Journal of of Vascular Medicine and Surgery, volume 7 were published online well within the time and the print issues were also brought out and dispatched within 30 days of publishing the issue online. The objective of JVMS is to publish up-to-date, high quality and original research papers alongside relevant and insightful reviews. Impact factor of JVMS for the year 2018-2019 was 0.334.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":"43 1","pages":"1-1"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74089858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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