Pub Date : 2026-03-01Epub Date: 2026-02-28DOI: 10.1016/j.jvsv.2025.102416
Kristan Probeck MS , Anish Desai MD , Rabih Chaer MD , Daniel Ohngemach MD , Christopher Shackles MD
{"title":"Outcomes of Patients With Submassive Pulmonary Embolism at a Level 1 Trauma Center After Establishment of a PERT","authors":"Kristan Probeck MS , Anish Desai MD , Rabih Chaer MD , Daniel Ohngemach MD , Christopher Shackles MD","doi":"10.1016/j.jvsv.2025.102416","DOIUrl":"10.1016/j.jvsv.2025.102416","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 2","pages":"Article 102416"},"PeriodicalIF":2.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2025-11-28DOI: 10.1016/j.jvsv.2025.102358
Hamzeh R. Shahin MD, Tareq Massimi MD
{"title":"Emergency covered stent repair of superior vena cava rupture causing acute cardiac tamponade and cardiac arrest during central venous recanalization","authors":"Hamzeh R. Shahin MD, Tareq Massimi MD","doi":"10.1016/j.jvsv.2025.102358","DOIUrl":"10.1016/j.jvsv.2025.102358","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 2","pages":"Article 102358"},"PeriodicalIF":2.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145648771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2026-02-28DOI: 10.1016/j.jvsv.2025.102421
Steven Abramowitz MD
{"title":"Propensity Score-matched Comparison of 2-Year Outcomes in Isolated Femoropopliteal Deep Vein Thrombosis Treated With Mechanical Thrombectomy or Anticoagulation","authors":"Steven Abramowitz MD","doi":"10.1016/j.jvsv.2025.102421","DOIUrl":"10.1016/j.jvsv.2025.102421","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 2","pages":"Article 102421"},"PeriodicalIF":2.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147394105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2026-02-28DOI: 10.1016/j.jvsv.2025.102436
Trevin Eggleston BA , Oscar Moreno MD , Catherine Luke LVT , Amber Clay RVT, RDCS , Kate Micallef BS , Kiran Kumar BS , Sabrina Rocco MS , Kevin Hughes PhD , David Gordon MD , Daniel Myers MPH, DVM , Thomas Wakefield MD , Peter Henke MD , Andrea Obi MD
{"title":"Tracking Endothelial Coverage of Deep Vein Stents Over Time Using Electron Microscopy","authors":"Trevin Eggleston BA , Oscar Moreno MD , Catherine Luke LVT , Amber Clay RVT, RDCS , Kate Micallef BS , Kiran Kumar BS , Sabrina Rocco MS , Kevin Hughes PhD , David Gordon MD , Daniel Myers MPH, DVM , Thomas Wakefield MD , Peter Henke MD , Andrea Obi MD","doi":"10.1016/j.jvsv.2025.102436","DOIUrl":"10.1016/j.jvsv.2025.102436","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 2","pages":"Article 102436"},"PeriodicalIF":2.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147396153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Current single preoperative lymphatic imaging technique are inadequate to ensure the simplification and enhanced efficiency of lymphatic venous anastomosis (LVA) procedures. The application value of contrast-enhanced ultrasound (CEUS) examination combined with ultra-high-frequency ultrasound (UHFUS) examination in LVA has not been explored. This study aimed to systematically explore the clinical application value of CEUS examination integrated with UHFUS examination in guiding LVA.
Methods
Patients undergoing LVA after localization with indocyanine green (ICG) lymphography (group B) or CEUS examination combined with UHFUS examination (group A) from November 1, 2023, to March 1, 2025, were enrolled sequentially. Preoperative localization time and number of lymphatic vessels (LVs), skin incision length, time and number of LVs anastomoses during LVA, postoperative reduction in the maximum circumference of the affected limb, and improvement in subjective symptoms were compared.
Results
A total of 19 patients with lymphedema who underwent LVA were included in our study. Compared with indocyanine green, CEUS combined with UHFUS examination can shorten preoperative LVs localization time, increase the number of end-to-end anastomoses during LVA, streamline the LVA procedure, and improve patient symptoms to some extent.
Conclusions
CEUS combined with UHFUS examination is a promising method for the preoperative evaluation of LVs that can enhance the efficiency and feasibility of LVA.
{"title":"Contrast-enhanced ultrasound combined with ultra-high-frequency ultrasound improves preoperative planning for lymphovenous anastomosis: A pilot study","authors":"Yuanyan Tang MD , Xing Huang MD , Zhongzeng Liang MD , Xiaoting Yu PhD , Zhengren Liu PhD , Jia Zhu PhD","doi":"10.1016/j.jvsv.2025.102361","DOIUrl":"10.1016/j.jvsv.2025.102361","url":null,"abstract":"<div><h3>Background</h3><div>Current single preoperative lymphatic imaging technique are inadequate to ensure the simplification and enhanced efficiency of lymphatic venous anastomosis (LVA) procedures. The application value of contrast-enhanced ultrasound (CEUS) examination combined with ultra-high-frequency ultrasound (UHFUS) examination in LVA has not been explored. This study aimed to systematically explore the clinical application value of CEUS examination integrated with UHFUS examination in guiding LVA.</div></div><div><h3>Methods</h3><div>Patients undergoing LVA after localization with indocyanine green (ICG) lymphography (group B) or CEUS examination combined with UHFUS examination (group A) from November 1, 2023, to March 1, 2025, were enrolled sequentially. Preoperative localization time and number of lymphatic vessels (LVs), skin incision length, time and number of LVs anastomoses during LVA, postoperative reduction in the maximum circumference of the affected limb, and improvement in subjective symptoms were compared.</div></div><div><h3>Results</h3><div>A total of 19 patients with lymphedema who underwent LVA were included in our study. Compared with indocyanine green, CEUS combined with UHFUS examination can shorten preoperative LVs localization time, increase the number of end-to-end anastomoses during LVA, streamline the LVA procedure, and improve patient symptoms to some extent.</div></div><div><h3>Conclusions</h3><div>CEUS combined with UHFUS examination is a promising method for the preoperative evaluation of LVs that can enhance the efficiency and feasibility of LVA.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 2","pages":"Article 102361"},"PeriodicalIF":2.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145696267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-03-01Epub Date: 2025-12-16DOI: 10.1016/j.jvsv.2025.102379
Hind Anan MD , Pamela EL. Hayek MD , Fanny Alie-Cusson MD , Leon Xuanyu Min BS , Elizabeth Andraska MD MSc , Jihane Jadi MD , Rabih Chaer MD, MSc , Marissa Jarosinski MD , Natalie Sridharan MD, MSc
Objective
Catheter-directed intervention (CDI) use in massive pulmonary embolism (PE) is rarely studied due to guideline recommendations for systemic thrombolysis (stPA). Nevertheless, surgical embolectomy (SE) and CDI remain well-accepted alternatives in massive PE management, particularly when patients have contraindications to or do not improve after stPA. We hypothesized that CDI and SE have comparable outcomes in the treatment of massive PE.
Methods
We conducted a retrospective review of patients presenting with massive PE who underwent CDI or SE at a multihospital health care system (2010-2024). Baseline characteristics, in-hospital outcomes, and long-term mortality were recorded. Data was analyzed using Kaplan-Meier survival curves and multivariate Cox regression.
Results
A total of 99 patients with massive PE were analyzed, with 24 (24.2%) undergoing SE and 75 (75.8%) receiving CDI (41 suction thrombectomies and 34 catheter-directed thrombolysis). SE and CDI baseline characteristics were similar with mean age of 58.5 years in SE and 64.5 years in CDI (P = .09). The majority in both groups had absolute (CDI, 17.3%; SE, 16.7%; P = .94) or relative contraindication (CDI, 58.7%; SE, 66.7%; P = .49) to stPA. The use of preoperative stPA was similar in both groups (CDI, 13.3%; SE, 25.0%; P = .21). Median time to procedure was also similar (CDI, 14.3 hours; SE, 18.5 hours; P = .42). CDI was associated with a lower total intensive care unit (ICU) length of stay (LOS) (median, 2.2 vs 3.3 days; P = .04) and lower major bleeding complications (9.3% vs 79.2%; P < .001). However, there was no statistically significant difference in fatal bleeding (CDI, 5.33%; SE, 4.17%; P = 1.00), need for bailout intervention (CDI, 8.0%; SE, 16.7%; P = .25), resolution of right heart strain (CDI, 27.8%; SE, 41.2%; P = .37), or median hospital LOS (CDI, 8 days; SE, 5 days; P = .12) between both groups. In-hospital mortality occurred equally (CDI, 21.3%; SE, 20.8%; P = 1.00). On Kaplan-Meier analysis, there was no survival difference between the two groups. On Cox regression, procedure type was not a significant predictor for mortality (adjusted hazard ratio 1.36; 95% confidence interval, 0.58-3.20; reference: SE).
Conclusions
CDI is a minimally invasive alternative to SE in massive PE and offers comparable outcomes and similar survival rates. Nevertheless, CDI offers advantages in terms of shorter ICU stay and fewer major bleeding complications.
目的：由于指南推荐全体性溶栓（stPA），导管定向干预（CDI）在大规模肺栓塞（PE）中的应用很少被研究。尽管如此，外科栓塞切除术（SE）和CDI仍然是大规模PE治疗中被广泛接受的替代方案，特别是当患者有禁忌症或stPA后没有改善时。我们假设CDI和SE在治疗大量PE方面具有相当的结果。方法：我们对在多医院医疗系统（2010-2024）接受CDI或SE治疗的大量PE患者进行了回顾性研究。记录基线特征、住院结果和长期死亡率。数据分析采用Kaplan-Meier生存曲线和多变量Cox回归。结果：共分析99例大块性PE患者，其中24例（24.2%）行SE， 75例（75.8%）行CDI（41例吸盘取栓术，34例导管溶栓术）。SE和CDI的基线特征相似，SE的平均年龄为58.5岁，CDI的平均年龄为64.5岁（p= 0.09）。两组大多数患者对stPA有绝对禁忌症（CDI 17.3%, SE 16.7%, p= 0.94）或相对禁忌症（CDI 58.7%, SE 66.7%, p= 0.49）。两组术前stPA的使用相似（CDI 13.3%, SE 25.0%; p= 0.21）。中位手术时间也相似（CDI 14.3小时，SE 18.5小时；p= 0.42）。CDI与较低的总重症监护（ICU）住院时间（LOS）（中位2.2天vs 3.3天；p= 0.04）和较低的大出血并发症（9.3% vs 79.2%）相关。结论：CDI是一种微创替代SE治疗大面积PE的方法，可提供相似的结果和相似的生存率。然而，CDI在缩短ICU时间和减少大出血并发症方面具有优势。
{"title":"Catheter-directed interventions versus surgical embolectomy in massive pulmonary embolism","authors":"Hind Anan MD , Pamela EL. Hayek MD , Fanny Alie-Cusson MD , Leon Xuanyu Min BS , Elizabeth Andraska MD MSc , Jihane Jadi MD , Rabih Chaer MD, MSc , Marissa Jarosinski MD , Natalie Sridharan MD, MSc","doi":"10.1016/j.jvsv.2025.102379","DOIUrl":"10.1016/j.jvsv.2025.102379","url":null,"abstract":"<div><h3>Objective</h3><div>Catheter-directed intervention (CDI) use in massive pulmonary embolism (PE) is rarely studied due to guideline recommendations for systemic thrombolysis (stPA). Nevertheless, surgical embolectomy (SE) and CDI remain well-accepted alternatives in massive PE management, particularly when patients have contraindications to or do not improve after stPA. We hypothesized that CDI and SE have comparable outcomes in the treatment of massive PE.</div></div><div><h3>Methods</h3><div>We conducted a retrospective review of patients presenting with massive PE who underwent CDI or SE at a multihospital health care system (2010-2024). Baseline characteristics, in-hospital outcomes, and long-term mortality were recorded. Data was analyzed using Kaplan-Meier survival curves and multivariate Cox regression.</div></div><div><h3>Results</h3><div>A total of 99 patients with massive PE were analyzed, with 24 (24.2%) undergoing SE and 75 (75.8%) receiving CDI (41 suction thrombectomies and 34 catheter-directed thrombolysis). SE and CDI baseline characteristics were similar with mean age of 58.5 years in SE and 64.5 years in CDI (<em>P</em> = .09). The majority in both groups had absolute (CDI, 17.3%; SE, 16.7%; <em>P</em> = .94) or relative contraindication (CDI, 58.7%; SE, 66.7%; <em>P</em> = .49) to stPA. The use of preoperative stPA was similar in both groups (CDI, 13.3%; SE, 25.0%; <em>P</em> = .21). Median time to procedure was also similar (CDI, 14.3 hours; SE, 18.5 hours; <em>P</em> = .42). CDI was associated with a lower total intensive care unit (ICU) length of stay (LOS) (median, 2.2 vs 3.3 days; <em>P</em> = .04) and lower major bleeding complications (9.3% vs 79.2%; <em>P</em> < .001). However, there was no statistically significant difference in fatal bleeding (CDI, 5.33%; SE, 4.17%; <em>P</em> = 1.00), need for bailout intervention (CDI, 8.0%; SE, 16.7%; <em>P</em> = .25), resolution of right heart strain (CDI, 27.8%; SE, 41.2%; <em>P</em> = .37), or median hospital LOS (CDI, 8 days; SE, 5 days; <em>P</em> = .12) between both groups. In-hospital mortality occurred equally (CDI, 21.3%; SE, 20.8%; <em>P</em> = 1.00). On Kaplan-Meier analysis, there was no survival difference between the two groups. On Cox regression, procedure type was not a significant predictor for mortality (adjusted hazard ratio 1.36; 95% confidence interval, 0.58-3.20; reference: SE).</div></div><div><h3>Conclusions</h3><div>CDI is a minimally invasive alternative to SE in massive PE and offers comparable outcomes and similar survival rates. Nevertheless, CDI offers advantages in terms of shorter ICU stay and fewer major bleeding complications.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 2","pages":"Article 102379"},"PeriodicalIF":2.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145781556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号