Journal of vascular surgery. Venous and lymphatic disorders最新文献

{"title":"Meta-analysis of duration of venous thromboembolism risk following hospitalization in surgical and medical patients","authors":"Georges Jreij MD ,&nbsp;Caroline Crone BS ,&nbsp;Aidan Wiley BA ,&nbsp;Aman Kankaria DO ,&nbsp;Mary S. Lin MD ,&nbsp;Minerva Mayorga-Carlin MPH ,&nbsp;Shalini Sahoo MA ,&nbsp;John D. Sorkin MD, PhD ,&nbsp;Brajesh K. Lal MD","doi":"10.1016/j.jvsv.2025.102343","DOIUrl":"10.1016/j.jvsv.2025.102343","url":null,"abstract":"<div><h3>Objective</h3><div>Hospitalization increases venous thromboembolism (VTE) risk, and over one-half of all VTE events occur after hospital admission. Current decisions on post-hospitalization VTE prophylaxis are not evidence-based. The duration of enhanced risk after hospitalization, in surgical and medical patients, is not well-known. In this meta-analysis, we evaluated the rates of post-hospitalization VTE over time in patients that underwent surgery during their hospitalization and those that did not.</div></div><div><h3>Methods</h3><div>A literature search was performed through November 2023 using PubMed, EMBASE, and Cochrane. Studies examining the incidence of VTE in hospitalized patients during a specified period following hospitalization were included. Studies were excluded if they focused on nonhospitalized patients, failed to define the follow-up duration, or did not report the incidence of VTE. Screening and data collection was conducted by two reviewers.</div></div><div><h3>Results</h3><div>From a total of 1504 studies screened, 57 were included. Overall, 9,152,616 patients were included; of these, 1,232,627 were followed for 30 days, 28,522 for 45 days, 2,515,940 for 90 days, and 5,375,527 were followed beyond 90 days. The pooled incidence of VTE during the first 45 days was 0.3% (95% confidence interval [CI], 0.2%- 0.4%) among surgical patients and 4.6% (95% CI, 4.3%-4.9%) among medical patients. The pooled incidence of VTE during the first 90 days was 1.3% (95% CI, 0.7%-2.3%) in surgical patients and 2.9% (95% CI, 2.0%-4.1%) in medical patients. Beyond 90 days (between 180 and 1020 days), the pooled incidence of VTE was 1.0% (95% CI, 0.4%-2.3%) in the surgical cohort, compared with 2.3% (95% CI, 1.6%-3.5%) in the medical cohort.</div></div><div><h3>Conclusions</h3><div>The post-hospitalization 90-day VTE rate was found to be low for both surgical and medical patients; the risks beyond 90 days was found to be only slightly lower. VTE risk in surgical patients is predominantly short-term and diminishes following recovery from surgery. Conversely, medical patients exhibit a prolonged VTE risk, likely related to persistence of clinical risk factors.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 1","pages":"Article 102343"},"PeriodicalIF":2.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280697","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}

{"title":"Surgical outcomes of above-knee versus full-length endovenous laser ablation for great saphenous vein varicose veins","authors":"Yafei Zhang MS ,&nbsp;Xiao Lin MN ,&nbsp;Zihao Wang MS ,&nbsp;Wentao Li MD ,&nbsp;Yuqin Wang MN ,&nbsp;Jing Bian MPH ,&nbsp;Yong Liang MD","doi":"10.1016/j.jvsv.2025.102342","DOIUrl":"10.1016/j.jvsv.2025.102342","url":null,"abstract":"<div><h3>Objective</h3><div>This study compares the surgical outcomes between endovenous laser ablation of the above-knee great saphenous vein (AK-GSV) and full-length great saphenous vein (FL-GSV) for the treatment of lower limb varicose veins.</div></div><div><h3>Methods</h3><div>This retrospective study analyzed clinical data from consecutive patients with lower extremity varicose veins treated at a tertiary vascular surgery center between November 2023 and December 2024. Participants were categorized into two groups based on surgical approach: the AK-GSV laser treatment group (n = 134) and the FL-GSV laser closure treatment group (n = 166). The study compared operative time, postoperative pain intensity, improvement in general symptoms, and incidence of saphenous nerve injury between the two groups.</div></div><div><h3>Results</h3><div>AK-GSV laser treatment was associated with shorter surgical duration (60.52 ± 8.26 minutes) compared with the FL- GSV laser treatment (64.01 ± 8.71 minutes; <em>P</em> = .000). Additionally, AK-GSV treatment was associated with milder early postoperative pain, as reflected by lower Visual Analogue Scale (VAS) scores at 1 day (2.82 ± 0.96 vs 3.14 ± 0.83; <em>P</em> = .002) and 3 days (1.57 ± 0.64 vs 1.77 ± 0.67; <em>P</em> =.01) postoperatively. The AK-GSV treatment group exhibited superior short-term outcomes, with significantly larger reductions in the Venous Clinical Severity Score (VCSS) (<em>P</em> = .009) and the Aberdeen Varicose Vein Questionnaire (AVVQ) score (<em>P</em> = .045) during the early postoperative period (within the first 1 month postoperatively) compared with the FL-GSV group. Compared with the FL-GSV treatment group, the AK-GSV group had a significantly lower incidence of saphenous nerve injury at 1 month (4.5% vs 15.7%; <em>P</em> = .002), 3 months (2.2% vs 8.4%; <em>P</em> = .021), and 9 months (0.0% vs 4.2%; <em>P</em> = .018). However, this intergroup difference was no longer statistically significant at 6 months (1.5% vs 5.4%; <em>P</em> = .072).</div></div><div><h3>Conclusions</h3><div>AK-GSV endovenous laser ablation is a safe and effective minimally invasive treatment approach. Compared with FL-GSV ablation, this technique demonstrates comparable efficacy in improving venous stasis symptoms while offering significant advantages, including reduced operative time, decreased postoperative pain, accelerated recovery, and lower risks of neurological complications.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 1","pages":"Article 102342"},"PeriodicalIF":2.8,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145280650","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}

{"title":"Thigh lymphocutaneous fistula in a child","authors":"Qi Di MD ,&nbsp;Kai Zheng MD ,&nbsp;Qiang-Qiang Nie PhD ,&nbsp;San-Lin Li MD ,&nbsp;Cheng-Hao Chen MD ,&nbsp;Gang Shen MD","doi":"10.1016/j.jvsv.2025.102341","DOIUrl":"10.1016/j.jvsv.2025.102341","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 1","pages":"Article 102341"},"PeriodicalIF":2.8,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258238","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}

{"title":"Spontaneous saccular aneurysm of the external jugular vein with thrombosis","authors":"Zhuoyuan Li MD, MSc ,&nbsp;Tan Li MD","doi":"10.1016/j.jvsv.2025.102339","DOIUrl":"10.1016/j.jvsv.2025.102339","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 1","pages":"Article 102339"},"PeriodicalIF":2.8,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258193","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}

{"title":"Prevalence of gynecological disorders in women with symptomatic pelvic venous disorders","authors":"Syona Satwah MD,&nbsp;Natalie Ma,&nbsp;Theresa Soto MD,&nbsp;Gaurav Lakhanpal MD,&nbsp;Richard Kennedy PAC,&nbsp;Sanjiv Lakhanpal MD,&nbsp;Peter J. Pappas MD","doi":"10.1016/j.jvsv.2025.102338","DOIUrl":"10.1016/j.jvsv.2025.102338","url":null,"abstract":"<div><h3>Background</h3><div>The diagnosis of symptomatic pelvic venous insufficiency (PVI) in women is complicated when concomitant gynecological disorders are present. The purpose of this investigation was to determine the prevalence of concomitant gynecological disorders in women with a pelvic venous disorder secondary to PVI and to assess the effectiveness of therapeutic interventions in women with a history of these disorders.</div></div><div><h3>Methods</h3><div>We retrospectively reviewed the results of 2544 women treated for symptomatic PVI from January 2017 to March 2024. Women were divided in three groups: pelvic pain alone, leg pain alone or combined pelvic and leg pain (mixed). Patient demographics, prevalence of concomitant gynecological disorders, presenting symptoms, Clinical, Etiology, Anatomy, Pathophysiology class, rVCSS, pre and post visual analog pain scores (VAS), stent type, and vein territory covered were assessed.</div></div><div><h3>Results</h3><div>Of the 2544 women, 70 presented with pelvic pain alone, 1012 with leg pain alone, and 1454 with mixed symptoms. The average age of the cohort was 52.0 ± 13.8 years. Racial distribution was 49% White, 16% African American, 11% Hispanic, 1% Asian, and 23% unknown. The most common gynecological disorders reported were hysterectomy (31%), uterine fibroids (4%), endometriosis (4.4%), ovarian cysts (2.8%), and polycystic ovarian syndrome (1.5%). The average follow-up time was 2.32 ± 2.4 years. Pre and post intervention VAS scores were pelvic (7.61 ± 3.72/1.93 ± 3.2), leg (6.18 ± 2.95/2.42 ± 3.2), and mixed (5.72 ± 3.72/2.4 ± 3.1) (<em>P</em> ≤ .05). For women with a history of endometriosis, pre and post VAS scores were 6.52 ± 3.15 and 2.5 ± 0.6 (<em>P</em> ≤ .05). There was no difference in pre and post VAS scores in women with a history of endometriosis compared with the other presenting symptom groups. A total of 1738 stents were placed: 27 pelvic, 564 leg, and 935 mixed. The most common stent diameters and lengths were 14 and 16 mm and 140 and 160 mm. The left common and external iliac veins were the most common vein territories covered. There were 768 reinterventions for a 25.6% reintervention rate at 25 ± 24 months.</div></div><div><h3>Conclusions</h3><div>The prevalence of concomitant gynecological disorders in women with symptomatic PVI is very low and calls into question whether or not gynecological assessments for etiologies other than PVI are necessary. Even in women with a history of endometriosis, endovascular interventions are very successful at ameliorating pelvic and/or leg symptoms. A history of concomitant gynecological disorders should not prevent the performance of endovascular therapies in women with symptomatic PVI.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 1","pages":"Article 102338"},"PeriodicalIF":2.8,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145258214","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}

{"title":"Iatrogenic superficial femoral arteriovenous fistula and pseudoaneurysm","authors":"Xu Li MD ,&nbsp;Juan Yang MD ,&nbsp;Hua Yi Zhang MD","doi":"10.1016/j.jvsv.2025.102335","DOIUrl":"10.1016/j.jvsv.2025.102335","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 1","pages":"Article 102335"},"PeriodicalIF":2.8,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145228607","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}

{"title":"Stewart-Treves syndrome: A rare complication of lymphedema","authors":"Marta Machado MD,&nbsp;Miguel Machado MD,&nbsp;Arlindo Matos MD,&nbsp;Rui Machado PhD","doi":"10.1016/j.jvsv.2025.102336","DOIUrl":"10.1016/j.jvsv.2025.102336","url":null,"abstract":"","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 1","pages":"Article 102336"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225710","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}

{"title":"Complex decongestive therapy combined with needle electrode stimulation facilitates postoperative rehabilitation of lymphedema","authors":"Qiong Wu BS ,&nbsp;Longxin An BS ,&nbsp;Li Xu BS ,&nbsp;Wen Zhou BS ,&nbsp;Xiaojing Li BS ,&nbsp;Longfei Liu BS ,&nbsp;Qi Tan MS ,&nbsp;Xuecheng Sun MS ,&nbsp;Naibo Feng MD","doi":"10.1016/j.jvsv.2025.102337","DOIUrl":"10.1016/j.jvsv.2025.102337","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the clinical efficacy of complex decongestive therapy (CDT) combined with needle electrode stimulation (NES) in the management of lymphedema after lymphaticovenular anastomosis (LVA) and to compare its therapeutic outcomes with conventional CDT alone.</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted on 50 patients with secondary lymphedema who underwent LVA at the Department of Traumatic Orthopedics, Weifang People's Hospital, between June 2023 and June 2024. All patients met strict inclusion criteria and were randomly assigned to one of two groups: group A (CDT combined with NES; n = 25; 3 males, 22 females) and group B (CDT alone; n = 25; 3 males, 22 females). There was no significant difference in sex distribution between groups (χ² = 0.00; <em>P</em> &gt; .99), indicating baseline comparability.</div></div><div><h3>Results</h3><div>No significant main effect of group was observed for limb swelling rate (<em>P</em> = .46; n = 50), indicating comparable overall swelling levels between groups. A significant main effect of time was found across all timepoints (preoperatively and at 2 weeks, 1 month, 3 months, 6 months, and 12 months postoperatively; <em>P</em> &lt; .01; n = 25), suggesting a general decrease in swelling over time. Importantly, a significant group × time interaction was identified (<em>P</em> = .03; n = 25), indicating that the rate of decrease in swelling differed, with group A showing a greater and faster improvement. For quality of life assessed by the Lymphedema Life Impact Scale (LLIS), the between-group difference was not statistically significant (<em>P</em> = .09; n = 25). However, a significant time effect was observed (<em>P</em> &lt; .01), and a significant group × time interaction (<em>P</em> = .02) indicated a more favorable trajectory in group A. No adverse events, including infection, poor wound healing, or cellulitis, were reported during the study.</div></div><div><h3>Conclusions</h3><div>CDT combined with NES demonstrates superior efficacy in decreasing limb swelling and improving Lymphedema Life Impact Scale scores compared with CDT alone in the postoperative management of lymphedema after LVA. This combination therapy significantly enhances postoperative recovery, suggesting its potential as a more effective approach for lymphedema rehabilitation.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 1","pages":"Article 102337"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225721","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}

{"title":"Safety and efficacy for the treatment of C1 and C2 patients with a new method hemodynamic hybrid Nd YAG 1064 LASER and cryosclerotherapy","authors":"Cláudia Carvalho Sathler de Melo MD ,&nbsp;Felipe Puricelli Faccini MD, MSc","doi":"10.1016/j.jvsv.2025.102320","DOIUrl":"10.1016/j.jvsv.2025.102320","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the safety and efficacy of hemodynamic hybrid LASER cryosclerotherapy for the treatment of chronic venous disease in patients with telangiectasias, reticular veins, and varicose veins.</div></div><div><h3>Methods</h3><div>This retrospective cohort included patients classified as C1 and C2 low treated between February 2022 and November 2024. A total of 41 women were included. All patients underwent clinical evaluation, Doppler ultrasound venous mapping for evidence of deep and superficial reflux and standardized pretreatment and post-treatment photography. Exclusion criteria included previous saphenous treatment, thromboembolic events, and Fitzpatrick skin type VI. We used YAG Laser and cooled 67% to 75% dextrose injection.</div></div><div><h3>Results</h3><div>A total of 71 treatment sessions were performed. Lesion clearance was categorized as insufficient (&lt;50%), moderate (50%-69%), or complete (70%-100%) based on photographic comparison by the treating physician and patient consensus. Complete clearance was achieved in 83% of patients (34/41). Postinflammatory hyperpigmentation was the most common complication, with no cases of skin necrosis. Two minor thrombotic events were observed. No allergic reactions were reported.</div></div><div><h3>Conclusions</h3><div>Hemodynamic hybrid LASER cryosclerotherapy appears to be a safe and effective office-based treatment for C1 and C2 low patients, potentially reducing the need for invasive saphenous vein procedures in early-stage chronic venous disease.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 1","pages":"Article 102320"},"PeriodicalIF":2.8,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145213148","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}

{"title":"Surgical treatment of perineal lymphatic malformations: A single-center retrospective study of 24 years","authors":"Pingping Liu MD ,&nbsp;Yilong Guo MD ,&nbsp;Ning Ma MD ,&nbsp;Sen Chen MD ,&nbsp;Yan Cao MD ,&nbsp;Zhe Yang MD ,&nbsp;Yangqun Li MD","doi":"10.1016/j.jvsv.2025.102328","DOIUrl":"10.1016/j.jvsv.2025.102328","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the long-term outcomes and recurrence patterns of surgical treatment for perineal lymphatic malformations (LMs), which are rare but functionally and cosmetically disabling.</div></div><div><h3>Methods</h3><div>We conducted a retrospective review of 19 patients with perineal LMs who underwent surgical excision between 2000 and 2024. All patients were followed for at least 1 year. Clinical presentation, surgical details, complications, and recurrences were analyzed. Recurrence-free survival was estimated using the Kaplan-Meier method, and risk factors were explored using univariate analysis.</div></div><div><h3>Results</h3><div>The cohort included 17 males and 2 females. Lesions were primarily located on the penis and scrotum. Symptoms included local swelling, disfigurement, cutaneous masses, lymphostatic elephantiasis, pain, skin discoloration, and functional compromise. No patients underwent surgery at 0 to 1 year of age, six were treated at 1 to 6 years, one at 6 to 12 years, six at 12 to 18 years, and six as adults (&gt;18 years). The median follow-up duration was 12 years (range, 1-24 years). All skin grafts and flaps survived, and patient-reported functional and cosmetic outcomes improved significantly. The complication rate was 26.3%, including wound dehiscence, lymphatic leakage, and hypertrophic scars. Overall patient satisfaction was 84.2%. Primary surgical success (no recurrence after one procedure) was achieved in 63.2% of cases. Seven patients experienced recurrence. The estimated 20-year recurrence-free survival was 42.3%. Lymphostatic elephantiasis was significantly associated with recurrence (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>Surgical excision of perineal LMs is safe and effective. Most patients achieved lasting symptom relief and cosmetic benefits after one operation. However, recurrence is a long-term concern, highlighting the need for ongoing surveillance.</div></div>","PeriodicalId":17537,"journal":{"name":"Journal of vascular surgery. Venous and lymphatic disorders","volume":"14 1","pages":"Article 102328"},"PeriodicalIF":2.8,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186316","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}