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

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Risk Factors for Depression in Patients with Venous Stasis Ulcers 静脉瘀血溃疡患者抑郁的风险因素
IF 3.2 2区 医学 Q1 Medicine Pub Date : 2024-04-15 DOI: 10.1016/j.jvsv.2024.101755
Christopher Papatheofanis , Gennady Vulakh , Nadia Manzoor , Natalie Marks , Enrico Ascher , Anil Hingorani
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引用次数: 0
Monocentric Prospective Study to Valid Mutidisciplinary Diagnostic and Therapeutic Approach for Nutcracker Syndrome 单中心前瞻性研究,验证胡桃夹子综合征的多学科诊断和治疗方法
IF 3.2 2区 医学 Q1 Medicine Pub Date : 2024-04-15 DOI: 10.1016/j.jvsv.2024.101783
Gwenaël John
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引用次数: 0
Endovascular Management of Vertebroplasty Cement Embolism: Case Report and Review of Literature 椎体成形术骨水泥栓塞的血管内治疗:病例报告与文献综述
IF 3.2 2区 医学 Q1 Medicine Pub Date : 2024-04-15 DOI: 10.1016/j.jvsv.2024.101798
Raj Lingnurkar, Rajshree Singh
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引用次数: 0
Diversity, Equity, and Inclusion Landscape of American Venous Forum 美国静脉论坛的多样性、公平性和包容性情况
IF 3.2 2区 医学 Q1 Medicine Pub Date : 2024-04-15 DOI: 10.1016/j.jvsv.2024.101761
Lucy Yang , Ruth Bush , Kathleen Ozsvath , Karem Harth
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引用次数: 0
Plasminogen Activator Inhibitor Protease Domain Drives Venous Fibrosis 血浆蛋白酶原激活剂抑制剂蛋白酶域驱动静脉纤维化
IF 3.2 2区 医学 Q1 Medicine Pub Date : 2024-04-15 DOI: 10.1016/j.jvsv.2024.101771
Kiran Kumar, Sharika Bamezai, Sriganesh Sharma, Nathaniel Parchment, Oscar Moreno Rocha, Catherine Luke, Peter Henke, Thomas Wakefield, Thomas Sisson, Andrea Obi
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引用次数: 0
Revolutionizing inferior vena cava filter retrieval with electromagnetic graspers and gold-coated magnetic beads 利用电磁抓取器和金涂层磁珠彻底改变下腔静脉过滤器的取出方式
IF 3.2 2区 医学 Q1 Medicine Pub Date : 2024-04-15 DOI: 10.1016/j.jvsv.2024.101819
Michael James BS, Saem Iftikhar, Viren S. Sehgal BS
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引用次数: 0
Concordance between preoperative imaging methods in patients with limb lymphedema undergoing supermicrosurgical lymphaticovenular anastomosis 接受超显微外科淋巴管-静脉吻合术的肢体淋巴水肿患者术前成像方法的一致性。
IF 2.8 2区 医学 Q2 PERIPHERAL VASCULAR DISEASE Pub Date : 2024-04-15 DOI: 10.1016/j.jvsv.2024.101891

Objective

Supermicrosurgical lymphaticovenular anastomosis (LVA) is increasingly being recognized as a first-line treatment of limb lymphedema because it is minimally invasive and highly effective. Lymphoscintigraphy and indocyanine green (ICG) lymphography are the two most commonly performed diagnostic imaging examinations to establish the indication and plan the procedure for patients affected by limb lymphedema. In a small group of patients, the information between these two imaging tools can be discordant, showing different anatomical drainage pathways or the absence of drainage and dermal backflow in one examination and valid drainage pathways in the other. The purpose of this study is to examine the types of possible discrepancies between lymphoscintigraphy of the superficial system and ICG lymphography and to describe the surgical outcomes after LVA for patients presenting with such discrepancies.

Methods

We retrospectively reviewed the data of all patients who underwent LVA for upper or lower limb lymphedema between July 2015 and July 2023. From this series, we identified a group of patients with nonconcordant imaging results from lymphoscintigraphy and ICG lymphography before lymphatic surgery. Nonconcordant findings were described in terms of “pattern discordance” and “pathway discordance.” The surgical outcome was measured by the change in the mean circumference of the limb after surgery. The changes between the preoperative and postoperative limb measures were analyzed using the Student t test. P values < .05 were considered significant.

Results

A total of 28 patients with limb lymphedema exhibited inconsistencies between preoperative lymphoscintigraphy of the superficial system and ICG lymphography. Among these patients, 14 experienced pattern discordance, 13 had pathway discordance, and 1 patient had both. After LVA, we observed a significant reduction in the average circumference of the affected limb in the analyzed group.

Conclusions

The discrepancy in the information between lymphoscintigraphy and ICG lymphography in the preoperative study of patients affected by limb lymphedema is rare but possible. This phenomenon is still not fully explained; however, our results suggest that it does not correlate with the outcome of supermicrosurgical LVAs.
目的上皮细胞手术淋巴管-静脉吻合术(LVA)因其微创、高效而被越来越多的人视为肢体淋巴水肿的一线治疗方法。淋巴管造影(Lymphoscintigraphy)和吲哚菁绿(ICG)淋巴造影(indocyanine green, ICG)是两种最常用的诊断成像检查方法,用于确定肢体淋巴水肿患者的适应症并制定手术计划。在一小部分患者中,这两种成像工具之间的信息可能不一致,在一种检查中显示不同的解剖引流路径,或没有引流和真皮回流,而在另一种检查中显示有效的引流路径。本研究的目的是检查浅表系统淋巴管造影和 ICG 淋巴造影之间可能存在差异的类型,并描述出现此类差异的患者在 LVA 后的手术结果。方法我们回顾性地审查了 2015 年 7 月至 2023 年 7 月期间因上肢或下肢淋巴水肿而接受 LVA 的所有患者的数据。从这一系列数据中,我们发现了一组淋巴手术前淋巴窥镜成像和ICG淋巴造影成像结果不一致的患者。不一致的结果用 "模式不一致 "和 "路径不一致 "来描述。手术结果以术后肢体平均周长的变化来衡量。术前和术后肢体测量值之间的变化采用学生 t 检验进行分析。结果共有28例肢体淋巴水肿患者的术前浅表系统淋巴管造影与ICG淋巴造影结果不一致。在这些患者中,14 例出现模式不一致,13 例出现路径不一致,1 例同时出现模式和路径不一致。结论 在对肢体淋巴水肿患者进行术前研究时,淋巴管造影和 ICG 淋巴造影的信息不一致的情况虽然罕见,但却有可能发生。然而,我们的研究结果表明,这种现象与超微创肢体淋巴水肿手术的结果无关。
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引用次数: 0
Racial, Biological Sex, and Geographic Disparities of Pulmonary Embolism Prior to COVID-19 Era from a Nationwide Inpatient Sample (2016-2019) 从全国住院病人样本(2016-2019 年)看 COVID-19 时代之前肺栓塞的种族、生物性别和地域差异
IF 3.2 2区 医学 Q1 Medicine Pub Date : 2024-04-15 DOI: 10.1016/j.jvsv.2024.101760
Ahmed Afifi, Matthew Leverich, Gang Ren, Mohamed Osman, Munier Nazzal
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引用次数: 0
VEIN STEP Mexico: A Prospective, Observational, International Study to Assess Effectiveness of Conservative Treatments in Chronic Venous Disease 墨西哥 VEIN STEP:一项评估慢性静脉疾病保守治疗效果的前瞻性、观察性国际研究
IF 3.2 2区 医学 Q1 Medicine Pub Date : 2024-04-15 DOI: 10.1016/j.jvsv.2024.101811
Alejandro Gonzalez Ochoa
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引用次数: 0
Decellularized Dermis Allograft for the Treatment of Chronic Venous Leg Ulceration – the DAVE Randomized Clinical Trial 用于治疗慢性静脉腿溃疡的脱细胞真皮异体移植--DAVE 随机临床试验
IF 3.2 2区 医学 Q1 Medicine Pub Date : 2024-04-15 DOI: 10.1016/j.jvsv.2024.101753
Matthew Tan , Valeria Balan , Sarah Onida , Francine Heatley , Sarrah Peerbux , Robert Lee , John Norrie , Tristan Lane , David Epstein , Keith Poskitt , Nicky Cullum , Akila Chandrasekar , Richard Lomas , Alun Davies
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引用次数: 0
期刊
Journal of vascular surgery. Venous and lymphatic disorders
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