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Role of Retrograde Tibiopedal Access in Patients With Critical Lower Limb Ischaemia: Challenges and Outcome 逆行胫骨入路在重症下肢缺血患者中的作用:挑战与结果
IF 0.6 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.005
Baker Ghoneim ∗ , Mostafa Aboelil , Khalid Elhindawy , Fouad Fouad
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引用次数: 0
Operative Time and Results of Elective Endovascular Abdominal Aortic Aneurysm Repair 选择性血管内腹主动脉瘤修补术的手术时间和结果
IF 0.6 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.066
Lara Dias ∗ , Leandro Nóbrega , Marina Dias-Neto (Prof.) , Armando Mansilha (Prof.)
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引用次数: 0
The Role of Socioeconomic Status in PAD: The Role of Health Literacy 社会经济地位在 PAD 中的作用:健康知识的作用
IF 0.6 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.028
Katerina Dangas ∗ , Dominic Howard
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引用次数: 0
Inverted T Bypass: A Promising Aolution for Infrapopliteal Revascularization without an Adequate Vein Graft 倒 T 型旁路:在没有足够静脉移植的情况下进行髂下血运重建的可行方案
IF 0.6 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.069
Armanda Duarte ∗ , Tony Soares , Tiago Costa , Gonçalo Cabral , José Tiago , José Gimenez , Diogo Cunha e Sá
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引用次数: 0
Transperitoneal vs. Retroperitoneal Approach for Open Conversion after Endovascular Aneurysm Repair 经腹膜与腹膜后途径进行血管内动脉瘤修复术后的开放式转换
IF 0.6 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.025
Sara Allievi ∗ , Vinamr Rastogi , Sai Divya Yadavalli , Thomas F.X. O'Donnell , Virendra I. Patel , Hence J.M. Verhagen , Santi Trimarchi , Marc L. Schermerhorn
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引用次数: 0
Doctor, What Should I Do About My Iliac Aneurysm, Could Artificial Intelligence Help? 医生,我的髂动脉瘤该怎么办,人工智能能帮忙吗?
IF 0.6 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.036
Antonio Da Silva ∗ , Sanjay Agarwal
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引用次数: 0
Patency for Second Stage Brachiobasilic Arteriovenous Fistula Comparative Study Between Basilic Vein Transpositioning and Superficialisation 第二期肱动脉动静脉瘘的通畅性 Basilic Vein Transpositioning and Superficialisation 的比较研究
IF 0.6 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.039
Mohamed Helal , Sherif Essam , Mohamed Ismail ∗ , Karim Sabry gohar
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引用次数: 0
The Accuracy in the Diagnosis of NANB Aortic Dissection in an Acute Setting 急性 NANB 主动脉夹层诊断的准确性
IF 0.6 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.043
Ottavia Borghese ∗ , Tara Mastracci
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引用次数: 0
Quality of Life After Early Clot Removal for Acute Iliofemoral Deep Vein Thrombosis 急性髂股深静脉血栓早期血块清除术后的生活质量
IF 0.6 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2023.12.004
Jay M. Bakas , Catherine van Montfrans , Adriaan Moelker , Renate R. van den Bos , Wendy S.J. Malskat , Hence J.M. Verhagen , Marie Josee E. van Rijn

Objective

To evaluate patient reported outcome measures after early clot removal for acute deep vein thrombosis (DVT), using the Chronic Venous Disease Quality of Life Questionnaire (CIVIQ-20) and the Short Form Health Survey (SF-36).

Methods

Cross sectional design. Patients who underwent early clot removal between June 2012 and November 2021 were asked to complete the two questionnaires once. Lower CIVIQ-20 and higher SF-36 scores indicate better quality of life (QoL). Primary endpoints were the median scores. The one sample Wilcoxon signed rank test was used to compare SF-36 physical and mental component summary (PCS and MCS) to the normative and CIVIQ-20 to the minimum. Secondary, non-parametric independent t test or Fisher's exact test examined how age, sex, body mass index, stent placement, re-intervention, and time of questionnaire completion related to QoL. Multivariable linear regression tested whether various variables were associated with QoL.

Results

The response rate was 73.5% (n = 39). Median time of questionnaire completion was 1.8 years (interquartile range [IQR] 3.1) after clot removal. The median CIVIQ-20 of 29.0 (IQR 28.0) was slightly higher than the minimum value 20.0 (p < .001). The median PCS (50.5, IQR 16.6) and median MCS (50.2, IQR 14.2) did not differ from the normative of 50.0. However, wide IQRs indicated impairments for a subgroup of patients. None of the tested variables affected QoL except for the finding that re-interventions had a significantly negative impact on the SF-36 MCS (standardised β coefficient of −0.4, p = .030).

Conclusion

Overall patient reported outcome measures were satisfactory after early clot removal, but impaired physical and mental functioning levels were present in a subgroup of patients. Re-interventions were found to have a negative impact on mental QoL. This finding was independent of time that had passed between the procedure and questionnaire completion. This study emphasises that mental functioning deserves attention, besides the widely recognised physical consequences after invasive acute iliofemoral DVT treatment.

目的 使用慢性静脉疾病生活质量问卷(CIVIQ-20)和简表健康调查(SF-36)评估急性深静脉血栓形成(DVT)早期血块移除后患者报告的结果。2012年6月至2021年11月期间接受早期血栓清除术的患者被要求填写一次这两份问卷。CIVIQ-20得分越低、SF-36得分越高,表明生活质量(QoL)越高。主要终点为得分中位数。采用单样本 Wilcoxon 符号秩检验来比较 SF-36 身体和精神部分摘要(PCS 和 MCS)与常模和 CIVIQ-20 与最小值。次要的非参数独立 t 检验或费雪精确检验检验了年龄、性别、体重指数、支架置入、再干预和问卷完成时间与 QoL 的关系。多变量线性回归检验了各种变量是否与 QoL 相关。完成问卷调查的中位时间为血块移除后 1.8 年(四分位数间距 [IQR] 3.1)。CIVIQ-20 的中位数为 29.0(IQR 28.0),略高于最低值 20.0(p < .001)。PCS 中位数(50.5,IQR 16.6)和 MCS 中位数(50.2,IQR 14.2)与标准值 50.0 没有差异。然而,较宽的 IQR 表明一部分患者存在障碍。除了再次干预对 SF-36 MCS 有显著负面影响(标准化 β 系数为 -0.4,p = 0.030)外,其他测试变量均未对 QoL 产生影响。再次介入治疗对患者的心理质量和生活质量有负面影响。这一结果与手术和完成问卷之间的时间间隔无关。这项研究强调,除了公认的急性髂股深层静脉血栓侵入性治疗后的生理后果外,心理功能也值得关注。
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引用次数: 0
Assessment of Bridging Stents in In Situ Laser Fenestrations of Aortic Endografts With Intravascular Ultrasound 利用血管内超声评估主动脉内移植物原位激光瘘中的桥接支架
IF 0.6 Q3 Medicine Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.05.008
David Lindström , Anders Wanhainen , Kevin Mani , Giuseppe Asciutto

Objective

Treatment of complex aortic aneurysms with the in situ laser fenestration (ISLF) technique involves implantation of a balloon expandable stent graft (bSG) in the created fenestration. Adequate expansion of this bSG is of importance both to achieve seal and to ensure target vessel stability. This experimental study assessed the expansion rate of different bSGs in the ISLF setting using intravascular ultrasound (IVUS).

Methods

A commercially available aortic endograft was used to test the laser fenestration technique (Zenith Alpha, Cook Medical LLC, Bloomington, IN, USA). The ISLF was stented with the following bSGs: two Gore Viabahn VBX balloon expandable endoprostheses (WL Gore & Associates, Bloomington, IL, USA), three BeGraft Peripheral and three BeGraft Plus (Bentley InnoMed GmbH; Hechingen, Germany), and three Advanta V12 (Atrium, Hudson, NH, USA). The bSGs were expanded in three steps: (1) nominal, (2) rated burst pressure, and (3) dilation with a non-compliant balloon at 15 atmospheres. After each step, an IVUS assessment of the bSG minimum diameter and the area at the fenestration (FA) and in a fully expanded segment distal to the fenestration (SA) was performed. A mean of the three IVUS measurements was used as the value for comparison. An insufficient bSG expansion was defined as a mean of FA/SA of <0.8 (i.e., <80% expansion).

Results

The VBX was the only bSG that could be expanded to its intended diameter (i.e., at least 80%) at nominal pressure. The BeGraft Peripheral and BeGraft Plus had the lowest degree of expansion after nominal and rated burst pressure. All bSGs that were tested reached a sufficient expansion degree after using a higher pressure balloon.

Conclusion

In this ex vivo experiment, dilation up to nominal pressure showed satisfactory expansion only for the VBX. The consistency of the results when applied to the different types of stent grafts that were analysed reflects structural stent graft specific issues to consider when choosing the right device in cases of ISLF.

目的使用原位激光瓣膜术(ISLF)治疗复杂的主动脉瘤时,需要在形成的瓣膜中植入球囊扩张支架移植物(bSG)。bSG 的充分扩张对于实现密封和确保目标血管的稳定性都非常重要。本实验研究使用血管内超声(IVUS)评估了不同 bSG 在 ISLF 设置中的扩张率。方法使用市售主动脉内膜移植物测试激光栅栏技术(Zenith Alpha,Cook Medical LLC,美国印第安纳州布鲁明顿)。ISLF 用以下 bSG 做了支架:两个 Gore Viabahn VBX 球囊扩张内膜(WL Gore & Associates, Bloomington, IL, USA)、三个 BeGraft Peripheral 和三个 BeGraft Plus(Bentley InnoMed GmbH; Hechingen, Germany)以及三个 Advanta V12(Atrium, Hudson, NH, USA)。bSG 分三步扩增:(1)标称压力,(2)额定爆破压力,(3)用 15 个大气压的非顺应性球囊扩张。每个步骤结束后,都要对 bSG 的最小直径、栅栏(FA)处的面积以及栅栏远端完全扩张段(SA)的面积进行 IVUS 评估。三个 IVUS 测量值的平均值作为比较值。结果 VBX 是唯一能在额定压力下扩张到预期直径(即至少 80%)的 bSG。BeGraft Peripheral 和 BeGraft Plus 在标称和额定爆破压力下的膨胀程度最低。结论在这项体内外实验中,只有 VBX 在扩张到额定压力时才显示出令人满意的扩张效果。在分析不同类型的支架移植物时,结果的一致性反映了在 ISLF 病例中选择正确装置时需要考虑的支架移植物结构特定问题。
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EJVES Vascular Forum
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