EJVES Vascular Forum最新文献

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Renal Outcomes in Octogenarians and Nonagenarians Undergoing Endovascular Femoro-Popliteal Intervention 接受血管内股骨-腘动脉介入治疗的耄耋老人和非耄耋老人的肾脏预后

IF 0.6 Q3 Medicine

EJVES Vascular Forum

Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.029

Chee Yee Hew ∗ , Emmanuel Katsogridakis , Prakash Saha , Athanasios Diamantopoulos , Hany Zayed , Matthew Bown , Athanasios Saratzis

引用次数: 0

Reducing Vascular Access Flow: A Comparative Study of Banding and Plication Outcomes 减少血管通路流量：带式和钳式结果比较研究

IF 0.6 Q3 Medicine

EJVES Vascular Forum

Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.070

Henrique Guedes Da Rocha ∗ , Gabriela Teixeira , Paulo Almeida , Luis Loureiro , Sergio Teixeira , Duarte Rego , Carlos Veiga , Antonio Norton de Matos

引用次数: 0

Could Inflammation be the Key to Understand Peripheral Arterial Disease? 炎症可能是了解外周动脉疾病的关键吗？

IF 0.6 Q3 Medicine

EJVES Vascular Forum

Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.061

Joana Ferreira ∗ , Adhemar Longatto-Filho (Prof.) , Julieta Afonso (Prof.) , Alexandre Carneiro , Isabel Vila , Jorge Cotter (Prof.) , Pedro Cunha (Prof.) , Armando Mansilha (Prof.)

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Pedal Acceleration Time a New Method to Assess Peripheral Arterial Disease 评估外周动脉疾病的新方法--踏板加速时间

IF 0.6 Q3 Medicine

EJVES Vascular Forum

Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.032

Eduardo Silva ∗ , Pedro Lima , Joana Iglésias , Vânia Constâncio , Celso Nunes , Leonor Baldaia , Miguel Silva , Luís Orelhas , Manuel Fonseca

引用次数: 0

Type III Arch Angulation Increases Aortic Pulse Wave Velocity in an Ex Vivo Porcine Model 在猪体内模型中，Ⅲ型弓成角可提高主动脉脉搏波速度

IF 0.6 Q3 Medicine

EJVES Vascular Forum

Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.034

Tim Mandigers ∗ , Ariel Pascaner , Michele Conti , Martina Schembri , Sonja Jelic , Daniele Bissacco , Maurizio Domanin , Joost Van Herwaarden , Ferdinando Auricchio , Santi Trimarchia

引用次数: 0

A Rare Case of Upper Limb Phlegmasia Cerulea Dolens 一个罕见的多发性上肢痰症病例

IF 0.6 Q3 Medicine

EJVES Vascular Forum

Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.049

Leandro Nóbrega ∗ , Lara Dias , José Almeida Lopes , Pedro Paz Dias , Sofia Silva , Armando Mansilha

引用次数: 0

Infected Thrombosed Popliteal Artery Aneurysm With Cutaneous Fistula 感染性血栓形成腘动脉瘤伴皮瘘

IF 0.6 Q3 Medicine

EJVES Vascular Forum

Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.051

Leonor Baldaia , Tiago Oliveira , Eduardo Silva , Joana Moreira , Luís F. Antunes

Introduction

Popliteal artery aneurysms (PAAs) pose some challenges in their surgical management and are often treated by exclusion and bypass procedures. However, post-operative complications, such as endoleaks and sac growth, can occur, potentially leading to serious consequences. Endoleaks, characterised by persistent flow within the aneurysm sac after repair, can cause sac expansion, increasing the risk of adverse outcomes, including the formation of cutaneous fistulae, a rare but potentially severe complication.

Report

A 75 year old male with a history of previous bilateral PAA exclusion with a left femoropopliteal bypass using reversed great saphenous vein (GSV) graft in 2012 and a right femoropopliteal bypass using a PTFE prosthesis in 2017, both through medial approach, presented with pain and ulceration in the left popliteal region. Previous angiography had shown residual arterial flow through collateral vessels, requiring thrombin injection. Bilateral bypass thrombosis had also occurred after discontinuing anticoagulation. Computed tomography angiography confirmed a complicated excluded left popliteal aneurysm with superinfection. The patient underwent elective surgery, involving partial aneurysmectomy, endoaneurysmorrhaphy, and fistulectomy through a posterior approach. Post-operatively, the patient experienced resolution of symptoms and inflammatory signs.

Discussion

The optimal approach for treating PAAs remains a subject of debate, with some experts advocating the posterior approach to prevent sac growth. However, others support the medial approach, reporting satisfactory results. In this case, the medial approach resulted in incomplete exclusion, leading to sac expansion and a cutaneous fistula. Timely re-intervention through the posterior approach successfully resolved the complication. This report highlights a rare but serious complication of incomplete PAA exclusion. Vigilant post-operative surveillance and intervention are crucial to manage such cases effectively. Further research is warranted to determine the optimal approach for PAA repair and prevent associated complications.

导言腘动脉瘤（PAA）给外科手术治疗带来了一些挑战，通常采用切除和搭桥手术进行治疗。然而，术后并发症（如内漏和瘤囊增生）可能会发生，并可能导致严重后果。内漏的特点是修复后动脉瘤囊内持续存在血流，可导致囊扩张，增加不良后果的风险，包括形成皮肤瘘管，这是一种罕见但潜在的严重并发症。报告一名75岁的男性患者曾于2012年使用反向大隐静脉（GSV）移植进行了左侧股腘旁路手术，并于2017年使用PTFE假体进行了右侧股腘旁路手术（均通过内侧入路），排除了双侧PAA，术后出现左侧腘部疼痛和溃疡。之前的血管造影显示侧支血管有残余动脉血流，需要注射凝血酶。在停止抗凝治疗后，双侧旁路也出现了血栓。计算机断层扫描血管造影证实了左侧腘动脉瘤并发感染。患者接受了择期手术，包括部分动脉瘤切除术、内膜瘤切除术和经后方入路的瘘管切除术。术后，患者的症状和炎症体征均已缓解。讨论治疗 PAAs 的最佳方法仍是一个争论的话题，一些专家主张采用后入路，以防止瘤囊生长。但也有专家支持内侧入路，并报告了令人满意的结果。在本病例中，内侧入路导致不完全排除，导致囊肿扩大和皮肤瘘。及时通过后路再次介入成功解决了并发症。本报告强调了一种罕见但严重的 PAA 不完全排除并发症。术后严密监测和干预对有效处理此类病例至关重要。为确定 PAA 修复的最佳方法并预防相关并发症，有必要开展进一步研究。

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引用次数: 0

What We Know From Reports on Type III Endoleak in the Literature 我们从文献中有关 III 型内渗漏的报告中了解到的情况

IF 0.6 Q3 Medicine

EJVES Vascular Forum

Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.055

Jonathan Grandhomme , Damir Vakhitov , Salomé Kuntz , Anne Lejay , Nabil Chakfé

Objective

To analyse case reports published on the latest generations of endograft (EG) and understand the mechanisms of type III endoleak (EL) development.

Methods

A literature review was undertaken of English language case reports and series that concerned modular junction or component disconnection (type IIIa EL) and fabric perforations (type IIIb EL) after endovascular aneurysm repair.

Results

Of the 2 785 studies, 56 full texts were chosen to review 73 cases. Type III EL was diagnosed with computed tomography angiography in 67.1% and digital subtraction angiography in 12.3%; the rest were identified during surgery. Of the 73 EG, 65 (89.0%) were made of polyethylene terephthalate and seven (9.6%) were polytetrafluoroethylene. The type of material was not mentioned in one (1.4%) case report. There were 25 (34.2%) type IIIa and 48 (65.8%) type IIIb EL. The most frequent were trunk–trunk in nine (12.3%) and trunk–limb overlap separations in 14 (19.2%). Type IIIb EL in the trunk area was identified in 27 (37.0%) cases, while 21 (28.8%) defects were found in the limbs. Stent fractures were recognised as an underlying mechanism of type IIIb EL development in one report. A combination of fabric lesions in the trunk and limb area was found in one case. Seven type IIIb EL were related to suture disruption or suture–fabric abrasions. Four cases were related to stent–fabric abrasions, and two developed as a result of fabric fatigue owing to kinking. Information on the mechanisms of degradation was only occasionally and scarcely presented. Given the small number of reports and lack of detailed analysis, no definitive conclusions could be drawn.

Conclusion

The available information is scarce and does not allow any definitive conclusions to be drawn on the mechanisms that lead to the development of type III EL. Further explant analyses would be beneficial.

方法对血管内动脉瘤修补术后模块连接或组件断开（IIIa型EL）和织物穿孔（IIIb型EL）的英文病例报告和系列病例进行文献综述。通过计算机断层扫描血管造影诊断出III型EL的占67.1%，数字减影血管造影诊断出III型EL的占12.3%，其余病例是在手术中发现的。73 例 EG 中，65 例（89.0%）由聚对苯二甲酸乙二酯制成，7 例（9.6%）由聚四氟乙烯制成。一份（1.4%）病例报告未提及材料类型。25 例（34.2%）为 IIIa 型 EL，48 例（65.8%）为 IIIb 型 EL。最常见的是躯干-躯干分离（9 例，占 12.3%）和躯干-肢体重叠分离（14 例，占 19.2%）。27例（37.0%）在躯干部位发现了IIIb型EL，21例（28.8%）在四肢发现了缺陷。在一份报告中，支架断裂被认为是IIIb型EL发生的潜在机制。在一例病例中，躯干和四肢部位同时出现了织物病变。7 例 IIIb 型 EL 与缝线断裂或缝线织物擦伤有关。四例与支架-织物擦伤有关，两例是由于织物扭结导致疲劳。有关降解机制的信息仅偶尔出现，且很少被提及。由于报告数量少且缺乏详细分析，因此无法得出明确结论。进一步的外植体分析将是有益的。

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引用次数: 0

Arterial Access Complication in Patients Undergoing ECMO – A Retrospective Analysis 接受 ECMO 患者的动脉通路并发症 - 一项回顾性分析

IF 0.6 Q3 Medicine

EJVES Vascular Forum

Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.01.060

Leandro Nóbrega ∗ , Lara Dias , Tiago Moura , Pedro Paz Dias , Joel Sousa , Roberto Roncon , Armando Mansilha (Prof.)

引用次数: 0

Thoracic Aneurysm Rupture Due to Thoracic Endovascular Aneurysm Repair Stent Graft Disintegration 胸腔血管内动脉瘤修复支架移植物解体导致胸腔动脉瘤破裂

IF 0.6 Q3 Medicine

EJVES Vascular Forum

Pub Date : 2024-01-01 DOI: 10.1016/j.ejvsvf.2024.04.001

Jeffrey M.A. van der Krogt, Johanna H. Nederhoed

引用次数: 0

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