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Acta Phlebologica最新文献

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The influence of risk factors on the development of atherotrombotic stroke and cerebral venous thromboses 危险因素对动脉粥样硬化性脑卒中和脑静脉血栓形成的影响
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-09-01 DOI: 10.23736/s1593-232x.22.00526-4
L. Belova, V. V. Mashin, A. I. Sitnikova, N. Belova, P. Antignani, A. Scuderi, E. M. Dudikov
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引用次数: 0
Aspiration mechanical thrombectomy in acute and subacute iliofemoral deep vein thrombosis in the COVID era: challenges and outcome 新冠肺炎时代急性和亚急性髂股深静脉血栓形成的抽吸机械血栓切除术:挑战和结果
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-09-01 DOI: 10.23736/s1593-232x.22.00525-2
A. Karmota, Baker M. Ghoneim, M. Sabry, Sayed Younis
BACKGROUND: Catheter directed thrombolysis (CDT) proved to be effective treatment in deep venous thrombosis (DVT), However, there is some concerns about the associated bleeding risk. We assessed the safety and efficacy including technical and clinical success in resolution of iliofemoral DVT after one session treatment with penumbra aspiration mechanical thrombectomy catheter as an alternative CDT. METHOD(S): This is a retrospective study that was conducted on patients presented to Aseer Central Hospital and Saudi German Hospital in Saudi Arabia from January 2019 to December 2020 with symptomatic acute iliofemoral DVT. Patients were treated with Indigo continuous aspiration mechanical thrombectomy 8 system (Penumbra Inc, Alameda, CA, USA). Secondary end point was treatment complications, DVT recurrence and postphlebetic syndrome occurrence within 1 year follow-up. RESULT(S): Our study included twenty-three patients with sixteen females (59.6%) and seven males (30.4%) with a median age of 38 years (18-60years). Indication for treatment was primary DVT in seventeen patients (73.9%), recurrent DVT in six patients (26.1%). Provoked DVT was present in fifteen patients (65.2%) with nine of them was tested positive for COVID-19 while non provoked DVT in eight patients (4.8%). Seven patients (30.4%) had underlying May-Thurner Syndrome after thrombus removal and needed stenting for left common iliac vein (CIV) and two patients (8.7%) with recurrent DVT has significant residual Left common iliac vein stenosis that needed stenting. Two patient (8.7%) have thrombosis extending to inferior vena cava. Initial technical success using Penumbra was 82.6%. All patients in whom aspiration thrombectomy was not successful underwent further treatment with CDT which was successful in further three cases with failure in one case making overall technical success was 95.7%. Recurrent iliac occlusion after successful recanalization was seen in two patients (8.7%) at 6 months follow up. One patient (4.3%) developed pulmonary embolism that required full anticoagulation with no further treatment. No patient develops postphlebetic syndrome at 1 year follow-up. CONCLUSION(S): Penumbra aspiration thrombectomy catheter was safe, effective and promising technique in treatment of acute iliofemoral DVT and allowed definitive treatment in one session with no need for the use of thrombolysis in the majority of cases with no risk for bleeding complications, shorter hospital stay, no need for ICU admission and lower cost. COVID infection does not seem to alter the outcome. Copyright © 2022 EDIZIONI MINERVA MEDICA.
背景:导管定向溶栓(CDT)被证明是治疗深静脉血栓形成(DVT)的有效方法,然而,存在一些相关的出血风险。我们评估了安全性和有效性,包括半暗带抽吸机械取栓导管作为替代CDT治疗一次后髂股深静脉血栓的技术和临床成功。方法:这是一项回顾性研究,研究对象是2019年1月至2020年12月在沙特阿拉伯阿西尔中心医院和沙特德国医院就诊的有症状的急性髂股深静脉血栓患者。患者采用Indigo连续抽吸机械取栓系统(Penumbra Inc, Alameda, CA, USA)。次要终点为1年内治疗并发症、深静脉血栓复发及血栓后综合征的发生情况。结果:本研究纳入23例患者,其中女性16例(59.6%),男性7例(30.4%),中位年龄38岁(18-60岁)。治疗指征为原发性DVT 17例(73.9%),复发性DVT 6例(26.1%)。15例患者(65.2%)存在诱发性DVT,其中9例患者COVID-19检测呈阳性,8例患者(4.8%)存在非诱发性DVT。7例(30.4%)患者在血栓清除后存在潜在的May-Thurner综合征,需要行左髂总静脉(CIV)支架置入术;2例(8.7%)复发性DVT患者存在明显的左髂总静脉残留狭窄,需要行支架置入术。2例(8.7%)血栓延伸至下腔静脉。使用半影的初始技术成功率为82.6%。所有吸入性取栓不成功的患者均接受CDT进一步治疗,其中3例成功,1例失败,总技术成功率为95.7%。在6个月的随访中,2例患者(8.7%)在再通成功后复发髂闭塞。1例患者(4.3%)发生肺栓塞,需要全面抗凝治疗,无需进一步治疗。随访1年,无患者出现静脉后综合征。结论:半暗带吸入性取栓导管治疗急性髂股深静脉血栓是一种安全、有效、有发展前景的技术,大多数病例无需溶栓,一次即可完全治疗,无出血并发症风险,住院时间短,无需入住ICU,费用低。COVID感染似乎不会改变结果。版权所有©2022 EDIZIONI MINERVA MEDICA。
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引用次数: 0
Subclinical lymphedema of the trunk in patients with upper limb lymphedema resulting from treatment for breast cancer 癌症治疗后上肢淋巴水肿患者躯干亚临床淋巴水肿
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-09-01 DOI: 10.23736/s1593-232x.22.00527-6
J. M. Pereira de Godoy, L. M. Pereira de Godoy, H. J. Pereira de Godoy, M. F. G. Guerreiro Godoy
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引用次数: 0
Venous leg symptoms in migraineurs: a potential clue on the pathophysiology of migraine 偏头痛患者的下肢静脉症状:偏头痛病理生理学的潜在线索
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-09-01 DOI: 10.23736/s1593-232x.22.00529-x
B. Çuğlan, Aysenur Onalan, S. Ozturk, E. Altuntaş, A. B. Demiral, Hasan Atmaca, Sait Altintas, E. Yetkın
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引用次数: 1
External musculoskeletal compression of the internal jugular vein: a systematic review 颈内静脉的外部肌肉骨骼压迫:系统回顾
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-09-01 DOI: 10.23736/s1593-232x.22.00516-1
B. B. Ozkara, Mert Karabacak, A. Aygun
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引用次数: 0
Correlation of various platelet indices and its association with susceptibility to develop DVT 血小板各项指标的相关性及其与深静脉血栓易感性的关系
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-09-01 DOI: 10.23736/s1593-232x.22.00507-0
S. Tiwary, Anand Das, S. Khanna, D. Das, Puneet Kumar, A. Khanna
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引用次数: 0
Great saphenous vein giant aneurysm 大隐静脉巨大动脉瘤
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-09-01 DOI: 10.23736/s1593-232x.22.00517-3
Sergiu Matei, Mervat Matei, F. Anghel, Andra Olariu, Sorin Olariu
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引用次数: 0
The workshop as a model of learning 作为学习模式的研讨会
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-09-01 DOI: 10.23736/s1593-232x.22.00539-2
G. Lorenzi, G. Agus
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引用次数: 0
Words of peace from the Editorial Board 来自编辑委员会的和平话语
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-09-01 DOI: 10.23736/s1593-232x.22.00538-0
P. Antignani
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引用次数: 0
Ruscus extract, hesperidin methyl-chalcone and vitamin C, constituents of Cyclo 3 fort® in symptomatic chronic venous insufficiency: initial tertiary experience from southwestern Greece Ruscus提取物、橙皮苷甲基查尔酮和维生素C,Cyclo 3 fort®治疗症状性慢性静脉功能不全的成分:希腊西南部的初步第三次经验
IF 0.3 Q4 PERIPHERAL VASCULAR DISEASE Pub Date : 2022-09-01 DOI: 10.23736/s1593-232x.22.00531-8
C. Papageorgopoulou, A. Papageorgopoulou, C. Seretis, K. Nikolakopoulos
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引用次数: 0
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