Pub Date : 2025-12-16DOI: 10.1016/j.jvscit.2025.102099
Tuna Aras MD, FEBVS , Julia Khabyuk MD , Adel Aswad MD , Martin Scaal MD , Payman Majd MD
{"title":"Report of a human avian-type aortic arch variant with a descending thoracic aortic aneurysm","authors":"Tuna Aras MD, FEBVS , Julia Khabyuk MD , Adel Aswad MD , Martin Scaal MD , Payman Majd MD","doi":"10.1016/j.jvscit.2025.102099","DOIUrl":"10.1016/j.jvscit.2025.102099","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102099"},"PeriodicalIF":0.7,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-16DOI: 10.1016/j.jvscit.2025.102101
Marvi Tariq MD , Kyle W. Eudailey MD , Halim Yammine MD , Adam W. Beck MD
Although the use of thoracic branched endoprosthesis to treat thoracic aortic pathologies is increasing, literature regarding the management of associated complications is limited. A large left subclavian artery infundibulum can lead to type IA endoleaks around the base of the graft branch/left subclavian artery due to a decreased seal zone along the greater aortic curvature. Here we present three cases of successful coil embolization to treat type IA endoleak after thoracic branched endoprosthesis.
{"title":"Coil embolization for type IA endoleak after thoracic branched endoprosthesis placement in type B dissection","authors":"Marvi Tariq MD , Kyle W. Eudailey MD , Halim Yammine MD , Adam W. Beck MD","doi":"10.1016/j.jvscit.2025.102101","DOIUrl":"10.1016/j.jvscit.2025.102101","url":null,"abstract":"<div><div>Although the use of thoracic branched endoprosthesis to treat thoracic aortic pathologies is increasing, literature regarding the management of associated complications is limited. A large left subclavian artery infundibulum can lead to type IA endoleaks around the base of the graft branch/left subclavian artery due to a decreased seal zone along the greater aortic curvature. Here we present three cases of successful coil embolization to treat type IA endoleak after thoracic branched endoprosthesis.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102101"},"PeriodicalIF":0.7,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-16DOI: 10.1016/j.jvscit.2025.102098
Tareq Massimi MD, Hamzeh R. Shahin MD
Endovenous laser ablation is a reliable treatment for varicose veins, but traditional infiltration with sharp needles often causes discomfort and increases the risk of tissue or nerve injury. Motivated by the need for a safer and more comfortable approach, we adapted a blunt multiside-hole infiltration cannula, originally designed for liposuction, to deliver tumescent anesthesia in endovenous laser ablation. Inserted under ultrasound guidance through the same access site, it distributes anesthetic evenly with fewer punctures. This simple and low-cost technique improves patient comfort, enhances safety, and streamlines the procedure, offering a practical and more comfortable refinement.
{"title":"Use of a blunt multiside-hole infiltration cannula for local anesthetic delivery in endovenous laser ablation of the great and small saphenous veins","authors":"Tareq Massimi MD, Hamzeh R. Shahin MD","doi":"10.1016/j.jvscit.2025.102098","DOIUrl":"10.1016/j.jvscit.2025.102098","url":null,"abstract":"<div><div>Endovenous laser ablation is a reliable treatment for varicose veins, but traditional infiltration with sharp needles often causes discomfort and increases the risk of tissue or nerve injury. Motivated by the need for a safer and more comfortable approach, we adapted a blunt multiside-hole infiltration cannula, originally designed for liposuction, to deliver tumescent anesthesia in endovenous laser ablation. Inserted under ultrasound guidance through the same access site, it distributes anesthetic evenly with fewer punctures. This simple and low-cost technique improves patient comfort, enhances safety, and streamlines the procedure, offering a practical and more comfortable refinement.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102098"},"PeriodicalIF":0.7,"publicationDate":"2025-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-15DOI: 10.1016/j.jvscit.2025.102104
Nicola Basile MD , Marco Panagrosso MD , Eduardo Cavallo MD , Marco Di Francesco MD , Francesca Carbone MD, PhD , Giorgio Giudice MD
In this work, we describe the case of a 63-year-old man, with a history of infective endocarditis, who presented with abdominal pain, significant weight loss, and recurrent diarrheal episodes over the preceding months. Contrast-enhanced computed tomography angiography demonstrated a large pseudoaneurysm of the superior mesenteric artery, located in the mid-segment of the vessel, with poor opacification of the distal branches. The patient underwent surgical management via midline laparotomy. This case report aims to highlight the role of open surgical repair in the management of visceral artery pseudoaneurysms, as this approach allows preservation of major collateral branches and enables thorough histopathological examination to assess the underlying etiology of the lesion.
{"title":"Open treatment of superior mesenteric artery pseudoaneurysm due to infective endocarditis","authors":"Nicola Basile MD , Marco Panagrosso MD , Eduardo Cavallo MD , Marco Di Francesco MD , Francesca Carbone MD, PhD , Giorgio Giudice MD","doi":"10.1016/j.jvscit.2025.102104","DOIUrl":"10.1016/j.jvscit.2025.102104","url":null,"abstract":"<div><div>In this work, we describe the case of a 63-year-old man, with a history of infective endocarditis, who presented with abdominal pain, significant weight loss, and recurrent diarrheal episodes over the preceding months. Contrast-enhanced computed tomography angiography demonstrated a large pseudoaneurysm of the superior mesenteric artery, located in the mid-segment of the vessel, with poor opacification of the distal branches. The patient underwent surgical management via midline laparotomy. This case report aims to highlight the role of open surgical repair in the management of visceral artery pseudoaneurysms, as this approach allows preservation of major collateral branches and enables thorough histopathological examination to assess the underlying etiology of the lesion.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102104"},"PeriodicalIF":0.7,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-15DOI: 10.1016/j.jvscit.2025.102103
Taylor Nordan MD , Amber B. Kernodle MD, PhD, MPH , Jeffrey Lange MD , Zachary Feldman MD , Matthew T. Menard MD
Baker's cysts are usually an indolent pathology that is managed nonoperatively, with intervention reserved for rare patients with compressive symptoms. We present a patient with a Baker's cyst that led to disabling claudication requiring vascular surgical intervention. Initially, an endovascular approach was undertaken; however, the patient experienced early stent failure from the Baker's cyst's mechanical compressive effects necessitating open revascularization. This case highlights Baker's cysts as a rare source of claudication and emphasizes favorability of prompt open revascularization rather than endovascular management as primary therapy in conjunction with orthopedic surgery.
{"title":"Baker's cyst leading to complete popliteal artery occlusion","authors":"Taylor Nordan MD , Amber B. Kernodle MD, PhD, MPH , Jeffrey Lange MD , Zachary Feldman MD , Matthew T. Menard MD","doi":"10.1016/j.jvscit.2025.102103","DOIUrl":"10.1016/j.jvscit.2025.102103","url":null,"abstract":"<div><div>Baker's cysts are usually an indolent pathology that is managed nonoperatively, with intervention reserved for rare patients with compressive symptoms. We present a patient with a Baker's cyst that led to disabling claudication requiring vascular surgical intervention. Initially, an endovascular approach was undertaken; however, the patient experienced early stent failure from the Baker's cyst's mechanical compressive effects necessitating open revascularization. This case highlights Baker's cysts as a rare source of claudication and emphasizes favorability of prompt open revascularization rather than endovascular management as primary therapy in conjunction with orthopedic surgery.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102103"},"PeriodicalIF":0.7,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-15DOI: 10.1016/j.jvscit.2025.102097
Sarah C. Rubin MD , Rachel Stern MD , Carolyn Robb BA , Martin Keltz MD
Intravascular leiomyomatosis (IVL) is a rare smooth muscle tumor extending into uterine veins and beyond, usually treated with hysterectomy. We present a 33-year-old Gravida (G) 2 Para (P) 0 patient with suspected uterine sarcoma on imaging, later diagnosed intraoperatively with IVL during abdominal myomectomy. Postoperatively, pulmonary embolism required thrombectomy, followed by long-term gonadotropin-releasing hormone (GnRH) agonist therapy that reduced tumor burden until open vascular resection of the inferior vena cava was completed. Two embryo banking cycles with preimplantation genetic testing for aneuploidy were performed, leading to autologous transfer of a euploid embryo and live birth, complicated by placenta accreta requiring cesarean hysterectomy. Fertility preservation with multimodal IVL management is feasible.
血管内平滑肌瘤病(IVL)是一种罕见的平滑肌肿瘤,其范围延伸至子宫静脉及子宫外,通常采用子宫切除术治疗。我们报告了一位33岁的妊娠(G) 2 Para (P) 0患者,在影像学上怀疑子宫肉瘤,后来在腹部子宫肌瘤切除术中被诊断为术中IVL。术后,肺栓塞需要取栓,随后进行长期促性腺激素释放激素(GnRH)激动剂治疗,以减少肿瘤负荷,直到完成下腔静脉开放血管切除术。进行了两次胚胎库周期,并进行了非整倍体的植入前基因检测,导致整倍体胚胎的自体移植和活产,并伴有需要剖宫产子宫切除术的胎盘增生。多模态IVL管理保留生育能力是可行的。
{"title":"Case report of the management of intravascular leiomyomatosis including uterine surgery, vascular surgery, hormonal management, and in vitro fertilization","authors":"Sarah C. Rubin MD , Rachel Stern MD , Carolyn Robb BA , Martin Keltz MD","doi":"10.1016/j.jvscit.2025.102097","DOIUrl":"10.1016/j.jvscit.2025.102097","url":null,"abstract":"<div><div>Intravascular leiomyomatosis (IVL) is a rare smooth muscle tumor extending into uterine veins and beyond, usually treated with hysterectomy. We present a 33-year-old Gravida (G) 2 Para (P) 0 patient with suspected uterine sarcoma on imaging, later diagnosed intraoperatively with IVL during abdominal myomectomy. Postoperatively, pulmonary embolism required thrombectomy, followed by long-term gonadotropin-releasing hormone (GnRH) agonist therapy that reduced tumor burden until open vascular resection of the inferior vena cava was completed. Two embryo banking cycles with preimplantation genetic testing for aneuploidy were performed, leading to autologous transfer of a euploid embryo and live birth, complicated by placenta accreta requiring cesarean hysterectomy. Fertility preservation with multimodal IVL management is feasible.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102097"},"PeriodicalIF":0.7,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We report a case of interstitial pneumonitis after paclitaxel-eluting stent implantation for peripheral arterial disease in a 74-year-old man. Five weeks after the procedure, the patient developed dyspnea and bilateral ground-glass opacities, with a paclitaxel dose (1169 μg) exceeding the recommended limit (1034 μg). Hypersensitivity to paclitaxel likely caused interstitial pneumonitis, confirmed by elevated Krebs von den Lungen-6 levels and exclusion of other etiologies. Corticosteroid therapy improved symptoms. Clinicians should monitor for rare but serious paclitaxel-induced pulmonary hypersensitivity in patients with peripheral arterial disease.
{"title":"Interstitial pneumonitis following the implantation of a paclitaxel-eluting stent in a patient with peripheral arterial disease","authors":"Makoto Haga MD, PhD , Yuko Iwata MD, PhD , Jun Nitta MD, PhD , Junetsu Akasaka MD, PhD","doi":"10.1016/j.jvscit.2025.102096","DOIUrl":"10.1016/j.jvscit.2025.102096","url":null,"abstract":"<div><div>We report a case of interstitial pneumonitis after paclitaxel-eluting stent implantation for peripheral arterial disease in a 74-year-old man. Five weeks after the procedure, the patient developed dyspnea and bilateral ground-glass opacities, with a paclitaxel dose (1169 μg) exceeding the recommended limit (1034 μg). Hypersensitivity to paclitaxel likely caused interstitial pneumonitis, confirmed by elevated Krebs von den Lungen-6 levels and exclusion of other etiologies. Corticosteroid therapy improved symptoms. Clinicians should monitor for rare but serious paclitaxel-induced pulmonary hypersensitivity in patients with peripheral arterial disease.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102096"},"PeriodicalIF":0.7,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-15DOI: 10.1016/j.jvscit.2025.102094
Charles A. West Jr. MD, FACS , John L. Crawford MD, FACS , Nana Kwadwo Okraku-Yirenkyi MS , Simar Goyal MS
When patients with chronic mesenteric ischemia are not candidates for mesenteric stenting, open revascularization is the definitive option for treatment to prevent progression of the disease to bowel infarction and death. Multiple open techniques for restoring flow to the celiac artery (CA) and superior mesenteric artery (SMA) have been described. We present three low-risk patients with symptomatic chronic mesenteric ischemia and occlusion of both CA and SMA treated using an alternative open surgical technique: supraceliac aorta-to-SMA bypass with reimplantation of the CA into the side of the conduit (supraceliac aorta-SMA-CA bypass), with low morbidity and excellent clinical outcomes. There are few reports of the use of this procedure in the contemporary vascular literature.
{"title":"Supraceliac aorta to superior mesenteric artery bypass with reimplantation of celiac artery into a single conduit—An alternative surgical approach for treatment of chronic mesenteric ischemia","authors":"Charles A. West Jr. MD, FACS , John L. Crawford MD, FACS , Nana Kwadwo Okraku-Yirenkyi MS , Simar Goyal MS","doi":"10.1016/j.jvscit.2025.102094","DOIUrl":"10.1016/j.jvscit.2025.102094","url":null,"abstract":"<div><div>When patients with chronic mesenteric ischemia are not candidates for mesenteric stenting, open revascularization is the definitive option for treatment to prevent progression of the disease to bowel infarction and death. Multiple open techniques for restoring flow to the celiac artery (CA) and superior mesenteric artery (SMA) have been described. We present three low-risk patients with symptomatic chronic mesenteric ischemia and occlusion of both CA and SMA treated using an alternative open surgical technique: supraceliac aorta-to-SMA bypass with reimplantation of the CA into the side of the conduit (supraceliac aorta-SMA-CA bypass), with low morbidity and excellent clinical outcomes. There are few reports of the use of this procedure in the contemporary vascular literature.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102094"},"PeriodicalIF":0.7,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145940081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-13DOI: 10.1016/j.jvscit.2025.102093
Ryan Taylor MD , Brett Salomon MD , Amanda Furtmann MD , Lauren Grimsley MD , M. Ryan Buckley MD
Essentially all endovascular stents, both stainless steel and nitinol, contain a nickel component. Incidence of nickel hypersensitivity is common, but nickel hypersensitivity does not always result in clinically significant reactions. This 43-year-old woman presented with hives, urticaria, and malaise after nitinol stent placement in her left iliac vein for May-Thurner syndrome. She underwent open stent explanation and reconstruction of her inferior vena cava and left common iliac vein with subsequent resolution of symptoms. The low incidence of stent-related allergy does not warrant preoperative testing, but we advocate for thorough preprocedural discussion in high-risk patients. For symptomatic patients, explanation can be effective.
{"title":"Nickel allergy complicating iliac vein stent requiring explantation","authors":"Ryan Taylor MD , Brett Salomon MD , Amanda Furtmann MD , Lauren Grimsley MD , M. Ryan Buckley MD","doi":"10.1016/j.jvscit.2025.102093","DOIUrl":"10.1016/j.jvscit.2025.102093","url":null,"abstract":"<div><div>Essentially all endovascular stents, both stainless steel and nitinol, contain a nickel component. Incidence of nickel hypersensitivity is common, but nickel hypersensitivity does not always result in clinically significant reactions. This 43-year-old woman presented with hives, urticaria, and malaise after nitinol stent placement in her left iliac vein for May-Thurner syndrome. She underwent open stent explanation and reconstruction of her inferior vena cava and left common iliac vein with subsequent resolution of symptoms. The low incidence of stent-related allergy does not warrant preoperative testing, but we advocate for thorough preprocedural discussion in high-risk patients. For symptomatic patients, explanation can be effective.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102093"},"PeriodicalIF":0.7,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Chronic common femoral vein occlusion presents a significant management challenge, particularly when associated with prior intravenous drug use. We report a 52-year-old woman, sober for 10 years, with symptomatic chronic common femoral vein occlusion after two failed recanalization attempts. Successful recanalization was achieved with a Baylis radiofrequency wire (Baylis Medical), followed by balloon venoplasty and placement of a 14-mm Abre venous stent (Medtronic). The patient experienced symptomatic improvement with preserved patency at 3 months. To our knowledge, this report is the first to describe radiofrequency wire-assisted crossing of a chronic common femoral vein occlusion in a patient with a history of intravenous drug use. We also highlight technique considerations unique to the femoral region—multiplanar venography and the use of arterial landmarks to avoid the femoral artery and femoral nerve—to enhance procedural safety.
{"title":"Radiofrequency wire-assisted recanalization of a chronically occluded common femoral vein after intravenous drug use","authors":"Kathleen Gibson MD , Sooyeon Kim MD , Kush Desai MD","doi":"10.1016/j.jvscit.2025.102091","DOIUrl":"10.1016/j.jvscit.2025.102091","url":null,"abstract":"<div><div>Chronic common femoral vein occlusion presents a significant management challenge, particularly when associated with prior intravenous drug use. We report a 52-year-old woman, sober for 10 years, with symptomatic chronic common femoral vein occlusion after two failed recanalization attempts. Successful recanalization was achieved with a Baylis radiofrequency wire (Baylis Medical), followed by balloon venoplasty and placement of a 14-mm Abre venous stent (Medtronic). The patient experienced symptomatic improvement with preserved patency at 3 months. To our knowledge, this report is the first to describe radiofrequency wire-assisted crossing of a chronic common femoral vein occlusion in a patient with a history of intravenous drug use. We also highlight technique considerations unique to the femoral region—multiplanar venography and the use of arterial landmarks to avoid the femoral artery and femoral nerve—to enhance procedural safety.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"12 2","pages":"Article 102091"},"PeriodicalIF":0.7,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145939654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}