May-Thurner syndrome, also known as external iliac compression syndrome, is a rare but commonly underdiagnosed cause of asymmetric lower extremity edema. Here we describe a case of May-Thurner syndrome owing to external compression of the right and left common iliac veins presenting as chronic worsening asymmetric right greater than left lower extremity edema. Initial etiology workup was unremarkable, and further diagnostics revealed compression of the right common iliac vein at the bifurcation of the right common iliac artery between the right external and internal iliac arteries with concomitant compression of the left common iliac vein. Stenting of the right common iliac vein was completed, with significant symptomatic improvement at 30-day follow-up. This case documents a unique variant of May-Thurner syndrome rarely described in the literature.
{"title":"A rare case of May-Thurner syndrome due to external compression of the right and left common iliac veins","authors":"Logan Schwarzman MD , Jack Aguilar MD , Nichelle Megowan MD","doi":"10.1016/j.jvscit.2024.101658","DOIUrl":"10.1016/j.jvscit.2024.101658","url":null,"abstract":"<div><div>May-Thurner syndrome, also known as external iliac compression syndrome, is a rare but commonly underdiagnosed cause of asymmetric lower extremity edema. Here we describe a case of May-Thurner syndrome owing to external compression of the right and left common iliac veins presenting as chronic worsening asymmetric right greater than left lower extremity edema. Initial etiology workup was unremarkable, and further diagnostics revealed compression of the right common iliac vein at the bifurcation of the right common iliac artery between the right external and internal iliac arteries with concomitant compression of the left common iliac vein. Stenting of the right common iliac vein was completed, with significant symptomatic improvement at 30-day follow-up. This case documents a unique variant of May-Thurner syndrome rarely described in the literature.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101658"},"PeriodicalIF":0.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-24DOI: 10.1016/j.jvscit.2024.101653
Vy C. Dang BS , Paul Haddad MD , Ross G. McFall MD , Jennifer Klopfenstein MD , Michael J. Reardon MD , Maham Rahimi MD, PhD
An 86-year-old male with multiple medical comorbidities was referred for an elective transcatheter aortic valve replacement (TAVR) for severe symptomatic aortic stenosis with an ejection fraction of 35%. A self-expanding valve was deployed successfully, but intraoperative transesophageal echocardiography (TEE) confirmed an acute type A aortic dissection (ATAAD), necessitating immediate intervention. Multiple intraoperative imaging modalities were utilized for deployment of a conformable GORE TAG (cTAG) stent graft for thoracic endovascular aortic repair (TEVAR). This case demonstrates TEVAR as an effective, minimally invasive option for immediate repair of ATAAD as a complication of TAVR in a high-risk surgical patient.
一位86岁的男性患者患有多种并发症，因射血分数为35%的严重症状性主动脉瓣狭窄而转诊接受经导管主动脉瓣置换术（TAVR）。虽然成功置入了自扩张瓣膜，但术中经食道超声心动图（TEE）确诊为急性A型主动脉夹层（ATAAD），必须立即进行干预。利用多种术中成像模式部署了可适形 GORE TAG（cTAG）支架移植物，用于胸腔内主动脉修复术（TEVAR）。该病例表明，TEVAR 是一种有效的微创选择，可立即修复高风险手术患者因 TAVR 并发症引起的 ATAAD。
{"title":"Thoracic endovascular aortic repair (TEVAR) for an acute type A aortic dissection following transcatheter aortic valve replacement (TAVR)","authors":"Vy C. Dang BS , Paul Haddad MD , Ross G. McFall MD , Jennifer Klopfenstein MD , Michael J. Reardon MD , Maham Rahimi MD, PhD","doi":"10.1016/j.jvscit.2024.101653","DOIUrl":"10.1016/j.jvscit.2024.101653","url":null,"abstract":"<div><div>An 86-year-old male with multiple medical comorbidities was referred for an elective transcatheter aortic valve replacement (TAVR) for severe symptomatic aortic stenosis with an ejection fraction of 35%. A self-expanding valve was deployed successfully, but intraoperative transesophageal echocardiography (TEE) confirmed an acute type A aortic dissection (ATAAD), necessitating immediate intervention. Multiple intraoperative imaging modalities were utilized for deployment of a conformable GORE TAG (cTAG) stent graft for thoracic endovascular aortic repair (TEVAR). This case demonstrates TEVAR as an effective, minimally invasive option for immediate repair of ATAAD as a complication of TAVR in a high-risk surgical patient.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101653"},"PeriodicalIF":0.7,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-23DOI: 10.1016/j.jvscit.2024.101650
Pavel Kibrik DO, Jerry Zhu BS, Ajit Rao MD, Daniel Han MD, Peter Faries MD, James Cornwall MD
Inferior pancreaticoduodenal artery aneurysm (IPDA) with the stenosis of the celiac axis is rare and may cause rupture. A unique etiology of IPDAs with celiac stenosis is median arcuate ligament syndrome. These aneurysms develop as a result of the dilation of the arteries from the retrograde blood flow into the pancreaticoduodenal arches because of celiac artery compression by the median arcuate ligament. We describe a 39-year-old man whose ruptured IPDA was associated with celiac artery stenosis and who was managed with coil embolization. The patient has agreed to have their case details and images published.
{"title":"Endovascular repair and management of a ruptured inferior pancreaticoduodenal artery aneurysm: A case report and literature review","authors":"Pavel Kibrik DO, Jerry Zhu BS, Ajit Rao MD, Daniel Han MD, Peter Faries MD, James Cornwall MD","doi":"10.1016/j.jvscit.2024.101650","DOIUrl":"10.1016/j.jvscit.2024.101650","url":null,"abstract":"<div><div>Inferior pancreaticoduodenal artery aneurysm (IPDA) with the stenosis of the celiac axis is rare and may cause rupture. A unique etiology of IPDAs with celiac stenosis is median arcuate ligament syndrome. These aneurysms develop as a result of the dilation of the arteries from the retrograde blood flow into the pancreaticoduodenal arches because of celiac artery compression by the median arcuate ligament. We describe a 39-year-old man whose ruptured IPDA was associated with celiac artery stenosis and who was managed with coil embolization. The patient has agreed to have their case details and images published.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101650"},"PeriodicalIF":0.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"“What can go wrong during thoracic endovascular aortic repair for type B aortic dissection”","authors":"Zachary Rengel MD, Gregory Magee MD, MSc, FACS, FSVS","doi":"10.1016/j.jvscit.2024.101657","DOIUrl":"10.1016/j.jvscit.2024.101657","url":null,"abstract":"","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101657"},"PeriodicalIF":0.7,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.jvscit.2024.101644
Quynh-Anh L. Dang BS, BBA , Alexander S. Fairman MD
Neurofibromatosis type 1 (NF1) is a congenital vasculopathy that can affect the renal arteries, causing renovascular hypertension. We report a complex case of a pediatric NF1 patient who required endovascular salvage of a renal artery bypass. Treatment for pediatric renovascular NF1 requires close surveillance and the ability to pivot to rescue therapies.
{"title":"Endovascular salvage of renal artery bypass in pediatric a patient with neurofibromatosis type 1","authors":"Quynh-Anh L. Dang BS, BBA , Alexander S. Fairman MD","doi":"10.1016/j.jvscit.2024.101644","DOIUrl":"10.1016/j.jvscit.2024.101644","url":null,"abstract":"<div><div>Neurofibromatosis type 1 (NF1) is a congenital vasculopathy that can affect the renal arteries, causing renovascular hypertension. We report a complex case of a pediatric NF1 patient who required endovascular salvage of a renal artery bypass. Treatment for pediatric renovascular NF1 requires close surveillance and the ability to pivot to rescue therapies.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101644"},"PeriodicalIF":0.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.jvscit.2024.101655
Mitchell C. McDaniels BS, Patrick D. Conroy MD, Philip M. Batista MD
This case report presents a 40-year-old transgender female with a history of gender-affirming hormone therapy who experienced recurrent, medication-resistant arterial thrombi leading to bilateral lower extremity amputations. Despite multiple endovascular and surgical interventions, including bypass grafting and catheter-directed thrombolysis, the patient developed recurrent thrombotic events even while on anticoagulation therapy. Hematologic evaluation for coagulopathy was unremarkable. The case underscores the need for greater understanding of gender-affirming hormone therapy’s long-term cardiovascular effects while highlighting the challenges in managing arterial thrombosis in transgender patients. Further research is required to guide optimal anticoagulation strategies in this population.
{"title":"Bilateral lower extremity amputation in a transgender female on estrogen therapy suffering from recurrent, medication-resistant arterial thrombi","authors":"Mitchell C. McDaniels BS, Patrick D. Conroy MD, Philip M. Batista MD","doi":"10.1016/j.jvscit.2024.101655","DOIUrl":"10.1016/j.jvscit.2024.101655","url":null,"abstract":"<div><div>This case report presents a 40-year-old transgender female with a history of gender-affirming hormone therapy who experienced recurrent, medication-resistant arterial thrombi leading to bilateral lower extremity amputations. Despite multiple endovascular and surgical interventions, including bypass grafting and catheter-directed thrombolysis, the patient developed recurrent thrombotic events even while on anticoagulation therapy. Hematologic evaluation for coagulopathy was unremarkable. The case underscores the need for greater understanding of gender-affirming hormone therapy’s long-term cardiovascular effects while highlighting the challenges in managing arterial thrombosis in transgender patients. Further research is required to guide optimal anticoagulation strategies in this population.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101655"},"PeriodicalIF":0.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.jvscit.2024.101647
Ndeye Fatou Sow MD , Abdoul Ahad Mbengue MD , Jean Michel Davaine MD, PhD , Morgane Lemierre MD , Papa Adama Dieng MD
A 37-year-old obese woman, trigravida and secundiparous, at 17 weeks of gestation presented with acute abdominal pain. Doppler ultrasound examination showed an infrarenal abdominal aortic aneurysm measuring 61 mm in diameter and a computed tomography angiography outlined a fissured infrarenal aneurysm measuring 85 mm in diameter. To preserve the pregnancy, the obstetrician performed perioperative tocolysis. Subsequently, open surgery was conducted using open repair with 60 minutes of infrarenal cross-clamping. The postoperative course was uneventful, and the patient was discharged on day 10. She subsequently gave birth to a healthy baby at full term.
{"title":"Open surgical repair of an abdominal aortic aneurysm during the second trimester of pregnancy","authors":"Ndeye Fatou Sow MD , Abdoul Ahad Mbengue MD , Jean Michel Davaine MD, PhD , Morgane Lemierre MD , Papa Adama Dieng MD","doi":"10.1016/j.jvscit.2024.101647","DOIUrl":"10.1016/j.jvscit.2024.101647","url":null,"abstract":"<div><div>A 37-year-old obese woman, trigravida and secundiparous, at 17 weeks of gestation presented with acute abdominal pain. Doppler ultrasound examination showed an infrarenal abdominal aortic aneurysm measuring 61 mm in diameter and a computed tomography angiography outlined a fissured infrarenal aneurysm measuring 85 mm in diameter. To preserve the pregnancy, the obstetrician performed perioperative tocolysis. Subsequently, open surgery was conducted using open repair with 60 minutes of infrarenal cross-clamping. The postoperative course was uneventful, and the patient was discharged on day 10. She subsequently gave birth to a healthy baby at full term.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101647"},"PeriodicalIF":0.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142743780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The physician-modified endograft technique is becoming widely accepted as an alternative to standard fenestrated endovascular aortic repair. We report a streamlined workflow based on a bifurcation endograft, using the punch card and the Hungaroring reinforcement, two novel additions to the armamentarium that might contribute to the safety and durability of such repairs. A cohort of 11 patients was treated with 43 vessels incorporated. The clinical success rate was 100%. No major adverse event or death was recorded at 30 days. The punch card and the novel reinforcement technique might improve the safety and durability of such repairs.
{"title":"A standardized physician-modified endograft workflow utilizing the punch card technique and the Hungaroring reinforcement to treat complex abdominal aortic aneurysms","authors":"Csaba Csobay-Novák MD, PhD , Bendegúz Juhos PhD , András Szentiványi MD , Ákos Bérczi MD, PhD , Artúr Hüttl MD , Péter Sótonyi MD, DSc","doi":"10.1016/j.jvscit.2024.101649","DOIUrl":"10.1016/j.jvscit.2024.101649","url":null,"abstract":"<div><div>The physician-modified endograft technique is becoming widely accepted as an alternative to standard fenestrated endovascular aortic repair. We report a streamlined workflow based on a bifurcation endograft, using the punch card and the Hungaroring reinforcement, two novel additions to the armamentarium that might contribute to the safety and durability of such repairs. A cohort of 11 patients was treated with 43 vessels incorporated. The clinical success rate was 100%. No major adverse event or death was recorded at 30 days. The punch card and the novel reinforcement technique might improve the safety and durability of such repairs.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101649"},"PeriodicalIF":0.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142705488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.jvscit.2024.101656
Dipankar Mukherjee MD , Jihui Li MD, PhD , David Spinosa MD
Management of abdominal aortic aneurysm includes reducing the incidence of endoleaks and promoting sac regression. Sac embolization has been shown to promote regression but alone may not adequately address type II endoleak risk. We present three cases with challenging anatomy and follow-up data through 12 months after treatment. Patients were treated with endografts, and shape memory polymer embolization plugs were used to embolize the residual lumen volume outside of the endograft during the procedure. Follow-up imaging indicates that this procedure was used successfully in these patients. None of the patients developed sac expansion or developed type II endoleaks.
腹主动脉瘤的治疗包括降低内漏发生率和促进瘤囊消退。瘤囊栓塞已被证明能促进瘤囊消退，但仅靠瘤囊栓塞可能无法充分解决 II 型内漏风险。我们介绍了三个具有挑战性解剖结构的病例以及治疗后 12 个月的随访数据。患者接受了内植物治疗，并在治疗过程中使用形状记忆聚合物栓塞栓塞内植物外的残余管腔。随访成像结果表明，该手术在这些患者身上取得了成功。没有一名患者出现囊扩张或 II 型内漏。
{"title":"Aortic aneurysm management results through one year with a conformable neck sealing endograft and preemptive sac embolization with shape memory polymer devices","authors":"Dipankar Mukherjee MD , Jihui Li MD, PhD , David Spinosa MD","doi":"10.1016/j.jvscit.2024.101656","DOIUrl":"10.1016/j.jvscit.2024.101656","url":null,"abstract":"<div><div>Management of abdominal aortic aneurysm includes reducing the incidence of endoleaks and promoting sac regression. Sac embolization has been shown to promote regression but alone may not adequately address type II endoleak risk. We present three cases with challenging anatomy and follow-up data through 12 months after treatment. Patients were treated with endografts, and shape memory polymer embolization plugs were used to embolize the residual lumen volume outside of the endograft during the procedure. Follow-up imaging indicates that this procedure was used successfully in these patients. None of the patients developed sac expansion or developed type II endoleaks.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101656"},"PeriodicalIF":0.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/j.jvscit.2024.101648
Samuel D. Leonard MD , Lili Sadri MD , Hung Nguyen MD , Naveed Saqib MD , Marvin Heck MD , Gordon Martin MD
Persistent hypoglossal artery (PHA) is a rare, anatomical variant in which the posterior cerebral circulation is primarily supplied by a branch of the carotid artery, rather than the vertebral arteries. This case report discusses carotid endarterectomy performed on a man, 67 years of age, with high-grade, asymptomatic carotid artery stenosis and ipsilateral PHA. Preoperative computed tomography angiography identified the PHA arising from the internal carotid artery, compensating for atretic bilateral vertebral arteries and providing primary perfusion to anterior spinal artery. A carotid endarterectomy with a bovine pericardial patch was executed under general anesthesia, incorporating preemptive shunting of the PHA and intraoperative electroencephalogram monitoring. The operation proceeded without complications, maintaining normal electroencephalogram readings, and the patient exhibited no focal neurological deficits postoperatively, although transient dysphagia was noted. Follow-up imaging at 4 months confirmed the patency of the internal carotid artery and PHA. This case underscores the necessity for meticulous surgical planning and monitoring in the presence of rare vascular anomalies to ensure successful outcomes. The key takeaway is that comprehensive, preoperative imaging, individualized surgical strategies, and vigilant postoperative monitoring are critical for managing rare vascular anomalies, such as PHA.
{"title":"Carotid endarterectomy in the setting of persistent hypoglossal artery","authors":"Samuel D. Leonard MD , Lili Sadri MD , Hung Nguyen MD , Naveed Saqib MD , Marvin Heck MD , Gordon Martin MD","doi":"10.1016/j.jvscit.2024.101648","DOIUrl":"10.1016/j.jvscit.2024.101648","url":null,"abstract":"<div><div>Persistent hypoglossal artery (PHA) is a rare, anatomical variant in which the posterior cerebral circulation is primarily supplied by a branch of the carotid artery, rather than the vertebral arteries. This case report discusses carotid endarterectomy performed on a man, 67 years of age, with high-grade, asymptomatic carotid artery stenosis and ipsilateral PHA. Preoperative computed tomography angiography identified the PHA arising from the internal carotid artery, compensating for atretic bilateral vertebral arteries and providing primary perfusion to anterior spinal artery. A carotid endarterectomy with a bovine pericardial patch was executed under general anesthesia, incorporating preemptive shunting of the PHA and intraoperative electroencephalogram monitoring. The operation proceeded without complications, maintaining normal electroencephalogram readings, and the patient exhibited no focal neurological deficits postoperatively, although transient dysphagia was noted. Follow-up imaging at 4 months confirmed the patency of the internal carotid artery and PHA. This case underscores the necessity for meticulous surgical planning and monitoring in the presence of rare vascular anomalies to ensure successful outcomes. The key takeaway is that comprehensive, preoperative imaging, individualized surgical strategies, and vigilant postoperative monitoring are critical for managing rare vascular anomalies, such as PHA.</div></div>","PeriodicalId":45071,"journal":{"name":"Journal of Vascular Surgery Cases Innovations and Techniques","volume":"11 1","pages":"Article 101648"},"PeriodicalIF":0.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142704862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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