Pub Date : 2023-10-01DOI: 10.23736/s1824-4777.23.01600-5
I Gusti PUTRA, Heroe SOEBROTO, Yan E. SEMBIRING, Danang H. LIMANTO, Arief R. HAKIM, Pande A. PERMATANANDA, Jeffrey J. DILLON, Cheong LIM
{"title":"The longevity of temporary hemodialysis catheters by insertion site in patients undergoing hemodialysis: systematic review","authors":"I Gusti PUTRA, Heroe SOEBROTO, Yan E. SEMBIRING, Danang H. LIMANTO, Arief R. HAKIM, Pande A. PERMATANANDA, Jeffrey J. DILLON, Cheong LIM","doi":"10.23736/s1824-4777.23.01600-5","DOIUrl":"https://doi.org/10.23736/s1824-4777.23.01600-5","url":null,"abstract":"","PeriodicalId":54914,"journal":{"name":"Italian Journal of Vascular and Endovascular Surgery","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135965602","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 : 2023-10-01DOI: 10.23736/s1824-4777.23.01588-7
Rafael de ATHAYDE SOARES, Ana B. CAMPELO CAMPOS, Matheus VERAS VIANA PORTELA, Roberto SACILOTTO
BACKGROUND: The main objective of this present paper was to evaluate the results and outcomes of patients with acute limb ischemia (ALI) submitted to pharmacomechanical thrombectomy (PMT) endovascular surgery, regarding the number of cycles of PMT, mainly the limb salvage estimates rate and the overall survival rate, performing a comparison with patients with ALI according to the number of cycles performed during PMT technique.METHODS: Overall, 92 patients with ALI submitted to PMT were evaluated. Two groups of patients were identified: group 1 higher than 150 cycles with 60 patients and group 2 lesser than 150 cycles with 32 patients.RESULTS: The overall mortality rate (OMR) was 15.1% (13 patients) in total cohort within the first 30 days. Group 1 had a higher OMR than group 2 (16.1% versus 9.3%, P=0.007). There were 4 cases of hematuria (4.3%), all of them in group 1. We have performed a Kaplan Meier regarding limb salvage rates: Group 1 had 85% and Group 2 had 95.7% at 1057 days. P=0.081. Among the factors evaluated, the following were related to overall mortality rate: PMT with higher >150 cycles/s (HR=7.17, P=0.007, CI: 1.38-8.89), COVID-19 infection (HR=2.75, P=0.010, CI: 1.73-5.97) and postoperative acute kidney failure (HR=2.97, P<0.001, CI: 1.32-8.13). Among the factors evaluated, the following was related to limb loss: postoperative acute kidney failure (HR=4.41, P=0.036, CI: 1.771-7.132).CONCLUSIONS: Pharmacomechanical thrombectomy with AngioJet is a safe and effective therapy in patients with ALI. However, PMT higher than 150 cycles/s may be related to a higher overall mortality rate. Moreover, the main cause related to limb loss was postoperative acute kidney failure. The main factors related to overall mortality rate were PMT with higher >150 cycles/s. postoperative acute kidney failure and COVID-19 infection.
{"title":"Analysis and results of pharmacomechanical thrombectomy with AngioJet in acute arterial occlusions: a prospective comparison study among the number of cycles and outcomes","authors":"Rafael de ATHAYDE SOARES, Ana B. CAMPELO CAMPOS, Matheus VERAS VIANA PORTELA, Roberto SACILOTTO","doi":"10.23736/s1824-4777.23.01588-7","DOIUrl":"https://doi.org/10.23736/s1824-4777.23.01588-7","url":null,"abstract":"BACKGROUND: The main objective of this present paper was to evaluate the results and outcomes of patients with acute limb ischemia (ALI) submitted to pharmacomechanical thrombectomy (PMT) endovascular surgery, regarding the number of cycles of PMT, mainly the limb salvage estimates rate and the overall survival rate, performing a comparison with patients with ALI according to the number of cycles performed during PMT technique.METHODS: Overall, 92 patients with ALI submitted to PMT were evaluated. Two groups of patients were identified: group 1 higher than 150 cycles with 60 patients and group 2 lesser than 150 cycles with 32 patients.RESULTS: The overall mortality rate (OMR) was 15.1% (13 patients) in total cohort within the first 30 days. Group 1 had a higher OMR than group 2 (16.1% versus 9.3%, P=0.007). There were 4 cases of hematuria (4.3%), all of them in group 1. We have performed a Kaplan Meier regarding limb salvage rates: Group 1 had 85% and Group 2 had 95.7% at 1057 days. P=0.081. Among the factors evaluated, the following were related to overall mortality rate: PMT with higher >150 cycles/s (HR=7.17, P=0.007, CI: 1.38-8.89), COVID-19 infection (HR=2.75, P=0.010, CI: 1.73-5.97) and postoperative acute kidney failure (HR=2.97, P<0.001, CI: 1.32-8.13). Among the factors evaluated, the following was related to limb loss: postoperative acute kidney failure (HR=4.41, P=0.036, CI: 1.771-7.132).CONCLUSIONS: Pharmacomechanical thrombectomy with AngioJet is a safe and effective therapy in patients with ALI. However, PMT higher than 150 cycles/s may be related to a higher overall mortality rate. Moreover, the main cause related to limb loss was postoperative acute kidney failure. The main factors related to overall mortality rate were PMT with higher >150 cycles/s. postoperative acute kidney failure and COVID-19 infection.","PeriodicalId":54914,"journal":{"name":"Italian Journal of Vascular and Endovascular Surgery","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135965603","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 : 2023-10-01DOI: 10.23736/s1824-4777.23.01592-9
Gianmarco DE DONATO, Edoardo PASQUI, Giancarlo PALASCIANO
{"title":"The antithrombotic therapy after endovascular intervention: the correct interpretation of voyager PAD data","authors":"Gianmarco DE DONATO, Edoardo PASQUI, Giancarlo PALASCIANO","doi":"10.23736/s1824-4777.23.01592-9","DOIUrl":"https://doi.org/10.23736/s1824-4777.23.01592-9","url":null,"abstract":"","PeriodicalId":54914,"journal":{"name":"Italian Journal of Vascular and Endovascular Surgery","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135965591","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 : 2023-10-01DOI: 10.23736/s1824-4777.23.01594-2
Albert ALBERT, Mulawardi MULAWARDI, Tom C. ADRIANI, Firdaus HAMID, Jayarasti KUSUMANEGARA, Prihantono PRIHANTONO, Sachraswaty R. LAIDDING, Muhammad FARUK
BACKGROUND: Diabetic foot ulcers are the leading cause of amputation in non-traumatic patients. This study aimed to determine the correlation of lipid ratio levels with severity and treatment outcomes in diabetic foot ulcer patients, as well as the relationship of risk factors in diabetic foot patients with the severity of diabetic foot ulcers.METHODS: This cross-sectional study determined the correlation between the cholesterol ratios TG/HDL, LDL/HDL, and TC/HDL with the severity of diabetic foot ulcers according to the Wagner, Texas, and PEDIS classifications. The statistical analysis used the Pearson and Spearman correlation tests, which were deemed meaningful if P<0.05.RESULTS: The study participants were 42 diabetic foot ulcer patients aged 31 to 79 years. Out of the 42 patients, 39 had diabetic dyslipidemia. A significant positive correlation existed of triglyceride levels, TG/HDL ratio, duration of diabetes, and smoking history with the severity of diabetic foot according to the Wagner, Texas, and PEDIS classifications. A significant positive correlation was found of the TC/HDL ratio and TG/HDL ratio with the treatment outcome, as well as a significant negative correlation between the HDL level and treatment outcome.CONCLUSIONS: A significant correlation existed of low HDL, triglyceride, total cholesterol, and high TG/HDL ratio with the severity of diabetic foot. A greater duration of diabetes and a smoking history correlated with more severe diabetic foot. Low HDL and high TG/HDL and TC/HDL ratios were correlated with poorer treatment outcomes.
{"title":"Correlation of lipid profile and lipoprotein ratio with severity of diabetic foot ulcers","authors":"Albert ALBERT, Mulawardi MULAWARDI, Tom C. ADRIANI, Firdaus HAMID, Jayarasti KUSUMANEGARA, Prihantono PRIHANTONO, Sachraswaty R. LAIDDING, Muhammad FARUK","doi":"10.23736/s1824-4777.23.01594-2","DOIUrl":"https://doi.org/10.23736/s1824-4777.23.01594-2","url":null,"abstract":"BACKGROUND: Diabetic foot ulcers are the leading cause of amputation in non-traumatic patients. This study aimed to determine the correlation of lipid ratio levels with severity and treatment outcomes in diabetic foot ulcer patients, as well as the relationship of risk factors in diabetic foot patients with the severity of diabetic foot ulcers.METHODS: This cross-sectional study determined the correlation between the cholesterol ratios TG/HDL, LDL/HDL, and TC/HDL with the severity of diabetic foot ulcers according to the Wagner, Texas, and PEDIS classifications. The statistical analysis used the Pearson and Spearman correlation tests, which were deemed meaningful if P<0.05.RESULTS: The study participants were 42 diabetic foot ulcer patients aged 31 to 79 years. Out of the 42 patients, 39 had diabetic dyslipidemia. A significant positive correlation existed of triglyceride levels, TG/HDL ratio, duration of diabetes, and smoking history with the severity of diabetic foot according to the Wagner, Texas, and PEDIS classifications. A significant positive correlation was found of the TC/HDL ratio and TG/HDL ratio with the treatment outcome, as well as a significant negative correlation between the HDL level and treatment outcome.CONCLUSIONS: A significant correlation existed of low HDL, triglyceride, total cholesterol, and high TG/HDL ratio with the severity of diabetic foot. A greater duration of diabetes and a smoking history correlated with more severe diabetic foot. Low HDL and high TG/HDL and TC/HDL ratios were correlated with poorer treatment outcomes.","PeriodicalId":54914,"journal":{"name":"Italian Journal of Vascular and Endovascular Surgery","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135965598","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 : 2023-10-01DOI: 10.23736/s1824-4777.23.01573-5
Renato MANZIONI, Rodrigo B. BIAGIONI, Amanda THURLER PALOMO, Luiz M. da SILVA JUNIOR, Raiza S. ESPER, Bruna FEIO de OLIVEIRA, Marcos R. GODOY, Marcelo F. MATIELO, Roberto SACILOTTO
BACKGROUND: Popliteal artery aneurysm (PAA) is the peripheral most frequent aneurysm. Its main complication is the thrombosis and acute limb ischemia (ALI). The majority of the studies analyzed the difference between the endovascular treatment (ET) and open repair (OR) and not factors related to the outcomes. The study aims to evaluate the relationship number of patent leg arteries (NPLA) for outflow and PAA anatomic aspects with primary patency (PP) and amputation-free survival (AFS) in patients treated electively.METHODS: This is a retrospective study of a cohort of 65 popliteal artery aneurysms (56 patients) treated from April 2010 to November 2019 in a single center. Inclusion criteria are all patients who underwent electively PAA OR.RESULTS: The mean age of the patients was 71.3±8.8 years, and most of the patients were male (91%). The incidence of hypertension, smoking, dyslipidemia, diabetes, coronary disease and stroke were 75.4%, 63.1%, 47.7%, 21.5% and 13.8%. The PAA mean diameter was 30,94±10.59 mm varying from 12.5 to 57 mm. The mean of the lenght was 63.4±34.06 mm, and in 46% PAA reach the third segment of PAA (P3). There was no relantionship between the variables diameter and extension with AFS and PP, even as NPLA and PP. Nonetheless, considering AFS, poor runoff were related to a worse result.CONCLUSIONS: We conclude that dimension and length of PAA had not correlation with PP and AFS, nonetheless poor runnof worsens AFS in PPA OR electively.
背景:腘动脉动脉瘤(PAA)是最常见的外周动脉瘤。其主要并发症是血栓和急性肢体缺血(ALI)。大多数研究分析了血管内治疗(ET)和开放修复(OR)之间的差异，而不是与结果相关的因素。该研究旨在评估选择性治疗患者的流出和PAA解剖方面的未闭腿动脉(NPLA)数量与原发性通畅(PP)和无截肢生存(AFS)的关系。方法:对2010年4月至2019年11月在单中心治疗的65例腘动脉动脉瘤(56例患者)进行回顾性研究。纳入标准为所有接受选择性PAA OR的患者。结果:患者平均年龄71.3±8.8岁，男性居多(91%)。高血压、吸烟、血脂异常、糖尿病、冠心病和脑卒中的发病率分别为75.4%、63.1%、47.7%、21.5%和13.8%。PAA平均直径为30.94±10.59 mm, 12.5 ~ 57 mm不等。平均长度为63.4±34.06 mm, 46%的PAA达到PAA第三节段(P3)。与NPLA和PP一样，直径和延伸与AFS和PP之间没有关系。然而，考虑AFS，差的径流与较差的结果相关。结论:我们得出PAA的尺寸和长度与PP和AFS无关，但PPA或PAA的不良运行可选择性地恶化AFS。
{"title":"The dimensions of the popliteal aneurysm and its relationship with the result of surgical repair","authors":"Renato MANZIONI, Rodrigo B. BIAGIONI, Amanda THURLER PALOMO, Luiz M. da SILVA JUNIOR, Raiza S. ESPER, Bruna FEIO de OLIVEIRA, Marcos R. GODOY, Marcelo F. MATIELO, Roberto SACILOTTO","doi":"10.23736/s1824-4777.23.01573-5","DOIUrl":"https://doi.org/10.23736/s1824-4777.23.01573-5","url":null,"abstract":"BACKGROUND: Popliteal artery aneurysm (PAA) is the peripheral most frequent aneurysm. Its main complication is the thrombosis and acute limb ischemia (ALI). The majority of the studies analyzed the difference between the endovascular treatment (ET) and open repair (OR) and not factors related to the outcomes. The study aims to evaluate the relationship number of patent leg arteries (NPLA) for outflow and PAA anatomic aspects with primary patency (PP) and amputation-free survival (AFS) in patients treated electively.METHODS: This is a retrospective study of a cohort of 65 popliteal artery aneurysms (56 patients) treated from April 2010 to November 2019 in a single center. Inclusion criteria are all patients who underwent electively PAA OR.RESULTS: The mean age of the patients was 71.3±8.8 years, and most of the patients were male (91%). The incidence of hypertension, smoking, dyslipidemia, diabetes, coronary disease and stroke were 75.4%, 63.1%, 47.7%, 21.5% and 13.8%. The PAA mean diameter was 30,94±10.59 mm varying from 12.5 to 57 mm. The mean of the lenght was 63.4±34.06 mm, and in 46% PAA reach the third segment of PAA (P3). There was no relantionship between the variables diameter and extension with AFS and PP, even as NPLA and PP. Nonetheless, considering AFS, poor runoff were related to a worse result.CONCLUSIONS: We conclude that dimension and length of PAA had not correlation with PP and AFS, nonetheless poor runnof worsens AFS in PPA OR electively.","PeriodicalId":54914,"journal":{"name":"Italian Journal of Vascular and Endovascular Surgery","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135965599","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 : 2023-10-01DOI: 10.23736/s1824-4777.23.01581-4
Mouhammad KANJ, Benoit COSSET, Ziad MANSOUR, Antoine MILLON, Fadi FARHAT
BACKGROUND: Thoracic endovascular aortic repair (TEVAR) provides an alternative treatment option for selected patients with ascending aortic diseases harboring a high surgical risk. Herein we report our experience with this technique in different ascending aortic pathologies.METHODS: From May 2016 to May 2021, 5 patients were treated in our institution with TEVAR for different ascending aortic pathologies. Medical files were reviewed retrospectively to analyze the technique and postoperative results. Median age was 83. One patient had intramural hematoma, another had mycotic false aneurysm and three had acute type A aortic dissections. Mean Euroscore was 17.69.RESULTS: Overall survival was 80% over a median follow-up of 20 months (one peroperative death). Exclusion of the entry tear and the aortic pathology was successful in all the patients. Type 1 endoleak developed in 2 patients with no need for additional endovascular procedure. No cerebrovascular complications were recorded.CONCLUSIONS: Surgery remains the gold standard treatment in ascending aortic pathology even in high-risk patients. The key to success of TEVAR is the appropriate patient selection. The main pitfall remains the lack of dedicated stent for the ascending aorta.
{"title":"Endovascular treatment of ascending aortic pathologies: a single center experience","authors":"Mouhammad KANJ, Benoit COSSET, Ziad MANSOUR, Antoine MILLON, Fadi FARHAT","doi":"10.23736/s1824-4777.23.01581-4","DOIUrl":"https://doi.org/10.23736/s1824-4777.23.01581-4","url":null,"abstract":"BACKGROUND: Thoracic endovascular aortic repair (TEVAR) provides an alternative treatment option for selected patients with ascending aortic diseases harboring a high surgical risk. Herein we report our experience with this technique in different ascending aortic pathologies.METHODS: From May 2016 to May 2021, 5 patients were treated in our institution with TEVAR for different ascending aortic pathologies. Medical files were reviewed retrospectively to analyze the technique and postoperative results. Median age was 83. One patient had intramural hematoma, another had mycotic false aneurysm and three had acute type A aortic dissections. Mean Euroscore was 17.69.RESULTS: Overall survival was 80% over a median follow-up of 20 months (one peroperative death). Exclusion of the entry tear and the aortic pathology was successful in all the patients. Type 1 endoleak developed in 2 patients with no need for additional endovascular procedure. No cerebrovascular complications were recorded.CONCLUSIONS: Surgery remains the gold standard treatment in ascending aortic pathology even in high-risk patients. The key to success of TEVAR is the appropriate patient selection. The main pitfall remains the lack of dedicated stent for the ascending aorta.","PeriodicalId":54914,"journal":{"name":"Italian Journal of Vascular and Endovascular Surgery","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135965587","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 : 2023-10-01DOI: 10.23736/s1824-4777.23.01586-3
Renato MANZIONI, Marcos R. GODOY, Rafael de ATHAYDE SOARES, Marcelo F. MATIELO, Roberto SACILOTTO
INTRODUCTION: Cerebrovascular accidents are the third biggest cause of death in the West. Ischemic stroke mortality may reach 33% with a 20% recurrence rate in the first year. Thus, identifying patients with asymptomatic extracranial carotid disease (AECD) before cerebral ischemia is of great importance to public health concerns. The paper presents a systematic review and meta-analysis of AECD occurrence in peripheral arterial disease (PAD) patients.EVIDENCE ACQUISITION: A systematic review following designated protocols from “Preferred Reporting Items for Systematic reviews and Meta-analysis” (PRISMA), encompassing research in the PubMed, Medline, Cochrane and Embase data banks. A rigorous evaluation process was concluded with the outcome being the presence of AECD on more than 50% of PAD patients. Nine studies with a total of 114,514 patients were included: 3 prospective studies, 4 retrospective studies, 2 transversal studies were selected for meta-analysis. The stenosis proportion higher than 50% AECD was of 22% with a 95% confidence interval between 16% and 29%; however, its heterogeneity was of I2=98%. Symmetry was identified on funnel plot studies.EVIDENCE SYNTHESIS: The systematic review spanning the last 13 years and the meta-analysis have shown a prevalence of 22% AECD>50% in patients with PAD, leading to reasonable concern over AECD in PAD patients.CONCLUSIONS: However, the heterogeneity within the studies was elevated, probably due to differences in carotid stenosis ultrasound diagnosis procedures among one another.
{"title":"Prevalence of moderate and severe asymptomatic extracranial carotid disease in patients with peripheral artery disease: systematic review and meta-analysis","authors":"Renato MANZIONI, Marcos R. GODOY, Rafael de ATHAYDE SOARES, Marcelo F. MATIELO, Roberto SACILOTTO","doi":"10.23736/s1824-4777.23.01586-3","DOIUrl":"https://doi.org/10.23736/s1824-4777.23.01586-3","url":null,"abstract":"INTRODUCTION: Cerebrovascular accidents are the third biggest cause of death in the West. Ischemic stroke mortality may reach 33% with a 20% recurrence rate in the first year. Thus, identifying patients with asymptomatic extracranial carotid disease (AECD) before cerebral ischemia is of great importance to public health concerns. The paper presents a systematic review and meta-analysis of AECD occurrence in peripheral arterial disease (PAD) patients.EVIDENCE ACQUISITION: A systematic review following designated protocols from “Preferred Reporting Items for Systematic reviews and Meta-analysis” (PRISMA), encompassing research in the PubMed, Medline, Cochrane and Embase data banks. A rigorous evaluation process was concluded with the outcome being the presence of AECD on more than 50% of PAD patients. Nine studies with a total of 114,514 patients were included: 3 prospective studies, 4 retrospective studies, 2 transversal studies were selected for meta-analysis. The stenosis proportion higher than 50% AECD was of 22% with a 95% confidence interval between 16% and 29%; however, its heterogeneity was of I2=98%. Symmetry was identified on funnel plot studies.EVIDENCE SYNTHESIS: The systematic review spanning the last 13 years and the meta-analysis have shown a prevalence of 22% AECD>50% in patients with PAD, leading to reasonable concern over AECD in PAD patients.CONCLUSIONS: However, the heterogeneity within the studies was elevated, probably due to differences in carotid stenosis ultrasound diagnosis procedures among one another.","PeriodicalId":54914,"journal":{"name":"Italian Journal of Vascular and Endovascular Surgery","volume":"166 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135965584","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 : 2023-10-01DOI: 10.23736/s1824-4777.23.01583-8
Andrey V. CHUPIN, Nadzhibulla I. VERDIKHANOV, Zaurbek A. ADYRKHAEV, Alexander F. KHARAZOV, Vladimir N. GONTARENKO, Vadim S. SHIROKOV, Nail R. MASALIMOV, Sergey K. VOLKOV
BACKGROUND: Improvement of existing forecasting tools for prediction of neurovascular and bleeding complications associated with carotid body tumors (CBTs) surgery and construction of novel predictive systems.METHODS: Medical records of patients who underwent CBT excision from 2011 to 2021 were retrospectively reviewed for perioperative information. The retrospective analysis was combined with confirmational prospective telephone survey of each patient for improvement of collected descriptive data quality.RESULTS: A total of 58 tumors were removed per 55 excisions. According to Shamblin’s classification, 34.5% of removed CBTs referred to grade I, 60% were grade II and only 5.5% belonged to grade III. The median tumor volume was 14.8 cm3 (interquartile range [IQR] 8.1-24.5 cm3). The mean distance from tumor apex to the base of skull (DTBOS) was 4.1±1.4 cm. The median estimated blood loss (EBL) was 200 mL (IQR 50-400 mL). The overall 30-day cranial nerve (CN) dysfunction rate after surgery was 60%. The overall 30-day mortality and 30-day stroke rate were 0% and 1.8%, respectively. The regression analysis revealed statistically significant (P<0.001) association between tumor volume and EBL with explicit positive linear trend (y = 76.95 + 9.22 x) and acceptable predictive strength (R2=0.368). Obvious negative correlation (P<0.001, R2=0.225) was discovered between tumor distance to base of skull (DTBOS) and overall amount of damaged CNs.CONCLUSIONS: Approximately 37% of differences in EBL can be explained by the differences in tumor volume. Approximately 23% of differences in overall amount of damaged CNs can be explained by the differences in DTBOS.
{"title":"Surgical outcomes of carotid body tumors removal and analysis of cardinal predictors associated with neurovascular and bleeding complications","authors":"Andrey V. CHUPIN, Nadzhibulla I. VERDIKHANOV, Zaurbek A. ADYRKHAEV, Alexander F. KHARAZOV, Vladimir N. GONTARENKO, Vadim S. SHIROKOV, Nail R. MASALIMOV, Sergey K. VOLKOV","doi":"10.23736/s1824-4777.23.01583-8","DOIUrl":"https://doi.org/10.23736/s1824-4777.23.01583-8","url":null,"abstract":"BACKGROUND: Improvement of existing forecasting tools for prediction of neurovascular and bleeding complications associated with carotid body tumors (CBTs) surgery and construction of novel predictive systems.METHODS: Medical records of patients who underwent CBT excision from 2011 to 2021 were retrospectively reviewed for perioperative information. The retrospective analysis was combined with confirmational prospective telephone survey of each patient for improvement of collected descriptive data quality.RESULTS: A total of 58 tumors were removed per 55 excisions. According to Shamblin’s classification, 34.5% of removed CBTs referred to grade I, 60% were grade II and only 5.5% belonged to grade III. The median tumor volume was 14.8 cm3 (interquartile range [IQR] 8.1-24.5 cm3). The mean distance from tumor apex to the base of skull (DTBOS) was 4.1±1.4 cm. The median estimated blood loss (EBL) was 200 mL (IQR 50-400 mL). The overall 30-day cranial nerve (CN) dysfunction rate after surgery was 60%. The overall 30-day mortality and 30-day stroke rate were 0% and 1.8%, respectively. The regression analysis revealed statistically significant (P<0.001) association between tumor volume and EBL with explicit positive linear trend (y = 76.95 + 9.22 x) and acceptable predictive strength (R2=0.368). Obvious negative correlation (P<0.001, R2=0.225) was discovered between tumor distance to base of skull (DTBOS) and overall amount of damaged CNs.CONCLUSIONS: Approximately 37% of differences in EBL can be explained by the differences in tumor volume. Approximately 23% of differences in overall amount of damaged CNs can be explained by the differences in DTBOS.","PeriodicalId":54914,"journal":{"name":"Italian Journal of Vascular and Endovascular Surgery","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135965461","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 : 2023-05-01DOI: 10.23736/s1824-4777.23.01577-2
N. Kontopodis, K. Tzirakis, E. Kehagias, A. Kouraki, C. Ioannou
{"title":"Computational modelling to evaluate abdominal aortic aneurysm rupture risk: state-of-the-art, pitfalls and scientific impact","authors":"N. Kontopodis, K. Tzirakis, E. Kehagias, A. Kouraki, C. Ioannou","doi":"10.23736/s1824-4777.23.01577-2","DOIUrl":"https://doi.org/10.23736/s1824-4777.23.01577-2","url":null,"abstract":"","PeriodicalId":54914,"journal":{"name":"Italian Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48957487","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 : 2023-05-01DOI: 10.23736/s1824-4777.23.01578-4
Vasil Chervenkov, Boris N. Ilchev, Alexander T. Daskalov
{"title":"The use of bovine pericardial patch for vascular reconstructions","authors":"Vasil Chervenkov, Boris N. Ilchev, Alexander T. Daskalov","doi":"10.23736/s1824-4777.23.01578-4","DOIUrl":"https://doi.org/10.23736/s1824-4777.23.01578-4","url":null,"abstract":"","PeriodicalId":54914,"journal":{"name":"Italian Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44166491","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}
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