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VASA. Zeitschrift Für Gefässkrankheiten

Gabor Cs Nagy, Reiner Verwiebe, Matthias Wunsch
BACKGROUND: In obese patients with end stage renal disease, puncturing matured arteriovenous fistulas (AVF) that run deep under the skin surface may prove difficult. To achieve reliable puncturability, there are several surgical solutions. Superficialization with mobilization is common. With some newer options (lipectomy and liposuction) subcutaneous adipose tissue is surgically reduced. There are only a few authors who have published their experience with liposuction and we want to add our own results...
July 19, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Jan Beyer-Westendorf, Rupert Bauersachs, Viola Hach-Wunderle, Rainer B Zotz, Hannelore Rott
The use of sex hormones such as combined oral contraceptives (COC) or hormone replacement therapy (HRT) increases the risk for venous thromboembolism (VTE) considerably, especially in patients with an increased intrinsic risk for thromboembolic complications. Despite public and media attention and increasing scientific evidence, prescription patterns seem to be hard to change. It is well recognized that the patient's baseline risk is the most relevant factor in the absolute risk for developing VTE. The relative risk increase associated with sex hormones, depends on the type and dosage of hormones, the route of application (oral, vaginal, transdermal), and for COC, on the specific combination of oestrogen and gestagen components...
July 16, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Verena Veulemans, Shazia Afzal, Paul Ledwig, Christian Heiss, Lucas Busch, Roberto Sansone, Dagmar B Soetemann, Oliver Maier, Laura Kleinebrecht, Malte Kelm, Tobias Zeus, Katharina Hellhammer
BACKGROUND: Vascular access site-related complications are frequent in the context of transfemoral transcatheter aortic valve replacement (TAVR). The implantation of a covered stent graft is an effective treatment option for bleeding control. However, the external iliac and common femoral arteries are exposed to flexion of the hip joint. Therefore, stent compression and stent/strut fractures may occur, facilitating stent occlusion. PATIENTS AND METHODS: In all 389 patients who received transfemoral TAVR from 2013-2015 at the Düsseldorf Heart Centre, we monitored the management of vascular access site-related complications...
June 28, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Samir K Shah, Seth Levine, James O'Leary, Michael Belkin
We report an unusual combination of a symptomatic carotid stenosis and ipsilateral carotid body tumor. This patient was successfully treated with simultaneous carotid endarterectomy and tumor resection. Following, the unique challenges and technique are discussed.
June 18, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Zsuzsanna Jeremias, Nora Rat, Imre Benedek, Emese Rapolti, Mihaela Ratiu, Adrian Muresan, Theodora Benedek
BACKGROUND: The role of vascular calcifications in iliac arteries for predicting global atherosclerotic burden in still unknown. The aim of this study was to investigate whether iliac calcium score (ICS), a new computed tomographic angiography (CTA) derived biomarker of vascular calcification, can predict the severity and complexity of peripheral arterial disease (PAD) as well as the global atherosclerotic burden. PATIENTS AND METHODS: This was a single centre, non-randomized, observational prospective study on 84 consecutive patients with symptomatic peripheral arterial disease, undergoing peripheral CTA examination of the lower limbs, divided into high (n = 42) and low ICS (n = 42) groups with a median value for ICS of 3934 HU...
June 13, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Karel Novotný, Míla Roček, Radek Pádr, Radim Pavlík, Michal Polovinčák, Theodor Adla, Petra Zimolová, Jana Choi-Širůčková, Martin Weis, Simon Jirát, Vilém Rohn
BACKGROUND: Treating great and small saphenous vein trunk insufficiency with cyanoacrylate glue is the least taxing treatment method of all available techniques. Due to long-term unavailability of commercial kits with n-butyl-2-cyanoacrylate (histoacryl) in the Czech Republic, we used a modified technique. PATIENTS AND METHODS: Fifty-six limbs in 49 patients suffering from great saphenous vein or small saphenous vein insufficiency in combination with symptomatic chronic venous insufficiency and complicating comorbidities were treated with a modified endovascular cyanoacrylate glue application technique...
June 12, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Henrik Christian Rieß, Eike Sebastian Debus, Thea Schwaneberg, Sandra Hischke, Julius Maier, Maria Bublitz, Levente Kriston, Martin Härter, Ursula Marschall, Thomas Zeller, Sebastian M Schellong, Christian-Alexander Behrendt
INTRODUCTION: Peripheral arterial disease (PAD) affects a continuously increasing number of people worldwide leading to more invasive treatments. Indication to perform invasive revascularisations usually arises from consensus-based recommendations of practice guidelines and from few randomized controlled trials where outcome measures focus mainly on risk factors associated with mortality and morbidity. To date, no broad consensual agreement of experts on valid indicators of outcome quality exists for PAD...
June 1, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Barbara Geeroms, Philippe Demaerel, Joost Wauters, Johny Verschakelen, Geert Maleux
Onset of neurological symptoms early after intranodal lymphangiography can occur due to Lipiodol droplet migration through intrapulmonary lymphovenous communication. Patients with Behçet's disease may be at higher risk of developing this devastating complication.
May 29, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Wolfgang G Mouton, Michael O Wagner, Beat Haenni, Kim T Mouton, Matthias Ochs, Stefan A Tschanz
BACKGROUND: The aim of this study was to investigate the influence of age on the ultrastructure of venous valve morphology in patients with C2 classified chronic venous disorders according to the CEAP classification. PATIENTS AND METHODS: The study population consisted of 16 consecutive patients with varicose veins (C2). The mean age was 49.8 years (30-66). The (pre-) terminal valve including the vessel wall was harvested within the proximal 2 centimetres of the great saphenous vein...
May 29, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Harold Goerne, Abhishek Chaturvedi, Sasan Partovi, Prabhakar Rajiah
Although pulmonary embolism is the most common abnormality of the pulmonary artery, there is a broad spectrum of other congenital and acquired pulmonary arterial abnormalities. Multiple imaging modalities are now available to evaluate these abnormalities of the pulmonary arteries. CT and MRI are the most commonly used cross-sectional imaging modalities that provide comprehensive information on several aspects of these abnormalities, including morphology, function, risk-stratification and therapy-monitoring...
May 28, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Yuki Tanabe, Luis Landeras, Abed Ghandour, Sasan Partovi, Prabhakar Rajiah
The pulmonary arteries are affected by a variety of congenital and acquired abnormalities. Multiple state-of-the art imaging modalities are available to evaluate these pulmonary arterial abnormalities, including computed tomography (CT), magnetic resonance imaging (MRI), echocardiography, nuclear medicine imaging and catheter pulmonary angiography. In part one of this two-part series on state-of-the art pulmonary arterial imaging, we review these imaging modalities, focusing particularly on CT and MRI. We also review the utility of these imaging modalities in the evaluation of pulmonary thromboembolism...
May 28, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Akram Youssef, Tamer Ghazy, Stephan Kersting, Jennifer Lynne Leip, Ralf-Thorsten Hoffmann, Utz Kappert, Klaus Matschke, Norbert Weiss, Adrian Mahlmann
BACKGROUND: Numerous conditions that affect the boundary between the aortic arch and descending aorta are treated with thoracic endovascular aortic repair (TEVAR). In 40 % of cases, coverage of the left subclavian artery (LSA) cannot be prevented. Subsequently, neurological complications such as stroke or ischemia of the left upper extremity may develop. However, the actual risk of these complications is subject to considerable controversy. The optimal treatment approach, specifically the question whether primary revascularization of the LSA should be performed in all cases, is unclear...
May 23, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Pavel Poredoš
No abstract text is available yet for this article.
June 2018: VASA. Zeitschrift Für Gefässkrankheiten
Tienush Rassaf
No abstract text is available yet for this article.
June 2018: VASA. Zeitschrift Für Gefässkrankheiten
Xin Li, Sasan Partovi
No abstract text is available yet for this article.
June 2018: VASA. Zeitschrift Für Gefässkrankheiten
(no author information available yet)
No abstract text is available yet for this article.
June 2018: VASA. Zeitschrift Für Gefässkrankheiten
Dilixiati Siti, Asiya Abudesimu, Xiaojie Ma, Lei Yang, Xiang Ma, Yi-Tong Ma
BACKGROUND: We investigated the prevalence of recurrent pain and its relationship with in-hospital mortality in acute aortic dissection (AAD). PATIENTS AND METHODS: Between 2011 and 2016, 234 AAD patients were selected. Recurrent pain was defined as a mean of VAS > 3, within 48 hours following hospital admission or before emergency operation. Patients with and without recurrent pain were divided into group I and group II, respectively into type A AAD and type B AAD patients...
June 2018: VASA. Zeitschrift Für Gefässkrankheiten
Konstanze Stoberock, Tilo Kölbel, Gülsen Atlihan, Eike Sebastian Debus, Nikolaos Tsilimparis, Axel Larena-Avellaneda, Christian Alexander Behrendt, Sabine Wipper
This article analyses if and to what extent gender differences exist in abdominal aortic aneurysm (AAA) therapy. For this purpose Medline (PubMed) was searched from January 1999 to January 2018. Keywords were: "abdominal aortic aneurysm", "gender", "prevalence", "EVAR", and "open surgery of abdominal aortic aneurysm". Regardless of open or endovascular treatment of abdominal aortic aneurysms, women have a higher rate of complications and longer hospitalizations compared to men...
June 2018: VASA. Zeitschrift Für Gefässkrankheiten
Miriam Kozarova, Zuzana Malachovska, Jozef Zidzik, Martin Javorsky, Katarina Demkova, Viera Habalova, Ivan Tkac
BACKGROUND: Genome-wide association studies identified several gene variants associated with peripheral arterial disease (PAD). Among them, rs6584389 A>C was significantly associated with PAD defined by decreased ankle-brachial index (ABI). The aim of this study was to investigate whether the rs6584389 variant is also associated with the earlier stages of atherosclerosis assessed by intima-media thickness (IMT) or pulse-wave velocity (PWV) in clinically asymptomatic subjects with type 2 diabetes (T2DM), a group of patients with a high cardiovascular risk...
June 2018: VASA. Zeitschrift Für Gefässkrankheiten
Veronika Klaus, Fadwa Schmies, Christian Reeps, Matthias Trenner, Sarah Geisbüsch, Fabian Lohoefer, Hans-Henning Eckstein, Jaroslav Pelisek
BACKGROUND: Cathepsins have been described in the pathogenesis of abdominal aortic aneurysm (AAA), their exact role, especially in collagen degradation, is still unclear. The aim of the present study was therefore to analyse relevant cathepsins in human AAA tissue samples in relation to collagen I, III, and their degradation products. MATERIALS AND METHODS: Samples from 37 AAA patients obtained from elective open surgical repair and eight healthy non-aneurysmatic aortas from kidney donors were included...
June 2018: VASA. Zeitschrift Für Gefässkrankheiten
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