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VASA. Zeitschrift Für Gefässkrankheiten

Elizabeth L Chou, Eric H Twerdahl, Matthew J Eagleton
Aortic trauma is a devastating injury often associated with significant polytrauma. Penetrating injury of the aorta is highly lethal and therefore rarely encountered in the hospital setting. The management of blunt trauma of the aorta has changed significantly over the past decade, principally due to improved imaging technology and the development of endovascular therapy. The most common site of injury is the proximal descending thoracic aorta. The degree of aortic wall injury guides the indication for therapy, while a combination of the degree of injury and the extent of co-morbid injuries drives the timing of repair...
September 19, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Baochen Liu, Chengnan Chu, Xinxin Fan, Weiwei Ding, Xingjiang Wu
BACKGROUND: Isolated superior mesenteric artery dissection (ISMAD) is rare, especially when associated with intestinal ischaemia. We report our clinical experience managing this condition. PATIENTS AND METHODS: Medical records from 22 patients with ISMAD and intestinal ischaemia were retrospectively analysed. Conservative treatment was given to all patients as first line therapy. Subsequently, 15 patients received endovascular stent placement and three patients received endovascular stent placement plus intestinal resection and anastomosis...
September 19, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Birgit Linnemann
Antiphospholipid syndrome (APS) is an autoantibody-mediated acquired thrombophilia. It is characterized by the presence of antiphospholipid antibodies (APL) that are directed against phospholipid-binding plasma proteins, such as beta-2-glycoprotein I (b2GPI). Its main manifestations are recurrent vascular thromboses (so-called "thrombotic APS") and pregnancy complications ("obstetric APS"). According to the current consensus criteria, a persistently positive functional lupus anticoagulant (LA) assay and/or the presence of anti-b2GPI and/or anti-cardiolipin antibodies, together with clinical symptoms, is mandatory for the diagnosis of APS...
September 12, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Olga von Beckerath, Frans Santosa, Rolf Waldhausen, Christian Moerchel, Knut Kröger
BACKGROUND: We analysed differences in hospitalization rates for venous diseases such as pulmonary embolism (PE), deep vein thrombosis (DVT), sinus vein thrombosis (SVT), portal vein thrombosis (PVT), and Budd-Chiari syndrome (BCS) as well as for arterial diseases such as myocardial infarction (MI) and embolic stroke (ES) in females and males aged 10 to 39 years. PATIENTS AND METHODS: Detailed lists of hospitalizations with the principal and additional diagnoses for PE (ICD-code I26...
September 11, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Alexander Gombert, Lukas Martin, Ann Christina Foldenauer, Clara Krajewski, Andreas Greiner, Drosos Kotelis, Christian Stoppe, Gernot Marx, Jochen Grommes, Tobias Schuerholz, Michael J Jacobs, Johannes Kalder
BACKGROUND: Neutrophil gelatinase-associated lipocalin (NGAL) has been described as a potential biomarker of acute kidney injury (AKI) in different settings, but its behaviour under influence of open and endovascular repair of thoraco-abdominal aortic aneurysms (TAAA) has not been assessed yet. In this study, the course of NGAL was observed and differences of serum- (sNGAL) and urine-NGAL (uNGAL) levels following TAAA repair, especially with regard to AKI, were evaluated. PATIENTS AND METHODS: In this retrospective single centre study, 52 patients (mean age 64...
September 10, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Andreja Dimic, Miroslav Markovic, Dragan Vasic, Marko Dragas, Petar Zlatanovic, Aleksandar Mitrovic, Lazar Davidovic
BACKGROUND: Diabetes mellitus increases the risk of ischaemic stroke in the general population but its impact on early outcome after the carotid endarterectomy (CEA) is controversial with conflicting results. PATIENTS AND METHODS: This prospective study includes 902 consecutive CEAs. Patients were divided into non-diabetic and diabetic groups and subsequently analysed. Early outcomes in terms of 30-day stroke and death rates were then analysed and compared. RESULTS: There were 606 non-diabetic patients...
September 7, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Michael Lichtenberg, Frank Breuckmann, Wilhelm Friedrich Stahlhoff, Peter Neglén, Rick de Graaf
BACKGROUND: To evaluate the performance of a closed-cell designed venous stent for the treatment of chronic ilio-femoral venous outflow obstruction (VOO) in the shortterm. PATIENTS AND METHODS: Safety, stent patency and clinical outcome after placement of the Vici Venous Stent® in patients with chronic ilio-femoral venous obstruction were assessed retrospectively. Stent patency was evaluated by duplex ultrasound scanning, and clinical outcome was determined using the revised Venous Clinical Severity score (rVCSS)...
September 3, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Birgit Steppich, Friederike Schürmann, Olga Bruskina, Martin Hadamitzky, Adnan Kastrati, Heribert Schunkert, Massimiliano Fusaro, Ilka Ott
BACKGROUND: Increasing volume of complex percutaneous endovascular procedures in highly anticoagulated patients generate a not negligible percentage of femoral pseudoaneurysms (PSA) with concomitant arteriovenous fistulas (AVF). While ultrasound-guided thrombin injection (UGTI) is the therapy of choice for PSA, concomitant AVF is regarded as a contraindication for UGTI, as venous thromboembolism is feared. In this retrospective, register-based cohort study, we report on and evaluate the use of UGTI for the treatment of PSA with AFV...
September 3, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Christina Lohrenz, Daniel Rückner, Olof Wintzer, Walter Gross-Fengels, Stefan Meierling
We report a rare case of large innominate vein aneurysm in a young women clinically presenting with persistent dry cough and retrosternal pressure. Chest X-ray showed a mediastinal widening leading to thoracic computed tomography, MRI, and phlebography. Initial conservative treatment with regular follow-up was performed. Upon aneurysm growth and recurrent pulmonary infection we decided to surgically resect the aneurysm via a minimally invasive approach.
August 24, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Eike Sebastian Debus, Levente Kriston, Thea Schwaneberg, Sandra Hischke, Henrik Christian Rieß, Martin Härter, Ursula Marschall, Hannes Federrath, Christian-Alexander Behrendt
BACKGROUND: Atherosclerotic disease of the lower extremity arteries (PAD) remains a significant burden on global healthcare systems with increasing prevalence. Various guidelines on the diagnosis and treatment of patients with PAD are available but they often lack a sufficient evidence base for high-grade recommendations since randomized and controlled trials (RCT) remain rare or are frequently subject to conflicts of interest. This registry trial aims to evaluate the outcomes of catheter-based endovascular revascularisations vs...
August 16, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Loukman Omarjee, Olivier Stivalet, Clément Hoffmann, Robert Scissons, Luc Bressollette, Guillaume Mahé, Vincent Jaquinandi
BACKGROUND: The analysis of Doppler ultrasound waveforms (DW) provides a method for detecting and evaluating arterial stenosis in the lower limb arteries but no recommendation exists on how to describe the DWs. Aims of this study were to assess the heterogeneity of the description of DWs among vascular residents and the impact of the use of a 4-item classification. METHODS: Thirty different DWs were presented to residents using Microsoft PowerPoint® slides. They were invited to describe the 30 DWs before and after the presentation of a 4-item classification (triphasic, biphasic, monophasic, and others)...
August 7, 2018: VASA. Zeitschrift Für Gefässkrankheiten
Marie Charasson, Guillaume Mahé, Charles Le Brun, Vincent Jaquinandi, Emilie Rossignol, Alexis Le Faucheur, Loukman Omarjee
BACKGROUND: Atherosclerosis is the leading cause of death worldwide. Ischaemic stroke, coronary heart disease (CHD), and peripheral artery disease (PAD) are different forms of atherosclerotic disease. Knowledge among general practitioners (GPs) about the three main locations of atherosclerosis has never been conjointly explored in a single study. The aim of this survey was to compare GP awareness on the subject of these three different clinical presentations. MATERIALS AND METHODS: Between February 2017 and May 2017, a self-administered survey was emailed to 18,500 French GPs...
July 26, 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
(no author information available yet)
No abstract text is available yet for this article.
September 2018: VASA. Zeitschrift Für Gefässkrankheiten
Robert Berent, Helmut Sinzinger, Theresa Berent
No abstract text is available yet for this article.
August 2018: VASA. Zeitschrift Für Gefässkrankheiten
Aleksandra Tuleja, Christoph Thalhammer
No abstract text is available yet for this article.
August 2018: 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...
August 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...
August 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.
August 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...
August 2018: VASA. Zeitschrift Für Gefässkrankheiten
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