keyword
https://read.qxmd.com/read/38546969/systematic-review-and-meta-analysis-of-current-evidence-in-endograft-therapy-for-spontaneous-isolated-superior-mesenteric-artery-dissection
#1
REVIEW
Jian Wang, Fengming Luan, Zhixuan Bai, Zhengjie Liu
The role of endovascular stent therapy (EST) in the treatment of spontaneous isolated superior mesenteric artery dissection (SISMAD) has gained momentum in recent years but remains controversial. We gathered research examining the advantages and disadvantages of EST for SISMAD patients. Primary outcomes involved both immediate and long-term results. Random or fixed effect models were used for effect size (ES) calculation with 95% confidence interval (CI) based on 50% heterogeneity threshold. Our analysis incorporated data from 21 studies including 611 SISMAD cases treated by EST...
March 28, 2024: Updates in Surgery
https://read.qxmd.com/read/38546201/anesthesia-on-clinical-outcomes-in-an-extended-time-window-during-endovascular-stroke-therapy-exploratory-analysis-of-the-angel-act-registry
#2
JOURNAL ARTICLE
Xinyan Wang, Fa Liang, Youxuan Wu, Baixue Jia, Xiaoli Zhang, Minyu Jian, Haiyang Liu, Anxin Wang, Zhongrong Miao, Ruquan Han
OBJECTIVE: Data on the impact of different anesthesia methods on clinical outcomes in patients with acute ischemic stroke undergoing endovascular therapy (EVT) in extended windows are limited. This study compared clinical outcomes in patients with stroke having general anesthesia (GA), conscious sedation (CS), or local anesthesia (LA) during EVT in extended (>6 h) time windows. METHODS: We conducted an exploratory analysis of data from the ANGEL-ACT registry...
March 28, 2024: Journal of Neurosurgical Anesthesiology
https://read.qxmd.com/read/38546131/acute-and-mid-term-results-of-atherectomy-in-femoropopliteal-lesions
#3
JOURNAL ARTICLE
Elias Noory, Tanja Böhme, Yannick Steinhauser, Jonas Salm, Ulrich Beschorner, Andrew de Forest, Roaa Bollenbacher, Dirk Westermann, Thomas Zeller
BACKGROUND: The femoropopliteal arteries are commonly affected by atherosclerotic lesions. The use of atherectomy may increase the benefit of definitive therapy, such as drug-coated balloon (DCB) angioplasty. PURPOSE: To analyze the 2-year safety and efficacy of atherectomy in general and stratified by directional atherectomy (DA) and front-cutting atherectomy (FA) for the treatment of atherosclerotic lesions of the femoropopliteal arteries. METHODS: A retrospective analysis was performed including patients who underwent vessel preparation with atherectomy...
March 28, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38546048/-spontaneous-retroperitoneal-hematoma
#4
JOURNAL ARTICLE
Jay M Bakas, Alexander L Kooiman, Marie Josee E van Rijn
Spontaneous retroperitoneal hematoma refers to bleeding of the retroperitoneal space without prior trauma or iatrogenic injury. Its diagnosis is often delayed due to a nonspecific clinical presentation. This case-series presents three patients with spontaneous retroperitoneal bleeding. Patient A presented with a spontaneous bleeding around the right iliopsoas muscle due to antiplatelet medication and was managed conservatively. Patient B had a spontaneous arterial bleeding near the right kidney, subsequently determined to be associated with a pheochromocytoma...
March 19, 2024: Nederlands Tijdschrift Voor Geneeskunde
https://read.qxmd.com/read/38545773/impact-of-off-hour-admission-on-in-hospital-outcomes-for-patients-with-stroke-receiving-reperfusion-therapy-in-china
#5
JOURNAL ARTICLE
Zeyu Liu, Kaixuan Yang, Hongqiu Gu, Minping Wei, Xianjing Feng, Fang Yu, Yang Du, Zixiao Li, Jian Xia
BACKGROUND: The structure and staffing of hospitals greatly impact patient outcomes, with frequent changes occurring during nights and weekends. This retrospective cohort study assessed the impact of admission timing on in-hospital management and outcomes for patients with stroke receiving reperfusion therapy in China using data from a nationwide registry. METHODS: Data from patients receiving reperfusion therapy were extracted from the Chinese Stroke Center Alliance...
March 28, 2024: Stroke; a Journal of Cerebral Circulation
https://read.qxmd.com/read/38545357/acute-kidney-injury-after-surgical-treatment-of-failed-endovascular-aneurysm-repair
#6
JOURNAL ARTICLE
Ünal Aydın, Zihni Mert Duman, Muhammed Bayram, Emre Yaşar, Ersin Kadiroğulları, Ali Kemal Arslan, Sefa Eltutan, Muhammed Onur Hanedan
BACKGROUND: This study aims to report the incidence of acute kidney injury following surgical reconstruction after a failed endovascular aneurysm repair (EVAR) in patients with abdominal aortic aneurysms. METHODS: This retrospective study included 44 patients (39 males, 5 females; mean age: 70±11.3 years; range, 35 to 84 years) who underwent emergency or elective surgical reconstruction after failed EVAR between February 2015 and January 2019. Patients were divided into two groups: acute kidney injury group and no acute kidney injury group...
January 2024: Türk Göğüs Kalp Damar Cerrahisi Dergisi
https://read.qxmd.com/read/38545343/risk-factors-prevention-and-therapy-of-intraluminal-stent-thrombosis-in-frozen-elephant-trunk-prostheses-what-we-know-so-far
#7
REVIEW
Florian Helms, Bastian Schmack, Alexander Weymann, Reza Poyanmehr, Andreas Martens, Jawad Salman, Alina Zubarevich, Jan D Schmitto, Arjang Ruhparwar, Aron-Frederik Popov
Intraluminal thrombus formation (ILT) is a recently discovered and highly clinically relevant complication after frozen elephant trunk implantation in cardiovascular surgery. In this phenomenon, a thrombus forms within the lumen of the stent graft component of the frozen elephant trunk prosthesis and puts the patient at risk for downstream embolization with visceral or lower limb ischemia. Incidence of ILT reported in the currently available studies ranges from 6% to 17% of patients after frozen elephant trunk implantation...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38545342/the-impact-of-endovascular-stents-types-on-perioperative-outcomes-of-ruptured-abdominal-aortic-aneurysms-a-single-center-experience
#8
JOURNAL ARTICLE
Huibo Ma, Xueyi Wang, Yangshuo Liu, Yongxin Li, Mingjin Guo
INTRODUCTION: Ruptured abdominal aortic aneurysm (rAAA) represents a critically urgent vascular surgical condition, and endovascular aneurysm repair (EVAR) is a clinically effective treatment option. This study aims to investigate whether the type of intravascular graft used for ruptured abdominal aortic aneurysms has an impact on perioperative outcomes of EVAR. METHODS: A retrospective analysis was conducted on patients who underwent EVAR for ruptured abdominal aortic aneurysm at a single medical center from 2019 to 2022...
2024: Frontiers in Cardiovascular Medicine
https://read.qxmd.com/read/38545079/retraction-clinical-characteristics-and-endovascular-treatment-in-patients-with-intracranial-giant-serpentine-aneurysms
#9
(no author information available yet)
[This retracts the article DOI: 10.21037/qims-20-698.].
March 15, 2024: Quantitative Imaging in Medicine and Surgery
https://read.qxmd.com/read/38545074/computed-tomography-angiography-confirmed-aortic-in-stents-floating-thrombus-after-endovascular-stenting-a-retrospective-study
#10
JOURNAL ARTICLE
Lijie Zhang, Na Li, Xin Zhang, Xiaoqing Liu, Leqing Chen, Bin Liang, Wengang Sun, Heshui Shi
BACKGROUND: Aortic in-stents floating thrombus (ASFT) is a rare complication. The evolution of ASFT on computed tomography angiography (CTA) imaging and the treatment options remain under investigations. The aim of this study was to analyze the imaging manifestations of ASFT on CTA, and to explore safe and effective treatment options. METHODS: A retrospective, longitudinal study design was used. Clinical and imaging data were collected from patients with ASFT between January 2015 to December 2022 at the Union Hospital, Tongji Medical College, Huazhong University of Science and Technology...
March 15, 2024: Quantitative Imaging in Medicine and Surgery
https://read.qxmd.com/read/38544789/transarterial-embolization-with-n-butyl-2-cyanoacrylate-for-a-ruptured-aneurysm-at-the-artery-of-davidoff-and-schechter
#11
Kei Yanai, Genta Fujii, Shinji Kawamura, Ako Matsuhashi, Kazuaki Naemura, Satoshi Koizumi, Gakushi Yoshikawa
The artery of Davidoff and Schechter (ADS) is mostly identified in pathological conditions such as dural arteriovenous fistulas and brain tumors. Herein, we report a rare case of a ruptured aneurysm of the ADS, which was one of the feeders of a falcotentorial dural arteriovenous fistula. We performed endovascular embolization of the aneurysm and parent artery using n-butyl-2-cyanoacrylate. Complete occlusion of the fistula was achieved by another feeder after the acute phase. To our best knowledge, only a few reports on embolization of ruptured ADS aneurysms exist...
June 2024: Radiology Case Reports
https://read.qxmd.com/read/38544546/risk-factors-for-major-lower-limb-amputation-and-effect-of-endovascular-revascularization-in-patients-with-diabetic-foot-wound
#12
JOURNAL ARTICLE
Hyunseong Kang, Sungwook Choi, Yong-Geun Park, JoonHyouk Choi, Chaemoon Lim
OBJECTIVE: Major lower extremity amputation (LEA) such as below-knee or above-knee amputations can result in more physical disabilities and poorer socioeconomic functions than minor LEAs in diabetic foot ulcer (DFU). Therefore, identification of risk factors for major LEA and investigation of effectiveness of endovascular revascularization are critical for prevention and better prognosis of DFU patients. METHODS: From January 2014 to December 2017, a total of 125 patients with DFU treated with any level of amputation were included in this study...
April 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38544473/covered-endovascular-reconstruction-of-the-aortic-bifurcation-a-versatile-technique-with-many-potential-applications
#13
JOURNAL ARTICLE
Christos Lioupis, Luc Francoeur, Vikash Prasad
We present our experience with using the bifurcated covered endovascular reconstruction technique in two unusual conditions. One patient with a traumatic "seat belt" aortic injury and a second patient with a bleeding aorto-enteric fistula were successfully treated with the CERAB technique. We discuss potential benefits of the technique outside the usual pattern of chronic atherosclerotic aortoiliac disease.
March 28, 2024: Vascular
https://read.qxmd.com/read/38544413/five-year-outcomes-of-the-gore-viabahn-endoprosthesis-for-the-treatment-of-complex-femoropopliteal-lesions-from-a-japanese-postmarket-surveillance-study
#14
JOURNAL ARTICLE
Osamu Iida, Takao Ohki, Yoshimitsu Soga, Nobuhiro Suematsu, Tatsuya Nakama, Terutoshi Yamaoka, Kazuki Tobita, Shigeo Ichihashi
Introduction: The safety and effectiveness of the GORE VIABAHN Endoprosthesis for treatment of symptomatic patients with peripheral artery disease (PAD) and complex femoropopliteal (FP) lesions was assessed in a real-world Japanese practice setting. Methods : A prospective, multicenter, postmarket surveillance study was conducted from 2016 to 2017 at 64 sites in Japan. Symptomatic patients with PAD and FP lesions ⩾ 10 cm and reference vessel diameters ranging from 4.0 to 7.5 mm were eligible for enrollment...
March 27, 2024: Vascular Medicine
https://read.qxmd.com/read/38544353/outcome-of-endovascular-and-open-treated-penetrating-aortic-ulcers
#15
JOURNAL ARTICLE
Marvin Kapalla, Joselyn Kröger, Rahul Choubey, Albert Busch, Ralf-Thorsten Hoffmann, Christian Reeps, Steffen Wolk
PURPOSE: Penetrating aortic ulcer (PAU) is a rare etiology of acute aortic syndrome. Few studies exist regarding the perioperative outcome. The aim was to analyze clinical outcome and risk factors of mortality in this treatment population. METHODS: Retrospective, monocentric study from 2010 to 2021. Clinical data of endovascular or open treated PAU were analyzed. In-hospital mortality was selected as the primary study endpoint. Angio-morphologies were analyzed and risk factors for mortality were identified by using univariate analysis...
March 27, 2024: Journal of Endovascular Therapy
https://read.qxmd.com/read/38542903/recent-advances-in-polymer-nanocomposites-unveiling-the-frontier-of-shape-memory-and-self-healing-properties-a-comprehensive-review
#16
REVIEW
Huma Jamil, Muhammad Faizan, Muhammad Adeel, Teofil Jesionowski, Grzegorz Boczkaj, Aldona Balčiūnaitė
Shape memory and self-healing polymer nanocomposites have attracted considerable attention due to their modifiable properties and promising applications. The incorporation of nanomaterials (polypyrrole, carboxyl methyl cellulose, carbon nanotubes, titania nanotubes, graphene, graphene oxide, mesoporous silica) into these polymers has significantly enhanced their performance, opening up new avenues for diverse applications. The self-healing capability in polymer nanocomposites depends on several factors, including heat, quadruple hydrogen bonding, π-π stacking, Diels-Alder reactions, and metal-ligand coordination, which collectively govern the interactions within the composite materials...
March 13, 2024: Molecules: a Journal of Synthetic Chemistry and Natural Product Chemistry
https://read.qxmd.com/read/38542032/safety-and-feasibility-of-the-bycross-%C3%A2-atherectomy-device-for-the-treatment-of-femoropopliteal-arterial-obstructions-single-center-short-term-outcomes
#17
JOURNAL ARTICLE
Goudje L van Leeuwen, Reinoud P H Bokkers, Job Oldenziel, Richte C L Schuurmann, Cornelis G Vos, Jean-Paul P M de Vries
Background: Endovascular techniques have gained preference over peripheral arterial bypass surgery due to their minimally invasive nature; however, endovascular treatments often show limited efficacy in arterial segments with a high atherosclerotic load. The use of atherectomy devices enables the removal of calcified plaque material and may promote arterial wall remodeling. This study assessed the technical success, safety, and feasibility of the BYCROSS® atherectomy device in femoropopliteal lesions. Methods: This single-center, retrospective cohort study analyzed elective patients undergoing BYCROSS® atherectomy for chronic peripheral arterial disease from March 2022 to May 2023...
March 21, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541999/a-long-term-comparative-analysis-of-endovascular-coiling-and-clipping-for-ruptured-cerebral-aneurysms-an-individual-patient-level-meta-analysis-assessing-rerupture-rates
#18
REVIEW
Johannes Wach, Martin Vychopen, Agi Güresir, Alexandru Guranda, Ulf Nestler, Erdem Güresir
Background: Although the initial functional outcome findings of the International Subarachnoid Aneurysm Trial (ISAT) study favored coiling at one year after aneurysmal subarachnoid hemorrhage (aSAH), concerns arose regarding limited long-term rerupture data. This meta-analysis is the first to analyze longitudinal individual patient data (IPD) of target aneurysm rerupture in terms of treatment modality. Methods: The present meta-analysis included studies that compared clipping with coiling of ruptured aneurysms regarding long-term rerupture...
March 20, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541981/current-status-of-and-future-prospects-for-drug-eluting-stents-and-scaffolds-in-infrapopliteal-arteries
#19
REVIEW
Elizabeth Lim, Ramon L Varcoe
Background: Chronic limb-threatening ischaemia can be a debilitating disease and may result in limb amputation if untreated. Atherosclerotic disease of the infra-popliteal arteries is particularly challenging to treat due to the small caliber of the vessels and the heavy burden of atherosclerotic plaque. Percutaneous transluminal angioplasty is the conventional first-line approach and is advantageous due to its minimal invasiveness, repeatability, and cost-effectiveness but is limited by high rates of elastic recoil, dissection, and short- to mid-term re-stenosis...
March 19, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38541802/predictors-of-outcome-after-direct-aspiration-of-basilar-artery-occlusion
#20
JOURNAL ARTICLE
Miroslav Mako, Georgi Krastev, Vladimír Nosáľ, Jozef Haring, Denisa Jakubcová, Martin Daniš, Andrej Klepanec, Ján Haršány, Štefan Sivák, Egon Kurča
Background : Basilar artery occlusion (BAO) is a serious disease with a poor prognosis if left untreated. Endovascular therapy (EVT) is the most effective treatment that is able to reduce mortality and disability. Treatment results are influenced by a wide range of factors that have not been clearly identified. In the present study, direct aspiration was chosen as a first-line treatment. The safety and effectiveness of direct aspiration in BAO were determined, and factors affecting patient outcomes were identified...
March 9, 2024: Journal of Clinical Medicine
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