International Angiology Journal: "One step forward!"
International Angiology Journal: "One step forward!" Int Angiol. 2020 Aug;39(4):265-266 Authors: Mansilha A PMID: 33021089 [PubMed - in process] (Source: International Angiology)
Source: International Angiology - October 8, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Distal perfusion cannulae reduce ECMO-related limb ischemia.
Authors: Hanley SC, Melikian R, Mackey WC, Salehi P, Iafrati MD, Suarez L Abstract BACKGROUND: Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) is a means of providing cardiopulmonary support that is being increasingly used in patients with acute heart failure. When ECMO cannulae are placed peripherally, their large diameters pose a risk of limb ischemia. Distal perfusion cannulae (DPC) have been proposed as means to reduce risk, but their use is not recommended by the most recent ECMO guidelines. We sought to establish their utility at our institution. METHODS: We performed a retrospective review of...
Source: International Angiology - October 2, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Influence of TEVAR on blood pressure in subacute type B aortic dissection (TBAD) patients with refractory and non-refractory arterial hypertension.
CONCLUSIONS: TEVAR for TBAD appears to positively affect blood pressure in patients with rHTN and NrHTN. PMID: 32959641 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - September 24, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Comparison between endovascular versus hybrid thrombectomy for arteriovenous graft under complete ultrasound guidance.
Authors: Zhang L, Zhan S, Wang Y, Xiao G, Liu W Abstract BACKGROUND: Endovascular treatment of acute thrombosed arteriovenous grafts performed completely under ultrasound guidance has rarely been reported. We compared the efficacy of a new endovascular thrombectomy technique (percutaneous manual thromboaspiration through the introducer sheath) with classical hybrid thrombectomy (minimally invasive surgical thrombectomy combined with highpressure angioplasty) performed completely under ultrasound guidance, for arteriovenous graft thrombosis. METHODS: This was a retrospective cohort study involving patients recei...
Source: International Angiology - September 8, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

The effect of carotid revascularization on the ophthalmic artery flow: systematic review and meta-analysis.
Authors: Nana P, Spanos K, Antoniou G, Kouvelos G, Vasileiou V, Tsironi E, Giannoukas A Abstract INTRODUCTION: High-grade internal carotid stenosis results in impaired flow dynamics in the ocular circulation that may lead to a rare clinical entity; ophthalmic ischemic syndrome (OIS). The aim of this study was to investigate hemodynamic changes in the ophthalmic circulation after carotid revascularization, assessed with duplex ultrasonography (DUS), and their potential impact on ocular function in patients suffering from OIS. EVIDENCE ACQUISITION: A systematic review of the literature was performed according to ...
Source: International Angiology - September 8, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

How to manage patients with polyvascular atherosclerotic disease. Position paper of the International Union of Angiology.
Authors: Poredos P, Blinc A, Novo S, Antignani PL Abstract Atherosclerosis is a systemic disease affecting multiple arterial territories. Patients with clinical atherosclerotic disease in one vascular bed are likely to have asymptomatic or symptomatic atherosclerotic lesions in other vascular beds. Specifically, peripheral arterial disease (PAD) often coexists with coronary and carotid disease. With progression of atherosclerotic disease in one vascular bed, the risk of clinical manifestations in other territories increases and the incidence of adverse cardiovascular events increases substantially with the number o...
Source: International Angiology - September 8, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

The vascular side of COVID-19 disease. Position paper of the International Union of Angiology.
Authors: Costanzo L, Failla G, Antignani PL, Fareed J, Gu Y, Pitha J, Aluigi L, Karplus T, Mansilha A Abstract The SARS-CoV-2 infection (COVID-19) is causing an ongoing pandemic and potentially fatal disease. Development of coagulopathy with thrombotic complications such as deep vein thrombosis and pulmonary embolism are emerging as factors for progression to severe disease and death. Also, a markedly increased level of D-dimer, a protein product of fibrin degradation, has been associated to mortality. Furthermore, activation of immune response due to virus infection may led to uncontrolled severe inflammation with...
Source: International Angiology - September 8, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Cerebellar tonsillar hernia induced by implantation of a superior vena cava stent.
Authors: Zhao D, Hu K PMID: 32672432 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - July 17, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Comparing local tumescent anesthesia and spinal anesthesia methods during and after endovenous radiofrequency ablation of vena saphena magna that includes mini-phlebectomy operations.
CONCLUSIONS: This monocenter and retrospective report of 175 GSV RFA using tumescent local anesthesia or spinal anesthesia combined with local tumescent anesthesia demonstrares that both methods of anesthesia are effective. Although the pain scores are better with spinal anesthesia, the local tumescent anesthesia method is more efficient, requiring a shorter time, and is associated with fewer complications such as headache, nausea-vomiting, or urinary retention and deep venous thrombosis. PMID: 32672433 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - July 17, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Diagnostic value of pelvic venography in female patients with pelvic varicose veins and vulvar varicosities.
CONCLUSIONS: Pelvic venography is a not mandatory component of the examination of women with pelvic and vulvar varicose veins without varicose veins of the lower extremities, who do not have symptoms of the PCS and valvular incompetence of the gonadal veins according to the DUS. PMID: 32594669 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - July 2, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Involvement of microcirculation in critical ischemia: how to identify it?
In conclusion: investigation of microcirculation in patients with CLI is of outmost importance because it enables insight in local tissue perfusion and oxygenation, which represents the basis of identification of most ischemic regions and provide more successful - angiosome related revascularization of an affected artery. PMID: 32594670 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - July 2, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Biomechanical insight of the stent-induced thrombosis following flow-diverting strategy in the management of complicated aortic aneurysms.
CONCLUSIONS: The formation of SIT after FDS implantation might protect the aneurysm by reducing the wall tensile stress and erasing the local stress concentration. Clinical follow-up data seems to support the biomechanical role of SIT, but a larger study cohort is needed. A comprehensive understanding of SIT including both biomechanical and biological perspectives are warranted to draw an exhaustive conclusion. PMID: 32594671 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - July 2, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

A systematic review and meta-analysis of carotid artery stenting using the trans-cervical approach.
CONCLUSIONS: TCAR is feasible with high technical success rate. The procedure presents low incidence of local complications, neurological events, myocardial complications and mortality during the early postoperative period and should be considered an acceptable alternative for patients treated for carotid artery stenosis. PMID: 32536113 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - June 17, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Vascular access as a survival factor for the haemodialysis population: a retrospective study.
Authors: Zavacka M, Zelko A, Madarasova Geckova A, Majernikova M, Pobehova J, Zavacky P Abstract BACKGROUND: The creation of vascular access is an essential condition for providing haemodialysis, which remains the only option for most patients suffering from end-stage renal disease. Selection of the type of vascular access affects patients' clinical outcomes, access maintenance frequency, risk of infection and major adverse cardiac events during dialysis. To improve the decision-making process, we performed a retrospective clinical data analysis of dialysed patients and critically compared the survival rates betwee...
Source: International Angiology - June 12, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Abdominal compartment syndrome after r-EVAR: a systematic review with meta-analysis on incidence and mortality.
CONCLUSIONS: ACS affects approximately 9% of patients submitted to r-EVAR, and significantly increases peri-operative mortality. Close post-operative surveillance to clinical signs of ACS is vital in these patients. PMID: 32519533 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - June 12, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Post-Implantation Syndrome: the impact of different devices for endovascular abdominal aortic aneurysm repair and related etiopathogenetic implications.
Authors: Martinelli O, Di Girolamo A, Irace L, Baratta F, Gossetti B, Gattuso R Abstract BACKGROUND: Postimplantation syndrome (PIS) is a systemic inflammatory response occurring in early phase after abdominal aortic aneurysm (AAA) endovascular repair (EVAR). PIS can also occur after endovascular aneurysm sealing (EVAS) with Nellix system which prevent new onset of mural thrombus inside. Aim was to compare the incidence of PIS after EVAS and EVAR in order to evaluate the possible role of the new-onset thrombus inside the aneurysmal sac. Secondary aims were to assess the effect of AFX (Endologix) endoskeleton compar...
Source: International Angiology - May 14, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Midterm outcomes of 71 consecutive abdominal aortic aneurysm patients treated with the TREO stent-graft in a single center.
CONCLUSIONS: EVAR using TREO device seems to be safe and effective treatment for unselected patients suffering AAA. Particularly this device seems to be suitable as workhorse device in a single center with skillness between open and endovascular techniques. PMID: 32401472 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - May 14, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

High-pressure, noncompliant balloon angioplasty for long and calcified infrapopliteal and inframalleolar lesions is feasible.
CONCLUSIONS: This study is the first to analyze safety and feasibility of a high-pressure, noncompliant balloon for long, calcified infrapopliteal and inframalleolar lesions. PMID: 32401473 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - May 14, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Lymphology and translational medicine.
Authors: Cavezzi A, Colucci R, Paccasassi S, Piergentili M Abstract Lymphology is evolving in search of a better management of lymphedema patients, both as to the diagnostic pathway and as to the therapeutic options. Similarly, lymphatic system is involved in a wide spectrum of pathophysiologic processes of most chronic degenerative diseases. Translational medicine integrates the interdisciplinary scientific knowledge to improve diagnostic and therapeutic options in the biomedical field. Inflammation and lymphatic function are regarded as the connecting biochemical factors in most diseases. This review focuses on t...
Source: International Angiology - May 1, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Diosmin 600 in adjunction to rivaroxaban reduces the risk of the post-thrombotic syndrome after femoropopliteal deep vein thrombosis: the results of RIDILOTT DVT study.
Authors: Schastlivtsev I, Lobastov K, Barinov V, Kanzafarova I Abstract BACKGROUND: To assess the efficacy and safety of long-term diosmin 600 therapy added to rivaroxaban and elastic compression stockings (ECS) in patients with femoropopliteal deep vein thrombosis (DVT). METHODS: This single-center, open-label randomized clinical trial RIDILOTT DVT enrolled patients with their first femoropopliteal DVT confirmed by duplex ultrasound scan (DUS). Participants were randomly allocated to the control group (standard treatment with rivaroxaban for six months and ECS for 12 months) or the experimental group (standard...
Source: International Angiology - May 1, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Endovascular vs open repair for popliteal aneurysm: a review on limb salvage and reintervention rates.
CONCLUSIONS: Both endovascular and open repair of popliteal aneurysms represent safe options for popliteal aneurysm repair. Yet, on mid-term, open repair is associated with greater limb salvage and fewer reintervention rates. Still, further studies are needed to access the long-term durability of this technique and its suitability in emergency settings. PMID: 32348102 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - May 1, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

The efficacy of percutaneous transluminal angioplasty for the endovascular management of arteriovenous fistula dysfunction: a retrospective analysis in patients with end-stage renal disease.
Authors: Yildiz I Abstract PURPOSE: To evaluate efficacy of percutaneous transluminal angioplasty (PTA) for the endovascular management of arteriovenous fistula (AVF) dysfunction in patients with end- stage renal disease (ESRD). METHODS: A total of 135 consecutive patients with ESRD (mean±SD age: 58.8±9.4 years, 74.8% were males) who underwent endovascular treatment for a dysfunctional native AVF were included in this retrospective single-center study. Data on patient demographics, etiology of ESRD, characteristics of AVF, stenotic segments, PTA parameters and postoperative recurrence and patency ...
Source: International Angiology - April 17, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Pilot screening program for lower extremities atherosclerotic disease in a population of central Greece.
Authors: Mpatzalexis K, Spanos K, Roussas N, Karathanos C, Baros C, Giannoukas AD Abstract BACKGROUND: Screening program in lower extremity atherosclerotic disease (LEAD) has not been widely implemented from health systems. The aim of this study was to assess the incidence of LEAD in Greece though a pilot LEAD screening program. METHODS: Males> 60 years old without known diagnosis of LEAD or chronic renal disease were invited through public primary health care institutions to participate in a pilot screening program in Central Greece. Demographics, atherosclerotic risk factors and other co-morbidities were r...
Source: International Angiology - April 17, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Effect of thromboprophylaxis on the incidence of venous thromboembolism in surgical patients with colorectal cancer: a meta-analysis.
CONCLUSIONS: Thromboprophylaxis reduces the incidence of VTE in CRC surgical patients but may increase the chances of bleeding. Several risk factors can influence VTE incidence. PMID: 32286764 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - April 15, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Abdominal aortic aneurysm: a review on the role of oral antidiabetic drugs.
CONCLUSIONS: Metformin seems to be associated with a decrease in AAA risk and enlargement rate. Evidence for the other classes is lacking. Studies evaluating the association between oral antidiabetic drugs and AAA progression, independently of the diabetic status, are needed. PMID: 32286765 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - April 15, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Bioelectrical impedance analysis of leg edema and its association with venous functions in patients with saphenous varicose veins.
Authors: Nishibe T, Nishibe M, Akiyama S, Nukaga S, Ogino H, Koizumi J, Dardik A Abstract BACKGROUND: To quantitatively evaluate edema of the lower legs in patients with saphenous varicose veins, and to determine the association between leg edema and venous hemodynamics of the lower legs. METHODS: The data of 140 patients with saphenous varicose veins visiting Eniwa Midorino Clinic from April 2018 to November 2019 were retrospectively analyzed. Body composition values, including mass index (BMI), extracellular water / total body water (ECW/TBW) of each leg, and skeletal muscle mass of each leg, were measured by...
Source: International Angiology - March 28, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Changing trends in inferior vena cava filter indication for venous thromboembolism over the last 2 decades: a retrospective observational study.
Authors: Casajuana E, Mellado M, Cebrià M, Marcos L, Calsina L, Paredes E, Monreal M, Clarà A Abstract BACKGROUND: The present study aimed to evaluate changes in the incidence, patients' profile and indications of inferior vena cava filters at a single-center over the past two decades. METHODS: We retrospectively analyzed 187 consecutive patients with a venous thromboembolism requiring a filter at a tertiary hospital between 1999-2018. Within this period the availability of retrievable filters (since 2007) and the withdrawal of filter indication for recurrent venous thromboembolism from guidelines...
Source: International Angiology - March 28, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Cotinine aggravates inflammatory response in thromboangiitis obliterans through TLR-4/MyD88/NF- κB inflammatory signaling pathway.
Cotinine aggravates inflammatory response in thromboangiitis obliterans through TLR-4/MyD88/NF-κB inflammatory signaling pathway. Int Angiol. 2020 Mar 26;: Authors: Shi S, Song L, Liu Y, He Y PMID: 32214070 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - March 28, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Clinical outcomes after internal iliac artery embolization prior to endovascular aortic aneurysm repair.
CONCLUSIONS: Based on our experience, IIA embolization does cause buttock claudication of a certain degree. However, the most of them experienced mild discomfort rather than such symptoms severely affect their quality of life. Considering the risks of general anesthesia and complications of surgical procedures, IIA reconstruction along with EVAR may not be necessary. PMID: 32214071 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - March 28, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Integration of eGFR biomarker in image-based CV/Stroke risk calculator: a south Asian-Indian diabetes cohort with moderate chronic kidney disease.
Authors: Viswanathan V, Jamthikar AD, Gupta D, Puvvula A, Khanna NN, Saba L, Viskovic K, Mavrogeni S, Turk M, Laird JR, Pareek G, Miner M, Ajuluchukwu JNA, Sfikakis PP, Protogerou A, Kitas GD, Nicolaides A, Sharma A, Suri JS Abstract BACKGROUND: Recently, a 10-year image-based integrated calculator (called AtheroEdge Composite Risk Score-AECRS1.0) was developed which combines conventional cardiovascular risk factors (CCVRF) with image phenotypes derived from carotid ultrasound (CUS). Such calculators did not include Chronic Kidney Disease (CKD)-based biomarker called estimated glomerular filtration rate (eGFR). The...
Source: International Angiology - March 28, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

The paradox of heparin induced thrombocytopenia-thrombosis, the role of fondaparinux and the need for new therapeutic strategies.
Authors: Kounis NG, Koniari I, Soufras GD, Tsigkas G, Plotas P, Davlouros P, Hahalis G PMID: 32214073 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - March 28, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Management of chronic venous disorders of the lower limbs. Guidelines according to scientific evidence. Part II.
Authors: Nicolaides A, Kakkos S, Baekgaard N, Comerota A, de Maeseneer M, Eklof B, Giannoukas AD, Lugli M, Maleti O, Mansilha A, Myers KA, Nelzén O, Partsch H, Perrin M PMID: 32214074 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - March 28, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Jigsaw-like multiple-barreled aorta in acute aortic dissection.
Authors: Takagi H, Hari Y, Takinami N, Nakashima K, ALICE (All-Literature Investigation of Cardiovascular Evidence) Group PMID: 32180389 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - March 18, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

miR-146a regulates inflammation and development in patients with abdominal aortic aneurysms by targeting CARD10.
CONCLUSIONS: These results suggested that miR-146a suppressed the inflammation of peripheral blood in AAA patients by targeting CARD10, and miR-146a blocked the progression of AAA through CARD10/SIRT1/p65 pathway. PMID: 32138469 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - March 8, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Influence of reimbursement policies on phlebological surgical practice in Belgium between 2007 and 2017.
Authors: Guillaume GM, Vuylsteke ME, Dalcq V, Van der Borght L, Meeus P, de Maeseneer MG Abstract BACKGROUND: To date, it is unclear how treatment of patients with chronic venous disease (CVD) is influenced by national reimbursement systems. In Belgium, catheters or fibers used for endovenous thermal ablation (EVTA) are reimbursed only once in a lifetime. The potential impact of the Belgian public health insurance reimbursement policy on surgical practice in phlebology needs to be investigated. METHODS: Billing data available from the Belgian National Institute for Health and Disability Insurance (NIHDI) were u...
Source: International Angiology - February 23, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Frequency and predictors of chemotherapy-associated venous thromboembolism: the prospective PREVENT study.
CONCLUSIONS: VTE occurrence in this real-world patient cohort was high, reaching almost 20% in certain groups, like those with disseminated pancreatic, lung or ovarian cancer receiving first-line chemotherapy. Furthermore, VTE occurs mostly as a symptomatic event, being likely a result of the prothrombotic state of malignancy. PMID: 32057213 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - February 16, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Decision-making and therapeutic options in intact splenic artery aneurysms: single-center experience and literature review.
CONCLUSIONS: The correct indication (identifying patients at risk) and individualization of treatment, in which endovascular techniques are the first-line option, have significantly improved morbidity and mortality outcomes in our hospital. PMID: 32057214 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - February 16, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Relationship between brachial flow-mediated dilation and carotid intima-media thickness in patients with coronary artery disease.
Authors: Toyoda S, Tokoi S, Takekawa H, Matsumoto H, Inami S, Sakuma M, Arikawa T, Abe S, Nakajima T, Hirata K, Inoue T Abstract BACKGROUND: Although flow-mediated vasodilation (FMD) of brachial artery and carotid intima-media thickness (IMT) are important surrogate markers in the process of atherosclerosis, information about relationship between both markers is insufficient. In the present study, we assessed extensively the relationship in patients with coronary artery disease (CAD). METHODS: The values of brachial FMD and carotid ultrasonography findings in 159 patients (67±8 yr, 130 males) with angiog...
Source: International Angiology - February 16, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Increased microparticle levels in middle-aged and elderly patients with insomnia may be involved in the pathogenesis of arteriosclerosis.
Authors: Xu B, Ma L, Zhang N, Luo LM, Wang C, Jiang Y, Liu LG Abstract BACKGROUND: Insomnia may affect vascular factors and promote arteriosclerosis. Microparticles (MPs) are a heterogeneous group of bioactive small vesicles that can be found in blood and body fluids following activation, necrosis or apoptosis of virtually any eukaryotic cells. MPs are believed to participate in the pathogenesis of atherosclerosis. Few studies have been concerned with the microparticle level in patients with sleep disorder. The purpose of the present study is to measure the levels of endothelial microparticles (EMPs), platelet micr...
Source: International Angiology - February 14, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Nutritional status and outcomes of superficial femoral artery stenting due to intermittent claudication.
CONCLUSIONS: Parameters of nutritional status assessment were associated with early and late outcomes of SFA stenting in patients with intermittent claudication. Abdominal fat distribution and higher HGS and GNRI scores lowered the 1-year risk of TLR. Further study is needed to determine the pathomechanism of the obesity paradox, sarcopenia and undernutrition in relation to outcomes of endovascular interventions. PMID: 32052948 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - February 14, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Management of upper extremity aneurysms: a systematic review.
CONCLUSIONS: Prompt diagnosis and appropriate pre-operative imaging are mandatory in order to offer the best treatment modality. Open resection with revascularization seems to be the treatment of choice for arterial aneurysms, although endovascular procedures became more popular. Venous aneurysms require excision without revascularization. PMID: 32052949 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - February 14, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

The role of aortomesenteric angle in occurrence of spontaneous isolated superior mesenteric artery dissection.
This study investigated whether anatomical factors affect the occurrence of SISMAD by measuring the aortomesenteric angle (AMA). MATERIALS AND METHODS: The study population is comprised of 3 distinct population; Korean SISMAD patients, two control groups from a medical checkup database of 4,997 Korean and 317 Caucasian patients from 2011 to 2016. The patient group (PG) included 26 symptomatic patients and 19 Korean diagnosed with SISMAD during medical checkup. The control group was selected based on propensity score similarities calculated by using the following covariates: sex, age, body mass index, drinking, smoking,...
Source: International Angiology - February 14, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

CEAP clinical classes C0S-C4: differences, similarities and place of Ruscus+HMC+VitC in treating patients with chronic venous disease.
Authors: Kakkos SK, Guex JJ, Lugli M, Nicolaides AN Abstract Since the publication of the CEAP classification, new research has enriched our knowledge; notably on the heritability of CVD and the genetic and environmental factors involved in this condition, as well as the symptoms apparent within the spectrum of the CEAP clinical classes and the benefits of medical treatment. Using the CEAP classification as a special theme, a symposium entitled "CEAP Clinical Classes C0S-C4: Differences, Similarities and Place of Ruscus+HMC+VitC in Treating Patients with CVD" was held at the annual meeting of the 2019 Eur...
Source: International Angiology - February 14, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Do current young surgeons have specific skills to perform safe aortic open surgery?
Authors: Mansilha A, Scott J PMID: 32052952 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - February 14, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Effects of elastic stockings on peripheral and central nervous system.
CONCLUSIONS: GCS has no effect on the peripheral nervous system. The GCS intolerance and the discomfort sometimes reported by patients do not derive from a dysfunction of the lower limb peripheral nervous system. A positive action on spinal reflex excitability is detected after walking while wearing GCS. We suggest that nervous descending activity due to voluntary contractions, and afferent cutaneous discharge, enhanced by movement under compression, converge on inhibitory interneurons, thus impinging on presynaptic pathways. All this can lead to an enhancement of the monosynaptic responses. Higher limb oxygenation detecte...
Source: International Angiology - February 13, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Anterior accessory saphenous vein confluence anatomy at the sapheno-femoral junction as risk factor for varicose veins recurrence after great saphenous vein radio-thermal-ablation.
CONCLUSIONS: Sapheno-femoral junction morphology may affect recurrent varicose veins formation. In particular, a concomitant incompetence of the accessory saphenous vein or its directly confluence into the SFJ could represent an indication to simultaneous treatment by non-surgical techniques (RTA or laser) and avoid surgical ligation. PMID: 32043339 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - February 13, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

OCT operation Vs CGuard stent OCTOPVS study.
Authors: Setacci F, Galassi L, De Donato G, Airoldi F, Miramonti M, Tavano D, Munaò R, Losa S, Setacci C PMID: 32043340 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - February 13, 2020 Category: Cardiology Tags: Int Angiol Source Type: research

Prognostic factors of long-term survival to guide selection of asymptomatic patients for carotid endarterectomy.
CONCLUSIONS: The presence of one or more prognostic factors as well as the various risk prediction models can guide selection of ACS patient subgroups for which a prophylactic CEA should or should not be offered. Decisions to offer prophylactic CEA should weigh in factors like surgeon's experience and hospital expertise/volume. Asymptomatic patients not expected to live long enough to benefit from the procedure should not be considered for CEA, but should be offered best medical treatment. PMID: 31814375 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - December 11, 2019 Category: Cardiology Tags: Int Angiol Source Type: research

Major vascular complications after transfemoral arterial closure system implantation: a single center study.
CONCLUSIONS: Reported complication rates associated with femoral VCD implantation are low. However, in some cases VCD implantation may account for severe complications including limb losses. Therefore, an adequate patient selection is necessary to detect those cases at higher risk for complications. PMID: 31814376 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - December 11, 2019 Category: Cardiology Tags: Int Angiol Source Type: research

High ankle brachial index and cardiovascular outcomes in the general population and suspected or established cardiovascular disease patients: a meta-analysis.
CONCLUSIONS: Abnormally high ABI appears to be associated with an increased risk of a composite of CVD/all-cause mortality in suspected or established CVD patients but not in the general population. However, additional well-designed studies are required to support the current findings. PMID: 31814377 [PubMed - as supplied by publisher] (Source: International Angiology)
Source: International Angiology - December 11, 2019 Category: Cardiology Tags: Int Angiol Source Type: research