Endovascular therapy of subclavian artery occlusive disease involving the vertebral artery origin.
CONCLUSIONS: Endovascular revascularization of SA disease with medial segments involving the VA origin required more complex techniques and showed long-term patency rates comparable to those in lesions located within the proximal SA. PMID: 31904303 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 6, 2020 Category: Surgery Authors: Schneider V, Dirschinger R, Wustrow I, Müller A, Cassese S, Fusaro M, Kastrati A, Koppara T, Bergmann K, Laugwitz KL, Ibrahim T, Bradaric C Tags: Vasa Source Type: research

Intra-operative computed tomography in endovascular aneurysm repair.
CONCLUSIONS: The current body of evidence suggests that intra-operative CT is superior to completion angiography at detecting clinically important EVAR complications and incurs a lower total radiation dose with no added risk of contrast-induced renal impairment. Further research directly comparing the two modalities in the same cohort is required to determine sensitivity for individual complications. PMID: 31904305 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 6, 2020 Category: Surgery Authors: Hansrani V, Halim UA, Goel RR, Antoniou GA Tags: Vasa Source Type: research

Prognostic significance of large diameter proximal aortic neck in endovascular aneurysm repair.
Abstract Background: Adverse morphological features of the proximal aortic neck have been identified as culprits for late failure after endovascular aneurysm repair (EVAR). Our objective was to investigate the prognostic role of wide proximal aortic neck in EVAR. Methods: We conducted a review of the literature in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to identify studies comparing outcomes of EVAR in patients with large versus small proximal aortic neck. A meta-analysis of time-to-event data was performed with the inverse-variance method and the...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 6, 2020 Category: Surgery Authors: Antoniou GA, Alfahad A, Antoniou SA, Badri H Tags: Vasa Source Type: research

Perforator vein endovenous heat induced thrombosis after laser ablation of the great saphenous vein.
This report describes a rare thigh perforator vein thrombus propagation into the femoral vein after EVLA of the great saphenous vein. PMID: 31808378 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - December 6, 2019 Category: Surgery Authors: Uthoff H, Keo HH, Spinedi L, Staub D Tags: Vasa Source Type: research

Outcome of patients with chronic limb-threatening ischemia with and without revascularization.
Abstract Background: Patients with chronic critical limb-threatening ischemia (CLTI) are at high risk of amputation and death. Despite the general recommendation for revascularization in CTLI in the guidelines, the underlying evidence for such a recommendation is limited. The aim of our study was to assess the outcome of patients with CLTI depending on the use of revascularization in a retrospective real-world cohort. Patients and methods: Administrative data of the largest German Health insurance (BARMER GEK) were provided for all patients that were hospitalized for the treatment of CLTI Rutherford category (RF)...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - December 6, 2019 Category: Surgery Authors: Stella J, Engelbertz C, Gebauer K, Hassu J, Meyborg M, Freisinger E, Malyar NM Tags: Vasa Source Type: research

Correlation between obesity and manual lymphatic drainage in Germany - a retrospective analysis from 2008 to 2016.
CONCLUSIONS: Our analysis is in line with the hypothesis that there is a correlation between the increasing prescription rate of MLD and the increasing burden of obesity in Germany. PMID: 31808380 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - December 6, 2019 Category: Surgery Authors: Kröger K, Schulz T, Santosa F, von Beckerath O, Gäbel G, Juntermanns B Tags: Vasa Source Type: research

Chilblains.
autrecht JC Abstract Idiopathic chilblain is a relatively common yet poorly recognized acrosyndrome. This literature review aims to better understand and draw attention to this disorder. Chilblain is a localized inflammation of the skin that occurs on exposure to cold but non-freezing wet weather. It usually resolves spontaneously. The etiology is uncertain, but vasospasm seems to play a role in this abnormal reaction to cold. Diagnosis is most often based on clinical presentation, but a skin biopsy can be useful in dubious cases. In histology, dermal edema and an inflammatory infiltrate are usually present. A di...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - December 6, 2019 Category: Surgery Authors: Nyssen A, Benhadou F, Magnée M, André J, Koopmansch C, Wautrecht JC Tags: Vasa Source Type: research

Regional variation in endovascular treatment rate and in-hospital mortality of abdominal aortic aneurysms in Germany.
Conclusions: This study reveals variations in use of EVAR and in-hospital mortality for iAAA treatment in Germany. This may imply that selection of treatment might not only be influenced by patient characteristics, but also by regional location. These results need to be taken into account when discussing centralization of AAA treatment in Germany. PMID: 31779536 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - November 29, 2019 Category: Surgery Authors: Trenner M, Salvermoser M, Reutersberg B, Busch A, Schmid V, Eckstein HH, Kuehnl A Tags: Vasa Source Type: research

Conventional culture diagnostics vs. multiplex PCR for the detection of causative agents of vascular graft infections - results of a single centre observational pilot study.
Abstract Background: Timely diagnosis of vascular graft infections is of major importance in vascular surgery. The detection of causative microorganisms is needed for specific medical treatment, but conventional culture is often slow, insensitive and inconclusive due to antibiotic pre-treatment. Detection of bacterial DNA by polymerase chain reaction (PCR) might bypass these problems. We hypothesised that multiplex PCR (mPCR) is feasible, fast and sensitive to detect causative microorganisms in vascular graft infections. Patients and methods: We performed a pilot observational prospective study comparing conventi...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - November 24, 2019 Category: Surgery Authors: Schrimpf C, Ziesing S, Michelmann P, Rustum S, Teebken OE, Haverich A, Wilhelmi M Tags: Vasa Source Type: research

20. Unionstagung der Schweizerischen Gesellschaften f ür Gefässkrankheiten gemeinsam mit der Schweizerischen Gesellschaft für Ultraschall in der Medizin Sektion Gefässe / 20e Congrès de l'Union des Sociétés Suisses des Maladies Vasculaires en collaboration avec la Société Suisse d'Ultrasons en Médecine Section Vaisseaux.
20. Unionstagung der Schweizerischen Gesellschaften für Gefässkrankheiten gemeinsam mit der Schweizerischen Gesellschaft für Ultraschall in der Medizin Sektion Gefässe / 20e Congrès de l'Union des Sociétés Suisses des Maladies Vasculaires en collaboration avec la Société Suisse d'Ultrasons en Médecine Section Vaisseaux. Vasa. 2019 Nov;48(Suppl 103):1-42 Authors: PMID: 31726957 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - November 1, 2019 Category: Surgery Tags: Vasa Source Type: research

A similar view from either side of the pond  - vascular medicine in the United States.
A similar view from either side of the pond - vascular medicine in the United States. Vasa. 2019 Nov;48(6):457-459 Authors: Gornik HL, Gray BH PMID: 31621544 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 19, 2019 Category: Surgery Authors: Gornik HL, Gray BH Tags: Vasa Source Type: research

Compress to impress?
KS PMID: 31621545 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 19, 2019 Category: Surgery Authors: Semetaite A, Mühlberg KS Tags: Vasa Source Type: research

Treatment of the antiphospholipid syndrome with direct oral anticoagulantsPosition statement of German societies.
Conclusions: 1. Clinical suspicion of APS requires careful diagnostic testing. Because of inadequate diagnostic workup, many patients may not even have an APS, and these patients could be adequately treated with a DOAC. 2. Patients with single or double positive antiphospholipid antibodies but without positive LA may have a comparably low thrombotic risk and may also be treated with a DOAC in venous TE - sufficient evidence for that conclusion is not yet available but is suggested by the results of meta-analyses. 3. Triple positive patients or those with APS who suffered from arterial thromboembolism have a very high ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 19, 2019 Category: Surgery Authors: Bauersachs R, Langer F, Kalka C, Konstantinides S, Klamroth R, Oldenburg J, Schellong S, Scholz U, Stücker M, Lindhoff-Last E Tags: Vasa Source Type: research

Body mass index and peripheral arterial disease, a "U-shaped" relationship in elderly African population  - the EPIDEMCA study.
Body mass index and peripheral arterial disease, a "U-shaped" relationship in elderly African population - the EPIDEMCA study. Vasa. 2019 Oct 17;:1-7 Authors: Desormais I, Aboyans V, Guerchet M, Ndamba-Bandzouzi B, Mbelesso P, Magne J, Jesus P, Marin B, Lacroix P, Preux PM, EPIDEMCA investigators Abstract Background: There is no study available concerning specifically the role of underweight in PAD prevalence. Patients and methods: Individuals ≥ 65 years living in urban and rural areas of two countries in Central Africa (Central African Republic and the Republic of Congo) were ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 17, 2019 Category: Surgery Authors: Desormais I, Aboyans V, Guerchet M, Ndamba-Bandzouzi B, Mbelesso P, Magne J, Jesus P, Marin B, Lacroix P, Preux PM, EPIDEMCA investigators Tags: Vasa Source Type: research

Acute symptomatic extracranial internal carotid occlusion - natural course and clinical impact.
Conclusions: Acute symptomatic extracranial ICA occlusion is an unstable condition with frequent spontaneous recanalization to severe stenosis and early embolic stroke recurrence, demanding appropriate prevention especially in those patients with only mild deficit. PMID: 31621550 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 17, 2019 Category: Surgery Authors: Hause S, Oldag A, Breja A, Neumann J, Wilcke J, Schreiber S, Heinze HJ, Skalej M, Halloul Z, Goertler M Tags: Vasa Source Type: research

5 Conservative treatment for PAD - Risk factor management.
PMID: 31578114 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 3, 2019 Category: Surgery Authors: Frank U, Nikol S, Belch J Tags: Vasa Source Type: research

Improved technique for sheath supported contralateral limb gate cannulation in endovascular abdominal aortic aneurysm repair.
aro F Abstract Background: To present a technique of sheath supported contralateral limb gate (CLG) cannulation of modular bifurcated stent-graft in endovascular abdominal aortic repair. Materials and methods: After totally percutaneous bilateral femoral access, the 9F introducer sheath is exchanged to a 30 cm 12 fr introducer sheath over a stiff wire contralateral to the intended main stent-graft insertion side and advanced into the aorta below the lowest renal artery. Parallel to the stiff wire within the sheath an additional standard J-tip guidewire with a 5 fr Pigtail angiographic catheter is advanced to...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - September 24, 2019 Category: Surgery Authors: Pakeliani D, Lachat M, Blohmé L, Kobayashi M, Chaykovska L, Pfammatter T, Puippe G, Veith FJ, Pecoraro F Tags: Vasa Source Type: research

Undifferentiated intimal sarcoma mimicking a mycotic aneurysm.
Abstract Intimal sarcoma of arteries is a rare malignant tumor, which often mimics other vascular disorders; therefore, preoperative diagnosis is often challenging. We herein report a 71-year-old man who presented with fever and elevated inflammatory markers who had a mass in the left internal iliac artery with rapid growth. Based on clinical findings, a diagnosis of mycotic aneurysm was made. We performed surgical intervention, including resection of the affected vessels with omentopexy, although intraoperative findings were not typical of a mycotic aneurysm. Microscopic and immunohistochemical examination demon...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - September 24, 2019 Category: Surgery Authors: Seo H, Hirai H, Aoyama T, Suehiro Y, Kubota Y, Suehiro S Tags: Vasa Source Type: research

Long-term outcomes of open and endovascular treatment of recurrent carotid artery stenosis - a 16-year retrospective single centre case series.
Conclusions: Redo-CEA/CAS seem to have similar results as primary procedures (as reported in the literature) with favorable periprocedural and long-term outcomes. PMID: 31549937 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - September 24, 2019 Category: Surgery Authors: Ahmad W, Deeb H, Otto C, Kalmykov EL, Barkans A, Kabbasch C, Sharkawy MI, Brunkwall JS Tags: Vasa Source Type: research

Outcomes of severe limb ischemia with tissue loss and impact of revascularization in haemodialysis patients with wound, ischemia, and foot infection (WIfI) stage 3 or 4.
Conclusions: Lower-extremity CLI with tissue loss in HD patients is associated with high morbidity and mortality rates. WIfI clinical stage was predictive of 1-year MA-free survival, while revascularization significantly reduced MA risk but did not influence overall survival. PMID: 31483747 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - September 4, 2019 Category: Surgery Authors: Sigl M, Noe T, Ruemenapf G, Kraemer BK, Morbach S, Borggrefe M, Amendt K Tags: Vasa Source Type: research

3. DGA-Interventionskongress und 48. Jahrestagung Deutsche Gesellschaft f ür Angiologie - Gesellschaft für Gefäßmedizin e.V.
3. DGA-Interventionskongress und 48. Jahrestagung Deutsche Gesellschaft für Angiologie - Gesellschaft für Gefäßmedizin e.V. Vasa. 2019 Sep;48(Suppl 101):1-46 Authors: PMID: 31480893 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - September 1, 2019 Category: Surgery Tags: Vasa Source Type: research

Subclinical involvement of common carotid arteries in patients with fibromuscular dysplasia - a case-control study.
Abstract Background: Fibromuscular dysplasia (FMD) primarily involves medium-sized arteries, though the entire spectrum of vascular involvement is not fully understood. We hypothesized that larger arteries may also be affected, albeit sub-clinically. Patients and methods: We measured the cross-sectional diameter of the thoracic aorta, abdominal aorta, common iliac arteries (CIA) and common carotid arteries (CCA) in FMD subjects and compared them to matched controls. We retrospectively analyzed records of FMD subjects (n = 74) and of age- and sex- matched controls (n = 74) that underwent comput...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - August 15, 2019 Category: Surgery Authors: Lippmann M, Isom N, Buechler T, Dalia T, Masoomi R, Mabry T, Wetzel L, Sharma A, Gray B, Gupta K Tags: Vasa Source Type: research

Triple-balloon-assisted n-butyl-2-cyanoacrylate embolization of a cirsoid renal arteriovenous malformation.
We report a patient with a cirsoid renal arteriovenous malformation (AVM) causing massive hematuria that was successfully embolized by n-butyl-2-cyanoacrylate under triple-balloon occlusion. Proximal balloons were placed in the renal artery and vein for flow control, and a coaxial microballoon was placed in a feeding artery of the AVM to control the delivery of n-butyl-2-cyanoacrylate. Under triple-balloon occlusion, n-butyl-2-cyanoacrylate embolization achieved complete occlusion of the AVM with no procedure-related complications, such as renal infarction. This triple-balloon-assisted technique enabled us to control blood...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - August 15, 2019 Category: Surgery Authors: Takao H, Abe O Tags: Vasa Source Type: research

Guidewire perforation and compartment syndrome after lower extremity angioplasty.
Abstract Chronic total occlusion remains one of the most challenging lesions to treat despite continuing developments in medical devices and increasing operator experience. Guidewire perforation complications are being increasingly observed. Early recognition and timely institution of appropriate treatment are essential to prevent potentially devastating sequelae. PMID: 31414968 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - August 15, 2019 Category: Surgery Authors: Ganesan K, Tan JSH, Kumar P Tags: Vasa Source Type: research

Medical compression stockings on the skin moisture in patients with chronic venous disease.
e H Abstract Background: Because of side effects like skin dryness and consecutive symptoms like itching the therapy of chronic venous insufficiency (CVI) with medical compression stockings (MCS) can lead to a diminished wear comfort and restricted compliance. Compression stockings with integrated skin care may have a positive influence on the skin hydration and moreover a positive effect on patients compliance. Patients and methods: In this monocentric, randomized prospective, controlled trial a below knee conventional MCS was compared to a medical compression stocking with integrated skin care (MCS-SC), interfa...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 31, 2019 Category: Surgery Authors: Westphal T, Konschake W, Haase H, Vollmer M, Jünger M, Riebe H Tags: Vasa Source Type: research

Pseudoxanthoma elasticum - also a microvascular disease.
Abstract Background: Pseudoxanthoma elasticum (PXE) is a heritable recessive disease characterized by calcification and fragmentation of soft connective tissue. Besides progressive loss of vision, alternations of the skin, and early-onset atherosclerosis different reports have suggested a microvascular manifestation of PXE and restrictive lung disease. Aim of this study was to elaborate a specific pattern of capillary alterations in PXE as well as to contemplate a possible connection to restrictive lung disease. Patients and methods: 53 consecutive patients with PXE and 26 controls were studied. All patients unde...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 31, 2019 Category: Surgery Authors: Stumpf MJ, Mahn T, Steinmetz M, Fimmers R, Pizarro C, Nickenig G, Skowasch D, Schahab N, Schaefer CA Tags: Vasa Source Type: research

A randomized cross-over trial in patients suspected of PAD on diagnostic accuracy of ankle-brachial index by Doppler-based versus four-point oscillometry based measurements.
Conclusions: Semi-automatic oABI measurements using the AngER-device provide comparable diagnostic results to the conventional Doppler method while PWI performed best. The time saved by oscillometry could be important, especially in high volume centers and epidemiologic studies. PMID: 31274388 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 5, 2019 Category: Surgery Authors: Mayr V, Hirschl M, Klein-Weigel P, Girardi L, Kundi M Tags: Vasa Source Type: research

The compelling arguments for the need of medical vascular physicians in Europe.
Abstract The burden of vascular diseases is growing worldwide, as the population ages, prompting a call to action not only in terms of awareness but also and most urgently in recognizing the need for vascular physicians, also called angiologists. Vascular medicine views the vascular system (arteries, veins, and lymphatics) as a whole, unique, and independent entity requiring specialized competencies. Vascular physicians offer a holistic and comprehensive approach to vascular patients including provision of interventional procedures, management of a heterogeneous group of multi-morbid and frail patients affected b...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 4, 2019 Category: Surgery Authors: Heiss C, Madaric J, Belch J, Brodmann M, Mazzolai L Tags: Vasa Source Type: research

Emergence of a lymphoma imitating an infectious infiltration surrounding the infrarenal aorta after EVAR.
We present a case of an appearance of periaortic infiltration after successful endovascular treatment which turned out to be of malignant origin. PMID: 31271346 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 4, 2019 Category: Surgery Authors: Vajda M, Raupach J, Krajina A, Hoffmann P, Hůlek M, Živný O, Malý R, Vršanská V, Belada D Tags: Vasa Source Type: research

Obituary.
Authors: PMID: 31232677 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 26, 2019 Category: Surgery Tags: Vasa Source Type: research

Optimized cardiovascular risk in peripheral arterial disease - does intensified statin therapy matter?
PMID: 31232678 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 26, 2019 Category: Surgery Authors: Sonnenschein K, Tongers J Tags: Vasa Source Type: research

Surgery of acute occlusion of the extracranial internal carotid artery - a meta-analysis.
In conclusion, acute surgical desobliteration of eICA occlusion leads to high rates of recanalization and a majority of patients experience early neurological improvement and achieve favourable outcome. Rates of mortality, early reocclusion, in-hospital stroke and sICH are acceptable in the view of unfavourable natural history. PMID: 31210589 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 18, 2019 Category: Surgery Authors: Beneš V, Bradáč O, Horváth D, Suchomel P, Beneš V Tags: Vasa Source Type: research

High tolerance of progressive elastic compression in peripheral arterial disease.
Conclusions: These results suggest a high tolerance of progressive elastic stockings (18 ± 2 mmHg at calf and 8 ± 2 mmHg at ankle level) in symptomatic PAD. PMID: 31159678 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 4, 2019 Category: Surgery Authors: Couzan S, Pouget JF, Le Hello C, Chapelle C, Laporte S, Mismetti P Tags: Vasa Source Type: research

Real-world outcomes of endovascular treatment in a non-selected population with peripheral artery disease - prospective study with 2-year follow-up.
This study did not have exclusion criteria. Quality of life (QOL) questionnaire (EQ-5D) scores, Rutherford classification, mortality, patency rate and details of major adverse cardiovascular events were collected at 6-, 12-, 18-, and 24-month follow ups. Results: PTA with/without stenting achieved 90.3 %, 86.5 %, 82.7 %, and 71.9 % technical success (recanalisation achieving ≥ 70 % patency, no evidence of embolisation, recoiling or dissection) in iliac, femoral, popliteal, and below-the-knee arteries, respectively. Procedural/postprocedural complications occurred in 142 (9.3 %, 1 ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 4, 2019 Category: Surgery Authors: Schulte KL, Hardung D, Tiefenbacher C, Weiss T, Hoffmann U, Amendt K, Tepe G, Heuser L, Treszl A, Lau HJ, Pfannebecker T, Wegscheider K Tags: Vasa Source Type: research

Factors influencing recanalization of thrombotic venous occlusions.
Jezovnik MK Abstract The outcome of a thrombotic vessel occlusion is related to the resolution of thrombus and restitution of blood flow. Thrombus formation simultaneously activates an enzymatic process that mediates endogenous fibrinolysis to maintain vessel patency. The balance between coagulation and fibrinolysis determines the extent of thrombus formation, its resolution, and clinical outcome. Endogenic fibrinolysis is frequently unable to overcome coagulation and to resolve the thrombus. Therefore, for a complete resolution of thrombus in an acute phase, exogenic fibrinolytic agents are needed. Currently, ti...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 28, 2019 Category: Surgery Authors: Poredoš P, Poredoš P, Jezovnik MK Tags: Vasa Source Type: research

Power-injectable totally implantable venous access devices - analysis of success and complication rates of ultrasound-guided implantation and a patient satisfaction survey.
Conclusions: Ultrasound-guided, fluoroscopically controlled implantation of TIVAPs is a safe procedure with low complication rates, high success rates and high patient satisfaction. PMID: 31124752 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 24, 2019 Category: Surgery Authors: Kunz-Virk J, Krüger K Tags: Vasa Source Type: research

Predictors for reoperation after lower limb amputation in patients with peripheral arterial disease.
This study evaluated potential predictive factors for revision of major lower extremity amputations in patients with PAD. Patients and methods: A retrospective chart review of all major lower extremity amputations at our institution was conducted. Amputations due to trauma or tumor and below-ankle amputations were excluded. Patient demographics, level/type of amputation, level/time of revision, comorbidities and risk factors were extracted. Results: 180 patients with PAD, mean age 66.48 (range: 31-93) years, 125 (69.4%) male were included. Most (154/180, 86.6%) underwent below-knee amputation. 71 (39.4%) patients had coron...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 7, 2019 Category: Surgery Authors: Berli MC, Wanivenhaus F, Kabelitz M, Götschi T, Böni T, Rancic Z, Waibel FWA Tags: Vasa Source Type: research

Histopathological changes to the vascular wall after treatment of great saphenous veins using n-butyl-2-cyanoacrylate.
Conclusions: N-butyl-2-cyanoacrylate that has been applied gradually degrades over the course of three years accompanied by a giant cell reaction, mild chronic inflammation and cicatrices, but there is minimal recanalization of the obturated section. PMID: 31063085 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 7, 2019 Category: Surgery Authors: Novotny K, Campr V Tags: Vasa Source Type: research

Blessing or curse of electronic health records - readmissions following infrarenal AAA repair in electronic health records.
PMID: 31025918 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 28, 2019 Category: Surgery Authors: Behrendt CA Tags: Vasa Source Type: research

Less of a good thing - the paradox of reduced multidisciplinary team decision-making.
PMID: 31025919 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 28, 2019 Category: Surgery Authors: Partovi S, Sin D, Gill A Tags: Vasa Source Type: research

Statins for prevention of venous thromboembolism - are we facing an indication extension soon?
PMID: 31025920 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 28, 2019 Category: Surgery Authors: Illner J Tags: Vasa Source Type: research

Trends in management and outcomes of vascular emergencies in the nationwide inpatient sample.
Abstract Background: To evaluate trends in frequency, mortality and treatment for non-traumatic vascular emergencies (VE) in the US. Methods: VE in the Nationwide Inpatient Sample (2005-2014) were identified. ICD-9 CM diagnosis and procedures codes captured six common VE. Results: 228,210,504 emergency admissions with 317,396 procedures for VE were estimated. Mean age was 67.8 years and were primarily men (56.1 %; p
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 25, 2019 Category: Surgery Authors: Bath J, Hartwig J, Dombrovskiy VY, Vogel TR Tags: Vasa Source Type: research

Ablation therapy with cyanoacrylate glue and laser for refluxing great saphenous veins - a prospective randomised study.
, Erkut B Abstract Background: Endovenous cyanoacrylate ablation is a new technique for the treatment of clinically symptomatic venous insufficiency. The results of a prospective comparative study of cyanoacrylate glue versus endovenous laser ablation for the management of incompetent great saphenous veins are presented. Patients and methods: A total of 400 subjects were treated with cyanoacrylate ablation or endovenous laser ablation between April 2014 and April 2016. The preprocedural, procedural, postprocedural, and follow-up data were recorded and compared. Results: There were 208 procedures in cyanoacrylate ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 24, 2019 Category: Surgery Authors: Çalık ES, Arslan Ü, Erkut B Tags: Vasa Source Type: research

Cerebral venous thrombosis in adults.
Abstract Thromboses of cerebral veins and/or sinuses (CVT) encompass a clinically rather heterogenous, relatively rare entity, which is nonetheless an important cause of stroke in the young. While until the mid of the last century the prognosis of CVT was thought to be poor or even fatal in the majority of cases, the advance and wider use of modern imaging technology since the early 1980s, together with the results of registries and population-based studies, revealed that CVT is more frequent and less life-threatening than previously assumed. However, because headache is frequently the only symptom, many oligosym...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 17, 2019 Category: Surgery Authors: Koennecke HC Tags: Vasa Source Type: research

Gamma-glutamyl transferase as a risk factor for mortality and cardiovascular events in older adults - results from a prospective cohort study in a primary care setting (getABI).
Abstract Background: In primary care, the gamma-glutamyl transferase (GGT) activity is used for assessing hepatobiliary dysfunction, but is also known to be associated with the risk of cardiovascular events as well as overall mortality. As this knowledge is mainly based on cohorts with middle-aged participants, we aim to assess these associations in elderly patients in a primary care setting. Patients and methods: 6,880 unselected primary care patients, aged 65 years or older, were enrolled by 344 general practitioners all over Germany (getABI study). During seven years of follow-up, coronary heart disease (...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 17, 2019 Category: Surgery Authors: Kreutzer F, Krause D, Klaassen-Mielke R, Trampisch HJ, Diehm C, Rudolf H Tags: Vasa Source Type: research

Cell therapy of critical limb ischemia-problems and prospects.
Abstract Cell therapy is proposed for indirect revascularization for the patient's incurable by endovascular or surgical revascularization. The therapy with stem cells (SCs) or progenitor cells is assumed to be more efficient as compared with protein or gene therapy not only because of their direct vasculogenic properties, but also thanks to their paracrine effect via secretion of manifold biologically active substances. This review gives an overview of the potential of SC-based therapy for critical limb ischemia (CLI), putative mechanism underlying cell therapy, and comparison of cell therapy to angiogenesis gene...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 10, 2019 Category: Surgery Authors: Osipova O, Saaya S, Karpenko A, Zakian S, Aboian E Tags: Vasa Source Type: research

Ultrasound assisted endovascular treatment of acute venous thromboses.
Abstract Deep vein thromboses lead to post thrombotic syndrome in up to 50% of patients, which entails significant morbidity and socioeconomic costs. Endovascular treatment of iliofemoral deep vein thrombosis aims to reduce the development and the severity of post thrombotic syndrome. This case series of four cases demonstrates that acute and chronic thrombotic stenoses or occlusions can be safely managed by ultrasound guided endovascular treatment minimizing the number of interventions, bleeding risk and radiation exposure. PMID: 30969161 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gef...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 10, 2019 Category: Surgery Authors: Heckmann MB, Wangler S, Katus HA, Erbel C Tags: Vasa Source Type: research

Anticoagulation in addition to dual antiplatelet therapy has no impact on long-term follow-up after endovascular treatment of (sub)acute lower limb ischemia.
CONCLUSIONS: Our observational study demonstrates that the choice of an antithrombotic regime had no impact on the long-term follow-up after endovascular treatment of acute thrombembolic limb ischemia whereas prolonged anticoagulation was associated with a nominal increase in severe bleeding complications. PMID: 30958111 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 8, 2019 Category: Surgery Authors: Kronlage M, Blessing E, Müller OJ, Heilmeier B, Katus HA, Erbel C Tags: Vasa Source Type: research

French vascular physicians' practices in indicating antiplatelet and anticoagulation therapy in venous thromboembolism.
CONCLUSIONS: French vascular physicians adopted different strategies according to estimated risk/benefit ratio. Prospective randomized controlled trials should compare these strategies in order to make recommendations. PMID: 30945997 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 4, 2019 Category: Surgery Authors: Fayol A, Lanéelle D, Hoffmann C, Mahé G, Mahé I Tags: Vasa Source Type: research

Effectiveness of the Pulsar-18 self-expanding stent with optional drug-coated balloon angioplasty in the treatment of femoropopliteal lesions - the BIOFLEX PEACE All-Comers Registry.
The objective of this registry was to evaluate whether these results will be confirmed in a real-world setting with varying stenting strategies. PATIENTS AND METHODS: In this prospective, observational trial, 160 patients with 186 femoropopliteal lesions were treated with the Pulsar-18 SE nitinol stent at 9 German sites. Mean lesion length was 116 ± 103 mm, and 41.9 % of the lesions were moderately or heavily calcified. Eighty lesions were concomitantly treated with drug-coated balloon (DCB). Main effectiveness outcome was primary patency at 12 months, and main safety outcome was freedom fro...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - March 29, 2019 Category: Surgery Authors: Lichtenberg M, Breuckmann F, Kramer V, Betge S, Sixt S, Hailer B, Nikol S, Arjumand J, Wittenberg G, Teßarek J, Nolte-Ernsting C Tags: Vasa Source Type: research