Relationship between total plasma homocysteine and the risk of aneurysms - a meta-analysis.
Abstract Our meta-analysis focused on the relationship between homocysteine (Hcy) level and the incidence of aneurysms and looked at the relationship between smoking, hypertension and aneurysms. A systematic literature search of Pubmed, Web of Science, and Embase databases (up to March 31, 2020) resulted in the identification of 19 studies, including 2,629 aneurysm patients and 6,497 healthy participants. Combined analysis of the included studies showed that number of smoking, hypertension and hyperhomocysteinemia (HHcy) in aneurysm patients was higher than that in the control groups, and the total plasma Hcy lev...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - September 16, 2020 Category: Surgery Authors: Zhang H, Yin D, Zhao Y, Li Y, Yao D, Sun D Tags: Vasa Source Type: research

Exercise induced leg pain due to endofibrosis of external iliac artery.
ammer C Abstract Due to monotonous movement patterns, muscular hypertrophy, and increased cardiac output peripheral vasculature of athletes are subject to extreme stresses during athletic performance. Individuals suffering from exercise induced non-traumatic lower leg pain may display underlying vascular pathology such as external iliac artery endofibrosis. Therefore, it is essential in the course of to discriminate vascular from non-vascular findings and prime the correct diagnostic path within the course of clinical examination. In this regard, interdisciplinary thinking and profound knowledge in exercise-assoc...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - September 15, 2020 Category: Surgery Authors: Gähwiler R, Hirschmüller A, Grumann T, Isaak A, Thalhammer C Tags: Vasa Source Type: research

Neopterin derivatives - a novel therapeutic target rather than biomarker for atherosclerosis and related diseases.
Abstract This review provides an updated overview of the emerging roles of neopterin derivatives in atherosclerosis. Neopterin, a metabolite of guanosine triphosphate, is produced by interferon-γ-activated macrophages and is expressed at high levels in atheromatous plaques within the human carotid and coronary arteries as well as in the aorta. Plasma concentrations of neopterin are higher in patients with carotid, cerebral, and coronary artery diseases as well as aortic aneurysm. The concentration of neopterin is positively correlated with the severity of coronary artery disease. However, a prospective coho...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - September 14, 2020 Category: Surgery Authors: Watanabe T Tags: Vasa Source Type: research

4. DGA-Interventionskongress und 49. Jahrestagung Deutsche Gesellschaft f ür Angiologie - Gesellschaft für Gefäßmedizin e. V.
4. DGA-Interventionskongress und 49. Jahrestagung Deutsche Gesellschaft für Angiologie - Gesellschaft für Gefäßmedizin e. V. Vasa. 2020 Sep;49(Suppl 105):1-25 Authors: PMID: 32896228 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - September 1, 2020 Category: Surgery Tags: Vasa Source Type: research

Increase of urinary TIMP-2 and IGFBP7 as potential predictor of acute kidney injury requiring renal replacement therapy and patients' outcome following complex endovascular and open thoracic abdominal aortic aneurysm surgery.
l;lte G Abstract Background: Acute kidney injury (AKI) as complication after open and endovascular repair of thoracoabdominal aortic aneurysm (TAAA) is one major predictor of mortality and postoperative complications. We evaluated tissue inhibitor of metalloproteinase 2 (TIMP-2) and insulin-like growth factor-binding protein 7 (IGFBP7) as combined early biomarker for AKI detection and predictor of patients' outcome. Patients and methods: Between 2014 and 2015, 52 patients have been enrolled in this observational study, of whom 29 (55.8%) underwent elective open repair and 23 (44.2%) endovascular repair. TIMP2&nbs...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - August 20, 2020 Category: Surgery Authors: Gombert A, Kotelis D, Rückbeil MV, Barbati M, Martin L, Marx G, Grommes J, Jacobs MJ, Schälte G Tags: Vasa Source Type: research

Aberrant right subclavian artery.
We present a case of a 65-year-old female patient who was diagnosed with dysphagia lusoria following a barium swallow examination to investigate a 10-year history of dysphagia. She was further investigated with other imaging modalities to establish her diagnosis. The dysphagia was not progressive, nor did it result in malnutrition, and hence the patient was managed conservatively. There is currently no established guideline to classify the severity of symptoms or radiological findings of this anatomical anomaly. Our case reiterates the importance of such protocols, in order to be able to avoid the risks of an unnecessary s...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - August 20, 2020 Category: Surgery Authors: Irakleidis F, Kyriakides J, Baker D Tags: Vasa Source Type: research

Long-term incidence of cancer after index treatment for symptomatic peripheral arterial disease - a health insurance claims data analysis.
Conclusions: Patients suffering from symptomatic PAD face a markedly higher risk for incident cancer in the long-term follow-up. The cancer risk increased continuously for certain types and PAD was strongly associated with cancer of the lung, bladder, pancreas, and colon. Taking these results into account, PAD patients could benefit from secondary and tertiary screening. These results also emphasize the impact of common risk factors such as tobacco smoke as target for health prevention. PMID: 32807045 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - August 18, 2020 Category: Surgery Authors: Kaschwich M, Peters F, Hischke S, Rieß HC, Gansel M, Marschall U, L'Hoest H, Heidemann F, Debus ES, Acar L, Kreutzburg T, Behrendt CA Tags: Vasa Source Type: research

Regional variation of lower limb major amputations on different geographic scales - a Hungarian nationwide study over 13 years.
Conclusions: Lower limb major amputations show marked regional variations on the different geographic levels of resolution. The more granular the assessment, the higher the regional variation was. Assumingly, this observation is partially a mathematical necessity but may also be related to the different characteristics of care at a given level of spatial aggregation. The decomposition of the variance of amputation rates indicates that the potential explanatory factors contributing to spatial variability are multiple and may be interpreted on different levels of geographic resolution. Addressing the unwarranted variations a...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 22, 2020 Category: Surgery Authors: Kolossváry E, Ferenci T, Kováts T, Kovács L, Farkas K, Járai Z Tags: Vasa Source Type: research

Utility of a novel high pressure non-compliant balloon for tibial atherosclerotic lesions in Asian patients with chronic limb threatening ischaemia.
Conclusions: Use of a high pressure non-compliant balloon is safe and efficacious in treating highly complex infra-popliteal atherosclerotic lesions in an otherwise challenging population of CLTI patients with a high incidence of DM and ESRF. It is associated with highly satisfactory acute technical success, 6-month target lesion patency and one-year limb salvage. PMID: 32693707 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 22, 2020 Category: Surgery Authors: Tang TY, Lee SQW, Chan SL, Yap CJQ, Soon SXY, Chong TT, Choke ETC, Yan BPY Tags: Vasa Source Type: research

Venovo venous stent for treatment of non-thrombotic or post-thrombotic iliac vein lesions - long-term efficacy and safety results from the Arnsberg venous registry.
f R Abstract Background: Endovascular venous stenting with dedicated venous stents for the treatment of chronic venous outflow obstruction is developing as efficacious alternative to conservative therapy or open surgery. However, so far, mid- and long-term evidence on effectiveness and safety is poor. Patients and methods: The prospective, single-center, observational study enrolled consecutive patients with chronic non-thrombotic iliac vein lesions (NIVL) or post-thrombotic iliofemoral obstructions (PTO). From February 2016 to April 2017, patients underwent implantation of open cell, self-expandable dedicated ve...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 22, 2020 Category: Surgery Authors: Lichtenberg MKW, Stahlhoff WF, Stahlhoff S, Özkapi A, Breuckmann F, de Graaf R Tags: Vasa Source Type: research

Symptomatic type I endoleak following popliteal artery aneurysm repair.
n A Abstract A case of a symptomatic type Ib endoleak following popliteal artery aneurysm repair with successful interventional therapy introduces a short review of the limited literature to this relevant potential complication. Illustration of important factors supporting endoleak formation after endovascular popliteal artery repair and recommendation of a consequent surveillance are discussed. PMID: 32697149 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 22, 2020 Category: Surgery Authors: Seiler R, Turkalj I, Gähwiler R, Isaak A, Thalhammer C, Rastan A Tags: Vasa Source Type: research

Epithelioid hemangioendothelioma of the retroperitoneum - a rare vascular tumor.
This report aims to present a rare case of a retroperitoneal EHE and to discuss on proper management. PMID: 32697157 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 22, 2020 Category: Surgery Authors: Sigala F, Galyfos G, Koniaris E, Barkolias C, Artsitas S, Zografos K, Filis K, Zografos G, Alexakis N Tags: Vasa Source Type: research

Prevalence of carotid plaque stenosis after head and neck radiotherapy - an observational study of 156 survivors.
Conclusions: The prevalence of occlusion and severe stenosis after radiotherapy for HNC was very low in our study population. Low echogenicity plaque, long segment plaque, and an atypical location were common findings. Classic cardiovascular risk factors appear to have had a causative role: a routine screening of radiotherapy-treated patients might be necessary only in patients with concomitant cardiovascular risk factors or exposed to high-dose neck radiation. PMID: 32674693 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 17, 2020 Category: Surgery Authors: Valentin ML, Barco S, Studer G, Clemens R, Kreuzpointner R, Sebastian T, Thalhammer C, Kucher N Tags: Vasa Source Type: research

PAD screening: Why? Whom? When? How? - a systematic review.
r C Abstract An estimated 237 million people suffer from peripheral arterial disease (PAD), which is associated with high morbidity and mortality, and prevalence is still increasing. Currently, we do not have any randomized trials that compare screening to no screening specifically for PAD in the general population. Presently, PAD screening is not generally established. This systematic review gives an overview of relevant literature and guidelines. Screening usually focuses on ankle-brachial index (ABI)-measurement, which enables detection of asymptomatic and symptomatic PAD, but has limitations in diabetics. The...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 17, 2020 Category: Surgery Authors: Kieback AG, Gähwiler R, Thalhammer C Tags: Vasa Source Type: research

Radial artery occlusion after cardiac catheterization and impact of medical treatment.
Conclusions: RAO remains a rare complication of cardiac catheterization. The addition of antithrombotic therapy for 3 months appears to safely improve the partial or even full regain of radial patency in case of postinterventional RAO. PMID: 32669060 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 16, 2020 Category: Surgery Authors: Steinmetz M, Radecke T, Boss T, Stumpf MJ, Lortz J, Nickenig G, Kania A, Rassaf T, Rammos C, Schaefer CA Tags: Vasa Source Type: research

Influence of preoperative statins and aspirin administration on biological and magnetic resonance imaging properties in patients with abdominal aortic aneurysm.
Conclusions: Relative ILT SI was lower in patients taking statin and aspirin. Combination of antiplatelet therapy and statins was associated with higher elastin concentrations in AAA wall. PMID: 32669062 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 16, 2020 Category: Surgery Authors: Sladojevic M, Zlatanovic P, Stanojevic Z, Koncar I, Vidicevic S, Tasic J, Isakovic A, Tomic I, Mutavdzic P, Stevanovic K, Trailovic R, Davidovic L Tags: Vasa Source Type: research

Inferior vena cava filter - comprehensive overview of current indications, techniques, complications and retrieval rates.
Abstract Inferior vena cava (IVC) filter has been used to manage patients with pulmonary embolism and deep venous thrombosis. Its ease of use and the expansion of relative indications have led to a dramatic increase in IVC filter placement. However, IVC filters have been associated with a platitude of complications. Therefore, there exists a need to examine the current indications and identify the patient population at risk. In this paper, we comprehensively reviewed the current indications and techniques of IVC filter placement. Further, we examined the various complications associated with either permanent or r...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 14, 2020 Category: Surgery Authors: Li X, Haddadin I, McLennan G, Farivar B, Staub D, Beck A, Thompson D, Partovi S Tags: Vasa Source Type: research

Intimal angiosarcoma masquerading as retroperitoneal fibrosis.
We present a rare case of intimal angiosarcoma arising from the iliac artery with unusual symptoms and signs mimicking retroperitoneal fibrosis (RPF). This 84-year-old male presented with constitutional symptoms, abdominal pain, increased acute-phase reactant levels, impaired renal function and a CT-documented left-sided parailiac soft-tissue mass with unilateral extrinsic ureteric obstruction. Whole-body 18F-fluorodeoxyglucose positron emission tomography scan showed highly increased FDG-uptake in a horseshoe-like pattern surrounding the left common iliac artery, but no pathologic activity elsewhere. Further diagnostic wo...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 13, 2020 Category: Surgery Authors: van Baalen EA, Hendriksz TR, Brans B, Westenend PJ, van Bommel EFH Tags: Vasa Source Type: research

Phlegmasia cerulea dolens - an uncommon but alarming manifestation of deep vein thrombosis.
ack A Abstract In phlegmasia cerulea dolens (PCD), immediate diagnosis and prompt treatment is crucial for limb salvage. Aggressive treatment options including venous intervention, thrombolysis and/or surgical thrombectomy should be considered. Due to the lack of data, the most appropriate intervention depends upon etiology of PCD, clinical presentation and patient's bleeding risk. PMID: 32646321 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 10, 2020 Category: Surgery Authors: Nickler M, Haubitz S, Méndez A, Gissler M, Stierli P, Kieback A Tags: Vasa Source Type: research

Screening cardiovascular patients for aortic aneurysms (SCAN) - high prevalence of abdominal aortic aneurysms in coronary heart disease patients requiring intervention.
This study aimed to reevaluate the current prevalence of AAA in male patients with CHD, in order to assess whether CHD patients should be offered a targeted AAA ultrasound screening program. Patients and methods: The SCAN (Screening Cardiovascular Patients for Aortic Aneurysms) study prospectively evaluated the AAA prevalence in 1000 consecutive male CHD patients (70.1 ± 11.2 years) requiring any coronary intervention at an university hospital. All patients received transverse and longitudinal ultrasound scans of the abdominal aorta. Aortic diameter was assessed using the outer-to-outer measurement-te...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 7, 2020 Category: Surgery Authors: Reutersberg B, Salvermoser M, Haller B, Schäffer C, Knipfer E, Laugwitz KL, Eckstein HH Tags: Vasa Source Type: research

Demographic and procedural characteristics in the RECording COurses of vasculaR Diseases (RECCORD) registry - the first 1000 patients.
Conclusions: The baseline data of the first 1000 patients from the RECCORD registry representing the real-world setting illustrate that the majority of EVR are performed in patients with claudication. Adjunctive use of DCB and stenting are the dominant types of EVR, while periprocedural complications are at an acceptable low rate. PMID: 32605534 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 1, 2020 Category: Surgery Authors: Malyar N, Stausberg J, Langhoff R, Tatò F, Kalka C, Ito WD, Böhme J, Arjumand J, Stegemann J, Lawall H, Schellong S, Lichtenberg M, Hoffmann U Tags: Vasa Source Type: research

Acute limb ischemia in a patient with pre-fibrotic myelofibrosis complicated by heparin-induced thrombocytopenia and thrombosis - case report and systematic review of dabigatran use.
Abstract A 49-year-old man was diagnosed with pre-fibrotic myelofibrosis after acute left lower-limb ischemia requiring amputation and portal vein thrombosis. After surgery he developed heparin-induced thrombocytopenia (HIT) with venous thromboembolism, successfully treated with argatroban followed by dabigatran. Our systematic review of the literature supports the use of dabigatran for suspected HIT. PMID: 32597318 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 29, 2020 Category: Surgery Authors: Di Pilla M, Barco S, Sacco C, Barosi G, Lodigiani C Tags: Vasa Source Type: research

Treatment of bypass failure in patients with chronic limb threatening ischemia - open surgery vs. percutaneous mechanical thrombectomy.
Abstract Background: Lower limb bypass occlusion in patients with chronic limb threating ischemia remains a challenge. We can choose between different treatment options: open surgery, local thrombolysis, thrombectomy/atherectomy devices. In this pilot study, we compare clinical outcomes and treatment costs between open surgery (OS) and percutaneous mechanical thrombectomy (pMTH). Patients and methods: This pilot study represents a retrospective analysis of hospital data of 48 occluded bypasses admitted from 2013 to 2018. Only patients presenting with severe ischemia and recrudescence of symptoms (Rutherford 4-6) ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 29, 2020 Category: Surgery Authors: Migliara B, Cappellari TF, Mirandola M, Griso A, Kolasa K, Zah V, Nicoletti C, Lino M Tags: Vasa Source Type: research

Iliac vein stenting guided by intravascular ultrasound without iodinated contrast medium.
Abstract Iliac vein compression syndrome, also known as May-Thurner Syndrome, is a type of vein reflux disorders which is often ignored due to lack of efficient diagnostic methods. The traditional gold standard of diagnosis is venography, but this has been challenged and largely replaced by intravascular ultrasound (IVUS). Here we report a case that a patient suffered with iodine anaphylaxis was successfully performed iliac vein stenting guided by using IVUS alone. This case provides the evidence that IVUS can offer necessary information for physicians in the diagnosis and treatment of iliac vein compression. We ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 19, 2020 Category: Surgery Authors: Wang X, Yu C, Chen G, Hong Y, Zhou B, Ge J, Liu T Tags: Vasa Source Type: research

Anticoagulation treatment of cancer patients with deep or superficial leg vein thrombosis - a retrospective observational study of German statutory health insurance claims data (the CERTIFICAT initiative).
Conclusions: The dataset allows assigning detailed information of anticoagulant prescriptions in ambulatory care to well-defined groups of cancer patients. A first analysis suggests that in Germany current medical care of patients with cancer-related deep or superficial vein thrombosis does not entirely comply with guideline recommendations regarding type and duration of anticoagulation. PMID: 32520658 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 10, 2020 Category: Surgery Authors: Schellong S, Kretzschmar A, Heinken A, May M, Kolbe K, Schreiber S, Riess H Tags: Vasa Source Type: research

Efficacy of near-infrared spectroscopy cerebral oximetry on detection of critical cerebral perfusion during carotid endarterectomy under regional anesthesia.
Conclusions: NIRS demonstrated a reduced discriminative capacity for critical cerebral hypoperfusion, and does not seem to add substantial clinical benefits to the awake test. PMID: 32513067 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 9, 2020 Category: Surgery Authors: Rocha-Neves JP, Pereira-Macedo J, Moreira AL, Oliveira-Pinto JP, Afonso G, Mourão J, Andrade JP, Vaz RP, Mansilha A Tags: Vasa Source Type: research

Distal embolization during percutaneous revascularization of the lower extremity arteries.
Conclusions: The incidence of DE during endovascular revascularization of chronic atherosclerotic lesions in lower limb arteries without use of atherectomy was low. DE was more frequent in women, in patients without prior antiplatelet treatment and in femoropopliteal stenting. The majority of DE was successfully managed percutaneously. PMID: 32513076 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 9, 2020 Category: Surgery Authors: Boc A, Blinc A, Boc V Tags: Vasa Source Type: research

External valvuloplasty of the saphenofemoral junction in insufficient great saphenous veins - six weeks results of a prospective multicentre trial.
ummel T Abstract Background: Varicosis of the great saphenous vein (GSV) is a common disease. Most of the therapeutic concepts attempt to remove or destroy the truncal vein. However, the absence of the GSV could be harmful for further treatments of artherosclerotic disease as the GSV is often used as bypass graft in lower extremity or coronary artery revascularisations. External valvuloplasty (EV) is one of the vein-sparing treatment options. The aim of this clinical study was to describe the outcome, safety and complications of this procedure in a prospective multicentre trial. Patients and methods: The function...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 9, 2020 Category: Surgery Authors: Mühlberger D, Brenner E, Brockhoff H, Frings N, Geier B, Mumme A, Reich-Schupke S, Rohrer AL, Steffen HP, Stenger D, Stücker M, Hummel T Tags: Vasa Source Type: research

Venous thromboembolism in patients with COVID-19 (SARS-CoV-2 infection) - a position paper of the German Society of Angiology (DGA).
g M Abstract As observed in other infections with a systemic inflammatory response, severe COVID-19 is associated with hypercoagulability and a prothrombotic state. Currently, there is growing evidence that pulmonary embolism and thrombosis contribute to adverse outcomes and increased mortality in critically ill patients with COVID-19. The optimal thromboprophylactic regimen for patients with COVID-19 is not known. Whereas pharmacologic thromboprophylaxis is generally recommended for all hospitalized COVID-19 patients, adequate dosing of anticoagulants remains a controversial issue. Therefore, we summarize curren...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 5, 2020 Category: Surgery Authors: Linnemann B, Bauersachs R, Grebe M, Klamroth R, Müller O, Schellong S, Lichtenberg M Tags: Vasa Source Type: research

COVID-19 complicated by pulmonary embolism treated with catheter directed thrombectomy.
We report a case of pulmonary embolism in a patient with COVID-19, treated by catheter directed thrombectomy. A 57 year old patient presented to the emergency center with severe COVID-19 symptoms and developed massive pulmonary embolism. The patient was treated with catheter directed thrombolysis (CDT) and recovered completely. Coagulopathy associated with COVID-19 is present in all severe cases and is a dynamic process. We describe a case of massive/high risk pulmonary embolism, in a patient with COVID-19 receiving full anticoagulation, who was treated by percutaneous intervention. CDT can be an additional therapeuti...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 28, 2020 Category: Surgery Authors: Galastri FL, Valle LGM, Affonso BB, Silva MJ, Garcia RG, Junior MR, Ferraz LJR, de Matos GFJ, de la Cruz Scarin FC, Nasser F Tags: Vasa Source Type: research

Epidemiology of peripheral artery disease in Palestine.
Conclusions: Our study highlights the high prevalence of PAD in the Gazan community, mostly related to the high prevalence of cardiovascular risk factors and other cardiovascular conditions. PMID: 32452724 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 26, 2020 Category: Surgery Authors: Jamee A, Aboyans V, Magne J, Elhendy M, Marie Preux P, Lacroix P Tags: Vasa Source Type: research

Large vessel vasculitis secondary to granulocyte-colony stimulating factor.
Abstract Aortitis is a rare entity that may cause fever of unknown origin. This entity has a wide various etiologies, which main cause is rheumatologic, but not only. Iatrogenia has also been described, including chemotherapy and supporting treatment (like granulocyte-colony stimulating factor in oncological patients. The evidence in favour of this pharmacological link is growing. The differential diagnosis of fever, in febrile neutropenia setting, can be difficult to itemize. PMID: 32452726 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 26, 2020 Category: Surgery Authors: Soto Castillo JJ, Loarce-Martos J, Blanc-Molina JM Tags: Vasa Source Type: research

Endovascular mechanical thrombectomy versus thrombolysis in patients with iliofemoral deep vein thrombosis - a systematic review and meta-analysis.
This study sought to compare effectiveness and safety of percutaneous mechanical thrombectomy (PMT) and thrombolysis alone (THR) in patients with acute or subacute iliofemoral deep vein thrombosis (IfDVT). Patients and methods: Observational and randomized trials, published between January 2001 to February 2019 were identified by searching MEDLINE. Studies on deep venous thrombosis (DVT) treated with either THR or PMT adjunctive to conventional anticoagulation and compressive intervention were included. Meta-analysis of proportions was conducted to assess effectiveness outcomes of successful lysis and primary patency, post...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 25, 2020 Category: Surgery Authors: Lichtenberg MKW, Stahlhoff S, Młyńczak K, Golicki D, Gagne P, Razavi MK, de Graaf R, Kolluri R, Kolasa K Tags: Vasa Source Type: research

Delayed severe median nerve palsy due to undiagnosed brachial pseudoaneurysm.
Abstract Post-catheterization pseudoaneurysms are a well-known complication of many endovascular procedures at the site of arterial puncture. However, long-term neurological complications due to undiagnosed compression are rare. A 60-year-old man presented to our unit for round, non-pulsatile, painless swelling in the inner side of his upper arm. Clinical examination showed finger paralysis, associated with amyotrophy of the forearm. Large brachial pseudoaneurysm with median nerve compression was diagnosed. The patient underwent autologous vein bypass, with poor 6-month neurological recovery. Early diagnosis of p...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2020 Category: Surgery Authors: Trihan JE, Lebuhotel I, Desvergnes M, Schneider F Tags: Vasa Source Type: research

Calf deep vein thrombosis - clinical relevance, diagnostic approaches and therapeutic options.
Abstract Isolated distal deep vein thromboses (IDDVT) represent up to 50 % of legs deep vein thromboses (DVT). However, since their natural history is to date unknown, the need to diagnose and treat them is a matter of debate. The diagnostic strategy based on the assessment of pre-test probability and D-dimer demonstrated a scarse efficiency for IDDVT. The choice between a proximal and a complete ultrasonographic approach should be guided by the clinical context, the local expertise and the patient characteristics. Randomized and observational studies have analyzed the need of therapy and compared different ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2020 Category: Surgery Authors: Elmi G, Rinaldi ER, Domanico A, Aluigi L Tags: Vasa Source Type: research

Phlebosclerosis in lower extremities veins - a systematic review.
In conclusion, the radiological incidence of phlebosclerosis depended on the ultrasound findings. Its presence in the great saphenous vein prior to its use as a vein graft is established on histological examination. The small saphenous vein is mainly affected. Risk factors included age, haemodialysis, and venous insufficiency. Preexisting wall thickness of the great saphenous vein graft seemed to affect negatively its patency in bypass surgery. PMID: 32323629 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 23, 2020 Category: Surgery Authors: Tepelenis K, Papathanakos G, Barbouti A, Paraskevas G, Kitsouli A, Alexandra Kefala M, Tepelenis N, Kanavaros P, Kitsoulis P Tags: Vasa Source Type: research

In-vivo evaluation of the effect of cyanoacrylate on prosthetic vascular graft infection - does cyanoacrylate increase the severity of infection?
Abstract Background: Prosthetic vascular graft infection (PVGI) is a complication with high mortality. Cyanoacrylate (CA) is an adhesive which has been used in a number of surgical procedures. In this in-vivo study, we aimed to evaluate the relationship between PVGI and CA. Materials and methods: Thirty-two rats were equally divided into four groups. Pouch was formed on back of rats until deep fascia. In group 1, vascular graft with polyethyleneterephthalate (PET) was placed into pouch. In group 2, MRSA strain with a density of 1 ml 0.5 MacFarland was injected into pouch. In group 3, 1 cm 2 vascular gra...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 23, 2020 Category: Surgery Authors: Yolgosteren A, Kumtepe G, Payaslioglu M, Ozakin C Tags: Vasa Source Type: research

Normative and pathological values of hemodynamic and Doppler ultrasound arterial findings in children.
This article provides a narrative review of the literature regarding the normative values and the physiological arterial changes through childhood according to age, weight or height, as well as frequent pathological arterial findings in children, classified by arterial territory. PMID: 32323630 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 22, 2020 Category: Surgery Authors: Trihan JE, Perez-Martin A, Guillaumat J, Lanéelle D Tags: Vasa Source Type: research

Association of biomarker S100B and cerebral oximetry with neurological changes during carotid endarterectomy performed in awake patients.
Conclusions: We found a correlation between neurological symptoms and serum S100B protein increase. However, because of the long evaluation time of serum S100B, this monitoring technique cannot be performed during CEA. PMID: 32323633 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 22, 2020 Category: Surgery Authors: Makovec M, Kerin K, Skitek M, Jerin A, Klokočovnik T Tags: Vasa Source Type: research

Early clinical outcomes for treatment of post-thrombotic syndrome and common iliac vein compression with a hybrid Oblique self-expanding nitinol stent - the TOPOS study.
Abstract Background: Physical attributes of conventional stents used in the ilio-caval territory are often unfavorable in the presence of external compression close to the bifurcation. A hybrid oblique stent was developed for the treatment of common iliac vein compression without compromising the contralateral iliac vein inflow. Patients and methods: The ongoing international monitored TOPOS study enrolled 60 patients with post-thrombotic syndrome (PTS) treated with the sinus-Obliquus stent (optimed) and provisional distal stent extension. At 3-month follow-up, patency rates were obtained from duplex ultrasound, ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - April 6, 2020 Category: Surgery Authors: Sebastian T, Lichtenberg M, Schlager O, Jalaie H, de Graaf R, Erbel C, Massmann A, Schindewolf M, Grigorean A, Kucher N Tags: Vasa Source Type: research

Clinical characteristics and factors influencing the prognosis of Beh çet's disease complicated with vascular involvement.
Conclusions: VBD showed a male preponderance and more than half of the patients presented with venous thrombosis. Late onset and arterial involvement were associated with poor prognosis. Therapy with biological agents is a viable alternative treatment to improve the prognosis. PMID: 32228221 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - March 31, 2020 Category: Surgery Authors: Lin CH, Luo D, Ma HF, Shen Y, Zou J, Guan JL Tags: Vasa Source Type: research

Aortic stiffness and related complications after endovascular repair of blunt thoracic aortic injury in young patients.
This study aimed to evaluate the changes in aortic stiffness in young patients undergoing thoracic endovascular aortic repair (TEVAR) after blunt thoracic aortic injury (TBAI) and to examine the associated cardiovascular complications during follow-up. Patients and methods: We included survivors of TBAI who underwent stent graft placement between November 2009 and November 2019 and gave their consent to participate. Patients with relevant cardiovascular risk factors, comorbidities with potential impact on arterial stiffness, and prior aortic surgical or endovascular interventions were excluded. Fourteen TEVAR patients pros...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - March 19, 2020 Category: Surgery Authors: Youssef A, Kalaja I, Alkomi U, Abt T, Hoffmann RT, Reeps C, Weiss N, Karl Lackner H, Mahlmann A Tags: Vasa Source Type: research

Influence of end-stage renal disease on long-term survival after major amputation.
Abstract Background: To analyze long-term outcomes and possible influencing factors in patients with endstage renal disease (ESRD) and critical limb ischemia (CLI) after major amputation compared to patients with normal renal function and non-dialysis-dependent chronic kidney disease. Patients and methods: Abstraction of single-center medical records of patients undergoing above knee (AKA) and below knee (BKA) amputation over a 10 years period (n = 436; 2009-2018). Excluded were amputations due to trauma or tumor. Patients were subdivided according to renal function in three categories: ESRD patien...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - March 12, 2020 Category: Surgery Authors: Meyer A, Griesbach C, Maudanz N, Lang W, Almasi-Sperling V, Rother U Tags: Vasa Source Type: research

Aneurysm of the ascending aorta and dilation of the pulmonary trunk in a patient with homocysteinemia.
PMID: 32091973 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 26, 2020 Category: Surgery Authors: Rillig F, Weiler-Normann C, Herget T, Schramm C Tags: Vasa Source Type: research

Changing patterns of carotid endarterectomy in England may reflect changes in patient selection.
PMID: 32091974 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 26, 2020 Category: Surgery Authors: Antoniou GA Tags: Vasa Source Type: research

"DES or DCB - that is the question", Shakespeare would have said.
"DES or DCB - that is the question", Shakespeare would have said. Vasa. 2020 Mar;49(2):157-158 Authors: Wittig T, Mühlberg KS PMID: 32091975 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 26, 2020 Category: Surgery Authors: Wittig T, Mühlberg KS Tags: Vasa Source Type: research

Routinely collected data from health insurance claims and electronic health records in vascular research - a success story and way to go.
PMID: 32091976 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 26, 2020 Category: Surgery Authors: Behrendt CA Tags: Vasa Source Type: research

Does the suture material influence the outcome after high ligation of great saphenous vein?
PMID: 32091977 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 26, 2020 Category: Surgery Authors: Mendoza E Tags: Vasa Source Type: research

Microcirculatory assessment of vascular diseases.
Abstract The term "microcirculation" refers to the terminal vascular network of the body, which includes arterioles, capillaries, venules as well as initial lymphatic vessels. Additionally, it insinuates to their unique function in thermoregulation, fluid balance, maintenance of cellular exchange, and metabolism. Disturbances of microvascular function were identified to precede macrovascular involvement in the presence of cardiovascular risk factors and is the hallmark of terminal disease stages like critical limb or acral ischemia. Nevertheless, despite its obvious significance in vascular medicine ass...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 10, 2020 Category: Surgery Authors: Marcoccia A, Klein-Weigel PF, Gschwandtner ME, Wautrecht JC, Matuska J, Rother U, Houben AJHM Tags: Vasa Source Type: research

Why to evaluate the functional capacity in PAD patients?
In conclusion: for the determination of limitations of mobility and quality of life in patients with PAD, objective measures of functional impairment are needed. The determination of functional capacity is related to the quality of life and is a useful tool for investigation of the success of revascularization of peripheral arteries and conservative treatment. PMID: 32019475 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 5, 2020 Category: Surgery Authors: Poredoš P, Jezovnik MK Tags: Vasa Source Type: research