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

Acquired arteriovenous fistula of a finger.
This report describes an unusual manifestation of an acquired peripheral arteriovenous fistula with a high shunt volume of 410 ml/min following a fracture of the 5th finger. PMID: 30874481 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - March 15, 2019 Category: Surgery Authors: Rietig R, Hudak S, Hieronimus A, Lehn-Stefan A, Balletshofer B, Häring HU, Syha R, Randrianarisoa E Tags: Vasa Source Type: research

Higher preprocedural fibrinogen levels are associated with aneurysm sac regression after EVAR.
CONCLUSIONS: Higher preprocedural fibrinogen, absence of persistent type II endoleak and higher age were predictive factors of aneurysm sac regression post-EVAR. PMID: 30874486 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - March 15, 2019 Category: Surgery Authors: Rašiová M, Koščo M, Špak Ľ, Moščovič M, Židzik J, Slabá E, Habalová V, Farkašová Ľ, Hudák M, Tkáč I Tags: Vasa Source Type: research

The influence of May-Thurner syndrome on post-thrombotic syndrome in young women.
Abstract BACKGROUND: The mechanism for post-thrombotic syndrome (PTS), the most important long-term sequelae of deep venous thrombosis, is not entirely known. It is probably caused by venous hypertension due to venous insufficiency and venous obstruction. Venous hypertension could also be a consequence of the May-Thurner syndrome (MTS), i.e. the obstruction of the common iliac vein. The aim of the present study was to explore if women with untreated MTS and a history of proximal DVT develop PTS more frequently. PATIENTS AND METHODS: A cohort of 68 female patients with a history of proximal left-sided DVT in t...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - March 8, 2019 Category: Surgery Authors: Kovač A, Janić M, Nuredini D, Kozak M Tags: Vasa Source Type: research

A near-infrared spectroscopy-assisted test discriminates patients with peripheral arterial disease and venous insufficiency with changes of foot oxygenation following light elastic compression therapy.
Abstract BACKGROUND: Elastic compression therapy (CT) in patients with peripheral artery disease (PAD) and chronic venous insufficiency (CVI) may compromise arterial perfusion. We evaluated the feasibility of a toe-flexion test, which quantifies dynamic foot perfusion by near-infrared spectroscopy (NIRS), for the assessment of hemodynamic sustainability of CT in PAD patients with CVI. PATIENTS AND METHODS: In this prospective observational study, PAD patients aged 50-85 with combined CVI at CEAP stages II-IV were studied. The ankle-brachial index (ABI) was measured, and foot perfusion was determined after 10 ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - March 6, 2019 Category: Surgery Authors: Lamberti N, Manfredini F, Tessari M, Menegatti E, Nardi F, Basaglia N, Zamboni P Tags: Vasa Source Type: research

ESVM integrated care pathways - a call for action.
ic D, Johansson E PMID: 30821213 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - March 1, 2019 Category: Surgery Authors: Visonà A, Pesavento R, Mazzolai L, Cimminiello C, Pécsvárady Z, Olinic D, Johansson E Tags: Vasa Source Type: research

Outstanding effectiveness of paclitaxel-based technologies for the treatment of femoropopliteal artery occlusive disease on the potential expense of increased late all-cause mortality? No reason to panic.
n M PMID: 30821214 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - March 1, 2019 Category: Surgery Authors: Zeller T, Noory E, Beschorner U, Böhme T, Mpj Reijnen M Tags: Vasa Source Type: research

Impact of lowering blood pressure on patients with PAD - of sowing the wind and reaping the whirlwind?
Authors: PMID: 30821215 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - March 1, 2019 Category: Surgery Tags: Vasa Source Type: research

May-Thurner syndrome - Are we aware enough?
Abstract Iliac vein compression syndrome (May-Thurner syndrome - MTS) is an anatomically variable clinical condition in which the left common iliac vein is compressed between the right common iliac artery and the underlying spine. This anatomic variant results in an increased incidence of left iliac or iliofemoral vein thrombosis. It predominantly affects young women in the second or third decades of life with preponderance during pregnancy or oral contraceptive use. Although MTS is rare, its true prevalence is underestimated but it can be a life-threatening condition due to development of pulmonary embolism ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 20, 2019 Category: Surgery Authors: Mako K, Puskas A Tags: Vasa Source Type: research

Safety, procedural success and outcome of the Aspirex ®S endovascular thrombectomy system in the treatment of iliofemoral deep vein thrombosis - data from the Arnsberg Aspirex registry.
Safety, procedural success and outcome of the Aspirex®S endovascular thrombectomy system in the treatment of iliofemoral deep vein thrombosis - data from the Arnsberg Aspirex registry. Vasa. 2019 Feb 20;:1-6 Authors: Lichtenberg M, Stahlhoff WF, Özkapi A, de Graaf R, Breuckmann F Abstract BACKGROUND: Percutaneous mechanical thrombectomy (PMT) represents a treatment option in addition to conventional therapy for patients with iliofemoral deep vein thrombosis (DVT). We sought to determine the safety, patency and short-term outcome of the Aspirex®S catheter as a rotational mechanical thrombe...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 20, 2019 Category: Surgery Authors: Lichtenberg M, Stahlhoff WF, Özkapi A, de Graaf R, Breuckmann F Tags: Vasa Source Type: research

Reversal strategies in patients treated with direct oral anticoagulants.
Abstract Administration of direct oral anticoagulants (DOACs) for the treatment of venous thrombotic events (VTE) or non-valvular atrial fibrillation (AF) is now standard of care and has demonstrated clinical efficacy and safety in numerous clinical studies. Usually these substances have lower overall mortality and less risk of cerebral hemorrhage, but depending on the substance and study, they are more likely to cause gastrointestinal bleeding than vitamin K antagonists (VKA), the medication that used to be standard for VTE and AF. Since DOACs have very short plasma elimination half-lives compared to VKA, for mos...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 5, 2019 Category: Surgery Authors: Gressenberger P Tags: Vasa Source Type: research

Cessation of anticoagulation therapy following endovascular thrombus removal and stent placement for acute iliofemoral deep vein thrombosis.
Abstract BACKGROUND: The optimal duration of anticoagulation therapy (AT) following catheter-based therapy of acute iliofemoral deep vein thrombosis (IFDVT) with stent placement is unknown. Theoretically, resolving the underlying obstructive iliac vein lesion by a stent may eliminate the main trigger for recurrence, the post-thrombotic syndrome (PTS), and the need for extended-duration AT. PATIENTS AND METHODS: From 113 patients with acute IFDVT who underwent endovascular thrombus removal and stent placement, we compared patency rates and clinical outcomes between 58 patients on limited-duration AT (3-12 mont...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 22, 2019 Category: Surgery Authors: Sebastian T, Engelberger RP, Spirk D, Hakki LO, Baumann FA, Spescha RS, Kucher N Tags: Vasa Source Type: research

Breaking the exclusiveness of LMWH for treating cancer-associated VTE.
PMID: 30652943 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 1, 2019 Category: Surgery Authors: Tuleja A, Thalhammer C Tags: Vasa Source Type: research

Diagnostic work-up and endovascular treatment of traumatic and non-traumatic vascular emergencies.
PMID: 30608216 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 1, 2019 Category: Surgery Authors: Partovi S, Ghoshajjra BB Tags: Vasa Source Type: research

Cohort study of risk factors for 30-day readmission after abdominal aortic aneurysm repair.
CONCLUSIONS: The risk factor most associated with 30-day readmission after elective AAA repair was surgical site infection. Awareness of these risk factors and vulnerable groups may help identify high-risk patients who could benefit from increased surveillance programs to reduce readmission. PMID: 30539688 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - December 12, 2018 Category: Surgery Authors: Bath J, Smith JB, Kruse RL, Vogel TR Tags: Vasa Source Type: research

Extracranial internal carotid artery occlusive dissection - multimodality presentation in a case series.
CONCLUSIONS: Careful interpretation of imaging findings on various imaging modalities can lead to early and accurate diagnosis of carotid dissection. PMID: 30539689 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - December 12, 2018 Category: Surgery Authors: Rafailidis V, Notas K, Destanis E, Kouskouras K, Chryssogonidis I, Xerras C, Charitanti-Kouridou A, Tegos T Tags: Vasa Source Type: research

Diabetes and smoking are more important for prognosis of patients with peripheral arterial disease than some genetic polymorphisms.
CONCLUSIONS: SNPs of NR4A2, IL6, PECAM1 and Chr12 were not associated with PAD or with major adverse events. However, diabetes and smoking were associated with worse survival and event-free survival in patients with PAD. PMID: 30526437 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - December 11, 2018 Category: Surgery Authors: Boc V, Božic Mijovski M, Pohar Perme M, Blinc A Tags: Vasa Source Type: research

Arterial stiffness and subclinical aortic damage of reclassified subjects as stage 1 hypertension according to the new 2017 ACC/AHA blood pressure guidelines.
Abstract BACKGROUND: The 2017 ACC/AHA blood pressure (BP) guidelines generated controversies due to the new proposed BP cut-off values defining hypertension. We aimed to assess aortic stiffness of subjects who are reclassified as stage 1 hypertensive according to the new guidelines and compare them with the subjects of "elevated BP" category. PATIENTS AND METHODS: Data from the "Corinthia" study, an observational, cross-sectional survey of 2,043 participants were analyzed. Subjects were classified into 4 groups: group A: systolic pressure (SBP) 120-129 and diastolic pressure (DBP)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - December 10, 2018 Category: Surgery Authors: Papaioannou TG, Oikonomou E, Lazaros G, Christoforatou E, Vogiatzi G, Tsalamandris S, Chasikidis C, Kalambogias A, Mavratzas T, Stofa E, Mystakidi VC, Latsios G, Deftereos S, Tousoulis D Tags: Vasa Source Type: research

Multidisciplinary team decision is rare and decreasing in percutaneous vascular interventions despite positive impact on in-hospital outcomes.
This study aims to depict practice patterns and time changes regarding MTD of different medical specialties. METHODS: This is a retrospective cross-sectional study design. 20,748 invasive, percutaneous PVI of PAD conducted in the metropolitan area of Hamburg (Germany) were consecutively collected between January 2004 and December 2014. RESULTS: MTD prior to PVI was associated with lower odds of early unsuccessful termination of the procedures (Odds Ratio 0.662, p
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - December 10, 2018 Category: Surgery Authors: Behrendt CA, Kölbel T, Schwaneberg T, Diener H, Hohnhold R, Debus ES, Rieß HC Tags: Vasa Source Type: research

Multiple arteriovenous malformations caused by RASA1 gene mutation presenting during pregnancy - a case report and review of the literature.
Abstract Pregnancy can influence the development and progression of congenital arteriovenous malformations (AVM) and thus lead to life-threatening complications for the mother and fetus like high output cardiac failure and premature delivery. The simultaneous presence of a capillary malformation and AVM strongly suggests a RASA1 related disorder. Keywords: Arteriovenous malformations, capillary malformation-arteriovenous malformation, capillaries/abnormalities, port-wine stain, pregnancy, RASA1 protein. PMID: 30526434 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journa...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - December 10, 2018 Category: Surgery Authors: Manzocchi Besson S, Jastrow Meyer N, Bounameaux H, La Scala GC, Calza AM, Yilmaz H, Righini M, Robert-Ebadi H Tags: Vasa Source Type: research

Patency rates, safety and clinical results of the sinus-Obliquus venous stent in the treatment of chronic ilio-femoral venous outflow obstruction - data from the Arnsberg venous registry.
n F Abstract BACKGROUND: We sought to determine the patency and clinical symptom relief following the usage of the sinus-Obliquus venous stent in the endovascular treatment of venous obstruction of the ilio-femoral track in short-term. PATIENTS AND METHODS: 48 patients (62 % female, mean age 57 years) with chronic unilateral post-thrombotic obstruction (PTO) and non-thrombotic iliac vein obstructive lesions (NIVL) without involvement of inferior vena cava receiving a sinus-Obliquus venous stent was included in the analysis. Clinical improvement determined by the revised venous clinical severity score (rVCSS) ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - December 10, 2018 Category: Surgery Authors: Lichtenberg M, de Graaf R, Stahlhoff WF, Özkapi A, Simon M, Breuckmann F Tags: Vasa Source Type: research

Urgent need to clarify the definition of chronic critical limb ischemia - a position paper from the European Society for Vascular Medicine.
In conclusion, many useful but at times contradictory definitions of CLI have been suggested. Only a few have taken into account evidence, and none have been validated prospectively. This paper aims to address this and to give notice that a CLI registry within Europe will be set up to prospectively validate, or not, the previous and suggested definitions of CLI. PMID: 30451092 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - November 19, 2018 Category: Surgery Authors: Constans J, Bura-Rivière A, Visona A, Brodmann M, Abraham P, Olinic DM, Madaric J, Steiner S, Quéré I, Mazzolai L, Belch J, Heiss C, Pécsvárady Z, Roztocil K, Colgan MP, Vasic D, Gottsäter A, Dimakakos E, Chraim A, Poredoš P, Carpentier PH, Wautrec Tags: Vasa Source Type: research

Venovo venous stent in the treatment of non-thrombotic or post-thrombotic iliac vein lesions - short-term results from the Arnsberg venous registry.
CONCLUSIONS: In this first time report the novel Venovo venous stent showed adequate patency rates associated with reasonable clinical improvement and low device-related complications throughout a 6-months-follow-up in both NIVL and PTO. PMID: 30451095 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - November 19, 2018 Category: Surgery Authors: Lichtenberg MKW, de Graaf R, Stahlhoff WF, Özkapi A, Rassaf T, Breuckmann F Tags: Vasa Source Type: research

Potential mechanisms for the effects of far-infrared on the cardiovascular system - a review.
Abstract Far-infrared (FIR) is a form of thermal radiation, which may have beneficial effects on cardiovascular health. Clinical studies suggest that FIR irradiation may have therapeutic effects in heart failure, myocardial ischaemia and may improve flow and survival of arteriovenous fistula. Animal studies have suggested a wide range of potential mechanisms involving endothelial nitric oxide synthase and nitric oxide bioavailability, oxidative stress, heat shock proteins and endothelial precursor cells. However, the exact cellular and molecular mechanism of FIR on the cardiovascular system remains elusive. The pu...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - November 13, 2018 Category: Surgery Authors: Shemilt R, Bagabir H, Lang C, Khan F Tags: Vasa Source Type: research

Effect of metformin treatment in patients with type 2 diabetes with respect to glyoxalase 1 activity in atherosclerotic lesions.
CONCLUSIONS: Treatment with metformin in patients with type 2 diabetes is associated with enhanced GLO1-activity in atherosclerotic lesions. Regarding the macro- and microvascular complications in these patients further studies are needed to gain more insight into the effect of metformin on the GLO/MG system. PMID: 30421661 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - November 13, 2018 Category: Surgery Authors: Peters AS, Wortmann M, Fleming TH, Nawroth PP, Bruckner T, Böckler D, Hakimi M Tags: Vasa Source Type: research

Endovascular management of ruptured abdominal aortic aneurysms and acute aortic dissections.
Abstract The management of vascular emergencies is dependent on rapid identification and confirmation of the diagnosis with concurrent patient stabilization prior to immediate transfer to the operating suite. A variety of technological advances in diagnostic imaging as well as the advent of minimally invasive endovascular interventions have shifted the contemporary treatment algorithms of such pathologies. This review provides a comprehensive discussion on the current state and future trends in the management of ruptured abdominal aortic aneurysms as well as acute aortic dissections. PMID: 30407131 [PubMed - ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - November 8, 2018 Category: Surgery Authors: Hofmeister S, Thomas MB, Paulisin J, Mouawad NJ Tags: Vasa Source Type: research

Ultrasound and contrast enhanced ultrasound imaging in the diagnosis of acute aortic pathologies.
J, Clevert DA Abstract Conventional ultrasound is worldwide the first-line imaging modality for the prompt diagnosis in the daily practice because it is a cost-effective and easy to perform technique. The additional application of contrast media has been used to enhance the intravascular contrast and to improve the imaging diagnostic accuracy in the detection, classification and follow-up of vascular pathologies. Contrast-enhanced ultrasound has the advantage of being a safe, fast and dynamic non-invasive imaging tool with excellent results in the diagnosis of acute aortic pathologies, especially the detection of ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - November 7, 2018 Category: Surgery Authors: Negrão de Figueiredo G, Müller-Peltzer K, Schwarze V, Rübenthaler J, Clevert DA Tags: Vasa Source Type: research

Safety and efficacy of direct acting oral anticoagulants and vitamin K antagonists in nonvalvular atrial fibrillation - a network meta-analysis of real-world data.
CONCLUSIONS: DOACs were at least as efficacious as VKAs. In terms of safety endpoints, DOACs performed better under real-world conditions than in RCTs. The current real-world data showed that differences in efficacy and safety, despite generally low event rates, exist between DOACs. Knowledge about these differences in performance can contribute to a more personalized medicine. PMID: 30376416 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - November 1, 2018 Category: Surgery Authors: Hirschl M, Kundi M Tags: Vasa Source Type: research

Prescription rate of anti-atherosclerotic drugs in German nursing homes and its impact on outcome.
Abstract BACKGROUND: Peripheral arterial disease (PAD) is one of the major manifestations of general atherosclerosis and strongly associated with increased cardiovascular morbidity and mortality. Because only few epidemiologic studies are available concerning the prevalence of PAD in inhabitants ≥ 80 years of age, we screened inhabitants of nursing care homes in Germany for PAD and cardiovascular diseases and to assess the one year mortality. PATIENTS AND METHODS: We conducted a prospective cohort study, screening inhabitants of 42 nursing homes for PAD. Demographic data, comorbidities, cardiovascular risk...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 30, 2018 Category: Surgery Authors: Galas N, Becker I, Ficon T, Sakrauski M, Reichert R, Ahmad W, Mylonas S, Brunkwall J, Majd P Tags: Vasa Source Type: research

Computed tomography angiography evaluation of acute limb ischemia.
Abstract Acute limb ischemia (ALI), a subclass of critical limb ischemia, is a medical emergency. The cause of ALI is usually thrombotic or embolic in nature, and the specific etiology often dictates the appropriate therapy. While the diagnosis is a clinical with common presenting symptoms, advances in ultrasound, computed tomography, and magnetic resonance technology have impacted the diagnosis and subsequent therapy. In ALI, the time to revascularization is critical and computed tomography angiography (CTA) provides a highly sensitive and specific technique for rapidly identifying occlusions and precisely defini...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 30, 2018 Category: Surgery Authors: Wallace A, Pershad Y, Saini A, Alzubaidi S, Naidu S, Knuttinen G, Oklu R Tags: Vasa Source Type: research

Imaging and endovascular management of traumatic pelvic fractures with vascular injuries.
Abstract This paper will give an overview of the relevant anatomy, management and imaging, aspects as well as therapeutic aspects of traumatic pelvic fractures with vascular injuries. PMID: 30362910 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 26, 2018 Category: Surgery Authors: van den Berg JC Tags: Vasa Source Type: research

Acute complications in the post-anaesthesia care unit after infrainguinal surgery for lower limb ischaemia - a prospective observational cohort study.
Abstract BACKGROUND: Arterial surgery for lower limb ischaemia is a frequently performed procedure in patients with severe cardio-pulmonary comorbidities, making them high-risk patients for acute postoperative complications with a need for prolonged stay in the post-anaesthesia care unit (PACU). However, detailed information on complications during the PACU stay is limited, hindering mechanism-based interventions for early enhanced recovery. Thus, we aimed to systematically describe acute complications and related risk factors in the immediate postoperative phase after infrainguinal arterial surgery. PATIENTS...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 24, 2018 Category: Surgery Authors: Yeung K, Eiberg JP, Kehlet H, Aasvang EK Tags: Vasa Source Type: research

Diagnostic workup and endovascular treatment of popliteal artery trauma.
Abstract Although management paradigms for certain arterial trauma, such as aortic injuries, have moved towards an endovascular approach, the application of endovascular techniques for the treatment of peripheral arterial injuries continues to be debated. In the realm of peripheral vascular trauma, popliteal arterial injuries remain a devastating condition with significant rates of limb loss. Expedient management is essential and surgical revascularization has been the gold standard. Initial clinical assessment of vascular injury is aided by readily available imaging techniques such as duplex ultrasonography and h...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 17, 2018 Category: Surgery Authors: J Lee C, Loo R, V Wohlauer M, J Patel P Tags: Vasa Source Type: research

Vascular trauma of the hand - a systematic review.
h T Abstract Hypothenar or thenar hammer syndrome (HHS) and hand-arm vibration syndrome (HAVS) are diseases caused by acute or chronic trauma to the upper extremities. Since both diseases are generally related to occupation and are recognised as occupational diseases in most countries, vascular physicians need to be able to distinguish between the two entities and differentiate them from other diagnoses. A total of 867 articles were identified as part of an Internet search on PubMed and in non-listed occupational journals. For the analysis we included 119 entries on HHS as well as 101 papers on HAVS. A professiona...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 16, 2018 Category: Surgery Authors: Wahl U, Kaden I, Köhler A, Hirsch T Tags: Vasa Source Type: research

Patients' radiation doses during percutaneous endovascular procedures in arteries of the lower limbs.
inc A Abstract BACKGROUND: Percutaneous endovascular revascularisation interventions are increasingly used in treatment of lower extremity artery disease and may expose patients to substantial radiation. PATIENTS AND METHODS: Dose-area product (DAP) was retrospectively analysed in 1063 consecutive interventions performed in adult patients with lower extremity artery disease in a single tertiary medical centre. Differences between procedure types, stratified according to anatomical region and arterial lesion complexity were evaluated. RESULTS: Median DAP for diagnostic interventions was 35.6 (15.0-52.4) G...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 16, 2018 Category: Surgery Authors: Boc V, Boc A, Zdešar U, Blinc A Tags: Vasa Source Type: research

A novel technique for iatrogenic pseudoaneurysm obliteration with ultrasound-guided thrombin foam injection.
CONCLUSIONS: Treatment of IPA with UGTFI may reduce the embolization rate, risk of IPA cavity thrombin leakage, required drug dose. Use of the thrombin foam could be the next step in the development of the UGTI, particularly in the treatment of IPA without a neck. PMID: 30322345 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 16, 2018 Category: Surgery Authors: Lewandowski P, Baran J, Maciejewski P, Budaj A Tags: Vasa Source Type: research

Non-invasive ultrasound-based imaging of atherosclerosis.
Abstract Early detection of vascular damage in atherosclerosis and accurate assessment of cardiovascular risk factors are the basis for appropriate treatment strategies in cardiovascular medicine. The current review focuses on non-invasive ultrasound-based methods for imaging of atherosclerosis. Endothelial dysfunction is an accepted early manifestation of atherosclerosis. The most widely used technique to study endothelial function is non-invasive, flow-mediated dilation of the brachial artery under high-resolution ultrasound imaging. Although an increased intima-media thickness value is associated with future ca...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 16, 2018 Category: Surgery Authors: Kaspar M, Baumgartner I, Staub D, Drexel H, Thalhammer C Tags: Vasa Source Type: research

Contrast-enhanced ultrasound of the abdominal aorta - current status and future perspectives.
Abstract Ultrasound has been established as an important diagnostic tool in assessing vascular abnormalities. Standard B-mode and Doppler techniques have inherent limitations with regards to detection of slow flow and small vasculature. Contrast-enhanced ultrasound (CEUS) is a complementary tool and is useful in assessing both the macro- and microvascular anatomy of the aorta. CEUS can also provide valuable physiological information in real-time scanning sessions due to the physical and safety profiles of the administered microbubbles. From a macrovascular perspective, CEUS has been used to characterize aortic ane...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 16, 2018 Category: Surgery Authors: Li X, Staub D, Rafailidis V, Al-Natour M, Kalva S, Partovi S Tags: Vasa Source Type: research