Restenosis after endovascular revascularization in peripheral artery disease.
Abstract Endovascular revascularization (EVR) plays a leading role in the therapy of peripheral artery disease. The acute success rates of EVR in all anatomic territories and of all TASC lesions are excellent (> 95%). However, the occurrence of restenoses after EVR such as percutaneous transluminal angioplasty and particularly after stenting, poses a substantial limitation to the success of the procedure. Influenced by patient's comorbidities, the severity of arteriosclerotic disease, lesion length and morphology as well as the techniques and devices used for EVR, the long-term outcome of EVR deteriorates marke...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 1, 2015 Category: Surgery Authors: Malyar NM, Reinecke H, Freisinger E Tags: Vasa Source Type: research

Favorable effect of aerobic exercise on arterial pressure and aortic pulse wave velocity during stress testing.
Abstract BACKGROUND: Increased central pulse wave velocity is a major risk factor for cardiovascular disease. The favorable influence of exercise on arterial stiffness (AS) and blood pressure (BP) has been reported exclusively at rest. The present study investigated the influence of a single bout of acute cycling on AS and BP during recovery and, moreover, during cold pressor stress testing. PROBANDS AND METHODS: 32 healthy men (33.7 ± 8 years, BMI 24 ± 2.5 kg/m²) performed a 60 minute endurance exercise on a bicycle ergometer (45 % VO2max). Before and after exercise aortic pulse wave veloc...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 1, 2015 Category: Surgery Authors: Milatz F, Ketelhut S, Ketelhut S, Ketelhut RG Tags: Vasa Source Type: research

Local endothelial dysfunction does not affect global endothelial function.
CONCLUSIONS: Acute changes in endothelial function can be monitored by retinal vessel analysis with comparable reproducibility as FMD. Salbutamol based pulse wave analysis is currently unsuited to detect endothelial dysfunction in serial measurements. PMID: 26314359 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 1, 2015 Category: Surgery Authors: Reimann M, Weiss N, Vilser W, Ziemssen T Tags: Vasa Source Type: research

Localized lower extremity ischemic preconditioning prevents against local thrombus formation.
Abstract BACKGROUND: Ischemic preconditioning (IPC) has many beneficial effects on the cardiovascular system. However, whether localized lower extremity IPC could be protective against the thrombogenic activity generated by lower extremity ischemia is unclear. MATERIAL AND METHODS: 41 male Sprague-Dawley rats were randomly assigned to either a IPC group or a sham group. The lower extremity blood inflow was previously treated with 4 cycles of 5 min ischemia followed by 5 min of reperfusion by clamping the abdominal aortic just before ligature of the left iliac vein(LIV) in the IPC group. Rats in the sham group...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 1, 2015 Category: Surgery Authors: Sun Y, Sun Y, Mao P, Lu J, Li L, Lu W, Jiang Q, Jiang Q, Teng H Tags: Vasa Source Type: research

Gender-based 30-day and long-term outcomes after carotid endarterectomy.
l J Abstract BACKGROUND: We analyses the effect of gender on short and long-term morbidity and mortality in carotid endarterectomy (CEA) under loco-regional anesthesia. PATIENTS AND METHODS: Patients who were entered into a prospectively compiled computerized database of unilateral, consecutive CEAs performed at our hospital from January 2000 to December 2010 were analysed. Endpoints were perioperative stroke and death, and overall long-term survival rates. Statistical analysis was used to determine the relationships between gender and outcomes after CEA. A Cox proportional hazard model was applied to determi...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 1, 2015 Category: Surgery Authors: Lübke T, Ahmad W, Brunkwall J Tags: Vasa Source Type: research

Comparison of periprocedural and long term outcomes of proximal versus distal cerebral protection method during carotid artery stenting.
CONCLUSIONS: Although it has been shown that the proximal flow blockage cerebral protection system decreases the risk of silent cerebral embolism, it has no advantage over the distal filter protection system in terms of adverse cerebrovascular or cardiac events during the periprocedural stage or during the long-term follow-up period. PMID: 26314362 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 1, 2015 Category: Surgery Authors: Bastug Gul Z, Akkaya E, Vuruskan E, Akgul O, Pusuroglu H, Surgit O, Ozbay Ozyilmaz S, Rodi Tosu A, Altug Cakmak H, Gode S, Gul M Tags: Vasa Source Type: research

Laparoscopic treatment of celiac artery compression syndrome in children and adolescents.
CONCLUSIONS: Laparoscopic treatment of celiac artery compression syndrome offers a novel, safe, reliable and, compared to open surgery, less invasive approach. The surgical treatment is indicated in patients with characteristic symptoms and typical findings at Doppler sonography and MRA after exclusion of other abdominal pathologies. The work-up of chronic abdominal pain in children and adolescents should include a color Doppler sonography to look for celiac artery compression. PMID: 26314363 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 1, 2015 Category: Surgery Authors: Klimas A, Lemmer A, Bergert H, Brodhun M, Scholbach T, Großer K Tags: Vasa Source Type: research

Thrombophilia and risk of VTE recurrence according to the age at the time of first VTE manifestation.
Abstract BACKGROUND: Whether screening for thrombophilia is useful for patients after a first episode of venous thromboembolism (VTE) is a controversial issue. However, the impact of thrombophilia on the risk of recurrence may vary depending on the patient's age at the time of the first VTE. PATIENTS AND METHODS: Of 1221 VTE patients (42 % males) registered in the MAISTHRO (MAin-ISar-THROmbosis) registry, 261 experienced VTE recurrence during a 5-year follow-up after the discontinuation of anticoagulant therapy. RESULTS: Thrombophilia was more common among patients with VTE recurrence than those without ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 1, 2015 Category: Surgery Authors: Weingarz L, Schindewolf M, Schwonberg J, Hecking C, Wolf Z, Erbe M, Lindhoff-Last E, Linnemann B, Linnemann B Tags: Vasa Source Type: research

High amputation rates and mortality - is critical limb ischemia still a losing game?
PMID: 26314365 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 1, 2015 Category: Surgery Authors: Freisinger E, Reinecke H Tags: Vasa Source Type: research

Zum Gedenken an Prof. Dr. med. Alfred Bollinger (1932-2015).
PMID: 26314366 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - July 1, 2015 Category: Surgery Authors: Mahler F Tags: Vasa Source Type: research

Comment on Chang et al., page 187 - 194 Atherosclerotic plaque neovascularization and inflammation - is there a link?
PMID: 26098319 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2015 Category: Surgery Authors: Staub D Tags: Vasa Source Type: research

Raynaud’s phenomenon - assessment and differential diagnoses.
Abstract Raynaud’s phenomenon (RP) is characterised by paroxysmal reversible episodes of vasospasm, usually involving peripheral small vessels of the fingers or toes and resulting in a triple-colour change starting with pallor and followed by cyanosis and erythema. Attacks are typically triggered by cold or emotional stress. The diagnosis of RP can be made on the basis of the patient’s clinical symptoms. Primary RP occurs without underlying disease and is considered a benign condition. A normal erythrocyte sedimentation rate, negative testing for antinuclear antibodies, normal nailfold capillaries and the absenc...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2015 Category: Surgery Authors: Linnemann B, Erbe M Tags: Vasa Source Type: research

Hypothenar hammer syndrome.
n U Abstract The diagnosis of hypothenar hammer syndrome (HHS) should be considered in the case of hand ischemia in people who occupationally or recreationally use the hypothenar region literally as a “hammer”. Routine diagnostics should consist of physical examination including Allen’s test, acral plethysmography and duplex sonography. According to the prevailing opinion angiography remains the «gold standard test» for establishing the diagnosis of HHS. Early diagnosis allows more effective therapeutic strategies and is important to prevent long-term negative medical sequelae. Several basic princip...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2015 Category: Surgery Authors: Schröttle A, Czihal M, Lottspeich C, Kuhlencordt P, Nowak D, Hoffmann U Tags: Vasa Source Type: research

Positive correlation between neovascularization degree of carotid atherosclerosis determined by contrast-enhanced ultrasound and level of serum C-reactive protein.
This study was designed to correlate plaque thickness, artery stenosis and levels of serum C-reactive protein with the degree of intraplaque enhancement determined by contrast-enhanced ultrasound. PATIENTS AND METHODS: Contrast-enhanced ultrasound was performed on 72 carotid atherosclerotic plaques in 48 patients. Contrast enhancement within the plaque was categorized as grade 1, 2 or 3. Maximum plaque thickness was measured in short-axis view. Carotid artery stenosis was categorized as mild, moderate or severe. RESULTS: Plaque contrast enhancement was not associated with the degree of artery stenosis or with pla...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2015 Category: Surgery Authors: Chang X, Feng J, Ruan L, Shang J, Yang Y, Sun J, Dang Y, Song Y Tags: Vasa Source Type: research

Catheter-directed thrombolysis plus anticoagulation versus anticoagulation alone in the treatment of proximal deep vein thrombosis - a meta-analysis.
CONCLUSIONS: Additional CDT therapy appeared to be more effective than standard anticoagulation treatment in improving the venous patency and preventing venous obstruction and postthrombotic syndrome. Caution should be taken when performing CDT given the increased risk of major bleeding. However, no evidence supported benefits of CDT in reducing mortality, recurrent DVT, or pulmonary embolism. PMID: 26098323 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2015 Category: Surgery Authors: Du GC, Zhang MC, Zhao JC Tags: Vasa Source Type: research

Occlusion rate, venous symptoms and patient satisfaction after radiofrequency-induced thermotherapy (RFITT®): are there differences between the great and the small saphenous veins?
CONCLUSIONS: With regard to the improvement of venous symptoms and patient satisfaction, the benefit of RFITT® is greater for patients with incompetent GSV compared to those with incompetent SSV. PMID: 26098324 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2015 Category: Surgery Authors: Doerler M, Blenkers T, Reich-Schupke S, Altmeyer P, Stücker M Tags: Vasa Source Type: research

Retrograde thrombendarterectomy vs. ilio-femoral bypass in unilateral iliac TASC C and D lesions.
CONCLUSIONS: Regarding short and long term results operative procedures as rTEA and IFBP still represent the gold standard in the treatment of TASC C and D lesions of the external iliac artery especially in patients with additional lesions in the common femoral and profundal femoral artery. Taking into account certain anatomical characteristics (heavily calcified lesions, narrow external iliac arteries or very tortuous iliac segments) and individual local conditions (prior vascular procedures involving the femoral bifurcation) the single incision retrograde approach to the EIA with rTEA may have advantages over IFBP, espec...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2015 Category: Surgery Authors: Töpel I, Wiesner M, Uhl C, Betz T, Steinbauer MG Tags: Vasa Source Type: research

Comparison of one-year prognosis of patients classified as chronic critical lower limb ischaemia according to TASC II or European consensus definition in the COPART cohort.
CONCLUSIONS: Major amputation is twice as frequent in patients with CLI according to the historical European consensus definition than in those classified to the TASC II definition but not the EC. Caution is required when comparing results of recent series to historical controls. The TASC II definition of CLI is too wide to compare patients from clinical trials so we suggest separating these patients into two different stages: permanent (TASC II but not EC definition) and critical ischaemia (TASC II and EC definition). PMID: 26098326 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten....
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2015 Category: Surgery Authors: Vircoulon M, Boulon C, Desormais I, Lacroix P, Aboyans V, Bura-Riviere A, Cambou JP, Becker F, Constans J Tags: Vasa Source Type: research

Fatal giant cell arteritis of small to medium-sized visceral arteries: atypical manifestation or new entity?
PMID: 26098327 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2015 Category: Surgery Authors: Sciotto F, Seebach JD, Lobrinus JA, Kannuna H, Carballo D, Perrier A, Stirnemann J Tags: Vasa Source Type: research

Deep vein thrombosis caused by an exostosis in an adolescent patient with peripheral neurofibromatosis type 1.
PMID: 26098328 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2015 Category: Surgery Authors: Kwiatkowska W, Ferenc S, Romaszkiewicz P, Chmielecki Z, Gnus J, Luke S, Drelichowski S, Kosiński M, Kotschy D, Witkiewicz W Tags: Vasa Source Type: research

Peripheral arterial embolism due to involvement of the aortic arch with hydatid cyst.
Kazdal H PMID: 26098329 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2015 Category: Surgery Authors: Bozok Ş, Ozan Karakisi S, Yılmaz Y, Ergene Ş, Tüfekçi N, Karamustafa H, Ilhan G, Kazdal H Tags: Vasa Source Type: research

Benefits from invasive treatment in intermittent claudication: It is definitely not IRONIC!
PMID: 26098330 [PubMed - as supplied by publisher] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - May 4, 2015 Category: Surgery Authors: Freisinger E, Reinecke H Tags: Vasa Source Type: research

[In Process Citation].
PMID: 25881373 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - March 1, 2015 Category: Surgery Authors: Bauersachs RM Tags: Vasa Source Type: research

Comment on Adar et al, page 106 - 114 Calcifications in the aortic arch on chest x-ray - Incidental finding or valuable surrogate marker for cardiovascular risk?
PMID: 25698385 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 27, 2015 Category: Surgery Authors: Partovi S, Staub D Tags: Vasa Source Type: research

Integrative therapy in patients with intermittent claudication.
Abstract The generally accepted first-line treatment in patients with intermittent claudication is risk factor modification, medical treatment and exercise training. In an era of reduced resources, the benefit of any further invasive intervention must be weighted against best conservative therapy for patients with claudication. According to some recent trials an integrative therapeutic concept combining best conservative treatment - including (supervised) exercise therapy - with endovascular therapy gives the best midterm results concerning walking distance and health-related quality of life. The improved mid- and...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 27, 2015 Category: Surgery Authors: Minar E Tags: Vasa Source Type: research

Combined and complex vascular malformations.
Abstract The correct diagnosis of vascular malformations is obtainable by clinical assessment and patient history in the majority of cases. Nonetheless, confusion in nomenclature, existence of multiple classifications and rarity of these lesions leads to misdiagnosis and related wrong treatment. This is especially the case in combined or complex vascular malformations or vascular malformations that are part of syndromes as these have overlapping clinical and imaging features. New entities in the field of vascular anomalies have been described recently like fibro-adipose vascular anomaly or central conducting lymph...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 27, 2015 Category: Surgery Authors: Clemens RK, Pfammatter T, Meier TO, Alomari AI, Amann-Vesti BR Tags: Vasa Source Type: research

Aortic arch calcification is strongly associated with coronary artery calcification.
Abstract BACKGROUND: We aimed to investigate the association between aortic arch and coronary artery calcification (CAC). We postulated that low- and high-risk CAC scores could be predicted with the evaluation of standard chest radiography for aortic arch calcification (AAC). PATIENTS AND METHODS: Consecutive patients who were referred for a multidetector computerized tomography (MDCT) examination were enrolled prospectively. All patients were scanned using a commercially available 64-slice MDCT scanner for the evaluation of CAC score. A four-point grading scale (0, 1, 2 and 3) was used to evaluate AAC on the...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 27, 2015 Category: Surgery Authors: Adar A, Erkan H, Gokdeniz T, Karadeniz A, Cavusoglu IG, Onalan O Tags: Vasa Source Type: research

Quality assessment of elective abdominal aortic aneurysm repair from referral to surgery.
o M Abstract BACKGROUND: The risk of rupture for a large (≥ 55 mm) abdominal aortic aneurysm(AAA) is significant and therefore operative treatment should take place before possible aneurysm rupture. Timing of elective AAA surgery has rarely been investigated previously. The aim of this study is to evaluate success in the elective treatment process of large AAAs from referral to surgery in Helsinki University Central Hospital. PATIENTS AND METHODS: We retrospectively analyzed all 361 patients who were assigned for elective treatment of AAA during 2005 - 2010. We divided the patients into subgroups according...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 27, 2015 Category: Surgery Authors: Noronen K, Laukontaus S, Kantonen I, Aho P, Albäck A, Venermo M Tags: Vasa Source Type: research

Sonography of subcutaneous tissue cannot determine causes of lower limb edema.
CONCLUSIONS: Our analysis shows that it is not possible to differentiate lymphedema from other lower limb edema sonographically. PMID: 25698390 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 27, 2015 Category: Surgery Authors: Becker M, Schilling T, von Beckerath O, Kröger K Tags: Vasa Source Type: research

Health and quality of life in patients with primary and secondary lymphedema of the lower extremity.
CONCLUSIONS: Overall health and quality of life was high and comparable to the general population norms in primary LLL. The same was true for most psycho-social scales in secondary LLL whereas functionally some deficits were recorded. Cancer as the most frequent cause for secondary LLL may affect health in these dimensions. Reported negative effects of LLL seem to be well compensated, especially in primary LLL and under optimal treatment. PMID: 25698391 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 27, 2015 Category: Surgery Authors: Huggenberger K, Wagner S, Lehmann S, Aeschlimann A, Amann-Vesti B, Angst F Tags: Vasa Source Type: research

Primitive trigeminal artery as a rare cause of trigeminal neuralgia.
PMID: 25698392 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 27, 2015 Category: Surgery Authors: Fu C, Zhao C, Li D, Sun L, Hu Z, Yu W Tags: Vasa Source Type: research

Saddle aortic bifurcation and iliacofemoral arteries tandem embolism in a child with dilated cardiomyopathy.
PMID: 25698393 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 27, 2015 Category: Surgery Authors: Georgiadis GS, Charalampidis D, Argyriou C, Antoniou GA, Georgakarakos EI, Argyropoulou PI, Stakos D, Lazarides MK Tags: Vasa Source Type: research

Intravenous leiomyomatosis with cardiac extension.
PMID: 25698394 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 27, 2015 Category: Surgery Authors: Ayling O, Roy T, Cusimano RJ, McGilvray I, Roche-Nagle G Tags: Vasa Source Type: research

Symposium der Kuratoriumsmitglieder der DGA: Führung und Kommunikation - Ärztliche Tätigkeit im Spannungsfeld zwischen Patienten, Kollegen und eigenem Ich.
Symposium der Kuratoriumsmitglieder der DGA: Führung und Kommunikation - Ärztliche Tätigkeit im Spannungsfeld zwischen Patienten, Kollegen und eigenem Ich. Vasa. 2015 Mar;44(2):157-60 Authors: PMID: 25698395 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - February 27, 2015 Category: Surgery Tags: Vasa Source Type: research

Second derivative of photoplethysmogram - Comment on Tanaka et al., page 43-48.
PMID: 25537053 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 1, 2015 Category: Surgery Authors: Takazawa K Tags: Vasa Source Type: research

Vascular malformations revisited.
Abstract Vascular malformations are congenital anomalies that can affect each part of the vasculature. Combined forms are common and they are often part of complex syndromes. Most malformations are diagnosed during infancy, but some get obvious only later in life. The field of vascular malformations is emerging with recently described new entities and treatments. Still, misdiagnosis is common in this field, leading to nosologic confusion and wrong treatment. Clinical evaluation and imaging are the gold standard for diagnostic confirmation. Sclerotherapy and embolization are the main treatment techniques but are al...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 1, 2015 Category: Surgery Authors: Clemens RK, Pfammatter T, Meier TO, Alomari AI, Amann-Vesti BR Tags: Vasa Source Type: research

Carotid artery disease after head and neck radiotherapy.
Abstract Radiation induced atherosclerosis of the carotid artery is a clinically relevant late complication after head and neck radiotherapy. Improved long-term survival after multimodality therapy in neck malignancies result in an increased risk of carotid artery disease in patients after radiotherapy (RT). This review focuses on the current knowledge of occlusive carotid disease after head and neck radiotherapy and highlights the exceeding morphologic post-radiation vessel wall pathologies. More severe and extensive carotid artery atherosclerosis with plaque in all segments including the common carotid artery is...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 1, 2015 Category: Surgery Authors: Thalhammer C, Husmann M, Glanzmann C, Studer G, Amann-Vesti BR Tags: Vasa Source Type: research

Differential impact of diabetes mellitus type II and arterial hypertension on collateral artery growth and concomitant macrophage accumulation.
CONCLUSIONS: These findings illustrate that impaired monocyte/macrophage recruitment is responsible for reduced collateral growth under diabetic conditions but not in arterial hypertension suggesting that diabetes mellitus in particular affects early stages of collateral growth whereas hypertension has its impact on later remodeling stages. Successful pro-arteriogenic treatment strategies in a patient population that presents with diabetes mellitus and arterial hypertension need to address different stages of collateral growth and thus different molecular and cellular targets simultaneously. PMID: 25537056 [PubMed - i...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 1, 2015 Category: Surgery Authors: Ito WD, Lund N, Sager H, Becker W, Wenzel U Tags: Vasa Source Type: research

Postprandial decrease in vascular resistance correlated with change in second derivative of finger plethysmogram in young subjects.
CONCLUSIONS: Change in d/a is considered to be an index of change in TPR. TPR is considered to be decreased by agents for treatment of hypertension, and meal ingestion does not appear to further decrease TPR. These results are considered to be useful for understanding cardiodynamics surrounding meal ingestion. PMID: 25537057 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 1, 2015 Category: Surgery Authors: Tanaka K, Kamihira K, Minoura F, Watanabe M, Fujiyoshi E, Nakamura K, Katafuchi T Tags: Vasa Source Type: research

Postinterventional microembolism signals detected by transcranial Doppler ultrasound after carotid artery stenting.
t A Abstract BACKGROUND: The occurrence of early post-procedural complications after carotid artery stenting (CAS) can be attributed to embolization of thrombus or plaque particles released from the stented segment. Vascular emboli can be non-invasively detected by transcranial Doppler ultrasound as microembolic signals (MES). We performed this study to discover factors predicting MES detected by transcranial Doppler (TCD)-monitoring within the early post-interventional phase. PATIENTS AND METHODS: In 134 consecutive patients undergoing CAS, transcranial Doppler monitoring of the ipsilateral middle cerebral a...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 1, 2015 Category: Surgery Authors: Piorkowski M, Kläffling C, Botsios S, Zerweck C, Scheinert S, Banning-Eichenseher U, Bausback Y, Scheinert D, Schmidt A Tags: Vasa Source Type: research

Onychomycosis is associated with subclinical atherosclerosis in patients with diabetes.
CONCLUSIONS: Presence of onychomycosis in patients with diabetes is associated with subclinical atherosclerosis. Onychomycosis may be a marker of atherosclerotic arterial involvement. PMID: 25537059 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 1, 2015 Category: Surgery Authors: Onalan O, Adar A, Keles H, Ertugrul G, Ozkan N, Aktas H, Karakaya E Tags: Vasa Source Type: research

Vein compression syndrome unmasked by intravascular ultrasound guided central vein stenting.
PMID: 25537060 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 1, 2015 Category: Surgery Authors: Tsai SC, Wu TY, Huang HL Tags: Vasa Source Type: research

Coexistence of Takayasu’s arteritis and ulcerative colitis.
PMID: 25537061 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 1, 2015 Category: Surgery Authors: Wasilewska M, Adamiec R, Hendrich B, Gosk Bierska I Tags: Vasa Source Type: research

New insights into the mechanism model of endovascular treatment for aortic branch artery pseudoaneurysms with type B intramural hematoma.
PMID: 25537062 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - January 1, 2015 Category: Surgery Authors: Zha B, Wang L, Zhu H, Xie W, Chen Z, Qiu P Tags: Vasa Source Type: research

Comment on Tsialtas et al., p. 443 Peripheral arterial occlusive disease increases the risk of perioperative complications.
on; P PMID: 25339157 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 27, 2014 Category: Surgery Authors: Poredoš P Tags: Vasa Source Type: research

Counter-regulatory effects played by the ACE - Ang II - AT1 and ACE2 - Ang-(1-7) - Mas axes on the reactive oxygen species-mediated control of vascular function: perspectives to pharmacological approaches in controlling vascular complications.
ini C Abstract The Renin-Angiotensin system plays an important role in the regulation of systemic blood pressure as well as in fluid and electrolyte balance. It is divided into two described axes, the ACE - Ang II - AT1 receptor, with Ang II as the main mediator, and the ACE2 - Ang-(1-7) - Mas receptor, with Ang-(1-7) responsible for the main effects. The main vascular effect induced by Ang II is contraction, while Ang-(1-7) includes relaxation in several vascular beds. Ang II also activates several cytokines that are important in the genesis of vascular inflammation and hypertrophy. In this context, Ang-(1-7) see...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 27, 2014 Category: Surgery Authors: Pernomian L, Pernomian L, Baraldi Araújo Restini C Tags: Vasa Source Type: research

Medical management of abdominal aortic aneurysms.
Abstract Abdominal aortic aneurysms (AAA) are the most common arterial aneurysms. Endovascular or open surgical aneurysm repair is indicated in patients with large AAA ≥ 5.5 cm in diameter as this prevents aneurysm rupture. The presence even of small AAAs not in need of immediate repair is associated with a very high cardiovascular risk including myocardial infarction, stroke or cardiovascular death. This risk by far exceeds the risk of aneurysm rupture. These patients therefore should be considered as high-risk patients and receive optimal medical treatment and life-style modificiation of their cardiovascular ...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 27, 2014 Category: Surgery Authors: Weiss N, Rodionov RN, Mahlmann A Tags: Vasa Source Type: research

Arterial stiffness is a potential mechanism and promising indicator of orthostatic hypotension in the general population.
This study evaluates whether arterial stiffness is correlated with OH and tests the usefulness of brachial-ankle pulse wave velocity (baPWV), an arterial stiffness marker, with regard to identifying OH. PATIENTS AND METHODS: A sample of 1,010 participants was recruited from the general population (64.8 ± 7.7 years; 426 men) who attended health check-ups. BaPWV and the radial augmentation index (rAI) were both assessed as the arterial stiffness markers, and OH was determined using blood pressure (BP) measured in the supine position, as well as 30 seconds and 2 minutes after standing. RESULTS: The prevalence...
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 27, 2014 Category: Surgery Authors: Meng Q, Wang S, Wang Y, Wan S, Liu K, Zhou X, Zhong G, Zhang X, Chen X Tags: Vasa Source Type: research

Differential expression of MMP-2, MMP-9 and TIMP proteins in thoracic aortic aneurysm - comparison with and without bicuspid aortic valve: a meta-analysis.
CONCLUSIONS: These data suggest that MMP may be implicated in the pathogenesis of TAA and there is a differential expression with MMP-9 increased and TIMP-1 and -2 reduced in the most common forms of TAA. MMP-2 is increased and only TIMP-1 decreased in TAA with BAV compared to TAV. PMID: 25339161 [PubMed - in process] (Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases)
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 27, 2014 Category: Surgery Authors: Rabkin SW Tags: Vasa Source Type: research

Clinical, electrocardiographic and echocardiographic features in patients with major arterial vascular disease assigned to surgical revascularization.
This study was undertaken to depict the clinical conditions and cardiac status in patients before elective major vascular surgery. PATIENTS AND METHODS: 143 patients with asymptomatic critical aortic abdominal aneurysm, 119 with high-grade carotid stenosis, and 138 with advanced symptomatic ischemia due to peripheral artery disease were assigned to surgical revascularization. Preoperatively, all subjects completed detailed medical history, physical and laboratory examinations, electrocardiogram, and transthoracic echocardiography. RESULTS: In patients with peripheral artery disease we identified more smokers (p
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 27, 2014 Category: Surgery Authors: Tsialtas D, Bolognesi MG, Tecchio T, Azzarone M, Quaini F, Bolognesi R Tags: Vasa Source Type: research