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  1. Article: Iatrogenic arteriovenous fistula after lumbar discectomy surgery: a case report.

    Tang, Kai / Zhang, Yong-Bao / Fang, Jie / Shi, Tao / Shen, Chen-Yang

    Journal of surgical case reports

    2023  Volume 2023, Issue 2, Page(s) rjac576

    Abstract: Iatrogenic arteriovenous fistula (IAVF) is an unusual and potentially fatal complication of lumbar spinal surgery. A 62-year-old patient presented with a history of dyspnea, left lower limb edema and coughing. A physical exam showed bilateral basal rales ...

    Abstract Iatrogenic arteriovenous fistula (IAVF) is an unusual and potentially fatal complication of lumbar spinal surgery. A 62-year-old patient presented with a history of dyspnea, left lower limb edema and coughing. A physical exam showed bilateral basal rales in the lungs, abdominal bruit and bilateral lower limb pitting edema. A computed tomography angiograph revealed an arteriovenous communication between the right internal iliac artery and the left common iliac vein. The patient was diagnosed with an IAVF, which developed post-lumbar disc surgery. The patient underwent a successful endovascular treatment by using covered stent at the common iliac artery with embolism of lumbar artery. The patient's symptoms were relieved 2 months after surgery.
    Language English
    Publishing date 2023-02-06
    Publishing country England
    Document type Case Reports
    ZDB-ID 2580919-2
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjac576
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Midterm Outcomes of Kissing Covered Self-Expanding Stents for Reconstruction of Complex Aortoiliac Occlusive Disease.

    Shen, Chen-Yang / Qu, Cheng-Jia / Zhang, Yong-Bao / Fang, Jie / Teng, Le-Qun / Li, Jia-Liang

    Annals of vascular surgery

    2023  Volume 94, Page(s) 239–245

    Abstract: Background: We sought to investigate the midterm results of kissing self-expanding covered stents (SECSs) for the reconstruction of aortic bifurcation in complex aortoiliac occlusive disease.: Methods: Data of consecutive patients who had undergone ... ...

    Abstract Background: We sought to investigate the midterm results of kissing self-expanding covered stents (SECSs) for the reconstruction of aortic bifurcation in complex aortoiliac occlusive disease.
    Methods: Data of consecutive patients who had undergone endovascular treatment for aortoiliac occlusive disease were screened. Only patients with TransAtlantic Inter-Society Consensus (TASC) class C and D lesions treated by bilateral iliac kissing stents (KSs) were included. Midterm primary patency, risk factors, and limb salvage rates were analyzed. Follow-up results were analyzed using the Kaplan-Meier curves. Cox proportional hazards models were used to identify the predictors of primary patency.
    Results: A total of 48 patients (95.8% men; mean age, 65.3 ± 10.2 years) were treated with kissing SECSs. Of them, 17 patients had TASC-II class C lesions and 31 had class D lesions. There were 38 total occlusive lesions, with a mean occlusive lesion length of 108.2 ± 57.3 mm. The overall mean lesion length was 140.3 ± 60.5 mm, and the mean length of implanted stents in the aortoiliac arteries was 141.9 ± 59.9 mm. The mean diameter of the deployed SECSs was 7.8 ± 0.5 mm. The mean follow-up time was 36.5 ± 15.8 months, and the follow-up rate was 95.8%. At 36 months, the overall primary patency, assisted primary patency, secondary patency, and limb salvage rates were 92.2%, 95.7%, 97.8%, and 100%, respectively. Univariate Cox regression analysis revealed that stent diameter ≤7 mm (hazard ratio [HR]: 9.53; 95% confidence interval [CI] 1.56-57.94, P = 0.014) and severe calcification (HR: 12.66; 95% CI 2.04-78.45, P = 0.006) were significantly associated with restenosis. Multivariate analysis showed severe calcification to be the only significant determinant of restenosis (HR: 12.66; 95% CI 2.04-78.45, P = 0.006).
    Conclusions: Kissing SECSs provide good midterm results for the treatment of aortoiliac occlusive disease. A stent diameter >7 mm is a potent protective factor against restenosis. Because severe calcification appears to be the only significant determinant of restenosis, patients with severe calcification require close follow-up.
    MeSH term(s) Male ; Humans ; Middle Aged ; Aged ; Female ; Arterial Occlusive Diseases/diagnostic imaging ; Arterial Occlusive Diseases/surgery ; Treatment Outcome ; Aortic Diseases/diagnostic imaging ; Aortic Diseases/surgery ; Iliac Artery/diagnostic imaging ; Iliac Artery/surgery ; Time Factors ; Leriche Syndrome ; Risk Factors ; Atherosclerosis ; Stents ; Calcinosis ; Vascular Patency ; Aorta, Abdominal ; Retrospective Studies
    Language English
    Publishing date 2023-03-02
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2023.02.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Penehyclidine Hydrochloride Premedication Is Not Associated with Increased Incidence of Post-Operative Cognitive Dysfunction or Delirium:A Systemic Review and Meta-Analysis.

    Yao, Yun Tai / Ying, Hua / Fang, Neng Xin / Zhang, Yong Bao / Yuan, Xin

    Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih

    2020  Volume 35, Issue 2, Page(s) 121–134

    Abstract: Objective Post-operative cognitive dysfunction (POCD) and post-operative delirium (POD) are two common post-operative cerebral complications. The current meta-analysis was to systematically review the effects of penehyclidine hydrochloride (PHC) on POCD ... ...

    Abstract Objective Post-operative cognitive dysfunction (POCD) and post-operative delirium (POD) are two common post-operative cerebral complications. The current meta-analysis was to systematically review the effects of penehyclidine hydrochloride (PHC) on POCD and POD in surgical patients.Methods Electronic databases were searched to identify all randomized controlled trials comparing PHC with atropine/scopolamine/placebo on POCD and POD in surgical patients. Primary outcomes of interest included the incidences of POCD and POD; the secondary outcomes of interest included peri-operative mini-mental state examination (MMSE) scores. Two authors independently extracted peri-operative data, including patients' baseline characteristics, surgical variables, and outcome data. For dichotomous data (POCD and POD occurrence), treatment effects were calculated as odds ratio (
    MeSH term(s) Cognitive Dysfunction/epidemiology ; Delirium/epidemiology ; Humans ; Incidence ; Postoperative Complications/etiology ; Quinuclidines/adverse effects
    Chemical Substances Quinuclidines ; penehyclidine (353CX8CSHD)
    Language English
    Publishing date 2020-07-20
    Publishing country China
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 1083365-1
    ISSN 1001-9294
    ISSN 1001-9294
    DOI 10.24920/003630
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Dose-Response Relationship Between Physical Activity and the Incidence of Peripheral Artery Disease in General Population: Insights From the National Health and Nutrition Examination Survey 1999-2004.

    Qu, Cheng-Jia / Teng, Le-Qun / Liu, Xin-Nong / Zhang, Yong-Bao / Fang, Jie / Shen, Chen-Yang

    Frontiers in cardiovascular medicine

    2021  Volume 8, Page(s) 730508

    Abstract: Purpose: ...

    Abstract Purpose:
    Language English
    Publishing date 2021-10-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2781496-8
    ISSN 2297-055X
    ISSN 2297-055X
    DOI 10.3389/fcvm.2021.730508
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: A Novel Sirolimus-eluting Biodegradable Magnesium-based Alloy Scaffold: Six-month Results In Porcine Peripheral Arteries.

    Liu, Xin-Nong / Qu, Cheng-Jia / Zhang, Yong-Bao / Fang, Jie / Teng, Le-Qun / Zhang, Xiang-Yu / Shen, Chen-Yang

    Clinical and investigative medicine. Medecine clinique et experimentale

    2021  Volume 44, Issue 1, Page(s) E28–37

    Abstract: Purpose: Magnesium-based alloy scaffold is a promising biodegradable stent due to its intrinsic mechanical performance and biocompatibility. Based on our preliminary experiments, we designed a novel sirolimus-eluting magnesium-based alloy scaffold. This ...

    Abstract Purpose: Magnesium-based alloy scaffold is a promising biodegradable stent due to its intrinsic mechanical performance and biocompatibility. Based on our preliminary experiments, we designed a novel sirolimus-eluting magnesium-based alloy scaffold. This work aimed to assess its safety and degradation performance in vivo.
    Methods: The scaffolds were implanted in the lower limb arteries of Bama mini-pigs. Safety was defined as no immediate thrombosis or >30% residual stenosis, which was assessed with optical coherence tomography and digital subtraction angiography. Blood biochemical analyses were performed to evaluate hepatorenal toxicity. The degradation process of the scaffolds, the endothelialization, and lumen loss of the stented-vessels were detected with scanning electron microscopy, immunohistochemical, hematoxylin-eosin staining and optical coherence tomography.
    Results: Twenty-four scaffolds were successfully implanted in six pigs with no signs of immediate thrombosis or >30% residual stenosis. The scaffolds were covered by endothelium at one month and absolutely resorbed at six months post implantation. Blood analysis showed that the hepatorenal function except for alanine aminotransferase and γ-glutamyl transpeptidase was normal. Obvious intimal hyperplasia and lumen loss were found in the stented vessels at three months, while the diameters and inner lumen areas of stented segments had increased significantly at six months (p.
    MeSH term(s) Absorbable Implants ; Alloys ; Animals ; Arteries ; Coronary Angiography ; Coronary Vessels ; Magnesium ; Sirolimus ; Swine ; Swine, Miniature
    Chemical Substances Alloys ; Magnesium (I38ZP9992A) ; Sirolimus (W36ZG6FT64)
    Language English
    Publishing date 2021-03-21
    Publishing country Canada
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 434004-8
    ISSN 1488-2353 ; 0147-958X
    ISSN (online) 1488-2353
    ISSN 0147-958X
    DOI 10.25011/cim.v44i1.35292
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Patient Blood Management: Single Center Evidence and Practice at Fuwai Hospital.

    Yao, Yun-Tai / Yuan, Xin / He, Li-Xian / Yu, Yi-Ping / Du, Yu / Liu, Gang / Tian, Li-Juan / Ma, Zu-Xuan / Zhang, Yong-Bao / Ma, Jie

    Chinese medical sciences journal = Chung-kuo i hsueh k'o hsueh tsa chih

    2022  Volume 37, Issue 3, Page(s) 246–260

    Abstract: Blood loss and blood transfusion requirement are important quality control indicators of cardiovascular surgery and cardiovascular anesthesia. Patient blood management (PBM) is an evidence-based, multidisciplinary approach to optimizing the care of ... ...

    Abstract Blood loss and blood transfusion requirement are important quality control indicators of cardiovascular surgery and cardiovascular anesthesia. Patient blood management (PBM) is an evidence-based, multidisciplinary approach to optimizing the care of patients who may need transfusion, which encompasses anemia management, hemodilution, cell salvage, hemostatic treatment, and other approaches to reducing bleeding and minimizing blood transfusion. PBM in cardiovascular surgery is a "team sport" that involves cardiac and vascular surgeons, anesthesiologists, perfusionist, intensivists, and other health care providers. The current work provides an overview of evidence and practice of PBM at Fuwai Hospital. Implementation of PBM should also take local resource availability and cost-effectiveness of different devices, drugs, technologies, and techniques into consideration.
    MeSH term(s) Humans ; Blood Transfusion/methods ; Anemia/therapy ; Hemorrhage ; Hospitals ; Blood Loss, Surgical
    Language English
    Publishing date 2022-02-15
    Publishing country China
    Document type Journal Article
    ZDB-ID 1083365-1
    ISSN 1001-9294
    ISSN 1001-9294
    DOI 10.24920/004035
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Open and Endovascular Treatment of Trans-Atlantic Inter-Society Consensus II D Aortoiliac Occlusive Lesions: What Determines the Rate of Restenosis?

    Shen, Chen-Yang / Liu, Yun-Feng / Li, Qing-Le / Zhang, Yong-Bao / Jiao, Yang / Krokidis, Miltiadis E / Zhang, Xiao-Ming

    Chinese medical journal

    2015  Volume 128, Issue 22, Page(s) 3035–3042

    Abstract: Background: Open surgery is the preferred approach for the treatment of type D lesions according to the Trans-Atlantic Inter-Society Consensus (TASC) II guideline, but endovascular solutions also appear to be a valid option in selected patients. The ... ...

    Abstract Background: Open surgery is the preferred approach for the treatment of type D lesions according to the Trans-Atlantic Inter-Society Consensus (TASC) II guideline, but endovascular solutions also appear to be a valid option in selected patients. The study aimed to identify the risk factors of restenosis after open and endovascular reconstruction of symptomatic TASC II D aortoiliac occlusive lesions (AIOLs).
    Methods: Fifty-six patients (82 limbs) who underwent open repair and endovascular treatment (ET) for symptomatic TASC ΙΙ D AIOLs between March 2005 and December 2012 were retrospectively reviewed. Baseline characteristics, preoperative and postoperative imaging, and operation procedure reports were reviewed and analyzed. Restenosis after revascularization was assessed by duplex ultrasound or computed tomography angiogram. Kaplan-Meier survival analysis, Log-rank test, and multivariate Cox regression were used to evaluate the relevance between risk factors and patency.
    Results: The mean duration of follow-up was 42.8 ± 23.5 months (ranging from 3 to 90 months). Primary patency rates at 1-, 3-, 5-, and 7-year were 93.6%, 89.3%, 87.0%, and 70.3%, respectively. Restenosis after revascularization occurred in 11 limbs. Kaplan-Meier survival analysis and the Log-rank test revealed that diabetes, Rutherford classification ≥5 th and concurrent femoropopliteal TASC II type C/D lesions were significantly related to the duration of primary patency. According to the result of Cox regression, diabetes and femoropopliteal TASC ΙΙ type C/D lesions were identified as the risk factors for restenosis after revascularization.
    Conclusion: This study demonstrated that diabetes and femoropopliteal TASC ΙΙ type C/D lesions are risk factors associated with restenosis after open and ET of TASC II D AIOLs.
    MeSH term(s) Aged ; Angioplasty, Balloon/methods ; Arterial Occlusive Diseases/surgery ; Endovascular Procedures/methods ; Female ; Femoral Artery/surgery ; Humans ; Iliac Artery/surgery ; Male ; Middle Aged ; Popliteal Artery/surgery ; Retrospective Studies ; Risk Factors ; Treatment Outcome
    Language English
    Publishing date 2015-11-20
    Publishing country China
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 127089-8
    ISSN 0366-6999 ; 1002-0187
    ISSN 0366-6999 ; 1002-0187
    DOI 10.4103/0366-6999.169053
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Scavenger Enzyme Activities in Subcellular Fractions of White Clover (Trifolium repens L.) under PEG-induced Water Stress

    Wang, Chang-Quan / Zhang, Ye-Feng / Zhang, Yong-Bao

    Journal of plant growth regulation. 2008 Dec., v. 27, no. 4

    2008  

    Abstract: Scavenger enzyme activities in subcellular fractions under polyethylene glycol (PEG)-induced water stress in white clover (Trifolium repens L.) were studied. Water stress decreased ascorbic acid (AA) content and catalase (CAT) activity and increased the ... ...

    Abstract Scavenger enzyme activities in subcellular fractions under polyethylene glycol (PEG)-induced water stress in white clover (Trifolium repens L.) were studied. Water stress decreased ascorbic acid (AA) content and catalase (CAT) activity and increased the contents of hydrogen peroxide (H₂O₂), thiobarbituric acid reactive substances (TBARS) (measure of lipid peroxidation), and activities of superoxide dismutase (SOD), its various isozymes, ascorbate peroxidase (APOX), and glutathione reductase (GR) in cellular cytosol, chloroplasts, mitochondria, and peroxisomes of Trifolium repens leaves. In both the PEG-treated plants and the control, chloroplastic fractions showed the highest total SOD, APOX, and GR activities, followed by mitochondrial fractions in the case of total SOD and GR activities, whereas cytosolic fractions had the second greatest APOX activity. However, CAT activity was the highest in peroxisomes, followed by the cytosol, mitochondria, and chloroplasts in decreasing order. Although Mn-SOD activity was highest in mitochondrial fractions, residual activity was also observed in cytosolic fractions. Cu/Zn-SOD and Fe-SOD were observed in all subcellular fractions; however, the activities were the highest in chloroplastic fractions for both isoforms. Total Cu/Zn-SOD activity, the sum of activities observed in all fractions, was higher than other SOD isoforms. These results suggest that cytosolic and chloroplastic APOX, chloroplastic and mitochondrial GR, mitochondrial Mn-SOD, cytosolic and chloroplastic Cu/Zn-SOD, and chloroplastic Fe-SOD are the major scavenger enzymes, whereas cellular CAT may play a minor role in scavenging of O ₂ ⁻ and H₂O₂ produced under PEG-induced water stress in Trifolium repens.
    Keywords Trifolium repens ; ascorbate peroxidase ; ascorbic acid ; chloroplasts ; cytosol ; enzyme activity ; glutathione-disulfide reductase ; hydrogen peroxide ; isozymes ; leaves ; lipid peroxidation ; mitochondria ; peroxisomes ; polyethylene glycol ; superoxide dismutase ; thiobarbituric acid-reactive substances ; water stress
    Language English
    Dates of publication 2008-12
    Size p. 387-393.
    Publisher Springer-Verlag
    Publishing place New York
    Document type Article
    ZDB-ID 586787-3
    ISSN 1435-8107 ; 0721-7595
    ISSN (online) 1435-8107
    ISSN 0721-7595
    DOI 10.1007/s00344-008-9065-4
    Database NAL-Catalogue (AGRICOLA)

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