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State of the Art in Invasive Vascular Interventions (Second Edition)
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State of the Art in Invasive Vascular Interventions (Second Edition)

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Vascular Medicine".

Deadline for manuscript submissions: 20 August 2025 | Viewed by 1318

Special Issue Editors

Dr. Edit Dósa

E-Mail Website
Guest Editor
Heart and Vascular Center, Semmelweis University, Városmajor Str. 68, 1122 Budapest, Hungary
Interests: endovascular therapy; carotid stenting; lower extremity interventions; restenosis predictors; venous interventions
Special Issues, Collections and Topics in MDPI journals
Dr. Luca Mezzetto

E-Mail Website
Guest Editor
Unit Vascular Surgery, University Hospital and Trust of Verona, Verona, Italy
Interests: aortic aneurysm; carotid disease; peripheral disease; venous pathology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Endovascular techniques can now be used in practically any location on the body (from the top of the head to the little toe). Some endovascular therapies are specifically designed to treat arterial disease, while others are specifically designed to treat venous disease. In the case of vascular procedures, percutaneous transluminal angioplasty (PTA) and stenting are the two most commonly performed methods. However, to date, there are still some disease types, such as chronic pulmonary hypertension, where long-term results of PTA are yet to be seen. Yet new devices have been developed in recent years. One such device is the Shockwave, which is specifically designed to treat calcified stenoses/occlusions. However, like many other new devices, we need more conclusive results on the outcomes of interventions that utilize Shockwave. Following the success of the First Edition of “State of the Art in Invasive Vascular Interventions” (https://www.mdpi.com/journal/jcm/special_issues/220S541A7K), the Second Edition of this Special Issue is announced here to continue to welcome authors to submit papers on the clinical relevance and short- and long-term outcomes of rarely performed invasive vascular therapies.

Dr. Edit Dósa
Dr. Luca Mezzetto
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • coronary artery interventions
  • non-coronary artery cardiac interventions
  • open surgical cardiac procedures
  • endo-vascular interventions
  • open surgical vascular procedures

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Related Special Issue

Published Papers (2 papers)

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Research

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13 pages, 1227 KiB  
Article
A Retrospective Analysis on the Influence of Gender in the Presentation and Outcomes of Surgical Thromboembolectomy for Treatment of Acute Lower Limb Ischemia
by Antonio Casagrande, Giulia Moretti, Beatrice Grando, Cristiano Calvagna, Giovanni Badalamenti, Filippo Griselli, Antonino Loggiacco, Sandro Lepidi and Mario D’Oria
J. Clin. Med. 2025, 14(4), 1122; https://doi.org/10.3390/jcm14041122 - 10 Feb 2025
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Abstract
Background/Objectives: We aim to quantify the effect of sex upon the presentation of acute lower limb ischemia (ALI) and the outcomes after surgical thromboembolectomy with a Fogarty catheter. Methods: This was a monocentric retrospective observational study of ALI treated by a Fogarty [...] Read more.
Background/Objectives: We aim to quantify the effect of sex upon the presentation of acute lower limb ischemia (ALI) and the outcomes after surgical thromboembolectomy with a Fogarty catheter. Methods: This was a monocentric retrospective observational study of ALI treated by a Fogarty catheter. Demographics, comorbidities, and clinical characteristics were analyzed. The logistic regressions were used to estimate mortality and secondary outcomes. Results: Over 8 years, 193 patients (79 males and 114 females) underwent Fogarty catheter thromboembolectomy to treat acute lower limb ischemia. Females were older (74.5 for females vs. 82.5 for males) and more affected by congestive heart failure (27% vs. 8%; p = 0.001) and atrial fibrillation (68% vs. 37%; p = <0.001) than the male counterparts. Regarding etiology (p < 0.001), a cardiac embolism (males: 35%; females: 67%) and aortic thrombosis (males: 1%; females: 8%) were more associated with the female gender in the development of acute lower limb ischemia, while vascular bypass/endograft failure (males: 20%; females: 7%) and iatrogenic complications (males: 13%; females: 1%) were more associated with the male gender. After 30 days from surgery, 19% of men and 32% of women had died. Males had higher rates of loss of vascular patency (males: 25%; females: 9%; p = 0.002) and vascular reintervention (males: 20%; females: 8%; p = 0.012). After 90 days from surgery, 23% of men and 41% of women had died. If women had higher mortality (males: 23%; females: 41%; p = 0.008), men had higher rates of loss of vascular patency (males: 27%; females: 12%; p = 0.011) and vascular reintervention (males: 23%; females: 9%; p = 0.007). Conclusions: Older females with atrial fibrillation and/or chronic heart failure are at high risk for ALI. Regarding the thromboembolectomy with a Fogarty catheter, male sex appears to be a risk factor (OR: 2.2, CI: 1.08–4.56) for loss of primary patency, major amputation, and new vascular surgery. A further prospective analysis is warranted to understand the impact of sex in the presentation of acute lower limb ischemia (ALI) and the outcome after surgical thromboembolectomy. Full article
(This article belongs to the Special Issue State of the Art in Invasive Vascular Interventions (Second Edition))
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Review

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9 pages, 1159 KiB  
Review
Post-Thromboembolectomy Pseudoaneurysms Affecting Below-the-Knee Arteries and Their Management Strategies: A Literature Review
by Ákos Bérczi, Dóra Papp, Fanni Éva Szablics and Edit Dósa
J. Clin. Med. 2025, 14(7), 2176; https://doi.org/10.3390/jcm14072176 - 22 Mar 2025
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Abstract
Pseudoaneurysms resulting from Fogarty balloon catheterization for thromboembolism (termed post-thromboembolectomy pseudoaneurysms [PTPAs]) are rare but pose significant clinical challenges, particularly when they affect below-the-knee arteries. The underlying pathophysiology of PTPAs involves arterial wall injury, leading to blood extravasation and the formation of a [...] Read more.
Pseudoaneurysms resulting from Fogarty balloon catheterization for thromboembolism (termed post-thromboembolectomy pseudoaneurysms [PTPAs]) are rare but pose significant clinical challenges, particularly when they affect below-the-knee arteries. The underlying pathophysiology of PTPAs involves arterial wall injury, leading to blood extravasation and the formation of a pseudoaneurysm sac. The presentation of PTPAs varies but is often characterized by localized pain, swelling, and a palpable pulsatile mass, which may appear immediately or be delayed. Diagnostic modalities such as duplex ultrasound, computed tomography angiography, and digital subtraction angiography are essential for accurate detection and characterization. Management strategies for PTPAs range from conservative observation to radiological interventions and open surgical reconstruction. The choice of treatment depends on factors such as the size and anatomical location of the pseudoaneurysm, as well as the patient’s overall health status. This review synthesizes case reports and highlights the critical importance of prompt diagnosis and individualized treatment strategies. Additionally, it underscores the need for ongoing research, particularly in complex cases requiring a combination of approaches, to refine treatment protocols and improve patient outcomes. Full article
(This article belongs to the Special Issue State of the Art in Invasive Vascular Interventions (Second Edition))
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