The Effect of Smoking Cessation on the Technical Success of Endovascular Treatment for Thromboangiitis Obliterans

Gündoğmuş, Cemal Aydın; Samadli, Vugar; Sorkun, Mine; Oğuzkurt, Levent

doi:10.1016/j.jvir.2023.02.008

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…Buerger's disease, also called thromboangiitis obliterans (TAO), is an in ammatory pathology affecting small to medium-sized arteries of lower limbs, characterized by an unclear etiology but strongly associated with smoking habits [1][2][3]. While managing this challenging condition, the pivotal intervention lies in the cessation of smoking to arrest its progression [4]. Conservative therapeutic modalities, including vasodilators, anticoagulants, and prostaglandin therapy, often yield unsatisfactory clinical outcomes or are of no bene t [5,6].…”

Section: Introductionmentioning

confidence: 99%

Iliac crest bone distraction surgery for the treatment of thromboangiitis obliterans of lower limbs: A cohort-prospective preliminary study

Chang,

Chen,

Song

et al. 2024

Preprint

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Background Tibial cortex transverse transport (TTT) surgery presents favorable outcomes for treating thromboangiitis obliterans (TAO). However, TTT is associated with complications and requires prolonged bed rest, impacting patients' quality of life. This study aimed to introduce iliac crest bone distraction (ICBD) surgery as a novel surgical approach to TAO clinical management by comparing ICBD's clinical outcomes with TTT's. Methods Between April and October 2023, 18 male patients meeting inclusion criteria were randomly assigned to the ICBD or TTT group. Pre- and postoperative changes in wound healing time, visual analog scale (VAS) pain scores, pain disappearance time, serum IL-6 levels, and intermittent lameness distance were evaluated. Infrared thermography assessed foot perfusion and temperature changes, while computed tomographic angiography (CTA) revealed lower limb vascular regeneration. Results During the 6-month follow-up period, no complications arose in either group. Successful ulcer healing similarly occurred in the 4 ICBD and 4 TTT patients with ulcers. Preoperative VAS scores were similar for ICBD and TTT (P = 0.612), with considerable improvements at one week postoperatively (P = 0.995). Disappearance time of rest pain was also similar for both groups (P = 0.537). Preoperative serum IL-6 levels were comparable (P = 0.842) but significantly decreased at one month postoperatively to similar levels for both groups (P = 0.539). Infrared thermography revealed postoperative improved thermal hotspot distribution. Six months after surgery, CTA showed an improved artery network of the lower limb. According to the Patwa and Krishnan grading system, six patients were "excellent" in the ICBD group one year after surgery and 7 in the TTT group, while 3 and 2 patients were "good", respectively. Conclusions Preliminary results demonstrate that ICBD's outcomes for TAO are similar to those of TTT but with fewer complications and a better quality of life. Therefore, we consider ICBD a promising surgical approach for treating TAO. Trial registration This study was registered with the Ethics Committee of the Affiliated Hospital of Zunyi Medical University (20230411) and at the Chinese Clinical Trial Registry (ChiCTR2300072418).

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Section: Introductionmentioning

confidence: 99%

Iliac crest bone distraction surgery for the treatment of thromboangiitis obliterans of lower limbs: A cohort-prospective preliminary study

Chang,

Chen,

Song

et al. 2024

Preprint

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“…The specific etiology of TAO remains unknown, but it has been demonstrated that it mainly affects young males and is strongly related to smoking. It is generally believed to be the result of a combination of multiple factors, the potential mechanism of TAO includes the history of exposure to cold, smoking, autoimmunity, genetic factors including ethnic aggregation and genetic predisposition, oxidative stress, and inflammation, hemodynamic changes like hypercoagulable state of blood, and even periodontal diseases [ 2 , 6 , 7 ]. Other findings about the factors associated with the development of TAO include antiphospholipid antibodies, protein S deficiency, and platelet hyperreactivity to serotonin.…”

Section: Introductionmentioning

confidence: 99%

Top 100 cited articles in the thromboangiitis obliterans: a bibliometric analysis and visualized study

Liu,

Ning,

Liang

et al. 2023

Eur J Med Res

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Objective Thromboangiitis obliterans (TAO) is one of the most common types of peripheral arterial disease (PAD). This study aimed to explore the characteristics of the top 100 most cited articles in the TAO. Methods A bibliometric analysis based on the Web of Science (WOS) database was performed. Literature was retrieved and ranked by the citations. Listed below are the top 100 citations, including original articles, reviews, full-length proceeding papers, and case reports that were included for analysis. The type of literature, research areas, and languages were recorded. The trends of citations including the total citations, an analysis of publication and citation numbers were conducted each year. We analyzed citations from highly cited countries, authors, institutions, and journals. Research hotspots were gathered by a visualized analysis of author keywords. Results Most of the highly cited literature was original articles. A rising trend was observed in the number of citations per year. The peaks in the number of highly cited articles appeared in the year 1998 and 2006. The majority of the articles focused on the cardiovascular system and surgery. Journal of Vascular Surgery published most of the highly cited articles. The USA and Japan contributed nearly half the number of highly cited articles. Mayo Clinic and Nagoya University were highly cited institutions. Shionoya S and Olin JW were both the author with the largest number of citations and the most highly cited author in the reference. Articles that were highly cited most often addressed the following topics: “vasculitis”, “autoimmune disease”, and “critical limb ischemia”. Keywords that were mostly used in recent years were “stem cell therapy”, “progenitor therapy”, and “immunoadsorption”. The detection of bursts of author keywords showed the following: “permeability”, “differentiation”, and “critical limb ischemia” are recent keywords that have burst. Conclusions In this study, the highly cited contributors in the field of TAO research were identified. Most cited articles in the top 100 focused on the cardiovascular system and surgery. Treatment and pathophysiology including stem cell therapy, progenitor therapy, genetics, autoimmunity, and inflammation are the hotspots of TAO.

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Secondary Raynaud’s Phenomenon: Focus on Rheumatic Diseases

Ong,

Denton

2024

Raynaud’s Phenomenon

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The Effect of Smoking Cessation on the Technical Success of Endovascular Treatment for Thromboangiitis Obliterans

Cited by 3 publications

References 19 publications

Iliac crest bone distraction surgery for the treatment of thromboangiitis obliterans of lower limbs: A cohort-prospective preliminary study

Iliac crest bone distraction surgery for the treatment of thromboangiitis obliterans of lower limbs: A cohort-prospective preliminary study

Top 100 cited articles in the thromboangiitis obliterans: a bibliometric analysis and visualized study

Secondary Raynaud’s Phenomenon: Focus on Rheumatic Diseases

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