Advances in Vascular Medicine and Surgery in 2023

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: closed (30 September 2023) | Viewed by 1102

Special Issue Editors


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Guest Editor
Department of Vascular Surgery, IRCCS Ospedale San Raffaele, Via Olgettina, 60, 20132 Milan, Italy
Interests: vascular surgery

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Guest Editor
Vascular Diseases Center, University of Ferrara, Via Aldo Moro 8, 44124 Ferrara, Italy
Interests: chronic venous disorders; venous leg ulcers; neurovascular disease; genetic polymorphism; hemodynamics; cerebral circulation; CCSVI; ultrasound; exercise; PAD
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Special Issue Information

Dear Colleagues, 

Advanced vascular disease diagnostics is a field in continuous and rapid evolution from a biohumoral point of view, a functional diagnostic point of view by using non-ionizing energies, and also from the perspective of the continuous evolution of classic diagnostic imaging. The research of biomarkers in vascular diseases is evolving more and more, especially the timely identification of diseases in order to avoid the devastating effects related to late diagnosis. Alternative non-ionizing energies are instead becoming increasingly important both for cost containment and for reducing patient exposure. For instance, magnets, ultrasound, and various increasingly advanced forms of plethysmography, such as near-infra-red spectroscopy, are just some of the technologies capable of substantially modifying approaches to vascular patients. It is also necessary to extend some of the above technologies to telemedicine or proximity medicine, which are new promising horizons. Finally, even in classic diagnostic imaging, the evolution of protocols and investigation techniques can contribute and significantly improve the diagnostic accuracy, precision and prevention of vascular diseases.

We anticipate the application of artificial intelligence to the field of diagnostic imaging to quickly allow us, together with the management of big data, to take another historic step forward in the history of medicine. This Special Issue of Diagnostics represents a milestone in knowledge relating to vascular diseases.

Dr. Domenico Baccellieri
Prof. Dr. Paolo Zamboni
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. Diagnostics 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.

Published Papers (1 paper)

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Research

11 pages, 561 KiB  
Article
Peripheral Interventional Strategy Assessment (PISA) for Diabetic Foot Ulcer Revascularization: Preliminary Outcomes of a Multidisciplinary Pilot Study
by Raffaella Berchiolli, Giulia Bertagna, Daniele Adami, Alberto Piaggesi, Elisabetta Iacopi, Francesco Giangreco, Lorenzo Torri and Nicola Troisi
Diagnostics 2023, 13(18), 2879; https://doi.org/10.3390/diagnostics13182879 - 08 Sep 2023
Viewed by 684
Abstract
Background: Digital subtraction angiography (DSA) still represents the gold standard for anatomical arterial mapping and revascularization decision-making in patients with chronic limb-threatening ischemia (CLTI), although DUS (Doppler Ultrasound) remains a primary non-invasive examination tool. The Global Vascular Guidelines established the importance of preoperative [...] Read more.
Background: Digital subtraction angiography (DSA) still represents the gold standard for anatomical arterial mapping and revascularization decision-making in patients with chronic limb-threatening ischemia (CLTI), although DUS (Doppler Ultrasound) remains a primary non-invasive examination tool. The Global Vascular Guidelines established the importance of preoperative arterial mapping to guarantee an adequate in-line flow to the foot. The aim of this study was to evaluate the accuracy of DUS in guiding therapeutic vascular treatments on the basis of Global Vascular Guidelines without the need of a second-level examination. Methods: Between January 2022 and June 2022, all consecutive patients with CLTI to be revascularized underwent clinical examination and DUS without further diagnostic examinations. Primary outcomes assessed were technical success, and 30-day mortality. Secondary outcomes were 1-year amputation free survival, and time between evaluation and revascularization. Results: Sixty-eight patients with a mean age of 73.6 ± 8.5 years underwent lower limb revascularization. Technical success was 100%, and the 30-day mortality rate was 2.9%. Mean time between evaluation and revascularization was 29 ± 17 days. One-year amputation free survival was 97.1%. Conclusions: DUS without further diagnostic examinations can accurately assess the status of the vascular tree and foot runoff, providing enough information about target vessels to guide revascularization strategies. Full article
(This article belongs to the Special Issue Advances in Vascular Medicine and Surgery in 2023)
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