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The Annual Report on Cardiovascular Health and Diseases in China (2022) intricate landscape of car-diovascular health in China. In connection with the previous section, this 10th section of the report offers a comprehensive analysis of aortic disease and peripheral artery disease. Aortic dissection is a critical disease, with a higher incidence in men than in women. The main risk factors include hypertension, gene mutations, and so on. Recent studies suggest that young patients with aortic dissection have a higher body mass index, and there is a significant correlation between low ambient temperature and sudden temperature drop and the onset of dissection. The main hazards are aortic rupture or poor branch perfusion, which is life threatening. According to the lesion location, it is divided into Stanford A type (involving the ascending aorta) and Stanford B type (not involving the ascending aorta). The treatment of type A dissection is mainly open surgery, while the treatment of type B dissection is preferably endovascular treatment. In recent years, with the continuous development of endovascular technique, the treatment of aortic arch lesions has transformed gradually from open to hybrid, and then to total endovascular treatment. The prevalence of abdominal aortic aneurysm is relatively low (< 1%), and its risk factors mainly include smoking, hypertension, dyslipidemia, etc. The main hazard is the rupture of the aneurysm leading to death. Currently, treatment methods include endovascular repair and open surgery. According to data from Hospital Quality Monitoring System (HQMS), in the past five years, the number of open and endovascular operations for aortic disease in China has shown an upward trend, which may be due to the popularization of diagnostic and therapeutic techniques and increased attention to aortic disease. The in-hospital mortality rates of thoracic endovascular aortic repair, endovascular aortic repair, and Bentall operations are relatively low (all < 2%). Due to the complexity and difficulty of the operation, the in-hospital mortality of total arch replacement is 5.9%–7.4%. Overall, the in-hospital mortality decreased while the number of surgeries increased. This section also elaborates on the five peripheral artery diseases (PADs): lower extremity artery disease (LEAD), carotid atherosclerotic disease, subclavian artery stenosis, mesenteric artery disease and renal artery stenosis, from the perspectives of epidemiology, risk factors, evaluation methods, diagnosis, and treatment. PAD is common among middle-aged and elderly people, and is significantly related to the risk factors of cardiovascular disease. Diagnosis and treatment methods are constantly being improved and updated. Besides traditional evaluation methods, artificial intelligence, molecular biology and other methods have been continuously developed, improving diagnostic sensitivity and specificity. Treatment methods include risk factor control, medication, revascularization (percutaneous endovascular intervention and surgical treatment), and exercise etc. New treatment methods such as cell engineering and xenogeneic vascular graft have also shown promise in the treatment of LEAD.
Tang X, Lu K, Liu XF, et al. Incidence and survival of aortic dissection in urban China: Results from the National Insurance Claims for Epidemiological Research (NICER) study. Lancet Reg Health West Pac 2021; 17: 100280.
Hagan PG, Nienaber CA, Isselbacher EM, et al. The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA 2000; 283: 897−903.
Wang WG, Duan WX, Xue Y, et al. Clinical features of acute aortic dissection from the Registry of Aortic Dissection in China. J Thorac Cardiovasc Surg 2014; 148: 2995−3000.
Xia LT, Huang L, Feng X, et al. Chronobiological patterns of acute aortic dissection in central China. Heart 2020; 107: 320−325.
Wu JL, Zhang L, Qiu JT, et al. Morphological features of the thoracic aorta and supra-aortic branches in patients with acute Type A aortic dissection in China. Interact Cardiovasc Thorac Surg 2018; 27: 555−560.
Chen JM, Gao Y, Jiang YX, et al. Low ambient temperature and temperature drop between neighbouring days and acute aortic dissection: a case-crossover study. Eur Heart J 2022; 43: 228−235.
Wang Y, Tan X, Gao H, et al. Magnitude of soluble ST2 as a novel biomarker for acute aortic dissection. Circulation 2018; 137: 259−269.
Duan WX, Wang WG, Xia L, et al. Clinical profiles and outcomes of acute type A aortic dissection and intramural hematoma in the current era: lessons from the first registry of aortic dissection in China. Chin Med J (Engl) 2021; 134: 927−934.
Shu C, Fan B, Luo MY, et al. Endovascular treatment for aortic arch pathologies: chimney, on-the-table fenestration, and in-situ fenestration techniques. J Thorac Dis 2020; 12: 1437−1448.
Luo MY, Fang K, Fan BW, et al. Midterm results of retrograde in situ needle fenestration during thoracic endovascular aortic repair of aortic arch pathologies. J Endovasc Ther 2021; 28: 36−43.
Fang K, Shu C, Luo MY, et al. First-in-man implantation of gutter-free design chimney stent-graft for aortic arch pathology. Ann Thorac Surg 2020; 110: 664−669.
Jing ZP, Lu QS, Feng JX, et al. Endovascular repair of aortic dissection involving the left subclavian artery by castor stent graft: A multicentre prospective trial. Eur J Vasc Endovas Surg 2020; 60: 854−861.
Li K, Zhang KW, Li TX, et al. Primary results of abdominal aortic aneurysm screening in the at-risk residents in middle China. BMC Cardiovasc Disord 2018; 18: 60.
Fan YN, Ke X, Yi ZL, et al. Plasma D-dimer as a predictor of intraluminal thrombus burden and progression of abdominal aortic aneurysm. Life Sci 2020; 240: 117069.
Zhu C, Leach JR, Wang Y, et al. Intraluminal thrombus predicts rapid growth of abdominal aortic aneurysms. Radiology 2020; 294: 707−713.
Yang P, Cai Z, Wu K, et al. Identification of key microRNAs and genes associated with abdominal aortic aneurysm based on the gene expression profile. Exp Physiol 2020; 105: 160−173.
Huang TT, Liu S, Huang JH, et al. Meta-analysis of the growth rates of abdominal aortic aneurysm in the Chinese population. BMC Cardiovasc Disord 2019; 19: 204.
Shi F, He YC, Wang SY, et al. Endovascular and open surgical repair of abdominal aortic aneurysms: A comparative analysis of Western and Chinese studies. Rev Cardiovasc Med 2020; 21: 75−92.
Wang ZW, Wang X, Hao G, et al. A national study of the prevalence and risk factors associated with peripheral arterial disease from China: The China Hypertension Survey, 2012–2015. Int J Cardiol 2019; 275: 165−170.
Zhang XM, Ran XW, Xu ZR, et al. Epidemiological characteristics of lower extremity arterial disease in Chinese diabetes patients at high risk: a prospective, multicenter, cross-sectional study. J Diabetes Complications 2018; 32: 150−156.
Sun J, Deng Q, Wang J, et al. Novel insight into long-term risk of major adverse cardiovascular and cerebrovascular events following lower extremity arteriosclerosis obliterans. Front Cardiovasc Med 2022; 9: 853583.
Li X, Luo Y, Xu Y, et al. Relationship of ankle-brachial index with all-cause mortality and cardiovascular mortality after a 3-year follow-up: the China ankle-brachial index cohort study. J Hum Hypertens 2010; 24: 111−116.
Song PG, Rudan D, Wang M, et al. National and subnational estimation of the prevalence of peripheral artery disease (PAD) in China: a systematic review and meta-analysis. J Glob Health 2019; 9: 010601.
Lu LY, Jiang CQ, Mackay DF, et al. Exposure to secondhand smoke and risk of peripheral arterial disease in southern Chinese non-smokers: The Guangzhou Biobank Cohort Study-Cardiovascular Disease Sub-cohort. Vascular 2017; 25: 283−289.
Gao JM, Ren ZH, Pan X, et al. Identifying peripheral arterial disease in the elderly patients using machine-learning algorithms. Aging Clin Exp Res 2022; 34: 679−685.
Zhang K, Lin QX, Zhang TY, et al. Contemporary prevalence and risk factors of carotid artery stenosis in asymptomatic low-income Chinese individuals: a population-based study. Postgrad Med 2020; 132: 650−656.
Zhang RY, Zhang QW, Ji AH, et al. Identification of high-risk carotid plaque with MRI-based radiomics and machine learning. Eur Radiol 2021; 31: 3116−3126.
Li BL, Lai XY, Yan CJ, et al. The associations between neutrophil-to-lymphocyte ratio and the Chinese Visceral Adiposity Index, and carotid atherosclerosis and atherosclerotic cardiovascular disease risk. Exp Gerontol 2020; 139: 111019.
Xiao Q, Hou RY, Li H, et al. Circulating exosomal circRNAs contribute to potential diagnostic value of large artery atherosclerotic stroke. Front Immunol 2021; 12: 830018.
Li W, Zhao JQ, Song L, et al. Combined effects of carotid plaques and hypertension on the risk of cardiovascular disease and all-cause mortality. Clin Cardiol 2020; 43: 715−722.
Sheng CS, Liu M, Zeng WF, et al. Four-limb blood pressure as predictors of mortality in elderly Chinese. Hypertension 2013; 61: 1155−1160.
Zhang J, Wang LJ, Chen Y, et al. Color doppler ultrasonography for the evaluation of subclavian artery stenosis. Front Neurol 2022; 13: 804039.
Niu GC, Yan ZG, Zhang BR, et al. Endovascular treatment of chronic total occlusion in the subclavian artery: A review of 23 cases. Front Neurol 2020; 11: 264.
Zhang Z, Wang D, Li GX, et al. Endovascular treatment for acute thromboembolic occlusion of the superior mesenteric artery and the outcome comparison between endovascular and open surgical treatments: A retrospective study. Biomed Res Int 2017; 2017: 1964765.
Li WR, Cao SS, Zhang ZW, et al. Outcome comparison of endovascular and open surgery for the treatment of acute superior mesenteric artery embolism: A retrospective study. Front Surg 2022; 9: 833464.
Fang CC, Chen WJ, Peng CL, et al. Renovascular disease in Taiwan: a long-term nationwide population study. Int J Cardiol 2013; 168: 541−542.
Dong HJ, Ou YQ, Nie ZQ, et al. Association of renal artery stenosis with left ventricular remodeling in patients coexisting with renovascular and coronary artery disease. Vascular 2019; 27: 190−198.
Zheng B, Ma Q, Zheng LH, et al. Analysis of renal artery stenosis in patients with heart failure: A RASHEF study. Chin Med J (Engl) 2015; 128: 2777−2782.
Xiong HL, Peng M, Jiang XJ, et al. Time trends regarding the etiology of renal artery stenosis: 18 years' experience from the China Center for Cardiovascular Disease. J Clin Hypertens (Greenwich) 2018; 20: 1302−1309.
Li TH, Mao YH, Zhao B, et al. Value of contrast-enhanced ultrasound for diagnosis and follow-up of renal artery stenosis in patients with chronic kidney disease. Abdom Radiol (NY) 2022; 47: 1853−1861.
Cui YH, Zhang QB, Yan JP, et al. The value of contrast-enhanced ultrasound versus doppler ultrasound in grading renal artery stenosis. Biomed Res Int 2020; 2020: 7145728.
Zeng YM, Xu JZ, Chen X, et al. Analysis of the effect of percutaneous renal artery stenting on atherosclerotic unilateral renal artery stenosis based on split glomerular filtration rate evaluation. Jieru Fangshexue Zazhi 2021; 30: 1003−1005.
Lin ZY, Zhang BH, Lin LT, et al. Prediction of split renal function improvement after renal artery stenting by blood oxygen level-dependent magnetic resonance imaging. Front Cardiovasc Med 2022; 9: 793777.
Hu YB, Zhang YG, Wang H, et al. Percutaneous renal artery stent implantation in the treatment of atherosclerotic renal artery stenosis. Exp Ther Med 2018; 16: 2331−2336.
Tong Z, Xu ZQ, Tong YS, et al. Effectiveness of distal arterial bypass with porcine decellularized vascular graft for treating diabetic lower limb ischemia. Int J Artif Organs 2021; 44: 580−586.
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