International Angiology最新文献

{"title":"A Trans-Atlantic, Expert-Based, Delphi Consensus Document on controversial issues in the management of patients with chronic limb-threatening ischemia.","authors":"Kosmas I Paraskevas, Michael S Conte, Francesco Spinelli, Alik Farber, Matthew Blecha, Mahmoud B Malas, Alan Dardik, Bruce A Perler, Salvatore Scali, E Sebastian Debus, Thomas Zeller, Christopher J Abularrage, Giovanni B Torsello, Nabil Chakfe, John V White, Jos C VAN DEN Berg, Clark J Zeebregts, Nicola Troisi, Melina Vega DE Ceniga, Francesco Stilo, Mario D'Oria, Meghan Dermody, Piotr Myrcka, Katariina M Noronen, Jean-Baptiste Ricco, Hany Zayed, Michel J Bosiers, Robert A Morgan, Bruno Migliara, Caitlin W Hicks, Sherif A Sultan, Eric A Secemsky, Armando Mansilha, Michel M Reijnen, Hence J Verhagen, Mauro Gargiulo, Gianluca Faggioli, Guillaume Goudot, Domenico Valenti, Christian-Alexander Behrendt, Carlo Setacci, Alexei Svetlikov, Felice Pecoraro, Theodosios Bisdas, Andrej Schmidt, Arkadiusz Jawien, Csaba Csobay-Novak, Frank E Vermassen, Riikka Tulamo, Zoltan Szeberin, Bruce H Gray, Alessia Giaquinta, Jose Fernandes E Fernandes, Christos D Liapis, Vlad A Alexandrescu, Gaetano Lanza, Nuno V Dias, Diogo Cunha E Sa, Kak K Yeung, Piotr Musialek, Goncalo Cabral, Erwin Blessing, Gabor Menyhei, Robert C Lind, Ali Aburahma, Sean P Lyden, Marc L Schermerhorn, Frank J Veith","doi":"10.23736/S0392-9590.26.05593-8","DOIUrl":"10.23736/S0392-9590.26.05593-8","url":null,"abstract":"<p><strong>Background: </strong>Two recent multicenter randomized controlled trials (RCTs) compared best endovascular treatment versus surgical revascularization for patients with chronic limb-threatening ischemia (CLTI) and reached opposite conclusions. The aim of this international, expert-based Delphi Consensus document was to address these conflicting results and to explore their interpretation and applicability in the real-world clinical practice.</p><p><strong>Methods: </strong>A three-round Delphi Consensus document was completed by 51 European and 17 USA-based experts addressing five pre-specified CLTI clinical scenarios and two questions regarding the applicability of the two RCTs. All answers were provided anonymously. The response rate for each round was 100%. Consensus was reached when ≥70% of the participants agreed on a response showing preference for a specific approach.</p><p><strong>Results: </strong>Most participants (43/68; 63.3%) preferred a venous bypass for a patient with segmental occlusions of the lower limb arteries and an available distal target vessel, although this did not reach consensus. In contrast, consensus was achieved (49/68; 72.2%) for a diabetic patient with occlusion of all three infrapopliteal vessels for whom most experts favored angioplasty of any possible tibial artery. In case of previous endovascular recanalization failure, options were divided between repeat angioplasty (27 of 68; 39.7%) and venous bypass (35 of 68; 51.5%). The majority of participants reported that their approach had not changed following publication of the two RCTs (50 of 68; 73.5%) and did not believe that the trials had changed significantly the management of patients with CLTI in their clinical practice (53 of 68; 77.9%). In a subgroup analysis comparing European vs. USA-based physicians, there were minor differences in specific topics.</p><p><strong>Conclusions: </strong>In the present Expert-based Consensus document, considerable heterogeneity was found between USA-based and European participants on several topics related to CLTI and consensus was not always achieved. Endovascular and open surgical techniques should be regarded as complementary strategies, rather than as competing alternatives. Treatment should be individualized based on individual patient anatomy, extent of ischemia, presence of tissue loss, foot infection and conduit availability.</p>","PeriodicalId":13709,"journal":{"name":"International Angiology","volume":"45 4","pages":"287-296"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of previous skin hydration on postsclerotherapy hyperpigmentation: a prospective, randomized, comparative study (SKINCARE Study).","authors":"Mariana Borges Firmo, Samantha Neves, Maria F Portugal, Viviane Santana DA Silva, Emanuel Firmo, Isabela Leal, Taina Ribeiro DE Azevedo, Fabricio Rodrigues Santiago, Walkiria Hueb Bernardi, Roberto A Caffaro, Eduardo Ramacciotti","doi":"10.23736/S0392-9590.26.05505-7","DOIUrl":"10.23736/S0392-9590.26.05505-7","url":null,"abstract":"<p><strong>Background: </strong>Postsclerotherapy hyperpigmentation (PSH) is a frequent and distressing complication. It is a cosmetic concern in aesthetic phlebology, with limited prospective efficacy/safety data. Skin hydration with moisturizer strengthens the skin barrier and may potentially prevent postsclerotherapy hyperpigmentation.</p><p><strong>Methods: </strong>This prospective, randomized, comparative study included 55 adult patients with reticular veins and telangiectasias. Patients were randomized to receive a daily moisturizer for 30 days before sclerotherapy or to no hydration. All participants underwent a single session of polidocanol 0.5% sclerotherapy. The primary efficacy outcome was moisturization's ability to prevent PSH, as evaluated by blinded evaluators using photos taken before and after procedures. Secondary outcomes included patient-reported outcomes assessed using the VEINES-QoL/Sym questionnaire.</p><p><strong>Results: </strong>Both groups experienced hyperpigmentation. PSH appeared in fewer patients who received hydration (44% vs. 57%, P=0.423), with no statistically significant difference. No skin alterations occurred at any time point. Nine patients (90%) rated the results as \"very good\" or \"excellent\".</p><p><strong>Conclusions: </strong>In this randomized, double-arm, prospective, pilot study, the use of moisturizer 30 days before polidocanol 0.5% sclerotherapy did not reduce PSH.</p>","PeriodicalId":13709,"journal":{"name":"International Angiology","volume":"45 4","pages":"244-249"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative cost analysis of saphenectomy and radiofrequency ablation in the treatment of great saphenous vein incompetence.","authors":"Álvaro Peñalba Vicario, Laura Yáñez García, Rodrigo Rial Horcajo, Andoni González Fernández, Iñaki Cernuda Artero, María R Vega Manrique","doi":"10.23736/S0392-9590.26.05519-7","DOIUrl":"10.23736/S0392-9590.26.05519-7","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to assess the cost differences between two techniques for treating great saphenous vein incompetence: conventional surgerysaphenectomy and radiofrequency ablation.</p><p><strong>Methods: </strong>We conducted a retrospective observational cohort study, selecting 40 patients for the radiofrequency cohort and 80 for the saphenectomy cohort. Sociodemographic, baseline, clinical, and ultrasound follow-up data were collected at 10 days and one-month post-intervention. Finally, a cost analysis was performed from the perspective of both the public health system and society, with indirect costs related to sick leave evaluated in the latter perspective.</p><p><strong>Results: </strong>At the 10-day follow-up, hematoma incidence was significantly higher in the saphenectomy group (22 cases, 27.5% vs. 3 cases, 7.5%). The average Visual Analogue Scale pain score was higher in the radiofrequency group (2.1±1.8 vs. 1.1±1.7); however, mean analgesic consumption was higher in the saphenectomy group. From a cost perspective, the expense for the public health system was higher for radiofrequency (3167.2€ ± 123.4 vs. 3066.6€ ± 205.8). However, both sick leave costs (2276.6€ ± 1209.4 vs. 1105.8€ ± 1265.8) and total cost (5357.1€ ± 1246.1 vs. 4286.3€ ± 1294.8) were higher in the saphenectomy group.</p><p><strong>Conclusions: </strong>Radiofrequency ablation is a safe technique, allowing for an earlier return to normal work activities, with a low rate of complications and short- and medium-term efficacy at least equivalent to open surgery. The inclusion of radiofrequency ablation in our health system may yield overall cost savings compared to saphenectomy in the surgical treatment of great saphenous vein incompetence.</p>","PeriodicalId":13709,"journal":{"name":"International Angiology","volume":"45 4","pages":"250-258"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The randomized controlled trials on the management of asymptomatic carotid patients may be misleading: it is all about carotid plaque morphology, not the percentage of asymptomatic carotid artery stenosis.","authors":"Kosmas I Paraskevas, Mahmoud B Malas, Armando Mansilha, Ali F Aburahma","doi":"10.23736/S0392-9590.26.05584-7","DOIUrl":"https://doi.org/10.23736/S0392-9590.26.05584-7","url":null,"abstract":"","PeriodicalId":13709,"journal":{"name":"International Angiology","volume":"45 4","pages":"241-243"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive value of Ankle-Brachial Index variability for symptom progression in peripheral arterial disease: a prospective cohort study.","authors":"Zhen Ma, Yan Zhang, Xiao Liu, Wei Wang, Jingliang Gu, Tao Feng, Lina Ma","doi":"10.23736/S0392-9590.26.05512-4","DOIUrl":"https://doi.org/10.23736/S0392-9590.26.05512-4","url":null,"abstract":"<p><strong>Background: </strong>The ankle-brachial index (ABI) is an important indicator for assessing the severity of peripheral arterial disease (PAD), but the limitations of single measurements are increasingly recognized. This study aimed to explore the predictive value of diurnal ABI variability for PAD symptom progression and to develop a prediction model incorporating ABI variability.</p><p><strong>Methods: </strong>This prospective cohort study enrolled patients diagnosed with PAD, stratified by Fontaine staging. All patients underwent ABI measurements at three time points (8:00, 12:00, 18:00) at baseline, with calculation of ABI mean, range, and coefficient of variation. The primary endpoint was symptom progression during follow-up. Generalized additive models (GAM) were used to evaluate the relationship between ABI variability and symptom progression, with comparison to restricted cubic splines (RCS) and linear models.</p><p><strong>Results: </strong>The final analysis included 680 PAD patients followed for 40 months, with 225 (33.1%) experiencing symptom progression. Diurnal ABI variability (range, standard deviation, and coefficient of variation) showed differences between progression and non-progression groups, but these were not statistically significant (P=0.079). GAM modeling revealed that age (P<0.001) and mean ABI (P=0.032) were significant predictors of symptom progression, while ABI range alone was not significant as a predictor (P=0.214). The model demonstrated good calibration (Hosmer-Lemeshow Test P=0.1327) and moderate discrimination (AUC=0.688, 95%CI: 0.643-0.733). Patients were stratified into three risk groups based on predicted risk: low-risk (≤18%), medium-risk (19-29%), and high-risk (≥30%), with actual event rates of 13.2%, 23.7%, and 36.8%, respectively, showing good agreement with predicted risks. Kaplan-Meier analysis revealed significant differences in progression-free survival when stratified by ABI severity (P=0.013), but not when stratified by ABI variability (P=0.79).</p><p><strong>Conclusions: </strong>Mean ABI and age are the primary predictors of PAD symptom progression, while diurnal ABI variability may provide additional predictive value in specific patient subgroups. Prediction models incorporating multiple time-point ABI measurements facilitate risk stratification and individualized management of PAD patients.</p>","PeriodicalId":13709,"journal":{"name":"International Angiology","volume":"45 4","pages":"267-286"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sharp needle recanalization for dialysis access occlusion: a single-center retrospective study.","authors":"Hua-Ming Cheng, Reng-Hong Wu, Chien-Chuan Huang, Jyun-Yan Liou","doi":"10.23736/S0392-9590.26.05502-1","DOIUrl":"https://doi.org/10.23736/S0392-9590.26.05502-1","url":null,"abstract":"<p><strong>Background: </strong>Long-term patency of arteriovenous fistulas (AVFs) is critical for hemodialysis patients. Sharp needle recanalization (SNR) is an image-guided percutaneous technique employed when conventional recanalization methods fail. This study evaluated the effectiveness of SNR in maintaining AVF patency.</p><p><strong>Methods: </strong>We conducted a retrospective analysis of patients who underwent SNR for AVF occlusion between July 2014 and June 2023. Outcomes included technical success, assisted technical success, and patency rates (primary, assisted primary, and secondary). Complications and patient survival were assessed, with patency estimated using Kaplan-Meier analysis.</p><p><strong>Results: </strong>Thirty-three patients were included. Technical success was achieved in 79% of cases, while assisted technical success reached 100%. Primary patency decreased from 48% at 3 months to 9% at 24 months. Assisted primary patency was 73% at 3 months and 27% at 24 months. Secondary patency was highest, stabilizing at 71% at 24 months. Thrombosis occurred in 27% of patients, and 24% required creation of a new access tract. Nine patients died during follow-up, none related to the procedure.</p><p><strong>Conclusions: </strong>SNR is an effective salvage option for AVF occlusion, offering durable secondary patency. The steep decline in primary patency underscores the importance of vigilant follow-up and timely reintervention to preserve dialysis access.</p>","PeriodicalId":13709,"journal":{"name":"International Angiology","volume":"45 4","pages":"297-303"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069496","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lower intraluminal thrombus load in patients with abdominal aortic aneurysms and blood type O.","authors":"Julie Krogh Pedersen, Ulver Spangsberg Rouw, Rebecca A Conradsen Skov, Laurence Rouet, Jonas P Eiberg, Qasam M Ghulam","doi":"10.23736/S0392-9590.26.05541-0","DOIUrl":"10.23736/S0392-9590.26.05541-0","url":null,"abstract":"<p><strong>Background: </strong>Abdominal aortic aneurysm (AAA) is a major cause of mortality among older men. Current clinical practice primarily determines the indication for elective AAA repair based on the maximum aneurysm diameter. However, this approach may not adequately capture the complexity of individual rupture risk, and intraluminal thrombus (ILT) has been associated with increased growth and rupture risk. In other vascular beds, non-O blood types are correlated with an increased risk of thrombosis. This study investigates the association between ABO blood type and ILT volume in AAA patients.</p><p><strong>Methods: </strong>A cross-sectional analysis of patients with infrarenal AAAs from the Copenhagen Aortic Cohort (COACH) assessed AAA diameter, AAA volume, and ILT volume using three-dimensional ultrasound and 3D-CEUS, respectively. Patients were categorized into blood type O and non-O groups for analysis. ILT volume was compared between the groups.</p><p><strong>Results: </strong>In total, 296 patients under surveillance for AAA with a median AP diameter of 43 [IQR 38-48] mm, and blood type O (N.=101) and non-O (N.=195) were included. Patients with blood type O had a 4.6% lower ILT volume per 10 mL AAA volume than patients with other blood-types (P=0.003), after adjusting for AAA volume and other known covariates.</p><p><strong>Conclusions: </strong>Blood type O is associated with a lower thrombus load in patients with AAA. This finding aligns with prior evidence linking non-O blood types to elevated vWf and Factor VIII levels, both important in generating thromboses. Future longitudinal studies are needed to explore the relationship between blood type and AAA progression.</p>","PeriodicalId":13709,"journal":{"name":"International Angiology","volume":" ","pages":"259-266"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Qualitative study on diversity in vascular surgery in Europe: views on current states of affairs and ways to move forward.","authors":"Samira E VAN Knippenberg, Liliane C Roosendaal, Nathalie C Bakker, Matthew D Harinck, Vincent Jongkind, Archie DE Ceuninck VAN Capelle","doi":"10.23736/S0392-9590.26.05510-0","DOIUrl":"https://doi.org/10.23736/S0392-9590.26.05510-0","url":null,"abstract":"<p><strong>Background: </strong>Equality, diversity, and inclusion (EDI) is associated with improved decision-making and team functioning. Despite these benefits, the field of vascular surgery remains predominantly Caucasian and men, with underrepresentation of other groups. This qualitative study assessed the perceived EDI within the field of vascular surgery and explored strategies to foster a more inclusive organizational culture.</p><p><strong>Methods: </strong>This qualitative study involved semi-structured online interviews with vascular surgeons and surgical residents (November 2023-May 2024). Interviews focused on participants' perceived identities, views on EDI within vascular surgery, and suggestions for promoting EDI. Results were analyzed using thematic content analysis.</p><p><strong>Results: </strong>In total, 43 participants took part, (age 20-70, 58.1% men, 41.9% women, 62.8% consultant vascular surgeons). Three primary domains emerged: the perceptions of current state of affairs, perceived barriers to improve EDI and perceived strategies to improve EDI. Themes regarding the perception of current state of affairs included gender/parenthood, ethnicity, generational differences, religion, personality, country and sexual orientation. Women, non-Europeans, and individuals from rural or low socio-economic workplaces were perceived as underrepresented. Participants emphasized the need for a more diverse field and acknowledging the importance of EDI. Suggested strategies included increasing awareness, education, transparency, supporting underrepresented groups, diverse role models and implementing quotas.</p><p><strong>Conclusions: </strong>Most participants stated a persistent issue in EDI within the field, with the most described aspects being gender and ethnic inequality. The findings highlight the need for structural and cultural change, emphasizing that targeted initiatives such as awareness campaigns, evidence-based education, and the promotion of diverse leadership, are essential to foster lasting equity and inclusion within vascular surgery.</p>","PeriodicalId":13709,"journal":{"name":"International Angiology","volume":"45 4","pages":"304-314"},"PeriodicalIF":1.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149069460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of information platform-based nursing management on patients with venous thromboembolism: a systematic review and meta-analysis.","authors":"Danping Shi, Xiao Zhang, Weihua Jiang, Weizhen Fang, Yuling Ni","doi":"10.23736/S0392-9590.26.05565-3","DOIUrl":"10.23736/S0392-9590.26.05565-3","url":null,"abstract":"<p><strong>Background: </strong>Venous thromboembolism (VTE) is a common yet largely preventable complication among hospitalized patients. In recent years, information platform-based nursing interventions have been increasingly implemented to enhance VTE risk assessment and the execution of preventive strategies. This study aimed to systematically evaluate the effectiveness of information platform-based nursing management in VTE prevention and control.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted by searching PubMed, Embase, Web of Science, CNKI, and Wanfang databases from inception to the present. Two reviewers independently performed study selection and data extraction using a predefined form to collect study characteristics, intervention details, and outcome measures. The risk of bias of randomized controlled trials (RCTs) was assessed using the Cochrane Risk of Bias 2.0 tool (Cochrane RoB 2.0), while observational studies were evaluated using the Newcastle-Ottawa Scale (NOS). Statistical analyses were performed using Review Manager version 5.4. Effect sizes were expressed as risk ratios (RRs) with 95% confidence intervals (CIs). Heterogeneity was assessed using the I² statistic. Subgroup analyses were conducted to explore potential sources of heterogeneity, sensitivity analyses were performed to test the robustness of the results, and publication bias was evaluated using funnel plots.</p><p><strong>Results: </strong>A total of 19 studies were included, encompassing 108,482 patients and 30,750 observation records. Quality assessment indicated that the included RCTs generally had a low risk of bias, and the observational studies were of moderate to high methodological quality. Meta-analysis showed that information platform-based nursing management was associated with a significant lower incidence of VTE (RR=0.67, 95% CI: 0.60-0.74, P<0.001), a marked higher implementation rate of preventive measures (RR=1.38, 95% CI: 1.26-1.51, P<0.00001), and a significantly higher level of patient satisfaction (RR=1.16, 95% CI: 1.07-1.27, P<0.001). Subgroup analyses suggested low heterogeneity and consistent effects across different study regions. No substantial publication bias was detected.</p><p><strong>Conclusions: </strong>Information platform-based nursing management is significantly associated with better performance in key indicators of VTE prevention and control and demonstrates important clinical value. Further high-quality, multicenter studies are warranted to confirm its long-term effectiveness and feasibility for broader implementation.</p>","PeriodicalId":13709,"journal":{"name":"International Angiology","volume":" ","pages":"151-160"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148029969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Automated three-dimensional ultrasound surveillance after endovascular aortic repair.","authors":"Isabella K Jørgensen, Ulver S Rouw, Laurence Rouet, Jonas P Eiberg","doi":"10.23736/S0392-9590.26.05523-9","DOIUrl":"https://doi.org/10.23736/S0392-9590.26.05523-9","url":null,"abstract":"<p><strong>Background: </strong>Accurate measurement of the residual sac after endovascular aortic repair (EVAR) is essential for effective surveillance, guiding detection of complications and decisions regarding reintervention. While two-dimensional ultrasound (2D-US) remains standard-of-care, it is limited by operator variability. Three-dimensional ultrasound (3D-US) with modeling software has demonstrated improved precision but remains resource-intensive. The introduction of three-dimensional Software-Assisted Ultrasound (3D-SAUS) offers an automated, on-cart alternative for more streamlined clinical use. This study compares 3D-SAUS with 2D-US in measuring maximum residual sac diameter in EVAR patients, focusing on variability and clinical applicability.</p><p><strong>Methods: </strong>Patients previously treated with EVAR and following US-based follow-up were scanned by three or four experienced ultrasound operators. The maximum anterior-posterior residual sac diameter was measured for all patients using 2D-US and 3D-SAUS. Outcomes were median and limits of agreement (LoA) with 95% confidence intervals for both modalities.</p><p><strong>Results: </strong>Fourteen EVAR-treated patients underwent 44 paired 2D-US and 3D-SAUS scans. Median maximum residual sac diameters were 50.0 mm with 2D-US and 50.3 mm with 3D-SAUS. LoA were 3.4 mm for 2D-US and 3.6 mm for 3D-SAUS, with overlapping 95% confidence intervals (2.2-4.6 mm and 2.5-4.7 mm, respectively). The difference in LoA was not statistically significant (P=0.61). Automatic technical success was achieved in 79% of the available 3D scans.</p><p><strong>Conclusions: </strong>3D-SAUS demonstrated comparable residual sac diameter measurement precision and variability to expert 2D-US in post-EVAR patients. These findings support the potential of 3D-SAUS to enhance reproducibility and standardize ultrasound-based follow-up.</p>","PeriodicalId":13709,"journal":{"name":"International Angiology","volume":"45 3","pages":"174-180"},"PeriodicalIF":1.8,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148316872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}