Journal of Vascular Surgery最新文献

{"title":"Long-term outcomes of thoracic endovascular aortic repair for descending thoracic aortic aneurysms based on pooled results from FDA clinical trials.","authors":"Lauren A Gillinov, Grace J Wang, Nicholas J Goel, Michael A Catalano, Wilson Y Szeto, Venkat R Kalapatapu, Nimesh D Desai","doi":"10.1016/j.jvs.2025.05.038","DOIUrl":"https://doi.org/10.1016/j.jvs.2025.05.038","url":null,"abstract":"<p><strong>Objective: </strong>Thoracic endovascular aortic repair is the preferred treatment for descending thoracic aortic aneurysms, but long-term data are limited. This study assessed long-term results of thoracic endovascular aortic repair in early recipients of thoracic endovascular aortic repair devices who were enrolled in FDA investigational device exemption clinical trials for aneurysm.</p><p><strong>Methods: </strong>This was a single-center retrospective study including 179 patients enrolled in 14 clinical trials for thoracic endovascular aortic repair for descending thoracic aortic aneurysm between 2000 and 2019. The primary outcome was ten-year mortality. Secondary outcomes included a 30-day composite of death or neurologic event, endoleak, reintervention, and aortic diameter on follow-up imaging. Descriptive statistics, Kaplan-Meier survival analysis, Cox proportional hazards models, and cumulative incidence functions with competing risk were used for analysis.</p><p><strong>Results: </strong>Median age was 74 years and median follow up was 5.5 years. Aneurysm morphology was fusiform (N=100, 55.9%) or saccular (N=70, 39.1%), with median preoperative diameter of 60.0 millimeters. Survival at one, five, and ten years was 91.1%, 62.8%, and 31.4%. Endoleak was observed in 58 patients (32.4%), and reintervention in 44 patients (24.6%). Neither endoleak nor reintervention was associated with all-cause mortality at ten years. Increasing age and preoperative aneurysm diameter were independent predictors of mortality. A majority of patients (73.8%) had stable aneurysm sac at five years.</p><p><strong>Conclusions: </strong>While overall survival at ten years was limited, early outcomes were favorable and most patients had stable aneurysm sac at five years. Endoleak and reintervention were not linked to long-term mortality, whereas age and preoperative aortic diameter predicted worse survival. In this older patient cohort, durability of thoracic endovascular aortic repair remains a concern.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144173826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reintervention With In Situ Fenestration After Failure to Bridge Right Renal Artery During Endovascular Aortic Repair","authors":"Aslyn E. Mattson ,&nbsp;W. Anthony Lee","doi":"10.1016/j.jvs.2025.03.083","DOIUrl":"10.1016/j.jvs.2025.03.083","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 6","pages":"Page e25"},"PeriodicalIF":3.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144114866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Predictors of Prolonged Length of Stay Following Elective Aortobifemoral Bypass for Aortoiliac Occlusive Disease","authors":"Sina Zarrintan ,&nbsp;Pooria Nakhaei ,&nbsp;Elsie Ross MD ,&nbsp;Mahmoud Malas","doi":"10.1016/j.jvs.2025.03.085","DOIUrl":"10.1016/j.jvs.2025.03.085","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 6","pages":"Page e26"},"PeriodicalIF":3.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The pursuit of a textbook outcome","authors":"Douglas W. Jones MD, MS","doi":"10.1016/j.jvs.2025.01.221","DOIUrl":"10.1016/j.jvs.2025.01.221","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 6","pages":"Page 1380"},"PeriodicalIF":3.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence, Risk Factors, and Short-term Outcomes of Groin Infections After Femoral Bovine Patch Angioplasty","authors":"Ryan Lee,&nbsp;Rajbir Singh,&nbsp;Calogero DiMaggio,&nbsp;Sharvil Sheth,&nbsp;Maggie Lin","doi":"10.1016/j.jvs.2025.03.102","DOIUrl":"10.1016/j.jvs.2025.03.102","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 6","pages":"Pages e39-e40"},"PeriodicalIF":3.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Preoperative Smoking Cessation on Outcomes of Elective Suprainguinal Bypasses in Patients With Aortoiliac Occlusive Disease: A Propensity Score-matched Analysis","authors":"Sina Zarrintan ,&nbsp;Mohammed Hamouda ,&nbsp;Ann Gaffey ,&nbsp;Ahmed M. Abou-Zamzam ,&nbsp;John Lane ,&nbsp;Mahmoud Malas","doi":"10.1016/j.jvs.2025.03.082","DOIUrl":"10.1016/j.jvs.2025.03.082","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 6","pages":"Pages e24-e25"},"PeriodicalIF":3.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144114865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-operative Ultrasound Findings Predict Intervention during Transplant Renal Artery Angiogram","authors":"Gurbani Suri,&nbsp;Nitin Jethmalani,&nbsp;Alyssa Greenwood-Francis,&nbsp;Ethan Romero,&nbsp;Daniel Zuniga,&nbsp;Sharif Ellozy,&nbsp;Brian DeRubertis,&nbsp;Peter Connolly,&nbsp;Jordan R. Stern,&nbsp;Christopher Agrusa","doi":"10.1016/j.jvs.2025.03.063","DOIUrl":"10.1016/j.jvs.2025.03.063","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 6","pages":"Page e6"},"PeriodicalIF":3.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144114908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Study of Participants Undergoing Cardiovascular Screening in Vascular Deserts","authors":"Maria D. Tiu ,&nbsp;Guistinna Tun ,&nbsp;Manreet Dosanjh ,&nbsp;Neytali Kanwar ,&nbsp;Jagjot Dosanjh ,&nbsp;Mina Sarofim ,&nbsp;Phuong Vu ,&nbsp;Clara M. Gomez-Sanchez ,&nbsp;Michael S. Conte ,&nbsp;Leigh Ann O'Banion","doi":"10.1016/j.jvs.2025.03.070","DOIUrl":"10.1016/j.jvs.2025.03.070","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 6","pages":"Pages e13-e14"},"PeriodicalIF":3.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Ten-year Analysis of Abdominal Aortic Aneurysm Repairs in the Brazilian Public Health Care System","authors":"Lara Lopes,&nbsp;Saieesh A. Rao,&nbsp;Karen Ho,&nbsp;Tulio Navarro","doi":"10.1016/j.jvs.2025.03.095","DOIUrl":"10.1016/j.jvs.2025.03.095","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 6","pages":"Pages e34-e35"},"PeriodicalIF":3.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One-year Limb Salvage and Amputation-free Survival Following Implementation of a Novel System-wide Alert Protocol for Management of Acute Limb Ischemia","authors":"Akeem Bartley ,&nbsp;Maria Penuela ,&nbsp;Paul Tenewitz ,&nbsp;Michelle Buckley ,&nbsp;Charles J. Bailey","doi":"10.1016/j.jvs.2025.03.104","DOIUrl":"10.1016/j.jvs.2025.03.104","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"81 6","pages":"Pages e40-e41"},"PeriodicalIF":3.9,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144115403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}