Journal of Vascular Surgery最新文献

{"title":"Successful endovascular treatment for acute type A aortic dissection in a Jehovah's Witness patient.","authors":"Kei Mukawa, Tsuyoshi Shibata, Yutaka Iba, Ayaka Arihara, Kenta Yoshikawa, Nobuyoshi Kawaharada","doi":"10.1016/j.jvs.2024.10.023","DOIUrl":"10.1016/j.jvs.2024.10.023","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502952","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":"Open and endovascular treatment of the common femoral artery in a tertiary care center.","authors":"Nicholas Wells, Addiskidan Hundito, McKenzie Tuttle, Dana Alameddine, Edouard Aboian, Isibor Arhuidese, Uwe Fischer, Juan Carlos Perez-Lozada, Raul J Guzman, Cassius Iyad Ochoa Chaar","doi":"10.1016/j.jvs.2024.10.027","DOIUrl":"10.1016/j.jvs.2024.10.027","url":null,"abstract":"<p><strong>Objectives: </strong>Endovascular treatment of peripheral arterial disease involving the common femoral artery (CFA) remains controversial. This study compares the perioperative and long-term outcomes of open and endovascular lower extremity revascularization (LER) involving the CFA.</p><p><strong>Methods: </strong>A retrospective analysis of all patients undergoing LER for peripheral arterial disease in a tertiary care center was performed. Patients were divided into the open or endovascular group based on the first LER that involved the CFA. Patient characteristics were compared, and outcomes analysis focused on the ipsilateral CFA reintervention rate. Multivariable regression was used to determine the association between the CFA revascularization strategy and CFA reintervention. Analysis was stratified based on indication.</p><p><strong>Results: </strong>A total of 1954 patients underwent 4879 LER (including all reinterventions) between 2013 and 2020. The CFA was treated in 22.9% of patients (n = 447/1954) and 15.0% of LER procedures involved the CFA (n = 734/4879). Patients treated for chronic limb-threatening ischemia (CLTI) were more likely to undergo open CFA treatment compared with patients with claudication (60.6% vs 42.7%; P < .001). Patients treated for CLTI with endovascular therapy were more likely to be male compared with patients treated with open surgery (66.7% vs 51.2%; P = .025). In contrast, patients treated for claudication with endovascular therapy were more likely to have CAD (64.9% vs 50.5%; P = .027) and diabetes (49.3% vs 33.0%; P = .013) compared with open surgery. There was no difference in perioperative amputation or mortality, but patients undergoing CFA endarterectomy were more likely to experience postoperative bleeding in the claudication group as well as wound infections and longer hospital length of stay in both indication groups. On follow-up, patients undergoing endovascular LERs were more likely to require an ipsilateral CFA reintervention for both claudication (35.1% vs 21.0%; P = .019) and CLTI (33.3% vs 20.9%; P = .043) with no difference in major amputation or survival between the groups. Among claudicants, CFA endarterectomy was significantly more likely in patients initially treated with endovascular therapy (conversion to open endarterectomy) compared with patients initially treated with open surgery (redo endarterectomy) (14.9% vs 5.0%; P = .015). Multivariable logistic regression revealed an independent association between endovascular therapy and CFA reintervention for claudication (odds ratio, 2.29; 95% confidence interval, 1.16-4.66) and CLTI (odds ratio, 2.38; 95% confidence interval, 1.18-4.90). Kaplan-Meier analysis showed no difference in major adverse limb event-free survival.</p><p><strong>Conclusions: </strong>Endovascular treatment of the CFA is associated with a higher reintervention of the CFA regardless of indication. CFA endarterectomy is associated with higher perioperative ","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502949","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":"Operative times and outcomes of complex endovascular repairs of thoracoabdominal aneurysms.","authors":"Ariela Zenilman, Tomaz Mesar, Virendra I Patel, Kirsten D Dansey, Marc Schermerhorn, Sara L Zettervall, Adam W Beck, Karan L Garg, Hiroo Takayama, Thomas F X O'Donnell","doi":"10.1016/j.jvs.2024.10.021","DOIUrl":"10.1016/j.jvs.2024.10.021","url":null,"abstract":"<p><strong>Background: </strong>Owing to the significant morbidity and mortality of open thoracoabdominal aortic aneurysm surgery, complex endovascular repairs have become increasingly common, but still carry substantial risk. These repairs require large-bore access, with resultant pelvic and lower extremity ischemia. We, therefore, hypothesized that operative timing would be associated with outcomes, because efficient surgery would limit the ischemic time as well as anesthesia time.</p><p><strong>Methods: </strong>We studied all thoracoabdominal aortic aneurysm surgerywith complex endovascular repairs (Crawford types 1, 2, 3, and 5) incorporating at least one branch vessel from 2014 to 2021 in the Vascular Quality Initiative and categorized them into quartiles of total operating time. To account for variations in case complexity and intraoperative events, we performed a subanalysis stratifying each surgeon by their median operating time. Multilevel logistic regression was used to compare perioperative outcomes including mortality, thoracoabdominal life-altering events (a composite of perioperative death, stroke, permanent paralysis and/or dialysis), spinal cord ischemia (SCI), acute kidney injury, major adverse cardiac events, myocardial infarction, and dialysis.</p><p><strong>Results: </strong>There were 2925 thoracoabdominal aortic aneurysm surgery with complex endovascular repairs during the study period. Procedure times ranged from <204 minutes in the first quartile to >365 minutes in the fourth. Longer cases more commonly involved older patients who were more often female and higher rates of prior stroke and preoperative anemia. They involved larger, more extensive aneurysms, with higher rates of prior aortic surgery, and more commonly used physician-modified endografts or parallel grafting to incorporate more branch vessels. In addition, they were less often staged procedures, and used more spinal drains, femoral cutdowns, and upper extremity access. Operating time decreased as experience increased. In adjusted analyses, the odds of mortality and every morbidity studied increased stepwise with operating time, with 4- to 13-fold higher odds in the highest quartiles. SCI had the strongest association with procedure times, with seven-fold higher odds (odds ratio, 7.2; 95% confidence interval, 2.9-17.9; P < .001) of any SCI in the highest quartile compared to the lowest, and 13-fold higher odds of permanent SCI (OR, 13.1; 95% confidence interval, 3.9-44.7; P < .001). These results were consistent when surgeons were grouped into quartiles by their median operating times. Medium-term mortality was also higher in the upper quartile of operating time (hazard ratio, 2.7; 95% confidence interval, 1.4-5.1; P = .002).</p><p><strong>Conclusions: </strong>Longer operating times for complex thoracoabdominal aortic aneurysm surgerywith complex endovascular repairs were associated with markedly higher rates of morbidity and mortality, especially SCI. These","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502950","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":"Prehabilitation for delirium prevention in elderly patients with chronic limb threatening ischemia.","authors":"Anne Lise Meulenbroek, Gerdjan Lanssens, Inge Fourneau, Matthijs G Buimer, Hans G W de Groot, Eelco J Veen, Gwan H Ho, Rebecca van Gorkom, Fleur Toonders, Ewout W Steyerberg, Miriam C Faes, Lijckle van der Laan","doi":"10.1016/j.jvs.2024.10.024","DOIUrl":"10.1016/j.jvs.2024.10.024","url":null,"abstract":"<p><strong>Objective: </strong>Elderly patients with chronic limb-threatening ischemia (CLTI) undergoing revascularization are prone to delirium and prolonged hospitalization. Preoperative prehabilitation may prevent delirium and reduce the length of stay. This study investigates the effect of multimodal prehabilitation on delirium incidence in elderly patients with CLTI undergoing revascularization.</p><p><strong>Methods: </strong>A comparative observational cohort study conducted in a large teaching hospital (intervention cohort n = 101, retrospective control cohort n = 207) and a university hospital (prospective control cohort n = 48) from 2020 to 2023. Patients aged ≥65 years undergoing revascularization were included, with acute treatment or severe cognitive impairment as exclusion criteria. The 3-week prehabilitation program included screening of general health and presence of delirium risk factors by a vascular nurse practitioner, screening and provision of personalized, home-based exercises by a physiotherapist, provision of nutritional advice by a dietician, and, if indicated, comprehensive geriatric assessment by a geriatrician, assessment of self-reliance and home situation by a prearranged homecare nurse, guidance and support for smoking cessation by a quit smoking coach, and anemia treatment. Primary outcome was 30-day delirium incidence, analyzed using regression models adjusting for potential confounders (age, physical impairment, history of delirium, preoperative anemia, and revascularization type). Secondary outcomes were length of stay, postoperative complications, 30-day mortality, and patient experiences.</p><p><strong>Results: </strong>Median age was 76 years (interquartile range, 71-82 years). Delirium incidence was lower in the prehabilitation cohort (n = 2/101; 2%) compared with controls (n = 23/255; 9%; odds ratio, 0.21; 95% confidence interval, 0.05-0.89; P = .04). Adjusted analysis showed a non-significant delirium reduction (odds ratio, 0.28; 95% confidence interval, 0.06-1.3; P = .097). The prehabilitation cohort had a significantly shorter length of stay (2 [interquartile range (IQR), 1-5] vs 4 [IQR, 2-9] days; P ≤ .001), and fewer minor complications (14% vs 26%; P=.01). No differences were present in major complications and 30-day mortality. Patients reported high compliance and satisfaction (median score, 8/10 [IQR, 7-9]).</p><p><strong>Conclusions: </strong>Prehabilitation among elderly patients with CLTI is safe and has the potential to yield multiple beneficial effects on general outcomes following revascularization, while also achieving high levels of patient satisfaction. Further validation and consideration of implementation in surgical settings is recommended.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142502951","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":"Comparison of open and endovascular repair of complex abdominal aortic aneurysms.","authors":"Sai Divya Yadavalli, Vinamr Rastogi, Ambar Mehta, Sara Allievi, Yoel Solomon, Jorg L de Bruin, Shipra Arya, Lars Stangenberg, Hence J M Verhagen, Marc L Schermerhorn","doi":"10.1016/j.jvs.2024.10.016","DOIUrl":"10.1016/j.jvs.2024.10.016","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to compare perioperative and 5-year outcomes following endovascular (FEVAR) and open repair (OAR) of complex abdominal aortic aneurysms (cAAAs) in males and females separately, given the known sex-related differences in perioperative outcomes.</p><p><strong>Methods: </strong>We studied all elective cAAA repairs between 2014 and 2019 in the Vascular Implant Surveillance and Interventional Outcomes Network (VISION) registry. We stratified patients based on sex. We calculated propensity scores for assignment to either OAR or FEVAR. Covariates including age, race, diameter, baseline comorbidities, proximal extent of repair, annual center volumes, and annual surgeon volumes were introduced into the model for estimating propensity scores. Within matched cohorts, perioperative outcomes and 5-year outcomes (mortality, reinterventions, and ruptures) were evaluated using multivariable logistic and Cox regression models.</p><p><strong>Results: </strong>We identified 2825 patients, of whom 29% were female. Within both the sexes, OAR was more commonly performed (OAR vs FEVAR: males: 53% vs 47%; females: 63% vs 37%). After matching, among males (n = 1326), FEVAR was associated with lower perioperative mortality (FEVAR vs OAR: 2.3% vs 5.1%; P < .001). However, FEVAR was associated with comparable 5-year mortality (38% vs 28%; hazard ratio [HR], 1.2; 95% confidence interval [CI], 0.92-1.4; P = .22) and a higher hazard of 5-year reintervention (19% vs 3.7%; adjusted HR, 4.5; 95% CI, 2.6-7.6; P < .001). Among females (n = 456), FEVAR and OAR showed similar perioperative mortality (8.3% vs 7.0%; P = .73). At 5 years, FEVAR was associated with higher hazards of mortality (43% vs 32%; adjusted HR, 1.5; 95% CI, 1.03-2.2; P = .034) and reintervention (20% vs 3.0%; adjusted HR, 4.8; 95% CI, 2.1-11; P < .001) compared with OAR.</p><p><strong>Conclusions: </strong>Among males, FEVAR was associated with favorable perioperative outcomes compared with OAR, although these advantages attenuate over time. However, among females, FEVAR was associated with similar perioperative outcomes, eventually leading to higher reinterventions and possibly higher mortality within 5 years. Future efforts should focus on determining the factors associated with these sex disparities to improve outcomes following FEVAR in females. Based on current evidence, females undergoing elective cAAA repair should be selected with due caution, especially for endovascular repair.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468809","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":"Midterm single-center results with the use of custom-made endografts with inner branches: a call for attention.","authors":"Jose I Torrealba, Giuseppe Panuccio, Petroula Nana, Antonino Giordano, Daour Yousef Al Sarhan, Tilo Kölbel","doi":"10.1016/j.jvs.2024.09.039","DOIUrl":"10.1016/j.jvs.2024.09.039","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the patency of bridging covered stents (BCS) bridged to inner branches in custom-made thoracoabdominal endografts.</p><p><strong>Methods: </strong>This was a single-center retrospective study identifying all patients undergoing fenestrated or branched endovascular aortic repair (f/b EVAR) in whom the reno-visceral target vessels (TVs) were bridged with a BCS to an inner branch of a custom-made (CMD) endograft. Technical success and perioperative complications were noted. Follow-up BCS patencies were evaluated, and in patients with follow-up, two groups based on BCS were created, a group with BCS occlusion and a group with BCS patent. Univariable and multivariable analyses were performed to analyze factors related to visceral and renal bridging stent occlusion.</p><p><strong>Results: </strong>From 2019 through 2022, 69 patients undergoing complex aortic repair had at least one TV bridged to an inner branch built into a CMD endograft. Eighty-six percent of the grafts had only inner branches, whereas 14% had a mix of fenestrations for the visceral TVs and inner branches for the renal arteries. Twenty-five percent of patients presented as urgent and received an endograft originally designed for another patient and available on our shelf at the time. A total of 245 TVs were connected to inner branches: celiac trunk (CT), 54; superior mesenteric artery (SMA), 59; and renal artery (RA), 132. Technical success was 99%. There was a 23% complication and 9% perioperative mortality rate. At follow-up, we identified 6% of visceral and 14% of renal BCS occlusions. The primary patency for RA BCS was 83% at 12 months and 58% at 24 months. For the CT-SMA BCS, Kaplan-Maier showed a patency of 99% and 96% at 12 and 24 months. In the univariate analysis, a misaligned TV ostium (P = .001), the postoperative BCS diameter on postoperative computed tomography angiography (P = .02), and the preoperative infrarenal aortic angle >60° (P = .007) were correlated with RA BCS occlusion. In the multivariate analysis, only the misaligned TV ostium (P = .002) and infrarenal angle >60° (P = .01) were significantly correlated.</p><p><strong>Conclusions: </strong>In our series of complex aortic repair, the incorporation of inner branches to bridge TVs is associated with a high renal BCS occlusion rate. Improper alignment of the branches with the TV ostium and acute aortic angles might play a significant role. Further research on this technology is needed.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468755","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":"Successful factors for improving aortic remodeling with thoracic endovascular repair and bare stent extension.","authors":"Mio Kasai, Kenichi Hashizume, Tadashi Matsuoka, Mitsuharu Mori, Toshiaki Yagami, Kiyoshi Koizumi, Hiroaki Kaneyama, Yuika Kameda, Tsutomu Nara, Mayu Nishida, Misato Tokioka, Hideyuki Shimizu","doi":"10.1016/j.jvs.2024.10.025","DOIUrl":"10.1016/j.jvs.2024.10.025","url":null,"abstract":"<p><strong>Objective: </strong>Proximal ExTension to Induce COmplete ATtachment (PETTICOAT), which uses downstream bare metal stents for structural support, demonstrates potential, yet its adoption is limited by variable outcomes. This study elucidates the potential of PETTICOAT in aortic dissection, emphasizing the determinants that guide patient selection.</p><p><strong>Methods: </strong>A retrospective analysis of 60 patients who underwent full PETTICOAT for aortic dissections was conducted. A multivariate logistic regression model identified predictors of favorable aortic remodeling. Patients underwent standardized follow-up with computed tomography scans to assess size, volumetric changes, and anatomical conditions. Selection criteria included full PETTICOAT application and a minimum of 3 months of follow-up. Demographics, preoperative conditions, and procedural details were collected and analyzed.</p><p><strong>Results: </strong>The analysis identified predictors of favorable aortic remodeling, including age >60 years, a larger downstream aorta stent graft, a smaller abdominal aorta (<450 mm²), and oral angiotensin II receptor blocker administration. Over a median 47.5 months of follow-up, survival rates in the favorable remodeling (97.3%) and unfavorable groups (100%) were similar. Downstream aortic event-free survival rates did not differ significantly (89.2% vs 73.9%), although the unfavorable group had a relatively higher incidence of distal stent-induced new entries (26.1% vs 8.1%).</p><p><strong>Conclusions: </strong>The PETTICOAT concept effectively enhances aortic remodeling in complex aortic dissections. Predictors for favorable remodeling, including age, stent graft sizing, aortic diameter, and angiotensin II receptor blocker therapy, offer insights for optimizing patient selection. This approach improves survival outcomes, mitigates risks associated with untreated aortic segments, and provides a minimally invasive solution for aortic dissections. Despite some outcome variations, the technique holds promise for addressing the challenges of aortic dissections, with the potential for further refinement in patient selection and technique application.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142468758","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":"Prognostic Factors and Models to Predict Mortality Outcomes in Patients with Peripheral Arterial Disease: A Systematic Review","authors":"C.P. Porras,&nbsp;M. Teraa,&nbsp;J.A.A. Damen,&nbsp;C.E.V.B. Hazenberg,&nbsp;M.L. Bots,&nbsp;M.C. Verhaar,&nbsp;R.W.M. Vernooij","doi":"10.1016/j.jvs.2024.08.042","DOIUrl":"10.1016/j.jvs.2024.08.042","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"80 5","pages":"Page 1624"},"PeriodicalIF":3.9,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531130","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":"Intraoperative cell salvage technique in patients undergoing complex endovascular aortic repair","authors":"S.S. Park,&nbsp;L. Weise,&nbsp;C.F. Bechara,&nbsp;P.J. DeChristopher","doi":"10.1016/j.jvs.2024.09.023","DOIUrl":"10.1016/j.jvs.2024.09.023","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"80 5","pages":"Page A15"},"PeriodicalIF":3.9,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531537","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":"Covered Stents Versus Bare Metal Stents in the Treatment of Aorto-iliac Disease: A Systematic Review and Individual Participant Data Meta-analysis","authors":"V. Bontinis,&nbsp;A. Bontinis,&nbsp;A. Giannopoulos,&nbsp;V. Manaki,&nbsp;I. Kontes,&nbsp;V. Rafailidis,&nbsp;C.N. Antonopoulos,&nbsp;K. Ktenidis","doi":"10.1016/j.jvs.2024.08.041","DOIUrl":"10.1016/j.jvs.2024.08.041","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"80 5","pages":"Page 1624"},"PeriodicalIF":3.9,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531129","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}