Journal of Vascular Surgery最新文献

{"title":"Contemporary Use of Fibula Resection in Peroneal Artery Bypass: How Do Outcomes Compare With Traditional Medial Approach?","authors":"Elisabeth Brontë Jenkins","doi":"10.1016/j.jvs.2025.06.086","DOIUrl":"10.1016/j.jvs.2025.06.086","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 4","pages":"Page e101"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104946","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":"Meta-analysis of Studies Comparing Alternative Autogenous Venous Conduits to Prosthetic Conduits in Patients Undergoing Femoral-Distal Bypass Demonstrates Similar Patency and Limb Salvage Rates","authors":"Hugo Perrier, John Landau, Audra Duncan, Luc Dubois","doi":"10.1016/j.jvs.2025.06.068","DOIUrl":"10.1016/j.jvs.2025.06.068","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 4","pages":"Pages e123-e124"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108217","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":"Thoracic Endovascular Stent Graft Removal Is Associated With Favorable Short and Long-Term Outcomes","authors":"Yuliya Voloshyn , Eimaan Shergill , Maja Grubisic , Joel Price , Jason Faulds , Jong Moo Kim","doi":"10.1016/j.jvs.2025.06.057","DOIUrl":"10.1016/j.jvs.2025.06.057","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 4","pages":"Pages e116-e117"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108354","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":"Growth Velocity of the Residual Aortic Aneurysm Sac Is Associated With Mortality After Fenestrated and Branched Endovascular Aortic Repair","authors":"Eric J. Finnesgard , Jessica P. Simons , Adam W. Beck , Matthew Eagleton , Matthew P. Sweet , Mark A. Farber , W. Anthony Lee , Darren Schneider , Gustavo S. Oderich , Carlos Timaran , Warren Gasper , Andres Schanzer","doi":"10.1016/j.jvs.2025.06.099","DOIUrl":"10.1016/j.jvs.2025.06.099","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 4","pages":"Pages e107-e108"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108549","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":"Evaluating Vascularis, A Modular Retrieval-augmented Generation-based Vascular Surgery Artificial Intelligence Chat Interface, Against General Purpose Large Language Models in Management of Complex Aortic Disease","authors":"Tiam Feridooni , Asha Behdinan , Polycronis P. Akouris , Hirad Feridooni , Andrew Dueck , Mark Wheatcroft , David Szalay","doi":"10.1016/j.jvs.2025.06.062","DOIUrl":"10.1016/j.jvs.2025.06.062","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 4","pages":"Pages e119-e120"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108552","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 Repair Versus F/BEVAR for Juxtarenal Abdominal Aortic Aneurysms in the Vascular Quality Initiative","authors":"Elisa Caron , Emily St John , Jeremy Darling , Camila R. Guetter , Jemin Park , Jens Eldrup-Jorgensen , Panagiotis Kougias , Marc Schermerhorn","doi":"10.1016/j.jvs.2025.06.103","DOIUrl":"10.1016/j.jvs.2025.06.103","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 4","pages":"Pages e109-e110"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108490","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":"Association of 5-Factor Modified Frailty Index With Arteriovenous Fistula Maturation Outcomes","authors":"Judy Li , Melissa Kumi , Sarah Loh , Edouard Aboian , Cassius Iyad Ochoa Chaar , Britt H. Tonnessen","doi":"10.1016/j.jvs.2025.06.105","DOIUrl":"10.1016/j.jvs.2025.06.105","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 4","pages":"Pages e110-e111"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108492","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":"Frontiers in Oncovascular Surgery: Robotic Transabdominal Inferior Retroperitoneal Approach for Leiomyosarcoma Resection in the Aortocaval Space","authors":"Patrick Heindel, James Luo, Amber Kernodle, Monica Majumdar, Karthik Thangappan, Matthew T. Menard, Nicholas Swerdlow, Mohamad A. Hussain, Jiping Wang","doi":"10.1016/j.jvs.2025.06.088","DOIUrl":"10.1016/j.jvs.2025.06.088","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 4","pages":"Pages e101-e102"},"PeriodicalIF":3.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108606","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 and Risk Factors Associated with Index Hospitalization Leg Ischemia Following Endovascular Abdominal Aortic Aneurysm Repair.","authors":"Matthew Leverich, Ahmed M Afifi, Ali Fakih, Gang Ren, Nicolas Mouawad, Munier Nazzal","doi":"10.1016/j.jvs.2025.09.023","DOIUrl":"https://doi.org/10.1016/j.jvs.2025.09.023","url":null,"abstract":"<p><strong>Introduction / objectives: </strong>Although incidence of index hospitalization leg ischemia following abdominal aortic aneurysm repair is low (1-3%), it is a serious complication that deserves investigation. Pre-operative risk factors, such as demographics, medical history, and medication use (or lack of) that may be associated with this complication are understudied. Our aim is to predict the factors that may be associated with the development of leg ischemia following endovascular repair in the index hospitalization period.</p><p><strong>Methods: </strong>All de-identified patient records from the Vascular Quality Initiative's abdominal aortic aneurysm endovascular repair registry (n=76,166) were examined from January 1, 2003 to June 1, 2023. Patients without leg ischemia (n=75,406) and those with it (n=760) during index hospitalization were separated into two groups. Demographic factors (e.g. sex assigned at birth), medical history (e.g. smoking status, hypertension), and medication use (e.g. statin use) were compared between the two groups utilizing univariate and multivariate analysis to examine association with leg ischemia. Comparisons with a p-value less than 0.05 were deemed significant.</p><p><strong>Results: </strong>Over the study period, 1.0% of patients developed index hospitalization leg ischemia. Female sex assigned at birth (OR 1.76, 95% CI 1.40-2.20, p < 0.001), current smoking status (OR 1.72, 95% CI 1.20-2.46, p = 0.003), HTN (OR 1.61, 95% CI 1.16-2.22, p = 0.004), COPD (OR 1.29, 95% CI 1.04-1.61, p = 0.020), ruptured aneurysm (OR 2.06, 95% CI 1.52-2.80, p< 0.001), post-operative myocardial infarction (OR 2.06, 95% CI 1.24-3.45, p = 0.006), iliac artery adjunct procedure (OR 1.52, CI 1.16-1.99, p <0.002), iliac limb endpoint in external iliac artery (OR 2.56, CI 1.39-4.74, p <0.003), intraoperative iliac/femoral artery thrombectomy (OR 2.02, CI 1.15-3.56, p <0.015), and intraoperative distal embolectomy (OR 2.49, CI 1.29-4.81, p <0.007) were significantly associated with leg ischemia. Preoperative statin use (OR 0.79, 95% CI 0.59 - 0.92, p = 0.008) was significantly associated with decreased incidence of leg ischemia. Access site complications (hematoma / occlusion) had the largest impact (OR 18.65, 95% CI 14.49-24.00, p < 0.001) on the development of leg ischemia.</p><p><strong>Conclusions: </strong>Certain factors such as female sex assigned at birth, current smoking status, ruptured aneurysm, iliac artery adjunct procedure, external iliac artery endpoint, and access site complication may be indicative of index post-operative leg ischemia. Preoperative statin may decrease risk of developing leg ischemia.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081069","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":"Abdominal Aortic Aneurysm Growth Profiles Over Time: Prognostic Implications and Biological Insights.","authors":"Alexander Vanmaele, Maria Karamanidou, Petros Branidis, Elke Bouwens, Sanne E Hoeks, Jorg L de Bruin, Sander Ten Raa, K Martijn Akkerhuis, Felix van Lier, Ricardo P J Budde, Bram Fioole, Hence J M Verhagen, Eric Boersma, Isabella Kardys","doi":"10.1016/j.jvs.2025.09.007","DOIUrl":"https://doi.org/10.1016/j.jvs.2025.09.007","url":null,"abstract":"<p><strong>Objective: </strong>Progressing abdominal aortic aneurysms (AAA) show a patchwork of rupture-prone wall segments with fast growth and/or greater wall stress, often not located around the maximum diameter. This study aimed to characterize AAA-growth profiles over time and investigate their prognostic value for AAA-progression.</p><p><strong>Methods: </strong>In this prospective, observational cohort of AAA-patients (maximum diameter ≥40mm) under periodic surveillance, participants underwent blood sampling at baseline and were followed over two years with annual CT-imaging. Aortic diameter was repeatedly measured between the lowermost renal artery and 10mm above the aortic bifurcation at 5% length intervals. The largest diameter change (≥ or < 2.6mm) and its distance from the maximum aneurysm diameter (> or ≤ 10% of aneurysm length) were used to classify patients at one and two years into slow, edge and peak growth. A symmetry test was used to test for directionality of changes in growth profiles between the first and the second year. Secondary outcomes were time-to-surgical threshold, as well as differences in diameter/volume growth and circulating biomarkers, investigated using Cox-, mixed-effects, and linear regression models, respectively.</p><p><strong>Results: </strong>92 of 101 patients adhered to one-year imaging [mean age 72 (standard deviation: 6.9), 84 male, median maximum diameter 45 (25^th-75^th percentile: 42, 48) mm]. 55 patients showed edge growth, 20 slow growth and 17 peak growth. 75 of 76 alive, untreated patients underwent two-year imaging, 41 showed edge growth, 12 slow growth and 22 peak growth. Most patients did not change in growth profile over time. Those that did change, went from slow to edge to peak growth (p=0.027). The cumulative incidence (95% confidence interval (CI)) to qualify for surgery in the subsequent year was 0% (0, 0) for patients with slow growth, 23% (12, 36) for edge growth, and 43% (16, 67) for peak growth (slow vs. edge p = 0.029, edge vs. peak p = 0.186). When accounting for differences in maximum diameter, the hazard ratio (95% CI) for qualifying for surgery was 5.24 (1.68, 16.38) for patients showing peak growth, compared to edge growth (p=0.004).</p><p><strong>Conclusions: </strong>Fast AAA growth predominantly occurs at the edges of the aneurysm, which may shift towards the maximum diameter over time. These growth profiles, alongside maximum aneurysm diameter, may help identify patients that are more or less likely to qualifying for surgery in the short term.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145058433","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}