Vasa-european Journal of Vascular Medicine最新文献

{"title":"Two sides of the same gap: sex and gender in vascular medicine, <i>from the operating room to the vessel wall</i>.","authors":"Christos Rammos, Giacomo Buso, Erwin Blessing, Lucia Mazzolai","doi":"10.1024/0301-1526/a001305","DOIUrl":"https://doi.org/10.1024/0301-1526/a001305","url":null,"abstract":"","PeriodicalId":23528,"journal":{"name":"Vasa-european Journal of Vascular Medicine","volume":"55 5","pages":"317-318"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860590","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":"Time for change - Do we need a women's quota in vascular surgery to counteract the gender gap?","authors":"Ursula E M Werra, Karin Pfister, Benjamin Rosswinkel, Livia Cotta, Julia Härtl, Wilma Schierling, Barbara Rantner, Carola M Hoffmann-Wieker","doi":"10.1024/0301-1526/a001245","DOIUrl":"10.1024/0301-1526/a001245","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Over the last years, the discussion about gender equality has reached surgery. Among all the different aspects being discussed, the question of the necessity of implementing a women's quota arises regularly. <i>Materials and methods:</i> In 2022 a questionnaire was answered by members of the German Society for Vascular Surgery and Vascular Medicine. Relevant career and family-life related demographic aspects as well as their personal opinion on the need for a women's quota were evaluated. <i>Results:</i> 540 vascular surgeons participated in the survey. Significantly more male surgeons were in a committed relationship. Significantly more partners of female colleagues had full-time jobs, and significantly less women stated that they were the main earners in the relationship. Male surgeons had significantly more children. In general, men held higher positions and significantly more male surgeons were enrolled as head of department. Significantly more women favoured a women's quota for e.g. head of department positions, senior surgeon positions, scientific committees and scientific panels at scientific conferences. Regarding the level of such a quota, 43% of participating female surgeons and 19.5% of males suggested a 50% quota, whereas 59% of male and 30% of female surgeons did not see the need of a women's quota at all. <i>Conclusions:</i> The present survey shows the imbalance between men and women in vascular surgery in Germany in terms of career development and family life. Persistent disadvantages for women were shown. Women's quotas could be helpful, but are certainly no reasonable \"stand-alone-approach\": a general change of mindset is needed here.</p>","PeriodicalId":23528,"journal":{"name":"Vasa-european Journal of Vascular Medicine","volume":" ","pages":"355-362"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145347592","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":"Exercise training in women with lipedema - A systematic review.","authors":"Stefano Lanzi, Enrica Porceddu, Anina Pousaz, Cécile Jaques, Lucia Mazzolai","doi":"10.1024/0301-1526/a001250","DOIUrl":"10.1024/0301-1526/a001250","url":null,"abstract":"<p><p><b></b> Lipedema is a chronic disease characterized by the disproportionate and symptomatic accumulation of fat in the lower limbs and arms. Women with lipedema experience heaviness, fatigue and pain, leading to impairments in daily activities and reduced quality of life. Conservative treatment mainly focuses on lifestyle modifications, along with compression therapy and manual lymphatic drainage. Exercise training could also play a pivotal role in the management of lipedema. The aim of this systematic review was to explore the effectiveness of exercise training in women with lipedema. A comprehensive literature search was conducted in Embase, MEDLINE, Cochrane CENTRAL, Web of Science, CINAHL on June 23, 2025. The main outcomes were pain, fatigue and other symptoms, quality of life, anthropometric characteristics, lower limb volumes and/or circumference, and functional performance. The search strategy identified 523 studies, of which six were included in this review. Studies included 115 women with lipedema. Exercise training seems to improve pain and other symptoms, quality of life, limb volumes and/or circumference, and functional performance. The effects seem to be greater when combined with ongoing compression therapy. However, the effects of exercise training on the different outcomes varied among the studies, probably related to the high heterogeneity, different training approaches, and small sample sizes. Exercise training might be a promising therapeutic care option in women with lipedema, and the effects seem to be greater when combined with ongoing compression therapy. Appropriately designed and adequately powered studies are needed to further explore the benefits of exercise in these patients. (PROSPERO Registration No.: CRD42024604164).</p>","PeriodicalId":23528,"journal":{"name":"Vasa-european Journal of Vascular Medicine","volume":" ","pages":"322-333"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145534257","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":"From the societies.","authors":"","doi":"10.1024/0301-1526/a001301","DOIUrl":"https://doi.org/10.1024/0301-1526/a001301","url":null,"abstract":"","PeriodicalId":23528,"journal":{"name":"Vasa-european Journal of Vascular Medicine","volume":"55 5","pages":"378"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860530","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":"Bypass versus endovascular revascularization for patients with atherosclerotic occlusive disease of the superficial femoral artery.","authors":"Konstantinos Avranas, Apostolos G Pitoulias, Dimitrios Kapetanios, Gergana T Taneva, Konstantinos P Donas","doi":"10.1024/0301-1526/a001236","DOIUrl":"10.1024/0301-1526/a001236","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Atherectomy emerged recently as an interventional modality for vessel preparation with high rates of mid-term primary patency. However, data regarding the comparison of rotational atherectomy for long calcified lesions with bypass surgery above-the-knee are lacking. Aim to investigate early and mid-term outcomes of this endovascular treatment compared to bypass surgery. <i>Patients and methods:</i> In this retrospective analysis, patients with de novo occlusive TASC D lesions of the superficial femoral artery (SFA) were included. A synthetic above-knee femoropopliteal bypass was preferred as the initial treatment approach for patients with absence of a patent origin/stump of the SFA (group A). On the other hand, in case of patent stump of the SFA of at least 1 cm or more, an endovascular approach with rotational atherectomy and DCB angioplasty with bail-out stenting was preferred (group B). <i>Results:</i> Thirty-eight patients formed group A, and thirty-nine group B. Technical success/stent free technical success was met in 37/38 patients in group A and in 29/39 patients in group B respectively (p<.001). Primary patency was 89.5% in group A compared to 94.7% in group B (log rank test: p=.468), while the secondary patency was 94.9% versus 94.7% (log rank test: p=.068). In group B, two patients required re-intervention 24 months after the initial procedure. In group A, two patients suffered from bypass occlusion occurring 8 months after the initial procedure and unterwent a re-intervention. <i>Conclusions:</i> Endovascular atherectomy-assisted revascularisation and prosthetic bypass exhibit good patency. The time of occurrence of re-interventions differ between the 2 groups unterlining the need for meticulous follow up.</p>","PeriodicalId":23528,"journal":{"name":"Vasa-european Journal of Vascular Medicine","volume":" ","pages":"363-370"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087292","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":"Editorial.","authors":"","doi":"10.1024/0301-1526/a001304","DOIUrl":"https://doi.org/10.1024/0301-1526/a001304","url":null,"abstract":"","PeriodicalId":23528,"journal":{"name":"Vasa-european Journal of Vascular Medicine","volume":"55 5","pages":"319"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860379","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":"Interdepartmental cooperation in access-site management - verifiable persistent benefit for patients.","authors":"Harald Schuett, Ann-Christin Schäfer, Berthold Stegemann, Bernhard Schieffer, Emilia Stegemann","doi":"10.1024/0301-1526/a001260","DOIUrl":"10.1024/0301-1526/a001260","url":null,"abstract":"<p><p><b></b> <i>Background:</i> Vascular access-site complications after catheterization remain a significant cause of morbidity and mortality. While patient- and procedure-related risk factors are well described, the impact of structured, interdisciplinary training programs is less well established. We evaluated the effect of a structured training program for cardiologists and interventional staff on access-site-related complications after transfemoral coronary interventions. <i>Patients and methods:</i> Over 36 months, we tracked all elective transfemoral coronary interventions at our institution. After an initial 6-month observational phase, we implemented a structured training program for cardiologists and catheter lab staff, using initial complication rates as the baseline. The training included quarterly sessions, pre-interventional angiological assessment for high-risk patients, pre-interventional assessment for all patients, and sheath removal by assistants. We prospectively assessed all access-site related complications using a standardized protocol and analysed incidence changes with a regression model, adjusting for patient-specific risk factors over time. <i>Results:</i> Quarterly training and pre-interventional angiological assessment for high-risk patients did not significantly impact complication rates. However, pre-interventional angiographical assessment for all patients and sheath removal training for assistants significantly reduced complication rates. The results remained consistent after adjusting for patient-specific risk factors. <i>Conclusions:</i> Structured angiological training for interventional staff significantly reduces access-site related complications. Interdisciplinary collaboration enhances patient safety and minimizes adverse events.</p>","PeriodicalId":23528,"journal":{"name":"Vasa-european Journal of Vascular Medicine","volume":" ","pages":"371-377"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146106991","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":"Vascular medicine in older adults - A call for structured cooperation to improve care.","authors":"Gerald Kolb, Farzin Adili, Michael Denkinger, Gesine Dörr, Ursula Müller-Werdan, Oliver J Müller, Christoph Ploenes, Alexander Oberhuber, Barbara Rantner, Markus Steinbauer, Norbert Weiss, Rainer Wirth, Hartmut Görtz","doi":"10.1024/0301-1526/a001303","DOIUrl":"https://doi.org/10.1024/0301-1526/a001303","url":null,"abstract":"<p><p><b></b> The patient population treated by vascular medicine is becoming older, which goes along with an increasing number of patients presenting with frailty syndrome. The level of frailty determines the outcomes after vascular surgery or interventions. This position paper written by the German Society for Vascular Surgery and Vascular Medicine, the German Society for Geriatrics, and the German Society for Angiology - Society for Vascular Medicine summarizes the current evidence on the impact of frailty on the outcome after treatment for vascular diseases, and calls for a closer collaboration between geriatrics and vascular medicine and an integration of geriatric assessment in the preoperative or preinterventional evaluation of patients. Concrete and practical demands and tasks are formulated aiming at increasing awareness of geriatrization of the patient population, promoting research on the impact of frailty on the treatment of vascular patients and improving patients' safety, reducing complications and enhancing quality of care of older vascular patients.</p>","PeriodicalId":23528,"journal":{"name":"Vasa-european Journal of Vascular Medicine","volume":"55 5","pages":"320-321"},"PeriodicalIF":3.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148860583","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":"2-Year outcomes of endovascular therapy of popliteal artery restenosis.","authors":"Tanja Böhme, Elias Noory, Ulrich Beschorner, Frank Güntert, Jonas Salm, Roaa Bollenbacher, Dirk Westermann, Thomas Zeller","doi":"10.1024/0301-1526/a001306","DOIUrl":"https://doi.org/10.1024/0301-1526/a001306","url":null,"abstract":"<p><p><b></b> <i>Background:</i> To assess the mid-term outcome of endovascular treatment for popliteal artery restenosis. <i>Patients and methods:</i> This retrospective study included patients with peripheral artery disease (Rutherford class (RC) 2-5) and popliteal artery restenosis treated between January 2007 and December 2017. Patients were classified into four groups based on lesion extent: isolated popliteal lesions and lesions extending to femoral and/or below-the-knee arteries (BTK). The primary endpoint was target lesion revascularization (TLR) at 12 months. Secondary endpoints included TLR at 24 months, changes in RC, ankle-brachial index (ABI), amputation and mortality rates. <i>Results:</i> A total of 332 patients were analyzed. Ninety-two patients received popliteal treatment only (group I), in 81 patients lesion extended into the femoral artery (group II), 112 lesions extended into the BTK arteries (group III), and 47 lesions involved both, femoral and BTK arteries (group IV). At 12 months, the overall TLR rate was 34.6%, with no significant differences between subgroups. Drug-coated balloon (DCB) angioplasty showed a significant benefit during the first 12 months (p = .035), but this advantage was not sustained thereafter (p = .798). TLR rates did not differ significantly between patients treated with stent angioplasty and those without stenting (p = .087). Significant improvements in ABI and RC were observed in all groups. Major amputation rates were 0.9% at 12 months and 1.8% at 24 months. Mortality rates were 1.5% and 7.5%, respectively. <i>Conclusions:</i> Reintervention rate after endovascular treatment of popliteal artery restenosis is high. The potential benefits of drug-coated balloon angioplasty and stent angioplasty require further clarification through prospective studies.</p>","PeriodicalId":23528,"journal":{"name":"Vasa-european Journal of Vascular Medicine","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798375","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":"Fenestrated TREO^® low-profile endograft in hostile access vessels.","authors":"Florian Elger, Marcello Silvano, Eberhard Grambow, Teodora Ormandzhieva, Rukiye Secer","doi":"10.1024/0301-1526/a001298","DOIUrl":"https://doi.org/10.1024/0301-1526/a001298","url":null,"abstract":"<p><p><b></b> <i>Background:</i> The Fenestrated TREO^® is a new custom-made device for fenestrated endovascular aortic repair (FEVAR). Its 19Fr low-profile delivery system may be effective for patients with low-calibre or hostile access vessels (AV), reducing trauma risk, improving limb perfusion during percutaneous procedures, and broadening FEVAR indications. This study evaluates short- and mid-term outcomes of the device and its viability in patients with hostile AV. <i>Materials and methods:</i> Only patients with hostile AV treated with the Fenestrated TREO^® between 2022 and 2025 at a tertiary-care university centre were included. The primary endpoint was technical success. Secondary endpoints included AV-related intraoperative procedures, short- and mid-term morbidity, mortality, reintervention rate, AV-related complications and reinterventions, and stability of target vessels (TV). A sub-analysis compared patients with AV calibre >6.3 mm (group A) and <6.3 mm (group B). <i>Results:</i> Twenty-eight patients were included: 18 in group A and 10 in group B. Technical success was 100%, with target vessel cannulation achieved in 99.1% (one failure). Additional intraoperative AV preparation/adjunctive procedures were required in eight patients (28.6%; 1 vs. 7, p < .001). No perioperative or late deaths occurred. AV reinterventions were required in four patients (14.3%; 2 vs. 2, p = .561). Major complications occurred in four patients (14.3%), and three of 4 AV reinterventions were observed in this subgroup. One major reintervention was necessary. Early TV instability occurred in two patients (7.1%; 1 vs. 1, p = .712). During a median follow-up of 13 months, no late deaths or reinterventions were observed. <i>Conclusions:</i> In patients with hostile AV, the Fenestrated TREO^® graft showed high technical success rates and favourable short-term outcomes, with acceptable complication rates and excellent TV stability, aligning with results of other well-established endografts. Its low-profile design may be advantageous in complex AV anatomies. Additional intraoperative AV-related procedures mainly occurred in cases of very narrow AV (group B), while postoperative AV-related complications and reinterventions were similar between groups.</p>","PeriodicalId":23528,"journal":{"name":"Vasa-european Journal of Vascular Medicine","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148798349","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}