Vascular最新文献

{"title":"Predictive factors for iliac vein compression syndrome in patients with varicose veins.","authors":"Chao Guo, ShuTing Gao, Longqing Hu, Dan Shang, Yiqing Li","doi":"10.1177/17085381241275269","DOIUrl":"10.1177/17085381241275269","url":null,"abstract":"<p><p>ObjectiveThis study aimed to identify predictors of iliac vein compression syndrome (IVCS) in patients with varicose veins and to evaluate the necessity of routine lower extremity venography for preoperative assessment of these patients.MethodsA retrospective analysis was conducted on data from 1165 patients with lower-limb varicose veins who underwent preoperative venography at Wuhan Union Hospital, Tongji Medical College, China, between January 2019 and September 2023. Logistic regression analyses identified factors associated with concurrent IVCS, and a nomogram was constructed based on these findings.ResultsOut of 1165 patients, 75 (6.4%) had IVCS according to venography and 769 had iliac vein ultrasound and found 2 (0.17%) positives. Multivariate analysis revealed the independent predictive value of left-sided involvement (odds ratio (OR) = 3.22, 95% confidence interval (CI): 1.24-8.33, <i>p</i> = 0.016), history of deep vein thrombosis (DVT) in the affected limb (OR = 3.11, 95% CI: 1.21-8.00, <i>p</i> = 0.018), pain (OR = 2.24, 95% CI: 1.17-4.26, <i>p</i> = 0.014), and positive results on iliac vein ultrasound (OR = 25.56, 95% CI: 2.10-311.26, <i>p</i> = 0.011) for the presence of IVCS in patients with lower-limb varicose veins. A nomogram incorporating these predictors demonstrated moderate predictive ability (AUV = 0.689, 95% CI: 0.607-0.771), with good calibration upon validation.ConclusionsPatients with left lower extremity varicose veins, pain symptoms, history of DVT in the affected limb, and positive iliac vein ultrasound findings are at a higher risk of concurrent IVCS. Patients with varicose veins who have the aforementioned risk factors may need to undergo preoperative angiography.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"999-1006"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047268","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":"Long-term comparison of rotational and directional atherectomy outcomes in patients with femoropopliteal lesions.","authors":"Hasan Toz, Yusuf Kuserli, Gülsüm Türkyılmaz, Saygın Türkyılmaz, Ali Aycan Kavala","doi":"10.1177/17085381241275801","DOIUrl":"10.1177/17085381241275801","url":null,"abstract":"<p><p><b>Objective:</b> This study aims to elucidate the differences in vessel patency rates, procedural complications, and the need for repeat interventions between these two techniques, thereby providing insights into the optimal atherectomy strategy for managing peripheral arterial disease in the femoropopliteal segment. <b>Material and Methods:</b> This retrospective study investigated the long-term effectiveness of two atherectomy techniques, rotational atherectomy (RA) and directional atherectomy (DA), in treating lower extremity peripheral artery disease (LE-PAD) affecting the superficial femoral artery (SFA) and popliteal arteries. A total of 134 patients with symptomatic LE-PAD and significant stenosis (70%-99%) were included and divided into two groups based on the atherectomy method used. Both groups underwent similar pre- and post-atherectomy procedures, including drug-coated balloon angioplasty. The primary outcome measure was clinical success, defined as procedural success and an improvement in Rutherford classification at 1 year. <b>Results:</b> Baseline characteristics were similar between the two groups, with no significant differences in demographics or lesion characteristics, except for a higher proportion of right-sided lesions in the DA group. While both RA and DA effectively improved ankle-brachial index (ABI) and Rutherford classification at 12 months, RA demonstrated superior long-term benefits, with significantly higher ABI at 24 months and a greater proportion of asymptomatic patients. Although RA had a longer procedural duration and a higher incidence of dissection, it resulted in lower residual stenosis and fewer cases of treated segment thrombosis than DA. Both RA and DA are effective treatment options for femoropopliteal lesions, but RA may offer advantages in long-term symptom management and vessel patency. <b>Conclusion:</b> Both rotational and directional atherectomy effectively treat femoropopliteal lesions, with rotational atherectomy demonstrating superior long-term outcomes in terms of symptom management and vessel patency. Despite longer procedural times and a slightly higher risk of dissection, rotational atherectomy resulted in lower residual stenosis and fewer cases of treated segment thrombosis than directional atherectomy.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"1108-1117"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988945","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":"Interventions for great saphenous vein insufficiency: A systematic review and network meta-analysis.","authors":"Abdulkreem Aa Juhani, Abdullah Abdullah, Eman Mohammed Alyaseen, Amnah A Dobel, Jawad S Albashri, Osama M Alalmaei, Yahya M Salem Alanazi, Dalal R Almutairi, Layan N Alqahtani, Sultan A Alanazi","doi":"10.1177/17085381241273098","DOIUrl":"10.1177/17085381241273098","url":null,"abstract":"<p><p>BackgroundGreat saphenous vein insufficiency (GSVI) adversely affects the quality of life of affected individuals. Minimally invasive endo-venous ablation techniques have emerged as effective and safe treatments, despite the longstanding use of surgical interventions. We aim in our study to evaluate all the available interventions in the literature, either endo-venous or conventional approaches for the treatment of GSVI.MethodsA thorough search was performed across four electronic databases to identify relevant studies. A frequentist network meta-analysis (NWM) was executed on the combined data to derive network estimates pertaining to the outcomes of concern. Risk ratios (RRs) were employed as the effect size metric for binary outcomes, while mean differences (MDs) were utilized for continuous outcomes, each reported with a 95% confidence interval. The qualitative review was conducted employing the Cochrane risk of bias assessment tool 1.ResultsOur NWM included 75 studies encompassing 12,196 patients. Regarding technical success rate within the first 5 years after treatment, Endo-venous Laser Ablation (EVLA) with High Ligation and Stripping (HL/S), EVLA alone, Cyanoacrylate Adhesive Injection, cryostripping, HL/S and Radiofrequency Ablation (RFA) were significantly better than Ultrasound-Guided Foam Sclerotherapy and F-care. Also, invagination stripping was inferior to all interventions. Conservative Hemodynamic Cure for Venous Insufficiency and Varicose Veins (CHIVA) demonstrated a significantly lower recurrence rate with a RR of 0.35 [0.15; 0.79] compared to RFA, but RFA was more effective in recurrence prevention than HL/S and Mechanochemical Ablation (MOCA), with a RR of 0.63 [0.41; 0.97] and 0.18 [0.03; 0.95], respectively. Endo-venous Steam Ablation (EVSA) emerged as the most effective in reducing post-intervention pain, showing a MD of -2.73 [-3.72; -1.74] compared to HL/S. In Aberdeen Varicose Vein Questionnaire outcome, our analysis favored MOCA over most studied interventions, with an MD of -6.88 [-12.43; -1.32] compared to HL/S. Safety outcomes did not significantly differ among interventions.ConclusionOur findings revealed significant variations in the technical success rates, recurrence rates, and post-intervention pain levels among different interventions. CHIVA exhibited enhanced performance in terms of lower recurrence rates, while EVSA emerged as a promising choice for mitigating post-intervention pain. Additionally, our analysis underscored the significance of patient-reported outcomes, with MOCA consistently yielding favorable results in terms of enhancing quality of life and expediting the return to regular activities.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"983-998"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141988924","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":"Venous stenting versus venous ablation.","authors":"Ahmad Alsheekh, Pavel Kibrik, Natalie Marks, Enrico Ascher, Anil Hingorani","doi":"10.1177/17085381241273222","DOIUrl":"10.1177/17085381241273222","url":null,"abstract":"<p><p>BackgroundThe minimally invasive procedures of venous ablation and iliac vein stenting are evolving treatment options for venous insufficiency. Yet, there are no studies directly comparing the outcome of these procedures. We performed a survey on patients who had both procedures, to determine if either procedure helped more and if there is any other clinical factor related to the outcome.MethodWe collected data between Jan 2012 and Feb 2019 from 726 patients who failed to improve swelling after conservative management. The patients underwent iliac vein stenting and vein ablations. We recorded patient assessment of the leg immediately after completion of both procedures. Follow-up was performed using in-person questionnaires by asking if improvement in lower extremity swelling occurred and if so, which procedure helped more.ResultsOf the 726 patients who underwent endovenous closure and iliac vein stent placement, 254 (35%) were males. The average age of the patients was 70 (±13.7 SD, range 29-103) years. The presenting symptom (C of CEAP classification) of lower extremity limb venous disease was 34.8%, 44.6%, 5.6%, and 15% for C3-C6, respectively. Patients were asked about swelling, and they stated: swelling is better (605, 83.3%), swelling is not better (118, 16.3%), and not sure if there is any improvement in swelling (3, 0.4%). Patients stated the following completion of both procedures: both procedures equally helped (129, 18%), iliac vein stent superior (167, 23%), endovenous ablation superior (177, 24%), neither helped (112, 16%), and not sure which procedure helped more (141, 19%). After ANOVA, we concluded that older patients (average = 72.5 years) were more often not sure which procedure helped more (<i>p</i> = .024), and younger patients (average = 68.4 years) stated that endovenous ablation helped more (<i>p</i> = .014). There were no significant differences between the groups regarding gender (<i>p</i> = .9), laterality (<i>p</i> = .33), or presenting symptoms scores (<i>p</i> = .9). There was no statistical relationship between the procedure that was performed first and the procedure that helped more (<i>p</i> = 0.095).ConclusionIn this qualitative assessment, preliminary data suggest that the comparative role of iliac vein stent versus endovenous ablation warrants further study. The data were broadly distributed, and neither procedure was superior. In addition, 16% of the patients stated that neither procedure helped. The age of patients may also play a role in their procedure preferences and their subjective assessment for improvement.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"1007-1010"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074038","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":"Female gender is independently associated with longer hospital stays following infra-inguinal bypass for peripheral arterial disease. A retrospective cohort study.","authors":"Daniel J Farndon, Sri Vulla, Philip C Bennett","doi":"10.1177/17085381241281315","DOIUrl":"10.1177/17085381241281315","url":null,"abstract":"&lt;p&gt;&lt;p&gt;AimsThe association between gender and length of hospital stay following infra-inguinal bypass (IIB) surgery is unclear. While previous studies have reported gender disparities in length of hospital stay (LoS), the results are conflicting and could be attributable to other confounding factors. We undertook this cohort study to determine if there are any gender differences in length of hospital stay following infra-inguinal bypass for PAD after adjusting for well-known confounders.MethodsA 3-year single-centre retrospective case notes analysis of all people undergoing IIB between 2017 and 2019. Rutherford stage, graft conduit, urgency of bypass, level of bypass, procedure details, baseline demographics, length of stay (LoS) and co-morbidities were collected and univariable associations with length of hospital stay were reported. Factors associated with increased LoS on univariable analysis were entered into a multivariable model.Results177 IIB were analysed with a median age of 70 [63-73] years, 124 (70.1%) were male and 89 (50.2%) had DM. A total of 78 (44.1%) were current smokers, and 100 (56.5%) underwent emergency procedures. The cohort included patients with Rutherford stage 3 (&lt;i&gt;n&lt;/i&gt; = 41 (23.2%)), stage 4 (&lt;i&gt;n&lt;/i&gt; = 48 (27.1%)), stage 5 (&lt;i&gt;n&lt;/i&gt; = 86 (48.6%)) and stage 6 (&lt;i&gt;n&lt;/i&gt; = 1 (0.6%)) disease. A total of 100 (56.5%) underwent emergency procedures. The conduits used were prosthetic (&lt;i&gt;n&lt;/i&gt; = 62 (35%)), vein (&lt;i&gt;n&lt;/i&gt; = 113 (63.8%)) and composite (&lt;i&gt;n&lt;/i&gt; = 2 (1.1%)), and the level of distal anastomosis was above knee (&lt;i&gt;n&lt;/i&gt; = 49 (27.7%)), below knee (&lt;i&gt;n&lt;/i&gt; = 66 (37.3%)) and distal (&lt;i&gt;n&lt;/i&gt; = 62 (35%). Baseline demographics did not differ by gender, and there were no differences in post-operative complications. The proportion of patients discharged to their usual place of residence without a package of care did not differ by gender (&lt;i&gt;p&lt;/i&gt; = .387). However, length of stay for female patients was significantly longer than for male patients (9 [6-21] vs 7 [5-14] days, &lt;i&gt;p&lt;/i&gt; = .021). Other factors associated with increased LoS on univariable analysis were emergency versus elective (&lt;i&gt;p&lt;/i&gt; &lt; .0001), Rutherford stage (&lt;i&gt;p&lt;/i&gt; &lt; .0001), bypass level (&lt;i&gt;p&lt;/i&gt; = .001), bypass conduit (&lt;i&gt;p&lt;/i&gt; = .001), post-operative complications (&lt;i&gt;p&lt;/i&gt; &lt; .0001) and discharge to rehab or home with package of care (&lt;i&gt;p&lt;/i&gt; &lt; .0001). Patients operated on by a female surgeon also had a longer hospital stay (14 [8-20] vs 7 [5-14], &lt;i&gt;p&lt;/i&gt; = .011) than those operated on by a male surgeon. After multivariate adjustment for bypass urgency, level and conduit, Rutherford stage, presence of post-operative complications and discharge destination, female gender (RR 1.59 95% CI: 1.09-2.3, &lt;i&gt;p&lt;/i&gt; = .017) was still associated with increased length of hospital stay.ConclusionsEven after adjustment for well-known factors associated with length of hospital stay, female gender appears to be independently associated with significantly longer ","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"1118-1127"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142133950","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":"Revascularization of superior mesenteric artery occlusion via the arc of Buhler: A case report and literature review.","authors":"Wei Huang, Ke Wang, Yang Liu, Qi-Qi Wang, Hai-Jun Wei, Chun-Shui He","doi":"10.1177/17085381241289485","DOIUrl":"10.1177/17085381241289485","url":null,"abstract":"<p><p>BackgroundTo report revascularization of a superior mesenteric artery (SMA) ostial occlusion via the Arc of Buhler.Case ReportA 62-year-old female presented with 2 months of recurrent abdominal distension and postprandial pain. Computed tomography angiography (CTA) revealed ostial occlusion of the SMA with distal perfusion via the Arc of Buhler (connecting the celiac trunk and SMA). Conventional endovascular techniques failed. A 0.014 guidewire was passed retrograde through the occlusion via the Arc of Buhler. The guidewire was captured from the femoral sheath and balloon angioplasty with stent placement was performed. The patient had complete symptom resolution post-procedure.ConclusionsRetrograde revascularization via the Arc of Buhler is an effective method for treating the initial segment occlusion of the SMA.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"1186-1190"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142354778","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":"Physician-modified funnel-shaped covered stent for selective false lumen exclusion in chronic type B aortic dissection.","authors":"Lorenzo Torri, Petroula Nana, Giuseppe Panuccio, José Ignacio Torrealba, Daour Yousef El Sarhan, Tilo Kölbel","doi":"10.1177/17085381241289811","DOIUrl":"10.1177/17085381241289811","url":null,"abstract":"<p><p>PurposeTo describe the technique of off-centering a balloon-expandable covered stent for selective occlusion of a distal entry tear (ET) in a patient, conservatively treated for chronic type B aortic dissection (cTBAD), presenting FL expansion.TechniqueA 63-year-old male, with conservatively managed cTBAD, presented at follow-up with FL partial thrombosis and expansion (thoracic aorta FL from 21 mm to 27 mm and abdominal aorta FL from 11 mm to 15 mm in 6 months). No proximal ET was identifiable. Distal FL perfusion was caused by an ET in the abdominal aorta feeding a 2 mm accessory renal artery (ARA). As the aortic diameter was below the threshold for endovascular repair, a selective occlusion of the distal ET and ARA was planned. A balloon-expandable covered stent was modified by off-centering the covered stent proximally and resulting in a funnel-shape occluder after deployment across the ET into the ARA. To prevent type Ic endoleak due to possible FL expansion caused by an intra-operatively detected phrenic artery (PA), coils were deployed into the lumen of the modified stent and the ARA. The pre-discharge computed tomography angiography showed exclusion of both the ARA and ET and a type 2 endoleak from the PA.ConclusionA balloon-expandable covered stent can be modified by off-centering the covered stent resulting in a funnel shape to adapt to different diameter requirements.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"1066-1073"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12450246/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of endovascular kissing stent and aortobifemoral bypass in patients with aortoiliac occlusive disease.","authors":"Yusuf Kuserli, Ali Aycan Kavala, Hasan Toz, Gulsum Turkyilmaz, Onur Emre Satilmis, Saygin Turkyilmaz","doi":"10.1177/17085381251379120","DOIUrl":"https://doi.org/10.1177/17085381251379120","url":null,"abstract":"&lt;p&gt;&lt;p&gt;ObjectiveTo compare endovascular kissing stent (KS) and aortobifemoral bypass (AFB) procedures in patients with bilateral common iliac artery occlusion.Materials and MethodsThis was a single-centre retrospective study. Subjects who underwent treatment for bilateral TASC II C and D common iliac artery occlusion between August 2013 and August 2021 with at least 3 years of follow-up were included in the study. The study group was divided into kissing stent (group A) and aortobifemoral bypass (group B) groups. The subjects' demographic data (including age, sex, body mass index (BMI), smoking history, comorbid diseases and medications), TransAtlantic Inter-Society Consensus (TASC) II classifications and Rutherford classifications were noted. Preoperative diagnostic data included ankle-brachial index (ABI) measurements and computed tomography (CT) angiography assessments of the aorta and iliac-femoral axis. Intraoperative data (including operative times and complications) and hospital stay data were recorded. Patients were evaluated at the 1&lt;sup&gt;st&lt;/sup&gt;, 3&lt;sup&gt;rd&lt;/sup&gt;, 6&lt;sup&gt;th&lt;/sup&gt;, 12&lt;sup&gt;th&lt;/sup&gt;, 24&lt;sup&gt;th&lt;/sup&gt; and 36&lt;sup&gt;th&lt;/sup&gt; months after the procedure at outpatient visits. The primary patency, primary-assisted patency and secondary patency rates were calculated.ResultsThis study included 120 cases. The mean age of the participants in the study group was 66.18 ± 4.63 years (range: 56-78). The BMI of group A was significantly greater than that of group B (23.13 ± 1.36 for group A and 21.51 ± 1.38 for group B, &lt;i&gt;p&lt;/i&gt; = 0.001) (Table 1). The rate of TASC D classification in group B was significantly greater than that in group A (&lt;i&gt;p&lt;/i&gt; = 0.001; &lt;i&gt;p&lt;/i&gt; &lt; 0.01). The operation time of group B was significantly greater than that of group A (mean of 56 min for group A and 210 min for group B, &lt;i&gt;p&lt;/i&gt; = 0.001). Moreover, the hospital stay of group B was significantly longer than that of group A (mean of 1 day for group A and 7 days for group B, &lt;i&gt;p&lt;/i&gt; = 0.001).For the follow-up CT angiography measurements, a significant difference was observed between the groups at the 24&lt;sup&gt;th&lt;/sup&gt; month of follow-up (&lt;i&gt;p&lt;/i&gt; = 0.023; &lt;i&gt;p&lt;/i&gt; &lt; 0.05). The rate of full patency in patients in group B was significantly greater than that in group A (&lt;i&gt;p&lt;/i&gt; = 0.027; &lt;i&gt;p&lt;/i&gt; &lt; 0.05). Additionally, the rate of 0%-50% stenosis in patients in group B was significantly lower than that in patients in group A (&lt;i&gt;p&lt;/i&gt; = 0.023; &lt;i&gt;p&lt;/i&gt; &lt; 0.05). Other comparisons, such as those for CT angiography measurements, were not significant (&lt;i&gt;p&lt;/i&gt; &gt; 0.05 for all comparisons). Eleven (&lt;i&gt;n&lt;/i&gt; = 11, 18.3%) out of sixty subjects in group A and seven (11.7%) out of sixty subjects in group B underwent secondary interventions (&lt;i&gt;p&lt;/i&gt; = 0.444). The calculated primary patency, primary-assisted patency and secondary patency rates at 36 months were 68.3%, 21.7% and 10% for group A and 83.3%, 11% and 6.7% for group B, respectively.ConclusionThe use of KS and AFB proced","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"17085381251379120"},"PeriodicalIF":0.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131985","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":"Global trends in published research of aortic disease treatment: A two-decade bibliometric analysis (1994-2024).","authors":"Abubakar I Sidik, Sandro Lepidi, Kow Entsua-Mensah, Vladislav V Dontsov, Giovanni Badalamenti, Mario D'Oria","doi":"10.1177/17085381251379114","DOIUrl":"https://doi.org/10.1177/17085381251379114","url":null,"abstract":"<p><p>BackgroundAortic diseases, including aneurysms and dissections, represent a significant global health burden, necessitating advancements in surgical and endovascular interventions. This bibliometric analysis examines the evolution of research trends, key contributors, and emerging themes in the treatment of aortic diseases over the past three decades.MethodsBibliometric data from Scopus and Web of Science databases were analyzed for peer-reviewed articles published between 1994 and 2024. A systematic approach adhering to the PRISMA 2020 framework identified 2985 articles. Descriptive and advanced bibliometric techniques, including citation, co-authorship, and keyword co-occurrence analyses, were employed using tools such as VOSviewer and Biblioshiny.ResultsThe annual scientific output demonstrated consistent growth, with significant contributions from the United States, United Kingdom, and Germany. Leading institutions, including Harvard Medical School and Beth Israel Deaconess Medical Center, played pivotal roles in advancing research. Keywords revealed a dual focus on minimally invasive techniques, such as EVAR and TEVAR, and patient-centered outcomes like quality of life and survival. Collaboration networks and citation analyses highlighted influential authors and foundational studies shaping the field.ConclusionsThe study underscores the importance of global collaboration and technological innovation in advancing aortic disease treatment. While disparities in research representation persist, emerging trends in hybrid approaches, multidisciplinary methods, and outcome-based studies offer promising directions for future research. These findings provide a comprehensive resource for clinicians, researchers, and policymakers seeking to address challenges and improve patient care in this critical field.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"17085381251379114"},"PeriodicalIF":0.9,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145131996","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":"Two-dimensional versus three-dimensional registration for image fusion in endovascular aortic surgery.","authors":"Kirsten Dansey, Nicholas J Swerdlow, Thomas F X O'Donnell, Sara L Zettervall, Marc L Schermerhorn, Lars Stangenberg","doi":"10.1177/17085381251381002","DOIUrl":"https://doi.org/10.1177/17085381251381002","url":null,"abstract":"<p><p>ObjectiveImage fusion allows for reduced operative time and radiation exposure during endovascular aortic operations. There are two approaches to register a preoperative CT scan to the patient; two X-ray images (2D) or a cone beam CT (CBCT, 3D). The goal of this study was to compare accuracy of initial image fusion alignment and time for image fusion setup using 2D versus 3D registration.MethodsWe performed an analysis of patients who underwent endovascular aortic aneurysm repair at our institution. Offline, we re-registered the patient's preoperative CT scan to the images stored from the procedure. We used an anterior-posterior image and a lateral image to register for the 2D approach and used a CBCT for the 3D registration. We then used the patient's initial aortogram to assess accuracy between the actual aortogram and the created virtual mask for both 2D and 3D registration. We chose the inferior angle between renal artery and aorta as the fiducial marker. We measured the time to complete two registration processes. We employed the Wilcoxon matched-pairs signed-rank test to compare the two populations.ResultsA total of 27 patients were evaluated; 11 patients underwent EVAR, 3 FEVAR, 13 PMEG. The median (Q1,Q3) distance between the aortogram and the virtual mask for 3D registration was 8 mm (4,11) and for 2D was 14 mm (9,18.75), (p < .001). 22 patients (81%) had a more accurate registration with 3D image fusion. 2D fusion on average was faster by 93 seconds (p < .001) where time to register was 105 seconds for 2D and 197 seconds for 3D registration.ConclusionsIn the current study, 3D registration showed improved alignment of the fusion image over the 2D registration, at the expense of a longer registration time. This should be further evaluated in larger studies. Despite this added effort, we believe that 3D registration should be considered the preferred initial approach given the importance of an accurate mask for complex procedures.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"17085381251381002"},"PeriodicalIF":0.9,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145081563","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}