EJVES Vascular Forum最新文献

{"title":"Unexpected Diagnosis of Concomitant Castleman's Disease Following Carotid Body Tumour Resection: A Case Report and Management Review.","authors":"Roberto Cunha, Roberto Silva, Clara Nogueira, Alexandra Canedo","doi":"10.1016/j.ejvsvf.2025.05.008","DOIUrl":"10.1016/j.ejvsvf.2025.05.008","url":null,"abstract":"<p><strong>Introduction: </strong>Castleman's disease is a rare lymphoproliferative disorder with distinct histopathological features. Although some non-specific imaging findings may suggest this pathology, the diagnosis remains challenging due to its rarity and often asymptomatic presentation.</p><p><strong>Report: </strong>The case of a patient submitted to surgical resection of an assumed carotid body tumour, but whose histological examination revealed a paraganglioma and presence of Castleman's disease in the cervical lymph nodes is presented.</p><p><strong>Discussion: </strong>The management and treatment options for this disease are reviewed in this report, which aims to raise awareness among surgeons involved in cervical tumour pathology about this rare pathology.</p>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"75-77"},"PeriodicalIF":1.4,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12357137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anastomotic Pseudoaneurysm in an Abandoned Brachiocephalic Arteriovenous Fistula","authors":"Arianna Serra ,&nbsp;Elisabetta Tanda","doi":"10.1016/j.ejvsvf.2024.12.002","DOIUrl":"10.1016/j.ejvsvf.2024.12.002","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"63 ","pages":"Page 20"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143288554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gender and Geographical Diversity in Authorship, Peer Reviewing, and Editorial Roles in the European Journal of Vascular and Endovascular Surgery Vascular Forum","authors":"Melina Vega de Céniga ,&nbsp;June Fernández","doi":"10.1016/j.ejvsvf.2024.12.003","DOIUrl":"10.1016/j.ejvsvf.2024.12.003","url":null,"abstract":"<div><h3>Objective</h3><div>Gender based disparities have been reported regarding principal investigator positions, authorship of medical published literature, reviewing roles, and representation in journal editorial boards. This study aimed to analyse gender and geographical differences in the authorship and editorial roles of the <em>European Journal of Vascular and Endovascular Surgery Vascular Forum</em> (EJVES VF).</div></div><div><h3>Methods</h3><div>An observational retrospective study was performed of all consecutive submissions to EJVES VF between 2020 – 2023. Data were gathered on: first author's gender, first author's professional country, last author's gender, number of authors per submission, article type, and final editorial decision. Gender and professional country of external reviewers and editorial staff were also analysed, as well as performance indicators. The statistical analysis was descriptive and chi squared and <em>t</em> tests were used.</div></div><div><h3>Results</h3><div>A total of 577 submitted papers were included. First authors were female (FFA) in 26.7% and 28.5% of submitted and accepted papers, and last authors (FLA) in 16.5% and 22%, respectively. The acceptance rate was 34.7% (<em>n</em> = 200), which was similar for FFA and male first authors (37% <em>vs</em>. 33.8%; <em>p</em> = .47). The FLA had a higher acceptance rate than male last authors (46.3% <em>vs</em>. 32.4%; <em>p</em> = 0.009). The acceptance rate of original research and review papers was 34.7% (<em>n =</em> 42), 28.2% (<em>n =</em> 101) for case reports, short reports, editorials, and surgical videos, and 52.2% for images, correspondence, and invited commentaries (<em>p</em> &lt; .001). The highest acceptance rate was achieved by Europe (<em>n =</em> 334; 43.1%), followed by America (<em>n =</em> 68; 33.8%) and Australasia (<em>n =</em> 20; 30%) (<em>p</em> &lt; .001). The journal had six female and ten male editors. The proportion of female reviewers rose from 12.4% in 2020 to 17% in 2023, and female editorial board members from 7% to 21%. Performance indicators were statistically similar for male and female reviewers.</div></div><div><h3>Conclusion</h3><div>Female authorship is under represented in submitted and published papers in EJVES VF, with important geographical differences. The number and percentage of female reviewers is increasing; their performance is comparable with their male colleagues.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"63 ","pages":"Pages 45-51"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endovascular Management of Upper Limb Arterial Aneurysms in a Child With Kawasaki Disease","authors":"Marian D. Moreno-Urías ,&nbsp;Javier E. Anaya-Ayala ,&nbsp;Alejandro Celis-Jiménez","doi":"10.1016/j.ejvsvf.2025.04.005","DOIUrl":"10.1016/j.ejvsvf.2025.04.005","url":null,"abstract":"<div><h3>Background</h3><div>Kawasaki disease is an acute, self limited vasculitis that predominantly affects children under five years of age. It is clinically diagnosed by persistent fever for at least five days along with four of the main clinical features. Bilateral upper limb aneurysms are rare in Kawasaki disease, with limited literature comprising case reports and small series, leaving management guidelines unclear.</div></div><div><h3>Report</h3><div>This study presents the case of a three year old male with a history of incomplete Kawasaki disease at eight months of age. Initial treatment included two doses of gammaglobulin after which he was diagnosed with aneurysms in both the left and right coronary arteries; he remained in a stable condition under bi-annual monitoring. Six months later, the patient was referred having developed aneurysms in the left axillary and right brachial arteries. Open and endovascular approaches were discussed with his parents; endovascular management was opted for. Covered stents (6 x 56 mm and 8 x 56 mm Fluency Plus Endovascular Stent Graft, Becton Dickinson &amp; Co., New Jersey, USA) were successfully placed in the left axillary and right brachial arteries during a single procedure. The patient remained haemodynamically stable and was discharged 24 hours post-operation without complications. At the 24 month follow up, the patient was asymptomatic, and ultrasound confirmed the continued patency of the stents.</div></div><div><h3>Conclusion</h3><div>This case highlights the importance of individualised treatment strategies for paediatric patients with Kawasaki disease complicated by arterial aneurysms. The use of stent grafts in children presents unique challenges, including long-term durability, vessel growth, and thrombosis risk, necessitating careful patient selection and lifelong follow up. The successful outcome observed in this case highlights the potential of endovascular techniques as a viable alternative to open surgery, emphasising the need for further studies to establish standardised guidelines for paediatric vascular interventions.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 16-19"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Iatrogenic Thoracic Aortic Injury Due to Right Intercostal Drain Insertion","authors":"Giulia Bertagna,&nbsp;Nicola Troisi","doi":"10.1016/j.ejvsvf.2025.03.002","DOIUrl":"10.1016/j.ejvsvf.2025.03.002","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"63 ","pages":"Page 68"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maintenance of Functionality Without Flushing of Totally Implantable Venous Access Devices: A Presentation of Clinical Cases","authors":"Martina Rapisarda ,&nbsp;Luisa Gallo ,&nbsp;Alessandro Terrasi ,&nbsp;Ivan Lo Iacona ,&nbsp;Isidoro Di Carlo ,&nbsp;Adriana Toro","doi":"10.1016/j.ejvsvf.2025.05.005","DOIUrl":"10.1016/j.ejvsvf.2025.05.005","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of this study was to report experience of treating patients who underwent implantation of a long term totally implantable venous access device (TIVAD) that was not flushed.</div></div><div><h3>Methods</h3><div>Patients who underwent TIVAD implantation between 1995 and 2016 were included in the present study. Sex, age, type of disease, indications, surgeon, device used, choice of venous access, type of procedure, morbidity, and follow up duration were considered.</div></div><div><h3>Results</h3><div>Five hundred and forty-four patients underwent surgical TIVAD implantation. The most common type of disease was solid tumours (508 patients, 93,4%). In 503 patients, the TIVAD was implanted in the cephalic vein. Seven (1.3%) patients were diagnosed with tumour recurrence by an oncologist (5/7 male, median age 57 years). Four (57.1%) patients had recurrent colorectal cancer, and three (42.9%) had recurrent breast cancer. For several months, these patients did not return to the hospital for port flushing. None of these devices were heparinised for 18–24 months; however, no signs of occlusion were detected.</div></div><div><h3>Conclusion</h3><div>This study shows that TIVAD can remain patent without flushing. Moreover, the lack of flushing could be economically advantageous and could provide relief for patients. Therefore, a larger study of this topic is needed.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 24-27"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144491043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Waves Across the Coral Reef Aorta: Intravascular Lithotripsy in Juxtarenal Aortic Occlusive Disease","authors":"Nicola Troisi,&nbsp;Sofia Pierozzi,&nbsp;Raffaella Berchiolli","doi":"10.1016/j.ejvsvf.2025.04.003","DOIUrl":"10.1016/j.ejvsvf.2025.04.003","url":null,"abstract":"<div><h3>Background</h3><div>Coral reef aorta (CRA) is a rare disease characterised by rock hard intraluminal calcifications primarily localised to the visceral and juxtarenal aorta, which can cause significant stenoses, leading to visceral, renal, and lower limb ischaemia. Intravascular lithotripsy (IVL) is an innovative and promising endovascular tool for the treatment of high grade calcified stenoses.</div></div><div><h3>Report</h3><div>A 73 year old woman presented with bilateral Rutherford class 5 chronic limb threatening ischaemia and an ankle brachial pressure index (ABPI) of 0.4 right and 0.5 left. The patient had undergone kissing iliac stenting for lifestyle limiting intermittent claudication 20 years before at another centre. Computed tomography angiography showed proximal extension of the aorto-iliac occlusive disease with near occlusive CRA in the juxtarenal aorta, and patent iliac and lower limb arteries. The patient was treated with kissing balloon IVL (two 7 x 60 mm Shockwave M5 catheters; Shockwave Medical Inc, Santa Clara, CA, USA) through bilateral percutaneous femoral access, and concomitant inflation of two 4 mm balloons to protect both renal arteries through surgical left axillary access. Patency of the aorta and iliac stents was obtained with palpable femoral and peripheral pulses. No intraprocedural complication occurred. At the six month follow up, the lesions had healed, and the patient was alive with improvement in four Rutherford classes (ABPI 0.9 for both limbs).</div></div><div><h3>Conclusion</h3><div>Intravascular lithotripsy without any adjunctive iliac stenting could be a safe and effective therapeutic option in patients with juxtarenal CRA.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 28-31"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144501353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endovascular Aneurysm Sealing: Sealed, Signed, Disposed?","authors":"Martin Teraa,&nbsp;Joost A. van Herwaarden","doi":"10.1016/j.ejvsvf.2025.05.006","DOIUrl":"10.1016/j.ejvsvf.2025.05.006","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 47-48"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144572915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sartorius and Gracilis Muscle Flaps as Adjuncts for the Management of Complicated Femoral Wounds in Vascular Surgery","authors":"Jhanvi Dholakia ,&nbsp;Anantha Narayanan ,&nbsp;Qiantai Hong ,&nbsp;Manar Khashram","doi":"10.1016/j.ejvsvf.2025.03.004","DOIUrl":"10.1016/j.ejvsvf.2025.03.004","url":null,"abstract":"<div><h3>Aim</h3><div>Groin complications following vascular surgery occur in 10–30% of cases and are associated with significant morbidity and mortality rates. While various institutions have published results on sartorius and rectus femoris muscle flaps for arterial reconstruction coverage, there are limited data on the use of gracilis muscle flaps. This study aimed to present the outcomes of sartorius and gracilis muscle flaps in managing complicated femoral wounds.</div></div><div><h3>Method</h3><div>A retrospective study was conducted from January 2019 to December 2023 at a tertiary centre in New Zealand. The study design followed the STrengthening the Reporting of Observation studies in Epidemiology (STROBE) checklist. Patients who underwent a muscle flap for an emergency vascular surgery indication were included. The primary outcome was wound healing, while secondary outcomes included re-intervention, limb and graft salvage.</div></div><div><h3>Results</h3><div>Twenty-three flaps were performed for post-operative complications during the study period, including 10 gracilis flaps and 13 sartorius flaps, with a median follow up of twenty-six months. Complete healing was achieved in 90% of patients in the gracilis group, compared with 69% in the sartorius group (<em>p</em> = 0.34). The median time to healing was 56 days in the gracilis group and 55 days in the sartorius group. Three patients in the sartorius group underwent planned re-intervention for groin debridement, compared with two in the gracilis group. Donor site wound complications occurred in two gracilis flap patients, both of which healed. Major complications in the sartorius group included two amputations and one graft occlusion, while no such event occurred in the gracilis group.</div></div><div><h3>Conclusion</h3><div>Both gracilis and sartorius muscle flaps are viable options for reconstructing femoral wounds, with reasonable post-operative outcomes. Further multicentre studies are needed to better correlate clinical outcomes with the perceived benefits of the gracilis flap.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 42-46"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144535574","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency Repair of a Symptomatic Arch Aneurysm due to a Type B Aortic Dissection Using a Repurposed Three Vessel Branched Endograft","authors":"Prakash Saha,&nbsp;Mohamed H. Sayed,&nbsp;Said Abisi","doi":"10.1016/j.ejvsvf.2025.06.002","DOIUrl":"10.1016/j.ejvsvf.2025.06.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Thoracic endovascular aortic repair (TEVAR) has replaced open surgery for descending thoracic aortic pathology. Achieving a suitable proximal seal may necessitate hybrid repair involving cervical debranching, which carries risks. Alternatively, if a total endovascular solution is being attempted, parallel grafts or physician modified devices can be used. These have not, however, been designed specifically for this purpose. Branched thoracic endografts represent an evolution in stent graft design for the aortic arch. Single branched off the shelf designs are available, but multibranched designs are custom made, limiting their emergency use. Here, the successful use of a repurposed custom made triple branched endograft for a complicated acute type B aortic dissection (TBAD) with rapid false lumen expansion is reported.</div></div><div><h3>Report</h3><div>An 84 year old man presented with a three day history of chest pain and worsening breathlessness. He had had a previous episode of acute TBAD a month earlier, managed with blood pressure control. Computed tomography angiography (CTA) revealed a left pleural effusion and an aortic dissection extending from the left subclavian artery to the aortic bifurcation. The proximal descending aortic diameter had rapidly expanded to 67 mm. To treat the patient, a custom made triple branched endograft, initially intended for a different patient, was used. Follow up CTA showed satisfactory positioning of the stent graft with no evidence of endoleak, complete false lumen thrombosis, and satisfactory aortic remodelling.</div></div><div><h3>Discussion</h3><div>Acute TBAD remains a significant therapeutic challenge, especially when complications arise. TEVAR is recommended, but standard endografts may require full head and neck vessel debranching to ensure a proximal seal, which can be achieved by either open surgery or through endovascular means. This case demonstrates the applicability of a multibranched arch endograft in the emergency setting, which fortunately was available in the unit. Although these cases are rare, it is believed that development of a three vessel off the shelf solution should be considered.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 83-86"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145007686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}