EJVES Vascular Forum最新文献

{"title":"Iatrogenic Aorta-Iliac laparoscopic Injuries","authors":"Asiyah Shafi ∗ , Taohid Oshodi","doi":"10.1016/j.ejvsvf.2024.01.030","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.030","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Pages S21-S22"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000315/pdfft?md5=30879a44bb649bdf443d862eeeea647d&pid=1-s2.0-S2666688X24000315-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051603","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":"Arterial Blood Flow and Effects on Limb Tissue Perfusion During Endoshunting of the Common Iliac Artery in an Experimental Porcine Model","authors":"Johan Millinger ,&nbsp;Marcus Langenskiöld ,&nbsp;Andreas Nygren ,&nbsp;Klas Österberg ,&nbsp;Joakim Nordanstig","doi":"10.1016/j.ejvsvf.2024.01.053","DOIUrl":"10.1016/j.ejvsvf.2024.01.053","url":null,"abstract":"<div><h3>Objective</h3><p>Temporary arterial shunting is an established method to prevent tissue ischaemia. Although less well established, shunting might also be achieved through endovascular and hybrid techniques, known as endoshunting. Endoshunting offers advantages, for example, enabling minimally invasive access and avoiding complete occlusion of the donor artery. In an <em>ex vivo</em> bench test, volume flow in various interconnected endoshunt systems has been tested previously. This study aimed to investigate the capacity of the best performing endoshunt system <em>in vivo</em>.</p></div><div><h3>Methods</h3><p>Six anaesthetised pigs had their common iliac arteries (CIAs) explored, with the left CIA serving as the experimental and the right CIA as the control. Mean arterial pressure, regional blood flow, endoshunt flow, and regional oxygen extraction and lactate production were recorded. Distal muscle perfusion was monitored using near infrared spectroscopy (NIRS). Each experiment involved baseline registration, cross clamping of the left CIA, a 120 minute endoshunt session, and restoration of native flow.</p></div><div><h3>Results</h3><p>During cross clamping, NIRS values on the experimental side reached the lowest measurable value. Following endoshunt activation, there were no NIRS value differences between the experimental and control extremities whereas the average arterial flow decreased in both the experimental (270–140 mL/min, <em>p</em> = .028) and control extremities (245–190 mL/min, <em>p</em> = .25), with a greater drop on the endoshunted side (48% <em>vs.</em> 22%, respectively). Lactate levels temporarily increased by 42% in the endoshunted limb on endoshunt activation but were normalised within an hour. Oxygen extraction remained constant at 55% on the control side but increased to 70% on the endoshunted side (<em>p</em> = .068).</p></div><div><h3>Conclusion</h3><p>In this animal model, a flow optimised endoshunt system appeared to provide sufficient blood flow and restored stable tissue perfusion. Although arterial flow was slightly lower and oxygen extraction slightly higher on the endoshunted side, the endoshunt seemed to deliver adequate perfusion to prevent significant ischaemia.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Pages 54-61"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000546/pdfft?md5=c0b8a6a14da3121115e5c222a598a45a&pid=1-s2.0-S2666688X24000546-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139634457","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":"A Two Stage Open and Interventional Therapeutic Approach for an Inferior Pancreaticoduodenal Artery Aneurysm With Coeliac Artery Occlusion","authors":"Polina Shabes ,&nbsp;Waseem Garabet ,&nbsp;Peter Minko ,&nbsp;Joscha Mulorz ,&nbsp;Julian-Dario Rembe ,&nbsp;Hubert Schelzig ,&nbsp;Markus U. Wagenhäuser","doi":"10.1016/j.ejvsvf.2024.06.005","DOIUrl":"10.1016/j.ejvsvf.2024.06.005","url":null,"abstract":"<div><h3>Introduction</h3><p>Visceral artery aneurysms (VAAs) are rare but have a high mortality rate in cases of rupture, especially for pancreaticoduodenal artery aneurysms (PDAAs). A hybrid approach is presented for a challenging case with inferior PDAA (iPDAA) with concomitant coeliac artery (CA) occlusion and a variant arterial supply to the liver.</p></div><div><h3>Report</h3><p>A 61 year old patient complained of postprandial pain associated with elevated liver enzymes and impaired hepatic synthesis capacity. The left hepatic artery (LHA) originated from an occluded CA, whereas the right hepatic artery (RHA) originated directly from the superior mesenteric artery (SMA) proximal to the iPDAA. Due to the anatomical variant, an endovascular only approach via iPDAA embolisation could have posed a critical risk to the arterial supply of the liver. Therefore, the initial plan was to first secure liver perfusion via endovascular revascularisation of the CA, before conducting a coil embolisation of the iPDAA. However, endovascular CA revascularisation failed due to a complete and fixed occlusion. As an alternative therapeutic approach, open surgical aorto-visceral autologous bypass ensured arterial supply of the liver, which now enabled safe exclusion of the iPDAA via interventional coil embolisation. This two stage hybrid strategy resulted in iPDAA exclusion and was followed by symptom relief and normalised hepatic synthesis capacity.</p></div><div><h3>Discussion</h3><p>This case demonstrates the continued need for open visceral bypass surgery to ensure organ perfusion, if the latter depends on an aneurysmal artery. In such a situation, visceral bypass surgery can be considered in challenging anatomical scenarios, which demonstrates the relevance of endovascular and open procedures. In conclusion, both procedures can be combined in individualised therapy approaches to maximise patient benefit.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages 25-29"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000960/pdfft?md5=15cef10ecddb49a86874c3a960be6183&pid=1-s2.0-S2666688X24000960-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141695381","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":"Novel Modified Inner Branched Arch Endograft for Pseudoaneurysm Post Type A Dissection Repair","authors":"Eric Lim ∗ ,&nbsp;Ruth Benson ,&nbsp;Oliver Lyons ,&nbsp;Andrew Laing ,&nbsp;Adib Khanafer","doi":"10.1016/j.ejvsvf.2024.01.006","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.006","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Pages S1-S2"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000078/pdfft?md5=9a2b53bfb5e42e6d8de81890890a8b0d&pid=1-s2.0-S2666688X24000078-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140052382","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":"Current Management Strategies and Clinical Outcomes Achieved in NANB AAD: Systematic Review and Narrative Synthesis","authors":"Ottavia Borghese ∗ ,&nbsp;Angelo Pisani ,&nbsp;Ana Lopez-Marco ,&nbsp;Benjamin Adams ,&nbsp;Aung Ye Oo ,&nbsp;Tara Mastracci","doi":"10.1016/j.ejvsvf.2024.01.044","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.044","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Pages S33-S34"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000455/pdfft?md5=2935c854becc41d169cbfadad779ba2a&pid=1-s2.0-S2666688X24000455-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140052389","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":"Ruptured Popliteal Artery Aneurysm: Is Endovascular Treatment A Valid Option?","authors":"T. Cohnert ∗ ,&nbsp;G. Siegl ,&nbsp;N. Föger ,&nbsp;S. Koter ,&nbsp;A. Baumann","doi":"10.1016/j.ejvsvf.2024.07.017","DOIUrl":"10.1016/j.ejvsvf.2024.07.017","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages S11-S12"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698815","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":"Prospective Multicentre Longitudinal Study To Validate Accuracy of The Global Anatomical Staging System (GLASS) Score in Predicting Major Acute Limb Events in Patients With Chronic Limb Threatening Ischaemia Undergoing Endovascular Intervention","authors":"M. Darwish ∗ ,&nbsp;M. D’Oria ,&nbsp;A. Croo ,&nbsp;R. Melo ,&nbsp;L. Meecham","doi":"10.1016/j.ejvsvf.2024.07.028","DOIUrl":"10.1016/j.ejvsvf.2024.07.028","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages S17-S18"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698812","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":"The Role of Gender and of Systemic Immuno-Inflammation Index in Outcomes After Carotid Artery Stenting: The \"Ge.Di.STENT.SII\" Study In Precision Medicine for Cerebrovascular Disease","authors":"G. Mastrangelo ∗ ,&nbsp;A. Marzullo ,&nbsp;P. Di Sebastiano ,&nbsp;V. Palazzo","doi":"10.1016/j.ejvsvf.2024.07.022","DOIUrl":"10.1016/j.ejvsvf.2024.07.022","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Page S15"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142698813","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":"Comparison of Hospital Stay After Open Abdominal Aortic Aneurysm Repair With or Without Enhanced Recovery Protocol","authors":"Ilaria Peluttiero ,&nbsp;Dimitrios Apostolou ,&nbsp;Gianfranco Varetto ,&nbsp;Lorenzo Gibello ,&nbsp;Erica Mariani ,&nbsp;Edoardo Frola ,&nbsp;Fabio Barili ,&nbsp;Matteo Ripepi ,&nbsp;Massimo Maione ,&nbsp;Fabio Verzini","doi":"10.1016/j.ejvsvf.2024.10.004","DOIUrl":"10.1016/j.ejvsvf.2024.10.004","url":null,"abstract":"<div><h3>Objective</h3><div>Enhanced recovery after surgery (ERAS) is a protocol of evidence based practices applied in major surgery. Open aortic aneurysm repair is major surgery in terms of complications and mortality. This study aimed to compare early outcomes of ERAS with a traditional post-operative protocol in patients undergoing elective open aortic surgery.</div></div><div><h3>Methods</h3><div>This retrospective cohort study was conducted between 2018 – 2022 in two tertiary vascular surgery centres. The ERAS program was routinely implemented in one centre, while the other one used a standard peri-operative protocol. The primary outcome was post-operative length of stay (pLOS). Secondary outcomes were 30 day mortality rate, complications, re-interventions, and re-hospitalisations. Propensity score weighting was used to balance the two groups by comorbidities. Inverse probability of treatment weight (IPTW) was used to estimate the average treatment effect on the treated patients.</div></div><div><h3>Results</h3><div>A total of 198 patients were enrolled: 128 in the ERAS group (EG) and 70 in the standard group (SG). Mean age was 70.8 ± 6.7 years in EG and 71.1 ± 6.7 in SG (<em>p</em> = 0.39). No significant differences were observed in pre-operative cardiovascular risk factors. The median pLOS was 5 days (IQR 3, 6) in the EG group and 8 days (IQR 6, 11) in the SG group (<em>p</em> &lt; 0.001). No differences in terms of mortality, re-operations, and re-hospitalisations were observed. The IPTW analyses showed a 40% reduction in pLOS and a significant reduction in major complications in EG (OR 0.41, 95% CI 0.26–0.66; <em>p</em> &lt; 0.001). A 45% increase in pLOS in patients with chronic obstructive pulmonary disease was found in both groups.</div></div><div><h3>Conclusion</h3><div>Enhanced recovery after surgery is safe and feasible for elective open aortic surgery and is associated with earlier hospital discharge without differences in terms of mortality and lower complication rates compared with a standard protocol. Chronic obstructive pulmonary disease is a major risk factor for an increase in pLOS. The ERAS protocol is promising in terms of resource utilisation.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages 97-103"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142655166","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":"Face, Content, and Construct Validity of a Low Cost and Open Source Endovascular Simulator","authors":"James Budge ∗ ,&nbsp;Luis Ribero ,&nbsp;Bilal Azhar ,&nbsp;Iain Roy ,&nbsp;Ian Loftus ,&nbsp;Peter Holt","doi":"10.1016/j.ejvsvf.2024.01.021","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.021","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Page S15"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000224/pdfft?md5=42d8cdc43e7603acf85baa2cb073e6e5&pid=1-s2.0-S2666688X24000224-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051539","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}