{"title":"Careers in Vascular and Endovascular Surgery in a Country Lacking an Integrated Vascular Residency Program","authors":"Tariq Alanezi ∗ , Hesham AlGhofili , Abdulmajeed Altoijry (Prof.) , Kaisor Iqbal , Sultan Alsheikh","doi":"10.1016/j.ejvsvf.2024.01.059","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.059","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Page S41"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000625/pdfft?md5=2ac662e8acac2fbb5b0bd1d1d22d9dbb&pid=1-s2.0-S2666688X24000625-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051714","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}
G. Mastrangelo ∗ , L. Semerano , G. Magistro , G. Palena , V. Sciannelli , R. Marinucci , P. Di Sebastiano , V. Palazzo
{"title":"The Road to the “Molecular Bypass”: First Results in Use of Autologous Mononuclear Cells in Critical Limb Ischaemia in “No Options” Patients","authors":"G. Mastrangelo ∗ , L. Semerano , G. Magistro , G. Palena , V. Sciannelli , R. Marinucci , P. Di Sebastiano , V. Palazzo","doi":"10.1016/j.ejvsvf.2024.07.018","DOIUrl":"10.1016/j.ejvsvf.2024.07.018","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages S12-S13"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699065","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}
H. Post ∗ , K. Paapstel , K. Kilk , A. Ottas , A. Piir , J. Kals
{"title":"Effects of Lower Extremity Digital Subtraction Angiography on Arterial Stiffness and Serum Metabolome in Patients With Peripheral Artery Disease","authors":"H. Post ∗ , K. Paapstel , K. Kilk , A. Ottas , A. Piir , J. Kals","doi":"10.1016/j.ejvsvf.2024.07.021","DOIUrl":"10.1016/j.ejvsvf.2024.07.021","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Page S14"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699064","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}
V. Dabravolskaite ∗ , H. Hakovirta , F. Schoenhoff , D. Kotelis , V. Makaloski , M. Lescan
{"title":"The Diversity of the Relay Stent Graft Custom Made Platform in the Treatment of Different Aortic Arch Pathology","authors":"V. Dabravolskaite ∗ , H. Hakovirta , F. Schoenhoff , D. Kotelis , V. Makaloski , M. Lescan","doi":"10.1016/j.ejvsvf.2024.07.012","DOIUrl":"10.1016/j.ejvsvf.2024.07.012","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages S8-S9"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142699670","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}
Alexandre Oliny , Côme Bosse , Philippe Charbonneau , Stephan Haulon , Dominique Fabre
{"title":"Closure Device Migration: An Unusual Cause of Acute Limb Ischaemia Following a Simple Endovascular Procedure","authors":"Alexandre Oliny , Côme Bosse , Philippe Charbonneau , Stephan Haulon , Dominique Fabre","doi":"10.1016/j.ejvsvf.2024.05.006","DOIUrl":"10.1016/j.ejvsvf.2024.05.006","url":null,"abstract":"<div><h3>Introduction</h3><p>Acute limb ischaemia resulting from foreign body embolisation is an infrequent yet critical complication associated with vascular closure devices (VCDs). Despite the widespread use of VCDs, rare complications such as fragment emboli pose unique challenges, necessitating heightened clinical awareness. This case report presents a case of acute limb ischaemia caused by a VCD malfunction following an endovascular procedure.</p></div><div><h3>Report</h3><p>A 70 year old male who was diagnosed with a severe claudication of the lower extremity (Rutherford III) due to right common iliac stenosis, underwent angioplasty using a FemoSeal (Terumo Ltd., Surrey, UK) to close the right femoral artery access. Two weeks later, the patient presented with acute lower limb ischaemia due to a right popliteal–tibial occlusion. Emergency surgical thrombo-embolectomy was successfully performed from a medial popliteal approach, and the thrombus, which contained a polymer disc from the VCD at its distal end, was completely removed.</p></div><div><h3>Discussion</h3><p>Despite VCDs being proven safe and efficient, rare complications such as fragment emboli can occur, and physicians should be aware of the possible delayed onset of symptoms. Moreover, the radiolucent nature of the polymer disc in a FemoSeal complicates diagnostic imaging. While endovascular approaches exist, open surgery is a safe and effective strategy for retrieving fragments and treating the patient in acute limb ischaemia cases.</p></div><div><h3>Conclusion</h3><p>Physicians should remain vigilant for embolic risks associated with vascular closure devices, even with suitable anatomy and following guidelines, especially considering the trend toward early ambulation and discharge.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Pages 113-115"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000868/pdfft?md5=e20c3267aa0d7c7adcec3e31a721aac3&pid=1-s2.0-S2666688X24000868-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141042618","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}
Arshia Javidan , Muralie Vignarajah , Matthew W. Nelms , Fangwen Zhou , Yung Lee , Faysal Naji , Ahmed Kayssi
{"title":"YouTube as a Source of Patient and Trainee Education in Vascular Surgery: A Systematic Review","authors":"Arshia Javidan , Muralie Vignarajah , Matthew W. Nelms , Fangwen Zhou , Yung Lee , Faysal Naji , Ahmed Kayssi","doi":"10.1016/j.ejvsvf.2024.01.054","DOIUrl":"10.1016/j.ejvsvf.2024.01.054","url":null,"abstract":"<div><h3>Objective</h3><p>Due to its video based approach, YouTube has become a widely accessed educational resource for patients and trainees. This systematic review characterised and evaluated the peer reviewed literature investigating YouTube as a source of patient or trainee education in vascular surgery.</p></div><div><h3>Data sources</h3><p>A comprehensive literature search was conducted using EMBASE, MEDLINE, and Ovid HealthStar from inception until 19 January 2023. All primary studies and conference abstracts evaluating YouTube as a source of vascular surgery education were included.</p></div><div><h3>Review methods</h3><p>Video educational quality was analysed across several factors, including pathology, video audience, and length.</p></div><div><h3>Results</h3><p>Overall, 24 studies were identified examining 3 221 videos with 123.1 hours of content and 37.1 million views. Studies primarily examined YouTube videos on diabetic foot care (7/24, 29%), peripheral arterial disease (3/24, 13%), carotid artery stenosis (3/24, 13%), varicose veins (3/24, 13%), and abdominal aortic aneurysm (2/24, 8%). Video educational quality was analysed using standardised assessment tools, author generated scoring systems, or global author reported assessment of quality. Six studies assessed videos for trainee education, while 18 studies evaluated videos for patient education. Among the 20 studies which reported on the overall quality of educational content, 10/20 studies deemed it poor, and 10/20 studies considered it fair, with 53% of studies noting poor educational quality for videos intended for patients and 40% of studies noting poor educational quality in videos intended for trainees. Poor quality videos had more views than fair quality videos (mean 27 348, 95% CI 15 154–39 543 views <em>vs.</em> 11 372, 95% CI 3 115–19 629 views, <em>p</em> = .030).</p></div><div><h3>Conclusion</h3><p>The overall educational quality of YouTube videos for vascular surgery patient and trainee education is suboptimal. There is significant heterogeneity in the quality assessment tools used in their evaluation. A standardised approach to online education with a consistent quality assessment tool is required to better support online patient and trainee education in vascular surgery.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Pages 62-76"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000558/pdfft?md5=cf93b94fb75ababa525384f5cd25e1f5&pid=1-s2.0-S2666688X24000558-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139636778","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 Impact of Heli-FX EndoAnchor Application on Endograft Material: An Experimental Study","authors":"Damir Vakhitov , Nabil Chakfé , Frédéric Heim , Arindam Chaudhuri","doi":"10.1016/j.ejvsvf.2024.09.001","DOIUrl":"10.1016/j.ejvsvf.2024.09.001","url":null,"abstract":"<div><h3>Objective</h3><div>The physical impact of the application of Heli-FX EndoAnchors (EA; Medtronic, Minneapolis, USA) on endograft (EG) material is unclear. This study aimed to examine the possible EG membrane alterations after EA implantation.</div></div><div><h3>Methods</h3><div>Heli-FX EndoAnchors were applied <em>in vitro</em> into four aortic endocuffs: AFX2 (Endologix Inc., Irvine, USA); Endurant II (Medtronic, Minneapolis, USA); Gore Excluder (W.L. Gore and Assoc., Flagstaff, USA); and Zenith Renu (Cook Aortic Interventions, Bloomington, USA). Two of these, Endurant II and Renu, are made of polyethylene terephthalate (PET), while Excluder and AFX2 are made of expanded polytetrafluoroethylene (ePTFE). The penetration angle was measured for each EA. The EAs were then carefully removed, and perforations examined with digital and fluorescent microscopy. The area and perimeter of the holes were digitally calculated, and material alterations were analysed.</div></div><div><h3>Results</h3><div>Of the 13 EAs applied, 12 remained in place. The mean penetration angle was 79°. The ePTFE perforations had oval openings, while PET perforations were round. After EA removal, comparisons between ePTFE and PET material perforations suggested a larger hole area (<em>p</em> = 0.011) and perimeter (<em>p</em> = 0.003) in the former. The ePTFE perforations in the AFX2 were the largest compared with the holes in other endocuffs (<em>p</em> = 0.050). The perforation channel of the ePTFE membrane of the Excluder cuff retained its form after EA removal. Local dissection like layer damage extended further. The perforations in both the Endurant II and the Renu endocuffs shared similar characteristics, with multiple fibres of PET elongated, distorted, or ruptured.</div></div><div><h3>Conclusion</h3><div>During EA placement, the EG membrane undergoes local alteration and or destruction. Expanded PTFE, particularly AFX2 endocuffs (for which EA use is not recommended), are characterised by a more extensive degree of material alteration compared with PET. Additional studies are required to chronologically supplement these findings in fatigue tests.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages 72-77"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142421592","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}