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":"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":"Coverage Through Collaboration: Toward Evidence Based Flap Selection","authors":"Jhanvi Dholakia,&nbsp;Anantha Narayanan,&nbsp;Manar Khashram","doi":"10.1016/j.ejvsvf.2025.09.007","DOIUrl":"10.1016/j.ejvsvf.2025.09.007","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Page 209"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145690182","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 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":"Follow up Imaging Protocols after Endovascular Aneurysm Repair: Results of the International FOREVAR Survey","authors":"Bich L. Tran ,&nbsp;Sabrina L.M. Zwetsloot ,&nbsp;Martin Teraa ,&nbsp;Fabien Lareyre ,&nbsp;Leszek Kukulski ,&nbsp;Vincent Jongkind","doi":"10.1016/j.ejvsvf.2025.07.005","DOIUrl":"10.1016/j.ejvsvf.2025.07.005","url":null,"abstract":"<div><h3>Objective</h3><div>Endovascular repair for aortic aneurysms necessitates routine follow up due to potential late complications, such as endograft occlusions, endoleaks, and late aneurysm rupture. Guidelines recommend periodic post-operative imaging, including computed tomography angiography (CTA) or duplex ultrasound, to monitor aneurysm status and stent integrity. The efficacy of these follow up protocols is controversial, with concerns about increased healthcare costs and patient morbidity. This survey aimed to assess global variance in follow up imaging protocols among vascular surgeons, interventional radiologists, and vascular surgery trainees.</div></div><div><h3>Methods</h3><div>A global English web based survey was conducted over nine months and distributed through email, social media, and direct messaging to vascular surgeons, interventional radiologists, and other vascular specialists. Procedure specific questions included imaging techniques used and follow up duration.</div></div><div><h3>Results</h3><div>The FOREVAR Survey was completed by 693 respondents from 65 countries. Most participants reported having a standardised follow up imaging protocol following all, or nearly all, elective endovascular aneurysm repairs (EVAR) in their centre (98%). The follow up protocols displayed substantial variation. In addition to completion angiography, other imaging was often performed before discharge (cone beam computed tomography 11%, CTA 27%, or DUS 17%). CTA is most often performed at first follow up (63%), while DUS is most frequently used during later follow up (56%). Median intervals to follow up imaging were eight weeks (first), 39 weeks (second), and 52 weeks (third). Follow up never ceased in 51% of cases. Comparable results were reported for complex EVAR (cEVAR) and thoracic EVAR (TEVAR), but with a greater proportion of patients receiving CTA after cEVAR at long term follow up (74%). Magnetic resonance imaging was used by a minority in the follow up of EVAR, cEVAR, and TEVAR (4%, 1%, and 4%, respectively).</div></div><div><h3>Conclusions</h3><div>This global survey showed substantial variation in follow up imaging protocols after EVAR, cEVAR, and TEVAR. Most of these protocols lead to long term radiation exposure during follow up.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 190-196"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145473771","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":"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":"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":"An Effective Hybrid Treatment for Persistent Sciatic Artery Aneurysm","authors":"Alessandro Ciolli ,&nbsp;Francesco Stilo ,&nbsp;Vincenzo Cirimele ,&nbsp;Nunzio Montelione","doi":"10.1016/j.ejvsvf.2025.08.002","DOIUrl":"10.1016/j.ejvsvf.2025.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Persistent sciatic artery (PSA) is a rare congenital vascular anomaly that is often asymptomatic; however, it can be associated with aneurysm formation and potential complications. Here, the case of a 61 year old man presenting with bilateral persistent sciatic artery aneurysms (PSAAs) who underwent right sided hybrid treatment for rest pain and aneurysm thrombosis is reported.</div></div><div><h3>Report</h3><div>Hybrid treatment of the right PSAA was performed by surgical bypass using the <em>in situ</em> great saphenous vein, from the common femoral artery to the posterior tibial artery and staged percutaneous aneurysm embolisation with controlled release coils and a vascular plug. The post-operative course was uneventful, and computed tomography angiography at six months confirmed right PSAA exclusion and graft patency. At 12 months follow up, the bypass was patent, and the patient remained free of ischaemic symptoms. The left PSAA remained asymptomatic.</div></div><div><h3>Discussion</h3><div>PSAAs can be associated with chronic limb threatening ischaemia due to complications such as thrombosis, and a hybrid approach can treat this successfully.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 113-116"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265204","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 Treatment of a Bilateral Phlegmasia Caerulea Dolens in a Two Year Old Child With Inferior Vena Cava Atresia: Case Report and Literature Review","authors":"Marco Fresa ,&nbsp;Aurel Vassili Njami ,&nbsp;Ophélie De Pury ,&nbsp;Rafael Trunfio ,&nbsp;Mattia Rizzi ,&nbsp;Adrien De Cock ,&nbsp;Guillaume Maître ,&nbsp;Lucia Mazzolai","doi":"10.1016/j.ejvsvf.2025.07.002","DOIUrl":"10.1016/j.ejvsvf.2025.07.002","url":null,"abstract":"<div><h3>Objective</h3><div>Phlegmasia caerulea dolens (PCD) is a rare and potentially life threatening complication of deep vein thrombosis. It is more commonly reported in adult patients and rarely in the paediatric population, especially in healthy children. This review describes the case of a child with PCD and reviews the few cases of paediatric PCD previously reported in the literature.</div></div><div><h3>Methods</h3><div>A search of the Medline database was performed with the purpose of identifying other similar cases and treatment modalities.</div></div><div><h3>Results</h3><div>This study describes the case of a child with PCD in the setting of an atretic inferior vena cava, who was successfully treated with endovascular mechanical thrombectomy (Indigo Lightning Penumbra aspiration catheter) and intraluminal recanalisation and venoplasty of the inferior vena cava, with full recovery and no sequelae after 12 months of follow up.</div></div><div><h3>Conclusion</h3><div>The use of mechanical thrombectomy in the setting of severe acute deep vein thrombosis is well established in adults, but not in children. Moreover, the recanalisation of an atretic inferior vena cava in such a young patient has not been described previously. The clinical outcome of this threatening condition was favourable, confirming that modern endovascular techniques for the venous system may also apply to the paediatric population and help deal with similar situations in this subset of patients.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"64 ","pages":"Pages 141-145"},"PeriodicalIF":1.4,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265206","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}