EJVES Vascular Forum最新文献

{"title":"Potential Associations Between Abdominal Aortic Aneurysm, Smoking, and Air Pollution: A Data Visualisation Journey","authors":"Liam Musto ∗ , Athanasios Saratzis , Anna Hansell , Matthew Bown","doi":"10.1016/j.ejvsvf.2024.01.010","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.010","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Pages S4-S5"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X2400011X/pdfft?md5=f25d09394f4b6e4f1d9f89a6a1076e40&pid=1-s2.0-S2666688X2400011X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051856","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":"Outcome of Single Stage Hybrid Revascularization for Multilevel Peripheral Arterial Disease","authors":"Baker Ghoneim ∗ , Prakash Madhavan , Sinead Cremen , Zenia Martin , Sean O'Neill , Adrian O'Callaghan , Catriona Canning , Mary Colgan (prof)","doi":"10.1016/j.ejvsvf.2024.01.057","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.057","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Page S39"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000601/pdfft?md5=a78a22e492bcb90602425b9d87e5562f&pid=1-s2.0-S2666688X24000601-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140051861","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":"What Proportion of AAAs Detected in AAA Screening Might Be Identified in Lung Cancer Screening","authors":"Alireza Sherafat ∗ , Liam Musto , Ismail Rahman , Matt Bown","doi":"10.1016/j.ejvsvf.2024.01.046","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.046","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Pages S35-S36"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000479/pdfft?md5=293ff95ff44a49a809cfb54e30e9da5b&pid=1-s2.0-S2666688X24000479-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140052378","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":"Hand Acceleration Time (HAT): An Adjuvant Ultrasonographic Tool for The Evaluation of Hand Perfusion","authors":"Begoña Gonzalo ∗ , Sebastian Videla , Elena Iborra , Ramon Vila","doi":"10.1016/j.ejvsvf.2024.01.040","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.040","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Pages S29-S30"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000418/pdfft?md5=c135422d9c8b69f45c132c2ca74af205&pid=1-s2.0-S2666688X24000418-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140052385","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":"Contemporary Analysis of Open vs. Endovascular Aneurysm Repair in New Zealand Over 10 Years","authors":"Sinead Gormley ∗ , Oliver Bernau , William Xu , Manar Khashram","doi":"10.1016/j.ejvsvf.2024.01.041","DOIUrl":"https://doi.org/10.1016/j.ejvsvf.2024.01.041","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Pages S30-S31"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X2400042X/pdfft?md5=9fbf524402b82b320bff5a87bd00b2c4&pid=1-s2.0-S2666688X2400042X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140052386","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":"Residual Popliteal Aneurysm Perfusion Leading to Embolic Complications: A Case Report","authors":"Matteo Giardini ,&nbsp;Christoph A. Binkert ,&nbsp;Thomas R. Wyss","doi":"10.1016/j.ejvsvf.2024.05.010","DOIUrl":"10.1016/j.ejvsvf.2024.05.010","url":null,"abstract":"<div><h3>Introduction</h3><p>Surgical management of popliteal artery aneurysms has been described for half a century. Long term development of the excluded aneurysm sac in the popliteal segment however remains widely unknown, with only a few small series describing outcomes. Residual aneurysm perfusion has the potential to lead to serious complications.</p></div><div><h3>Report</h3><p>A 63 year old man presents with skin and soft tissue necrosis of the right calf two years after proximal and distal aneurysm ligation and great saphenous vein bypass for a popliteal artery aneurysm. Computed tomography and magnetic resonance angiography show perfusion of the excluded aneurysm as well as extensive necrosis of the gastrocnemius muscle. Direct angiography of the aneurysm demonstrated retrograde aneurysm perfusion due to insufficient distal ligation with recurrent micro-embolisation to the calf via geniculate arteries. Coiling of the geniculate arteries was performed, plugging the connection to the tibiofibular trunk and embolisation of the aneurysm sac. After the intervention, no flow was seen in the aneurysm sac and the patient made full recovery.</p></div><div><h3>Discussion</h3><p>Residual aneurysm sac perfusion can lead to complications long after successful aneurysm exclusion. Follow-up after surgery of popliteal aneurysms should include observation of the excluded aneurysm sac with control of residual blood flow. For persistent sac perfusion, aneurysm enlargement or symptoms, further treatment should be considered. Surgical aspects such as complete transection of the artery after aneurysm ligation or end to end anastomosis of the bypass may be considered, to prevent such complications.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages 1-4"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X2400090X/pdfft?md5=e66492b38f9ff18d1e14ae9b170bb5e2&pid=1-s2.0-S2666688X2400090X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141144400","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":"Bilateral Transankle Intervention as a Critical Determinant of Successful Revascularisation in Complex Peripheral Arterial Disease","authors":"Tetsuya Nomura,&nbsp;Naotoshi Wada,&nbsp;Kenshi Ono,&nbsp;Keisuke Shoji","doi":"10.1016/j.ejvsvf.2024.07.038","DOIUrl":"10.1016/j.ejvsvf.2024.07.038","url":null,"abstract":"<div><h3>Introduction</h3><p>Establishing optimal vascular access sites is important for the procedural success of endovascular treatment (EVT) and the patient's comfort afterwards. Among the variety of vascular access sites, the transankle intervention (TAI) has been used more recently; however, there have been no reports of complex lower extremity arterial disease lesions treated with the TAI manoeuvre.</p></div><div><h3>Report</h3><p>An 82 year old man with chronic limb threatening ischaemia in both lower extremities underwent EVT for bilateral long segment occlusion from the iliac arteries to the superficial femoral artery (SFA). The right posterior tibial artery was punctured under extravascular ultrasound guidance and a Parent Select 5082 guide sheath was inserted. The guidewire was manipulated under intravascular ultrasound (IVUS) guidance. When the first guidewire entered the subintimal space, the second guidewire was manipulated to advance through the intraplaque route, while monitoring it using IVUS. The intraluminal space of the right common iliac artery was reached by repeating these procedures. A self expandable stent was deployed in the external iliac artery and drug coated balloons were inflated from the common femoral artery to the SFA; good vascular patency and favourable blood flow were confirmed. Subsequently, a similar TAI procedure was performed from the left dorsalis pedis artery, and successful revascularisation was achieved from the left common iliac artery to the SFA. After revascularisation, the persistent pain disappeared in the right lower limb and the wound healed favourably in the left lower limb.</p></div><div><h3>Conclusion</h3><p>In this case of complex chronic limb threatening ischaemia, the TAI strategy worked favourably for successful revascularisation. Transankle intervention can provide various advantages for successful EVT.</p></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages 30-34"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24001345/pdfft?md5=8178c4d312ce66918c3496b90648f491&pid=1-s2.0-S2666688X24001345-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141841844","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":"Concave Margin Sign on Doppler Ultrasound","authors":"Rémy Hamdan,&nbsp;Mélanie Leboffe","doi":"10.1016/j.ejvsvf.2024.01.002","DOIUrl":"10.1016/j.ejvsvf.2024.01.002","url":null,"abstract":"","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"61 ","pages":"Page 43"},"PeriodicalIF":0.6,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666688X24000030/pdfft?md5=36bbac024eb92fe5cb60bfc2413aec16&pid=1-s2.0-S2666688X24000030-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139458338","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":"Repair of Contained Rupture of an Infrarenal Aortic Aneurysm Using Autologous Superficial Femoral Vein","authors":"Dagim Leykun Berhanu,&nbsp;Benjamin Guarken Chiman,&nbsp;Biruk Woisha Bogale","doi":"10.1016/j.ejvsvf.2024.09.003","DOIUrl":"10.1016/j.ejvsvf.2024.09.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Contained ruptured abdominal aortic aneurysm (CR-AAA) refers to an acute aortic wall disruption leading to expansion of perivascular haematoma that is sealed off by peri-aortic structures. Low and middle income countries have a critical gap in managing abdominal aortic aneurysm (AAA). In Ethiopia, AAA screening is not routine and open surgical repair (OSR) using donated grafts remains the only treatment option. This case shows the first experience at Hawassa University Hospital treating CR-AAA using the superficial femoral vein (SFV) for aortic reconstruction due to lack of prosthetic grafts.</div></div><div><h3>Report</h3><div>A 40 year old woman presented with three months of abdominal and back pain, vomiting, and a pulsatile abdominal swelling. Imaging showed an 8 cm infrarenal CR-AAA. Due to lack of graft material, a 15 cm SFV was harvested from the left thigh and prepared as a tube graft. OSR via midline laparotomy revealed a 3 cm rupture on the right lateral aortic wall. The reversed SFV graft was anastomosed proximally to the infrarenal aorta, 3 cm below the renal artery, using a 3–0 Prolene suture. Distally, the graft was spatulated for optimal size matching and sewn with a 3–0 Prolene suture at the aortic bifurcation. The procedure lasted 10 hours. Due to the lack of a Cell Saver at the centre, 4 units of whole blood and 4 units of fresh frozen plasma were transfused. Post-operatively, the patient developed bilateral lower extremity swelling, and ultrasound revealed bilateral deep venous thrombosis. Oral anticoagulation was promptly initiated. Follow up imaging confirmed an intact anastomosis with good distal flow. The patient showed clinical improvement in leg swelling at one and three month follow ups. She is scheduled for a six month follow up and will continue regular monitoring.</div></div><div><h3>Discussion</h3><div>SFV use in ruptured AAA shows promise in resource limited settings. Sub-Saharan Africa's unique AAA patterns highlight specific healthcare needs. Global collaboration is vital to expand vascular care, funding, and research for better AAA treatment.</div></div>","PeriodicalId":36502,"journal":{"name":"EJVES Vascular Forum","volume":"62 ","pages":"Pages 87-90"},"PeriodicalIF":1.4,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142526821","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}