European Journal of Vascular and Endovascular Surgery最新文献

{"title":"European Society for Vascular Surgery (ESVS) 2025 Clinical Practice Guidelines on the Management of Vascular Trauma.","authors":"Carl Magnus Wahlgren, Christopher Aylwin, Ross A Davenport, Lazar B Davidovic, Joseph J DuBose, Christine Gaarder, Catherine Heim, Vincent Jongkind, Joakim JørgensenIn, Stavros K Kakkos, David T McGreevy, Maria Antonella Ruffino, Melina Vega de Ceniga, Pirkka Vikatmaa, Jean-Baptiste Ricco, Karim Brohi, George A Antoniou, Jonathan R Boyle, Raphaël Coscas, Nuno V Dias, Barend M E Mees, Santi Trimarchi, Christopher P Twine, Isabelle Van Herzeele, Anders Wanhainen, Paul Blair, Ian D S Civil, Michael Engelhardt, Erica L Mitchell, Gabriele Piffaretti, Sabine Wipper","doi":"10.1016/j.ejvs.2024.12.018","DOIUrl":"https://doi.org/10.1016/j.ejvs.2024.12.018","url":null,"abstract":"<p><strong>Objective: </strong>The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines for the care of patients with vascular trauma with the aim of assisting physicians in selecting the optimal management strategy.</p><p><strong>Methods: </strong>The guidelines are based on scientific evidence completed with expert opinion. By summarising and evaluating the best available evidence, recommendations for the evaluation and treatment of patients have been formulated. The recommendations are graded according to the ESVS evidence grading system, where the strength (class) of each recommendation is graded from I to III, and the letters A to C mark the level of evidence.</p><p><strong>Results: </strong>A total of 105 recommendations have been issued on the following topics: general principles for vascular trauma care and resuscitation including technical skill sets, bleeding control and restoration of perfusion, graft materials, and imaging; management of vascular trauma in the neck, thoracic aorta and thoracic outlet, abdomen, and upper and lower extremities; post-operative considerations after vascular trauma; and paediatric vascular trauma. In addition, unresolved vascular trauma issues and the patients' perspectives are discussed.</p><p><strong>Conclusion: </strong>The ESVS clinical practice guidelines provide the most comprehensive, up to date, evidence based advice to clinicians on the management of vascular trauma.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Availability of Great Saphenous Vein for Infrainguinal Bypass.","authors":"Melina Vega de Ceniga, María Gutiérrez, Amaia Ormaechevarria, Xabie Cabezuelo, Luis Estallo","doi":"10.1016/j.ejvs.2025.01.012","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.01.012","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Open Surgery for Carotid Aneurysm: Age and Comorbidities Are Not Strict Contraindications.","authors":"Zakaria Ait Abderrahmane, Benjamin Del Tatto","doi":"10.1016/j.ejvs.2025.01.017","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.01.017","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrent Popliteal Vein Aneurysm.","authors":"Camil-Cassien Bamdé, Eric Steinmetz","doi":"10.1016/j.ejvs.2025.01.016","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.01.016","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Elevating Endovascular Aortic Aneurysm Repair with Carbon Dioxide: A Step Towards Iodine Free Interventions with Cautionary Advances.","authors":"Davide Esposito, Martina Bastianon","doi":"10.1016/j.ejvs.2025.01.003","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.01.003","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Elevated High Sensitivity C-Reactive Protein and Risk of Abdominal Aortic Aneurysm: A Prospective Population Based Study in The Norwegian HUNT Study.","authors":"Aslak Bryne Håland, Erney Mattsson, Vibeke Videm, Grethe Albrektsen, Linn Åldstedt Nyrønning","doi":"10.1016/j.ejvs.2024.12.036","DOIUrl":"https://doi.org/10.1016/j.ejvs.2024.12.036","url":null,"abstract":"<p><strong>Objective: </strong>Inflammation seems to be crucial in the pathogenesis of abdominal aortic aneurysm (AAA). Previous research links inflammatory biomarkers, such as high sensitivity C-reactive protein (HS-CRP), to AAA. Few studies, however, have used a prospective design. The aim of this study was to examine whether individuals with elevated HS-CRP have increased risk of AAA, using a prospective and population based design.</p><p><strong>Methods: </strong>This prospective, population based, cohort study included 46 322 participants in the Trøndelag Health Study (HUNT) in Norway (53.7% women). During a median follow up time of 12.6 years (range 0 - 26 years), 407 individuals were diagnosed with AAA (28.8% women). Cox proportional hazard regression was applied to examine associations between HS-CRP and risk of AAA. HS-CRP was treated either as a continuous or a categorical variable (dichotomised at 2 mg/L, 1 mg/L, median (1.2 mg/L), or as quartiles).</p><p><strong>Results: </strong>The hazard ratio (HR) of developing AAA per 1 mg/L increase in HS-CRP (continuous HS-CRP) was 1.02 (95% CI 1.01 - 1.03) in the analysis adjusted for smoking, coronary heart disease, hypertension, diabetes, body mass index, and total cholesterol. Individuals with HS-CRP 2 mg/L or above had almost twice the risk of AAA compared with individuals with HS-CRP less than 2 mg/L (adjusted HR 1.84; 95% CI 1.51 - 2.25). Dichotomising HS-CRP at a clinical cut off point of 1 mg/L (adjusted HR 2.13, 95% CI 1.64 -2.76), or at the median of 1.2 mg/L (adjusted HR 2.12, 95% CI 1.62 - 2.76), slightly strengthened the HR. The adjusted HR gradually increased through the ordered HS-CRP quartiles, and was almost four times higher (HR 3.87, 95% CI 2.54 - 5.92) in the highest HS-CRP quartile (HS-CRP > 2.7 mg/L) compared with the lowest quartile (HS-CRP ≤ 0.6 mg/L).</p><p><strong>Conclusion: </strong>Individuals with elevated HS-CRP had significantly increased risk of developing AAA.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142973397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"If You Expect an AAA: Just Ask Your Friendly Nephrologist.","authors":"Alexander Gombert","doi":"10.1016/j.ejvs.2024.12.037","DOIUrl":"https://doi.org/10.1016/j.ejvs.2024.12.037","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In situ Laser Fenestrations of Visceral Endografts (InLoVE) Midterm Outcomes From a Multicentre Study.","authors":"Gisli G Jonsson, Alexander H Zielinski, Marton Berczeli, Timothy A Resch, Nuno Dias, Anders Wanhainen, Kevin Mani, Qasam Ghulam, Angelos Karelis, David Lindström","doi":"10.1016/j.ejvs.2024.12.041","DOIUrl":"https://doi.org/10.1016/j.ejvs.2024.12.041","url":null,"abstract":"<p><strong>Objective: </strong>Emergent complex abdominal aortic diseases are challenging to treat. During in situ laser fenestration (ISLF), aortic branches are covered and flow is restored with in situ fenestration of the stent graft, with promising midterm results. This study aimed to expand on the limited body of knowledge of midterm outcomes of ISLF in renovisceral aortic pathology in a multicentre setting.</p><p><strong>Methods: </strong>Retrospective pooled data on consecutive ISLF cases of visceral aortic stent grafts undertaken from 2018 - 2023 in three aortic centres were analysed. Technical success was defined as successful vascularisation with a bridging stent graft and acceptable final angiographic series without signs of endoleak related to the bridging stent graft. Target vessel instability was defined as an endoleak related to the bridging stent graft, disconnection, kink, stenosis, occlusion of bridging stent, re-intervention on bridging stent graft, or rupture or death related to the bridging stent graft.</p><p><strong>Results: </strong>A total of 65 ISLFs were performed in 34 patients, with a mean age 74 years. The procedure was acute in 79%, and 35% were ruptures. Pre-stenting was performed on 56 target vessels (86%). Four patients (12%) died within 30 days; all presented with a rupture. Technical success was achieved in 61 of 65 (94%) ISLFs. All failed cannulations were in the renal arteries: three due to difficult angulations and one dissected during cannulation. Median follow up was 16 (interquartile range 5, 22) months. Cumulative survival at six months, one year, and two years was 88%, 80%, and 72%, respectively. In total, six (10%) target vessel instabilities were detected: two (3%) type III endoleaks, and four (7%) stent stenosis; all required re-lining. Freedom from target vessel instability at six months until the end of follow up was 89%. On the latest follow up scan, all successfully deployed ISLF bridging stents were patent (primary assisted patency 100%, 61 of 61) without signs of endoleak type 3.</p><p><strong>Conclusion: </strong>In situ laser fenestration is a promising tool for emergent endovascular procedures in complex anatomies.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142924125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Team is Only as Strong as Its Weakest Link.","authors":"Nuno V Dias, Hence J M Verhagen","doi":"10.1016/j.ejvs.2024.12.040","DOIUrl":"https://doi.org/10.1016/j.ejvs.2024.12.040","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Three Floating Thrombi in the Aortic Arch.","authors":"Sébastien Selleslag, Lawrence Bonne","doi":"10.1016/j.ejvs.2024.12.039","DOIUrl":"https://doi.org/10.1016/j.ejvs.2024.12.039","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2024-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}