European Journal of Vascular and Endovascular Surgery最新文献

{"title":"Cardiovascular Risk and Medication in Abdominal Aortic Aneurysm Across Three Decades: The End of the Beginning?","authors":"Anders Gottsäter","doi":"10.1016/j.ejvs.2025.03.035","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.035","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789362","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":"Bypass after Failed Endovascular Intervention is Associated with an Increased Risk for Above Ankle Amputation: Do It Right, Do It Once?","authors":"Alexander Gombert","doi":"10.1016/j.ejvs.2025.03.029","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.029","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789361","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":"There Is No Light Without Shadow.","authors":"Raphaël Coscas, Jos C van den Berg","doi":"10.1016/j.ejvs.2025.03.036","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.036","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789428","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":"Aortic Occlusion and Mesenteric Ischaemia: Radial Access at Hand.","authors":"Henrique Andrade Almeida, Carlos Veterano","doi":"10.1016/j.ejvs.2025.03.027","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.027","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789360","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":"Surgical Management of Tumours Invading the Inferior Vena Cava: A Delphi Consensus Document.","authors":"Peter Balaz, Adam Whitley, Ivika Heinola, Mauro Gargiulo, Pirkka Vikatmaa","doi":"10.1016/j.ejvs.2025.03.034","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.034","url":null,"abstract":"<p><strong>Objective: </strong>There is a lack of information and consistency in the treatment of retroperitoneal malignancy involving the inferior vena cava (IVC). The aim of this study was to establish an expert consensus on the surgical management of tumours involving the IVC.</p><p><strong>Methods: </strong>Fourteen experts participated in this three round Delphi project. The survey was conducted from 1 January 2023 to 15 December 2023. Consensus was defined as 70% agreement with a Cronbach's α of 0.05.</p><p><strong>Results: </strong>All experts completed the first round, and the response rates in the second and third rounds were 92% and 86%, respectively. Consensus was reached on several key points. Abdominal computed tomography (CT) was identified as the gold standard imaging method for assessing tumours invading the IVC. CT guided core needle biopsy was preferred for tissue sampling. Experts agreed that the suprarenal IVC should be reconstructed, whereas a chronically occluded IVC with intact collateral circulation should not. Thrombectomy was indicated for malignant thrombi not involving the vessel wall; otherwise, IVC resection was recommended. A ringed ePTFE (expanded polytetrafluoroethylene) prosthesis was the preferred graft material for interposition. Use of an IVC filter to prevent tumour embolisation and the creation of an arteriovenous fistula after IVC resection were not recommended. Post-operative thrombosis prevention should include therapeutic heparinisation and a mechanical compression device, and routine post-operative CT angiography was recommended.</p><p><strong>Conclusion: </strong>Based on scarce data from the literature and experience of international experts, this document will help clinicians in the decision making process when planning the treatment of retroperitoneal tumours involving the IVC.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789427","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":"Midterm Outcomes of the Fenestrated Anaconda Stent Graft for Complex Aortic Aneurysm Repair: A Large, Single Centre, Retrospective Study.","authors":"Marine Bordet, Mohammed Alkhani, Nellie Della-Schiava, Matthieu Arsicot, Alexandre Oliny, Antoine Millon","doi":"10.1016/j.ejvs.2025.03.033","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.033","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the short and midterm outcomes of the Anaconda fenestrated stent graft for the treatment of complex abdominal and thoraco-abdominal aneurysms.</p><p><strong>Methods: </strong>This was a retrospective study in a single academic centre. All patients consecutively treated with a fenestrated Anaconda device between January 2019 and May 2024 were included. Outcomes analysed included technical success (TS), procedure related death, occurrence of major adverse events (MAEs) and target vessel instability (TVI), type Ia endoleak (T1aEL), abdominal aortic aneurysm (AAA) related re-interventions, sac changes, and death.</p><p><strong>Results: </strong>Two hundred and ten patients were treated with the Anaconda stent graft. The mean AAA diameter was 60.4 ± 9.4 mm, with a mean of 3.9 ± 0.6 fenestrations per patient for a total of 816 target vessels (TVs). TS was 96.2% (202/210), MAEs occurred in 6.2% of patients (13/210), and procedure related mortality was 2.9% (6/210). The mean follow up was 24.0 ± 18.3 months. AAA related re-intervention was necessary in 18.6% of patients. Primary and secondary TV patency at follow up were 97.1% (24/816) and 98.0% (16/816), respectively. Freedom from TVI at one, three, and five years was 95.5% (95% confidence interval [CI] 93.9 - 97.1%), 92.5% (95% CI 90.2 - 94.8%), and 91.7% (95% CI 89.0 - 94.4%), respectively. No T1aEL was observed during follow up. Estimated freedom from sac enlargement at one, three, and four years was 96.9% (95% CI 94.3 - 99.6%), 88.4% (95% CI 82.6 - 94.3%), and 82.8% (95% CI 74.1 - 91.6%), respectively. Estimated overall survival at one, three, and five years was 92.2% (95% CI 88.6 - 95.9%), 80.0% (95% CI 73.3 - 86.8%), and 71.6% (95% CI 62.1 - 81.0%), respectively, with one case (0.5%) of late aortic related death.</p><p><strong>Conclusion: </strong>Endovascular repair of complex abdominal or thoraco-abdominal aneurysms using the fenestrated Anaconda stent graft is safe and effective with a high TS and low procedure related mortality rate. The midterm results appear satisfactory in terms of sac evolution, with a low TVI rate. The need for re-intervention is acceptable and justifies the need for meticulous imaging follow up.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756064","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":"Spontaneous Carotid Artery Penetrating Ulcer.","authors":"Yuanzi Xiang, Zhe Lou","doi":"10.1016/j.ejvs.2025.03.030","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.030","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756065","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":"Effect of Disability on Arteriovenous Fistula Maturation in Patients Undergoing Haemodialysis.","authors":"Chien-Ming Luo, Mu-Yang Hsieh, Chih-Cheng Wu","doi":"10.1016/j.ejvs.2025.03.032","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.032","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756061","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":"Endovascular Aortic Arch Repair: Are We Truly Making Progress or Are We Merely Embracing the Unknown?","authors":"Ludovic Canaud, Pierre Alric","doi":"10.1016/j.ejvs.2025.03.031","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.031","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756062","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":"Every Action Has a Reaction? The Long Term Impact of Thoracic Endovascular Aortic Repair on Cardiac Function Is Yet To Be Determined.","authors":"Carl M Wahlgren, Christian Olsson","doi":"10.1016/j.ejvs.2025.03.025","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.025","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756063","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}