European Journal of Vascular and Endovascular Surgery最新文献

{"title":"Fiber Optic RealShape in Complex EVAR: Promise Meets Reality.","authors":"Ryan Gouveia E Melo, Paolo Spath","doi":"10.1016/j.ejvs.2026.04.039","DOIUrl":"https://doi.org/10.1016/j.ejvs.2026.04.039","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846444","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":"Continuous Radiation Dose Optimisation through Analysis of Imaging System Procedure Logs during Fenestrated Branched Endovascular Aortic Repair after Transition to Different Hybrid Imaging Systems.","authors":"Lucas Ruiter Kanamori, Bruno Pagnin Schmid, Dora Babocs, Thanila Macedo, Jorge Corsino Espino, Aya Rebet, Ying Huang, Steven Maximus, Bernardo C Mendes, Naveed U Saqib, Gustavo S Oderich","doi":"10.1016/j.ejvs.2026.04.040","DOIUrl":"https://doi.org/10.1016/j.ejvs.2026.04.040","url":null,"abstract":"<p><strong>Objective: </strong>This retrospective analysis of prospectively collected observational cohort data aimed to investigate the impact of internal audit using imaging system procedural log analysis on radiation exposure during fenestrated branched endovascular aortic repair (FBEVAR).</p><p><strong>Methods: </strong>Patients who underwent FBEVAR for complex aortic aneurysms by a single operator between January 2016 and January 2024 were analysed. Procedures were performed using a historical hybrid imaging platform (system I, January 2016 - June 2020) and a subsequent platform (system II, July 2021 - January 2024), stratified into phase 1 (pre-optimisation) and phase 2 (post-optimisation) after implementation of audit derived radiation reduction strategies. Procedural log analysis identified contributors to increased radiation dose, prompting optimisation. Endpoints included procedural metrics, air kerma (AK), and dose area product (DAP).</p><p><strong>Results: </strong>A total of 491 patients were included (system I: n = 346; system II: n = 145 [phase 1: n = 83; phase 2: n = 62]). Post-transition cohort demonstrated greater anatomical complexity. Median AK increased from 0.9 Gy (interquartile range [IQR] 0.6, 1.6) in system I to 1.5 Gy (IQR 1.1, 2.0) in system II phase 1 (p < .001), with DAP increasing from 158 Gy·cm² (IQR 111, 229) to 219 Gy·cm² (IQR 167, 284) (p = .002). Following optimisation, AK decreased to 0.9 Gy (IQR 0.5, 1.4; p = .098 vs. system I) and DAP to 151 Gy·cm² (IQR 101, 229; p = .32 vs. system I). In multivariable analysis, system II phase 1 was independently associated with increased AK and DAP compared with system I (AK: β = +425 mGy; 95% confidence interval 221 - 630; p < .001; DAP: β = +53 Gy·cm²; 95% confidence interval 24 - 82; p < .001), whereas no significant differences were observed in phase 2.</p><p><strong>Conclusion: </strong>A structured internal audit with targeted workflow and imaging optimisation mitigated radiation dose increases following hybrid platform transition, restoring exposure to baseline levels.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":6.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846419","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":"Peri-operative Management and Timing of Revascularisation for Takayasu’s Arteritis: A Longstanding Issue Deserving More In Depth Multicentre Studies","authors":"Xiaolu Li,&nbsp;Zuoguan Chen,&nbsp;Yongjun Li","doi":"10.1016/j.ejvs.2025.06.051","DOIUrl":"10.1016/j.ejvs.2025.06.051","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 5","pages":"Page 905"},"PeriodicalIF":6.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512789","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":"Flush Endovenous Laser Ablation: The Role of the 1470 nm Two Ring Laser Fibre","authors":"Tamana Alozai,&nbsp;Clarissa J. van Vlijmen,&nbsp;Michael C. Mooij","doi":"10.1016/j.ejvs.2025.05.061","DOIUrl":"10.1016/j.ejvs.2025.05.061","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 5","pages":"Page 903"},"PeriodicalIF":6.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509522","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":"Large Aneurysm Size is Associated with Increased Short and Long Term Mortality after Branched and Fenestrated Repair for Thoraco-Abdominal and Complex Abdominal Aortic Aneurysms","authors":"Norma Elizaga ,&nbsp;Blake E. Murphy ,&nbsp;Pedro Galvan ,&nbsp;Caitlin W. Hicks ,&nbsp;Grace J. Wang ,&nbsp;Bernardo C. Mendes ,&nbsp;Kirsten D. Dansey ,&nbsp;Sara L. Zettervall","doi":"10.1016/j.ejvs.2025.08.030","DOIUrl":"10.1016/j.ejvs.2025.08.030","url":null,"abstract":"<div><h3>Objective</h3><div>This study assessed outcomes following fenestrated and branched endovascular aortic repair (FBEVAR) for thoraco-abdominal aortic aneurysms (TAAAs) and complex abdominal aortic aneurysms (cAAAs) based on aneurysm size (small, medium, and large).</div></div><div><h3>Methods</h3><div>Patients who underwent elective FBEVAR for TAAAs and cAAAs (only juxtarenal aneurysms) from 2013 – 2022 in the Vascular Quality Initiative database were included. Aneurysm size was categorised as small (&lt; 5.5 cm in men, &lt; 5 cm in women), medium (5.5 – 7 cm in men, 5 – 7 cm in women), and large (≥ 7 cm). Demographics and outcomes were compared. Survival was evaluated using Kaplan–Meier curves and Cox regression.</div></div><div><h3>Results</h3><div>A total of 3 804 patients underwent FBEVAR (small, <em>n</em> = 519; medium, <em>n</em> = 2 685; large, <em>n</em> = 600). Median patient age (small, 73 years; medium, 74 years; large, 76 years; <em>p</em> &lt; .001), previous aortic repair (small, 14.3%; medium, 18.7%; large, 39.0%; <em>p</em> &lt; .001), and treatment for extent II TAAA (small, 2.7%; medium, 8.5%; large, 14.0%; <em>p</em> &lt; .001) statistically significantly differed between patient groups. Peri-operative death (small, 1.0%; medium, 2.3%; large, 4.0%; <em>p</em> = .004), any complication (small, 14.6%; medium, 20.0%; large, 19.3%; <em>p</em> = .018), stroke (small, 0.4%; medium, 0.9%; large, 2.3%; <em>p</em> = .003), and prolonged length of stay (small, 6.7%; medium, 13.3%; large, 17.5%; <em>p</em> &lt; .001) statistically significantly differed by aneurysm size. Both survival at one year (small, 95%; medium, 91%; large, 85%; <em>p</em> &lt; .001) and five years (small, 87%; medium, 80%; large, 65%; <em>p</em> &lt; .001) statistically significantly differed. After adjustment, patients with large aneurysms had increased 30 day mortality (odds ratio [OR] 3.3, 95% confidence interval [CI] 1.3 – 10.1), long term mortality (hazard ratio [HR] 2.4, 95% CI 1.6 – 3.7), and prolonged length of stay (OR 1.87, 95% CI 1.2 – 2.9) compared with those with small aneurysms. Compared with patients with medium aneurysms, those with large aneurysms had increased 30 day mortality (OR 1.85, 95% CI 1.1 – 3.1) and long term mortality (HR 1.71, 95% CI 1.3 – 2.2).</div></div><div><h3>Conclusion</h3><div>Large aneurysm size was associated with increased short and long term mortality rates in patients undergoing FBEVAR. Improved screening may provide an opportunity for earlier identification in order to decrease adverse events following FBEVAR for large TAAAs.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 5","pages":"Pages 838-847"},"PeriodicalIF":6.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979306","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":"Stronger Together: Intentional Multidisciplinary Collaboration","authors":"Stephanie Rassam,&nbsp;Manuela Pilz","doi":"10.1016/j.ejvs.2025.10.049","DOIUrl":"10.1016/j.ejvs.2025.10.049","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 5","pages":"Page 779"},"PeriodicalIF":6.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423306","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":"Understanding the Expanded Capabilities of AMPREDICT MoRe: What MoRe Does It Have to Offer?","authors":"Daniel C. Norvell,&nbsp;Alison W. Henderson,&nbsp;Aaron J. Baraff,&nbsp;Joseph M. Czerniecki","doi":"10.1016/j.ejvs.2025.04.037","DOIUrl":"10.1016/j.ejvs.2025.04.037","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 5","pages":"Pages 908-909"},"PeriodicalIF":6.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010198","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":"Promoting Innovation and Education: Challenge Based Learning in Vascular Surgery☆","authors":"Sara Allievi ,&nbsp;Nicola Doppio ,&nbsp;Igor Raunig ,&nbsp;Annalisa Trianni ,&nbsp;Paolo Giorgini ,&nbsp;Stefano Bonvini","doi":"10.1016/j.ejvs.2025.11.060","DOIUrl":"10.1016/j.ejvs.2025.11.060","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 5","pages":"Pages 885-886"},"PeriodicalIF":6.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679667","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":"EJVES vol. 71, issue 5 (May 2026) - Spanish Translated Abstracts","authors":"","doi":"10.1016/S1078-5884(26)00383-7","DOIUrl":"10.1016/S1078-5884(26)00383-7","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 5","pages":"Pages e59-e64"},"PeriodicalIF":6.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147827356","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":"Key Considerations for Abdominal Aortic Aneurysm Trial Optimisation","authors":"Sheng Li,&nbsp;Cheng Chen","doi":"10.1016/j.ejvs.2025.06.054","DOIUrl":"10.1016/j.ejvs.2025.06.054","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 5","pages":"Pages 907-908"},"PeriodicalIF":6.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512788","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}