European Journal of Vascular and Endovascular Surgery最新文献

{"title":"Long Term Quality of Life, Health Status, and Residential Destination after Emergency Abdominal Aortic Aneurysm Repair","authors":"Tijmen F.C.M. Nederstigt ,&nbsp;Daphne van der Veen ,&nbsp;Jan-Willem H.P. Lardenoije ,&nbsp;Michel M.P.J. Reijnen","doi":"10.1016/j.ejvs.2024.11.002","DOIUrl":"10.1016/j.ejvs.2024.11.002","url":null,"abstract":"<div><h3>Objective</h3><div>This retrospective, multicentre, observational cohort study aimed to assess the long term quality of life, health status, and residential destination after successful treatment of a ruptured abdominal aortic aneurysm (rAAA) treated by endovascular aneurysm repair (EVAR) or open surgical repair (OSR).</div></div><div><h3>Methods</h3><div>Consecutive patients from five large teaching hospitals with a computed tomography confirmed rAAA from 1 January 2013 to 31 December 2018 were included. Mortality, morbidity, discharge destination, and residential destination through follow up were registered. Quality of life (QoL) was measured with the World Health Organization Quality of Life BREF questionnaire, and health status with the 5 Level EuroQoL 5 Dimension (EQ-5D-5L) questionnaire. Subgroup analyses were performed between OSR and EVAR, and age &lt; 80 years and ≥ 80 years (octogenarians).</div></div><div><h3>Results</h3><div>A total of 349 patients were enrolled: 168 (48.1%) were treated by EVAR. The overall 30 day, one year, and five year survival rates were 74.2%, 66.0%, and 45.0%, respectively. At follow up (59.5 ± 2.1 months), the residential destination was home for 46.7% of patients. Of the patients, 48% were treated by EVAR and 49.6% by OSR (<em>p</em> = .48). More patients aged &lt; 80 years (55.9%) were living at home (<em>p</em> &lt; .001) at follow up<em>.</em> The mean QoL subscore for environment was 16.4 ± 2.1, physical health 14.5 ± 3.0, psychological health 15.5 ± 2.3, and social relationships 15.0 ± 2.6. Analyses of treatment modalities showed no statistically significant differences. Patients aged &lt; 80 years had a higher mean physical health subscore (14.8 ± 2.8; <em>p</em> = .015). The mean health score on the EQ-5D-5L was 72.3 ± 19.2. No difference was found between treatments. Daily activities favoured the younger cohort (<em>p</em> = .019).</div></div><div><h3>Conclusion</h3><div>There was no difference regarding QoL and last residential destination in both treatment arms over the long term. Both EVAR and OSR are justified in treating rAAA. Age alone should not be a decisive argument, but elderly patients have a lower likelihood of returning to their home situation. Patients should be informed that if they survive the peri-operative period, the chances are that they will experience life comparable with the general elderly population living at home.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages 693-701"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632887","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,&nbsp;Lawrence Bonne","doi":"10.1016/j.ejvs.2024.12.039","DOIUrl":"10.1016/j.ejvs.2024.12.039","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Page 713"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","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}

{"title":"Availability of Great Saphenous Vein for Infrainguinal Bypass","authors":"Melina Vega de Ceniga ,&nbsp;María Gutiérrez ,&nbsp;Amaia Ormaechevarria ,&nbsp;Xabier Cabezuelo ,&nbsp;Luis Estallo","doi":"10.1016/j.ejvs.2025.01.012","DOIUrl":"10.1016/j.ejvs.2025.01.012","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages 787-788"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","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,&nbsp;Benjamin Del Tatto","doi":"10.1016/j.ejvs.2025.01.017","DOIUrl":"10.1016/j.ejvs.2025.01.017","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Page 692"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","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":"Heritable Aortic Disease: Uncertainty in the Absence of Evidence","authors":"Daniel Thompson ,&nbsp;Oliver T. Lyons","doi":"10.1016/j.ejvs.2025.01.019","DOIUrl":"10.1016/j.ejvs.2025.01.019","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Page 732"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042880","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":"Long Term Results of a Comparative Study of Percutaneous and Surgically Created Proximal Forearm Arteriovenous Fistulae","authors":"Robert Shahverdyan ,&nbsp;Tej I Mehta ,&nbsp;Nicholas Inston ,&nbsp;Klaus Konner ,&nbsp;Shant Vartanian","doi":"10.1016/j.ejvs.2025.01.020","DOIUrl":"10.1016/j.ejvs.2025.01.020","url":null,"abstract":"<div><h3>Objective</h3><div>This retrospective, single centre, comparative effectiveness study aimed to compare the long term outcomes of percutaneous arteriovenous fistula (pAVF) and surgically created arteriovenous fistula (sAVF) created in the proximal forearm for haemodialysis access.</div></div><div><h3>Methods</h3><div>Data were reviewed from a prospectively maintained database on patients who underwent pAVF or sAVF creation from September 2017 to September 2023. A total of 217 pAVFs (61 WavelinQ and 156 Ellipsys) and 158 sAVFs were analysed. Outcome measures included technical success, maturation, patency, time to first successful use, re-interventions, and complications.</div></div><div><h3>Results</h3><div>Technical success was 100% for sAVF and Ellipsys, and 93.4% for WavelinQ (<em>p</em> &lt; .001). Maturation at four weeks was higher in Ellipsys (78.6%) and sAVF (79.7%) groups than in WavelinQ (64.9%) (<em>p</em> = .042). Median time to first cannulation was shortest for Ellipsys (57 days), followed by sAVF (73 days), and longest for WavelinQ (98.6 days) (<em>p</em> = .048). Mean follow up was 654 days (interquartile range 164, 1049 days; range 0 – 2061 days). Primary patency was higher in sAVFs than in pAVFs. The Cox proportional hazard ratio (HR) for loss of primary patency was 1.50 for WavelinQ and 1.42 for Ellipsys compared with sAVF (<em>p</em> = .045). Secondary patency was statistically significantly lower for WavelinQ (HR 2.76; <em>p</em> &lt; .001), but not for Ellipsys (HR 0.74; <em>p</em> = .33). Haemodialysis access induced distal ischaemia (HAIDI) was more common in the sAVF group with nine events (5.7%) compared with one for the Ellipsys (0.6%; <em>p</em> = .008). Re-intervention rates per patient year were comparable across groups (0.60 <em>vs.</em> 0.61 <em>vs.</em> 0.69 for sAVF, WavelinQ, and Ellipsys, respectively).</div></div><div><h3>Conclusion</h3><div>This study indicates that while all access types can provide long term functional haemodialysis access, sAVFs perform better in some outcome domains and pAVFs (particularly Ellipsys) in others, with sAVFs showing higher rates of HAIDI, yet lower rates of juxta-anastomotic stenosis. The findings underscore the importance of personalised vascular access planning, weighing immediate procedural outcomes against long term functionality.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages 757-765"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143043343","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":"Treatment of Abdominal Aortic Aneurysm in Germany in 2023: A Registry Short Report","authors":"Artur Besch ,&nbsp;Livia Cotta ,&nbsp;Jörg Heckenkamp ,&nbsp;Farzin Adili ,&nbsp;Markus Steinbauer ,&nbsp;Christian-Alexander Behrendt","doi":"10.1016/j.ejvs.2025.01.028","DOIUrl":"10.1016/j.ejvs.2025.01.028","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages 789-790"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030429","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":"Updated Evidence for Endovascular Treatment of Patients with Acute Vertebrobasilar Artery Occlusion","authors":"Barbara Rantner,&nbsp;Dominick J.H. McCabe","doi":"10.1016/j.ejvs.2025.02.035","DOIUrl":"10.1016/j.ejvs.2025.02.035","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages 665-667"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494960","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":"Third Time’s the Charm: It’s Time to Raise the Threshold for Elective Abdominal Aortic Aneurysm Repair in Men!","authors":"Anders Wanhainen,&nbsp;David H. Stone","doi":"10.1016/j.ejvs.2025.02.047","DOIUrl":"10.1016/j.ejvs.2025.02.047","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages 668-670"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574720","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. 69, issue 5 (May 2025) - Spanish Translated Abstracts","authors":"","doi":"10.1016/S1078-5884(25)00387-9","DOIUrl":"10.1016/S1078-5884(25)00387-9","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages e265-e270"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144068579","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}