European Journal of Vascular and Endovascular Surgery最新文献

{"title":"Addressing the Shortfall: Early Medical Graduate Perceptions Towards a Career in Vascular Surgery.","authors":"Jhanvi Dholakia, Anantha Narayanan, Tokilupe Taumoepeau, Manar Khashram","doi":"10.1016/j.ejvs.2025.02.039","DOIUrl":"10.1016/j.ejvs.2025.02.039","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538185","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":"Advancing Risk Stratification for Ischaemic Patients Undergoing Carotid Endarterectomy: A Personalised Approach for Safer Outcomes.","authors":"Hira Hameed, Saad Khan, Safa Nasir","doi":"10.1016/j.ejvs.2025.02.037","DOIUrl":"10.1016/j.ejvs.2025.02.037","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532102","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":"Further Studies of Clinical Instability are Warranted.","authors":"Sofia Strömberg, Mari Holsti, Elias Johansson","doi":"10.1016/j.ejvs.2025.02.036","DOIUrl":"10.1016/j.ejvs.2025.02.036","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532106","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":"Absence of Proof is Not Proof of Absence: A Cautious Interpretation of the Transfemoral Retrograde Approach for Branched Endovascular Aneurysm Repair.","authors":"Lorenz Meuli, Alexander Zimmermann","doi":"10.1016/j.ejvs.2025.02.038","DOIUrl":"10.1016/j.ejvs.2025.02.038","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532096","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 Year Data on the Performance of Three Bridging Stent Grafts in Renal Arteries in Branched Endovascular Repair of Thoraco-abdominal Pathologies.","authors":"Rebecca Kolet, Marco Virgilio Usai, Yousef Shehada, Bärbel Berekhoven, Veronika Weyer-Elberich, Martin Austermann","doi":"10.1016/j.ejvs.2025.02.034","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.02.034","url":null,"abstract":"<p><strong>Objective: </strong>Previous studies showed that branched endovascular aneurysm repair (BEVAR) carries a significant risk for adverse renal events. The purpose of this study was to evaluate the performance of the balloon expandable covered stent graft (BECS) Advanta/iCast V12, the Viabahn balloon expandable (VBX), and the BECS Advanta combined with a distal deployed self expanding covered stent (SECS) Viabahn (VSX) as bridging stent grafts (BSGs) in renal arteries.</p><p><strong>Methods: </strong>A retrospective analysis of prospectively collected data was conducted at a single centre. Patients undergoing BEVAR who had at least one Advanta, Advanta + VSX, or VBX as BSG in renal arteries were included. Endpoints were patency, endoleaks, target vessel instability (TVI), re-interventions, as well as clinical outcomes including kidney function, new dialysis needs, and death. Data were analysed using Kaplan-Meier estimations and multivariable Cox regression.</p><p><strong>Results: </strong>The study included 255 patients with 431 BSGs in renal arteries treated for complex aortic repair between 2010 and 2019. Advanta was predominantly used in 2010 - 2014, Advanta + VSX in 2015 - 2017, and VBX in 2018 - 2019. Overall, 125 Advanta, 146 Advanta + VSX, and 160 VBX were implanted. Median follow up time was 19.3 months. At three years, estimated primary patencies were 82.7 ± 4.6% for renal arteries treated with Advanta, 96.8 ± 1.8% for Advanta + VSX, and 89.0 ± 3.2% for VBX. Estimated freedom from TVI at three years was 82.4 ± 4.7% for renal arteries treated with Advanta, 94.1 ± 2.4% for Advanta + VSX, and 85.4 ± 3.5% for VBX. Freedom from re-intervention estimations at three years were 86.3 ± 3.4% in the Advanta cohort, 95.1 ± 2.0% in the Advanta + VSX cohort, and 91.6 ± 2.4% in the VBX cohort.</p><p><strong>Conclusion: </strong>The combination of BECS and SECS seems to be superior in terms of primary patency compared with BECS alone.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525334","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 Repair of a Ruptured Juxtarenal Aortic Aneurysm with Left Sided Inferior Vena Cava.","authors":"Christos Argyriou, George S Georgiadis","doi":"10.1016/j.ejvs.2025.02.032","DOIUrl":"10.1016/j.ejvs.2025.02.032","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494958","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, 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":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-02-22","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":"Assessing Cardiovascular Risk and Medication Management in Patients with Abdominal Aortic Aneurysm across Three Decades.","authors":"Samira E M van Knippenberg, Niels J S Thiermann, Morsal Atazadah, Susan van Dieren, Ron Balm, Kak K Yeung","doi":"10.1016/j.ejvs.2025.02.031","DOIUrl":"10.1016/j.ejvs.2025.02.031","url":null,"abstract":"<p><strong>Objective: </strong>Patients with abdominal aortic aneurysm (AAA) have higher mortality rates due to increased cardiovascular risk. This retrospective study provides an overview of cardiovascular comorbidities and medication prescriptions in patients with AAA over different time periods.</p><p><strong>Methods: </strong>This single centre, retrospective cohort study included all AAA patients at the Amsterdam University Medical Centres from January 1989 to July 2023. Trends in cardiovascular comorbidities and medication prescriptions at AAA diagnosis were assessed across six periods: 1989 - 1998, 1999 - 2003, 2004 - 2008, 2009 - 2013, 2014 - 2018, and 2019 - 2023. Two year survival rates were analysed, and a multivariable Cox proportional hazards model was used to examine the association between cardiovascular comorbidities and medication prescriptions with all-cause mortality.</p><p><strong>Results: </strong>The study included 7 957 patients (78.8% male; mean age 71.8 ± 9.9 years). Common cardiovascular comorbidities at AAA diagnosis were hypertension (39.7%), transient ischaemic attack (27.1%), and myocardial infarction (17.5%). Frequently prescribed medications included platelet inhibitors (40.5%), beta blockers (28.9%), and statins (27.4%). Over time, cardiovascular comorbidities, medication prescriptions, and age at diagnosis increased. The two year survival rate was 77.7% (95% confidence interval 76.6 - 78.7%), with a significant increase in all-cause mortality over time (log rank p < .001). Advanced age (p < .001; hazard ratio [HR] 1.065), chronic renal failure (p < .001; HR 1.545), heart failure (p = .002; HR 1.198), and chronic obstructive pulmonary disease (p < .001; HR 1.354) were associated with increased mortality risk, whereas dyslipidaemia (p < .001; HR 0.818) was associated with a decreased risk. Insulin (p < .001; HR 1.373) and diuretic use (p < .001; HR 1.223) were associated with increased mortality risk, whereas platelet inhibitors (p = .006; HR 0.899) and nitrates (p = .031; HR 0.858) were linked to a decreased risk.</p><p><strong>Conclusion: </strong>Cardiovascular comorbidities, medication prescriptions and age of AAA diagnosis have increased over time in patients with AAA. Low cardiovascular medication prescription rates at diagnosis suggest inadequate risk management, emphasising the need for stricter cardiovascular risk management to reduce the mortality rate.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494957","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":"Use of an off the Shelf Inner Branch Thoraco-abdominal Endograft for the Treatment of Juxtarenal and Pararenal Aortic Aneurysms.","authors":"Francesco Squizzato, Michele Piazza, Giacomo Isernia, Giovanni Pratesi, Emanuele Gatta, Michelangelo Ferri, Yamume Tshomba, Roberto Gattuso, Gian Franco Veraldi, Michele Antonello","doi":"10.1016/j.ejvs.2025.02.030","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.02.030","url":null,"abstract":"<p><strong>Objective: </strong>To investigate outcomes obtained using an off the shelf pre-loaded inner branched endograft (E-nside) for the treatment of juxtarenal and pararenal aortic aneurysms (J-PRAA).</p><p><strong>Methods: </strong>Data from a multicentre registry (INBREED), including patients treated with E-nside endograft, were prospectively collected and analysed. Patients treated for J-PRAA were included. Pre-operative clinical and anatomical characteristics, procedural data, 30 day, and one year outcomes were recorded. Endpoints were technical success, 30 day mortality, major adverse events (MAE), and one year freedom from target vessel instability.</p><p><strong>Results: </strong>Of 185 consecutive treated patients, 47 (25.0%) had a J-PRAA (juxtarenal n = 10, 21.0%; pararenal n = 37, 79.0%) and were included; 183 target vessels were incorporated through an inner branch. Procedural setting was emergent or urgent in 18 patients (38.0%) owing to a contained aortic rupture (n = 2, 4.0%), symptomatic aneurysm (n = 4, 9.0%), or aneurysm > 70 mm (n = 12, 87.0%). Mean length of aortic coverage above the coeliac trunk was 116 ± 7 mm. Technical success was 100%, and 30 day mortality was 4.0% (n = 2 urgent cases). The thirty day cumulative MAE rate was 26.0% (n = 12): two stroke (4.0%); seven spinal cord ischaemia (15.0%); six in an elective setting (20.0%) and one in an urgent setting (6.0%), and five leading to permanent paraplegia/paraparesis (10.0%). Freedom from target vessel instability was 99.0% after 30 days and 97.0 ± 3.0% after one year.</p><p><strong>Conclusion: </strong>Use of an off the shelf inner branched device for treating J-PRAA was feasible in urgent and elective settings, with high technical success and satisfactory target vessel stability at one year. In the treatment of J-PRAA, stroke and spinal cord ischaemia may be associated with arm access and increased aortic coverage that the design brings.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484622","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":"Rapid Development of Two Saccular Components in an Abdominal Aortic Aneurysm.","authors":"Elfi Tournaye, Tu Tran","doi":"10.1016/j.ejvs.2025.02.033","DOIUrl":"10.1016/j.ejvs.2025.02.033","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484621","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}