European Journal of Vascular and Endovascular Surgery最新文献

{"title":"A Word of Caution: Not All pDVAs Are Equal.","authors":"Peter A Schneider, Hany Zayed","doi":"10.1016/j.ejvs.2025.03.023","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.023","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143712205","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":"Fenestrated or Branched Endovascular Aortic Arch Repair Outcomes in Female Patients: A Retrospective Multicentre Analysis.","authors":"Petroula Nana, Stéphan Haulon, Nikolaos Tsilimparis, Thomas Le Houérou, Martina Bastianon, Angelos Karelis, Nuno Dias, Tilo Kölbel","doi":"10.1016/j.ejvs.2025.03.021","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.021","url":null,"abstract":"<p><strong>Objective: </strong>Data on females managed with fenestrated or branched endovascular aortic arch repair (f/b-Arch) are limited. This study aimed to present the 30 day and follow up outcomes of f/b-Arch in female patients.</p><p><strong>Methods: </strong>A retrospective analysis (1 January 2011 to 31 March 2024) among four European aortic centres was conducted according to STROBE guidelines. Consecutive female patients managed with custom made f/b-Arch devices (Cook Medical, Bloomington, In, USA) were eligible. Primary outcomes were technical success and death and stroke at 30 days. Kaplan-Meier and Cox regression analyses were performed for follow up outcomes.</p><p><strong>Results: </strong>The study included 148 females (mean age 71.8 ± 3.5 years; mean aortic diameter 61.9 ± 4.2 mm; 14.2% urgent; 5.4% ruptures). The aortic dissection rate was 38.5% (35.8% chronic; 2.7% acute). Distal f/b-Arch was performed in 23%. b-Arch was used in 68.9% and f-Arch in 27.7%, while 3.4% were managed with a left subclavian artery branch device. The non-native proximal aortic landing (nNPAL) rate was 60.1%. Technical success was 95.9%. Thirty day mortality was 8.1%, with respiratory failure (odds ratio [OR] 0.36, 95% confidence interval [CI] 0.21 - 0.50; p < .001) and pericardial effusion (OR 0.43, 95% CI 0.43 - 0.82; p < .001) being independently related. The stroke rate was 10.1% (6.1% major; all ischaemic), with peripheral arterial disease as a predictor (OR 0.20, 95% CI 0.04 - 0.39; p = .020), and nNPAL (OR -0.22, 95% CI -0.26 - -0.02; p = .030) and aortic dissection (OR -0.19, 95% CI -0.24 - -0.001; p = .040) as protectors. Urgent repair was not related to adverse events. The spinal cord ischaemia rate was 3.4%. At forty eight months (mean follow up 20.6 ± 9.4 months), survival was 79.5% (95% CI 74.7 - 84.3%), with stroke (hazard ratio (HR) 5.3, 95% CI 4.8 - 5.8; p = .002) and congestive heart failure (HR 6.1, 95% CI 5.5 - 6.6; p = .003) being related to lower survival. Freedom from unscheduled re-interventions was 53.9% (95% CI 44.5 - 63.3%) at forty eight months.</p><p><strong>Conclusion: </strong>Female patients managed with f/b-Arch presented acceptable 30 day mortality. nNPAL and aortic dissection were independently related to lower stroke risk. Unscheduled re-interventions affected almost half of cases during follow up.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702386","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":"Peripheral Artery Dissections: New Insights from a Retrospective Study.","authors":"Alexander Gombert","doi":"10.1016/j.ejvs.2025.03.009","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.009","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694499","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":"LETTER TO THE EDITOR: Regional and Global Aortic Pulse Wave Velocity in Patients with Abdominal Aortic Aneurysm.","authors":"Mustafa Oğuz, Murat Demirci","doi":"10.1016/j.ejvs.2025.03.018","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.018","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694521","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":"Comparative and Prognosis Study of Peripheral Arterial Dissections.","authors":"Marie Morard, Benoit Guillon, Romain Bourcier, Sylvain Le Jeune, Benjamin Espinasse, Manuel Laslandes, Alexis F Guedon, Olivier Espitia","doi":"10.1016/j.ejvs.2025.03.016","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.016","url":null,"abstract":"<p><strong>Objective: </strong>Peripheral arterial dissections are uncommon, with cervical artery dissections being the most prevalent type. Comparative data on the evolution of renal, splanchnic, and coronary dissections are scarce. This study aimed to characterise and assess the prognosis of non-aortic arterial dissections based on their anatomical territories.</p><p><strong>Methods: </strong>Patients with dissection of cervical, coronary, renal, or splanchnic arteries from 2017 - 2022 for which the episode was documented at Nantes University Hospital were retrospectively included.</p><p><strong>Results: </strong>A total of 185 patients were included. Compared with other arterial territories, patients with coronary or vertebral dissections were more frequently women (p = .006), patients with vertebral or renal dissections were younger (p = .009), and patients with splanchnic dissections had more heritable connective tissue disorders (HCTDs) (p = .002); these differences were statistically significant for each comparison with the other groups. Cardiovascular risk factors did not statistically significantly differ according to the territory dissected. Ischaemic complications represented 44.8%, 91.7%, 88.2%, and 20.0% for cervical, coronary, renal, and splanchnic dissections, respectively (p < .001). The median follow up time was 19 months (range 1 - 177 months). For all territories, symptomatic recurrence of dissection was observed in 10.3%, and the median time to recurrence was thirty-four months. Symptomatic dissection recurrence rates for patients with a single dissection at diagnosis and for multiple dissections were 6.8% and 22.2%, respectively (p = .030). In the multiple territories dissection group, there were more women (83.3% vs. 34.2%; p < .001), more HCTDs were identified (11.1% vs. 1.9%; p = .024), and patients were younger (p = .049).</p><p><strong>Conclusion: </strong>Patients' clinical phenotypes differed according to the territory initially dissected, with a higher frequency of HCTDs in splanchnic dissections. Dissections affecting several beds or territories at diagnosis were associated with a higher rate of recurrence. These data need to be confirmed in large prospective studies.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694519","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":"On the Estimation of Pulse Wave Velocity in Aneurysmal Disease.","authors":"Marcus Lindenberger, Tino Ebbers, Petter Dyverfeldt","doi":"10.1016/j.ejvs.2025.03.019","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.019","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694523","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":"Janet Powell: A Warrior who Fought her Entire Career for Evidence Based Vascular Practice has Fallen.","authors":"E Sebastian Debus, Anna-Louise Pouncey, Colin Bicknell, Maarit Venermo","doi":"10.1016/j.ejvs.2025.03.017","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.017","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671791","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":"The Data We Overlook, the Insights We Miss: Rethinking Vascular Research.","authors":"Maxime Dubosq-Lebaz, Eric A Secemsky, Yann Gouëffic","doi":"10.1016/j.ejvs.2025.03.015","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.015","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143652097","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":"Comparative Analysis of Three Year Results of Two Paclitaxel Related Stents for the Management of Femoropopliteal Disease in a Real World Setting.","authors":"Tsuyoshi Shibata, Yutaka Iba, Masami Shingaki, Osamu Yamashita, Yoshinori Tsubakimoto, Fumiaki Kimura, Atsutoshi Hatada, Fuminori Kasashima, Kyohei Ueno, Nobuyoshi Kawaharada","doi":"10.1016/j.ejvs.2025.03.010","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.010","url":null,"abstract":"<p><strong>Objective: </strong>Randomised clinical trials have demonstrated superiority of the Eluvia stent over Zilver PTX for femoropopliteal artery disease in terms of one and two year clinical outcomes, but comparative real world data beyond two years are not available. This study aimed to compare Zilver PTX and Eluvia stents and reports three year primary patency, patient outcomes, and safety results from the REALDES study.</p><p><strong>Methods: </strong>The REALDES study was a prospective, multicentre, observational study that enrolled adult patients with symptomatic femoropopliteal disease scheduled for treatment with either Zilver PTX or Eluvia. This study included patients with native femoropopliteal artery disease treated with Zilver PTX (n = 96 limbs) or Eluvia (n = 104 limbs). The primary outcome was three year primary patency, and secondary outcomes included freedom from clinically driven target lesion revascularisation (TLR) and Tosaka classification.</p><p><strong>Results: </strong>The baseline characteristics were comparable between the Zilver PTX and Eluvia groups, apart for longer lesion lengths in the Zilver PTX group. At three years, the primary patency rates were 70.0% for Zilver PTX and 65.2% for Eluvia, with no significant difference (p = .74). Furthermore, there are no significant differences between the two stents at one and two years. Freedom from TLR rates were 79.4% for Zilver PTX and 76.3% for Eluvia, with no significant difference (p = .27). the incidence of Tosaka class III was 7.3% in the Zilver PTX group and 14.4% in the Eluvia group at three years (p = .10). Among patients with re-stenosis, the incidence of in stent occlusion was significantly higher with Eluvia (57.7%) than with Zilver PTX (29.2%) (p = .041). No baseline characteristics were associated with the three year re-stenosis risk.</p><p><strong>Conclusion: </strong>Zilver PTX and Eluvia stents demonstrated comparable primary patency and freedom from clinically driven TLR after three years in real world femoropopliteal artery interventions. In routine clinical practice, Eluvia should be used judiciously in backgrounds with a high risk of re-stenosis.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143639699","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":"Chronic Heart Failure Caused by Takayasu Vasculitis.","authors":"Chaoqun Yan, Leizhi Ku","doi":"10.1016/j.ejvs.2025.03.014","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.014","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634980","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}