European Journal of Vascular and Endovascular Surgery最新文献

{"title":"Pseudocoarctation of the Aorta Complicated by Acute Type B Aortic Dissection","authors":"Naoto Fukunaga, Nobushige Tamura","doi":"10.1016/j.ejvs.2024.12.028","DOIUrl":"10.1016/j.ejvs.2024.12.028","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Page 618"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866507","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":"Potentially Inappropriate Care in Patients with Chronic Limb Threatening Ischaemia in the Last Month of Life","authors":"Marie-José P.J. Vleugels , Maud Gilissen , Willemien van de Water , Albine Moser , Marieke van den Beuken-van Everdingen , Barend M.E. Mees","doi":"10.1016/j.ejvs.2024.12.022","DOIUrl":"10.1016/j.ejvs.2024.12.022","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 653-654"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856673","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":"Behind a Random Forest, a Brighter Future for Patients with Abdominal Aortic Aneurysm?","authors":"Fabien Lareyre , Martin Teraa","doi":"10.1016/j.ejvs.2024.10.029","DOIUrl":"10.1016/j.ejvs.2024.10.029","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 599-600"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142513329","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":"Incidence of Microembolic Signals on Transcranial Doppler among Patients with Symptomatic Carotid Near Occlusion","authors":"Thomas Gu ,&nbsp;Isabell Hedberg ,&nbsp;Linnea Vikner ,&nbsp;Alexandra Björnebäck ,&nbsp;Joakim Karlsson ,&nbsp;Alexander Henze ,&nbsp;Allan J. Fox ,&nbsp;Elias Johansson","doi":"10.1016/j.ejvs.2024.11.012","DOIUrl":"10.1016/j.ejvs.2024.11.012","url":null,"abstract":"<div><h3>Objective</h3><div>It is unclear whether ischaemic stroke among patients with symptomatic carotid near occlusion is caused by an embolic or haemodynamic mechanism. An embolic mechanism can be reflected by the occurrence of microembolic signals (MES) on transcranial Doppler. This study aimed to compare the incidence of MES between patients with symptomatic near occlusion, symptomatic conventional ≥ 50% stenosis, and asymptomatic ≥ 50% stenosis.</div></div><div><h3>Methods</h3><div>This cross sectional study included patients with ≥ 50% symptomatic or asymptomatic carotid stenosis. The degree of stenosis was assessed with computed tomography angiography, where near occlusion was diagnosed by feature interpretation. Symptomatic was defined as ipsilateral events within six months. Occurrence of MES was recorded bilaterally in the middle cerebral artery for 30 minutes with transcranial Doppler.</div></div><div><h3>Results</h3><div>A total of 109 participants with ≥ 50% carotid stenosis were included, comprising 52 with symptomatic ≥ 50% conventional stenosis, 41 symptomatic near occlusion, and 16 asymptomatic ≥ 50% stenosis. The incidence of MES was 46% (19/41; 95% confidence interval [CI] 30 – 62%) among symptomatic near occlusion, 27% (14/52; 95% CI 14 – 39%) among symptomatic ≥ 50% conventional stenosis, and 6% (1/16; 95% CI 0 – 20%) among asymptomatic ≥ 50% carotid stenosis. The incidence of MES tended to be higher among symptomatic near occlusions compared with symptomatic ≥ 50% conventional stenoses (unadjusted odds ratio [OR] 2.3, 95% CI 1.0 – 5.6; <em>p</em> = .054), but was statistically significantly higher after adjustments (adjusted OR 3.9, 95% CI 1.4 – 10.7; <em>p</em> = .009). The MES incidence was higher among symptomatic near occlusions than asymptomatic ≥ 50% stenoses (<em>p</em> = .005).</div></div><div><h3>Conclusion</h3><div>Microembolic signals appear to be more prevalent in symptomatic near occlusions compared with both symptomatic conventional ≥ 50% carotid stenoses and asymptomatic conventional ≥ 50% carotid stenoses. These findings could reflect a possible embolic mechanism behind ischaemic stroke in symptomatic carotid near occlusion patients, but do not rule out concurrent haemodynamic mechanisms. Additional studies using various markers of both embolic and haemodynamic mechanisms are warranted.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 522-530"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142649894","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":"Prediction of Two Year Survival Following Elective Repair of Abdominal Aortic Aneurysms at A Single Centre Using A Random Forest Classification Algorithm","authors":"Daniel C. Thompson ,&nbsp;Rhiannon Hackett ,&nbsp;Peng F. Wong ,&nbsp;Gerard Danjoux ,&nbsp;Reza Mofidi","doi":"10.1016/j.ejvs.2024.11.357","DOIUrl":"10.1016/j.ejvs.2024.11.357","url":null,"abstract":"<div><h3>Objective</h3><div>The decision to electively repair an abdominal aortic aneurysm (AAA) involves balancing the risk of rupture, peri-procedural death, and life expectancy. Random forest classifiers (RFCs) are powerful machine learning algorithms. The aim of this study was to construct and validate a random forest machine learning tool to predict two year survival following elective AAA repair.</div></div><div><h3>Methods</h3><div>All patients who underwent elective open or endovascular repair of AAA from 1 January 2008 to 31 March 2021 were reviewed. They were assessed using the Vascular Services Quality Improvement Program pathway involving cardiopulmonary exercise testing, contrast enhanced computerised tomography scan, and multidisciplinary assessment. Patients were followed up for at least two years. A RFC was developed using 70% of the dataset and validated using 30% to predict survival for at least two years following AAA repair.</div></div><div><h3>Results</h3><div>Nine hundred and twenty five patients (<em>n</em> = 836 men; <em>n</em> = 89 women) underwent elective AAA repair; 126 (13.6%) died during the first two years; 11 (1.2%) died peri-procedurally. Variable importance analysis suggested that anaerobic threshold, pre-operative haemoglobin, maximal O₂ consumption, body mass index, risk category, and forced expiratory volume in 1 second – forced vital capacity ratio were the most important contributors to the model. Sensitivity and specificity of the RFC for prediction of two year survival following surgery was 96.7% (95% CI 94.4 – 99%) and 67.1% (95% CI 61 – 72%); overall accuracy: 92.6% (95% CI 88 – 95%) (positive predictive value: 0.93, negative predictive value: 0.80); 10 fold cross validation revealed area under the receiver operator characteristic curve of 0.88.</div></div><div><h3>Conclusion</h3><div>RFCs based on readily available clinical data can successfully predict survival in the first two years following elective AAA repair. Such information can contribute to the risk benefit assessment when deciding to electively repair AAAs.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 590-598"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787828","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":"Computed tomography-based anatomical suitability of an Endo-Bentall prosthesis for ascending aortic aneurysms","authors":"Mustafa Aldag MD ,&nbsp;Petroula Nana PhD ,&nbsp;Giuseppe Panuccio PhD ,&nbsp;José I. Torrealba MD ,&nbsp;Niklas Schofer MD ,&nbsp;Konstantinos Spanos PhD ,&nbsp;Yskert von Kodolitsch PhD ,&nbsp;Jens Brickwedel MD ,&nbsp;Till Joscha Demal MD ,&nbsp;Christian Detter PhD ,&nbsp;Tilo Kölbel PhD","doi":"10.1016/j.ejvs.2025.02.049","DOIUrl":"10.1016/j.ejvs.2025.02.049","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Page e260"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850410","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":"Comparison of the Long Term Safety and Effectiveness of Endovascular Sac Embolisation and the Isolation Technique for Treatment of True Saccular Splenic Artery Aneurysms","authors":"Zhiquan Zhuang ,&nbsp;Jingqin Ma ,&nbsp;Shuai Ju ,&nbsp;Guoqing Gu ,&nbsp;Tao Wei ,&nbsp;Yongjie Zhou ,&nbsp;Wen Zhang ,&nbsp;Zhiping Yan ,&nbsp;Jianjun Luo","doi":"10.1016/j.ejvs.2024.11.018","DOIUrl":"10.1016/j.ejvs.2024.11.018","url":null,"abstract":"<div><h3>Objective</h3><div>To compare the safety, effectiveness, hospital stay (HS), and total hospital cost (THC) of sac embolisation (SE) and the isolation technique (IT) for treating isolated saccular true unruptured splenic artery aneurysms (SAAs).</div></div><div><h3>Methods</h3><div>Two hundred and eight patients with isolated saccular true unruptured SAAs receiving endovascular SE or IT treatment at four medical centres in China between January 2016 and December 2022 were included retrospectively. Technical success rates, splenic infarction (SI) rates, aneurysm revascularisation (AR) rates, HS, and THC were compared between groups. Each group was divided into three subgroups, based on the size of the SAAs: 2.0 – 2.9 cm (S1), 3.0 – 3.9 cm (S2), and ≥ 4.0 cm (S3).</div></div><div><h3>Results</h3><div>Technical success was 100%. During a median follow up of 48.8 (IQR 33.0, 70.4) months, no patients had SAA rupture or died. The two and five year cumulative incidences of aneurysm revascularisation were 1.8% and 8.7% for the SE group and 2.2% and 2.2% for the IT group, respectively (<em>p</em> = .12). Compared with the SE group, the IT group had a higher SI rate (<em>p</em> &lt; .001), a comparable AR rate (<em>p</em> = .12), a higher median HS (<em>p</em> &lt; .001), and a lower median THC (<em>p</em> &lt; .001). The median THC was comparable between the SE and IT groups in S1. The median THC of the SE group was approximately 1.36 times and 2.2 times of that in the IT group in S2 and S3 (both <em>p</em> &lt; .001), respectively.</div></div><div><h3>Conclusion</h3><div>Sac embolisation and IT are safe and effective methods for treating isolated saccular true unruptured SAAs. The isolation technique seems to be superior in reducing THC, whereas SE may be superior in reducing SI rates and HS. Sac embolisation may be more suitable for smaller SAAs, whereas IT might be a better choice for larger SAAs.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 577-586"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142693751","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":"Super Selective Puncture of Feeding Arteries under Ultrasound Guidance for Treatment of Extracranial Arteriovenous Malformations of the Head by Absolute Ethanol Embolisation","authors":"Tri-Thuc Nguyen ,&nbsp;Thang V. Luong ,&nbsp;Phong T. Le","doi":"10.1016/j.ejvs.2024.12.006","DOIUrl":"10.1016/j.ejvs.2024.12.006","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Page 658"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819948","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 treatment outcomes of popliteal artery entrapment syndrome by the Korean Rare Vascular Ailment Research Experts","authors":"Young-Nam Roh MD ,&nbsp;Hye Young Woo MD ,&nbsp;Dong-Ik Kim MD ,&nbsp;Joon-Kee Park MD ,&nbsp;Hyung-Kee Kim MD ,&nbsp;Young-Wook Kim MS ,&nbsp;Jin Hyun Joh MD ,&nbsp;Hyejin Mo MD ,&nbsp;Sangchul Yun MD ,&nbsp;Deokbi Hwang MD ,&nbsp;Jungnam Kwon MD ,&nbsp;Keunho Yang MD ,&nbsp;Eun-Ah Jo MD ,&nbsp;Hyuk Jae Jung MD ,&nbsp;Sang-Hwi Kwon MD ,&nbsp;Seung-Kee Min MD, PhD","doi":"10.1016/j.ejvs.2025.02.054","DOIUrl":"10.1016/j.ejvs.2025.02.054","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Page e263"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850836","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 and Midterm Results of Supracoeliac versus Infracoeliac Sealing for Fenestrated Endovascular Aortic Repair of Juxtarenal Aortic Aneurysms","authors":"Titia A.L. Sulzer ,&nbsp;Jorg L. de Bruin ,&nbsp;Vinamr Rastogi ,&nbsp;Gert Jan Boer ,&nbsp;Klaas H.J. Ultee ,&nbsp;Bram Fioole ,&nbsp;Gustavo S. Oderich ,&nbsp;Marc L. Schermerhorn ,&nbsp;Hence J.M. Verhagen","doi":"10.1016/j.ejvs.2024.11.019","DOIUrl":"10.1016/j.ejvs.2024.11.019","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to investigate peri-operative and midterm outcomes, including sac dynamics, of fenestrated endovascular aortic repair (F-EVAR) for juxtarenal abdominal aortic aneurysms (JAAAs), comparing supracoeliac with infracoeliac sealing. Supracoeliac sealing may offer an advantage due to a longer proximal sealing zone, but is associated with a more complex procedure and increased risk of complications. Furthermore, it is unknown whether supracoeliac sealing actually leads to increased durability.</div></div><div><h3>Methods</h3><div>Patients undergoing elective F-EVAR for JAAAs from 2008 – 2021 at two hospitals in the Netherlands were included. The definition of supracoeliac sealing was sealing in zone 5 or 6, with incorporation of the coeliac axis. Infracoeliac sealing was defined below zone 6. The primary endpoints included peri-operative outcomes. Secondary endpoints included one year aneurysm sac dynamics, freedom from secondary intervention, five year mortality rate, and sac dynamics over time.</div></div><div><h3>Results</h3><div>Among 167 patients, 78 (46.7%) had a proximal sealing at an infracoeliac level and 89 (53.3%) at a supracoeliac level. The median proximal sealing length was 37 (interquartile range [IQR] 28, 52) mm for the supracoeliac group and 26 (IQR 19, 34) mm for the infracoeliac group. Patients with supracoeliac sealing had more often had prior endovascular aortic aneurysm repair (31% <em>vs.</em> 12%; <em>p</em> = .004). Type IIIc endoleaks only occurred in patients with supracoeliac sealing (7% <em>vs.</em> 0%; <em>p</em> = .032). Other peri-operative complications and mortality rates were similar between the groups. Furthermore, no significant differences were found in one year aneurysm sac dynamics, freedom from secondary interventions, five year mortality rate, and sac dynamics over time.</div></div><div><h3>Conclusion</h3><div>Proximal supracoeliac and infracoeliac sealing showed similar midterm outcomes, including sac dynamics, despite the higher procedural complexity of supracoeliac sealing. Supracoeliac sealing had a higher rate of 30 day type IIIc endoleak, but no difference in five year secondary intervention rate. Theoretically, supracoeliac sealing may be advantageous as sealing zones dilate over time, although future studies with longer than five year follow up are needed to determine its impact on long term aneurysm sac exclusion.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 619-627"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142689687","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}