European Journal of Vascular and Endovascular Surgery最新文献

{"title":"Advancing Artificial Intelligence in Vascular Surgery: The Promise of VASC.AI in Enhancing Accuracy and Reliability.","authors":"Tiam Feridooni, Andrew Dueck, David Szalay","doi":"10.1016/j.ejvs.2025.03.011","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.011","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":"143634978","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":"Gallbladder Compression of the Inferior Vena Cava Resulting in Extensive Venous Ulcers of the Lower Limbs.","authors":"Ferdinando B A Valente, Domenico Baccelieri","doi":"10.1016/j.ejvs.2025.03.013","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.013","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":"143634984","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":"Enhancing Care in Vascular Surgery Using Artificial Intelligence Assistants.","authors":"Fabien Lareyre, Juliette Raffort","doi":"10.1016/j.ejvs.2025.03.012","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.012","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":"143634982","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":"Giant Internal Carotid Artery Pseudoaneurysm.","authors":"Jiao Yang, Fang Liu","doi":"10.1016/j.ejvs.2025.03.008","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.008","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":"143634985","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":"Diagnostic Test Accuracy of Pedal Acceleration Time to Identify Peripheral Artery Disease.","authors":"Jill Sommerset, Desarom Teso, Joseph L Mills, Mathew Sebastian, Ahmed Kayssi, Sarah Leask, Richard Rounsley, Peta Ellen Tehan","doi":"10.1016/j.ejvs.2025.03.007","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.007","url":null,"abstract":"<p><strong>Objective: </strong>Pedal acceleration time (PAT) is a novel method of using diagnostic ultrasound to evaluate the haemodynamic characteristics of pedal arteries and has potential as an adjunct vascular testing method. The primary objective of this study was to assess the diagnostic accuracy of PAT in identifying peripheral artery disease (PAD) in a population with clinically suspected PAD.</p><p><strong>Methods: </strong>This was a multicentre cross sectional study to estimate the diagnostic test accuracy. Participants with clinically suspected PAD were recruited via consecutive sampling at four centres. Colour duplex ultrasound (reference standard) and toe brachial index (TBI) were measured by a vascular sonographer. A second vascular sonographer, blinded to all other measures, conducted the PAT measurements on the same limb. PAD was defined as a > 50% stenosis in any vessel from the distal aorta to the foot. Sensitivity, specificity, positive and negative predictive values, and positive and negative likelihood ratios were estimated for all PAT values. Receiver operating characteristic curves were also generated.</p><p><strong>Results: </strong>188 participants (227 limbs) were recruited, with a mean age of 71 years (standard deviation 10, range 43 - 93) with 56 women (30%) including 133 limbs having PAD (59%) and 61 (33%) claudicants. Area under the curve for PAT: lateral plantar artery 0.72 (0.65 - 0.79), medial plantar artery 0.72 (0.65 - 0.79), dorsal metatarsal artery 0.77 (0.70 - 0.84), arcuate artery 0.71 (0.64 - 0.78), and deep plantar artery 0.73 (0.67 - 0.80). Utilising the worst case PAT measure for the limb for identifying PAD had an AUC of 0.79 (0.74 - 0.85) and positive and negative predictive values of 0.81 (0.57 - 0.89) and 0.66 (0.57 - 0.75), respectively. Area under the curve for the toe brachial index was 0.78 (0.71 - 0.85) and that of ankle brachial index was 0.70 (0.62 - 0.77).</p><p><strong>Conclusion: </strong>PAT exhibited an acceptable diagnostic test accuracy as an assessment tool to identify PAD in a population with clinically suspected PAD. All five measures yielded similar accuracy to toe pressure and TBI; however, utilising the worst case PAT value yielded the highest diagnostic test accuracy of all PAT measures. The PAT diagnostic threshold for the presence of PAD may be revised to > 85 ms to optimise the performance of the test for the identification of PAD.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631093","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":"Short Term Changes in Myocardial Function Following Thoracic Endovascular Aortic Repair.","authors":"Alexandra Hauguel, Kianosh Kasani, Martin Kloeckner, Dorothée Brunet, Stephan Haulon, Arshid Azarine","doi":"10.1016/j.ejvs.2025.03.006","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.006","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143630299","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":"Patient Recovery After Complex Endovascular Aortic Repair Beyond Major Surgical Outcomes and Readiness for Discharge.","authors":"Linda Haakseth, Christine Kumlien, Eva Jangland","doi":"10.1016/j.ejvs.2025.03.005","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.005","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626907","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 Arterial Disease Diagnosis with Pedal Acceleration Time: is it Ready for Widespread Use?","authors":"Sergi Bellmunt-Montoya, Pirkka Vikatmaa","doi":"10.1016/j.ejvs.2025.01.022","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.01.022","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626912","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":"Utility and Challenges of Data Based Decision Making in Ruptured Abdominal Aortic Aneurysms.","authors":"Kitty H F Wong, Robert Hinchliffe","doi":"10.1016/j.ejvs.2025.03.004","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.004","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598537","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":"Branched Endovascular Aortic Repair with Inner and Outer Branches: A Systematic Review and Meta-analysis.","authors":"Angelos Karelis, Tilo Kölbel, Tara Mastracci, Athanasios Katsargyris, Stephan Haulon, Nikolaos Tsilimparis, George A Antoniou","doi":"10.1016/j.ejvs.2025.03.003","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.003","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review aimed to assess clinical outcomes of branched endovascular aortic repair (BEVAR) with inner branches (iBEVAR) and inner/outer branches (oBEVAR).</p><p><strong>Data sources: </strong>A systematic literature review was performed using the electronic bibliographic databases MEDLINE, Embase, Scopus, Web of Science, and the Cochrane Library up to May 2024.</p><p><strong>Review methods: </strong>The review was designed and reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Eligible studies reported death, technical failure, primary patency of target vessels (TVs), TV related complications, branch related re-interventions, and spinal cord ischaemia (SCI). Risk of bias was evaluated with the ROBINS-I tool.</p><p><strong>Results: </strong>Twenty seven observational studies reporting a total of 1 780 patients treated with BEVAR and 6 633 TVs were included. A total of 386 patients (84.3%) were electively treated with iBEVAR while 72 (15.6%) were urgently treated vs. 845 (63.2%) and 491 (36.7%) with oBEVAR, respectively. The pooled estimate of 30 day mortality was 4.9% (95% confidence interval [CI] 2.9 - 8.2%) for iBEVAR and 7.6% (95% CI 4.9 - 11.7%) for oBEVAR. Overall mortality rates were 13.8% (95% CI 9.7 - 19.1%) for iBEVAR vs. 15.4% (95% CI 10.6 - 21.9%) for oBEVAR. The rate of SCI was 6.5% (95% CI 4.2 - 10.0%) in iBEVAR compared with 12.9% (95% CI 9.6 - 17.1%) in oBEVAR. Primary TV patency was similar between iBEVAR (97.3%, 95% CI 94.8 - 98.6%) and oBEVAR (97.6%, 95% CI 95.3 - 98.7%). Target vessel related complication rates were 2.9% (95% CI 2.0 - 4.1%) in iBEVAR vs. 3.9% (95% CI 2.7 - 5.6%) in oBEVAR. Technical failure rates were 4.1% (95% CI 2.4 - 6.9%) for iBEVAR vs. 5.7% (95% CI 3.5 - 9.1%) for oBEVAR. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) certainty was low or very low for all outcomes.</p><p><strong>Conclusion: </strong>Branched endovascular aortic aneurysm repair with inner and inner/outer branches has been used in elective and urgent cases, as well as across a variety of anatomies, with both designs demonstrating satisfactory clinical outcomes.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598531","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}