European Journal of Vascular and Endovascular Surgery最新文献

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Metabolic Phenotyping in Chronic Venous Disease: A Novel Research Avenue. 慢性静脉疾病的代谢表型:新颖的研究途径。
IF 5.7 1区 医学
European Journal of Vascular and Endovascular Surgery Pub Date : 2024-10-05 DOI: 10.1016/j.ejvs.2024.09.040
Maxim E Shaydakov, Jose A Diaz
{"title":"Metabolic Phenotyping in Chronic Venous Disease: A Novel Research Avenue.","authors":"Maxim E Shaydakov, Jose A Diaz","doi":"10.1016/j.ejvs.2024.09.040","DOIUrl":"10.1016/j.ejvs.2024.09.040","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382527","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}
引用次数: 0
Inferior Mesenteric Artery Aneurysm: A Rare Entity. 肠系膜下动脉瘤:罕见的实体。
IF 5.7 1区 医学
European Journal of Vascular and Endovascular Surgery Pub Date : 2024-10-05 DOI: 10.1016/j.ejvs.2024.10.003
Andreja Dimic, Aleksandar Mitrovic
{"title":"Inferior Mesenteric Artery Aneurysm: A Rare Entity.","authors":"Andreja Dimic, Aleksandar Mitrovic","doi":"10.1016/j.ejvs.2024.10.003","DOIUrl":"10.1016/j.ejvs.2024.10.003","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382526","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}
引用次数: 0
Real Evidence: Real Life or Randomised Control Trials? 真实证据:真实生活还是随机对照试验?
IF 5.7 1区 医学
European Journal of Vascular and Endovascular Surgery Pub Date : 2024-10-05 DOI: 10.1016/j.ejvs.2024.10.001
Nabil Chakfé, Anne Lejay
{"title":"Real Evidence: Real Life or Randomised Control Trials?","authors":"Nabil Chakfé, Anne Lejay","doi":"10.1016/j.ejvs.2024.10.001","DOIUrl":"10.1016/j.ejvs.2024.10.001","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382528","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}
引用次数: 0
Re: Enhancing the Reliability of Popliteal Artery Aneurysm Treatment Outcomes: A Critical Review of the PARADE Study. 关于"提高腘动脉瘤治疗结果的可靠性:PARADE 研究批判性回顾"。
IF 5.7 1区 医学
European Journal of Vascular and Endovascular Surgery Pub Date : 2024-10-04 DOI: 10.1016/j.ejvs.2024.09.038
Nicola Troisi, Giulia Bertagna, Raffaella Berchiolli
{"title":"Re: Enhancing the Reliability of Popliteal Artery Aneurysm Treatment Outcomes: A Critical Review of the PARADE Study.","authors":"Nicola Troisi, Giulia Bertagna, Raffaella Berchiolli","doi":"10.1016/j.ejvs.2024.09.038","DOIUrl":"10.1016/j.ejvs.2024.09.038","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378642","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}
引用次数: 0
Spontaneous Inferior Mesenteric Artery Occlusion after Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm and its Impact on Clinical Outcomes. 腹主动脉瘤血管内动脉瘤修补术后自发性肠系膜下动脉闭塞及其对临床疗效的影响
IF 5.7 1区 医学
European Journal of Vascular and Endovascular Surgery Pub Date : 2024-10-01 DOI: 10.1016/j.ejvs.2024.09.036
Shinichiro Yoshino, Koichi Morisaki, Takehiko Aoyagi, Go Kinoshita, Kentaro Inoue, Tomoharu Yoshizumi
{"title":"Spontaneous Inferior Mesenteric Artery Occlusion after Endovascular Aneurysm Repair for Abdominal Aortic Aneurysm and its Impact on Clinical Outcomes.","authors":"Shinichiro Yoshino, Koichi Morisaki, Takehiko Aoyagi, Go Kinoshita, Kentaro Inoue, Tomoharu Yoshizumi","doi":"10.1016/j.ejvs.2024.09.036","DOIUrl":"https://doi.org/10.1016/j.ejvs.2024.09.036","url":null,"abstract":"<p><strong>Objective: </strong>The incidence and related factors of spontaneous occlusion of a patent inferior mesenteric artery (IMA) after endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm (AAA) without pre-emptive embolisation remain unclear. This study aimed to elucidate the incidence, clinical implications and predictors of spontaneous IMA occlusion after EVAR.</p><p><strong>Methods: </strong>This was a single centre, retrospective cohort study. Patients who underwent elective EVAR between 2007 and 2022 were categorised into three groups (group 1, spontaneous IMA occlusion; group 2, patent IMA with no type II endoleak (T2EL) from IMA; group 3, T2EL from IMA). Endpoints were the incidence of spontaneous IMA occlusion, sac enlargement, freedom from re-intervention, and overall survival after EVAR.</p><p><strong>Results: </strong>Of 372 cases of elective EVAR for AAA, 230 who had patent IMA pre-operatively were analysed, after excluding 127 with pre-occluded IMA and 15 who underwent pre-emptive IMA embolisation. Spontaneous IMA occlusion occurred in 101 patients (43.9%). Sac enlargement rate was lower in group 1 than in groups 2 and 3. Freedom from re-intervention rate was higher in group 1 than in group 3 but did not differ between groups 1 and 2. Multivariate analysis revealed the absence of antiplatelet therapy, pre-operative higher haematocrit, absence of concomitant iliac artery aneurysm, posterior thrombus in the sac, and use of Endurant as predictors associated with spontaneous IMA occlusion. Spontaneous IMA occlusion was observed in 7.1% and 77.5% of patients with zero and four or five predictors, respectively.</p><p><strong>Conclusion: </strong>Spontaneous IMA occlusion occurred in nearly half of cases and was associated with positive clinical outcomes. In patients with a high prediction of spontaneous IMA occlusion, pre-emptive IMA embolisation may be omitted.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373611","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}
引用次数: 0
Endovascular Aneurysm Repair Surveillance Program Driven by Artificial Intelligence: Is This the Holy Grail of Surveillance? 人工智能驱动的血管内动脉瘤修补监控计划:这是监控的圣杯吗?
IF 5.7 1区 医学
European Journal of Vascular and Endovascular Surgery Pub Date : 2024-09-27 DOI: 10.1016/j.ejvs.2024.09.037
Ruth Scicluna, Matthew Joe Grima
{"title":"Endovascular Aneurysm Repair Surveillance Program Driven by Artificial Intelligence: Is This the Holy Grail of Surveillance?","authors":"Ruth Scicluna, Matthew Joe Grima","doi":"10.1016/j.ejvs.2024.09.037","DOIUrl":"10.1016/j.ejvs.2024.09.037","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332698","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}
引用次数: 0
Tourniquet Use in Major Lower Limb Amputation: Useful or Harmful? 在下肢大截肢手术中使用止血带:有用还是有害?
IF 5.7 1区 医学
European Journal of Vascular and Endovascular Surgery Pub Date : 2024-09-26 DOI: 10.1016/j.ejvs.2024.09.035
Alexander Gombert
{"title":"Tourniquet Use in Major Lower Limb Amputation: Useful or Harmful?","authors":"Alexander Gombert","doi":"10.1016/j.ejvs.2024.09.035","DOIUrl":"10.1016/j.ejvs.2024.09.035","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332704","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}
引用次数: 0
Acute Leg Ischaemia: Still a Dilemma. 急性腿部缺血:仍是一个难题。
IF 5.7 1区 医学
European Journal of Vascular and Endovascular Surgery Pub Date : 2024-09-26 DOI: 10.1016/j.ejvs.2024.09.034
Jonothan J Earnshaw
{"title":"Acute Leg Ischaemia: Still a Dilemma.","authors":"Jonothan J Earnshaw","doi":"10.1016/j.ejvs.2024.09.034","DOIUrl":"10.1016/j.ejvs.2024.09.034","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332697","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}
引用次数: 0
Impaired Pre-operative Ambulatory Capacity in Patients Undergoing Elective Endovascular Infrarenal Abdominal Aortic Aneurysm Repair is Associated with Increased Peri-operative Death. 接受择期血管内肾下腹主动脉瘤修补术的患者术前活动能力受损与围手术期死亡增加有关。
IF 5.7 1区 医学
European Journal of Vascular and Endovascular Surgery Pub Date : 2024-09-26 DOI: 10.1016/j.ejvs.2024.09.031
Heepeel Chang, Frank J Veith, Jae S Cho, Aiden Lui, Igor A Laskowski, Romeo B Mateo, Daniel J Ventarola, Sateesh Babu, Thomas S Maldonado, Karan Garg
{"title":"Impaired Pre-operative Ambulatory Capacity in Patients Undergoing Elective Endovascular Infrarenal Abdominal Aortic Aneurysm Repair is Associated with Increased Peri-operative Death.","authors":"Heepeel Chang, Frank J Veith, Jae S Cho, Aiden Lui, Igor A Laskowski, Romeo B Mateo, Daniel J Ventarola, Sateesh Babu, Thomas S Maldonado, Karan Garg","doi":"10.1016/j.ejvs.2024.09.031","DOIUrl":"10.1016/j.ejvs.2024.09.031","url":null,"abstract":"<p><strong>Objective: </strong>While ambulatory capacity is a readily assessable clinical indicator of functional status, its association with outcomes after endovascular aneurysm repair (EVAR) remains underexplored. This study aimed to investigate the association between pre-operative ambulatory status and outcomes following elective EVAR.</p><p><strong>Methods: </strong>A retrospective review of the multi-institutional Vascular Quality Initiative database was conducted for all patients who underwent elective infrarenal EVAR from 2009 - 2022. Patients were categorised into independent ambulation and impaired ambulation groups. A propensity score matched analysis was performed to produce two well matched cohorts in a 1:1 ratio without replacement. The primary outcome was 30 day death. Secondary outcomes included one year survival and in hospital major complications.</p><p><strong>Results: </strong>Among 11 474 patients, 10 539 (91.8%) were independently ambulatory pre-operatively. Propensity score matching resulted in 885 matched pairs. The impaired ambulation group, although older (mean 77.6 vs. 76.3 years; p = .001), showed comparable baseline characteristics. Post-operatively, the impaired ambulation group had higher cumulative in hospital complications and death as well as 30 day death. Even after adjustment for age, impaired pre-operative ambulation was associated with increased in hospital and 30 day death (hazard ratio [HR] 2.27, 95% confidence interval [CI] 1.26 - 3.95; p = .006). Multivariable analysis demonstrated increasing cumulative risk of 30 day death in the setting of impaired pre-operative ambulatory status with age > 75 years requiring post-operative red blood cell transfusion > 2 units (HR 5.75, 95% CI 2.09 - 15.88; p < .001). Beyond 30 days, impaired pre-operative ambulation was not associated with increased one year death (HR 1.09, 95% CI 0.81 - 1.48; p = .570).</p><p><strong>Conclusion: </strong>Among patients who underwent elective infrarenal EVAR in this matched analysis, impaired pre-operative ambulatory capacity was associated with an increased risk of in hospital and 30 day death, further compounded by advanced age and post-operative transfusion. As such, a threshold higher than the traditional size criteria should be considered in shared decision making when determining options for the management of abdominal aortic aneurysm in this high risk cohort.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332699","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}
引用次数: 0
Short Term Outcomes of a Prospective Registry in Popliteal and Infrapopliteal Endovascular Interventions for Chronic Limb Threatening Ischaemia. 腘窝和腘下血管内介入治疗慢性肢体缺血的前瞻性登记的短期效果。
IF 5.7 1区 医学
European Journal of Vascular and Endovascular Surgery Pub Date : 2024-09-26 DOI: 10.1016/j.ejvs.2024.09.033
Michael J Nugteren, Constantijn E V B Hazenberg, Olaf J Bakker, Maarten K Dinkelman, Bram Fioole, Jan-Willem Hinnen, Maurice Pierie, Gert J de Borst, Çağdaş Ünlü
{"title":"Short Term Outcomes of a Prospective Registry in Popliteal and Infrapopliteal Endovascular Interventions for Chronic Limb Threatening Ischaemia.","authors":"Michael J Nugteren, Constantijn E V B Hazenberg, Olaf J Bakker, Maarten K Dinkelman, Bram Fioole, Jan-Willem Hinnen, Maurice Pierie, Gert J de Borst, Çağdaş Ünlü","doi":"10.1016/j.ejvs.2024.09.033","DOIUrl":"https://doi.org/10.1016/j.ejvs.2024.09.033","url":null,"abstract":"<p><strong>Objective: </strong>The prevalence of chronic limb threatening ischaemia (CLTI) is increasing worldwide, resulting in the need for more patients undergoing revascularisation, especially for below the knee pathology. Nevertheless, prospective data on below the knee endovascular interventions are lacking. The aim of the study was to provide large scale, real world data on procedural and short term outcomes of popliteal and infrapopliteal endovascular interventions in patients with CLTI.</p><p><strong>Methods: </strong>This study is an analysis of the first 1 000 interventions of the Dutch Chronic Lower Limb-Threatening Ischemia Registry (THRILLER). It includes all patients with CLTI undergoing popliteal or infrapopliteal endovascular revascularisation in seven hospitals in the Netherlands. The primary outcomes were limb salvage and amputation free survival (AFS) at three months estimated with the Kaplan-Meier method. Secondary outcomes were procedural complications and primary patency.</p><p><strong>Results: </strong>Between February 2021 and July 2023, 1 000 endovascular procedures were performed in 840 patients (947 limbs), treating 486 popliteal and 1 209 tibial lesions. Wound, Ischemia, and foot Infection (WIfI) stages 1 - 4 were present in 16.8%, 17.2%, 25.4%, and 40.6% of the limbs, respectively. Technical success was hampered by arterial perforation, acute thrombosis, and distal embolisation in 8.7%, 1.0%, and 2.3% of the interventions, respectively. Limb salvage was 100.0%, 96.9%, 94.9%, and 86.1% (p < .001), whereas AFS was 96.9%, 93.2%, 86.6%, and 76.4% for WIfI stages 1 - 4 at three months (p < .001), respectively. Primary patency at the 6 - 8 week visit was 86.4% for popliteal and 74.3% for tibial lesions, respectively.</p><p><strong>Conclusion: </strong>THRILLER presents a large prospective database on outcomes of CLTI endovascular interventions. Popliteal and infrapopliteal endovascular revascularisation for CLTI is safe. Interventions with initial technical success have high rates of limb salvage and survival at three months. The WIfI classification provides a reliable instrument to predict limb salvage and AFS independently at three months.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332702","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}
引用次数: 0
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