European Journal of Vascular and Endovascular Surgery最新文献

{"title":"Cardiovascular Risk Prevention in Chronic Limb Threatening Ischaemia and Diabetes.","authors":"Than Dar, Nawaz Z Safdar, Penelope P J Sucharitkul, Patrick A Coughlin, Marc A Bailey","doi":"10.1016/j.ejvs.2025.06.004","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.06.004","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250886","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":"From Population Screening to Targeted Screening for Abdominal Aortic Aneurysm.","authors":"Jonothan J Earnshaw, Martin Björck","doi":"10.1016/j.ejvs.2025.06.001","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.06.001","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250889","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":"Early Outcomes from the Multicentre Standardised PHysician-Modified 4-Fenestrated Endograft REgistry (S.PH.E.RE.).","authors":"Michele Piazza, Andrea Spertino, Elda Chiara Colacchio, Alessandro Volpe, Giovanni Pratesi, Santi Trimarchi, Raffaello Bellosta, Valerio Tolva, Franco Grego, Michele Antonello, Francesco Squizzato","doi":"10.1016/j.ejvs.2025.05.057","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.05.057","url":null,"abstract":"<p><strong>Objective: </strong>The objective of the study was to investigate the safety, efficacy, and early outcomes of a novel standardised approach to 4-fenestrated physician modified endograft (sPMEG) in the treatment of very large and urgent complex abdominal aortic aneurysms (cAAAs).</p><p><strong>Methods: </strong>Prospective multicentre study (S.PH.E.RE., Standardized Physician-modified 4-fenestrated Endograft Registry). The Valiant Captivia endograft (Medtronic, Minneapolis, MN, USA) was used for on bench modifications. Planning of fenestration position, technique, and procedure were standardised across the participating centres. Primary endpoints were technical success and early mortality. Secondary endpoints were sPMEG instability, major adverse events, and re-intervention at 30 days. Graft geometrical integrity and target vessel to fenestration misalignment (TV-FM) were evaluated on post-operative computed tomography angiogram.</p><p><strong>Results: </strong>There were 50 cAAAs from 13 centres with a median follow up of 8 months. Mean age was 78 ± 18 years, with a Society for Vascular Surgery comorbidity score of 15 ± 5 and a mean maximum aneurysm diameter of 75 ± 19 mm. There were 9 (18%) short neck, 18 (36%) juxtarenal, 15 (30%) pararenal abdominal aortic, and 8 (16%) Extent IV thoraco-abdominal aneurysms. Thirty-two patients (64%) were treated electively, while 13 (26%) had a symptomatic and 5 (10%) had a ruptured aneurysm. Graft modification time was 128 ± 33 minutes, and total operating time was 196 ± 96 minutes. No intra-operative graft related complications were reported. Overall technical success rate was 96%, with failure to cannulate two target renal vessels. Thirty day mortality was 0%, and the major adverse event rate was 8%. Related re-intervention occurred in 4%. No graft related type I endoleak, disconnection, or fracture were reported. All patients had successful early follow up imaging, and post-implantation geometrical analysis showed 100% integrity of the main graft and 194 reinforced fenestrations. Vertical TV-FM was detected in 1% , and horizontal TV-FM in 2%.</p><p><strong>Conclusion: </strong>This real life registry using 4-fenestrated sPMEG for the treatment of very large and urgent cAAAs showed excellent technical implantation safety, efficacy, and early outcomes, despite the high comorbidity rate of patients. Longer term follow up is needed to better define the clinical role of this standardised PMEG approach.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235982","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":"Navigating the Narrow True Lumen: Are Inner Branches the Solution?","authors":"Luís Mendes Pedro, Ryan Gouveia E Melo","doi":"10.1016/j.ejvs.2025.05.058","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.05.058","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227754","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":"True Brachial Artery Aneurysm in an Adolescent","authors":"Lei Zhang ,&nbsp;Xin Li","doi":"10.1016/j.ejvs.2024.12.005","DOIUrl":"10.1016/j.ejvs.2024.12.005","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 6","pages":"Page 875"},"PeriodicalIF":5.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792908","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":"Re: Commentary on: A Systematic Review and Meta-analysis of 24 Month Patency after Endovenous Stenting of Superior Vena Cava, Subclavian, and Brachiocephalic Vein Stenosis","authors":"Adam M. Gwozdz,&nbsp;Shreya Chawla,&nbsp;Stephen Black","doi":"10.1016/j.ejvs.2025.01.015","DOIUrl":"10.1016/j.ejvs.2025.01.015","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 6","pages":"Pages 929-930"},"PeriodicalIF":5.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143016814","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":"Pre-clinical Evaluation of a New Generation Bridging Stent for Fenestrated Endovascular Aneurysm Repair Using Realistic 3D Printed Aneurysm Models","authors":"Alexandre Oliny ,&nbsp;Dominique Fabre ,&nbsp;Vincent Fontaine ,&nbsp;Benoît Decante ,&nbsp;Stéphan Haulon","doi":"10.1016/j.ejvs.2025.01.027","DOIUrl":"10.1016/j.ejvs.2025.01.027","url":null,"abstract":"<div><h3>Objective</h3><div>The aim of this study was to perform a comparative pre-clinical evaluation of a new fenestrated endovascular aneurysm repair dedicated stent using perfused 3D printed patient anatomies.</div></div><div><h3>Methods</h3><div>The test setup included a pulsatile pump set to reproduce human haemodynamics, four 3D printed pararenal aneurysms connected to a bench test, and four corresponding fenestrated grafts (Zenith Fenestrated; Cook, Bloomington, IN, USA). Bridging stents were sized based on analysis of patients computed tomography scans and included either four standard covered stents (BeGraft [BG]; Bentley, Hechingen, Germany) or four similar covered stent grafts mounted on a modified balloon to allow stent implantation and flaring in one step (BeFlared [BF]; Bentley). Each anatomy and corresponding endograft was used for four sets of four bridging stent implantations. Selective angiography following each stent implantation was used to assess efficacy (patency and absence of type Ic or IIIc endoleak), procedure time was recorded, and cone beam computed tomography at the end of each set of four stent implantations enabled comparison of geometric layout between stents. Physician assessment evaluated technical performance and failure modes.</div></div><div><h3>Results</h3><div>Sixty four stents were successfully implanted. Selective angiograms depicted three type IIIc (two in BG, one in BF) and seven type Ic (four in BG, three in BF) endoleaks, which were all corrected intra-operatively. Compared with BG, the BF had a larger mean proximal diameter inside the endograft (10.5 mm <em>vs</em>. 9.2 mm; <em>p</em> &lt; .001) and greater opening flaring angle (46.1° <em>vs</em>. 33.4°; <em>p</em> &lt; .001). The eight procedures performed with the BF were quicker than BG (17.0 ± 4 minutes <em>vs</em>. 23.9 ± 4.7 minutes; <em>p</em> = .004). Physician assessment did not reveal any failure mode and concluded an excellent technical performance of both devices.</div></div><div><h3>Conclusion</h3><div>The BF demonstrated similar efficacy and performance compared with the BG for bridging target vessels in an innovative test setup using 3D printed patient anatomies.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 6","pages":"Pages 910-918"},"PeriodicalIF":5.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143069891","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,&nbsp;Robert Hinchliffe","doi":"10.1016/j.ejvs.2025.03.004","DOIUrl":"10.1016/j.ejvs.2025.03.004","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 6","pages":"Pages 835-836"},"PeriodicalIF":5.7,"publicationDate":"2025-06-01","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":"Diagnostic Test Accuracy of Pedal Acceleration Time to Identify Peripheral Artery Disease","authors":"Jill Sommerset ,&nbsp;Desarom Teso ,&nbsp;Joseph L Mills Sr. ,&nbsp;Mathew Sebastian ,&nbsp;Ahmed Kayssi ,&nbsp;Sarah Leask ,&nbsp;Richard Rounsley ,&nbsp;Peta Ellen Tehan","doi":"10.1016/j.ejvs.2025.03.007","DOIUrl":"10.1016/j.ejvs.2025.03.007","url":null,"abstract":"<div><h3>Objective</h3><div>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 adjunctive 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.</div></div><div><h3>Methods</h3><div>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 &gt; 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.</div></div><div><h3>Results</h3><div>One hundred and eighty-eight participants (227 limbs) were recruited, with a mean age of 71 years (standard deviation 10, range 43 – 93) with 56 women (29.8%) including 133 (70.7) limbs having PAD (59%) and 61 (32.4%) 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).</div></div><div><h3>Conclusion</h3><div>PAT had 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, using 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 &gt; 85 ms to optimise the performance of the test for the identification of PAD.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 6","pages":"Pages 876-886"},"PeriodicalIF":5.7,"publicationDate":"2025-06-01","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":"Giant Traumatic External Iliac and Femoral Arteriovenous Fistulae","authors":"Leizhi Ku ,&nbsp;Xiaojing Ma","doi":"10.1016/j.ejvs.2024.11.356","DOIUrl":"10.1016/j.ejvs.2024.11.356","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 6","pages":"Page 920"},"PeriodicalIF":5.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774937","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}