European Journal of Vascular and Endovascular Surgery最新文献

{"title":"Let GLOBALSTAR Shine Globally: Choosing the Right Aortic Repair from the Start.","authors":"Martin Teraa, Joost A van Herwaarden","doi":"10.1016/j.ejvs.2026.09.050","DOIUrl":"10.1016/j.ejvs.2026.09.050","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":8.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149129377","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":"Clinical Messages for Fenestrated Endovascular Aortic Repair from the GLOBALSTAR Registry: Outcomes in Salvage Fenestrated Endovascular Aneurysm Repair, Women, and Octogenarians.","authors":"Aurélien M Guéroult, Peter J Holt, Maciej Juszczak, Simon K Neequaye","doi":"10.1016/j.ejvs.2026.09.053","DOIUrl":"10.1016/j.ejvs.2026.09.053","url":null,"abstract":"<p><strong>Objective: </strong>Global Collaborators on Advanced Stent Graft Techniques for Aneurysm Repair (GLOBALSTAR) is a UK registry of complex endovascular aneurysm repair. This study aimed to examine differential outcomes after fenestrated endovascular aortic repair (FEVAR) for the following clinically relevant subgroups: women, octogenarians, and salvage FEVAR procedures to rescue previous failed repairs.</p><p><strong>Methods: </strong>This was a retrospective cohort study of GLOBALSTAR. Standard comparative statistics were applied to peri-operative complications; Kaplan-Meier to survival; and cumulative incidence with competing risks to re-intervention and endoleaks. Log rank and Fine-Gray regression tests compared subgroup time to event functions.</p><p><strong>Results: </strong>Over follow up of 1 651 FEVARs, salvage FEVARs experienced a significantly higher risk of re-intervention (subdistribution hazard ratio [sHR] 1.79, 95% confidence interval [95% CI] 1.37 - 2.34; p < .001) and graft related endoleaks type 1a or 1b (sHR 2.37, 95% CI 1.45 - 3.88; p = .001) and type 3 (sHR 2.12, 95% CI 1.36 - 3.32; p = .001) than primary FEVAR. There were more secondary ruptures following salvage FEVAR (4.0% vs. 1.7%; p = .073). Women experienced double the incidence of major complication Clavien-Dindo grades 3 - 5 (22.0% vs. 11.9%; p < .001), threefold incidence of major adverse cardiovascular event (5.9% vs. 2.1%; p = .004), and peri-operative death (5.9% vs. 2.1%; p = .006) compared with men. Median survival was 5.7 years (95% CI 5.1 - 6.3) for 80 - 84 year olds and 4.8 years (95% CI 4.2 - 6.1) for ≥ 85 year olds. At one year, the overall log rank test showed no significant difference across age strata (p = .11), although octogenarians had worse one year survival than patients aged 65 - 72 years (p = .030).</p><p><strong>Conclusion: </strong>This study generated the following hypotheses: higher rates of re-intervention and graft related endoleak for salvage FEVAR may justify a FEVAR first strategy in appropriate cases, to achieve durable repair. Significantly worse peri-operative outcomes for women require further evaluation and may require changes in pre-operative pathways and case selection. Advanced age alone may not be a strong contraindication to FEVAR and effective case selection may yield acceptable outcomes for octogenarians. This study was limited by its retrospective design but is valuable in terms of its large real world cohort with extended follow up. The results highlight the need for dedicated prospective studies for the three subgroups, to elucidate mechanistic determinants.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":8.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118925","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":"A Rare Culprit: Carotid Stent Infection as the Cause of Sepsis.","authors":"Donna Wouters, Isabelle Van Herzeele","doi":"10.1016/j.ejvs.2026.09.057","DOIUrl":"https://doi.org/10.1016/j.ejvs.2026.09.057","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":8.5,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118919","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":"Sex Specific Associations between Visceral Adiposity and Aneurysm Formation: A New Piece of the Abdominal Aortic Aneurysm Puzzle.","authors":"Joana Ferreira, Colin D Bicknell","doi":"10.1016/j.ejvs.2026.09.058","DOIUrl":"10.1016/j.ejvs.2026.09.058","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":8.5,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118632","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":"Covered Stents in Chronic Mesenteric Ischaemia: Better Patency, More Cost Effective?","authors":"Iannis Ben Abdallah, Melinda Bajul","doi":"10.1016/j.ejvs.2026.09.054","DOIUrl":"10.1016/j.ejvs.2026.09.054","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":8.5,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118520","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":"I Finished My Vascular Surgery Training - What's Next: Fellowship or Practice?","authors":"Mauricio Gonzalez-Urquijo, Alexandre Rossillon, Elie Girsowicz","doi":"10.1016/j.ejvs.2026.09.052","DOIUrl":"10.1016/j.ejvs.2026.09.052","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":8.5,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118706","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":"Extensive Phlebolithiasis in an Upper Extremity Venous Malformation.","authors":"Dimitrios A Chatzelas","doi":"10.1016/j.ejvs.2026.09.051","DOIUrl":"10.1016/j.ejvs.2026.09.051","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":8.5,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149118539","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":"Association of the Society for Vascular Surgery Wound, Ischemia, and foot Infection classification with long-term outcomes for complex diabetic foot wounds","authors":"Caitlin W. Hicks MD, MS,&nbsp;Xue Zhao MS,&nbsp;Bin You MS,&nbsp;Ronald L. Sherman DPM, MBA,&nbsp;Rachel Lind CRNP,&nbsp;Nestoras Mathioudakis MD,&nbsp;Courtenay M. Holscher MD, PhD,&nbsp;Christopher J. Abularrage MD","doi":"10.1016/j.ejvs.2026.09.031","DOIUrl":"10.1016/j.ejvs.2026.09.031","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"72 4","pages":"Page e97"},"PeriodicalIF":8.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149174960","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":"Accuracy and Applicability of Motor Evoked Potential Monitoring during Open Thoraco-Abdominal Aortic Aneurysm Repair","authors":"Jelle Frankort,&nbsp;Werner H. Mess,&nbsp;Julia Krabbe,&nbsp;Alexander Gombert,&nbsp;Barend M.E. Mees,&nbsp;Michael J. Jacobs","doi":"10.1016/j.ejvs.2025.12.058","DOIUrl":"10.1016/j.ejvs.2025.12.058","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;Spinal cord ischaemia (SCI) is a devastating risk in open thoraco-abdominal aortic aneurysm (TAAA) repair, making the reliable detection and prevention of neurological injury a clinical priority. The objective of this study was to evaluate the accuracy and clinical utility of motor evoked potential (MEP) monitoring in predicting and preventing SCI during open TAAA repair.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Spinal cord ischaemia (SCI) is a devastating risk in open thoraco-abdominal aortic aneurysm (TAAA) repair, making the reliable detection and prevention of neurological injury a clinical priority. The objective of this study was to evaluate the accuracy and clinical utility of motor evoked potential (MEP) monitoring in predicting and preventing SCI during open TAAA repair.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This retrospective case series study analysed 464 patients who underwent elective TAAA repair with MEP monitoring across two academic referral centres between 2000 and 2024. All procedures were performed by the same lead surgeon with an identical neurophysiological protocol. Clinically significant MEP changes were defined as a consistent decrease in leg to arm ratio by more than 50%. Post-operative neurological outcomes were categorised as acute, delayed, or uncertain SCI.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;This retrospective case series study analysed 464 patients who underwent elective TAAA repair with MEP monitoring across two academic referral centres between 2000 and 2024. All procedures were performed by the same lead surgeon with an identical neurophysiological protocol. Clinically significant MEP changes were defined as a consistent decrease in leg to arm ratio by more than 50%. Post-operative neurological outcomes were categorised as acute, delayed, or uncertain SCI.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;Clinically significant MEP changes occurred in 108 patients (23.3%), with recovery achieved in 99 cases (91.7%) following intra-operative measures to increase spinal cord perfusion. All nine patients without MEP recovery developed acute paraplegia. Among 356 patients with stable MEPs, none developed acute SCI, although 18 (5.1%) experienced delayed paraplegia associated with post-operative haemodynamic instability. The acute SCI rate was 1.9% (nine of 464), and any form of SCI (acute, delayed, or uncertain) occurred in 7.7% of cases (36 of 464). The absence of MEP signals at the end of the operation demonstrated 100% sensitivity, 100% specificity, and 100% negative and positive predictive values for acute SCI.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Clinically significant MEP changes occurred in 108 patients (23.3%), with recovery achieved in 99 cases (91.7%) following intra-operative measures to increase spinal cord perfusion. All nine patients without MEP recovery developed acute paraplegia. Among 356 patients with stable MEPs, none developed acute SCI, although 18 (5.1%) experienced delayed paraplegia associated with post-operative haemodynamic instability. The acute SCI rat","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"72 4","pages":"Pages 679-687"},"PeriodicalIF":8.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145907290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knickerbocker Technique: Simple, Off the Shelf, and Effective","authors":"Nataly Montano,&nbsp;A. Claire Watkins","doi":"10.1016/j.ejvs.2026.04.008","DOIUrl":"10.1016/j.ejvs.2026.04.008","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"72 4","pages":"Pages 657-658"},"PeriodicalIF":8.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678759","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}