European Journal of Vascular and Endovascular Surgery最新文献

{"title":"Varicography Guided Foam Sclerotherapy for Symptomatic Extra-Pelvic Varices Originating from Clitoris Pelvic Escape Point","authors":"Tri-Thuc Nguyen, Phong T. Le","doi":"10.1016/j.ejvs.2025.01.043","DOIUrl":"10.1016/j.ejvs.2025.01.043","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Page 659"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076489","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":"Modern Open Surgery for Coral Reef Aorta with Visceral Artery Involvement","authors":"Aurelien Hostalrich ,&nbsp;Romain Hurtado ,&nbsp;Thibaut Boisroux ,&nbsp;Barbara Garmy-Susini ,&nbsp;Jean Baptiste Ricco ,&nbsp;Xavier Chaufour","doi":"10.1016/j.ejvs.2024.12.004","DOIUrl":"10.1016/j.ejvs.2024.12.004","url":null,"abstract":"<div><h3>Objective</h3><div>Coral reef atherosclerosis of the visceral aorta (CRA) is associated with renovascular hypertension (RVH), chronic mesenteric ischaemia (CMI), and malperfusion of the lower limbs. The outcomes of open surgery for this rare disease are described in this paper.</div></div><div><h3>Methods</h3><div>This retrospective study included all patients who underwent open surgical repair of CRA at a single high volume referral centre between January 2009 and June 2023. The operation was preceded by pre-operative computed tomography angiography (CTA). Follow up was carried out to assess clinical improvement regarding walking, blood pressure control, and visceral and renal ischaemia. Post-operative survival and patency of the aorta and revascularised visceral arteries were evaluated by the Kaplan–Meier method.</div></div><div><h3>Results</h3><div>Thirty eight patients, with a mean age of 65 years and predominantly women (57.9%), were included in the study. The surgical indication was RVH in 40.6%, CMI in 25%, and malperfusion of the lower limbs in 71.9% of patients. All procedures were performed by left lumbotomy, with re-implantation or visceral and or renal artery bypass in 15 patients (39.5%) and 17 (44.7%) cases of simultaneous infrarenal aortic revascularisation. One death (2.6%) secondary to acute mesenteric ischaemia occurred post-operatively. Three patients (7.9%) presented with myocardial infarction and 11 (28.9%) with post-operative acute kidney failure without haemodialysis. Median follow up was 32.5 months. Post-operatively, all patients with CMI and claudication became asymptomatic, and 17 (56.7%) showed improved hypertension. Six patients needed repeat visceral artery revascularisation. No CRA related death occurred during follow up. Survival rates were 91.9% and 61.6% at one and five years, respectively.</div></div><div><h3>Conclusion</h3><div>Visceral aortic endarterectomy by left sided lumbotomy, preceded by multiplanar reconstruction CTA, is a safe and effective procedure for CRA, with low operative mortality and acceptable morbidity rates. Long term clinical monitoring by colour duplex scan or CTA is recommended due to a risk of re-stenosis of the endarterectomised visceral arteries.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 560-567"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142822640","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":"Aortic Dissection Incidence and Risk Factor Analysis: Findings from the China Kadoorie Biobank","authors":"Dong Chen ,&nbsp;Kun Fang ,&nbsp;Mingyao Luo ,&nbsp;Yutong Xiao ,&nbsp;Yanyan Zhao ,&nbsp;Chang Shu","doi":"10.1016/j.ejvs.2024.12.003","DOIUrl":"10.1016/j.ejvs.2024.12.003","url":null,"abstract":"<div><h3>Objective</h3><div>Data on the incidence of aortic dissection (AD) from population based prospective studies are scarce and its risk factors are not well studied in China. The aim of this study was to investigate the relatively accurate incidence of AD in ten regions of China and to identify its potential risk factors using a population based prospective study.</div></div><div><h3>Methods</h3><div>Data from a prospective cohort study involving ∼510 000 middle aged adults in ten regions of China from 2004 – 2008 (the China Kadoorie Biobank) were used. The incidence of AD was calculated and the association between potential risk factors (body mass index [BMI], hypertension, and diabetes) and the occurrence of AD was evaluated using competing risk analysis.</div></div><div><h3>Results</h3><div>The study included 512 724 participants (59.0% female, median age 51.5 years). During a median follow up of 121 months, 119 participants developed AD. The incidence of AD was 2.35 (95% confidence interval [CI] 1.93 – 2.77), 3.97 (95% CI 3.10 – 4.83), and 1.25 (95% CI 0.86 – 1.65) per 100 000 person years for the whole cohort, male participants, and female participants, respectively. Competing risk analysis identified female sex (hazard ratio [HR] 0.35, 95% CI 0.24 – 0.52; <em>p</em> &lt; .001) and hypertension (HR 6.21, 95% CI 3.94 – 9.80; <em>p</em> &lt; .001) as independent predictors of AD. BMI, diabetes, and random blood glucose were not associated with AD.</div></div><div><h3>Conclusion</h3><div>In contrast to previous data and clinical observations, there was no significant correlation between diabetes (or random blood glucose) or BMI and the occurrence of AD. Male sex and hypertension were independently associated with the occurrence of AD.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 611-618"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792904","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":"Celebrating More Than 30 Years of European Vascular Surgeons in Training: Past, Present, and Future","authors":"Petar Zlatanovic,&nbsp;Vaiva Dabravolskaite,&nbsp;Desiree van den Hondel","doi":"10.1016/j.ejvs.2025.01.001","DOIUrl":"10.1016/j.ejvs.2025.01.001","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 513-515"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143366823","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 EndoSuture vs fenestrated aortic aneurysm repair in treatment of abdominal aortic aneurysms with unfavorable neck anatomy","authors":"Arash Fereydooni MD, MS, MHS ,&nbsp;Keyuree Satam MD ,&nbsp;Shernaz Dossabhoy MD, MBA ,&nbsp;Claudia Trogolo-Franco BS ,&nbsp;Sabina Sorondo MD ,&nbsp;Shipra Arya MD, MSc ,&nbsp;Brant W. Ullery MD, MBA ,&nbsp;Jason T. Lee MD","doi":"10.1016/j.ejvs.2025.02.050","DOIUrl":"10.1016/j.ejvs.2025.02.050","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages e260-e261"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143850312","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":"Endovascular Ascending Aortic Repair: Experience Talks and Knowledge Listens","authors":"Petroula Nana,&nbsp;Tilo Kölbel","doi":"10.1016/j.ejvs.2025.01.025","DOIUrl":"10.1016/j.ejvs.2025.01.025","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 545-546"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048271","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":"Mesenteric Artery Stenosis is a Risk Factor for Anastomotic Leakage in Colorectal Surgery","authors":"Duygu Harmankaya ,&nbsp;Koen J. Vree Egberts ,&nbsp;Flores M. Metz ,&nbsp;Harry G.M. Vaassen ,&nbsp;Sharon Slagboom-van Eeden Petersman ,&nbsp;Marjolein Brusse-Keizer ,&nbsp;Pum le Haen ,&nbsp;Marco J. Bruno ,&nbsp;Bob H. Geelkerken ,&nbsp;Desiree van Noord ,&nbsp;Dutch Mesenteric Ischaemia Study Group (DMIS)","doi":"10.1016/j.ejvs.2024.11.013","DOIUrl":"10.1016/j.ejvs.2024.11.013","url":null,"abstract":"<div><h3>Objective</h3><div>Anastomotic leakage (AL) after colorectal surgery leads to substantial morbidity and mortality rates. Theoretically, compromised blood flow caused by mesenteric artery (MA) stenosis may create suboptimal healing conditions at the anastomotic site, increasing susceptibility to AL. The association between MA stenosis on pre-operative computed tomography (CT) scan and AL in patients undergoing colorectal surgery was investigated.</div></div><div><h3>Methods</h3><div>A multicentre, retrospective, frequency matched, nested 1:5 case control study was conducted in the Netherlands. For each patient with AL, five controls without AL were recruited from the same database matched for age and body mass index. Pre-operative CT scans were assessed blindly to identify MA stenosis ≥ 50% as the primary outcome and atherosclerotic burden and vascular pathology as secondary outcomes.</div></div><div><h3>Results</h3><div>One hundred and thirty patients with AL and 627 matched controls without AL were included. The prevalence of stenosis ≥ 50% in the superior mesenteric artery (SMA) was higher in patients with AL compared with controls (13.8% <em>vs</em>. 2.2%; <em>p</em> &lt; .001). A stenosis ≥ 50% in the inferior mesenteric artery (IMA) was also more common in patients with AL (24.6% <em>vs</em>. 12.1%; <em>p &lt;</em> .001). Multivariable regression analysis showed a 5.9 times higher risk (95% confidence interval [CI] 2.78 – 12.60; <em>p</em> &lt; .001) of AL in patients with SMA stenosis and 2.1 times higher risk for patients with IMA stenosis (95% CI 1.11 – 3.63; <em>p</em> = .007). Stenosis ≥ 50% of the coeliac artery was not associated with AL.</div></div><div><h3>Conclusion</h3><div>The presence of SMA or IMA stenosis ≥ 50% on pre-operative CT scans is associated with a six and two times higher odds of AL, respectively, when corrected for known risk factors for AL. Whether preventive stent placement reduces the risk of AL still needs to be investigated.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 628-637"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669742","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":"Asymptomatic Splenic Artery Aneurysms: Innocent Bystander or Ticking Time Bomb?","authors":"Bob Geelkerken ,&nbsp;Nicola Leone","doi":"10.1016/j.ejvs.2025.01.037","DOIUrl":"10.1016/j.ejvs.2025.01.037","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 587-589"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048191","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":"Editor's Choice – Initial Experience with the BeFlared Bridging Covered Stent for Fenestrated Endovascular Aneurysm Repair","authors":"Athanasios Katsargyris ,&nbsp;Stephan Haulon ,&nbsp;Eric L.G. Verhoeven","doi":"10.1016/j.ejvs.2025.01.029","DOIUrl":"10.1016/j.ejvs.2025.01.029","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 651-652"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030426","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":"Physician Modified Endografts in Aortic Care: Urgency for Updated Guidelines","authors":"Csaba Csobay-Novák,&nbsp;Vladimir Makaloski","doi":"10.1016/j.ejvs.2024.12.043","DOIUrl":"10.1016/j.ejvs.2024.12.043","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 4","pages":"Pages 655-656"},"PeriodicalIF":5.7,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472730","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}