European Journal of Vascular and Endovascular Surgery最新文献

{"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 , 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, Shreya Chawla, 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}

{"title":"Use of an Off the Shelf Inner Branch Thoraco-abdominal Endograft for the Treatment of Juxtarenal and Pararenal Aortic Aneurysms","authors":"Francesco Squizzato ,&nbsp;Michele Piazza ,&nbsp;Giacomo Isernia ,&nbsp;Giovanni Pratesi ,&nbsp;Emanuele Gatta ,&nbsp;Michelangelo Ferri ,&nbsp;Yamume Tshomba ,&nbsp;Roberto Gattuso ,&nbsp;Gian Franco Veraldi ,&nbsp;Michele Antonello","doi":"10.1016/j.ejvs.2025.02.030","DOIUrl":"10.1016/j.ejvs.2025.02.030","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate outcomes of an off the shelf pre-loaded inner branched endograft (E-nside) for the treatment of juxtarenal and pararenal abdominal aortic aneurysms (JP-AAAs).</div></div><div><h3>Methods</h3><div>Data from a multicentre registry (INBREED), including patients treated with the E-nside endograft, were collected and analysed prospectively. Patients treated for JP-AAA were included. Pre-operative clinical and anatomical characteristics, procedural data, and 30 day and one year outcomes were recorded. Endpoints were technical success, 30 day death, major adverse events (MAEs), and one year freedom from target vessel instability.</div></div><div><h3>Results</h3><div>Of 185 consecutively treated patients, 47 (25.4%) had a JP-AAA (juxtarenal <em>n</em> = 10, 21%; pararenal <em>n</em> = 37, 79%) and were included in the study; 183 target vessels were incorporated through an inner branch. Procedural setting was emergency or urgent in 18 patients (38%) owing to a contained aortic rupture (<em>n</em> = 2, 4%), symptomatic aneurysm (<em>n</em> = 4, 9%), or aneurysm &gt; 70 mm (<em>n</em> = 12, 26%). The mean length of aortic coverage above the coeliac trunk was 116 ± 7 mm. Technical success was 100% and 30 day mortality rate 4% (<em>n</em> = 2 urgent cases). The 30 day cumulative MAE rate was 26% (<em>n</em> = 12): two stroke (4%); and seven spinal cord ischaemia (15%), with six in an elective setting (21%) and one in an urgent setting (6%), and five leading to permanent paraplegia or paraparesis (10%). Freedom from target vessel instability was 99% after 30 days and 97 ± 3% after one year.</div></div><div><h3>Conclusion</h3><div>Use of an off the shelf inner branched device for treating JP-AAA was feasible in urgent and elective settings, with high technical success and satisfactory target vessel stability at one year. In the treatment of JP-AAA, stroke and spinal cord ischaemia may be associated with arm access and the increased aortic coverage that the design brings.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 6","pages":"Pages 837-845"},"PeriodicalIF":5.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484622","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":"Advancing Artificial Intelligence in Vascular Surgery: The Promise of VASC.AI in Enhancing Accuracy and Reliability","authors":"Tiam Feridooni,&nbsp;Andrew Dueck,&nbsp;David Szalay","doi":"10.1016/j.ejvs.2025.03.011","DOIUrl":"10.1016/j.ejvs.2025.03.011","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 6","pages":"Pages 930-931"},"PeriodicalIF":5.7,"publicationDate":"2025-06-01","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":"Patient Recovery after Complex Endovascular Aortic Repair Beyond Major Surgical Outcomes and Readiness for Discharge","authors":"Linda Haakseth,&nbsp;Christine Kumlien,&nbsp;Eva Jangland","doi":"10.1016/j.ejvs.2025.03.005","DOIUrl":"10.1016/j.ejvs.2025.03.005","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 6","pages":"Pages 804-806"},"PeriodicalIF":5.7,"publicationDate":"2025-06-01","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}