{"title":"Further Studies of Clinical Instability are Warranted","authors":"Sofia Strömberg, Mari Holsti, Elias Johansson","doi":"10.1016/j.ejvs.2025.02.036","DOIUrl":"10.1016/j.ejvs.2025.02.036","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages 793-794"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143532106","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}
William J. Yoon , Kevin Mani , David Lindström , Jae Cho , Anders Wanhainen
{"title":"Impact of Renal Bridging Stent Tortuosity and Length on Stent Thrombosis using Flow Velocity Field Analysis☆","authors":"William J. Yoon , Kevin Mani , David Lindström , Jae Cho , Anders Wanhainen","doi":"10.1016/j.ejvs.2025.02.043","DOIUrl":"10.1016/j.ejvs.2025.02.043","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages 791-792"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574711","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}
Hanaa D. Aridi MD, MSc , Geneva Frank MPH , Ashley R. Gutwein MD , Mackenzie Madison MD, MSc , Marc L. Schermerhorn MD , Vikram S. Kashyap MD , Grace Wang MD , Jens Eldrup-Jorgensen MD , Mahmoud Malas MD, MSc , Raghu Motaganahalli MD, RPVI, FACS
{"title":"Physicians preference for carotid revascularization impacts postoperative stroke and death outcomes","authors":"Hanaa D. Aridi MD, MSc , Geneva Frank MPH , Ashley R. Gutwein MD , Mackenzie Madison MD, MSc , Marc L. Schermerhorn MD , Vikram S. Kashyap MD , Grace Wang MD , Jens Eldrup-Jorgensen MD , Mahmoud Malas MD, MSc , Raghu Motaganahalli MD, RPVI, FACS","doi":"10.1016/j.ejvs.2025.04.010","DOIUrl":"10.1016/j.ejvs.2025.04.010","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages e271-e272"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070181","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":"One Year on: Test Your Knowledge from May 2024","authors":"Stavros Kakkos","doi":"10.1016/j.ejvs.2025.03.020","DOIUrl":"10.1016/j.ejvs.2025.03.020","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages 795-799"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070715","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":"High Sensitivity C reactive Protein: A New Screening Tool for Abdominal Aortic Aneurysm?","authors":"Anne Lejay , Karl Sörelius","doi":"10.1016/j.ejvs.2025.01.024","DOIUrl":"10.1016/j.ejvs.2025.01.024","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages 742-743"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048511","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}
Veikko Nikulainen , Päivi Helmiö , Paulina Salminen , Saija Hurme , Tiia Kukkonen , Tuomas Koskinen , Harri Hakovirta
{"title":"Effect of Skin Closure with Metal Staples vs. Intradermal Suture on Groin Infections after Vascular Surgery: A Randomised Controlled Trial","authors":"Veikko Nikulainen , Päivi Helmiö , Paulina Salminen , Saija Hurme , Tiia Kukkonen , Tuomas Koskinen , Harri Hakovirta","doi":"10.1016/j.ejvs.2025.02.004","DOIUrl":"10.1016/j.ejvs.2025.02.004","url":null,"abstract":"<div><h3>Objective</h3><div>Inguinal incision is the most common vascular surgery incision and is associated with a high rate of surgical site infections (SSIs). The objective of this study was to determine whether intradermal suture leads to a lower SSI rate than metal staples.</div></div><div><h3>Methods</h3><div>A multicentre, open label, superiority randomised controlled trial was conducted from March 2018 until November 2021 in three Finnish hospitals (<span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> ID: NCT03468621). Patients with scheduled elective vascular surgery with isolated exposure of the femoral vessels from a longitudinal incision, i.e., femoral endarterectomy, femoral cutdown for endovascular aortic repair, and femoropopliteal or femorofemoral crossover bypass procedure using synthetic graft, were screened for eligibility. Patients were randomised with 1:1 allocation to undergo skin closure with metal staples or continuous intradermal suture. The primary outcome was 30 day SSI rate. SSI was defined according to the US Centers for Disease Control and Prevention (CDC). Secondary outcomes included incision dehiscence and lymphatic leak or seroma.</div></div><div><h3>Results</h3><div>Three hundred patients aged 54 – 94 years were enrolled (mean age ± standard deviation, 73.4 ± 8.0 years; 217, 72.3% male), with 148 patients randomised to skin closure with intradermal suture and 152 patients to skin closure with metal staples. The SSI rate was 10.1% (15/148) after intradermal suture and 15.8% (24/152) after metal staples (relative risk [RR] 0.64, 95% confidence interval [CI] 0.35 – 1.17; <em>p</em> = .15). The rate of seroma and lymph leak was 12.8% (19/148) and 21.1% (32/152) in the intradermal suture and metal staple groups, respectively (RR 0.6, 95% CI 0.4 – 1.0; <em>p</em> = .060). The rate of inguinal incision complications (infection or dehiscence) was 13.5% (20/148) and 19.7% (30/152) in the intradermal suture and metal staple groups, respectively (RR 0.7, 95% CI 0.4 – 1.2; <em>p</em> = .15).</div></div><div><h3>Conclusion</h3><div>In patients undergoing elective vascular surgery with primary isolated exposure of the femoral vessels, skin closure with intradermal suture did not reduce the SSI rate compared with the use of metal staples.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages 777-782"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384153","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}
Alex Murigu , Kitty H.F. Wong , Ross T. Mercer , Robert J. Hinchliffe , Christopher P. Twine
{"title":"Editor's Choice – Reporting and Methodological Quality of Systematic Reviews Underpinning Clinical Practice Guidelines for Vascular Surgery: A Systematic Review","authors":"Alex Murigu , Kitty H.F. Wong , Ross T. Mercer , Robert J. Hinchliffe , Christopher P. Twine","doi":"10.1016/j.ejvs.2024.11.010","DOIUrl":"10.1016/j.ejvs.2024.11.010","url":null,"abstract":"<div><h3>Objective</h3><div>Clinical practice guideline recommendations are often informed by systematic reviews. This review aimed to appraise the reporting and methodological quality of systematic reviews informing clinical practice recommendations relevant to vascular surgery.</div></div><div><h3>Data sources</h3><div>MEDLINE and Embase.</div></div><div><h3>Methods</h3><div>MEDLINE and Embase were searched from 1 January 2021 to 5 May 2023 for clinical practice guidelines relevant to vascular surgery. Guidelines were then screened for systematic reviews informing recommendations. The reporting and methodological quality of these systematic reviews were assessed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement and Assessment of Multiple Systematic Reviews 2 (AMSTAR 2) 2017 tool. Pearson correlation and multiple regression analyses were performed to determine associations between these scores and extracted study characteristics.</div></div><div><h3>Results</h3><div>Eleven clinical practice guidelines were obtained, containing 1 783 references informing guideline recommendations. From these, 215 systematic reviews were included for synthesis. PRISMA item completeness ranged 14 – 100%, with a mean of 63% across reviews. AMSTAR 2 item completeness ranged 2 – 95%, with a mean of 50%. Pearson correlation highlighted a statistically significant association between a review’s PRISMA and AMSTAR 2 score (<em>r</em> = 0.85, <em>p</em> < .001). A more recent publication year was associated with a statistically significant increase in both scores (PRISMA coefficient 1.28, <em>p</em> < .001; and AMSTAR 2 coefficient 1.31, <em>p</em> < .001). Similarly, the presence of funding in a systematic review was shown to be statistically significantly associated with an increase in both PRISMA and AMSTAR 2 scores (coefficient 4.93, <em>p</em> = .024; and coefficient 6.07, <em>p</em> = .019, respectively).</div></div><div><h3>Conclusion</h3><div>Systematic reviews informing clinical practice guidelines relevant to vascular surgery were of moderate quality at best. Organisations producing clinical practice guidelines should consider funding systematic reviews to improve the quality of their recommendations.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Pages 674-682"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640353","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 Ruptured Aneurysm to Aortocolic Fistula","authors":"Lara R. Dias , Leandro Nóbrega","doi":"10.1016/j.ejvs.2025.02.028","DOIUrl":"10.1016/j.ejvs.2025.02.028","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"69 5","pages":"Page 743"},"PeriodicalIF":5.7,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472729","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}