European Journal of Vascular and Endovascular Surgery最新文献

{"title":"Branched Endovascular Aortic Repair with Inner and Outer Branches: A Systematic Review and Meta-analysis.","authors":"Angelos Karelis, Tilo Kölbel, Tara Mastracci, Athanasios Katsargyris, Stephan Haulon, Nikolaos Tsilimparis, George A Antoniou","doi":"10.1016/j.ejvs.2025.03.003","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.003","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review aimed to assess clinical outcomes of branched endovascular aortic repair (BEVAR) with inner branches (iBEVAR) and inner/outer branches (oBEVAR).</p><p><strong>Data sources: </strong>A systematic literature review was performed using the electronic bibliographic databases MEDLINE, Embase, Scopus, Web of Science, and the Cochrane Library up to May 2024.</p><p><strong>Review methods: </strong>The review was designed and reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Eligible studies reported death, technical failure, primary patency of target vessels (TVs), TV related complications, branch related re-interventions, and spinal cord ischaemia (SCI). Risk of bias was evaluated with the ROBINS-I tool.</p><p><strong>Results: </strong>Twenty seven observational studies reporting a total of 1 780 patients treated with BEVAR and 6 633 TVs were included. A total of 386 patients (84.3%) were electively treated with iBEVAR while 72 (15.6%) were urgently treated vs. 845 (63.2%) and 491 (36.7%) with oBEVAR, respectively. The pooled estimate of 30 day mortality was 4.9% (95% confidence interval [CI] 2.9 - 8.2%) for iBEVAR and 7.6% (95% CI 4.9 - 11.7%) for oBEVAR. Overall mortality rates were 13.8% (95% CI 9.7 - 19.1%) for iBEVAR vs. 15.4% (95% CI 10.6 - 21.9%) for oBEVAR. The rate of SCI was 6.5% (95% CI 4.2 - 10.0%) in iBEVAR compared with 12.9% (95% CI 9.6 - 17.1%) in oBEVAR. Primary TV patency was similar between iBEVAR (97.3%, 95% CI 94.8 - 98.6%) and oBEVAR (97.6%, 95% CI 95.3 - 98.7%). Target vessel related complication rates were 2.9% (95% CI 2.0 - 4.1%) in iBEVAR vs. 3.9% (95% CI 2.7 - 5.6%) in oBEVAR. Technical failure rates were 4.1% (95% CI 2.4 - 6.9%) for iBEVAR vs. 5.7% (95% CI 3.5 - 9.1%) for oBEVAR. Grading of Recommendations Assessment, Development, and Evaluation (GRADE) certainty was low or very low for all outcomes.</p><p><strong>Conclusion: </strong>Branched endovascular aortic aneurysm repair with inner and inner/outer branches has been used in elective and urgent cases, as well as across a variety of anatomies, with both designs demonstrating satisfactory clinical outcomes.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598531","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":"The European Society for Vascular Surgery Clinical Practice Consensus Statements Regulatory Framework.","authors":"Christopher P Twine, Anders Wanhainen","doi":"10.1016/j.ejvs.2025.03.001","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.03.001","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588379","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":"Time Trends and Sex Differences in the Invasive Treatment of Infrainguinal Intermittent Claudication in Sweden During 2009 - 2022: Results From the Swedish Vascular Registry (Swedvasc).","authors":"Thordur S Gunnarsson, Stefan Bergman, Håkan Pärsson, Anders Gottsäter, Hans Lindgren","doi":"10.1016/j.ejvs.2025.03.002","DOIUrl":"10.1016/j.ejvs.2025.03.002","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to report changes in the annual incidence of invasive treatment, changes in invasive treatment modalities, and sex differences in patients treated for intermittent claudication (IC) due to infrainguinal lesions in Sweden between 2009 and 2022.</p><p><strong>Methods: </strong>Data were collected from the Swedish Vascular Registry (Swedvasc), including all registrations of invasive treatment for infrainguinal IC in Sweden between 2009 and 2022.</p><p><strong>Results: </strong>The annual incidence of invasive treatments showed no statistically significant change between 2009 and 2022 (p = .21). The proportion of open surgery decreased from 38.1% in 2009 to 23.4% in 2022 (p < .001). Endovascular and hybrid interventions increased from 56.9% to 69.7% (p < .001) and from 4.8% to 7.0% (p < .001), respectively, between 2009 and 2022 according to time trend analysis. The decrease in open surgery was due to a reduction in bypass surgery from 18.8% in 2009 to 4.0% in 2022 (p < .001). The proportion of common femoral artery thrombo-endarterectomy remained unchanged (p = .24). During the study period, 42.7% of invasive treatments were performed in women. Open surgery was more frequently performed in men than women (32.5% vs. 24.0%; p < .001). However, endovascular intervention was statistically significantly more frequently performed in women than men (70.7% vs. 61.6%; p < .001).</p><p><strong>Conclusion: </strong>The annual incidence of invasive treatment for infrainguinal IC in Sweden was unchanged between 2009 and 2022. The proportion of endovascular interventions increased and accounted for 70% of invasive treatments in 2022, whereas bypass surgery decreased by 79%. Women were more often treated with endovascular intervention than men.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588382","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 Therapy for Acute Type A Dissection: Are We Already There?","authors":"Alexander Zimmermann, Lorenz Meuli","doi":"10.1016/j.ejvs.2025.02.055","DOIUrl":"10.1016/j.ejvs.2025.02.055","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588372","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":"Treatment of Type I Thoraco-abdominal Aortic Aneurysm with Coral Reef Plaque of the Visceral Aorta.","authors":"Thibaut Boisroux, Xavier Chaufour","doi":"10.1016/j.ejvs.2025.02.045","DOIUrl":"10.1016/j.ejvs.2025.02.045","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568974","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":"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":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-04","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}

{"title":"Long Term Outcomes of Endovascular Treatment for Retrograde Ascending Aortic Dissection.","authors":"Gui-Yan Peng, Mian Wang, Chen Yao, Zi-Lun Li, Ri-Dong Wu, Zhu-Hao Li, Shen-Ming Wang, Guang-Qi Chang","doi":"10.1016/j.ejvs.2025.02.041","DOIUrl":"https://doi.org/10.1016/j.ejvs.2025.02.041","url":null,"abstract":"<p><strong>Objective: </strong>The optimal treatment for retrograde ascending aortic dissection (rAAD) remains unclear. In this study, the long term clinical outcomes of endovascular treatment for rAAD were retrospectively investigated, and haemodynamic remodelling of the ascending aorta was analysed.</p><p><strong>Methods: </strong>This retrospective, single centre study analysed clinical data of rAAD cases treated with endovascular therapy from 2001 - 2020. Endpoints included aortic related mortality and re-intervention. Computational fluid dynamics (CFD) models were established to compare haemodynamic changes after endovascular repair.</p><p><strong>Results: </strong>A total of 85 patients with rAAD (mean age 52.8 ± 11.4 years, range 29.0 - 79.0 years) underwent thoracic endovascular aortic repair (TEVAR). Technical success was achieved in 73 patients (86%). In hospital death occurred in one patient (1%). During the 75 month median follow up period (interquartile range 54, 101 months), the all cause mortality was 7% (6/84, including two aorta related deaths). Overall survival rates for one, five, and ten years were 98.8%, 92.7%, and 88.6%, respectively. Sixteen aorta related adverse events were observed in 15 patients during follow up, including two proximal stent graft induced new entries (SINEs), two distal SINEs, and 12 primary endoleaks into the false lumen. Secondary endoleak was not observed. The free from aortic related event rates for one, five, and ten years were 77.3%, 74.3%, and 71.5%, respectively. Complete thrombosis or disappearance of the false lumen in the ascending aorta was observed in all cases. The true lumen diameter of the ascending aorta increased statistically significantly from 31.8 ± 5.2 mm (range 15.8 - 40.8 mm) to 35.4 ± 3.5 mm (range 28.3 - 44.0 mm) (p<.001) at the last follow up. CFD analysis showed that the median wall shear stress in the ascending aorta statistically significantly decreased from 16.4 Pa to 12.4 Pa (p= .006).</p><p><strong>Conclusion: </strong>Encouraging short and long term outcomes were demonstrated using TEVAR for rAAD suggesting that it may represent a treatment alternative to open repair in selected cases.</p>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574718","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":"Third Time's the Charm: It's Time to Raise the Threshold for Elective Abdominal Aortic Aneurysm Repair in Men!","authors":"Anders Wanhainen, David H Stone","doi":"10.1016/j.ejvs.2025.02.047","DOIUrl":"10.1016/j.ejvs.2025.02.047","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574720","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":"Staples vs. Sutures: Marginal Gains or Marginal Change? Maybe it is Time to Let Sleeping Dogma Lie.","authors":"Sean J McCafferty, Rachael O Forsythe","doi":"10.1016/j.ejvs.2025.02.046","DOIUrl":"10.1016/j.ejvs.2025.02.046","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568970","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":"Total Endovascular Treatment of Giant Superior Mesenteric Artery Aneurysm.","authors":"Osama Alghamdi, Patrick Feugier","doi":"10.1016/j.ejvs.2025.02.044","DOIUrl":"10.1016/j.ejvs.2025.02.044","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568972","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}