Annals of vascular surgery最新文献

{"title":"Will the percutaneous bypass technique eliminate the traditional surgical bypass surgery?","authors":"Pierre Sarradon","doi":"10.1016/j.avsg.2025.04.035","DOIUrl":"10.1016/j.avsg.2025.04.035","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"116 ","pages":"Page 164"},"PeriodicalIF":1.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144177976","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bovine pericardial patch versus cryopreserved arterial allografts as arterial substitutes in case of paraprosthetic-enteric fistula: A comparative multicenter study","authors":"Aurelien Hostalrich, Thibaut Boisroux, Lucas Battistella, Ramla Kireche, Benoit Lebas, Jean Segal, Xavier Chaufour, Ludovic Canaud","doi":"10.1016/j.avsg.2025.04.047","DOIUrl":"10.1016/j.avsg.2025.04.047","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"116 ","pages":"Pages 169-170"},"PeriodicalIF":1.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of explained and unexplained fevers in the postoperative period of open aortic surgery: A retrospective single center study","authors":"Thibaut Noël, Ambroise Duprey, Xavier Berard, Maxime Hentzien, Véronique Vernet-Garnier","doi":"10.1016/j.avsg.2025.04.042","DOIUrl":"10.1016/j.avsg.2025.04.042","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"116 ","pages":"Page 167"},"PeriodicalIF":1.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stress of vascular surgery residents at first autonomous surgery","authors":"Wiam Rami, Amine Azghari, Zahra Benzakour","doi":"10.1016/j.avsg.2025.04.004","DOIUrl":"10.1016/j.avsg.2025.04.004","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"116 ","pages":"Pages 148-149"},"PeriodicalIF":1.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178649","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treating pelvic congestion correctly: should we rely on a new actor?","authors":"Lauranne Matray, Virgile Pinelli","doi":"10.1016/j.avsg.2025.04.008","DOIUrl":"10.1016/j.avsg.2025.04.008","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"116 ","pages":"Page 150"},"PeriodicalIF":1.4,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144178721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Five-year outcome of provisional extension to induce complete attachment aortic repair for chronic residual aortic dissection DeBakey type I.","authors":"Yi-Chun Lin, Chiao-Po Hsu, Chun-Yang Huang","doi":"10.1016/j.avsg.2025.05.036","DOIUrl":"https://doi.org/10.1016/j.avsg.2025.05.036","url":null,"abstract":"<p><strong>Objectives: </strong>Reintervention for residual aortic dissection DeBakey type I is a complex and controversial topic. Endovascular bare metal stent (BMS) use may be an alternative option for abdominal aorta remodeling, but evidence supporting its efficacy is still limited.</p><p><strong>Methods: </strong>This study investigated the effects of BMS in the abdominal aorta. Patients who initially underwent emergent surgical procedures, such as ascending aortic grafting, the Bentall procedure, or valve-sparing ascending aortic repair, and later received reintervention surgeries during follow-up, including traditional total arch replacement or hybrid endovascular arch debranching combined with thoracic endovascular aortic repair, were enrolled. Patients were categorized into two groups: a non-BMS group and BMS group. Outcomes were analyzed over a 5-year follow-up period.</p><p><strong>Results: </strong>A total of 22 patients received a BMS, whereas 22 patients did not. In the abdominal aorta segment, the BMS group had significantly greater true lumen expansion and increased false lumen thrombosis compared with the non-BMS group at 5 years of follow-up (p<0.001^∗ for true lumen expansion; p=0.024^∗ for thrombosis). In addition, positive abdominal aortic remodeling was observed more frequently in the BMS group than in the non-BMS group (5 vs. 0 patients, p=0.048^∗).</p><p><strong>Conclusions: </strong>During the 5-year observation period, abdominal BMS effectively and consistently promoted true lumen expansion, increased false lumen thrombosis, and resulted in positive aortic remodeling. However, these radiologic improvements did not translate into significant differences in 5-year overall survival or freedom from reintervention. Nonetheless, this approach may be a viable option for abdominal aortic remodeling in the chronic phase.</p>","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Direct Oral Anticoagulants Are Associated with Improved Amputation-Free Survival in Infra-Geniculate Bypasses Performed by Prosthetic Grafts in Patients with Chronic Limb-Threatening Ischemia.","authors":"Sina Zarrintan, Ahmed Abdelkarim, Jenna J Powell, Rohini J Patel, Jon G Quatromoni, Mahmoud B Malas, Ann C Gaffey","doi":"10.1016/j.avsg.2025.05.037","DOIUrl":"https://doi.org/10.1016/j.avsg.2025.05.037","url":null,"abstract":"<p><strong>Objectives: </strong>Autogenous single-segment great saphenous vein graft is the conduit of choice in infra-inguinal bypasses particularly when the distal target of bypass is infra-geniculate. However, use of prosthetic grafts for infra-geniculate bypass (IGB) is required in certain patients. Different measures have been used to increase the durability of prosthetic grafts in IGB. We aimed to investigate the effect of postoperative anticoagulation on outcomes of IGBs performed by prosthetic conduits in patients with chronic limb-threatening ischemia (CLTI).</p><p><strong>Methods: </strong>The Vascular Quality Initiative-Medicare-linked database was queried for IGBs performed for CLTI (rest pain or tissue loss) between May 2014 to December 2019. All included patients underwent IGB by polytetrafluoroethylene (PTFE) grafts. The patients were stratified based on postoperative anticoagulation status: no discharge anticoagulation, warfarin, and direct oral anticoagulants (DOACs). DOACs included rivaroxaban or dabigatran. The primary outcome was amputation-free survival (AFS). Secondary outcomes were overall survival, limb salvage, and freedom from reintervention. Kaplan-Meier survival estimates, and Cox regression were used for statistical analysis.</p><p><strong>Results: </strong>The study included three cohorts: No discharge anticoagulation (N=1,170, 63.5%), warfarin (N=482, 26.2%), and DOAC (N=189, 10.3%). After adjusting for potential confounders, discharge warfarin and DOAC were associated with lower risk of death in one-year (aHR, 0.60 [95% CI:0.46-0.78], P<.001 and aHR, 0.63 [95% CI:0.43-0.93], P=0.021, respectively) and three-year (aHR, 0.72 [95% CI:0.59-0.89], P=0.002 and aHR, 0.64 [95% CI:0.45-0.90], P=0.011, respectively) compared to no anticoagulation. Patients receiving warfarin were at greater risk of major amputation at three years postoperatively (aHR, 1.33 [95% CI:1.03-1.72], P=0.029) compared to the non-anticoagulated patients, while patients receiving DOACs did not have a greater risk of major amputation. At three years, DOAC was associated with improved AFS compared to warfarin (aHR, 0.76 [95% CI:0.58-0.99], P=0.045). Neither warfarin nor DOAC was associated with reintervention at three-year follow-up compared to no anticoagulation.</p><p><strong>Conclusions: </strong>We found that postoperative anticoagulation use was associated with improved survival in patients undergoing IGB with PTFE graft for CLTI. Moreover, patients receiving DOACs were associated with greater AFS at three years postoperatively compared to warfarin. This study supports the use of anticoagulants, DOAC preferably to achieve favorable outcomes in IGBs when a prosthetic graft is being used. However, further prospective studies are necessary to confirm our findings.</p>","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144191403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of hemostasis failure with Angioseal device in a real-world setting for infrainguinal revascularization procedures.","authors":"Francesca Alesiani, Gladiol Zenunaj, Alessio Mario Cosacco, Giulia Baldazzi, Pierfilippo Acciarri, Aaron Thomas Fargion","doi":"10.1016/j.avsg.2025.05.040","DOIUrl":"https://doi.org/10.1016/j.avsg.2025.05.040","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the outcomes of the AngioSeal closure device in a real-world clinical setting among patients with symptomatic peripheral arterial disease undergoing infrainguinal revascularization.</p><p><strong>Method: </strong>A retrospective review over a 5-year period was conducted to identify patients who underwent endovascular infrainguinal revascularizations where Angioseal was chosen as a first-intention device for achieving hemostasis. The primary endpoints were technical and clinical success. All procedures were routinely performed under ultrasound guidance.</p><p><strong>Results: </strong>A total of 321 procedures met the inclusion criteria. Mean age was 76 ± 10 years and 60% were male. Wall calcifications near the puncture site were recorded in 11.2%, and prior ipsilateral groin intervention in 12.8%. An antegrade approach was used in 70% of cases; CFA and SFA puncture sites accounted for 80.4% and 19.6% respectively with off-label in 20.6% of procedures. The complication rate was 5.3%, with 16 cases requiring surgical conversion and one managed endovascularly. Groin hematoma occurred in 3,1% and occlusion in 2.2% of cases (five from calcified plaques dissection and two from anchor-collagen plug migration into the vessel. Device deployment failure occurred in two cases (0.6%), both managed with manual compression. During follow-up no late access site complications were observed. Calcification near the puncture site was the only independent predictive factor of vascular access complications (p< .001).</p><p><strong>Conclusion: </strong>Angioseal was safe and effective for infrainguinal revascularizations including situations considered at high risk for failure. Calcifications adjacent to the puncture site emerged as the sole independent risk factor for vascular access-related complications.</p>","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Questioning the Predictive Utility of Machine Learning in CI-AKI Risk Stratification.","authors":"Muhammad Khubaib Iftikhar, Mirza Muhammad Ali Baig","doi":"10.1016/j.avsg.2025.05.031","DOIUrl":"https://doi.org/10.1016/j.avsg.2025.05.031","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of wound healing after bypass surgery versus endovascular therapy for dialysis-dependent or independent patients with chronic limb-threatening ischemia and inframalleolar disease: A retrospective cohort study.","authors":"Shun Kurose, Koichi Morisaki, Daisuke Matsuda, Atsushi Guntani, Shinichiro Yoshino, Kentaro Inoue, Ken Nakayama, Terutoshi Yamaoka, Shinsuke Mii, Tomoharu Yoshizumi","doi":"10.1016/j.avsg.2025.05.038","DOIUrl":"https://doi.org/10.1016/j.avsg.2025.05.038","url":null,"abstract":"<p><strong>Purpose: </strong>Patients with chronic limb-threatening ischemia (CLTI) and inframalleolar (IM) P1 disease present a substantial challenge, and the impact of dialysis on revascularization outcomes remains unclear. This study aimed to compare wound healing and limb salvage after bypass surgery (BSX) and endovascular therapy (EVT) in dialysis-dependent and dialysis-independent patients with CLTI and IM P1.</p><p><strong>Methods: </strong>We retrospectively analyzed the multicenter data from patients undergoing infrainguinal revascularization for CLTI with IM P1 between 2015 and 2023. Patients were categorized into four cohorts based on dialysis dependence and Wound, Ischemia, and foot Infection (WIfI) stages 3 and 4.</p><p><strong>Results: </strong>We reviewed collected data from 690 patients with CLTI and IM P1. After propensity score matching, we analyzed 42 dialysis-dependent patients with WIfI 3, 54 dialysis-dependent patients with WIfI 4, 41 dialysis-independent patients with WIfI 3, and 56 dialysis-independent patients with WIfI 4. In the dialysis-dependent cohort, BSX was associated with significantly higher wound healing rates than EVT in WIfI stages 3 and 4. In the dialysis-independent cohort, no significant difference in wound healing was observed between the groups in either WIfI stage. Overall survival did not significantly differ between BSX and EVT in any subgroup.</p><p><strong>Conclusion: </strong>In summary, BSX may lead to better wound healing than EVT in dialysis-dependent patients with IM P1 disease and WIfI stages 3 and 4. No significant differences were observed between treatment strategies in dialysis-independent patients. Thus, BSX might be a preferable revascularization strategy in selected dialysis-dependent patients, although prospective studies are needed to confirm this result.</p>","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144186317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}