Pub Date : 2026-01-16DOI: 10.1016/j.jvs.2025.10.078
Rae S. Rokosh , Laurence Sperling , Arshed Quyyumi , Ravi R. Rajani , Yazan Duwayri , Manuel Garcia-Toca , Carlos Mena-Hurtado , Kim G. Smolderen , Gaëlle Romain , Olamide Alabi
{"title":"Premature Peripheral Arterial Disease Is Associated With Worse Outcomes After Endovascular Peripheral Vascular Intervention","authors":"Rae S. Rokosh , Laurence Sperling , Arshed Quyyumi , Ravi R. Rajani , Yazan Duwayri , Manuel Garcia-Toca , Carlos Mena-Hurtado , Kim G. Smolderen , Gaëlle Romain , Olamide Alabi","doi":"10.1016/j.jvs.2025.10.078","DOIUrl":"10.1016/j.jvs.2025.10.078","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"83 2","pages":"Pages e7-e8"},"PeriodicalIF":3.6,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145969425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1016/j.jvs.2025.10.084
Mark G. Davies , Joseph P. Hart
{"title":"Pre-Frailty Impacts Outcomes of Interventions for Chronic Limb-threatening Ischemia","authors":"Mark G. Davies , Joseph P. Hart","doi":"10.1016/j.jvs.2025.10.084","DOIUrl":"10.1016/j.jvs.2025.10.084","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"83 2","pages":"Pages e12-e13"},"PeriodicalIF":3.6,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145969299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1016/j.jvs.2025.10.074
Joseph R. Chitwood, Zdenek Novak, Emily L. Spangler, Juliet Blakeslee-Carter, Adam W. Beck
{"title":"Trainee Impact on Postoperative Outcomes for Open and Endovascular Aortic Repair in the Vascular Quality Initiative","authors":"Joseph R. Chitwood, Zdenek Novak, Emily L. Spangler, Juliet Blakeslee-Carter, Adam W. Beck","doi":"10.1016/j.jvs.2025.10.074","DOIUrl":"10.1016/j.jvs.2025.10.074","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"83 2","pages":"Pages e4-e5"},"PeriodicalIF":3.6,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145969332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1016/S0741-5214(25)02026-9
{"title":"Table of contents (4-color)","authors":"","doi":"10.1016/S0741-5214(25)02026-9","DOIUrl":"10.1016/S0741-5214(25)02026-9","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"83 2","pages":"Pages A3-A11"},"PeriodicalIF":3.6,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145969339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1016/j.jvs.2025.10.019
Gregory J. Landry MD
{"title":"The next big thing?","authors":"Gregory J. Landry MD","doi":"10.1016/j.jvs.2025.10.019","DOIUrl":"10.1016/j.jvs.2025.10.019","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"83 2","pages":"Pages 493-494"},"PeriodicalIF":3.6,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145969340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1016/j.jvs.2025.09.046
Rym El Khoury MD , Lewis B. Schwartz MD
{"title":"Can we finally do better than the textbook?","authors":"Rym El Khoury MD , Lewis B. Schwartz MD","doi":"10.1016/j.jvs.2025.09.046","DOIUrl":"10.1016/j.jvs.2025.09.046","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"83 2","pages":"Page 519"},"PeriodicalIF":3.6,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145969359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-16DOI: 10.1016/j.jvs.2025.10.081
Nancy C. Edwards , Zoë S. Terwilliger , FeiFei Li , Dean J. Yamaguchi , Thomas D. Green , Matthew P. Goldman , Kevin Z. Chang , Ashlee E. Stutsrim , Gabriela Velazquez-Ramirez , Joseph M. McClung
{"title":"Racial Background Alters the Metabolomic Profile of Limb Muscle From Patients With Chronic Limb-threatening Ischemia","authors":"Nancy C. Edwards , Zoë S. Terwilliger , FeiFei Li , Dean J. Yamaguchi , Thomas D. Green , Matthew P. Goldman , Kevin Z. Chang , Ashlee E. Stutsrim , Gabriela Velazquez-Ramirez , Joseph M. McClung","doi":"10.1016/j.jvs.2025.10.081","DOIUrl":"10.1016/j.jvs.2025.10.081","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"83 2","pages":"Pages e10-e11"},"PeriodicalIF":3.6,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145969423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: This study aimed to evaluate indications and outcomes of open surgical conversion (OSC) after endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm using a multicenter registry in Japan.
Methods: Thirteen vascular centers retrospectively reviewed patients who underwent OSC after prior EVAR between 2006 and 2024. Baseline characteristics, indications, procedural details, and outcomes were analyzed. The primary end point was 30-day mortality. Secondary end points were overall survival, aneurysm-related survival, and freedom from retreatment.
Results: A total of 208 patients (85.6% males; median age, 78 years) were included. The median abdominal aortic aneurysm diameter was 62 mm. The median interval from initial EVAR to OSC was 5.2 years. Indications for OSC were type II endoleak with sac enlargement (47.1%), type I endoleak (23.1%), type V endoleak with sac enlargement (13.0%), infection (10.1%), and type III endoleak (9.6%). The most frequently used stent graft was the Excluder, followed by Endurant and Zenith. Complete stent graft removal was performed in 41 patients, partial removal in 51, and 116 underwent OSC with stent graft preservation. Thirty-eight patients (18.3%) presented with rupture and 48 (23.1%) underwent urgent OSC. The 30-day mortality rate was 4.3% in the overall cohort, 2.4% in nonruptured cases, and 13.2% in ruptured cases. Rupture was a risk factor for 30-day mortality (hazard ratio, 5.93; 95% confidence interval, 1.59-22.1; P = .008). At 10 years, overall survival and aneurysm-related mortality were 58.4% and 14.8%, respectively, and freedom from retreatment rate was 87.5% at 10 years.
Conclusions: Type II endoleak was the leading common indication for OSC after EVAR in this multicenter retrospective study in Japan. Rupture at OSC markedly increased 30-day mortality, even in patients with type II endoleak. Further studies are needed to refine elective indications for OSC to prevent aneurysmal rupture and avoid treatment delay.
{"title":"Open surgical conversion after endovascular aneurysm repair in Japan: Indications and outcomes from a multicenter study (JAST-CONVERT).","authors":"Koichi Morisaki, Masaki Sano, Keisuke Miyake, Shinsuke Kikuchi, Takuro Shirasu, Tsuyoshi Shibata, Soichiro Fukushima, Yuriko Takeuchi, Naoki Fujimura, Yutaka Matsubara, Yuki Orimoto, Kayoko Natsume, Makiko Omori, Hideaki Obara, Nobuyoshi Azuma","doi":"10.1016/j.jvs.2026.01.004","DOIUrl":"10.1016/j.jvs.2026.01.004","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate indications and outcomes of open surgical conversion (OSC) after endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm using a multicenter registry in Japan.</p><p><strong>Methods: </strong>Thirteen vascular centers retrospectively reviewed patients who underwent OSC after prior EVAR between 2006 and 2024. Baseline characteristics, indications, procedural details, and outcomes were analyzed. The primary end point was 30-day mortality. Secondary end points were overall survival, aneurysm-related survival, and freedom from retreatment.</p><p><strong>Results: </strong>A total of 208 patients (85.6% males; median age, 78 years) were included. The median abdominal aortic aneurysm diameter was 62 mm. The median interval from initial EVAR to OSC was 5.2 years. Indications for OSC were type II endoleak with sac enlargement (47.1%), type I endoleak (23.1%), type V endoleak with sac enlargement (13.0%), infection (10.1%), and type III endoleak (9.6%). The most frequently used stent graft was the Excluder, followed by Endurant and Zenith. Complete stent graft removal was performed in 41 patients, partial removal in 51, and 116 underwent OSC with stent graft preservation. Thirty-eight patients (18.3%) presented with rupture and 48 (23.1%) underwent urgent OSC. The 30-day mortality rate was 4.3% in the overall cohort, 2.4% in nonruptured cases, and 13.2% in ruptured cases. Rupture was a risk factor for 30-day mortality (hazard ratio, 5.93; 95% confidence interval, 1.59-22.1; P = .008). At 10 years, overall survival and aneurysm-related mortality were 58.4% and 14.8%, respectively, and freedom from retreatment rate was 87.5% at 10 years.</p><p><strong>Conclusions: </strong>Type II endoleak was the leading common indication for OSC after EVAR in this multicenter retrospective study in Japan. Rupture at OSC markedly increased 30-day mortality, even in patients with type II endoleak. Further studies are needed to refine elective indications for OSC to prevent aneurysmal rupture and avoid treatment delay.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145989954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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