EJVES Vascular Forum最新文献_第2页

Anastomotic Pseudoaneurysm in an Abandoned Brachiocephalic Arteriovenous Fistula 吻合假性动脉瘤一例放弃的头臂动静脉瘘

IF 1.4 Q3 PERIPHERAL VASCULAR DISEASE

EJVES Vascular Forum

Pub Date : 2025-01-01 DOI: 10.1016/j.ejvsvf.2024.12.002

Arianna Serra , Elisabetta Tanda

引用次数: 0

Gender and Geographical Diversity in Authorship, Peer Reviewing, and Editorial Roles in the European Journal of Vascular and Endovascular Surgery Vascular Forum 《欧洲血管与血管内外科杂志》作者、同行评议和编辑角色的性别和地域差异

IF 1.4 Q3 PERIPHERAL VASCULAR DISEASE

EJVES Vascular Forum

Pub Date : 2025-01-01 DOI: 10.1016/j.ejvsvf.2024.12.003

Melina Vega de Céniga , June Fernández

Objective

Gender based disparities have been reported regarding principal investigator positions, authorship of medical published literature, reviewing roles, and representation in journal editorial boards. This study aimed to analyse gender and geographical differences in the authorship and editorial roles of the European Journal of Vascular and Endovascular Surgery Vascular Forum (EJVES VF).

Methods

An observational retrospective study was performed of all consecutive submissions to EJVES VF between 2020 – 2023. Data were gathered on: first author's gender, first author's professional country, last author's gender, number of authors per submission, article type, and final editorial decision. Gender and professional country of external reviewers and editorial staff were also analysed, as well as performance indicators. The statistical analysis was descriptive and chi squared and t tests were used.

Results

A total of 577 submitted papers were included. First authors were female (FFA) in 26.7% and 28.5% of submitted and accepted papers, and last authors (FLA) in 16.5% and 22%, respectively. The acceptance rate was 34.7% (n = 200), which was similar for FFA and male first authors (37% vs. 33.8%; p = .47). The FLA had a higher acceptance rate than male last authors (46.3% vs. 32.4%; p = 0.009). The acceptance rate of original research and review papers was 34.7% (n = 42), 28.2% (n = 101) for case reports, short reports, editorials, and surgical videos, and 52.2% for images, correspondence, and invited commentaries (p < .001). The highest acceptance rate was achieved by Europe (n = 334; 43.1%), followed by America (n = 68; 33.8%) and Australasia (n = 20; 30%) (p < .001). The journal had six female and ten male editors. The proportion of female reviewers rose from 12.4% in 2020 to 17% in 2023, and female editorial board members from 7% to 21%. Performance indicators were statistically similar for male and female reviewers.

Conclusion

Female authorship is under represented in submitted and published papers in EJVES VF, with important geographical differences. The number and percentage of female reviewers is increasing; their performance is comparable with their male colleagues.

据报道，基于性别的差异存在于主要研究者职位、医学发表文献的作者、评审角色和期刊编辑委员会的代表性方面。本研究旨在分析欧洲血管和血管内外科杂志血管论坛（EJVES VF）作者和编辑角色的性别和地理差异。方法对2020 - 2023年期间所有连续提交EJVES VF的患者进行观察性回顾性研究。收集的数据包括：第一作者的性别、第一作者的专业国家、最后一位作者的性别、每次投稿的作者数量、文章类型和最终编辑决定。还分析了外部审稿人和编辑人员的性别和专业国家，以及业绩指标。统计分析是描述性的，使用卡方检验和t检验。结果共收录论文577篇。第一作者为女性（FFA）的比例分别为26.7%和28.5%，最后作者为女性（FLA）的比例分别为16.5%和22%。接受率为34.7% (n = 200)， FFA和男性第一作者的接受率相近(37% vs. 33.8%；P = .47)。FLA的接受率高于男性末作者(46.3% vs. 32.4%；P = 0.009)。原始研究和综述论文的接受率为34.7% (n = 42)，病例报告、短报告、社论和手术录像的接受率为28.2% (n = 101)，图像、通信和特邀评论的接受率为52.2% (p <；措施)。接受率最高的是欧洲(n = 334；43.1%)，其次是美国(n = 68；33.8%)和澳大拉西亚(n = 20；30%) (p <；措施)。该杂志有6位女性和10位男性编辑。女性审稿人的比例从2020年的12.4%上升到2023年的17%，女性编辑委员会成员从7%上升到21%。男性和女性审稿人的绩效指标在统计上相似。结论EJVES VF投稿和发表论文中女性作者比例偏低，且存在显著的地域差异。女性审稿人的数量和比例正在增加；她们的表现与男同事不相上下。

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引用次数: 0

Endovascular Management of Upper Limb Arterial Aneurysms in a Child With Kawasaki Disease 川崎病患儿上肢动脉瘤的血管内治疗

IF 1.4 Q3 PERIPHERAL VASCULAR DISEASE

EJVES Vascular Forum

Pub Date : 2025-01-01 DOI: 10.1016/j.ejvsvf.2025.04.005

Marian D. Moreno-Urías , Javier E. Anaya-Ayala , Alejandro Celis-Jiménez

Background

Kawasaki disease is an acute, self limited vasculitis that predominantly affects children under five years of age. It is clinically diagnosed by persistent fever for at least five days along with four of the main clinical features. Bilateral upper limb aneurysms are rare in Kawasaki disease, with limited literature comprising case reports and small series, leaving management guidelines unclear.

Report

This study presents the case of a three year old male with a history of incomplete Kawasaki disease at eight months of age. Initial treatment included two doses of gammaglobulin after which he was diagnosed with aneurysms in both the left and right coronary arteries; he remained in a stable condition under bi-annual monitoring. Six months later, the patient was referred having developed aneurysms in the left axillary and right brachial arteries. Open and endovascular approaches were discussed with his parents; endovascular management was opted for. Covered stents (6 x 56 mm and 8 x 56 mm Fluency Plus Endovascular Stent Graft, Becton Dickinson & Co., New Jersey, USA) were successfully placed in the left axillary and right brachial arteries during a single procedure. The patient remained haemodynamically stable and was discharged 24 hours post-operation without complications. At the 24 month follow up, the patient was asymptomatic, and ultrasound confirmed the continued patency of the stents.

Conclusion

This case highlights the importance of individualised treatment strategies for paediatric patients with Kawasaki disease complicated by arterial aneurysms. The use of stent grafts in children presents unique challenges, including long-term durability, vessel growth, and thrombosis risk, necessitating careful patient selection and lifelong follow up. The successful outcome observed in this case highlights the potential of endovascular techniques as a viable alternative to open surgery, emphasising the need for further studies to establish standardised guidelines for paediatric vascular interventions.

川崎病是一种急性、自限性血管炎，主要影响5岁以下儿童。临床诊断为持续发热至少5天，并伴有4个主要临床特征。双侧上肢动脉瘤在川崎病中是罕见的，文献包括病例报告和小系列，使得治疗指南不明确。本研究报告一例三岁男童，在8个月大时有不完全性川崎病病史。最初的治疗包括两剂丙种球蛋白，之后他被诊断出左右冠状动脉都有动脉瘤；在一年两次的监测下，他的情况稳定。6个月后，患者因左腋动脉和右臂动脉出现动脉瘤而转诊。与父母讨论了开放和血管内入路；选择血管内治疗。覆盖支架（6 × 56毫米和8 × 56毫米）流畅+血管内支架移植物，Becton Dickinson &；Co., New Jersey， USA)在一次手术中成功地放置在左腋窝和右肱动脉中。患者血流动力学稳定，术后24小时出院，无并发症。随访24个月，患者无症状，超声检查证实支架通畅。结论本病例强调儿科川崎病合并动脉瘤患者个体化治疗的重要性。在儿童中使用支架具有独特的挑战，包括长期耐用性、血管生长和血栓形成风险，需要仔细选择患者并终身随访。在本病例中观察到的成功结果突出了血管内技术作为开放手术的可行替代方案的潜力，强调需要进一步研究以建立儿科血管干预的标准化指南。

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引用次数: 0

Follow up Imaging Protocols after Endovascular Aneurysm Repair: Results of the International FOREVAR Survey 血管内动脉瘤修复后的影像学随访：国际FOREVAR调查结果

IF 1.4 Q3 PERIPHERAL VASCULAR DISEASE

EJVES Vascular Forum

Pub Date : 2025-01-01 DOI: 10.1016/j.ejvsvf.2025.07.005

Bich L. Tran , Sabrina L.M. Zwetsloot , Martin Teraa , Fabien Lareyre , Leszek Kukulski , Vincent Jongkind

Objective

Endovascular repair for aortic aneurysms necessitates routine follow up due to potential late complications, such as endograft occlusions, endoleaks, and late aneurysm rupture. Guidelines recommend periodic post-operative imaging, including computed tomography angiography (CTA) or duplex ultrasound, to monitor aneurysm status and stent integrity. The efficacy of these follow up protocols is controversial, with concerns about increased healthcare costs and patient morbidity. This survey aimed to assess global variance in follow up imaging protocols among vascular surgeons, interventional radiologists, and vascular surgery trainees.

Methods

A global English web based survey was conducted over nine months and distributed through email, social media, and direct messaging to vascular surgeons, interventional radiologists, and other vascular specialists. Procedure specific questions included imaging techniques used and follow up duration.

Results

The FOREVAR Survey was completed by 693 respondents from 65 countries. Most participants reported having a standardised follow up imaging protocol following all, or nearly all, elective endovascular aneurysm repairs (EVAR) in their centre (98%). The follow up protocols displayed substantial variation. In addition to completion angiography, other imaging was often performed before discharge (cone beam computed tomography 11%, CTA 27%, or DUS 17%). CTA is most often performed at first follow up (63%), while DUS is most frequently used during later follow up (56%). Median intervals to follow up imaging were eight weeks (first), 39 weeks (second), and 52 weeks (third). Follow up never ceased in 51% of cases. Comparable results were reported for complex EVAR (cEVAR) and thoracic EVAR (TEVAR), but with a greater proportion of patients receiving CTA after cEVAR at long term follow up (74%). Magnetic resonance imaging was used by a minority in the follow up of EVAR, cEVAR, and TEVAR (4%, 1%, and 4%, respectively).

Conclusions

This global survey showed substantial variation in follow up imaging protocols after EVAR, cEVAR, and TEVAR. Most of these protocols lead to long term radiation exposure during follow up.

目的动脉瘤的血管内修复术因其可能出现的晚期并发症，如移植物闭塞、血管内漏、动脉瘤晚期破裂等，需要常规随访。指南建议定期术后成像，包括计算机断层血管造影（CTA）或双工超声，以监测动脉瘤状态和支架完整性。这些随访方案的有效性存在争议，担心会增加医疗费用和患者发病率。本调查旨在评估血管外科医生、介入放射科医生和血管外科实习生在随访成像方案方面的全球差异。方法进行了为期9个月的全球英语网络调查，并通过电子邮件、社交媒体和直接消息发送给血管外科医生、介入放射科医生和其他血管专家。具体的程序问题包括使用的成像技术和随访时间。结果来自65个国家的693名受访者完成了FOREVAR调查。大多数参与者报告说，在所有或几乎所有的选择性血管内动脉瘤修复（EVAR）后，他们有一个标准化的随访成像方案（98%）。随访方案显示出很大的差异。除了完井血管造影外，出院前经常进行其他影像学检查（锥束计算机断层扫描11%，CTA 27%, DUS 17%）。CTA最常在首次随访时进行（63%），而DUS最常在后期随访时进行（56%）。随访影像的中位间隔为8周（第一次）、39周（第二次）和52周（第三次）。51%的病例从未停止过随访。复杂EVAR （cEVAR）和胸段EVAR （TEVAR）也有类似的结果，但在长期随访中，在cEVAR后接受CTA的患者比例更高（74%）。在EVAR、cEVAR和TEVAR的随访中，少数人使用磁共振成像（分别为4%、1%和4%）。结论：这项全球调查显示，EVAR、cEVAR和TEVAR后随访成像方案存在很大差异。大多数这些方案在随访期间导致长期辐射暴露。

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引用次数: 0

Coverage Through Collaboration: Toward Evidence Based Flap Selection 通过合作的覆盖：走向基于证据的皮瓣选择

IF 1.4 Q3 PERIPHERAL VASCULAR DISEASE

EJVES Vascular Forum

Pub Date : 2025-01-01 DOI: 10.1016/j.ejvsvf.2025.09.007

Jhanvi Dholakia, Anantha Narayanan, Manar Khashram

引用次数: 0

Iatrogenic Thoracic Aortic Injury Due to Right Intercostal Drain Insertion 右肋间引流插入致医源性胸主动脉损伤

IF 1.4 Q3 PERIPHERAL VASCULAR DISEASE

EJVES Vascular Forum

Pub Date : 2025-01-01 DOI: 10.1016/j.ejvsvf.2025.03.002

Giulia Bertagna, Nicola Troisi

引用次数: 0

Maintenance of Functionality Without Flushing of Totally Implantable Venous Access Devices: A Presentation of Clinical Cases 不冲洗全植入式静脉通路装置的功能维持：临床病例报告

IF 1.4 Q3 PERIPHERAL VASCULAR DISEASE

EJVES Vascular Forum

Pub Date : 2025-01-01 DOI: 10.1016/j.ejvsvf.2025.05.005

Martina Rapisarda , Luisa Gallo , Alessandro Terrasi , Ivan Lo Iacona , Isidoro Di Carlo , Adriana Toro

Introduction

The aim of this study was to report experience of treating patients who underwent implantation of a long term totally implantable venous access device (TIVAD) that was not flushed.

Methods

Patients who underwent TIVAD implantation between 1995 and 2016 were included in the present study. Sex, age, type of disease, indications, surgeon, device used, choice of venous access, type of procedure, morbidity, and follow up duration were considered.

Results

Five hundred and forty-four patients underwent surgical TIVAD implantation. The most common type of disease was solid tumours (508 patients, 93,4%). In 503 patients, the TIVAD was implanted in the cephalic vein. Seven (1.3%) patients were diagnosed with tumour recurrence by an oncologist (5/7 male, median age 57 years). Four (57.1%) patients had recurrent colorectal cancer, and three (42.9%) had recurrent breast cancer. For several months, these patients did not return to the hospital for port flushing. None of these devices were heparinised for 18–24 months; however, no signs of occlusion were detected.

Conclusion

This study shows that TIVAD can remain patent without flushing. Moreover, the lack of flushing could be economically advantageous and could provide relief for patients. Therefore, a larger study of this topic is needed.

本研究的目的是报告治疗长期完全植入式静脉通路装置（TIVAD）植入术患者的经验。方法纳入1995年至2016年间接受TIVAD植入的患者。考虑性别、年龄、疾病类型、适应证、外科医生、使用的器械、静脉通路的选择、手术类型、发病率和随访时间。结果544例患者行手术植入TIVAD。最常见的疾病类型是实体瘤（508例，93.3%）。503例患者将TIVAD植入头静脉。7例（1.3%）患者被肿瘤科医生诊断为肿瘤复发（5/7男性，中位年龄57岁）。结直肠癌复发4例（57.1%），乳腺癌复发3例（42.9%）。几个月来，这些病人没有回到医院进行港口冲洗。这些装置在18-24个月内均未进行肝素化处理；然而，没有发现闭塞的迹象。结论本研究表明，TIVAD可以在不冲洗的情况下保持专利。此外，缺乏冲洗在经济上是有利的，可以为患者提供缓解。因此，需要对这一课题进行更大规模的研究。

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引用次数: 0

Waves Across the Coral Reef Aorta: Intravascular Lithotripsy in Juxtarenal Aortic Occlusive Disease 波浪穿过珊瑚礁主动脉：血管内碎石术治疗肾旁主动脉闭塞性疾病

IF 1.4 Q3 PERIPHERAL VASCULAR DISEASE

EJVES Vascular Forum

Pub Date : 2025-01-01 DOI: 10.1016/j.ejvsvf.2025.04.003

Nicola Troisi, Sofia Pierozzi, Raffaella Berchiolli

Background

Coral reef aorta (CRA) is a rare disease characterised by rock hard intraluminal calcifications primarily localised to the visceral and juxtarenal aorta, which can cause significant stenoses, leading to visceral, renal, and lower limb ischaemia. Intravascular lithotripsy (IVL) is an innovative and promising endovascular tool for the treatment of high grade calcified stenoses.

Report

A 73 year old woman presented with bilateral Rutherford class 5 chronic limb threatening ischaemia and an ankle brachial pressure index (ABPI) of 0.4 right and 0.5 left. The patient had undergone kissing iliac stenting for lifestyle limiting intermittent claudication 20 years before at another centre. Computed tomography angiography showed proximal extension of the aorto-iliac occlusive disease with near occlusive CRA in the juxtarenal aorta, and patent iliac and lower limb arteries. The patient was treated with kissing balloon IVL (two 7 x 60 mm Shockwave M5 catheters; Shockwave Medical Inc, Santa Clara, CA, USA) through bilateral percutaneous femoral access, and concomitant inflation of two 4 mm balloons to protect both renal arteries through surgical left axillary access. Patency of the aorta and iliac stents was obtained with palpable femoral and peripheral pulses. No intraprocedural complication occurred. At the six month follow up, the lesions had healed, and the patient was alive with improvement in four Rutherford classes (ABPI 0.9 for both limbs).

Conclusion

Intravascular lithotripsy without any adjunctive iliac stenting could be a safe and effective therapeutic option in patients with juxtarenal CRA.

背景：珊瑚礁主动脉（CRA）是一种罕见的疾病，其特征是主要局限于内脏和肾旁主动脉的岩石状腔内钙化，可引起严重的狭窄，导致内脏、肾脏和下肢缺血。血管内碎石术（IVL）是一种创新和有前途的血管内工具，用于治疗高度钙化狭窄。报告一名73岁女性，表现为双侧Rutherford 5级慢性肢体威胁性缺血，踝肱压力指数（ABPI）右0.4左0.5。该患者20年前曾在另一个中心接受过髂吻合术支架植入术，以限制间歇性跛行。计算机断层血管造影显示主动脉-髂闭塞性疾病近端延伸，近闭塞性CRA位于肾旁主动脉，髂动脉和下肢动脉未闭。患者采用吻球囊IVL(2根7 × 60 mm冲击波M5导管；冲击波医疗公司，Santa Clara， CA， USA)通过双侧经皮股骨通道，并同时通过左腋窝手术通道充气两个4毫米球囊以保护双肾动脉。主动脉和髂支架通畅，可触及股动脉和外周脉搏。无术中并发症发生。在6个月的随访中，病变已经愈合，患者存活，四个卢瑟福分类（四肢ABPI为0.9）得到改善。结论血管内碎石术治疗肾旁CRA是一种安全有效的治疗方法。

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引用次数: 0

An Effective Hybrid Treatment for Persistent Sciatic Artery Aneurysm 一种治疗持续性坐骨动脉瘤的有效混合疗法

IF 1.4 Q3 PERIPHERAL VASCULAR DISEASE

EJVES Vascular Forum

Pub Date : 2025-01-01 DOI: 10.1016/j.ejvsvf.2025.08.002

Alessandro Ciolli , Francesco Stilo , Vincenzo Cirimele , Nunzio Montelione

Introduction

Persistent sciatic artery (PSA) is a rare congenital vascular anomaly that is often asymptomatic; however, it can be associated with aneurysm formation and potential complications. Here, the case of a 61 year old man presenting with bilateral persistent sciatic artery aneurysms (PSAAs) who underwent right sided hybrid treatment for rest pain and aneurysm thrombosis is reported.

Report

Hybrid treatment of the right PSAA was performed by surgical bypass using the in situ great saphenous vein, from the common femoral artery to the posterior tibial artery and staged percutaneous aneurysm embolisation with controlled release coils and a vascular plug. The post-operative course was uneventful, and computed tomography angiography at six months confirmed right PSAA exclusion and graft patency. At 12 months follow up, the bypass was patent, and the patient remained free of ischaemic symptoms. The left PSAA remained asymptomatic.

Discussion

PSAAs can be associated with chronic limb threatening ischaemia due to complications such as thrombosis, and a hybrid approach can treat this successfully.

持续性坐骨动脉（PSA）是一种罕见的先天性血管异常，通常无症状；然而，它可能与动脉瘤形成和潜在的并发症有关。本文报告一位61岁男性患者，其表现为双侧持续性坐骨动脉动脉瘤（PSAAs），因休息疼痛和动脉瘤血栓形成而接受右侧混合治疗。报告：通过原位大隐静脉从股总动脉到胫骨后动脉的旁路手术治疗右侧PSAA，并采用可控释放线圈和血管塞分阶段经皮动脉瘤栓塞。术后过程顺利，6个月时的计算机断层血管造影证实右侧PSAA排除和移植物通畅。随访12个月，旁路通畅，患者无缺血症状。左侧PSAA无症状。psaas可能与血栓形成等并发症引起的慢性肢体威胁性缺血有关，混合方法可以成功治疗这种疾病。

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引用次数: 0

Endovascular Treatment of a Bilateral Phlegmasia Caerulea Dolens in a Two Year Old Child With Inferior Vena Cava Atresia: Case Report and Literature Review 2岁儿童下腔静脉闭锁双侧小囊性痰肿的血管内治疗：1例报告并文献复习

IF 1.4 Q3 PERIPHERAL VASCULAR DISEASE

EJVES Vascular Forum

Pub Date : 2025-01-01 DOI: 10.1016/j.ejvsvf.2025.07.002

Marco Fresa , Aurel Vassili Njami , Ophélie De Pury , Rafael Trunfio , Mattia Rizzi , Adrien De Cock , Guillaume Maître , Lucia Mazzolai

Objective

Phlegmasia caerulea dolens (PCD) is a rare and potentially life threatening complication of deep vein thrombosis. It is more commonly reported in adult patients and rarely in the paediatric population, especially in healthy children. This review describes the case of a child with PCD and reviews the few cases of paediatric PCD previously reported in the literature.

Methods

A search of the Medline database was performed with the purpose of identifying other similar cases and treatment modalities.

Results

This study describes the case of a child with PCD in the setting of an atretic inferior vena cava, who was successfully treated with endovascular mechanical thrombectomy (Indigo Lightning Penumbra aspiration catheter) and intraluminal recanalisation and venoplasty of the inferior vena cava, with full recovery and no sequelae after 12 months of follow up.

Conclusion

The use of mechanical thrombectomy in the setting of severe acute deep vein thrombosis is well established in adults, but not in children. Moreover, the recanalisation of an atretic inferior vena cava in such a young patient has not been described previously. The clinical outcome of this threatening condition was favourable, confirming that modern endovascular techniques for the venous system may also apply to the paediatric population and help deal with similar situations in this subset of patients.

目的深静脉血栓形成是一种罕见且可能危及生命的并发症。它更常见于成人患者，而很少在儿科人群中，特别是在健康儿童中。这篇综述描述了一个患有PCD的儿童的病例，并回顾了以前在文献中报道的少数儿科PCD病例。方法检索Medline数据库，寻找其他类似病例和治疗方法。结果本研究报告了1例下腔静脉闭锁的PCD患儿，经血管内机械取栓（靛蓝闪电半暗带抽吸导管）和腔内下腔静脉再通及静脉成形术成功治疗，随访12个月后完全恢复，无后遗症。结论机械取栓术治疗严重急性深静脉血栓已在成人患者中广泛应用，但在儿童患者中尚不普遍。此外，在这样一个年轻的病人中，闭锁下腔静脉再通还没有被描述过。这种威胁性疾病的临床结果是有利的，证实了静脉系统的现代血管内技术也可以应用于儿科人群，并有助于处理这类患者的类似情况。

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引用次数: 0