Pub Date : 2024-09-16DOI: 10.1016/j.ejvs.2024.09.015
Marie Corniquet,Lorenzo Garzelli,Maxime Ronot,Yves Castier,Salma El Batti,Iannis Ben Abdallah
{"title":"Morphometric Analysis of the Superior Mesenteric Artery in Atherothrombotic Mesenteric Ischaemia.","authors":"Marie Corniquet,Lorenzo Garzelli,Maxime Ronot,Yves Castier,Salma El Batti,Iannis Ben Abdallah","doi":"10.1016/j.ejvs.2024.09.015","DOIUrl":"https://doi.org/10.1016/j.ejvs.2024.09.015","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142264964","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}
Pub Date : 2024-09-16DOI: 10.1016/j.ejvs.2024.08.032
Jorge L. Gomez-Mayorga MD , Sai Divya Yadavalli MD , Sara Allievi MD , Sophie X. Wang MD , Vinamr Rastogi MD , Sabrina Straus MS , Tim J. Mandigers MD , James H. Black MD , Sara L. Zettervall MD, MPH , Marc L. Schermerhorn MD
{"title":"National registry insights on genetic aortopathies and thoracic endovascular aortic interventions","authors":"Jorge L. Gomez-Mayorga MD , Sai Divya Yadavalli MD , Sara Allievi MD , Sophie X. Wang MD , Vinamr Rastogi MD , Sabrina Straus MS , Tim J. Mandigers MD , James H. Black MD , Sara L. Zettervall MD, MPH , Marc L. Schermerhorn MD","doi":"10.1016/j.ejvs.2024.08.032","DOIUrl":"10.1016/j.ejvs.2024.08.032","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238948","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}
Pub Date : 2024-09-16DOI: 10.1016/j.ejvs.2024.08.033
Alexander D. DiBartolomeo MD , Brian Williams MD , Fred A. Weaver MD, MMM , Kazuhide Matsushima MD , Matthew Martin MD , Morgan Schellenberg MD, MPH , Kenji Inaba MD , Gregory A. Magee MD, MSc
{"title":"Risk factors for stroke in penetrating cerebrovascular injuries","authors":"Alexander D. DiBartolomeo MD , Brian Williams MD , Fred A. Weaver MD, MMM , Kazuhide Matsushima MD , Matthew Martin MD , Morgan Schellenberg MD, MPH , Kenji Inaba MD , Gregory A. Magee MD, MSc","doi":"10.1016/j.ejvs.2024.08.033","DOIUrl":"10.1016/j.ejvs.2024.08.033","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238949","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}
Pub Date : 2024-09-16DOI: 10.1016/j.ejvs.2024.09.017
Jessie Shea,Elisabeth Smith,Megan Lyons,Monty Fricker,Ryan Laloo,David C Bosanquet
OBJECTIVEIntra-operative blood loss is a significant complication of major lower limb amputation (MLLA). This systematic review and meta-analysis assessed the effect of tourniquet use on patients undergoing amputation.DATA SOURCESEmbase, MEDLINE, and Cochrane databases were searched from inception to April 2024.REVIEW METHODSInclusion criteria were any study design assessing MLLA with and without tourniquet use. Primary outcomes were peri-operative blood loss and transfusion requirements. Secondary outcomes were operative duration, surgical site infection, stump revision, and death. Articles were screened and data extracted independently by two reviewers, then pooled using random effects meta-analysis, and presented with their GRADE certainty. Risk of bias was assessed using ROBINS-I and Cochrane RoB 2 tools.RESULTSSeven studies (one randomised controlled trial [RCT] and six cohort studies) were included, totalling 1 018 limbs (412 tourniquet, 606 non-tourniquet). Intra-operative blood loss was lower with tourniquet use (mean difference [MD] -192.09 mL; 95% confidence interval [CI] -291.67 - -92.52; p < .001); however, there was no statistically significant difference in total blood loss measured over the first three to four post-operative days (MD -254.66 mL; 95% CI -568.12 - 58.80; p = .11). Post-operative haemoglobin decrease was lower for tourniquet patients (MD -0.55 g/dL; 95% CI -0.80 - -0.31; p < .001). The odds ratio (OR) for requiring blood transfusion was 0.65 (95% CI 0.38 - 1.11; p = .11) for tourniquet vs. non-tourniquet patients, with no statistically significant difference in number of units transfused per patient (MD -0.35, 95% CI -0.72 - 0.03; p = .070). Operation length was shorter with tourniquet use (MD -8.69 minutes, 95% CI -15.95 - -1.42; p = .020). There was no statistically significant difference in rates of surgical site infection (OR 1.07, 95% CI 0.60 - 1.90; p = .82), stump revision (OR 0.71, 95% CI 0.43 - 1.16; p = .17), or death (OR 0.80, 95% CI 0.49 - 1.30; p = .36). GRADE certainty was low or very low for all outcomes.CONCLUSIONTourniquet use may be associated with reduced post-operative haemoglobin decrease and operative duration, without negative consequences on stump infection, revision, and mortality. However, most data are observational. Further RCTs are needed to generate higher quality evidence.
目的术中失血是下肢大截肢(MLLA)的一个重要并发症。本系统综述和荟萃分析评估了使用止血带对截肢患者的影响。资料来源检索了从开始到 2024 年 4 月的 Embase、MEDLINE 和 Cochrane 数据库。主要结果是围手术期失血量和输血需求。次要结果为手术持续时间、手术部位感染、残端翻修和死亡。文章由两名审稿人独立筛选和提取数据,然后使用随机效应荟萃分析进行汇总,并以 GRADE 确定性进行展示。结果共纳入七项研究(一项随机对照试验 [RCT] 和六项队列研究),共计 1 018 个肢体(412 个止血带,606 个非止血带)。使用止血带的术中失血量较低(平均差 [MD] -192.09 mL;95% 置信区间 [CI] -291.67 --92.52;p < .001);然而,术后头三到四天的总失血量没有显著的统计学差异(平均差 [MD] -254.66 mL;95% 置信区间 [CI] -568.12 --58.80;p = .11)。止血带患者的术后血红蛋白下降率较低(MD -0.55 g/dL;95% CI -0.80--0.31;p < .001)。止血带患者与非止血带患者需要输血的几率比(OR)为 0.65 (95% CI 0.38 - 1.11; p = .11),每位患者输血单位数的差异无统计学意义(MD -0.35, 95% CI -0.72 - 0.03; p = .070)。使用止血带的手术时间更短(MD -8.69 分钟,95% CI -15.95 - -1.42; p = .020)。手术部位感染率(OR 1.07,95% CI 0.60 - 1.90;P = .82)、残端翻修率(OR 0.71,95% CI 0.43 - 1.16;P = .17)或死亡率(OR 0.80,95% CI 0.49 - 1.30;P = .36)差异无统计学意义。结论使用止血带可能与术后血红蛋白下降和手术时间缩短有关,但不会对残端感染、翻修和死亡率产生负面影响。然而,大多数数据都是观察性的。需要进一步进行研究性试验,以获得更高质量的证据。
{"title":"Impact of Tourniquet Use in Major Lower Limb Amputation: A Systematic Review and Meta-analysis.","authors":"Jessie Shea,Elisabeth Smith,Megan Lyons,Monty Fricker,Ryan Laloo,David C Bosanquet","doi":"10.1016/j.ejvs.2024.09.017","DOIUrl":"https://doi.org/10.1016/j.ejvs.2024.09.017","url":null,"abstract":"OBJECTIVEIntra-operative blood loss is a significant complication of major lower limb amputation (MLLA). This systematic review and meta-analysis assessed the effect of tourniquet use on patients undergoing amputation.DATA SOURCESEmbase, MEDLINE, and Cochrane databases were searched from inception to April 2024.REVIEW METHODSInclusion criteria were any study design assessing MLLA with and without tourniquet use. Primary outcomes were peri-operative blood loss and transfusion requirements. Secondary outcomes were operative duration, surgical site infection, stump revision, and death. Articles were screened and data extracted independently by two reviewers, then pooled using random effects meta-analysis, and presented with their GRADE certainty. Risk of bias was assessed using ROBINS-I and Cochrane RoB 2 tools.RESULTSSeven studies (one randomised controlled trial [RCT] and six cohort studies) were included, totalling 1 018 limbs (412 tourniquet, 606 non-tourniquet). Intra-operative blood loss was lower with tourniquet use (mean difference [MD] -192.09 mL; 95% confidence interval [CI] -291.67 - -92.52; p < .001); however, there was no statistically significant difference in total blood loss measured over the first three to four post-operative days (MD -254.66 mL; 95% CI -568.12 - 58.80; p = .11). Post-operative haemoglobin decrease was lower for tourniquet patients (MD -0.55 g/dL; 95% CI -0.80 - -0.31; p < .001). The odds ratio (OR) for requiring blood transfusion was 0.65 (95% CI 0.38 - 1.11; p = .11) for tourniquet vs. non-tourniquet patients, with no statistically significant difference in number of units transfused per patient (MD -0.35, 95% CI -0.72 - 0.03; p = .070). Operation length was shorter with tourniquet use (MD -8.69 minutes, 95% CI -15.95 - -1.42; p = .020). There was no statistically significant difference in rates of surgical site infection (OR 1.07, 95% CI 0.60 - 1.90; p = .82), stump revision (OR 0.71, 95% CI 0.43 - 1.16; p = .17), or death (OR 0.80, 95% CI 0.49 - 1.30; p = .36). GRADE certainty was low or very low for all outcomes.CONCLUSIONTourniquet use may be associated with reduced post-operative haemoglobin decrease and operative duration, without negative consequences on stump infection, revision, and mortality. However, most data are observational. Further RCTs are needed to generate higher quality evidence.","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142264908","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}
Pub Date : 2024-09-16DOI: 10.1016/j.ejvs.2024.08.034
Caila Bachmann BS, BA , Michael Parker MD , Taneesha Sardana BA , Lolita Ramsey PhD , Homayoun Hashemi MD
{"title":"Proximalization of arterial inflow for treatment of hemodialysis access-induced distal ischemia","authors":"Caila Bachmann BS, BA , Michael Parker MD , Taneesha Sardana BA , Lolita Ramsey PhD , Homayoun Hashemi MD","doi":"10.1016/j.ejvs.2024.08.034","DOIUrl":"10.1016/j.ejvs.2024.08.034","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142238950","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}
Pub Date : 2024-09-12DOI: 10.1016/j.ejvs.2024.09.013
Robert J Hinchliffe
{"title":"The European Venous Registry.","authors":"Robert J Hinchliffe","doi":"10.1016/j.ejvs.2024.09.013","DOIUrl":"10.1016/j.ejvs.2024.09.013","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301421","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}
Pub Date : 2024-09-12DOI: 10.1016/j.ejvs.2024.09.016
Csaba Csobay-Novák, Péter Sótonyi
{"title":"Zone Zero Hybrid Repair of the Thoracic Rupture of a False Lumen in Non-A Non-B Aortic Dissection.","authors":"Csaba Csobay-Novák, Péter Sótonyi","doi":"10.1016/j.ejvs.2024.09.016","DOIUrl":"10.1016/j.ejvs.2024.09.016","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301422","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}
Pub Date : 2024-09-11DOI: 10.1016/j.ejvs.2024.09.008
Marco Campolmi, Walter Dorigo
{"title":"A REBOA Induced Thoraco-abdominal Pseudoaneurysm.","authors":"Marco Campolmi, Walter Dorigo","doi":"10.1016/j.ejvs.2024.09.008","DOIUrl":"10.1016/j.ejvs.2024.09.008","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301413","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}
Pub Date : 2024-09-11DOI: 10.1016/j.ejvs.2024.09.009
Jennifer M J Jongen,Morsal Samim,J P C Hoornstra,Daniël Eefting,Joost A van Herwaarden,Joris J Blok
{"title":"Radiation Protection and Pregnancy in Vascular Surgery and Interventional Radiology in the Netherlands.","authors":"Jennifer M J Jongen,Morsal Samim,J P C Hoornstra,Daniël Eefting,Joost A van Herwaarden,Joris J Blok","doi":"10.1016/j.ejvs.2024.09.009","DOIUrl":"https://doi.org/10.1016/j.ejvs.2024.09.009","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142269194","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}
Pub Date : 2024-09-11DOI: 10.1016/j.ejvs.2024.09.010
Nikola Ilic,Petar Zlatanovic,Filip Petrovic,Marko Dragas
{"title":"Prophylactic Vacuum Assisted Abdominal Wound Closure Versus Primary Abdominal Wall Closure After Open Repair of Ruptured Abdominal Aortic Aneurysm.","authors":"Nikola Ilic,Petar Zlatanovic,Filip Petrovic,Marko Dragas","doi":"10.1016/j.ejvs.2024.09.010","DOIUrl":"https://doi.org/10.1016/j.ejvs.2024.09.010","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":null,"pages":null},"PeriodicalIF":5.7,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142264910","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}