European Journal of Vascular and Endovascular Surgery最新文献

{"title":"Racial disparities in superficial venous disease management: A comparative study of interventions and patient-related outcomes","authors":"Garyn Metoyer MD , Ethan Chervonski MD, MPH , Giancarlo Speranza MD, MBA , Caron B. Rockman MD , Glenn R. Jacobowitz MD , Thomas S. Maldonado MD , Mikel Sadek MD","doi":"10.1016/j.ejvs.2026.02.029","DOIUrl":"10.1016/j.ejvs.2026.02.029","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 3","pages":"Page e47"},"PeriodicalIF":6.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147415178","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":"Strengthening Clinical Interpretation of SurVeil Paclitaxel Coated Balloon in Femoropopliteal Disease","authors":"Xiaoliang Yin","doi":"10.1016/j.ejvs.2025.04.069","DOIUrl":"10.1016/j.ejvs.2025.04.069","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 3","pages":"Pages 519-520"},"PeriodicalIF":6.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043001","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 Endo-Bentall Procedure in the Treatment of Ascending Aorta Pathologies: A Scoping Review","authors":"Maysam Shehab ,&nbsp;Carlota F. Prendes ,&nbsp;Anders Wanhainen ,&nbsp;Rickard Lindblom ,&nbsp;Stefan James ,&nbsp;Kevin Mani","doi":"10.1016/j.ejvs.2025.07.026","DOIUrl":"10.1016/j.ejvs.2025.07.026","url":null,"abstract":"<div><h3>Objective</h3><div>The ascending aorta remains a challenging area for endovascular repair, with limited anatomical suitability of current stent grafts due to proximal landing zone constraints. This scoping review summarised, existing experiences with the Endo-Bentall procedure, evaluated its use across pathologies, identified obstacles, and proposed future advances.</div></div><div><h3>Data Sources</h3><div>PubMed, Cochrane, and Embase were systematically searched (English language, up to 30 November 2024) for studies evaluating the Endo-Bentall procedure in treating ascending aortic pathologies.</div></div><div><h3>Review Methods</h3><div>The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocol extension for scoping reviews was followed, and data were reported as descriptive narratives or tables.</div></div><div><h3>Results</h3><div>Twenty studies were included, comprising case reports, anatomical feasibility analyses, reviews, expert opinions, and technical notes. Proof of concept studies in <em>ex vivo</em> (<em>n</em> = 30) and <em>in vivo</em> (<em>n</em> = 20) models achieved 95 – 100% technical success rates, with sustained coronary patency. Five cases were reported; indications included aortic dissection (<em>n =</em> 2), aneurysm (<em>n =</em> 1), and post-surgical complications (<em>n =</em> 2). Balloon expandable transcatheter aortic valve implantation (TAVI) platforms were used in three cases (one used single stage and two used two stage procedures), while self expanding platforms were used in two cases (single stage). Technical success was achieved in all cases. Early follow up showed favourable outcomes in two of three balloon expandable cases and two of two self expanding cases. One patient died at 5 months (non-aortic cause). Anatomical feasibility studies for aortic dissection (<em>n =</em> 547) and aortic aneurysm (<em>n =</em> 80) demonstrated a median suitability rate of 68% (31 – 80%) for various device designs. The Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology suggested a very low certainty regarding clinical outcomes.</div></div><div><h3>Conclusion</h3><div>The Endo-Bentall procedure is an emerging endovascular approach for ascending aortic pathologies, particularly for patients at high surgical risk. Early experience suggests feasibility. However, the current literature is significantly limited by publication bias and methodological heterogeneity. Further research is required, with systematic evaluation to optimise device development, surgical technique, bailout strategies, and long term outcomes.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 3","pages":"Pages 415-425"},"PeriodicalIF":6.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700423","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":"Pre-operative Cilostazol in Patients with Chronic Limb Threatening Ischaemia Associated with Improved Survival after Endovascular Revascularisation","authors":"Alexandra A. Sansosti ,&nbsp;Beatrix Choi ,&nbsp;Jose Munoz ,&nbsp;Imad Aljabban ,&nbsp;Nicholas J. Morrissey ,&nbsp;Thomas F.X. O’Donnell ,&nbsp;Virendra I. Patel","doi":"10.1016/j.ejvs.2025.08.035","DOIUrl":"10.1016/j.ejvs.2025.08.035","url":null,"abstract":"<div><h3>Objective</h3><div>The study aimed to assess the effect of pre-operative cilostazol on long term survival and peri-operative outcomes in patients with chronic limb threatening ischaemia (CLTI) undergoing endovascular therapy (EVT).</div></div><div><h3>Methods</h3><div>This retrospective cohort study used the Vascular Quality Initiative registry, including a propensity score adjusted cohort of patients who underwent elective peripheral vascular interventions between 2015 and 2021. Patients were categorised based on pre-operative cilostazol use: cilostazol (PC) group and no cilostazol (NPC) group. The primary outcome was long term (five years) all cause mortality, with secondary outcomes including peri-operative amputation, cardiac complications, and thrombotic or embolic events.</div></div><div><h3>Results</h3><div>There were 55 457 patients in the NPC group and 3 173 patients in the PC group who underwent EVT and were included in the final cohort. The PC group showed statistically significantly higher long term survival than the NPC group (hazard ratio 0.56, 95% confidence interval [CI] 0.5 – 0.6; <em>p</em> &lt; .001) over a follow up period of five years. The PC group also demonstrated lower rates of peri-operative amputation compared with the NPC group (odds ratio 0.69, 95% CI 0.6 – 0.8; <em>p</em> &lt; .001). No other differences were found for peri-operative outcomes between groups.</div></div><div><h3>Conclusion</h3><div>Pre-operative cilostazol use in patients with CLTI undergoing EVT was associated with improved long-term survival and reduced peri-operative amputation rates. These findings suggest a potential benefit of cilostazol in this high-risk population, justifying further dedicated, prospective studies.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 3","pages":"Pages 448-454"},"PeriodicalIF":6.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979398","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":"Patients with Ocular Ischaemic Events Have Greater Cerebral White Matter Hyperintensity Volume than Asymptomatic Patients Undergoing Carotid Revascularisation","authors":"Simone J.A. Donners ,&nbsp;Saskia I. Willemsen ,&nbsp;Edwin Bennink ,&nbsp;Stefan Saicic ,&nbsp;Christoph Knappich ,&nbsp;Jeroen Hendrikse ,&nbsp;Constantijn E.V.B. Hazenberg ,&nbsp;Raechel J. Toorop ,&nbsp;Gert J. de Borst","doi":"10.1016/j.ejvs.2025.08.033","DOIUrl":"10.1016/j.ejvs.2025.08.033","url":null,"abstract":"<div><h3>Objective</h3><div>Carotid artery stenosis may cause ocular ischaemic events (OIE) due to thrombo-embolic events or reduced perfusion to the ophthalmic arteries. While these patients have a lower risk of recurrent ipsilateral ischaemic events compared with patients with hemispheric events, the potential relationship between OIE and cerebral white matter hyperintensities (WMHs), as a manifestation of small vessel disease, has not been explored. This study investigated the presence of WMHs in patients with OIE compared with asymptomatic patients with carotid artery stenosis scheduled for carotid revascularisation.</div></div><div><h3>Methods</h3><div>A retrospective analysis of patient and pre-operative imaging data from January 2003 to February 2022 was conducted at two large tertiary referral stroke centres. The primary outcome was presence and severity of WMHs, according to the Fazekas scale score and quantitative volume measurements using fluid attenuated inversion recovery imaging of the hemisphere corresponding to the treated and non-treated arteries. Analyses were performed using logistic and linear regression.</div></div><div><h3>Results</h3><div>A total of 203 patients (108 asymptomatic, 95 with OIE) were included. Among those with OIE, 76 experienced transient monocular vision loss, 11 had retinal artery occlusion, and eight had ocular ischaemic syndrome. Fazekas scores were comparable between asymptomatic patients and those with OIE. In both groups, WMH was more pronounced in the periventricular white matter compared with the deep white matter. Multivariable linear regression analysis adjusted for patient demographics, cerebrovascular risk factors, and silent brain infarcts further revealed that patients with OIE had statistically significantly higher log transformed WMH volumes than asymptomatic patients in both the hemisphere corresponding to the treated artery (β 0.62, 95% confidence interval [CI] 0.05 – 1.18) and the hemisphere corresponding to the non-treated artery (β 1.04, 95% CI 0.41 – 1.67).</div></div><div><h3>Conclusion</h3><div>Patients with OIE showed higher WMH volumes compared with asymptomatic patients. This may reflect an increased vulnerability to subclinical cerebral small vessel disease, supporting the potential role of intensified brain protective strategies, such as stricter lifestyle modification and more aggressive cardiovascular risk management, in addition to the prevention of ocular ischaemia.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 3","pages":"Pages 367-373"},"PeriodicalIF":6.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979422","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 Delphi Process and Vascular Surgical Practice- Creating Clarity or Contributing to Chaos?","authors":"Ian Loftus,&nbsp;James Black","doi":"10.1016/j.ejvs.2025.09.050","DOIUrl":"10.1016/j.ejvs.2025.09.050","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 3","pages":"Pages 349-350"},"PeriodicalIF":6.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208408","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":"Incidence of Post-operative Delirium in Patients Undergoing Procedures for Chronic Limb Threatening Ischaemia: Evidence for Cognitive Screening?","authors":"John S.M. Houghton ,&nbsp;Amirah Essop-Adam ,&nbsp;Laura J. Gray ,&nbsp;Harjeet S. Rayt ,&nbsp;Rob D. Sayers ,&nbsp;Victoria J. Haunton","doi":"10.1016/j.ejvs.2025.10.052","DOIUrl":"10.1016/j.ejvs.2025.10.052","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 3","pages":"Pages 514-515"},"PeriodicalIF":6.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145403129","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":"Mapping the European Society for Vascular Surgery Carotid Guidelines to Swissvasc: A Model for Evidence Based Registry Improvement","authors":"Philippe Stauffer ,&nbsp;Benedikt Reutersberg ,&nbsp;Alexander Zimmermann ,&nbsp;Lorenz Meuli","doi":"10.1016/j.ejvs.2025.10.042","DOIUrl":"10.1016/j.ejvs.2025.10.042","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 3","pages":"Pages 512-513"},"PeriodicalIF":6.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145395173","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":"Expanding the View: Insights into Methodological and Clinical Aspects of the TRANSCEND Study","authors":"Katharina Kurzmann-Guetl,&nbsp;Marianne Brodmann,&nbsp;Peter A. Schneider","doi":"10.1016/j.ejvs.2025.05.008","DOIUrl":"10.1016/j.ejvs.2025.05.008","url":null,"abstract":"","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 3","pages":"Pages 520-521"},"PeriodicalIF":6.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144058665","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":"Vascular Graft and Endograft Infections: A Delphi Consensus Document on Terminology, Definitions, Treatment, Outcomes, Follow Up, and Reporting Standards","authors":"Karl Sörelius ,&nbsp;Robin Verhoek ,&nbsp;Xavier Berard ,&nbsp;Oliver T.A. Lyons ,&nbsp;Mathilde Puges ,&nbsp;Thomas R. Wyss ,&nbsp;International Expert Panel on Vascular Graft and Endograft Infections ,&nbsp;European Society for Vascular Surgery Clinical Practice Guidelines on the Management of Vascular Graft and Endograft Infections Writing Committee","doi":"10.1016/j.ejvs.2025.07.044","DOIUrl":"10.1016/j.ejvs.2025.07.044","url":null,"abstract":"<div><h3>Objective</h3><div>There is a lack of consensus on certain terminology and definitions related to vascular graft and endograft infections (VGEIs) and secondary aorto-enteric erosion and or fistula and their treatment, outcome reporting, follow up, and reporting standards. The objective of this study was to complete a Delphi consensus study on these VGEI related issues.</div></div><div><h3>Methods</h3><div>The Delphi methodology was used with a panel of 43 international experts (specialists in vascular or cardiovascular surgery, infectious diseases, nuclear medicine, and radiology). Four Delphi rounds were planned using an online questionnaire initially with 31 statements. Panellists rated the statements on a five point Likert scale. Comments on statements were analysed, statements were revised, added, or deleted, and the results were presented in iterative rounds. Consensus was defined as ≥ 75% of the panel rating a statement as strongly agree or agree on the Likert scale, and consensus on the final assessment was defined as Cronbach’s α &gt; 0.80. Reporting was performed according to the ACcurate COnsensus Reporting Document (ACCORD) guideline.</div></div><div><h3>Results</h3><div>All 43 panellists fulfilled all four rounds, resulting in 100% participation. Cronbach’s α increased through the rounds: round 1, 0.88; round 2, 0.89; round 3, 0.90; and round 4, 0.90. A final fifth round was performed among all surgeons (<em>n</em> = 27) defining secondary aorto-enteric erosion and or fistula, with 100% participation. Agreement was reached for 29 final statements: two on need for consensus, two on definition of multidisciplinary team, three on microbiology diagnosis, six on treatment, three on secondary graft-enteric partial erosion, secondary graft-enteric fistula, and secondary aorto-enteric fistula, three on treatment outcomes, nine on follow up, and one on reporting standards including 11 items.</div></div><div><h3>Conclusion</h3><div>Consensus was achieved for 29 statements, which were developed to establish a common perception of VGEI and secondary aorto-enteric erosion and or fistula, with the potential to improve research in this field and ultimately patient care.</div></div>","PeriodicalId":55160,"journal":{"name":"European Journal of Vascular and Endovascular Surgery","volume":"71 3","pages":"Pages 497-507"},"PeriodicalIF":6.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762404","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}