The Effect of Metabolic Syndrome on the Occurrence of Restenosis After Carotid Endarterectomy
This study aimed to determine the influence of MetS on the occurrence of restenosis after carotid endarterectomy (CEA). (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 22, 2019 Category: Surgery Authors: Bastiaan M. Wallis de Vries, Nathalie Timmerman, Constance J.H.C.M. van Laarhoven, Linda Visser, Robert A. Pol, Mostafa El Moumni, Gerard Pasterkamp, Gert J. de Borst, Clark J. Zeebregts Source Type: research

Impact of Endovascular Pedal Artery Revascularisation on Wound Healing in Patients With Critical Limb Ischaemia
The present study investigated the impact of endovascular pedal artery revascularisation (PAR) on the clinical outcomes of patients with critical limb ischaemia (CLI). (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 22, 2019 Category: Surgery Authors: Hae Won Jung, Young-Guk Ko, Sung-Jin Hong, Chul-Min Ahn, Jung-Sun Kim, Byeong-Keuk Kim, Donghoon Choi, Myeong-Ki Hong, Yangsoo Jang Source Type: research

Effects of Remote Ischaemic Preconditioning on Arterial Stiffness in Patients Undergoing Lower Limb Angiographic Procedures: A Randomised Clinical Trial
Remote ischaemic preconditioning (RIPC) is a phenomenon that promotes protection of tissues and organs against ischaemia reperfusion injury. RIPC has been shown to reduce myocardial and renal injury but its effect on arterial stiffness in patients undergoing lower limb digital subtraction angiography (DSA) is unknown. The aim of this study was to evaluate the effect of RIPC on arterial stiffness in patients with peripheral arterial disease (PAD) undergoing lower limb DSA. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 21, 2019 Category: Surgery Authors: Karl Kuusik, Teele Kepler, Mihkel Zilmer, Jaan Eha, Mare V ähi, Jaak Kals Source Type: research

Strict Control of Blood Glucose With an Intravenous Insulin Infusion Decreases the Risk of Post-operative Lower Extremity Weakness After Complex Endovascular Aortic Aneurysm Repair
It has previously been shown that post-operative lower extremity weakness (LEW) is associated with elevated blood and cerebrospinal fluid (CSF) glucose levels after branched endovascular aneurysms repair (BEVAR) of extensive aortic aneurysms. The purpose of this study was to determine whether a post-operative insulin infusion protocol (IIP) to achieve tight blood glucose control decreases the rate of LEW. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 18, 2019 Category: Surgery Authors: Jade S. Hiramoto, Megan Hoffman, Warren Gasper, Linda Reilly, Timothy Chuter Source Type: research

The Effect of Frailty on Outcome After Vascular Surgery
Frailty is a state of increased vulnerability and is a stronger predictor for post-operative outcome than age alone. The aim of this study was to determine whether frailty is associated with adverse 30 day outcome in vascular surgery patients. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 18, 2019 Category: Surgery Authors: Linda Visser, Louise B.D. Banning, Mostafa El Moumni, Clark J. Zeebregts, Robert A. Pol Source Type: research

Magnetic Resonance Imaging Identified Brain Ischaemia in Symptomatic Patients Undergoing Carotid Endarterectomy Is Related to Histologically Apparent Intraplaque Haemorrhage
Intraplaque haemorrhage (IPH) has been independently associated with a higher risk of future ipsilateral stroke in patients with carotid artery stenosis. Evaluation of plaque characteristics may contribute to risk assessment of recurrent (silent) cerebrovascular events in order to prioritise patients for timing of treatment. It is unknown if patients showing histologically apparent IPH also have increased risk of silent ischaemic brain lesions in the waiting period between index event and revascularisation. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 18, 2019 Category: Surgery Authors: Marjolijn L. Rots, Nathalie Timmerman, Dominique P.V. de Kleijn, Gerard Pasterkamp, Martin M. Brown, Leo H. Bonati, Gert J. de Borst Source Type: research

The Missing Biomarker or Biomarker Panel in the Recovery of Muscle Mitochondrial Function
It might be questioned why the careful, but invasive, scientific study by Gratl et  al.1 should be published in this journal, because it has no immediate clinical application. The study shows that muscle mitochondrial function is depressed in the leg muscle of patients with isolated superficial femoral artery (SFA) lesions causing intermittent claudication (Fontaine stage IIb or III) disease, but that gastrocnemius mitochondrial function is normalised six weeks after successful revascularisation. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 18, 2019 Category: Surgery Authors: Janet T. Powell Tags: Invited Commentary Source Type: research

Aortic and Systemic Arterial Stiffness Responses to Acute Exercise in Patients With Small Abdominal Aortic Aneurysms
Elevated arterial stiffness is a characteristic of abdominal aortic aneurysm (AAA), and is associated with AAA growth and cardiovascular mortality. A bout of exercise transiently reduces aortic and systemic arterial stiffness in healthy adults. Whether the same response occurs in patients with AAA is unknown. The effect of moderate- and higher intensity exercise on arterial stiffness was assessed in patients with AAA and healthy adults. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 17, 2019 Category: Surgery Authors: Maria Perissiou, Tom G. Bailey, Mark Windsor, Kim Greaves, Michael C.Y. Nam, Fraser D. Russell, Jill O'Donnell, Rebecca Magee, Pankaj Jha, Karl Schulze, Anthony S. Leicht, Jonathan Golledge, Christopher D. Askew Source Type: research

Cryopreserved Venous Allografts in Supra-inguinal Reconstructions: A Single Centre Experience
This study introduces a novel technique for supra-inguinal arterial reconstructions with cryopreserved femoral vein and caval allografts with a low re-infection rate and an acceptable graft re-intervention rate on early mid term analysis. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 17, 2019 Category: Surgery Authors: Ivika Heinola, Ilkka Kantonen, Ilkka Mattila, Anders Alb äck, Maarit Venermo Source Type: research

Response to Letter to the Editor: Risk Factors of Pulmonary Embolism
We thank Dr Kang and Dr Zhang for their interest in our study and their note regarding the potential relevance of systemic inflammatory disease (e.g. psoriasis) as a risk factor for pulmonary embolism (PE) after endovascular aortic repair (EVAR). (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 17, 2019 Category: Surgery Authors: Remco B. Grobben, Cynthia Frima, Hendrik M. Nathoe, Joost A. Van Herwaarden Tags: Correspondence Source Type: research

Retrograde Femoral Arterial Endoprosthesis Insertion for Access Site Haemorrhage After Percutaneous Endovascular Aneurysm Repair
(Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 17, 2019 Category: Surgery Authors: Kersten Morgan Bates, Arindam Chaudhuri Tags: Coup D ’Oeil Source Type: research

Distal Stent Graft Induced New Entry: Risk Factors in Acute and Chronic Type B Aortic Dissections
Distal stent graft induced new entry (dSINE) is a rare complication associated with acute and chronic dissections after thoracic endovascular aortic repair (TEVAR) and is linked to a high re-intervention rate. The potential predicting risk factors for dSINE and long term outcome of patients after re-intervention were analysed. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 15, 2019 Category: Surgery Authors: Julia Lortz, Felicitas Leinburger, Konstantinos Tsagakis, Christos Rammos, Alexander Lind, Thomas Schlosser, Heinz Jakob, Tienush Rassaf, Rolf Alexander J ánosi Source Type: research

Prospective Study of the Iliac Branch Device E-liac in Patients with Common Iliac Artery Aneurysms: 12  Month Results
At 12 months follow up of the PLIANT study, clinical success and efficacy of the E-liac Stent Graft System (JOTEC GmbH, Hechingen, Germany) were evaluated. Clinical success was defined as aneurysm exclusion (no type I, III, IV endoleak) with primary patency of the internal iliac artery (IIA) and external iliac artery (EIA) on the E-liac implantation side. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 12, 2019 Category: Surgery Authors: Jan S. Brunkwall, Carlos V. Puerta, J örg Heckenkamp, Jose M. Egaña Barrenechea, Piotr Szopinski, Gerard Mertikian, Sven Seifert, Gerhard Rümenapf, Semih Buz, Afshin Assadian, Payman Majd, Spyridon Mylonas, Alvaro R. Calavia, Thorsten Theis, Mariano de Source Type: research

Impact of Stent Graft Design on External Iliac Artery Limb Occlusion Rates After Endovascular Aneurysm Repair: Post-hoc Analysis of a Japanese Multicentre Database
It was hypothesised that a helical stent with expanded polytetrafluoroethylene (ePTFE) grafts could provide a preventive effect for external iliac artery (EIA) limb occlusion following endovascular aortic aneurysm repair (EVAR). Therefore, a post-hoc analysis of a Japanese multicentre database was conducted to assess the impact of the stent graft design on EIA limb occlusion rates. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 11, 2019 Category: Surgery Authors: Tsunehiro Shintani, Hideaki Obara, Kentaro Matsubara, Keita Hayashi, Masanori Hayashi, Shigeshi Ono, Tatsuya Shimogawara, Shintaro Shibutani, Susumu Watada, Yasuhito Sekimoto, Norio Uchida, Atsunori Asami, Taku Fujii, Hirohisa Harada, Naoki Fujimura, Yasu Source Type: research

Combination of Colour Duplex and Contrast Enhanced Ultrasound as an Alternative to Computed Tomography Angiography in Isolated Mesenteric Artery Dissection Surveillance
The aim was to investigate the effectiveness of colour duplex ultrasound (CDU) plus contrast enhanced ultrasound (CEUS) vs. computed tomography angiography (CTA) for surveillance in patients with isolated mesenteric artery dissection (IMAD). (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 11, 2019 Category: Surgery Authors: Bobo Wu, Xiuhua Wu, Kai Wang, Feng Tian, Lihua Cheng, Zhongzhi Jia Source Type: research

Metamorphosis: Less Is More in Varicose Vein Surgery
This interesting paper by Somasundaram et  al. is focused on office based varicose vein surgery, with segmental radiofrequency ablation of the saphenous vein without treating the collateral veins, as the first option. Classically, varicose vein treatment includes the extraction or elimination of all veins involved; therefore, the non-treat ment of any of the affected veins is considered a technical failure.1 Nevertheless, selective treatment of varicose veins without treating all the affected ones is one of the accepted strategies in the CHIVA method1,2 and other haemodynamic approaches. (Source: European Journal of V...
Source: European Journal of Vascular and Endovascular Surgery - October 10, 2019 Category: Surgery Authors: Sergi Bellmunt-Montoya, Jos é M. Escribano Tags: Correspondence Source Type: research

Erratum to ‘Long-term Survival and Risk Analysis in 136 Consecutive Patients With Type B Aortic Dissection Presenting to a Single Centre Over an 11-year Period’ [European Journal of Vascular & Endovascular Surgery 57/5 (2019) 633 –8]
The publisher regrets that the table and figure legends quoted “type A dissections” instead of “type B dissections”. The correct table and figure legends are: (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 9, 2019 Category: Surgery Authors: Rachel E. Clough, David Barill à, Pascal Delsart, Guillaume Ledieu, Rafaelle Spear, Siobhan Crichton, Claire M. Vehier, Janet Peacock, Jonathan Sobocinski, Stephan Haulon Tags: Erratum Source Type: research

A Farewell to Classic Qualitative Microscope Histology Assessment
Plaque stability assessment is important for both clinical and fundamental applications. This is the crucial starting point to position the biobank as the cornerstone in our ongoing push to reveal the relationship between atherosclerosis and clinical endpoints.1 (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 7, 2019 Category: Surgery Authors: Gert J. de Borst Tags: Invited Commentary Source Type: research

Erratum to ‘A Systematic Review and Meta-Analysis of the Efficacy and Safety of Anticoagulation in the Treatment of Venous Thromboembolism in Patients With Cancer’ [European Journal of Vascular & Endovascular Surgery 57/5 (2019) 685 –701]
The publisher regrets that a mistake was made during typesetting of Figures  4D and 4E, where the legend of the X axis of the forest plots should read ‘Favours DOAC Image 1 Favours LMWH’ instead of ‘Favours DOAC Image 1 Favours DOAC’ as originally stated. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 5, 2019 Category: Surgery Authors: George I. Kirkilesis, Stavros K. Kakkos, Ioannis A. Tsolakis Tags: Erratum Source Type: research

Surrogate Markers and Reporting Standards for Outcome After Carotid Intervention
Recently, a focus on the timing of intervention, as well as improvements in medical therapy, have changed the clinical treatment algorithm of carotid revascularisation. The debate remains alive when it comes to the optimal treatment strategy, including early ( (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 1, 2019 Category: Surgery Authors: Marjolijn L. Rots, Aad van der Lugt, Gert J. de Borst Tags: Editorial Source Type: research

Achieving Thinned Blood: One Size Fits All?
Heparin is used universally as a peri-procedural prophylactic antithrombotic during peripheral arterial interventions. The primary aim is to prevent arterial thrombo-embolic complications. Heparin is also used as a flushing solution ( “Hepsal”) on the side ports of sheaths and in the preparation of catheters to reduce thrombus formation. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - October 1, 2019 Category: Surgery Authors: Edward T.C. Choke, Jia S. Tay Tags: Invited Commentary Source Type: research

Adding Insight to Injury!
The 2017 European Society for Vascular Surgery (ESVS) guidelines on the management of carotid disease concluded there was no evidence that new ‘silent brain infarction’ (SBI) after carotid interventions was associated with cognitive decline1. However, two recent publications have reopened this debate and question whether this interpretation of the literature holds true. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 30, 2019 Category: Surgery Authors: A.R. Naylor, J.D. Spence Tags: Editorial Source Type: research

Placement of a Central Venous Catheter Into the Right Vertebral Artery Despite Ultrasound Guidance
(Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 26, 2019 Category: Surgery Authors: Robert C. Lind, Bengt Arvidsson Tags: Coup D ’Oeil Source Type: research

Cryoveinorta – Another Option for Supra-inguinal Primary Aortic and Arterial Graft Infections?
Aortic infection remains a morbid problem as shown by actuarial one year outcomes. Antibiotics alone are usually fatal. Ex situ bypass with aortic stump ligation is complicated by 73% survival, 25% limb loss, frequent graft failure, prosthetic re-infection, and 13% aortic stump blowout. Excision with in situ replacement using antibiotic or silver impregnated grafts has a better outcome, but not if the organism is virulent. Excision with autogenous femoral vein(s) reconstruction also offers better one year outcomes; 90% survival, 7% limb loss, and 100% primary patency. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 26, 2019 Category: Surgery Authors: Frank T. Padberg Tags: Invited Commentary Source Type: research

A Clinical Validation Study of Anatomical Risk Scoring for Procedural Stroke in Patients Treated by Carotid Artery Stenting in the International Carotid Stenting Study
Vascular anatomy of the aortic arch and supra-aortic arteries has been suggested as influencing the risk of carotid artery stenting (CAS). The expert opinion based Delphi anatomical risk (DAR) score was developed to predict difficulty of CAS in relation to procedural stroke risk, and thereby aid patient selection. The aim was to validate the DAR score in the context of a randomised clinical trial. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 25, 2019 Category: Surgery Authors: Djurre D. de Waard, Evelien E. de Vries, Anne E. Huibers, Mechteld M. Arnold, Paul J. Nederkoorn, Lukas C. van Dijk, Aad van der Lugt, Peter J. Koudstaal, Leo H. Bonati, Martin M. Brown, Gert J. de Borst Source Type: research

A Rare Case of Arterial Tortuosity Syndrome
(Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 24, 2019 Category: Surgery Authors: Gabriele Pagliariccio, Marco Macchini Tags: Coup D ’Oeil Source Type: research

Editorial Board
(Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 21, 2019 Category: Surgery Source Type: research

Contents
(Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 21, 2019 Category: Surgery Source Type: research

Forthcoming Events
(Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 21, 2019 Category: Surgery Source Type: research

One year on: Test your knowledge from the previous year
(Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 21, 2019 Category: Surgery Source Type: research

Selected Abstracts from the October Issues of the Journal of Vascular Surgery and the Journal of Vascular Surgery: Venous and Lymphatic Disorders
Frank M. Davis, MD, Erin Jerzal, BA, Jeremy Albright, PhD, Andris Kazmers, MD, MSPH, Ash Monsour, MD, Paul Bove, MD and Peter K. Henke, MD (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 21, 2019 Category: Surgery Tags: Abstracts Source Type: research

Abstracts from Issue 44 of EJVES Short Reports
Wolfgang G. Mouton and Christian Amonn (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 21, 2019 Category: Surgery Tags: Abstracts Source Type: research

EJVES vol. 58, issue 4 (October 2019) - Spanish Translated Abstracts
(Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 21, 2019 Category: Surgery Source Type: research

Major Amputation Rates in Patients with Peripheral Arterial Disease Aged 50  Years and Over in Denmark during the period 1997–2014 and their Relationship with Demographics, Risk Factors, and Vascular Services
The aim of this nationwide study was to provide insight into the incidence and geographical distribution of vascular services and major amputations in patients with peripheral arterial disease (PAD) in Denmark. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 21, 2019 Category: Surgery Authors: Louise S. Londero, Annette Hoegh, Kim Houlind, Jes Lindholt Source Type: research

Quantitative Stent Graft Motion in ECG Gated CT by Image Registration and Segmentation: In  Vitro Validation and Preliminary Clinical Results
The dynamic endovascular environment of stent grafts may influence long term outcome after endovascular aneurysm repair (EVAR). The sealing and fixation of a stent graft to the aortic wall is challenged at every heartbeat, yet knowledge of the cardiac induced dynamics of stent grafts is sparse. Understanding the stent –artery interaction is crucial for device development and may aid the prediction of failure in the individual patient. The aim of this work was to establish quantitative stent graft motion in multiphasic electrocardiogram (ECG) gated computed tomography (CT) by image registration and segmentation techni...
Source: European Journal of Vascular and Endovascular Surgery - September 20, 2019 Category: Surgery Authors: Maaike A. Koenrades, Esmeralda M. Struijs, Almar Klein, Hendrik Kuipers, Michel M.P.J. Reijnen, Cornelis H. Slump, Robert H. Geelkerken Source Type: research

Effect of Endovascular Treatment Rate on Population Level Outcomes and Survival After Intact Abdominal Aortic Aneurysm Repair
The aim was to study outcomes of endovascular aneurysm repair (EVAR) and open surgical repair (OSR) of abdominal aortic aneurysms (AAAs) in four geographically adjacent populations with identical demographics and variable EVAR rates. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 20, 2019 Category: Surgery Authors: Paavo Paajanen, Kimmo M äkinen, Jari Karjalainen, Petri Saari, Jyrki Virkkunen, Teemu Partio, Johanna Turtiainen, Jussi M. Kärkkäinen Source Type: research

Is the Small Saphenous Vein Really Effective as a Graft?
We read with interest the article by Nierlich and colleagues describing use of the small saphenous vein as a graft.1 We commend the authors' efforts in almost 20 years of research on use of the small saphenous vein as a graft, but there are several issues worthy of discussion in the study. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 20, 2019 Category: Surgery Authors: Zhou Peng-Wu, Yukui-Ma Tags: Correspondence Source Type: research

Re: “Mid Term Results of Endovascular Treatment for Spontaneous Isolated Dissection of the Superior Mesenteric Artery”
As we mentioned in our article and as confirmed by another large cohort study,1,2 the conservative treatment remodelling rate was unsatisfactory, leaving concerns about recurrence. All the reviews Dr Jia cited in his letter were based on mainly small retrospective cohorts. Many of the cohorts were published a long time ago, with bias and ignoring the development of endovascular treatments. Our cohort, on the contrary, enrolled more than 100 patients. During the follow up period of up to five years, the complete remodelling rate  in the stent group reached 88%, which was exciting. (Source: European Journal of Vascular ...
Source: European Journal of Vascular and Endovascular Surgery - September 20, 2019 Category: Surgery Authors: Chenyang Qiu, Ziheng Wu Tags: Correspondence Source Type: research

New Quantitative Digital Image Analysis Method of Histological Features of Carotid Atherosclerotic Plaques
Atherosclerosis and its thrombotic complications are major causes of morbidity and mortality worldwide. Plaque stability assessment is considered to be important for both clinical and fundamental applications. The current gold standard method to investigate plaque stability is performed by histological assessment of plaque features using semi-quantitative classifications. However, these assessments can be limited by subjectivity and variability. Thus, the aim was to develop a new digital image analysis method to measure quantitatively individual plaque features that is more precise than existing semi-quantitative methods. ...
Source: European Journal of Vascular and Endovascular Surgery - September 19, 2019 Category: Surgery Authors: Huaien Zheng, Karina Gasbarrino, John P. Veinot, Chi Lai, Stella S. Daskalopoulou Source Type: research

A Mycotic Saccular Aneurysm Diagnosed With 18F-Labelled Fluoro-2-Deoxyglucose Positron Emission Tomography/Computed Tomography Scanning
(Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 19, 2019 Category: Surgery Authors: Spyros Papadoulas, Stavros K. Kakkos Tags: Coup D ’Oeil Source Type: research

Ruptured Abdominal Aortic Aneurysms: Should We Palliate on Age?
Roosendaal et  al.1 conducted an up to date meta-analysis of mortality outcomes following ruptured abdominal aortic aneurysm (rAAA) in the over 80s, totalling 7 526 patients. The pooled results of eight studies identified an overall mortality rate of 43% at 30 days (27% endovascular aneurysm repair (EVAR), 52% o pen) with a significant advantage of EVAR over open repair. In addition, four studies totalling 2 550 patients reported one year mortality of 47%, also with a relative risk of 0.65 between EVAR and open. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 19, 2019 Category: Surgery Authors: Philip W. Stather Tags: Invited Commentary Source Type: research

A Pearl in the Oyster Is Not Common, but Still Precious
I worked at a tertiary referral centre for many years, and once or twice a year we treated patients with isolated mesenteric artery dissection (IMAD) of the superior mesenteric artery (SMA). When we wrote the 2017 ESVS Mesenteric Guidelines1 we realised that all the important publications in this field were from Korea, Japan, and China. The reason why IMAD is more common in Eastern Asia is unclear. Both genetic and environmental factors may explain this great difference in incidence. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 19, 2019 Category: Surgery Authors: Martin Bj örck Tags: Invited Commentary Source Type: research

Re: “Proposed NICE Abdominal Aortic Aneurysm Repair Guidelines: Swinging the Pendulum too Far?”
I read the editorial by Llapis et  al.1 with great interest. The title is absolutely correct with the NICE guidelines swinging the pendulum too far. However, I was left disappointed with some of the arguments in the editorial as they swung the pendulum too far the other way. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 19, 2019 Category: Surgery Authors: Julien Al Shakarchi Tags: Correspondence Source Type: research

Guidelines Are Perishable Goods that Can Go Bad Quickly
The article by Yamaguchi et  al.1 describes a national claim based registry study from Japan in which the outcomes of ruptured AAA (rAAA) were analysed, focusing on elderly (aged ≥ 80 years) patients. Almost 4000 patients were included, half aged> 80 years. Elderly patients with rupture were less likely to be treated, and those treated had a worse outcome compared with younger patients. However, for the subgroup of patients selected for EVAR, no significant difference was seen in short term outcome between elderly and younger patients. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 18, 2019 Category: Surgery Authors: Anders Wanhainen, Kevin Mani Tags: Invited Commentary Source Type: research

Endoscopic Superficialisation of Haemodialysis Arteriovenous Fistulas in Obese Patients – Safety, Feasibility, and Outcomes
The aim was to evaluate the safety and feasibility of endoscopic superficialisation (ES) in patients with deeply located cephalic veins in well matured arteriovenous fistulae (AVF) and to present functional outcomes. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 17, 2019 Category: Surgery Authors: Jasmin Zeindler, Sabine Richarz, Marco Franchin, Savas D. Soysal, Lorenz G ürke, Andrej Isaak Source Type: research

Re. “Is the Small Saphenous Vein Really Effective as a Graft”
We are grateful to ZhouPeng-Wu and Yukui-Ma for their challenging comments on our recently published paper about the use of the small saphenous vein (SSV) as an alternative for peripheral vein bypass. We would like to address all of the points raised in their letter. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 17, 2019 Category: Surgery Authors: Florian K. Enzmann, Patrick Nierlich Tags: Correspondence Source Type: research

Remote Ischaemic Preconditioning: The Silver Bullet or a Stepping Stone to Success in the Arteriopath?
Experimental data suggest causal relationships between remote ischaemic preconditioning (RIPC) and end organ protection. To date, its mechanism is incompletely understood while efficacy ex  vivo has not been borne out by translational data. In keeping with the sentiment of Lejay et al.,1 we propose that the benefits of RIPC may indeed be shrouded by the methodological inadequacies of current clinical evidence. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 15, 2019 Category: Surgery Authors: Thomas M. Aherne, Tjun Y. Tang, Stewart R. Walsh Tags: Correspondence Source Type: research

Durability of Open Repair of Juxtarenal Abdominal Aortic Aneurysms: A Multicentre Retrospective Study in Five French Academic Centres
With a focus on renal function, the goal of this multicentre study was to assess peri-operative complications and late mortality of open surgical repair (OSR) of juxtarenal abdominal aortic aneurysms (JRAAA). (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 14, 2019 Category: Surgery Authors: Xavier Chaufour, Jean Segal, Raphael Soler, Guillaume Daniel, Eugenio Rosset, Jean-Pierre Favre, Pierre-Edouard Magnan, Jean Baptiste Ricco, Association Universitaire de Recherche en Chirurgie (AURC) Source Type: research

The Consequences of Negligence Claims in Arterial Surgery – An Analysis of Two Periods with an Increasing Use of Endovascular Treatment
Patient treatment within the Swedish medical service system can claim negligence injuries to the malpractice insurance review board and request financial compensation. The aim of this paper was to analyse the consequences of a negligence claim after arterial surgery between two periods with increasing use of endovascular treatment. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 14, 2019 Category: Surgery Authors: David Bergqvist, Larsolof Hafstr öm, Pelle Gustafson Source Type: research

Quality Indicators in Peripheral Arterial Occlusive Disease Treatment: A Systematic Review
This systematic review aimed to identify evidence based quality indicators for invasive revascularisation of symptomatic peripheral arterial occlusive disease (PAOD). (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - September 13, 2019 Category: Surgery Authors: Sandra Hischke, Henrik C. Rie ß, Maria K. Bublitz, Levente Kriston, Thea Schwaneberg, Martin Härter, Daniel Bertges, Eike S. Debus, Christian-Alexander Behrendt Tags: Systematic Review Source Type: research