Defining Near Occlusion With Full Collapse on CTA
Objective: Carotid near occlusion with full collapse, the severe subset of near occlusions (Fig. 1), has been associated with a high risk of early pre-operative stroke recurrence.1,2 Full collapse has traditionally been defined as a threadlike appearance of the distal internal carotid artery (ICA).2 Recently, a measurement based definition of full collapse on computed tomography angiography (CTA) was suggested based on prognostic data: distal ICA diameter ≤ 2.0 mm and/or side to side distal ICA diameter ratio (ICA ratio) ≤ 0.42. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Alexander Henze, Allan J. Fox, Elias Johansson Source Type: research

Morbidity and Mortality Following Repair of Ruptured Abdominal Aortic Aneurysms in Octogenarians
Objective: The life expectancy of the North American population over 80 years of age is on the rise.1,2 Octogenarian abdominal aortic aneurysm (AAA) repair constitutes more than 20% of the intact AAA repairs performed in several countries.3,4 However, to date, no study has investigated the prevalence and outcomes associated with ruptured AAA (rAAA) repair in octogenarians. The goal was to use the Vascular Quality Initiative (VQI) database to quantify differences in survival and morbidity outcomes following rAAA in octogenarians. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Shaidah Deghan Manshadi, Christoffer Dharma, Naomi Eisenberg, Graham Roche-Nagle Source Type: research

Use of 3D Printed Models for Endovascular Planning and Training in PAD Patients Undergoing Endovascular Treatment
Objective: A precise pre-operative planning of endovascular treatments (EVTs) for patients with peripheral artery diseases (PADs) is crucial, since an inappropriate strategy may lead to peri-operative complications. Currently, EVT planning for PAD procedures is generally based upon pre-operative computed tomography angiography (CTA), or directly during the procedure through digital subtraction angiography (DSA) assessment. Recent experiences in literature suggest that the use of 3D printing technologies in surgery may help pre-operative planning, and may lead to better operative results. (Source: European Journal of Vascul...
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Paolo Perini, Ruben Foresti, Chiara Martini, Claudio Bianchini Massoni, Alexandra Catasta, Arianna Mersanne, Antonio Freyrie Source Type: research

Mid-Term Results of “Short” Inframalleolar Vein Bypasses in CLTI Patients After Previous Failed Tibial Angioplasty
Objective: There are major limitations in the current state of evidence guiding treatment decisions in critical limb threatening ischaemia (CLTI), particularly for severe anatomic patterns of disease treated via endovascular means. Open surgical bypass for long infrainguinal arterial occlusions is the preferred first approach in patients with a life expectancy of more than two years. However, the majority of CLTI patients have severe comorbidities with an increase of the overall peri-operative morbidity and mortality risks. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Nicola Troisi, Francesco Stilo, Giovanni De Caridi, Nunzio Montelione, Chiara Barill à, Raffaella Berchiolli, Daniele Adami, Francesco Spinelli, Filippo Benedetto Source Type: research

Computational Flow Simulation Reveals Adverse Haemodynamics Associated With Directional Branch Occlusion After Fenestrated Branched EVAR
This study assessed the hypothesis that CFS can identify adverse hemodynamic factors associated with occlusion of directional branches. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Ken Tran, Jesse Chait, Emmanuel Tenorio, Weiguang Yang, Alison Marsden, Bernardo Mendes, Jason Lee, Gustavo Oderich Source Type: research

Aneurysm Sac Size Post-EVAR as a Useful Marker for Future Endoleak: A Retrospective Review
This study aimed to examine the change in aneurysmal sac size over time and link these changes to the incidence of endoleak and secondary intervention. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Brigid Hill, Zoe Ashley, Sarah Lesche, Jo Krysa Source Type: research

Systematic Review and Meta-Analysis of Surgeon –Physician Co-Management of Vascular Inpatients: A New Care Model?
Objective: As the population ages and life expectancy increases, vascular surgeons are treating progressively older patients.1 The complex medical needs of the arteriopath population reflects the high levels of medical comorbidities. Furthermore, the prevalence of frailty, distinct from age and multimorbidity, is high in this population and is an independent risk factor of adverse peri-operative outcomes. Complications prolong the length of hospital stay with an additional impact on mortality, patient experience and decline in functional status, generating overall higher health and social care costs. (Source: European Jour...
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Megan Power Foley, Daniel Westby, Stewart R. Walsh Source Type: research

Antithrombotic Therapy and Freedom From Bridging Stent Occlusion After BEVAR: Multicentre Study Initiated by PRINCE2SS
Objective: Although significant improvement in the success rate and durability of branched endovascular aortic repair (BEVAR) was recently reported, the risk of bridging stent occlusion remains relevant.1,2 The PRINCE2SS international consensus suggests a lifelong antithrombotic therapy, depending on target vessels ’ anatomical characteristics, the use of multiple stents, and the stent’s length.3 In this multicentre international study, the aim was to analyse the risk of bridging stent occlusion after elective BEVAR depending on the antithrombotic therapy and compare it with the PRINCE2SS recommendation. (Source: Europ...
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Vaiva Dabravolskaite, Lorenz Meuli, Ozan Yazar, Lee Bouwmann, Hozan Mufty, Geert Maleux, Pekka Aho, Harri Hakovirta, Maarit Venermo, Vladimir Makaloski Source Type: research

CD31 Coated Surfaces Enhance Endothelialisation and Reduce Platelet Adhesion: A Promising Strategy for Improving Stent Graft Biocompatibility
Objective: The use of endovascular devices can trigger a pathogenic local tissue response at sites of stent implantation, which can eventually lead to restenosis. Although new generations of drug eluting stents are associated with lower incidence of intra-stent restenosis, the latter remains a concern. To address this issue, the aim was to camouflage the surface of the device with an endothelial like coating, which can help reduce the pathogenic tissue response triggered by the foreignness of the device and potentially decrease the incidence of restenosis. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Jean Senemaud, Charles Skarbek, Tina Song, Zongcheng Pan, Christophe Bureau, Giuseppina Caligiuri Source Type: research

A Novel Exercise Approach to Improve Exercise Performance and Quality of Life in Intermittent Claudicants
Objective: Intermittent claudication (IC) is a common and debilitating symptom of peripheral arterial disease, resulting in poor exercise performance and quality of life (QoL). Supervised exercise programmes are effective rehabilitation for patients with IC, but they are poorly adhered to partly due to high pain and effort associated with walking, aerobic, and resistance exercise. Therefore, alternative exercise methods that improve clinical outcomes and are well tolerated and adhered to by patients with IC are warranted and important. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Tom Parkington, David Broom, Tom Maden-Wilkinson, Shah Nawaz, Noman Shahzad, Markos Klonizakis Source Type: research

Prediction of Medium Term Survival Following Repair of Abdominal Aortic Aneurysm Using a Random Forest Classifier
Objective: The decision to electively repair an abdominal aortic aneurysm (AAA) is complex and involves balancing the risk of rupture, procedure related mortality, and life expectancy of each patient. Random forest classifiers are among the most powerful machine learning algorithms in use today. The aim of this study was to construct and validate a random forest machine learning tool to predict survival in the first two years following elective repair of AAA. (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Daniel Thompson, Reza Mofidi, Matthew Cheesman, Rhiannon Hackett, Peng F. Wong, Gerard Danjoux Source Type: research

The Collaborative Acute Aortic Syndrome Project (CAASP): Understanding Diagnostic Pathways and Their Impact on Survival
Objective: The primary aim of this study was to identify the factors related to time from symptom onset to hospital presentation and subsequent outcomes in patients presenting with acute aortic syndrome (AAS). (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Aminder Singh, Jim Zhong, Nawaz Safdar, Ganesh Vigneswaran, Sandip Nandhra, CAASP Collaborators Source Type: research

The Off The Shelf Covered Endovascular Reconstruction Of Iliac Bifurcation (CERIB) Technique
Objective: Distal landing zone in iliac arteries represents a common problem during endovascular abdominal aortic aneurysm repair (EVAR), especially when there is an aneurysm in the common iliac artery (CIA) or in the case of quite short CIA. The use of iliac branch devices increases the time of operation and makes the procedure more complex, while is not adequate for every iliac anatomy. The aim of this study is to present a novel technique for landing in the external iliac artery (EIA) during EVAR, while preserving blood flow in the internal iliac artery (IIA), using balloon expandable covered stents (BXCS). (Source: Eur...
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Konstantinos Spanos, Georgios Kouvelos, Konstantinos Dakis, Athanasios Chaidoulis, Metaxia Mpareka, Eleni Arnaoutoglou, Athanasios Giannoukas, Miltiadis Matsagkas Source Type: research

Endovascular Repair of 100 Urgent/Emergent Frank/Contained Thoraco-Abdominal Aortic Aneurysms Ruptures: An International Multicentre Trans-Atlantic Experience
Objective: Ruptured thoracoabdominal aortic aneurysm (RTAAA) represents a major vascular emergency needing prompt treatment. Open traditional repair with thoraco-phreno-laparotomy is associated with peri-operative mortality of up to 50%. Over the past years different endovascular techniques have emerged such as fenestrated/branched endovascular aortic repair (FB-EVAR) to treat TAAA with reliable early and mid-term results in elective patients. However, data regarding the treatment in urgent/emergent setting are still lacking, and fenestrated/branched endografts (off the shelf or customised), physician modified endografts (...
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Paolo Spath, Nikolaos Tsilimparis, Enrico Gallitto, Daniel Becker, Andrea Vacirca, B ärbel Berekoven, Giuseppe Panuccio, Angelos Karelis, Andrea Kahlberg, Antonio Cappiello, Germano Melissano, Nuno Dias, Tilo Kölbel, Martin Austermann, Gustavo Oderich, Source Type: research

Impact of Familial History of Aortic Disease on Endovascular Repair of Complex Aortic Aneurysms
Objective: Familial predisposition is a well known risk factor for developing complex abdominal aortic aneurysms (cAAAs) and thoracoabdominal aortic aneurysms (TAAAs), affecting approximately one in five patients. However, the clinical significance of family history (FH) of aortic disease on the outcomes of fenestrated branched endovascular aneurysm repair (FB-EVAR) has not been well described. The aim of this study was to evaluate the impact of FH of aortic disease on early and mid-term outcomes of FB-EVAR for treatment of complex aortic aneurysms (CAAs). (Source: European Journal of Vascular and Endovascular Surgery)
Source: European Journal of Vascular and Endovascular Surgery - March 1, 2024 Category: Surgery Authors: Titia Sulzer, Andres Schanzer, Carlos H. Timaran, Darren B. Schneider, Bernardo C. Mendes, Matthew J. Eagleton, Mark A. Farber, F. Ezequiel Parodi, Warren J. Gasper, Adam W. Beck, Matthew P. Sweet, Sara L. Zetterval, Anthony Lee, Ying Huang, Gustavo S. Od Source Type: research