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Source: European Journal of Vascular and Endovascular Surgery

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Total 289 results found since Jan 2013.

What Are We Looking For? The Needle in the Haystack or the Usual Suspect?
Only patients with a high risk of stroke on optimal medical therapy (OMT) will benefit from carotid revascularisation. However, for a large range of patients there is neither clear benefit nor harm from carotid endarterectomy (CEA). Over the past decade, atherosclerotic plaques harvested during CEA have shown a time dependent change in plaque composition characterised by a decrease in features currently believed to be the cause of plaque instability,1 whereas medical therapy has improved with more widespread use of statins, more active lowering of blood pressure, and more effective antiplatelet regimens.
Source: European Journal of Vascular and Endovascular Surgery - May 24, 2018 Category: Surgery Authors: Gert J. de Borst Tags: Invited Commentary Source Type: research

Re: “Editor's Choice - Management of Atherosclerotic Carotid and Vertebral Artery Disease: 2017 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS)”
The European Society for Vascular Surgery (ESVS) is to be commended for updating1 the “ESVS Guidelines. Invasive Treatment for Carotid Stenosis: Indications, Techniques.”2 Managing patients with cerebral ischaemia is of paramount importance, taking into consideration that despite advances in medical and surgical/interventional therapies, the number of strokes remains high in most parts of the world,3 and the prevalence of vascular risk factors in patients with stroke is increasing.4
Source: European Journal of Vascular and Endovascular Surgery - April 16, 2018 Category: Surgery Authors: Christos D. Liapis, the 2009 ESVS Guidelines Writing Group and Collaborators Tags: Correspondence Source Type: research

Hospital and Institutionalisation Care Costs after Limb and Visceral Ischaemia Benchmarked Against Stroke: Long-Term Results of a Population Based Cohort Study
There are few published data on the acute care or long-term costs after acute/critical limb or visceral ischaemia (ACLVI) events. Using data from patients with acute events in a population based incidence study (Oxford Vascular Study), the present study aimed to determine the long-term costs after an ACLVI event.
Source: European Journal of Vascular and Endovascular Surgery - April 11, 2018 Category: Surgery Authors: Ramon Luengo-Fernandez, Dominic P.J. Howard, Kathleen G. Nichol, Emily Dobell, Peter M. Rothwell, the Oxford Vascular Study Source Type: research

Clinical Effect and Cost-Effectiveness of Screening for Asymptomatic Carotid Stenosis: A Markov Model
The cost-effectiveness of screening depends on the cost of screening, prevalence of asymptomatic carotid artery stenosis (ACAS), and the potential effect of medical intervention in reducing the risk of stroke. The aim of the study was to determine the threshold values for these parameters in order for screening for ACAS to be cost-effective.
Source: European Journal of Vascular and Endovascular Surgery - April 7, 2018 Category: Surgery Authors: Dominika H ögberg, Kevin Mani, Anders Wanhainen, Sverker Svensjö Source Type: research

Endovascular Versus Open Surgical Intervention in Patients with Takayasu's Arteritis: A Meta-analysis
Although medical treatment has advanced, surgical treatment is needed to control symptoms of Takayasu's arteritis (TA), such as angina, stroke, hypertension, or claudication. Endovascular or open surgical intervention is performed; however, there are few comparative studies on these methods. This meta-analysis and systematic review aimed to examine the outcome of surgical treatment of TA.
Source: European Journal of Vascular and Endovascular Surgery - April 2, 2018 Category: Surgery Authors: Jae Hyun Jung, Young Ho Lee, Gwan Gyu Song, Han Saem Jeong, Jae-Hoon Kim, Sung Jae Choi Tags: Review Source Type: research

Commentary on “A Feasibility Study of a New Unibody Branched Stent Graft Applied to Reconstruct the Canine Aortic Arch”
In their paper, Li et  al. have presented a new device for treating thoracic aortic pathologies involving the arch, which has demonstrated promising results on a canine model in terms of feasibility and ease of deployment.1 Aortic arch device development is currently a major research topic for innovative designs to meet the challenges of treatment in this area: mainly the risk of stroke and patient specific complex 3D anatomy.2 The ideal device should feature conformability, simplicity of deployment, durability, low profile delivery system, and short- and long-term safety.
Source: European Journal of Vascular and Endovascular Surgery - March 24, 2018 Category: Surgery Authors: Adeline Schwein, Yannick Georg, Nabil Chakf é Tags: Invited Commentary Source Type: research

Safety and Efficacy of Femoral Artery Closure with the FemoSeal Device After Cerebral Thrombectomy Using an 8 French Sheath
To evaluate the feasibility and safety of using the FemoSeal vascular closure device (VCD) to seal 8F access sites during mechanical thrombectomy for stroke.
Source: European Journal of Vascular and Endovascular Surgery - March 14, 2018 Category: Surgery Authors: Cyril Chivot, Herv é Deramond, Roger Bouzerar, Thierry Yzet Source Type: research

Commentary on “Post-carotid Endarterectomy Hypertension. Part 2: Association with Peri-operative Clinical, Anaesthetic, and Transcranial Doppler Derived Parameters”
Guidance on peri-operative haemodynamics is crucial to prevent procedural stroke in carotid endarterectomy (CEA) by preserving cerebral perfusion.1,2 Newman et  al. suggest a one size fits all post-operative systolic blood pressure (BP) policy treating > 170 mmHg or > 160 mmHg in patients with symptoms.3 This policy causes significant overtreatment, as two in five CEA patients will undergo in hospital BP lowering treatment for several days, leading to a high workload, increased in hospital costs, and bed occupancy.
Source: European Journal of Vascular and Endovascular Surgery - February 28, 2018 Category: Surgery Authors: Leonie M.M. Fassaert, Gert J. de Borst Tags: Correspondence Source Type: research