Type 2 Endoleaks and Aneurysm Sac Growth: Can We Really Crack the Piñata?
Sealing Zone Failures and Durability of Endovascular Aneurysm Repair: Is it Time to Update Instructions for Use, Extend Repairs, or Change Follow Up Protocols?
Reporting and Methodological Quality of Systematic Reviews Underpinning Clinical Practice Guidelines for Vascular Surgery: A Systematic Review
Clinical practice guideline recommendations are often informed by systematic reviews. This review aimed to appraise the reporting and methodological quality of systematic reviews informing clinical practice recommendations relevant to vascular surgery.
Long Term Quality of Life, Health Status, and Residential Destination after Emergency Abdominal Aortic Aneurysm Repair
This retrospective, multicentre, observational cohort study aimed to assess the long term quality of life, health status, and residential destination after successful treatment of a ruptured abdominal aortic aneurysm (rAAA) treated with endovascular aneurysm repair (EVAR) or open surgical repair (OSR).
Midterm Outcomes of the BeGraft and BeGraft Plus Bridging Covered Stents for Fenestrated and Branched Endovascular Aneurysm Repair
The aim of this study was to report outcomes of the BeGraft and BeGraft Plus as bridging covered stents in fenestrated and branched endovascular aneurysm repair (F/BEVAR).
Low Profile Off the Shelf Multibranched Endografts for Urgent Endovascular Repair of Complex Aortic and Thoraco-abdominal Aneurysms in Patients with Hostile Iliac Access: European Multicentre Observational Study
The aim of the study was to report outcomes of a thoraco-abdominal, custom made, low profile (outer diameter 20 Fr) four branched endograft used as an off the shelf (OTS) solution for urgent juxta/pararenal abdominal aortic aneurysms (J/P-AAAs) and thoraco-abdominal aortic aneurysms (TAAAs) in the presence of hostile femoral/iliac access.
Feasibility and Safety of Exclusively Using Carbon Dioxide in Regular Endovascular Aortic Aneurysm Repair: Results of a Multicentre, Prospective, Zero Iodine Contrast Endovascular Aneurysm Repair Study
Carbon dioxide (CO) angiography has emerged as a viable alternative to regular iodinated contrast medium (ICM) for guiding endovascular aneurysm repair (EVAR) procedures. This study aimed to evaluate the feasibility and safety of a standardised EVAR procedure using only CO angiography.
Can Ignorance be Bliss and Less be More in Endovascular Aneurysm Repair Surveillance?
Off the Shelf Percutaneous Deep Vein Arterialisation for No-Option Chronic Limb Threatening Ischaemia
Significant Concerns Regarding Work-Life Balance Among Vascular Surgical Trainees in Portugal
Is Eversion Technique Associated with Lower Peri-operative Stroke or Death Compared to Carotid Endarterectomy with Patch Angioplasty? Secondary Data Analysis of the German Statutory Quality Assurance Database
Various studies have failed to detect a difference in outcomes between carotid endarterectomy (CEA) with patch angioplasty and eversion CEA. This study aimed to assess whether surgical technique and related department policy are associated with in hospital outcomes after CEA.
Remote Ischaemic Preconditioning for Claudication May Not Be Worthwhile
Peri-operative and Midterm Results of Supracoeliac vs. Infracoeliac Sealing for Fenestrated Endovascular Aortic Repair of Juxtarenal Aortic Aneurysms
This retrospective observational study using clinical data from two large hospitals in the Netherlands evaluated midterm outcomes of fenestrated endovascular aortic repair for juxtarenal abdominal aortic aneurysms (JAAAs), comparing supracoeliac with infracoeliac sealing. Supracoeliac sealing is considered advantageous due to a longer proximal sealing, but morbidity is usually higher. Supracoeliac proximal sealing was found to be safe and effective for treating JAAAs, with peri-operative and midterm outcomes comparable with infracoeliac proximal sealing. Future studies and extended long term follow up are required to determine whether supracoeliac sealing results in a more durable exclusion of the aneurysm sac.
Outcomes of Endovascular Repair for Ascending Aortic Diseases: A Systematic Review and Meta-analysis
High risk, inoperable patients with ascending aortic disease are increasingly managed with thoracic endovascular aortic repair (TEVAR). The aim of this study was to assess the available literature on TEVAR confined to the ascending aorta (aTEVAR), describing study and patient characteristics, procedural and stent graft details, and outcomes.
Mesenteric Artery Stenosis is a Risk Factor for Anastomotic Leakage in Colorectal Surgery
Anastomotic leakage (AL) after colorectal surgery leads to substantial morbidity and mortality. Theoretically, compromised blood flow caused by mesenteric artery (MA) stenosis may create suboptimal healing conditions at the anastomotic site, increasing susceptibility to AL. The association between MA stenosis on pre-operative computed tomography (CT) scans and AL in patients undergoing colorectal surgery was investigated.
Daily Remote Ischaemic Preconditioning for Intermittent Claudication: A Sham Controlled Randomised Trial
Remote ischaemic preconditioning (RIPC) is a promising non-invasive strategy in which brief episodes of ischaemia and reperfusion can increase skeletal muscle resistance to ischaemia and improve mobility. This study aimed to determine whether 28 consecutive days of RIPC improves intermittent claudication (IC) symptoms compared with sham intervention.
Incidence of Microembolic Signals on Transcranial Doppler among Patients with Symptomatic Carotid Near Occlusion
It is unclear whether ischaemic stroke among patients with symptomatic carotid near occlusion is caused by an embolic or haemodynamic mechanism. An embolic mechanism can be reflected by the occurrence of microembolic signals (MES) on transcranial Doppler. This study aimed to compare the incidence of MES between patients with symptomatic near occlusion, symptomatic conventional ≥ 50% stenosis, and asymptomatic ≥ 50% stenosis.
Long Term Outcomes of Endovascular Repair in Blunt Traumatic Aortic Injury: A Twenty Year Multicentre Follow Up Study
This retrospective, multicentre, observational study analysed patients who underwent endovascular repair for blunt traumatic aortic injury at four tertiary trauma referral centres over twenty years. It aimed to determine early and long term survival, analyse aortic and device related complications, and assess the re-intervention rate after endovascular repair for blunt traumatic aortic injury.
Implementation of a Comprehensive Endovascular Aortic Programme and Maintenance of Clinical Excellence During Fenestrated Branched Endovascular Aortic Repair in Two Centres
Comprehensive endovascular aortic programmes need optimal infrastructure and multidisciplinary teams to manage complex aortic aneurysms. This study assessed the implementation of such a programme in two centres and its impact on fenestrated branched endovascular aortic repair (FB-EVAR) outcomes.
Effect of Aortic Thrombus on Outcomes Following Repair of Juxtarenal Aneurysm Using Physician Modified Endografts
Studies have suggested that aortic thrombus may be associated with adverse outcomes following endovascular repair of aortic aneurysms, while other reports have suggested higher rates of sac regression and reduced risk of endoleak. However, the effect of thrombus burden on outcomes following physician modified endografts (PMEGs) remains unknown. This study aimed to assess the volume and morphology of thrombus burden and the effect on outcomes following PMEG for juxtarenal abdominal aortic aneurysm.