European Journal of Vascular and Endovascular Surgery

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Short Stay EVAR is Safe and Cost Effective

11 November 2018 - 11:00pm
Reducing length of stay (LOS) following surgery offers the potential to improve resource utilisation. Endovascular aneurysm repair (EVAR) is now delivered with a low level of morbidity and as such may be deliverable as a “23 hour stay” intervention. This systematic review aims to assess the safety and feasibility of a short stay EVAR pathway.

Outcomes After One Stage Versus Two Stage Open Repair of Type II Thoraco-abdominal Aortic Aneurysms

8 November 2018 - 11:00pm
This study compared the outcomes of open one stage with open two stage repair of type II thoraco-abdominal aortic aneurysms (TAAA).

Systematic Review and Meta-Analysis of Iliofemoral Stenting for Post-thrombotic Syndrome

6 November 2018 - 11:00pm
Stent placements are considered as a treatment for post-thrombotic syndrome (PTS) with iliofemoral obstruction, but the application of these iliofemoral venous stents has also caused a lot of controversy. The purpose of this systematic review and meta-analysis was to summarise the efficacy and safety of venous stents in PTS with obstruction in iliofemoral venous segments.

Optimal Antiplatelet Therapy in Moderate to Severe Asymptomatic and Symptomatic Carotid Stenosis: A Comprehensive Review of the Literature

6 November 2018 - 11:00pm
Carotid stenosis patients are at risk of vascular events despite antiplatelet therapy. Data on prescribed antiplatelet regimens have not been comprehensively collated from trials to guide optimal therapy in this population.

Mid-term Results of a Novel Dedicated Venous Stent for the Treatment of Chronic Thoracic Central Vein Obstruction of Benign Aetiology

3 November 2018 - 11:00pm
Endovascular treatment is indicated for the treatment of symptomatic thoracic central vein obstruction (TCVO) but is limited by high rates of restenosis and the need for re-intervention. The aim was to assess the safety and mid-term patency of a novel dedicated venous stent for the treatment of TCVO of benign aetiology.

A Stent Graft Visualised Through an Infected Haemodialysis Graft Pseudoaneurysm

2 November 2018 - 11:00pm
A 64 year old male presented with two needlestick pseudoaneurysms of a brachio-axillary PTFE haemodialysis graft; these were repaired by endovascular means using 7 × 40 mm and 7 × 60 mm Covera stent grafts (Bard, Tempe, AZ, USA) with peri-operative teicoplanin antibiotic prophylaxis. Two weeks later he presented with infection of the largest (5 cm) pseudoaneurysm, which was managed by partial graft excision. Intra-operatively the pseudoaneurysm was incised and pus drained. The stent graft was visualised through the graft defect (arrow).

The Safari for Adequate Landing Zones in EVAR Continues: Bilateral Use of Cook Zenith Iliac Branch Devices

1 November 2018 - 11:00pm
The ultimate and durable exclusion of an abdominal aortic aneurysm requires adequate proximal and distal sealing zones. Fenestrated devices offer a solution for proximal extension. However, distal targetting into the external iliac arteries (EIA) denies direct perfusion to the internal iliac arteries and leads to a non-negligible rate of buttock claudication, or even more serious complications, such as bowel ischaemia, plexopathy, or erectile dysfunction. Preserving internal iliac artery (IIA) blood flow was initially achieved with oversized bell bottom components, although deploying these inside unhealthy common iliac arteries has been shown to compromise the durability of the repair.

Traumatic Deviation of the Popliteal Artery

1 November 2018 - 11:00pm
A 51 year old man was admitted with traumatic knee dislocation with clinical signs of acute limb ischaemia. A computed tomography scan confirmed the knee dislocation and also major axial deviation of the right popliteal artery outside the knee joint. After reduction of the dislocation under general anaesthesia, a check digital subtraction angiogram was performed. It demonstrated correct realignment of the right popliteal artery with a short stenosis subsequently treated by transluminal balloon angioplasty.

Infrainguinal Bypass Following Failed Endovascular Intervention Compared With Primary Bypass: A Systematic Review and Meta-Analysis

1 November 2018 - 11:00pm
Patients with infrainguinal peripheral arterial disease often undergo multiple revascularisation procedures. Although many centres have adopted an endovascular first approach, some are reluctant to do so for fear of compromising the outcomes of any subsequent bypasses. All studies that compared the outcomes of primary infrainguinal bypass with bypass after failed endovascular intervention were analysed.

Adherence to Prescribed Drugs Among 65–74 Year Old Men Diagnosed with Abdominal Aortic Aneurysm or Peripheral Arterial Disease in a Screening Trial: A VIVA Substudy

1 November 2018 - 11:00pm
Adherence to antiplatelet and statin therapy in participants diagnosed with abdominal aortic aneurysm (AAA) or peripheral arterial disease (PAD) was examined in a vascular screening trial.

Endovascular Treatment of a Carotid Pseudoaneurysm Following Endarterectomy

31 October 2018 - 11:00pm
A 75 year old patient presented with a pulsatile mass in the right lateral aspect of the neck six months after eversion carotid endarterectomy. Computed tomography angiography confirmed a 6 cm diameter right internal carotid artery pseudoaneurysm. The upper extent of the pseudoaneurysm posed challenges for an open surgical procedure. An endovascular approach was chosen involving percutaneous femoral access using a long 8 Fr Destination guide sheath (Terumo Medical, Tokyo, Japan) and deployment of a 7 × 100 mm VIABAHN stent graft (W.L.

Limb Salvage by Open Surgical Revascularisation in Acute Ischaemia due to Thrombosed Popliteal Artery Aneurysm

31 October 2018 - 11:00pm
Acute ischaemia due to thrombosed popliteal artery aneurysm (PAA) is associated with a high risk of limb loss. The aim of this study was to analyse the outcome, in particular the limb salvage rate in patients undergoing urgent open surgery for acute ischaemia due to thrombosed PAA.

Forthcoming Events

31 October 2018 - 11:00pm

Contents

31 October 2018 - 11:00pm

Editorial Board

31 October 2018 - 11:00pm

Abstracts from Issue 40 of EJVES Short Reports

31 October 2018 - 11:00pm
Z. Ahmed, A. Elmallah, M. Elnagar, J. Dowdall, M. Barry, S.J. Sheehan

Selected Abstracts from the November Issues of the Journal of Vascular Surgery and the Journal of Vascular Surgery: Venous and Lymphatic Disorders

31 October 2018 - 11:00pm
David Milgrom, Shahin Hajibandeh, Shahab Hajibandeh, Stavros A. Antoniou, Francesco Torella, George A. Antoniou

External Applicability of the COMPASS Trial: Analysis of a Screened Population with Peripheral Arterial Disease Undergoing Infrainguinal Revascularisation in North Central London

31 October 2018 - 11:00pm
Introduction: The recently published COMPASS trial has shown that low-dose rivaroxaban twice daily plus aspirin once a day reduced major adverse cardiovascular and limb events compared to aspirin alone in patients with either coronary or peripheral arterial disease (PAD). The aim of the present study was to describe the proportion of patients from a prospective PAD trial screening database who would be eligible for the COMPASS trial.

Cell Infiltrative Hydrogel Fibrous Scaffolds for Accelerated Wound Healing

31 October 2018 - 11:00pm
Development of natural protein-based fibrous scaffolds with tunable physical properties and biocompatibility is highly desirable to construct a three-dimensional (3D), fully cellularized scaffold for wound healing.