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2. Editor's Choice -- European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms

Author

Wanhainen, Anders, Van Herzeele, Isabelle, Bastos Goncalves, Frederico, Bellmunt Montoya, Sergi, Berard, Xavier, Boyle, Jonathan R., D’Oria, Mario, Prendes, Carlota F., Karkos, Christos D., Kazimierczak, Arkadiusz, Koelemay, Mark J.W., Kölbel, Tilo, Mani, Kevin, Melissano, Germano, Powell, Janet T., Trimarchi, Santi, Tsilimparis, Nikolaos, Antoniou, George A., Björck, Martin, Coscas, Raphael, Dias, Nuno V., Kolh, Philippe, Lepidi, Sandro, Mees, Barend M.E., Resch, Timothy A., Ricco, Jean Baptiste, Tulamo, Riikka, Twine, Christopher P., Branzan, Daniela, Cheng, Stephen W.K., Dalman, Ronald L., Dick, Florian, Golledge, Jonathan, Haulon, Stephan, van Herwaarden, Joost A., Ilic, Nikola S., Jawien, Arkadiusz, Mastracci, Tara M., Oderich, Gustavo S., Verzini, Fabio, and Yeung, Kak Khee

Published
2024
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3. Burden of Stroke in Europe: An Analysis of the Global Burden of Disease Study Findings From 2010 to 2019

Author

Prendes, Carlota F., Rantner, Barbara, Hamwi, Tarek, Stana, Jan, Feigin, Valery L., Stavroulakis, Konstantinos, Tsilimparis, Nikolaos, Fernandez Prendes, Carlota, Rantner, Barbara, Hamwi, Tarek, Stana, Jan, Feigin, Prof Valery L, Stavroulakis, Konstantinos, Tsilimparis, Nikolaos, Aboyans, Prof Victor, Olusola Akinyemi, Rufus, Al-Shahi Salman, Prof Rustam, Artamonov, Anton A, Aujayeb, Avinash, Baldereschi, Marzia, Basu, Sanjay, Béjot, Prof Yannick, Belo, Luis, Bennett, Derrick A, Srikanth Bhagavathula, Akshaya, Bikbov, Boris, Brenner, Prof Hermann, Luciano Caetano dos Santos, Florentino, Carrero, Prof Juan J, Carvalho, Prof Felix, Catapano, Prof Alberico L, Charalampous, Periklis, Christensen, Prof Hanne, Chung, Sheng-Chia, Angelo Cortesi, Paolo, Marisa Costa, Vera, Cyganska, Malgorzata, D’Amico, Emanuele, Davletov, Kairat, Georgieva Dokova, Klara, Douiri, Abdel, Francis Fagbamigbe, Adeniyi, Fischer, Florian, Ghith, Nermin, Giampaoli, Simona, Singh Gill, Prof Paramjit, Gnedovskaya, Elena V, Havmoeller, Rasmus J, Hostiuc, Sorin, Iavicoli, Prof Ivo, Ilic, Prof Milena D, Isola, Prof Gaetano, Jerzy Jozwiak, Jacek, Jürisson, Mikk, Kayode, Gbenga A, Khan, Moien AB, Khatab, Prof Khaled, Kisa, Prof Adnan, Kivimäki, Prof Mika, Koyanagi, Ai, Kulimbet, Mukhtar, Kusuma, Dian, La Vecchia, Prof Carlo, Lacey, Ben, Lallukka, Prof Tea, Lorkowski, Prof Stefan, Majeed, Prof Azeem, Giovanni Mantovani, Prof Lorenzo, Mazzaglia, Giampiero, Mentis, Alexios-Fotios A, Meretoja, Atte, Miao Jonasson, Junmei, Mirica, Andreea, Mirrakhimov, Prof Erkin M, Mohammed, Shafiu, Molokhia, Mariam, Monasta, Lorenzo, Mons, Prof Ute, Morze, Jakub, Irina Negoi, Ruxandra, Norrving, Prof Bo, Oancea, Prof Bogdan, O’Caoimh, Rónán, Orru, Hans, Padron-Monedero, Alicia, Pedersini, Paolo, Perico, Norberto, Polibin, Roman V, Polinder, Suzanne, Raggi, Alberto, Rawaf, Prof Salman, Remuzzi, Prof Giuseppe, Romoli, Michele, Sacco, Prof Simona, Reza Saeb, Prof Mohammad, Vasco Santos, João, Santric-Milicevic, Prof Milena M, Aleksandrovna Skryabina, Anna, Smith, Lee, Starodubova, Antonina V, Stevanović, Aleksandar, Stranges, Prof Saverio, Teuschl, Yvonne, Topor-Madry, Roman, Touvier, Mathilde, Tovani-Palone, Marcos Roberto, Unim, Brigid, Juhani Vasankari, Prof Tommi, Volovici, Victor, Wafa, Hatem A, Wang, Yanzhong, Westerman, Ronny, Wolfe, Prof Charles D A, Yesiltepe, Metin, Zanghì, Aurora, and Sergeevich Zastrozhin, Prof Mikhail

Published
2024
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6. European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms

Author

Wanhainen, Anders, Van Herzeele, Isabelle, Bastos Goncalves, Frederico, Bellmunt Montoya, Sergi, Berard, Xavier, Boyle, Jonathan R., D'Oria, Mario, Prendes, Carlota F., Karkos, Christos D., Kazimierczak, Arkadiusz, Koelemay, Mark J. W., Kölbel, Tilo, Mani, Kevin, Melissano, Germano, Powell, Janet T., Trimarchi, Santi, Tsilimparis, Nikolaos, Wanhainen, Anders, Van Herzeele, Isabelle, Bastos Goncalves, Frederico, Bellmunt Montoya, Sergi, Berard, Xavier, Boyle, Jonathan R., D'Oria, Mario, Prendes, Carlota F., Karkos, Christos D., Kazimierczak, Arkadiusz, Koelemay, Mark J. W., Kölbel, Tilo, Mani, Kevin, Melissano, Germano, Powell, Janet T., Trimarchi, Santi, and Tsilimparis, Nikolaos

Abstract

Objective The European Society for Vascular Surgery (ESVS) has developed clinical practice guidelines for the care of patients with aneurysms of the abdominal aorta and iliac arteries in succession to the 2011 and 2019 versions, with the aim of assisting physicians and patients in selecting the best management strategy. Methods The guideline is based on scientific evidence completed with expert opinion on the matter. By summarising and evaluating the best available evidence, recommendations for the evaluation and treatment of patients have been formulated. The recommendations are graded according to a modified European Society of Cardiology grading system, where the strength (class) of each recommendation is graded from I to III and the letters A to C mark the level of evidence. Results A total of 160 recommendations have been issued on the following topics: Service standards, including surgical volume and training; Epidemiology, diagnosis, and screening; Management of patients with small abdominal aortic aneurysm (AAA), including surveillance, cardiovascular risk reduction, and indication for repair; Elective AAA repair, including operative risk assessment, open and endovascular repair, and early complications; Ruptured and symptomatic AAA, including peri-operative management, such as permissive hypotension and use of aortic occlusion balloon, open and endovascular repair, and early complications, such as abdominal compartment syndrome and colonic ischaemia; Long term outcome and follow up after AAA repair, including graft infection, endoleaks and follow up routines; Management of complex AAA, including open and endovascular repair; Management of iliac artery aneurysm, including indication for repair and open and endovascular repair; and Miscellaneous aortic problems, including mycotic, inflammatory, and saccular aortic aneurysm. In addition, Shared decision making is being addressed, with supporting information for patients, and Unresolved issues are discussed. Co

Published
2024
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7. European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms

Author

Wanhainen, Anders, primary, Van Herzeele, Isabelle, additional, Bastos Goncalves, Frederico, additional, Bellmunt Montoya, Sergi, additional, Berard, Xavier, additional, Boyle, Jonathan R., additional, D’Oria, Mario, additional, Prendes, Carlota F., additional, Karkos, Christos D., additional, Kazimierczak, Arkadiusz, additional, Koelemay, Mark J.W., additional, Kölbel, Tilo, additional, Mani, Kevin, additional, Melissano, Germano, additional, Powell, Janet T., additional, Trimarchi, Santi, additional, Tsilimparis, Nikolaos, additional, Antoniou, George, additional, Björck, Martin, additional, Coscas, Raphael, additional, Dias, Nuno V., additional, Kolh, Philippe, additional, Lepidi, Sandro, additional, Mees, Barend M.E., additional, Resch, Timothy A., additional, Ricco, Jean Baptiste, additional, Tulamo, Riikka, additional, Twine, Chris P., additional, Branzan, Daniela, additional, Cheng, Stephen W.K., additional, Dalman, Ronald L., additional, Dick, Florian, additional, Golledge, Jonathan, additional, Haulon, Stephan, additional, van Herwaarden, Joost A., additional, Ilic, Nikola S., additional, Jawien, Arkadiusz, additional, Mastracci, Tara M., additional, Oderich, Gustavo S., additional, Verzini, Fabio, additional, and Yeung, Kak K., additional

Published
2024
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10. Transaxillary Branch-to-Branch-to-Branch Carotid Catheterization Technique for Triple-Branch Arch Repair

Author

Prendes, Carlota F., Spath, Paolo, Stana, Jan, Hamwi, Tarek, Peterss, Sven, Stavroulakis, Konstantinos, Pichlmaier, Maximilian, and Tsilimparis, Nikolaos

Abstract

Purpose: To describe the transaxillary branch-to-branch-to-branch carotid catheterization technique (tranaxillary 3BRA-CCE IT) for cannulation of all supra-aortic vessels using only 1 femoral and 1 axillary access during triple-branch arch repair.Technique: After deployment of the triple-branch arch device, catheterization and bridging of the innominate artery (IA) should be performed through a right axillary access (cutdown or percutaneous). Then, the retrograde left subclavian (LSA) branch should be catheterized (if not preloaded) from a percutaneous femoral access, and a 12×90Fr sheath should be advanced to the outside of the endograft. Subsequently, catheterization of the left common carotid artery (LCCA) antegrade branch should be performed, followed by snaring of a wire in the ascending aorta which was inserted through the axillary access, creating a branch-to-branch-to-branch through-and-through guidewire. Over the axillary access, a 12×45Fr sheath should be inserted into the IA branch and looped in the ascending aorta using a push-and-pull technique so that it faces the LCCA branch, allowing for stable catheterization of the LCCA. The retrograde LSA branch should then be bridged following the standard fashion.Conclusions: This series of 5 patients demonstrates that triple-branch arch repair can be performed with the transaxillary 3BRA-CCE IT, allowing catheterization of the supra-aortic vessels without manipulation of the carotid arteries.Clinical Impact The transaxillary 3BRA-CCE IT allows catheterization and bridging of all supra-aortic vessels in triple-branch arch repair through only 2 vascular access points, the femoral artery and the right axillary artery. This technique avoids carotid surgical cutdown and manipulation during these procedures, reducing the risk of access site complications, including bleeding and reintervention, reintubation, cranial nerve lesions, increased operating time, and so on, and has the potential to change the current vascular access standard used during triple-branch arch repair.

Published
2024
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11. The Importance of Cell Saver Usage in Complex Endovascular Repair of Thoraco-Abdominal Aortic Aneurysms

Author

Ali, Ahmed A., Hamwi, Tarek, Sikman, Laura, Stana, Jan, Abicht, Jan-Michael, Tsilimparis, Nikolaos, and Prendes, Carlota F.

Abstract

The use of the cell saver is well-established in open aneurysm repair; however, its role in endovascular repair is yet to be determined. The aim of this study was to analyze the effects of cell saver usage in patients undergoing complex endovascular procedures.

Published
2024
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13. International Collaborative Study Comparing Outcomes of Fenestrated Endovascular Aortic Repair in OCtogenarian vs Non-Octogenarian Patients: The FEVOC study.

Author

Prendes CF, Spath P, Khashram M, Dias N, Furlan F, Gouveia E Melo R, Gallitto E, Sonesson B, Mendes Pedro L, Gormley S, Gargiulo M, Wanhainen A, Tsilimparis N, and Mani K

Abstract

Objective: With an increasing life expectancy, more octogenarian patients are referred with complex aortic aneurysms (cAAA). The aim of this study was to evaluate short and mid-term outcomes following fenestrated aortic repair (FEVAR) in octogenarians., Summary Background Data: Few studies looking at octogenarian-specific outcomes with diverging results., Methods: Retrospective, multicentre cohort study including consecutive patients undergoing elective FEVAR for cAAAs or type IV thoracoabdominal aortic aneurysms between 2007-2022 in eight high-volume centres. Octogenarians vs. non-octogenarians were compared. The primary outcome was 30-day mortality. Secondary outcomes included 1, 2 and 5-year survival and reintervention rates., Results: A total of 729 patients (median age of 74.8 years [IQR 69.2 - 79.14]) were included, 169 (23%) of which were octogenarians, with 316 (43.3%) patients undergoing juxta/pararenal aneurysm repair. Although octogenarians presented less complex but larger (61 mm vs. 58 mm) aneurysms, the number of fenestrations was similar across groups. No differences in in-hospital mortality (4.1 vs. 3.0%), MAE (16.6% vs 12.2%) or reintervention rates (11.2 vs. 10%) were found. Multivariable logistic regression of in-hospital mortality identified BMI (OR 0.66, 95% CI 0.51-0.95, P=0.003), chronic heart failure (OR 7.70, 95% CI 1.36-36.15, P=0.003) and GFR<45 ml/min/1.73 m2 (OR 5.25, 95% CI 1.20-22.86, P=0.027) as independent predictors. Median follow-up was 41 months. The 1, 2 and 5-year survival rates were 91.3%, 81.8% and 49.5% in octogenarians vs 90.6%, 86.5% and 68.8% in non-octogenarian patients (Log-rank: =0.001). Freedom from aortic-related death and freedom from reintervention at five-years were similar across groups (log-rank=0.94 and .76, respectively). Age>80 was not an independent predictor of 30-day or long-term mortality on multivariable and Cox regression analysis., Conclusions: Elective FEVAR in octogenarians appears to be safe, with similar outcomes as in younger patients. Future studies looking at improved patient selection methods to ensure long-term survival benefits in both octogenarians and younger patients are warranted., Competing Interests: The authors report no conflicts of interest., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

Published
2024
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