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1. Global impact of the first coronavirus disease 2019 (COVID‐19) pandemic wave on vascular services

Author

Benson, Ruth A, Nandhra, Sandip, Shalhoub, Joseph, Dattani, Nikesh, Ambler, Graeme K, Banquet, David C, Bosanquet, David C, Forsythe, Rachael, Onida, Sarah, Dovell, George, Hitchman, Louise, Preece, Ryan, Saratzis, Athanasios, Imray, Chris, Johnson, Adam, Choong, Andrew, Ng, Jun Jie, Aitken, Sarah, Moss, Jana-Lee, Sudarsanam, Abhilash, Tam, Adam, Beck, Adam W, Barkat, Adel, Bajwa, Adnan, Elbasty, Ahmed, Awopetu, AI, Kodama, Akio, Rivera, Aksim G, Munoz, Alberto, Saltiel, Alberto, Russo, Alejandro, Rolls, Alex, Kafetzakis, Alexandros, Kimyaghalam, Ali, Kordzadeh, Ali, Shepherd, Amanda, Singh, Aminder, Mingoli, Andrea, Lazaris, Andreas M, Isaak, Andrej, Marin, Andres, Valdivia, Andrés Reyes, Batchelder, Andrew, Duncan, Andrew, Argyriou, Angeliki, Jaipersad, Anthony S, Freyrie, Antonio, Pereira-Neves, António, Mahomed, Anver, Isik, Arda, Jawien, Arkadiusz, Choudhry, Asad J, Sivaharan, Ashwin, Giannoukas, Athanasios, Papaioannou, Athanasios, Abbas, Ayman, Christos, Bakoyiannis, Akkaya, Bekir Bogachan, Huasen, Bella, Patrice, Bibombe, Mwipatayi, Azhar, Bilal, Keldiyorov, Boboyor, Ullery, Brant W, Pratesi, Carlo, Hinojosa, Carlos A, Bechara, Carlos F, Parra, Carolina Salinas, Alexandros, Charalabopoulos, Bezard, Charlotte, Lee, Cheong Jun, Davies, Chris, Behrendt, Christian-Alexander, Lowe, Christopher, Karkos, Christos D, Yih, Chun Ling Patricia, McDonnell, Ciarán, Ordonez, Claudia, Nesbitt, Craig, Alexander, Croo, Guglielmone, Daniel, Doherty, Daniel T, Riding, David M, Esposito, Davide, Harkin, Denis, Lui, Dennis H, and Kamal, Dhafer M

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Clinical Research, Neurodegenerative, Good Health and Well Being, COVID-19, Global Health, Health Care Surveys, Health Services Accessibility, Humans, Pandemics, Practice Patterns, Physicians', Prospective Studies, Vascular Surgical Procedures, Vascular and Endovascular Research Network (VERN) COVER study collaborative*, Medical and Health Sciences, Surgery, Clinical sciences
Abstract

This online structured survey has demonstrated the global impact of the COVID-19 pandemic on vascular services. The majority of centres have documented marked reductions in operating and services provided to vascular patients. In the months during recovery from the resource restrictions imposed during the pandemic peaks, there will be a significant vascular disease burden awaiting surgeons. One of the most affected specialties.

Published
2020

4. Documenting the Recovery of Vascular Services in European Centres Following the Initial COVID-19 Pandemic Peak: Results from a Multicentre Collaborative Study

Author

Ruffino, Maria Antonella, Chan, Sharon, Coughlin, Patrick, Awopetu, Ayoola, Stather, Philip, Lane, Tristan, Theodosiou, Dimitrios, Ahmed, Mohamed Abozeid, Vasudevan, Thodur, Ibrahim, Mohammed, Al Maadany, Faraj, Eljareh, Mohamed, Alkhafeefi, Fatimah Saad, Coscas, Raphael, Ünal, Ertekin Utku, Pulli, Raffaele, Zacà, Sergio, Angiletta, Domenico, Kotsis, Thomas, Moawad, Magdy, Tozzi, Matteo, Patelis, Nikolaos, Lazaris, Andreas M., Chuen, Jason, Croo, Alexander, Tsolaki, Elpiniki, Zenunaj, Gladiol, Kamal, Dhafer, Tolba, Mahmoud MH., Maresch, Martin, Khetarpaul, Vipul, Mills, Joseph, Gangwani, Gaurav, Elahwal, Mohamed, Khalil, Rana, Azab, Mohammed A., Mahomed, Anver, Whiston, Richard, Contractor, Ummul, Esposito, Davide, Pratesi, Carlo, Giacomelli, Elena, Troncoso, Martín Veras, Elkouri, Stephane, Johansson, Flavia Gentile, Dodos, Ilias, Benezit, Marie, Vidoedo, José, Rocha-Neves, João, Pereira-Neves, António Henrique, Dias-Neto, Marina Felicidade, Campos Jácome, Ana Filipa, Loureiro, Luis, Silva, Ivone, Garza-Herrera, Rodrigo, Canata, Victor, Bezard, Charlotte, Bowser, Kathryn, Tobar, Jorge Felipe, Vera, Carlos Gomez, Parra, Carolina Salinas, Lopez, Eugenia, Serra, Yvis Gadelha, Varela, Juan, Rubio, Vanessa, Victoria, Gerardo, Johnson, Adam, O’Banion, Leigh Ann, Makar, Ragai, Tantawy, Tamer Ghatwary, Storck, Martin, Jongkind, Vincent, falah, Orwa, McBride, Olivia, Isik, Arda, Papaioannou, Athanasios, Ocke Reis, Paulo Eduardo, Bracale, Umberto Marcello, Atkins, Ellie, Tinelli, Giovanni, Scott, Emma, Wales, Lucy, Sivaharan, Ashwin, Priona, Georgia, Nesbitt, Craig, Grainger, Tabitha, Shelmerdine, Lauren, Chong, Patrick, Bajwa, Adnan, Arwynck, Luke, Hadjievangelou, Nancy, Elbasty, Ahmed, Rubio, Oscar, Ricardo, Michael, Ulloa, Jorge H., Tarazona, Marcos, Pabon, Manuel, Pitoulias, Georgios, Corless, Kevin, Ioannidis, Orestis, Friedrich, Oliver, Van Herzeele, Isabelle, Vijaynagar, Badri, Cohnert, Tina, Bell, Rachel, Moore, Hayley, Saha, Prakash, Gifford, Edward, Laine, Matti, Barkat, Adel, Karkos, Christos, Binti Safri, Lenny Suryani, Buitron, Gabriel, Del Castillo, Javier, Carrera, Paul, Salinas, Nilson, Biagioni, Rodrigo Bruno, Benites, Sergio, Mafla, César Andrés, Pian, Putera Mas, Albino, Pereira, Serrano, Ernesto, Marin, Andres, González, Marco, Foreroga, Marsha, Russo, Alejandro, Reyes, Andrés, Guglielmone, Daniel, Grillo, Lorena, Flumignan, Ronald, Palones, Francisco Gomez, Silveira, Pierre Galvagni, Ramely, Rosnelifaizur Bin, Edeiken, Sara, Chetter, Ian, Green, Lucy, Sudarsanam, Abhilash, Lyons, Oliver, Lemmon, Gary, Neville, Richard, Castelli, Mariano, Hinojosa, Carlos A., Carvajal, Rubén Rodríguez, Rivera, Aksim, Wong, Peng, Drudi, Laura, Perkins, Jeremy, Sieunarine, Kishore, Attia, Doaa, Atef, Mahmoud, Eftychios, Lostoridis, Weaver, Fred, Ren, Leong Chuo, Alomari, Mohannad, Jamjoom, Reda, Aljarrah, Qusai, Abbas, Ayman, Alomran, Faris, Kumar, Ambrish, Altoijri, Abdulmajeed, ElSanhoury, Kareem T., Alhumaid, Ahmed, Fekry, Tamer, Sekhar, Raghuram, Theodoridis, Panagiotis, Panagiotis, Theodoridis, Roditis, Konstantinos, Tsiantoula, Paraskevi, Antoniou, Afroditi, Soler, Raphael, Hasemaki, Natasha, Baili, Efstratia, Mpaili, Eustratia, Huasen, Bella, Wallace, Tom, Duncan, Andrew, Metcalfe, Matthew, Mannoia, Kristyn, Bechara, Carlos F., Tsilimparis, Nikolaos, Aranson, Nathan, Riding, David, Palena, Mariano, McDonnell, Ciarán, Mouawad, Nicolas J., Banegas, Shonda, Rossi, Peter, Oshodi, Taohid, Diaz, Rodney, Afifi, Rana, Dindyal, Shiva, Thapar, Ankur, Kordzadeh, Ali, Pullas, Gonzalo, Lin, Stephanie, Davies, Chris, Darvall, Katy, Kodama, Akio, Gooneratne, Thushan, Gunawansa, Nalaka, Munoz, Alberto, Jie, Ng Jun, Bradley, Nicholas, Al-Jundi, Wissam, Meyer, Felicity, Lee, Cheong, Malina, Martin, Renton, Sophie, Lui, Dennis, Batchelder, Andrew, Oszkinis, Grzegorz, Freyrie, Antonio, Giordano, Jacopo, Saratzis, Nikolaos, Tigkiropoulos, Konstantinos, Kyriakos, Stavridis, Popov, Guriy, Cheema, Muhammad Usman, Lapolla, Pierfrancesco, Ling Patricia, Yih Chun, Ennab, Raed, Ullery, Brant W., Pasenidou, Ketino, Tam, Jacky, Sidel, Gabriel, Jayaprakash, Vivek Vardhan, Bennett, Lisa, Hardy, Simon, Davies, Emma, Baker, Sara, Wijesinghe, Lasantha, Tam, Adam, McCune, Ken, Chana, Manik, Lowe, Chris, Goh, Aaron, Powezka, Katarzyna, Kyrou, Ioanna, Altaf, Nishath, Harkin, Denis, Travers, Hannah, Cragg, James, sharif, Atif, Akhtar, Tasleem, Chávez, José Antonio, Ordonez, Claudia, Mazzurco, Martin, Choke, Edward, Asghar, Imran, Summerour, Virginia, Dunlop, Paul, Morley, Rachel, Hardy, Thomas, Bevis, Paul, Cuff, Robert, Stavroulakis, Konstantinos, Beropoulis, Efthymios, Argyriou, Angeliki, Loftus, Ian, Azhar, Bilal, Sheth, Sharvil, Usai, Marco Virgilio, Choudhry, Asad, Nicole, Kira, Boyle, Emily, Joyce, Doireann, Abdelaty Hassan, Mohammed Hassan, Saltiel, Alberto, Frahm-Jensen, Gert, Antoniou, George, Elhadi, Muhammed, Kimyaghalam, Ali, Malgor, Rafael, O'Banion, Leigh Ann, Telve, Diego, Isaak, Andrej, Schmidli, Jürg, McKevitt, Kevin, Siddiqui, Tam, Asciutto, Giuseppe, Floros, Nikolaos, Papadopoulos, George, Kafetzakis, Alexandros, Koutsias, Stylianos G., Nana, Petroula, Giannoukas, Athanasios, Kakkos, Stavros, Moulakakis, Konstantinos G., Shafique, Natasha, Jawien, Arkadiusz, Popplewell, Matthew, Imray, Chris, Abayasekara, Kumar, Rowlands, Timothy, Kuhan, Ganesh, Rajagopalan, Sriram, Jaipersad, Anthony, Sadia, Uzma, Kobe, Isaac, Mittapalli, Devender, Enemosah, Ibrahim, Behrendt, Christian-Alexander, Beck, Adam, Almudhafer, Muayyad, Ancetti, Stefano, Jacobs, Donald, Jayakumar, Priya, Malekpour, Fatemeh, Shalhub, Sherene, Keldiyorov, Boboyor, Simon, Meryl, Khashram, Manar, Rich, Nicole, Shepherd, Amanda, Meecham, Lewis, Doherty, Daniel, and Benson, Ruth A.

Published
2022
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6. Introducing the Futile Recanalization Prediction Score (FRPS): A Novel Approach to Predict and Mitigate Ineffective Recanalization after Endovascular Treatment of Acute Ischemic Stroke.

Author

Shen, Helen, Huasen, Bella B., Killingsworth, Murray C., and Bhaskar, Sonu M. M.

Subjects
*ISCHEMIC stroke, *ENDOVASCULAR surgery, *MACHINE learning, *SYSTOLIC blood pressure, *INDEPENDENT variables
Abstract

Objective: This study aims to develop and validate the Futile Recanalization Prediction Score (FRPS), a novel tool designed to predict the severity risk of FR and aid in pre- and post-EVT risk assessments. Methods: The FRPS was developed using a rigorous process involving the selection of predictor variables based on clinical relevance and potential impact. Initial equations were derived from previous meta-analyses and refined using various statistical techniques. We employed machine learning algorithms, specifically random forest regression, to capture nonlinear relationships and enhance model performance. Cross-validation with five folds was used to assess generalizability and model fit. Results: The final FRPS model included variables such as age, sex, atrial fibrillation (AF), hypertension (HTN), diabetes mellitus (DM), hyperlipidemia, cognitive impairment, pre-stroke modified Rankin Scale (mRS), systolic blood pressure (SBP), onset-to-puncture time, sICH, and NIHSS score. The random forest model achieved a mean R-squared value of approximately 0.992. Severity ranges for FRPS scores were defined as mild (FRPS < 66), moderate (FRPS 66–80), and severe (FRPS > 80). Conclusions: The FRPS provides valuable insights for treatment planning and patient management by predicting the severity risk of FR. This tool may improve the identification of candidates most likely to benefit from EVT and enhance prognostic accuracy post-EVT. Further clinical validation in diverse settings is warranted to assess its effectiveness and reliability. [ABSTRACT FROM AUTHOR]

Published
2024
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8. Editor's Choice – Covered vs. Bare Metal Stents in the Reconstruction of the Aortic Bifurcation: Early and Midterm Outcomes from the COBRA European Multicentre Registry

Author

Saratzis, Athanasios, primary, Argyriou, Angeliki, additional, Davies, Robert, additional, Bisdas, Theodosios, additional, Chaudhuri, Arindam, additional, Torsello, Giovanni, additional, Stavroulakis, Konstantinos, additional, Zayed, Hany, additional, Abisi, Said, additional, Coscas, Raphael, additional, Dey, Ramita, additional, Egun, Ansy, additional, Gargiulo, Mauro, additional, Ghibu, Phillippe, additional, Gibello, Lorenzo, additional, Huasen, Bella, additional, Lau, Pui Fong, additional, Malina, Martin, additional, Michelagnoli, Stefano, additional, Patrone, Lorenzo, additional, Ruffino, Maria Antonella, additional, Saha, Prakash, additional, Troisi, Nicola, additional, Vanderhaute, Sarah, additional, Van Herzeele, Isabelle, additional, Renard, Regis, additional, and Sonetto, Alessia, additional

Published
2022
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9. Documenting the Recovery of Vascular Services in European Centres Following the Initial COVID-19 Pandemic Peak: Results from a Multicentre Collaborative Study

Author

Benson, Ruth A., primary, Ruffino, Maria Antonella, additional, Chan, Sharon, additional, Coughlin, Patrick, additional, Awopetu, Ayoola, additional, Stather, Philip, additional, Lane, Tristan, additional, Theodosiou, Dimitrios, additional, Ahmed, Mohamed Abozeid, additional, Vasudevan, Thodur, additional, Ibrahim, Mohammed, additional, Al Maadany, Faraj, additional, Eljareh, Mohamed, additional, Alkhafeefi, Fatimah Saad, additional, Coscas, Raphael, additional, Ünal, Ertekin Utku, additional, Pulli, Raffaele, additional, Zacà, Sergio, additional, Angiletta, Domenico, additional, Kotsis, Thomas, additional, Moawad, Magdy, additional, Tozzi, Matteo, additional, Patelis, Nikolaos, additional, Lazaris, Andreas M., additional, Chuen, Jason, additional, Croo, Alexander, additional, Tsolaki, Elpiniki, additional, Zenunaj, Gladiol, additional, Kamal, Dhafer, additional, Tolba, Mahmoud MH., additional, Maresch, Martin, additional, Khetarpaul, Vipul, additional, Mills, Joseph, additional, Gangwani, Gaurav, additional, Elahwal, Mohamed, additional, Khalil, Rana, additional, Azab, Mohammed A., additional, Mahomed, Anver, additional, Whiston, Richard, additional, Contractor, Ummul, additional, Esposito, Davide, additional, Pratesi, Carlo, additional, Giacomelli, Elena, additional, Troncoso, Martín Veras, additional, Elkouri, Stephane, additional, Johansson, Flavia Gentile, additional, Dodos, Ilias, additional, Benezit, Marie, additional, Vidoedo, José, additional, Rocha-Neves, João, additional, Pereira-Neves, António Henrique, additional, Dias-Neto, Marina Felicidade, additional, Campos Jácome, Ana Filipa, additional, Loureiro, Luis, additional, Silva, Ivone, additional, Garza-Herrera, Rodrigo, additional, Canata, Victor, additional, Bezard, Charlotte, additional, Bowser, Kathryn, additional, Tobar, Jorge Felipe, additional, Vera, Carlos Gomez, additional, Parra, Carolina Salinas, additional, Lopez, Eugenia, additional, Serra, Yvis Gadelha, additional, Varela, Juan, additional, Rubio, Vanessa, additional, Victoria, Gerardo, additional, Johnson, Adam, additional, O’Banion, Leigh Ann, additional, Makar, Ragai, additional, Tantawy, Tamer Ghatwary, additional, Storck, Martin, additional, Jongkind, Vincent, additional, falah, Orwa, additional, McBride, Olivia, additional, Isik, Arda, additional, Papaioannou, Athanasios, additional, Ocke Reis, Paulo Eduardo, additional, Bracale, Umberto Marcello, additional, Atkins, Ellie, additional, Tinelli, Giovanni, additional, Scott, Emma, additional, Wales, Lucy, additional, Sivaharan, Ashwin, additional, Priona, Georgia, additional, Nesbitt, Craig, additional, Grainger, Tabitha, additional, Shelmerdine, Lauren, additional, Chong, Patrick, additional, Bajwa, Adnan, additional, Arwynck, Luke, additional, Hadjievangelou, Nancy, additional, Elbasty, Ahmed, additional, Rubio, Oscar, additional, Ricardo, Michael, additional, Ulloa, Jorge H., additional, Tarazona, Marcos, additional, Pabon, Manuel, additional, Pitoulias, Georgios, additional, Corless, Kevin, additional, Ioannidis, Orestis, additional, Friedrich, Oliver, additional, Van Herzeele, Isabelle, additional, Vijaynagar, Badri, additional, Cohnert, Tina, additional, Bell, Rachel, additional, Moore, Hayley, additional, Saha, Prakash, additional, Gifford, Edward, additional, Laine, Matti, additional, Barkat, Adel, additional, Karkos, Christos, additional, Binti Safri, Lenny Suryani, additional, Buitron, Gabriel, additional, Del Castillo, Javier, additional, Carrera, Paul, additional, Salinas, Nilson, additional, Biagioni, Rodrigo Bruno, additional, Benites, Sergio, additional, Mafla, César Andrés, additional, Pian, Putera Mas, additional, Albino, Pereira, additional, Serrano, Ernesto, additional, Marin, Andres, additional, González, Marco, additional, Foreroga, Marsha, additional, Russo, Alejandro, additional, Reyes, Andrés, additional, Guglielmone, Daniel, additional, Grillo, Lorena, additional, Flumignan, Ronald, additional, Palones, Francisco Gomez, additional, Silveira, Pierre Galvagni, additional, Ramely, Rosnelifaizur Bin, additional, Edeiken, Sara, additional, Chetter, Ian, additional, Green, Lucy, additional, Sudarsanam, Abhilash, additional, Lyons, Oliver, additional, Lemmon, Gary, additional, Neville, Richard, additional, Castelli, Mariano, additional, Hinojosa, Carlos A., additional, Carvajal, Rubén Rodríguez, additional, Rivera, Aksim, additional, Wong, Peng, additional, Drudi, Laura, additional, Perkins, Jeremy, additional, Sieunarine, Kishore, additional, Attia, Doaa, additional, Atef, Mahmoud, additional, Eftychios, Lostoridis, additional, Weaver, Fred, additional, Ren, Leong Chuo, additional, Alomari, Mohannad, additional, Jamjoom, Reda, additional, Aljarrah, Qusai, additional, Abbas, Ayman, additional, Alomran, Faris, additional, Kumar, Ambrish, additional, Altoijri, Abdulmajeed, additional, ElSanhoury, Kareem T., additional, Alhumaid, Ahmed, additional, Fekry, Tamer, additional, Sekhar, Raghuram, additional, Theodoridis, Panagiotis, additional, Panagiotis, Theodoridis, additional, Roditis, Konstantinos, additional, Tsiantoula, Paraskevi, additional, Antoniou, Afroditi, additional, Soler, Raphael, additional, Hasemaki, Natasha, additional, Baili, Efstratia, additional, Mpaili, Eustratia, additional, Huasen, Bella, additional, Wallace, Tom, additional, Duncan, Andrew, additional, Metcalfe, Matthew, additional, Mannoia, Kristyn, additional, Bechara, Carlos F., additional, Tsilimparis, Nikolaos, additional, Aranson, Nathan, additional, Riding, David, additional, Palena, Mariano, additional, McDonnell, Ciarán, additional, Mouawad, Nicolas J., additional, Banegas, Shonda, additional, Rossi, Peter, additional, Oshodi, Taohid, additional, Diaz, Rodney, additional, Afifi, Rana, additional, Dindyal, Shiva, additional, Thapar, Ankur, additional, Kordzadeh, Ali, additional, Pullas, Gonzalo, additional, Lin, Stephanie, additional, Davies, Chris, additional, Darvall, Katy, additional, Kodama, Akio, additional, Gooneratne, Thushan, additional, Gunawansa, Nalaka, additional, Munoz, Alberto, additional, Jie, Ng Jun, additional, Bradley, Nicholas, additional, Al-Jundi, Wissam, additional, Meyer, Felicity, additional, Lee, Cheong, additional, Malina, Martin, additional, Renton, Sophie, additional, Lui, Dennis, additional, Batchelder, Andrew, additional, Oszkinis, Grzegorz, additional, Freyrie, Antonio, additional, Giordano, Jacopo, additional, Saratzis, Nikolaos, additional, Tigkiropoulos, Konstantinos, additional, Kyriakos, Stavridis, additional, Popov, Guriy, additional, Cheema, Muhammad Usman, additional, Lapolla, Pierfrancesco, additional, Ling Patricia, Yih Chun, additional, Ennab, Raed, additional, Ullery, Brant W., additional, Pasenidou, Ketino, additional, Tam, Jacky, additional, Sidel, Gabriel, additional, Jayaprakash, Vivek Vardhan, additional, Bennett, Lisa, additional, Hardy, Simon, additional, Davies, Emma, additional, Baker, Sara, additional, Wijesinghe, Lasantha, additional, Tam, Adam, additional, McCune, Ken, additional, Chana, Manik, additional, Lowe, Chris, additional, Goh, Aaron, additional, Powezka, Katarzyna, additional, Kyrou, Ioanna, additional, Altaf, Nishath, additional, Harkin, Denis, additional, Travers, Hannah, additional, Cragg, James, additional, sharif, Atif, additional, Akhtar, Tasleem, additional, Chávez, José Antonio, additional, Ordonez, Claudia, additional, Mazzurco, Martin, additional, Choke, Edward, additional, Asghar, Imran, additional, Summerour, Virginia, additional, Dunlop, Paul, additional, Morley, Rachel, additional, Hardy, Thomas, additional, Bevis, Paul, additional, Cuff, Robert, additional, Stavroulakis, Konstantinos, additional, Beropoulis, Efthymios, additional, Argyriou, Angeliki, additional, Loftus, Ian, additional, Azhar, Bilal, additional, Sheth, Sharvil, additional, Usai, Marco Virgilio, additional, Choudhry, Asad, additional, Nicole, Kira, additional, Boyle, Emily, additional, Joyce, Doireann, additional, Abdelaty Hassan, Mohammed Hassan, additional, Saltiel, Alberto, additional, Frahm-Jensen, Gert, additional, Antoniou, George, additional, Elhadi, Muhammed, additional, Kimyaghalam, Ali, additional, Malgor, Rafael, additional, O'Banion, Leigh Ann, additional, Telve, Diego, additional, Isaak, Andrej, additional, Schmidli, Jürg, additional, McKevitt, Kevin, additional, Siddiqui, Tam, additional, Asciutto, Giuseppe, additional, Floros, Nikolaos, additional, Papadopoulos, George, additional, Kafetzakis, Alexandros, additional, Koutsias, Stylianos G., additional, Nana, Petroula, additional, Giannoukas, Athanasios, additional, Kakkos, Stavros, additional, Moulakakis, Konstantinos G., additional, Shafique, Natasha, additional, Jawien, Arkadiusz, additional, Popplewell, Matthew, additional, Imray, Chris, additional, Abayasekara, Kumar, additional, Rowlands, Timothy, additional, Kuhan, Ganesh, additional, Rajagopalan, Sriram, additional, Jaipersad, Anthony, additional, Sadia, Uzma, additional, Kobe, Isaac, additional, Mittapalli, Devender, additional, Enemosah, Ibrahim, additional, Behrendt, Christian-Alexander, additional, Beck, Adam, additional, Almudhafer, Muayyad, additional, Ancetti, Stefano, additional, Jacobs, Donald, additional, Jayakumar, Priya, additional, Malekpour, Fatemeh, additional, Shalhub, Sherene, additional, Keldiyorov, Boboyor, additional, Simon, Meryl, additional, Khashram, Manar, additional, Rich, Nicole, additional, Shepherd, Amanda, additional, Meecham, Lewis, additional, and Doherty, Daniel, additional

Published
2022
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10. sj-docx-1-jet-10.1177_15266028211025028 – Supplemental material for Treatment of Aortoiliac Occlusive Disease With the Covered Endovascular Reconstruction of the Aortic Bifurcation (CERAB) Technique: Results of a UK Multicenter Study

Author

Saratzis, Athanasios, Salem, Murtaza, Sabbagh, Cezar, Abisi, Said, Huasen, Bella, Egun, Ansy, Nash, Jennifer, Lau, Pui Fong, Chaudhuri, Arindam, Dey, Ramita, Patrone, Lorenzo, Malina, Martin, Davies, Robert, and Zayed, Hany

Subjects
FOS: Clinical medicine, Cardiology, Medicine, 110323 Surgery
Abstract

Supplemental material, sj-docx-1-jet-10.1177_15266028211025028 for Treatment of Aortoiliac Occlusive Disease With the Covered Endovascular Reconstruction of the Aortic Bifurcation (CERAB) Technique: Results of a UK Multicenter Study by Athanasios Saratzis, Murtaza Salem, Cezar Sabbagh, Said Abisi, Bella Huasen, Ansy Egun, Jennifer Nash, Pui Fong Lau, Arindam Chaudhuri, Ramita Dey, Lorenzo Patrone, Martin Malina, Robert Davies and Hany Zayed in Journal of Endovascular Therapy

Published
2021
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11. Treatment of Aortoiliac Occlusive Disease With the Covered Endovascular Reconstruction of the Aortic Bifurcation (CERAB) Technique: Results of a UK Multicenter Study

Author

Saratzis, Athanasios, primary, Salem, Murtaza, additional, Sabbagh, Cezar, additional, Abisi, Said, additional, Huasen, Bella, additional, Egun, Ansy, additional, Nash, Jennifer, additional, Lau, Pui Fong, additional, Chaudhuri, Arindam, additional, Dey, Ramita, additional, Patrone, Lorenzo, additional, Malina, Martin, additional, Davies, Robert, additional, and Zayed, Hany, additional

Published
2021
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15. sj-pdf-1-phl-10.1177_0268355520936420 - Supplemental material for Reducing the risk of venous thromboembolism following superficial endovenous treatment: A UK and Republic of Ireland consensus study

Author

Nikesh Dattani, Shalhoub, Joseph, Sandip Nandhra, Lane, Tristan, Abdulsalam Abu-Own, Elbasty, Ahmed, Jones, Aled, Duncan, Andrew, Garnham, Andrew, Ankur Thapar, Murray, Anna, Anzar Baig, Saratzis, Athanasios, Sharif, Atif, Huasen, Bella, Dawkins, Claire, Nesbitt, Craig, Carradice, Daniel, Morrow, Darren, Bosanquet, David, Kavanagh, Eamon, Shaikh, Faisal, Gosi, Gergely, Ambler, Graeme, Fulton, Gregory, Gurdas Singh, Travers, Hannah, Moore, Hayley, Olivier, James, Hitchman, Louise, O’Donohoe, Martin, Popplewell, Matthew, Mekki Medani, Jenkins, Michael, Mingzheng A Goh, Lyons, Oliver, McBride, Olivia, Moxey, Paul, Stather, Philip, Burns, Phillipa, Forsythe, Rachel, Sam, Rachel, Brar, Ranjeet, Brightwell, Robert, Benson, Ruth, Onida, Sarah, Sharath Paravastu, Lambracos, Simon, Vallabhaneni, Srinivasa R, Walsh, Stewart, Tasleem Aktar, Moloney, Tony, Mzimba, Zola, and Nyamekye, Isaac

Subjects
Cardiology
Abstract

Supplemental material, sj-pdf-1-phl-10.1177_0268355520936420 for Reducing the risk of venous thromboembolism following superficial endovenous treatment: A UK and Republic of Ireland consensus study by Nikesh Dattani, Joseph Shalhoub, Sandip Nandhra, Tristan Lane, Abdulsalam Abu-Own, Ahmed Elbasty, Aled Jones, Andrew Duncan, Andrew Garnham, Ankur Thapar, Anna Murray, Anzar Baig, Athanasios Saratzis, Atif Sharif, Bella Huasen, Claire Dawkins, Craig Nesbitt, Daniel Carradice, Darren Morrow, David Bosanquet, Eamon Kavanagh, Faisal Shaikh, Gergely Gosi, Graeme Ambler, Gregory Fulton, Gurdas Singh, Hannah Travers, Hayley Moore, James Olivier, Louise Hitchman, Martin O’Donohoe, Matthew Popplewell, Mekki Medani, Michael Jenkins, Mingzheng A Goh, Oliver Lyons, Olivia McBride, Paul Moxey, Philip Stather, Phillipa Burns, Rachel Forsythe, Rachel Sam, Ranjeet Brar, Robert Brightwell, Ruth Benson, Sarah Onida, Sharath Paravastu, Simon Lambracos, Srinivasa R Vallabhaneni, Stewart Walsh, Tasleem Aktar, Tony Moloney, Zola Mzimba and Isaac Nyamekye in Phlebology

Published
2020
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16. Revascularization Outcomes in Patients With Acute Limb Ischemia and Active Neoplastic Disease

Author

Argyriou, Angeliki, primary, Kafetzakis, Alexandros, additional, Saratzis, Athanasios, additional, Huasen, Bella, additional, Coscas, Raphaël, additional, Renard, Regis, additional, Bisdas, Theodosios, additional, Torsello, Giovanni, additional, Tsilimparis, Nikolaos, additional, Calderbank, Tom, additional, and Stavroulakis, Konstantinos, additional

Published
2020
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17. Reducing the risk of venous thromboembolism following superficial endovenous treatment: A UK and Republic of Ireland consensus study

Author

Dattani, Nikesh, primary, Shalhoub, Joseph, additional, Nandhra, Sandip, additional, Lane, Tristan, additional, Abu-Own, Abdulsalam, additional, Elbasty, Ahmed, additional, Jones, Aled, additional, Duncan, Andrew, additional, Garnham, Andrew, additional, Thapar, Ankur, additional, Murray, Anna, additional, Baig, Anzar, additional, Saratzis, Athanasios, additional, Sharif, Atif, additional, Huasen, Bella, additional, Dawkins, Claire, additional, Nesbitt, Craig, additional, Carradice, Daniel, additional, Morrow, Darren, additional, Bosanquet, David, additional, Kavanagh, Eamon, additional, Shaikh, Faisal, additional, Gosi, Gergely, additional, Ambler, Graeme, additional, Fulton, Gregory, additional, Singh, Gurdas, additional, Travers, Hannah, additional, Moore, Hayley, additional, Olivier, James, additional, Hitchman, Louise, additional, O’Donohoe, Martin, additional, Popplewell, Matthew, additional, Medani, Mekki, additional, Jenkins, Michael, additional, Goh, Mingzheng A, additional, Lyons, Oliver, additional, McBride, Olivia, additional, Moxey, Paul, additional, Stather, Philip, additional, Burns, Phillipa, additional, Forsythe, Rachel, additional, Sam, Rachel, additional, Brar, Ranjeet, additional, Brightwell, Robert, additional, Benson, Ruth, additional, Onida, Sarah, additional, Paravastu, Sharath, additional, Lambracos, Simon, additional, Vallabhaneni, Srinivasa R, additional, Walsh, Stewart, additional, Aktar, Tasleem, additional, Moloney, Tony, additional, Mzimba, Zola, additional, and Nyamekye, Isaac, additional

Published
2020
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24. Female medical student impression of interventional radiology: what can we do to improve this?

Author

Huasen, Bella, Suwathep, Perawish, Khan, Aazeb, Connor, Brigid, and Holden, Andrew

Subjects
MEDICAL students, INTERVENTIONAL radiology, RADIATION protection, MEDICAL schools, RADIATION exposure, TEENAGE pregnancy
Abstract

Purpose: The number of female medical students has increased significantly in the last decade due to increased gender diversity. However, the number of female doctors going into interventional radiology (IR) does not reflect this trend on an international scale.Methods: A standardized set of questions was created looking into medical students' demographics, awareness of IR, their general opinion, and whether they would consider IR as a potential career path. One-hundred female medical students from the United Kingdom, Germany, Poland, Spain, and New Zealand were approached either directly or via an online survey platform. The students ranged from first to final year study of Medicine and were between 18 and 30 years of age.Results: The majority of medical students (68%) were unaware of what IR is and 98% denied having teaching about IR in their university. Influential factors to choosing IR were more exposure to IR in medical school (15%), more options to allow family life (15%), direct training pathway to IR rather than via diagnostic radiology (13%), options of private practice (13%), and understanding more about radiation protection during pregnancy (12%).Conclusion: A lack of awareness about what IR is and misconceptions, particularly regarding radiation exposure during pregnancy, play an important role in discouraging entry into IR. Additionally, some of the concerns raised were directed at IR training pathway. Female IR consultants should also take leadership initiative to act as role models. More lectures and direct clinical exposure are paramount to their understanding of IR. [ABSTRACT FROM AUTHOR]

Published
2021
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25. Technical success and outcomes using a flexible bifurcated stent graft (AorfixTM) in abdominal aortic aneurysms: a systematic review.

Author

Khan, Aazeb, Khoo, Emily, Hansrani, Vivak, Banihani, Mohamed, Qayyum, Haisum, Antoniou, George A., and Huasen, Bella

Subjects
ABDOMINAL aortic aneurysms, BIBLIOGRAPHIC databases, ENDOVASCULAR surgery, SUCCESS, DATABASE searching
Abstract

Introduction: The Aorfix aortic stent graft is a modular device with greater compliance and flexibility. This systematic review aims to assess the evidence regarding the technical success and outcomes of the AorfixTM stent graft. Methods: Electronic bibliographic databases were searched. We conducted our review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement standards. Results: This review of the 442 documented cases of AorfixTM EVAR demonstrates assisted technical success to be achieved in 97.7% of cases. The need for unplanned adjunct maneuvers was low at 9.8% and was most commonly required for resolving an intra-operative type I endoleak. The need for secondary intervention in the 1-year follow up period was even lower, at 1.3% in the same eight studies, while Malas et al reports a re-intervention rate of 7.8% at 1-year. Conclusion: The AorfixTM device has been used in AAA with highly angulated proximal necks with success, with acceptable short- and midterm results. But larger multi-center comparative studies, and registry data is needed to be to compare the safety of different stent grafts and for optimal graft selection. This will increase the likely number of patients considered suitable for EVAR. [ABSTRACT FROM AUTHOR]

Published
2021
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26. Revascularization Outcomes in Patients With Acute Limb Ischemia and Active Neoplastic Disease.

Author

Argyriou, Angeliki, Kafetzakis, Alexandros, Saratzis, Athanasios, Huasen, Bella, Coscas, Raphaël, Renard, Regis, Bisdas, Theodosios, Torsello, Giovanni, Tsilimparis, Nikolaos, Calderbank, Tom, and Stavroulakis, Konstantinos

Abstract

Purpose: To report the outcomes of surgical (ST), endovascular (ET), and hybrid (HT) treatment in cancer patients with acute limb ischemia (ALI). Materials and Methods: A multicenter retrospective registry collected 139 patients (mean age 72.3±12.4 years; 73 men) with ALI and active malignancy treated by ET (41, 29%), ST (70, 51%), or HT (28, 20%) in 7 European centers between July 2007 and February 2019. In 22 cases (16%) ALI was the first manifestation of the malignancy. Lung cancer was the most common diagnosis (38, 27%). The primary composite outcome was amputation-free survival (AFS). Overall survival, amputation-free time (AFT), and reintervention-free time (RFT) were also assessed. Cox regression analysis was applied to identify independent risk factors for the primary and secondary outcomes. Results are presented as the hazard ratio (HR) and 95% confidence intervals (CIs). Results: ET was associated with improved 12-month AFS compared with both ST (HR 2.27, 95% CI 1.20 to 4.28, p=0.002) and HT (HR 2.14, 95% CI 1.09 to 4.18, p=0.008). ST (HR 2.50, 95% CI 1.19 to 5.53, p=0.003) and HT (HR 3.10, 95% CI 1.45 to 6.65, p<0.001) were related to an increased risk for mortality compared with ET. At 12 months, the AFT was similar between the 3 groups (ET vs ST: HR 1.52, 95% CI 0.51 to 4.53, p=0.45 and ET vs HT: HR 1.21, 95% CI 0.36 to 4.11, p=0.73). The 12-month RFT also did not differ significantly between the 3 treatment options (ET vs ST: HR 1.10, 95% CI 0.49 to 2.46, p=0.79 and ET vs HT: HR 0.51, 95% CI 0.22 to 1.17, p=0.19). ST and/or HT increased the risk for the major amputation and/or death (HR 1.76, 95% CI 1.05 to 2.05, p=0.03), while Rutherford class I ischemia (HR 0.12, 95% CI 0.02 to 0.90, p=0.04) and previous vascular interventions on the index limb (HR 0.55, 95% CI 0.32 to 0.97, p=0.04) showed a protective effect. Conclusion: In patients with ALI and active malignant disease, ET was associated with increased AFS and overall survival compared with both ST and HT, while the limb salvage and reintervention rates were comparable among the 3 groups. [ABSTRACT FROM AUTHOR]

Published
2021
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27. Shockwave Intravascular Lithotripsy Use in the Femoro-Popliteal Segment: Considerations From an Expert Pan-European Panel Regarding Best-Care Practice

Author

Saratzis, Athanasios, Jane Messeder, Sarah, Thulasidasan, Narayanan, Alejandre Lafont, Enrique, Bonvini, Stefano, Bosiers, Michel, Coscas, Raphael, Davies, Robert, Del Canto Peruyera, Pablo, Elias, Noory, Fazzini, Stefano, Garriboli, Luca, Goyault, Gilles, Howard, Dominic PJ, Huasen, Bella, Isernia, Giacomo, Lakshminarayan, Raghu, Patel, Ashish, Patel, Rafiuddin, Patrone, Lorenzo, Portou, Mark, Rammos, Christos, Ruffino, Maria Antonella, Sirvent, Marc, Sritharan, Kaji, Vijaynagar, Badri, von Stempel, Conrad, and Zanabili, Amer

Abstract

Purpose: Produce expert recommendations regarding the optimal use of Shockwave intravascular lithotripsy (IVL) when treating femoro-popliteal steno-occlusive peripheral artery disease (PAD), guiding operators to use Shockwave IVL.Materials and Methods: A modified 3-step Delphi process was used to gain consensus surrounding preoperative/intraoperative/postoperative considerations when using Shockwave IVL for femoro-popliteal PAD. This included a structured survey, focus-group (with qualitative thematic analysis of views expressed), and final confirmatory round; participants were recruited across Europe including the United Kingdom/Switzerland.Results: Following a review to inform an online survey, 25 experts took part in a survey (5 European countries, 2023), followed by a focus-group (15 participants), 9 interviews, and final confirmatory round. A list of recommendations was prepared where at least moderate-level or high-level agreement was reached (≥70% participants agreeing). The recommendations relate to the optimal preoperative imaging, preoperative preparation(s), intraoperative imaging and use of adjuncts, as well as postoperative course, when using Shockwave IVL.Conclusion: A list of expert recommendations is provided guiding the optimal use of Shockwave IVL in femoro-popliteal PAD. This will help operators achieve better clinical outcomes.Clinical Impact This pan-European panel of experts using intravascular lithotripsy in routine peripheral arterial disease endovascular practice has provided important insights into best care practices before, during, and after such procedures. Several recommendations have been produced based on a structured consensus process to guide clinicians globally. This will improve and standardise the use of this technology in the femoro-popliteal arterial segment.

Published
2024
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28. The “Woundosome” Concept and Its Impact on Procedural Outcomes in Patients With Chronic Limb-Threatening Ischemia

Author

Patrone, Lorenzo, Pasqui, Edoardo, Conte, Michael S., Farber, Alik, Ferraresi, Roberto, Menard, Matthew, Mills, Joseph L., Rundback, John, Schneider, Peter, Ysa, August, Abhishek, Kumar, Adams, George L., Ahmad, Naseer, Ahmed, Irfan, Alexandrescu, Vlad A., Amor, Max, Alper, David, Andrassy, Martin, Attinger, Christopher, Baadh, Andy, Barakat, Hashem, Biasi, Lukla, Bisdas, Theodosios, Bhatti, Zagum, Blessing, Erwin, Bonaca, Marc P, Bonvini, Stefano, Bosiers, Michel, Bradbury, Andrew W., Beasley, Robert, Behrendt, Christian-Alexander, Brodmann, Marianne, Cabral, Gonzalo, Cancellieri, Roberto, Casini, Andrea, Chandra, Venita, Chisci, Emiliano, Chohan, Omar, Choke, Edward T.C., Chong, Patrick F.S., Clerici, Giacomo, Coscas, Raphael, Costantino, Mary, Dalla Paola, Luca, Dand, Sabeen, Davies, Robert S.M., D’Oria, Mario, Diamantopoulos, Athanasios, Debus, Sebastian, Deloose, Koen, Del Giudice, Costantino, Donato, Gianmarco de, Rubertis, Brian De, Paul De Vries, Jean, Dias, Nuno V, Diaz-Sandoval, Larry, Dick, Florian, Donas, Konstantinos, Dua, Anahita, Fanelli, Fabrizio, Fazzini, Stefano, Foteh, Mazin, Gandini, Roberto, Gargiulo, Mauro, Garriboli, Luca, Genovese, Elizabeth A., Gifford, Edward, Goueffic, Yann, Goverde, Peter, Chand Gupta, Prem, Hinchliffe, Robert, Holden, Andrew, Houlind, Kim C., Howard, Dominic PJ, Huasen, Bella, Isernia, Giacomo, Katsanos, Konstantinos, Katzen, Barry, Kolh, Philippe, Koncar, Igor, Korosoglou, Grigorios, Krishnan, Prakash, Kroencke, Thomas, Krokidis, Miltiadis, Kumarasamy, Arun, Hayes, Paul, Iida, Osamu, Alejandre Lafont, Enrique, Langhoff, Ralf, Lecis, Alexandre, Lessne, Mark, Lichaa, Hady, Lichtenberg, Michael, Lobato, Marta, Lopes, Alice, Loreni, Giorgio, Lucatelli, Pierleone, Madassery, Sreekumar, Maene, Lieven, Manzi, Marco, Maresch, Martin, Santhosh Mathews, Jay, McCaslin, James, Micari, Antonio, Michelagnoli, Stefano, Migliara, Bruno, Morgan, Robert, Morelli, Luis, Morosetti, Daniele, Mouawad, Nicolas, Moxey, Paul, Müller-Hülsbeck, Stefan, Mustapha, Jihad, Nakama, Tatsuya, Nasr, Bahaa, N’dandu, Zola, Neville, Richard, Noory, Elias, Nordanstig, Joakim, Noronen, Katariina, Mariano Palena, Luis, Parlani, Gianbattista, Patel, Ashish S., Patel, Parag, Patel, Rafiuddin, Patel, Sanjay, Pena, Costantino, Perkov, Drazen, Portou, Mark, Pratesi, Giovanni, Rammos, Christos, Reekers, Jim, Riambau, Vicente, Roy, Trisha, Rosenfield, Kenneth, Antonella Ruffino, Maria, Saab, Fadi, Saratzis, Athanasios, Sbarzaglia, Paolo, Schmidt, Andrej, Secemsky, Eric, Siah, Michael, Sillesen, Henrik, Simonte, Gioele, Sirvent, Marc, Sommerset, Jill, Steiner, Sabine, Sakr, Ahmed, Scheinert, Dierk, Shishebor, Mehdi, Spiliopoulos, Stavros, Spinelli, Alessio, Stravoulakis, Konstantinos, Taneva, Gergana, Teso, Desarom, Tessarek, Joerg, Theivacumar, Selva, Thomas, Anish, Thomas, Shannon, Thulasidasan, Narayan, Torsello, Giovanni, Tripathi, Ramesh, Troisi, Nicola, Tummala, Srini, Tummala, Venkat, Twine, Christopher, Uberoi, Raman, Ucci, Alessandro, Valenti, Domenico, van den Berg, Jos, van den Heuvel, Daniel, Van Herzeele, Isabelle, Varcoe, Ramon, Vega de Ceniga, Melina, Veith, Frank J., Venermo, Maarit, Vijaynagar, Badri, Virdee, Sanjiv, Von Stempel, Conrad, Voûte, Michiel T, Khee Yeung, Kak, Zeller, Thomas, Zayed, Hany, and Montero Baker, Miguel

Published
2024
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29. Acute Neurological Care in the COVID-19 Era: The Pandemic Health System RE silience PROGRAM (REPROGRAM) Consortium Pathway.

Author

Bhaskar, Sonu, Sharma, Divyansh, Walker, Antony H., McDonald, Mark, Huasen, Bella, Haridas, Abilash, Mahata, Manoj Kumar, and Jabbour, Pascal

Subjects
COVID-19, PERSONAL protective equipment, ENDOVASCULAR surgery, STROKE patients, CONSORTIA
Abstract

The management of acute neurological conditions, particularly acute ischemic stroke, in the context of Coronavirus disease 2019 (COVID-19), is of importance, considering the risk of infection to the healthcare workers and patients and emerging evidence of the neuroinvasive potential of the virus. There are variations in expert guidelines further complicating the picture for clinicians in acute settings. In this light, there is a compelling need for further formulation of recommendations that compile these variations seen in the numerous guidelines present. Health system protocols for managing ongoing acute neurological care and intervention need consideration of safety and well-being of the frontline healthcare workers and the patients. We examine existing pathways and their efficacy to mitigate viral exposure to the healthcare workers and patients and synthesize a systemic approach to manage patients with acute neurological conditions in the COVID-19 scenario. Early experiences with a COVID-19 positive stroke patient treated with endovascular thrombectomy is presented to highlight the urgent need for adequate personal protective equipment (PPE) during acute neuro-interventional procedures. [ABSTRACT FROM AUTHOR]

Published
2020
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30. Aspiration thrombectomy for the management of acute deep venous thrombosis in the setting of venous thoracic outlet syndrome.

Author

Teter, Katherine, Arko, Frank, Muck, Patrick, Lamparello, Patrick J, Khaja, Minhaj S, Huasen, Bella, Sadek, Mikel, and Maldonado, Thomas S

Subjects
RESEARCH, BLOOD vessels, MEDICAL suction, RESEARCH methodology, RETROSPECTIVE studies, EVALUATION research, MEDICAL cooperation, VEIN surgery, VASCULAR resistance, TREATMENT effectiveness, COMPARATIVE studies, THROMBECTOMY, UPPER extremity deep vein thrombosis, THORACIC outlet syndrome, MEDICAL equipment, ACUTE diseases
Abstract

Objectives: Venous thoracic outlet syndrome, known by the eponym Paget–Schroetter syndrome, is seen in healthy, young individuals with "effort-induced thrombosis." Endovascular therapies, including catheter-directed thrombolysis, have been described in the acute management of the upper extremity deep venous thrombosis; however, we assessed the technical success of treating this entity using a mechanical aspiration thrombectomy system. Methods: This was a multi-center retrospective review of patients with venous thoracic outlet syndrome with acute thrombosis treated with the Indigo continuous aspiration mechanical thrombectomy system. Charts from patients with venous thoracic outlet syndrome and acute deep venous thrombosis treated with this system at our institution along with three data sharing locations were reviewed for demographics, deep venous thrombosis risk factors, imaging modalities used for diagnosis, extent of axillosubclavian deep venous thrombosis, treatment details, adjunctive therapies, and complications. The primary outcome was technical success (resolution of >70% of thrombus). Results: There were 16 patients (50% male) with a mean age of 33 years (range 17–69 years). Six patients had underlying venous thromboembolism risk factors including use of contraceptives (n = 2), prior deep venous thrombosis (n = 3), and known thrombophilia (n = 1). Fifteen patients had complete venous occlusion, and the extent of venous involvement included subclavian (n = 14), axillary (n = 16), and brachial (n = 7). The majority (81.25%) of patients were treated in a single setting, and technical success was achieved in all cases with the use of adjunctive therapies. Only three patients required additional overnight thrombolytic therapy. Conclusions: The Penumbra Indigo system, often in combination with adjunctive catheter-directed thrombolysis and venoplasty, is a safe and effective device for the treatment of acute upper extremity deep venous thrombosis in the setting of Paget–Schroetter syndrome. No patients experienced central embolization or post-operative renal insufficiency. One-third of patients avoided any additional catheter-directed thrombolysis exposure, and technical success was achieved in all cases. A single bleeding complication was observed in a patient undergoing overnight adjunctive catheter-directed thrombolysis. All patients maintained patency until time of first rib resection. [ABSTRACT FROM AUTHOR]

Published
2020
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32. Mind the concealed acute intracranial bleed on CT!

Author

Huasen, Bella

Subjects
Blood, genetic structures, education, CNS, Technical aspects, CT
Abstract

Learning objectives Background Findings and procedure details Conclusion Personal information References, Learning objectives: In patients with coagulopathy and low haematocrit, acute intracranial haemorrhage can masquarde as isodense or hypodense abnormality to the rest of the brain parenchyma. Acute intracranialhaemorrhage on an unenhanced CT Head,in severely anaemic...

Published
2015
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35. Global impact of the first coronavirus disease 2019 (COVID-19) pandemic wave on vascular services

Author

Ruth A Benson, Sandip Nandhra, Joseph Shalhoub, Nikesh Dattani, Graeme K Ambler, David C Banquet, David C Bosanquet, Rachael Forsythe, Sarah Onida, George Dovell, Louise Hitchman, Ryan Preece, Athanasios Saratzis, Chris Imray, Adam Johnson, Andrew Choong, Jun Jie Ng, Sarah Aitken, Jana-Lee Moss, Abhilash Sudarsanam, Adam Tam, Adam W Beck, Adel Barkat, Adnan Bajwa, Ahmed Elbasty, A I Awopetu, Akio Kodama, Aksim G Rivera, Alberto Munoz, Alberto Saltiel, Alejandro Russo, Alex Rolls, Alexandros Kafetzakis, Ali Kimyaghalam, Ali Kordzadeh, Amanda Shepherd, Aminder Singh, Andrea Mingoli, Andreas M Lazaris, Andrej Isaak, Andres Marin, Andrés Reyes Valdivia, Andrew Batchelder, Andrew Duncan, Angeliki Argyriou, Anthony S Jaipersad, Antonio Freyrie, António Pereira-Neves, Anver Mahomed, Arda Isik, Arkadiusz Jawien, Asad J Choudhry, Ashwin Sivaharan, Athanasios Giannoukas, Athanasios Papaioannou, Ayman Abbas, Bakoyiannis Christos, Bekir Bogachan Akkaya, Bella Huasen, Bibombe Patrice, Mwipatayi, Bilal Azhar, Boboyor Keldiyorov, Brant W Ullery, Carlo Pratesi, Carlos A Hinojosa, Carlos F Bechara, Carolina Salinas Parra, Charalabopoulos Alexandros, Charlotte Bezard, Cheong Jun Lee, Chris Davies, Christian-Alexander Behrendt, Christopher Lowe, Christos D Karkos, Chun Ling Patricia Yih, Ciarán McDonnell, Claudia Ordonez, Craig Nesbitt, Croo Alexander, Daniel Guglielmone, Daniel T Doherty, David M Riding, Davide Esposito, Denis Harkin, Dennis H Lui, Dhafer M Kamal, Diego Telve, Dimitrios Theodosiou, Domenico Angiletta, Donald Jacobs, Edward Choke, Edward D Gifford, Efthymios Beropoulis, Eftychios Lostoridis, Eleanor Atkins, Elena Giacomelli, Elpiniki Tsolaki, Emma Davies, Emma Scott, Emmanouil Katsogridakis, Ernesto Serrano, Ertekin Utku Unal, Eugenia Lopez, Eustratia Mpaili, Fabrizio Minelli, Fatemeh Malekpour, Fatma Mousa, Felicity Meyer, Felipe Tobar, Filipa Jácome, Flavia Gentile Johansson, Fred Weaver, Gabriel Ab Proaño, Gabriel Sidel, Ganesh Kuhan, Gary Lemmon, George A Antoniou, George Papadopoulos, Georgios Pitoulias, Georgopoulos Sotirios, Gerardo Victoria, Gert Frahm-Jensen, Giovanni Tinelli, Giuseppe Asciutto, Gladiol Zenunaj, Gómez Vera Carlos Eduardo, Gonzalo Pullas, Grzegorz Oszkinis, Guriy Popov, Hakkı Zafer İscan, Hannah C Travers, Hashem Barakat, Hayrettin Levent Mavioglu, Ian Chetter, Ian Loftus, Ilias Dodos, Imran Asghar, Isabelle Van Herzeele, Jacopo Giordano, James Cragg, Jason Chuen, Javier Del Castillo Orrego, Jeremy Perkins, João Rocha-Neves, Jorge H Ulloa, José Antonio Chávez, José Vidoedo, Joseph Faraj, Joseph Mills, Juan Varela, Jürg Schmidli, Kakavia Kiriaki, Katarzyna Powezka, Kathryn Bowser, Katy Darvall, Kenneth McCune, Ketino Pasenidou, Kevin Corless, Kevin McKevitt, Kira Nicole Long, Konstantinos G Moulakakis, Konstantinos Roditis, Konstantinos Stavroulakis, Konstantinos Tigkiropoulos, Kristyn Mannoia, Kumar Abayasekara, Lalithapriya Jayakumar, Lasantha Wijesinghe, Laura Drudi, Lauren Shelmerdine, Leigh Ann O'Banion, Lewis Meecham, Lisa F Bennett, Lorena Grillo, Lucy Green, Lucy Wales, Luís Loureiro, Luis Mariano Palena, Mahmoud Mh Tolba, Manar Khashram, Manik Chana, Manuel Pabon, Marco González, Marco Virgilio Usai, Marcos Tarazona, Maria A Ruffino, Mariano Castelli, Marie Benezit, Marina Dias-Neto, Martin Malina, Martin Maresch, Martin Mazzurco, Martin Storck, Martín Veras Troncoso, Matt Popplewell, Matteo Tozzi, Matthew Metcalfe, Matti Laine, Mhammed Rawhi, Michael Ricardo, Mingzheng Aaron Goh, Mohamed Abozeid Ahmed, Mohammed Ibrahim, Mohannad Alomari, Muayyad Almudhafer, Muhammed Elhadi, Nalaka Gunawansa, Nancy Hadjievangelou, Natasha Hasemaki, Natasha Shafique, Nathan Aranson, Nicholas Bradley, Nicolas J Mouawad, Nicole C Rich, Nikolaos Floros, Nikolaos Patelis, Nikolaos Saratzis, Nikolaos Tsilimparis, Nilson Salinas, Nishath Altaf, Oliver Friedrich, Oliver Lyons, Olivia M B McBride, Orestis Ioannidis, Orwa Falah, Panagiotis Theodoridis, Paolo Sapienza, Paraskevi Tsiantoula, Patrick Chong, Patrick Coughlin, Paul Bevis, Paul Carrera, Paul Dunlop, Peng Foo Wong, Pereira Albino, Peter Rossi, Petroula Nana, Philip W Stather, Pierfrancesco Lapolla, Pierre Galvagni Silveira, Prakash Saha, Pranav Somaiya, Putera Mas Pian, Rachael L Morley, Rachel Bell, Raed M Ennab, Rafael Malgor, Raffaele Pulli, Ragai Makar, Raghuram Sekhar, Rana Afifi, Raphael Coscas, Raphael Soler, Robert F Cuff, Rodney Diaz, Rodrigo Biagioni, Rosnelifaizur Bin Ramely, Rubén Rodríguez Carvajal, Sandeep Jhajj, Sara Edeiken, Sergio Benites, Sergio Zacà, Sharath Paravastu, Sharon Chan, Sharvil Sheth, Sherene Shalhub, Shiva Dindyal, Shonda Banegas, Simon Hardy, Simona Sica, Siu Chung Tam, Sivaram Premnath, Sophie Renton, Sriram Rajagopalan, Stavridis Kyriakos, Stavros Kakkos, Stefano Ancetti, Stephane Elkouri, Stephanie Lin, Stephen Wing Keung Cheng, Stylianos G Koutsias, Tabitha Grainger, Tamer Fekry, Tamer Ghatwary Tantawy, Tamim Siddiqui, Taohid Oshodi, Tasleem Akhtar, Thomas James Hardy, Thomas Kotsis, Thushan Gooneratne, Timothy Rowlands, Tina U Cohnert, Tom Wallace, Tristan R A Lane, Umberto Marcello Bracale, Usman Cheema, Uzma Sadia, Vanessa Rubio, Victor Canata, Vincent Jongkind, Vipul Khetarpaul, Virginia Summerour, Walter Dorigo, Wissam Al-Jundi, Xun Luo, Yamume Tshomba, Yvis Gadelha Serra, A Benson, Ruth, Nandhra, Sandip, Shalhoub, Joseph, Dattani, Nikesh, K Ambler, Graeme, C Banquet, David, C Bosanquet, David, Forsythe, Rachael, Onida, Sarah, Dovell, George, Hitchman, Louise, Preece, Ryan, Saratzis, Athanasio, Imray, Chri, Johnson, Adam, Choong, Andrew, Jie Ng, Jun, Aitken, Sarah, Moss, Jana-Lee, Sudarsanam, Abhilash, Tam, Adam, W Beck, Adam, Barkat, Adel, Bajwa, Adnan, Elbasty, Ahmed, I Awopetu, A, Kodama, Akio, G Rivera, Aksim, Munoz, Alberto, Saltiel, Alberto, Russo, Alejandro, Rolls, Alex, Kafetzakis, Alexandro, Kimyaghalam, Ali, Kordzadeh, Ali, Shepherd, Amanda, Singh, Aminder, Mingoli, Andrea, M Lazaris, Andrea, Isaak, Andrej, Marin, Andre, Reyes Valdivia, André, Batchelder, Andrew, Duncan, Andrew, Argyriou, Angeliki, S Jaipersad, Anthony, Freyrie, Antonio, Pereira-Neves, António, Mahomed, Anver, Isik, Arda, Jawien, Arkadiusz, J Choudhry, Asad, Sivaharan, Ashwin, Giannoukas, Athanasio, Papaioannou, Athanasio, Abbas, Ayman, Christos, Bakoyianni, Bogachan Akkaya, Bekir, Huasen, Bella, Patrice, Bibombe, Mwipatayi, Azhar, Bilal, Keldiyorov, Boboyor, W Ullery, Brant, Pratesi, Carlo, A Hinojosa, Carlo, F Bechara, Carlo, Salinas Parra, Carolina, Alexandros, Charalabopoulo, Bezard, Charlotte, Jun Lee, Cheong, Davies, Chri, Behrendt, Christian-Alexander, Lowe, Christopher, D Karkos, Christo, Ling Patricia Yih, Chun, Mcdonnell, Ciarán, Ordonez, Claudia, Nesbitt, Craig, Alexander, Croo, Guglielmone, Daniel, T Doherty, Daniel, M Riding, David, Esposito, Davide, Harkin, Deni, H Lui, Denni, M Kamal, Dhafer, Telve, Diego, Theodosiou, Dimitrio, Angiletta, Domenico, Jacobs, Donald, Choke, Edward, D Gifford, Edward, Beropoulis, Efthymio, Lostoridis, Eftychio, Atkins, Eleanor, Giacomelli, Elena, Tsolaki, Elpiniki, Davies, Emma, Scott, Emma, Katsogridakis, Emmanouil, Serrano, Ernesto, Utku Unal, Ertekin, Lopez, Eugenia, Mpaili, Eustratia, Minelli, Fabrizio, Malekpour, Fatemeh, Mousa, Fatma, Meyer, Felicity, Tobar, Felipe, Jácome, Filipa, Gentile Johansson, Flavia, Weaver, Fred, Ab Proaño, Gabriel, Sidel, Gabriel, Kuhan, Ganesh, Lemmon, Gary, A Antoniou, George, Papadopoulos, George, Pitoulias, Georgio, Sotirios, Georgopoulo, Victoria, Gerardo, Frahm-Jensen, Gert, Tinelli, Giovanni, Asciutto, Giuseppe, Zenunaj, Gladiol, Vera Carlos Eduardo, Gómez, Pullas, Gonzalo, Oszkinis, Grzegorz, Popov, Guriy, Zafer İscan, Hakkı, C Travers, Hannah, Barakat, Hashem, Levent Mavioglu, Hayrettin, Chetter, Ian, Loftus, Ian, Dodos, Ilia, Asghar, Imran, Van Herzeele, Isabelle, Giordano, Jacopo, Cragg, Jame, Chuen, Jason, Del Castillo Orrego, Javier, Perkins, Jeremy, Rocha-Neves, João, H Ulloa, Jorge, Antonio Chávez, José, Vidoedo, José, Faraj, Joseph, Mills, Joseph, Varela, Juan, Schmidli, Jürg, Kiriaki, Kakavia, Powezka, Katarzyna, Bowser, Kathryn, Darvall, Katy, Mccune, Kenneth, Pasenidou, Ketino, Corless, Kevin, Mckevitt, Kevin, Nicole Long, Kira, G Moulakakis, Konstantino, Roditis, Konstantino, Stavroulakis, Konstantino, Tigkiropoulos, Konstantino, Mannoia, Kristyn, Abayasekara, Kumar, Jayakumar, Lalithapriya, Wijesinghe, Lasantha, Drudi, Laura, Shelmerdine, Lauren, Ann O'Banion, Leigh, Meecham, Lewi, F Bennett, Lisa, Grillo, Lorena, Green, Lucy, Wales, Lucy, Loureiro, Luí, Mariano Palena, Lui, Mh Tolba, Mahmoud, Khashram, Manar, Chana, Manik, Pabon, Manuel, González, Marco, Virgilio Usai, Marco, Tarazona, Marco, A Ruffino, Maria, Castelli, Mariano, Benezit, Marie, Dias-Neto, Marina, Malina, Martin, Maresch, Martin, Mazzurco, Martin, Storck, Martin, Veras Troncoso, Martín, Popplewell, Matt, Tozzi, Matteo, Metcalfe, Matthew, Laine, Matti, Rawhi, Mhammed, Ricardo, Michael, Aaron Goh, Mingzheng, Abozeid Ahmed, Mohamed, Ibrahim, Mohammed, Alomari, Mohannad, Almudhafer, Muayyad, Elhadi, Muhammed, Gunawansa, Nalaka, Hadjievangelou, Nancy, Hasemaki, Natasha, Shafique, Natasha, Aranson, Nathan, Bradley, Nichola, J Mouawad, Nicola, C Rich, Nicole, Floros, Nikolao, Patelis, Nikolao, Saratzis, Nikolao, Tsilimparis, Nikolao, Salinas, Nilson, Altaf, Nishath, Friedrich, Oliver, Lyons, Oliver, B McBride, Olivia M, Ioannidis, Oresti, Falah, Orwa, Theodoridis, Panagioti, Sapienza, Paolo, Tsiantoula, Paraskevi, Chong, Patrick, Coughlin, Patrick, Bevis, Paul, Carrera, Paul, Dunlop, Paul, Foo Wong, Peng, Albino, Pereira, Rossi, Peter, Nana, Petroula, W Stather, Philip, Lapolla, Pierfrancesco, Galvagni Silveira, Pierre, Saha, Prakash, Somaiya, Pranav, Mas Pian, Putera, L Morley, Rachael, Bell, Rachel, M Ennab, Raed, Malgor, Rafael, Pulli, Raffaele, Makar, Ragai, Sekhar, Raghuram, Afifi, Rana, Coscas, Raphael, Soler, Raphael, F Cuff, Robert, Diaz, Rodney, Biagioni, Rodrigo, Bin Ramely, Rosnelifaizur, Rodríguez Carvajal, Rubén, Jhajj, Sandeep, Edeiken, Sara, Benites, Sergio, Zacà, Sergio, Paravastu, Sharath, Chan, Sharon, Sheth, Sharvil, Shalhub, Sherene, Dindyal, Shiva, Banegas, Shonda, Hardy, Simon, Sica, Simona, Chung Tam, Siu, Premnath, Sivaram, Renton, Sophie, Rajagopalan, Sriram, Kyriakos, Stavridi, Kakkos, Stavro, Ancetti, Stefano, Elkouri, Stephane, Lin, Stephanie, Wing Keung Cheng, Stephen, G Koutsias, Styliano, Grainger, Tabitha, Fekry, Tamer, Ghatwary Tantawy, Tamer, Siddiqui, Tamim, Oshodi, Taohid, Akhtar, Tasleem, James Hardy, Thoma, Kotsis, Thoma, Gooneratne, Thushan, Rowlands, Timothy, U Cohnert, Tina, Wallace, Tom, A Lane, Tristan R, Bracale, UMBERTO MARCELLO, Cheema, Usman, Sadia, Uzma, Rubio, Vanessa, Canata, Victor, Jongkind, Vincent, Khetarpaul, Vipul, Summerour, Virginia, Dorigo, Walter, Al-Jundi, Wissam, Luo, Xun, Tshomba, Yamume, and Gadelha Serra, Yvis

Subjects
Global Health, Health Care Surveys, Health Services Accessibility, Humans, Pandemics, Practice Patterns, Physicians', Prospective Studies, Vascular Surgical Procedures, COVID-19, Physicians', Pandemic, Practice Patterns, Settore MED/22 - CHIRURGIA VASCOLARE, Prospective Studie, Global health, health care surveys, health services accessibility, humans, pandemics, practice patterns, physicians', prospective studies, vascular surgical procedures, Health Care Survey, Rapid Research Communication, Human, Vascular Surgical Procedure
Abstract

Graphical Abstract This online structured survey has demonstrated the global impact of the COVID-19 pandemic on vascular services. The majority of centres have documented marked reductions in operating and services provided to vascular patients. In the months during recovery from the resource restrictions imposed during the pandemic peaks, there will be a significant vascular disease burden awaiting surgeons. Graphical Abstract One of the most affected specialties

Published
2020

36. Technical success and outcomes using a flexible bifurcated stent graft (Aorfix TM ) in abdominal aortic aneurysms: a systematic review.

Author

Khan A, Khoo E, Hansrani V, Banihani M, Qayyum H, Antoniou GA, and Huasen B

Subjects
Aged, Aortic Aneurysm, Abdominal pathology, Clinical Trials as Topic, Endoleak surgery, Endovascular Procedures adverse effects, Endovascular Procedures instrumentation, Female, Follow-Up Studies, Humans, Male, Prosthesis Design, Time Factors, Treatment Outcome, Aortic Aneurysm, Abdominal surgery, Stents
Abstract

Introduction : The Aorfix aortic stent graft is a modular device with greater compliance and flexibility. This systematic review aims to assess the evidence regarding the technical success and outcomes of the Aorfix TM stent graft. Methods : Electronic bibliographic databases were searched. We conducted our review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement standards. Results : This review of the 442 documented cases of Aorfix TM EVAR demonstrates assisted technical success to be achieved in 97.7% of cases. The need for unplanned adjunct maneuvers was low at 9.8% and was most commonly required for resolving an intra-operative type I endoleak. The need for secondary intervention in the 1-year follow up period was even lower, at 1.3% in the same eight studies, while Malas et al reports a re-intervention rate of 7.8% at 1-year. Conclusion : The Aorfix TM device has been used in AAA with highly angulated proximal necks with success, with acceptable short- and midterm results. But larger multi-center comparative studies, and registry data is needed to be to compare the safety of different stent grafts and for optimal graft selection. This will increase the likely number of patients considered suitable for EVAR.

Published
2021
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37. Retroperitoneal fibrosis-the long and winding path.

Author

Suwathep P, Khan A, Husein R, Huasen B, Bose P, and Brady M

Abstract

Retroperitoneal fibrosis (RPF) is a rare systemic disease. Two-third of the cases are idiopathic but assumed to have autoimmune process related to IgG-4. It is often a diagnosis of exclusion due to its non-specific clinical presentation. Early manifestation commonly causes back pain, raised erythrocyte sedimentation rate level and renal impairment. Investigations of choice are MRI and contrast-enhanced CT but biopsy should be performed for diagnostic confirmation. This case report describes a delay in diagnosing RPF in a 57-year-old female who initially presented to primary care with back pain, mild anaemia, raised erythrocyte sedimentation rate and progressive renal function decline. She was seen urgently in haematology clinic who arranged bone scan to rule out osteoblastic metastases, finding demonstrated possible pelviureteric junction dysfunction. The investigation was followed by a MAG3 renogram 4 weeks later instead of an abdominal CT leading to diagnostic delay. She then presented acutely 1 day after renogram with life-threatening hyperkalaemia and AKI 3. RPF was then suspected. Renal ultrasound scan and CT scan consecutively showed bilateral gross hydronephrosis and retroperitoneal mass around the aorta. The pelviureteric junction dysfunction was due to ureters getting embedded into the dense retroperitoneal fibrous tissue. She subsequently underwent bilateral ureteric stent placement and was commenced on steroid therapy, with satisfactory outcome on follow-up. Laparoscopic retroperitoneal biopsy later confirmed the diagnosis. This case not only highlighted important learning points on the presenting features and radiographic findings of RPF, but also the clinician's cognitive biases leading to diagnostic delay of a rare but life-threatening disease., (© 2020 The Authors. Published by the British Institute of Radiology.)

Published
2020
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