The June 2021 issue is online and opens with a new edition of our Global Tour D’Horizon. In this month’s leading Editorial, K. Komori reports The Current Status of the National Vascular Surgery Registry in Japan (read for free).
After that follows a unique Position Statement, in which the originally appointed UK NICE Guideline Development Committee for AAA explains the rationale behind their initial Recommendations on the Use of Open Surgical and Endovascular Aortic Repair for the Management of Unruptured AAA (read here).
The first Editor’s choice paper, by Fisch et al., is also an EJVES Open Access paper and provides a Pooled Analysis of Randomised Controlled Trials Regarding the Risk of Stroke before Revascularisation in Patients with Symptomatic Carotid Stenosis. Amongst 6000 acute patients, they found the risk of early repeat stroke, under optimum medical care, may be lower than previously thought – however, recommendations for early revascularisation are still valid until new evidence emerges (read for free).
The second Editor’s choice paper, by Paraskevas et al., reports a Systematic Review on Asymptomatic Carotid Stenosis and Cognitive Impairment. Most of the 35 studies included showed a clear association, but the causal relationship remained unclear. The proposed mechanism involves an impaired cerebral vascular reserve and not silent infarctions (read for free).
The last Editor’s choice paper, by Png et al., investigated WHO mortality statistics for Mortality from Abdominal Aortic Aneurysms between 2001 and 2015. They found consistent trends towards decreasing AAA related mortality around the world and concluded that improved risk factor control might be one of the keys for this success (read for free).
Comes with an invited commentary by G.E. MacFarland et al.
The June issue features three additional EJVES Open Access papers:
First, Alberga et al. describe Nationwide Outcomes in Octogenarians and the Effect of Comorbidities After Intact Abdominal Aortic Aneurysm Repair in the Netherlands. Amongst 16 000 patients, cardiac, pulmonary and renal comorbidities led to excess complications and mortality in octogenarians. The authors recommend this should be considered during decision making, particularly for open repair (read for free).
Comes with an invited commentary by G.K. Ambler et al.
Second, Cervin et al. report the Results After Open and Endovascular Repair of Popliteal Aneurysm in a Matched Comparison Within a Population Based Cohort. In 231 matched pairs, endovascular PAA repair was associated with a more than 2-fold risk of occlusion compared with open repair (read for free).
And lastly, Meekel et al. investigated the Inflammatory Gene Expression in Human Perivascular Adipose Tissue around Abdominal Aortic Aneurysms. These tissues seem to mirror the pro-inflammatory and proteolytic gene expression of adjacent AAA wall – and could represent a new therapeutic target (read for free).
We hope you enjoy early summer and this new edition of our Journal. We expect the Journal Impact Factor update any day now, and of course we’ll let you know as soon as possible – stay tuned!
Florian Dick Martin Björck
Editor-in-Chief Senior Editor
If you are a subscriber to the EJVES and have stored your access credentials to your computer or mobile device, you can access the whole issue here or individual papers via the links below. If you normally access the journal via the journal link in the ESVS members’ area, please go to the ESVS site via this link.
(If you are a subscriber but have no electronic access installed, you can find help here to set your computer or mobile device up.)
Further ISSUE HIGHLIGHTS of the June 2021 issue include:
«Towards a Core Outcome Set for Abdominal Aortic Aneurysm: Systematic Review of Outcomes Reported Following Intact and Ruptured Abdominal Aortic Aneurysm Repair» by Machin et al. (link)
->Outcome measures should not only concentrate on early vascular complications but start to take a broader view towards long term patient functioning outcomes (Delfi consensus awaited)
Comes with an invited commentary by J.B. Ricco et al.
AORTA AND MAJOR BRANCHES
«Prevalence of Thoracic Aortic Aneurysms in Patients with Degenerative Abdominal Aortic Aneurysms: Results from the Prospective ACTA Study» by Gaudry et al. (link)
-> confirms usefulness of systematic imaging of the whole aorta in patients with AAA
«Midterm Outcomes of Zone 0 Antegrade Endograft Implantation During Type I Hybrid Aortic Arch Repair» by Banno et al. (link)
->Risk of peri-operative stroke is relevant – needs to be solved before the procedure can be considered a standard alternative (30 patients observed)
«Outcomes After Open and Endovascular Repair of Non-Ruptured True Pancreaticoduodenal and Gastroduodenal Artery Aneurysms Associated with Coeliac Artery Compression: A Multicentre Retrospective Study» by Illuminati et al. (link)
-> Both feasible with good results, even though endovascular repair may be associated with more repeat interventions (57 patients evaluated)
«Walking Training Improves Systemic and Local Pathophysiological Processes in Intermittent Claudication» by Andrade-Lima et al. (link)
-> Walking at pain threshold triggers local and systemic anti-inflammatory processes in claudicants – towards better cardiovascular health? (32 patients randomised)
«Liver Disease is Associated with Increased Mortality and Major Morbidity After Infra-Inguinal Bypass but not After Endovascular Intervention» by Zettervall et al. (link)
-> Liver fibrosis a dangerous pre-condition for those undergoing peripheral bypass – endovascular revascularisation to be preferred (some 25 000 patients evaluated)
«Clinical Benefit, Harm, and Cost Effectiveness of Screening Men for Peripheral Artery Disease: A Markov Model Based on the VIVA Trial» by Lindholt et al. (link)
-> PAOD screening in men both clinically and cost effective – at least in a lifetime perspective
«Repeatability, and Intra-Observer and Interobserver Agreement of Two Dimensional Perfusion Angiography in Patients with Chronic Limb Threatening Ischaemia» by Iperma et al. (link)
->Digital subtraction angiography a highly reliable diagnostic tool in CLTI patients – if used in a standardised manner
«Multicentre Study on the Efficacy of Brachial Artery Transposition Among Haemodialysis Patients» by Murakami et al. (link)
->Brachial artery transposition (alone or in combination with AV-fistula or central venous catheter) seems a useful bailout alternative (233 hemodialysis patients observed)
Comes with an invited commentary by A. Sedeeq et al.
«Feasibility and Outcomes of a Multidisciplinary Care Pathway for Neurogenic Thoracic Outlet Syndrome: A Prospective Observational Cohort Study» by Pesser et al. (link)
-> Useful standardised care pathway to confi rm diagnosis and guide therapeutic decision making for this challenging entity
Comes with an invited commentary by P.C. Gupta et al.