The September 2021 issue is online and opens with an Editorial to accompany the upcoming ESVS Annual General Meeting in Rotterdam. In this traditional annual account of ESVS and EJVES activities, the Senior Editors and the Society’s President recap the successful hybrid re-orientation over the past challenging year and celebrate the great achievements of our vascular community including the 2020 EJVES impact factor of 7.069! (read for free).
The second Editorial, by Mohan et al., is a further edition of our popular Global Tour D’Horizon and describes the current state of Vascular Surgery in Australia and New Zealand (read for free).
The first Editor’s choice paper, by Pouncey et al., offers a Systematic Review of Sex Specific Differences in Outcomes After Open and Endovascular Intact AAA Repair. The authors reconfirm the increased mortality risk for women across 430 000 investigated procedures (particularly after EVAR), and identify several important targets for improvement (read for free).
Comes with an invited commentary by R. Soares Ferreira et al.
The second Editor’s choice paper, by Kontopodis et al., provides a Systematic Review of the Impact of Institutional and Surgeon Volumes on Outcomes After Ruptured AAA Repair. Across 120 000 procedures, the benefits of institutional experience were clear (particularly for open rAAA repair); however, individual surgeon caseload was without a clear statistical effect (read for free).
Comes with an invited commentary by S.T. Scali et al.
The last Editor’s choice paper, by Lapébie et al., investigated the External Applicability of COMPASS and VOYAGER-PAD Recommendations on French PAOD Patients in the CHOPART Registry. They reconfirmed that the recent ‘PAD trials’ were selective. In other words, their findings were only applicable to around 30% of ‘real world’ patients – at least in France (read for free).
The September issue features five additional EJVES Open Access papers:
This first EJVES Open Access paper, by Meeshoek et al., reports a Delphi Consensus on Clinical Responses to Procedural Strokes Following CEA. They found a clear consensus among 31 experts that expedited diagnostics including immediate re-exploration of the index carotid artery are needed in such cases (read for free).
The second EJVES Open Access paper, by Thorbjørnsen et al., reports the Long Term Outcome of Screen Detected Aortic Ectasias in 65 Year Old Men. It is reassuring that, although many aortic ectasias can be expected to progress to an AAA over ten years, those without progression at five years remain at very low risk (read for free).
Comes with an invited commentary by J.J. Earnshaw et al.
The third EJVES Open Access paper, by Ersryd et al., investigates Risk Factors for Abdominal Compartment Syndrome after Ruptured EVAR. In their Swedvasc based case control study, the authors found that compartment syndrome was unlikely to develop without peri-operative shock (defined as systolic blood pressure < 70 mmHg, need for aortic balloon, or > 5 RBC transfusions) and that it was independent of aneurysm morphology (read for free).
Comes with an invited commentaries by M. Teraa et al.
The fourth EJVES Open Access paper, by Aaij et al., describes Real World Practice Deviation from Practice Guidelines in Patients with Intermittent Claudication. Although management deviated in 20% from guidelines, most deviations were justified by personalised care (read for free).
The last EJVES Open Access paper, by Doelare et al., reports preliminary Phase II results of Microbubbles and Ultrasound Accelerated Thrombolysis for Peripheral Arterial Occlusions. Contrast enhanced sonothrombolysis appears safe, but it remains unclear whether it is more effective than standard treatment (read for free).
We hope you will join this year’s Annual General Hybrid Meeting in Rotterdam, where we can discuss these and other important scientific findings face to face or virtually! In anticipation of a slow return to a new ‘normal’,
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 September 2021 issue include:
«Prognostic Role of Severe Infrarenal Aortic Neck Angulation in Endovascular Aneurysm Repair» by Qayyum et al. (link)
->Does increase the hazard of type 1a endoleak and re-intervention, but not mortality: close surveillance is key! (ten studies reporting almost 7400 EVAR procedures compared)
Comes with an invited commentary by C.G. Vos et al.
«Effects of Statin Therapy and Dose on Cardiovascular and Limb Outcomes in Peripheral Arterial Disease: A Systematic Review and Meta-analysis» by Sofat et al. (link)
->More appears to be more, but dedicated trials needed (24 studies included, but quality of specific evidence limited)
Comes with an invited commentary by A. Gombert
The full and commented TABLE OF CONTENTS of the September 2021 issue is freely available as pdf.
CAROTID AND SUPRA-AORTIC ARTERIES
«A Systematic Review and Meta-analysis of Peri-Procedural Outcomes in Patients Undergoing Carotid Interventions Following Thrombolysis» by Kakkos et al. (link)
-> Previous thrombolysis increases the hazard of hemorrhagic complications after CEA and CAS – better to wait for 6 to 7 days if possible (25 studies with 150 000 procedures analysed)
«Plaque Elasticity and Intraplaque Neovascularisation on Carotid Artery Ultrasound: A Comparative Histological Study» by Zhang et al. (link)
-> Plaque vulnerability depends on elasticity, which can be determined by specialised ultrasound: opportunity for personalised care? (98 plaques compared)
AORTA AND MAJOR BRANCHES
«Determination of Optimal and Safest Proximal Sealing Length During Thoracic Endovascular Aortic Repair» by Piazza et al. (link)
-> 2.0 cm for type I, and 2.5 to 3.0 cm for type II and III arches – at least according to this posthoc analysis (single centre experience)
Comes with an invited commentary by L. Meuli et al.
«Vascular Diagnostic and Surgical Treatments Before Lower Limb Amputations in Patients with Arterial Vascular Diseases: A Population Based Study from 2013 to 2015 in Germany» by Hagenström et al. (link)
-> 80% had undergone a vascular diagnostic examination, but only 60% received a revascularisation before amputation: room for improvement (3 100 first amputees analysed out of 2 million screened patients)
«Regional Anaesthesia for Lower Extremity Amputation is Associated with Reduced Postoperative Complications Compared with General Anaesthesia» by Mufarrih et al. (link)
-> Less pulmonary, hemorrhagic, septic and local complications but no difference in 30 day mortality (45 000 major amputations evaluated)