Review
Medicine, General & Internal
Fan Mei, Kaiyan Hu, Bing Zhao, Qianqian Gao, Fei Chen, Li Zhao, Mei Wu, Liyuan Feng, Zhe Wang, Jinwei Yang, Weiyi Zhang, Bin Ma
Summary: The study evaluated the effectiveness and safety of retroperitoneal versus transperitoneal approaches for elective open abdominal aortic aneurysm repair. The results showed no significant differences in mortality and complications between the two approaches, but the retroperitoneal approach may reduce ICU and hospital stay, and potentially decrease blood loss.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
Review
Endocrinology & Metabolism
Zhen Yuan, Zhijian Heng, Yi Lu, Jia Wei, Zhejun Cai
Summary: The study found that metformin can reduce the growth rate and rupture risk of abdominal aortic aneurysm in type 2 diabetes patients, providing research evidence for related treatment strategies.
FRONTIERS IN ENDOCRINOLOGY
(2021)
Review
Cardiac & Cardiovascular Systems
Wenqiang Niu, Juan Shao, Benxiang Yu, Guolong Liu, Ran Wang, Hengyang Dong, Haijie Che, Lubin Li
Summary: The study found that metformin can limit the expansion of abdominal aortic aneurysm (AAA) and reduce mortality related to AAA repair or rupture. However, further biological experiments and clinical trials are still needed to support these findings.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Surgery
Xiaowei Xiong, Zhaoyu Wu, Xuan Qin, Qun Huang, Xin Wang, Jinbao Qin, Xinwu Lu
Summary: Statin therapy is associated with a significant decrease in long- and short-term mortality in patients after AAA repair, suggesting its potential use in clinical practice for the management of AAA.
JOURNAL OF VASCULAR SURGERY
(2022)
Review
Medicine, General & Internal
Nicola Leone, Magdalena Anna Broda, Jonas Peter Eiberg, Timothy Andrew Resch
Summary: The conservative management strategy is supported for small AAAs due to their low risk of rupture and aortic-related mortality. Large AAAs have a higher risk of rupture and aortic-related mortality, especially in patients unfit for surgery.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Surgery
Vinamr Rastogi, Nicole H. Kim, Christina L. Marcaccio, Priya B. Patel, Rens R. B. Varkevisser, Jorg L. de Bruin, Hence J. M. Verhagen, Marc L. Schermerhorn
Summary: Compared to the transperitoneal approach, the retroperitoneal approach may be more suitable for open repair of infrarenal abdominal aortic aneurysm, and it is associated with lower peri-operative mortality and morbidity rates.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
Review
Surgery
Jianqing Deng, Jie Liu, Dan Rong, Yangyang Ge, Hongpeng Zhang, Xiaoping Liu, Wei Guo
Summary: This meta-analysis found that local anesthesia (LA) in endovascular repair of ruptured abdominal aortic aneurysms (REVAR) is associated with a significantly lower 30-day/in-hospital mortality rate compared to general anesthesia (GA). However, further randomized controlled trials are needed to validate these findings due to potential observation bias in the included studies.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Biochemistry & Molecular Biology
Tingting Chen, Hongliang Zhang, Yang Zhang, Mengqi Yang, Juntao Wu, Minjun Yang, Jiangbo Lin, Weixu Gao, Lijiang Tang, Baohui Xu, Jianjun Jiang, Xiaofeng Chen
Summary: The meta-analysis found that circulating zinc and Zn/Cu ratio were significantly lower in AAA patients, and aneurysmal aorta associated with AAA also had significantly lower zinc levels and Zn/Cu ratio. However, there was no significant difference in circulating or aortic copper levels between AAA patients and the control group.
BIOLOGICAL TRACE ELEMENT RESEARCH
(2021)
Review
Hematology
James Phie, Shivshankar Thanigaimani, Jonathan Golledge
Summary: This study systematically reviewed 35 AAA mouse model studies and found that drugs such as anti-inflammatory drugs, protease inhibitors, stem cells, antiplatelet or anticoagulant drugs, and renin-angiotensin system inhibitors can reduce AAA diameter. Early interventions were more effective, but publication bias and risk of bias were noted.
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY
(2021)
Article
Cell & Tissue Engineering
Xintong Li, Hao Wen, Junyuan Lv, Boyang Luan, Jinze Meng, Shiqiang Gong, Jie Wen, Shijie Xin
Summary: This study conducted a meta-analysis and systematic review to assess the therapeutic efficacy of mesenchymal stem cells (MSCs) for abdominal aortic aneurysm (AAA). The results demonstrated that MSC intervention effectively suppresses aortic diameter enlargement, reduces elastin degradation, and modulates local immunoinflammatory reactions in AAA.
STEM CELL RESEARCH & THERAPY
(2022)
Review
Surgery
Nikolaos Kontopodis, Nikolaos Galanakis, Christos V. Ioannou, Dimitrios Tsetis, Jean-Pierre Becquemin, George A. Antoniou
Summary: The study found that there were significant differences in all-cause mortality during the perioperative and postoperative period between EVAR and open repair. However, no significant difference was observed in aneurysm-related mortality. Recent studies and treated patients showed a more pronounced advantage for EVAR. The certainty for the body of evidence for overall and postdischarge all-cause mortality was judged to be low, while that for aneurysm-related mortality was high.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Cardiac & Cardiovascular Systems
Jun-Xing Zhu, Quan-Qiao Tang, Can Zhou, Xing-Chi Shi, Si-Yi Yi, Ying Yang
Summary: A new, simple, and reproducible rat model of abdominal aortic aneurysm (AAA) can be constructed through a retroperitoneal approach. The model effectively simulates the pathological features of human AAA, including inflammatory cell infiltration, enhanced protease activity, and extracellular matrix destruction. The PPE+CaCl2 model has the advantages of a high survival rate, high aneurysm formation rate, good stability, and reproducibility, making it an ideal animal model for studying the pathogenesis of AAA. The PPE+BAPN model can simulate the characteristics of spontaneous rupture of aneurysms, making it an ideal animal model for studying the mechanism of AAA rupture.
FRONTIERS IN CARDIOVASCULAR MEDICINE
(2022)
Article
Surgery
Wai Kiu Chan, Enming Yong, Qiantai Hong, Li Zhang, Pravin Lingam, Glenn Wei Leong Tan, Sadhana Chandrasekar, Zhiwen Joseph Lo
Summary: The prevalence of AAAs in the general Asian population is low, but approaches Western levels in Asian populations selected for cardiovascular risk factors. Further studies are needed to evaluate the potential benefits of screening for AAAs in carefully selected Asian populations.
JOURNAL OF VASCULAR SURGERY
(2021)
Article
Surgery
Takuro Shirasu, Toshiki Kuno, Jun Yasuhara, Yujiro Yokoyama, Hisato Takagi, Michael J. Cullen, K. Craig Kent, W. Darrin Clouse
Summary: This study compared the outcomes of endovascular aneurysm repair (EVAR) and open aneurysm repair (OAR) for infected abdominal aortic aneurysms (AAAs). The results indicated that EVAR has become more prevalent in treating infected AAAs, but recurrent infection was more frequent after EVAR compared to OAR.
JOURNAL OF VASCULAR SURGERY
(2022)
Review
Surgery
Dimitrios A. Chatzelas, Charalampos N. Loutradis, Apostolos G. Pitoulias, Thomas E. Kalogirou, Georgios A. Pitoulias
Summary: This study provides an updated systematic literature review on aortic neck dilatation (AND) after endovascular aortic aneurysm repair (EVAR) in patients with infrarenal abdominal aortic aneurysm. The results show that the incidence of AND is 22.9%, and it is significantly associated with type Ia endoleak and stent graft migration, often leading to reinterventions and adversely affecting long-term durability.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Medicine, General & Internal
Sarah Milosevic, Lucy Brookes-Howell, Brenig Llwyd Gwilym, Cherry-Ann Waldron, Emma Thomas-Jones, Ryan Preece, Philip Pallmann, Debbie Harris, Ian Massey, Philippa Stewart, Katie Samuel, Sian Jones, David Cox, Christopher P. Twine, Adrian Edwards, David C. Bosanquet
Summary: This study aims to investigate the communication, consent, risk prediction, and decision-making process in major lower limb amputation surgeries. Through audio-recorded consultations, interviews, and workshops, the study will analyze the decision-making process between doctors, patients, and their relatives/caregivers, and disseminate the findings to a wide audience, including healthcare professionals.
Article
Surgery
George A. Antoniou, Frederico Bastos Goncalves, Martin Bjorck, Nabil Chakfe, Raphael Coscas, Nuno Dias, Florian Dick, Stavros K. Kakkos, Barend M. E. Mees, Timothy Resch, Santi Trimarchi, Riikka Tulamo, Chris P. Twine, Frank Vermassen, Anders Wanhainen, Philippe Kolh
Summary: The development of health guidelines is becoming increasingly sophisticated and systematic, with critical steps including the assessment of evidence certainty, the use of evidence to decision frameworks, and the employment of health guideline reporting tools to ensure methodological rigor and transparency.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
Review
Surgery
Bethany G. Wardle, Azel Botes, Graeme K. Ambler, Sarah Rudd, Mahim Qureshi, David C. Bosanquet, Robert J. Hinchliffe, Christopher P. Twine
Summary: This study aimed to identify implantable devices used in vascular and endovascular procedures and assess the quality of randomized controlled trial (RCT) evidence. The results showed that 62% of implantable device types had at least one RCT available to demonstrate equivalence or safety. However, most RCTs had a high risk of bias, and the frequency of RCTs is decreasing over time.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
Article
Surgery
Ross Naylor, Barbara Rantner, Stefano Ancetti, Gert J. de Borst, Marco De Carlo, Alison Halliday, Stavros K. Kakkos, Hugh S. Markus, Dominick J. H. McCabe, Henrik Sillesen, Jos C. van den Berg, Melina Vega de Ceniga, Maarit A. Venermo, Frank E. G. Vermassen
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Editorial Material
Surgery
Christopher P. Twine, Kevin Mani
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
Review
Surgery
Kitty H. F. Wong, Petar Zlatanovic, David C. Bosanquet, Athanasios Saratzis, Stavros K. Kakkos, Victor Aboyans, Christopher P. Twine
Summary: The role of antithrombotic therapy in the management of aortic and peripheral aneurysms is unclear. This meta-analysis found that antiplatelet therapy was associated with a reduction in post-intervention all cause mortality for abdominal aortic aneurysms (AAAs), while anticoagulants were associated with an increased risk of all cause mortality, endoleak, and re-intervention. However, more large, well-designed trials are needed to determine the therapeutic benefits of antithrombotic agents in this setting.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2022)
Article
Surgery
Bijan Modarai, Stephan Haulon, Elizabeth Ainsbury, Dittmar Bockler, Eliseo Vano-Carruana, Joseph Dawson, Mark Farber, Isabelle Van Herzeele, Adrien Hertault, Joost van Herwaarden, Ashish Patel, Anders Wanhainen, Salome Weiss, Frederico Bastos Goncalves, Martin Bjorck, Nabil Chakfe, Gert J. de Borst, Raphael Coscas, Nuno V. Dias, Florian Dick, Robert J. Hinchliffe, Stavros K. Kakkos, Igor B. Koncar, Philippe Kolh, Jes S. Lindholt, Santi Trimarchi, Riikka Tulamo, Christopher P. Twine, Frank Vermassen, Klaus Bacher, Elias Brountzos, Fabrizio Fanelli, Liliana A. Fidalgo Domingos, Mauro Gargiulo, Kevin Mani, Tara M. Mastracci, Blandine Maurel, Robert A. Morgan, Peter Schneider
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Surgery
Jonathan R. Boyle, Nikolaos Tsilimparis, Isabelle Van Herzeele, Anders Wanhainen, SVS AAA Guidelines Writing Committee, ESVS Guidelines Steering Committee
Summary: In response to concerns about the failure of EndoVascular Aneurysm Seal (EVAS), the European Society for Vascular Surgery (ESVS) Abdominal Aortic Aneurysm (AAA) Clinical Practice Guidelines Writing Committee (WC) established a task force to provide guidance on surveillance and management for patients with implanted EVAS devices.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Letter
Surgery
Haroon Ahmed, Ross T. Mercer, Kitty H. F. Wong, Robert J. Hinchliffe, Christopher P. Twine
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Surgery
Satchithanantham Vinojan, Thushan D. Gooneratne, Christopher P. Twine, Robert J. Hinchliffe
Summary: This study evaluated the CPGs from ESVS using the AGREE II instrument. The majority of ESVS clinical guidelines were found to be of high quality and reporting, although there is room for improvement.
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Surgery
Christopher P. Twine, Stavros K. Kakkos, Victor Aboyans, Iris Baumgartner, Christian-Alexander Behrendt, Sergi Bellmunt-Montoya, Bernd Jilma, Joakim Nordanstig, Athanasios Saratzis, Jim A. Reekers, Petar Zlatanovic
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Article
Physiology
Damian G. Bailey, Richard A. Davies, George H. Rose, Michael Lewis, Ahmed Abd P. Aldayem, Chistopher Twine, Wael Awad, Matti Jubouri, Idhrees A. Mohammed, Carlos P. Mestres, Edward S. Chen, Joseph M. Coselli, Ian Williams, Mohamad Bashir
Summary: The risk of exercise in patients with AAA remains uncertain due to concerns about potential rupture caused by increased blood pressure. However, by evaluating vascular mechanobiological forces associated with exercise and providing risk mitigation recommendations specific to this patient population, we find that the benefits of cardiopulmonary exercise testing and training far outweigh the short-term risks posed by potential AAA rupture.
EXPERIMENTAL PHYSIOLOGY
(2023)
Review
Medicine, General & Internal
Ewa M. Zywicka, Lucy Elliott, Christopher P. Twine, Ronelle Mouton, Robert J. Hinchliffe
Summary: This systematic review aims to assess the quality of reporting standards in RCTs of endovascular lower limb interventions for peripheral arterial disease and compare them with CONSORT-NPT and TIDieR framework.
SYSTEMATIC REVIEWS
(2023)
Editorial Material
Surgery
Ryan Gouveia e Melo, Christopher P. Twine
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)
Letter
Surgery
Shona McIntosh, Sam Harding, Patrick A. Coughlin, Christopher P. Twine
EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
(2023)