Our letter offers constructive criticism of the recently published retrospective multicenter clinical trial regarding Venastent for patients with Iliac Vein Compression Syndrome. Although this study is very valuable in bringing insights about the patency and technical performance of the device, several important methodological aspects merit further consideration to ultimately enhance the clinical relevance and generalization of the findings. They include lack of data on patients' adherence to anticoagulation, absence of systematic reporting of bleeding and other anticoagulation-associated complications, and no objective venous inflow assessment before stenting—all important for the critical interpretation of stent safety and long-term outcomes.
In many countries, EVAR is the first preference for treating abdominal aneurysms. However, recent NICE guidelines have added additional arguments in favour of open surgical repair (OSR). This study focuses on patient-reported quality of life using Short Form-36 (SF-36) questionnaires to obtain additional decision-making arguments for EVAR or open repair.
We critically appraised the recent study by Wang et al., which evaluated the efficacy of drug-coated balloons (DCBs) in femoropopliteal lesions stratified by lesion length. Although this study provides valuable long-term outcome data, several methodological and clinical concerns warrant further clarification. The arbitrary 15 cm threshold for lesion classification may introduce bias, and the use of the last observation carried forward to handle substantial missing imaging data (23%) could compromise the reliability of patency estimates.
Vascular surgery residents face a high degree of burnout, despite the identification of modifiable risk factors. Business organizations have used the psychosocial work environment including workplace fit and “sense of purpose” to assess employee satisfaction and productivity. We sought to evaluate the effect of these factors on burnout in vascular surgery trainees.
The incidence of major lower extremity amputation (MLA) is related to increasing rates of diabetes mellitus and peripheral arterial disease. Factors which influence functional mobility following MLA are less known. We aimed to investigate determinants of improved prosthetic fitting rate and greater functional mobility following MLA in patients with vascular disease.
Patients with liver cirrhosis undergoing splenectomy exhibit a high incidence of portal venous system thrombosis (PVST). Therapeutic interventions may prevent PVST development. This Bayesian network meta-analysis systematically evaluates the efficacy and safety of diverse anticoagulation regimens for PVST prophylaxis.
We read with interest the meta-analysis by Tall et al., which investigates the association between chronic kidney disease (CKD) severity and short-term outcomes following carotid endarterectomy (CEA) among patients with carotid artery stenosis (CAS) of varying symptomatology1. While the findings affirm the elevated perioperative risk in CKD cohorts, we believe further clarifications could enhance their clinical utility.
This meta-analysis reviewed outcomes of patients with uncomplicated Type B aortic dissection (unTBAD) treated with either thoracic endovascular aortic repair (TEVAR) plus optimised medical therapy (OMT) or OMT alone. The study evaluated both short-term and long-term outcomes to assess whether TEVAR improved overall mortality and reduced complications such as retrograde type A dissection, stroke, paraplegia, and aortic remodeling.
To identify the clinical course of the patients with restenosis after carotid endarterectomy (CEA) based on treatment strategy and symptomatic status.