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  1. Book: Management of abdominal aortic aneurysms

    Moll, Frans L.

    clinical practice guidelines of the European Society for Vascular Surgery

    (European journal of vascular and endovascular surgery ; 41, Suppl. 1)

    2011  

    Institution European Society for Vascular Surgery
    Author's details F. L. Moll
    Series title European journal of vascular and endovascular surgery ; 41, Suppl. 1
    European journal of vascular & endovascular surgery
    Collection European journal of vascular & endovascular surgery
    Language English
    Size S58 S.
    Publisher Elsevier
    Publishing place Kidlington, Oxford
    Publishing country Great Britain
    Document type Book
    HBZ-ID HT016713060
    Database Catalogue ZB MED Medicine, Health

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  2. Article: The Correlation of Aortic Neck Angle and Length in Abdominal Aortic Aneurysm with Severe Neck Angulation for Prediction of Intraoperative Neck Complications and Postoperative Outcomes after Endovascular Aneurysm Repair.

    Chinsakchai, Khamin / Sirivech, Thana / Moll, Frans L / Tongsai, Sasima / Hongku, Kiattisak

    Journal of clinical medicine

    2023  Volume 12, Issue 18

    Abstract: Objectives: Endovascular aneurysm repair (EVAR) in a hostile neck has been associated with adverse outcomes. We aimed to determine the association of infrarenal aortic neck angle and length and establish an optimal cutoff value to predict intraoperative ...

    Abstract Objectives: Endovascular aneurysm repair (EVAR) in a hostile neck has been associated with adverse outcomes. We aimed to determine the association of infrarenal aortic neck angle and length and establish an optimal cutoff value to predict intraoperative neck complications and postoperative outcomes.
    Methods: This was a retrospective review of patients with an intact infrarenal abdominal aortic aneurysm (AAA) with severe neck angulation (>60 degrees) who underwent EVAR from October 2010 to October 2018. Demographic data, aneurysm morphology, and operative details were collected. The ratio of neck angle and length was calculated as the optimal cutoff value of the aortic neck angle-length index. The patients were categorized into two distinct groups using latent profile analysis, a statistical technique employed to identify concealed subgroups within a larger population by examining a predetermined set of variables. Intraoperative neck complications, adjunct neck procedures, and early and late outcomes were compared.
    Results: 115 patients were included. Group 1 (G1) had 95 patients with an aortic neck angle-length index ≤ 4.8, and Group 2 (G2) had 20 patients with an aortic neck angle-length index > 4.8. Demographic data and aneurysm morphology were not significantly different between groups except for neck length (
    Conclusions: Patients with an aortic neck angle-length index > 4.8 are at greater risk of intraoperative neck complications and adjunctive neck procedures than patients with an aortic neck angle-length index ≤ 4.8. The 5-year proximal neck re-intervention-free rate and the 5-year survival rate were not statistically different. Based on our findings, this study suggests that the aortic neck angle-length index is a reliable predictor of intraoperative neck complications during EVAR in AAA with severe neck angulation.
    Language English
    Publishing date 2023-09-06
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12185797
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Interventions for femoropopliteal disease: endo first, second and last?

    Bakker, Olaf J / Moll, Frans M

    The Journal of cardiovascular surgery

    2018  Volume 59, Issue 2, Page(s) 147–149

    MeSH term(s) Clinical Decision-Making ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Exercise Therapy/adverse effects ; Femoral Artery/diagnostic imaging ; Femoral Artery/surgery ; Humans ; Patient Selection ; Peripheral Arterial Disease/diagnostic imaging ; Peripheral Arterial Disease/therapy ; Popliteal Artery/diagnostic imaging ; Popliteal Artery/surgery ; Predictive Value of Tests ; Risk Factors ; Stents ; Treatment Outcome ; Vascular Grafting/adverse effects
    Language English
    Publishing date 2018-01-19
    Publishing country Italy
    Document type Editorial ; Introductory Journal Article
    ZDB-ID 80143-4
    ISSN 1827-191X ; 0021-9509
    ISSN (online) 1827-191X
    ISSN 0021-9509
    DOI 10.23736/S0021-9509.18.10407-1
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: First-in-human feasibility study of the aXess graft (aXess-FIH): 6-Month results.

    Tozzi, Matteo / De Letter, Jan / Krievins, Dainis / Jushinskis, Janis / D'Haeninck, Annick / Rucinskas, Kestutis / Miglinas, Marius / Baltrunas, Tomas / Nauwelaers, Sigi / De Vriese, An S / Moll, Frans / Vermassen, Frank

    The journal of vascular access

    2024  , Page(s) 11297298231220967

    Abstract: Objective: The creation of an arteriovenous fistula (AVF) is considered the most effective hemodialysis (HD) vascular access. For patients who are not suitable for AVF, arteriovenous grafts (AVGs) are the best access option for chronic HD. However, ... ...

    Abstract Objective: The creation of an arteriovenous fistula (AVF) is considered the most effective hemodialysis (HD) vascular access. For patients who are not suitable for AVF, arteriovenous grafts (AVGs) are the best access option for chronic HD. However, conventional AVGs are prone to intimal hyperplasia, stenosis, thrombosis, and infection. Xeltis has developed an AVG as a potential alternative to currently available AVGs based on the concept of endogenous tissue restoration. The results of the first 6-month follow-up are presented here.
    Methods: The aXess first-in-human (FIH) study [NCT04898153] is a prospective, single-arm, multicenter feasibility study that evaluates the early safety and performance of the aXess Hemodialysis Graft. A total of 20 patients with end-stage renal disease were enrolled across six European investigational sites.
    Results: At 6-months follow-up, all grafts were patent with primary and secondary patency rates were 80% and 100%, respectively. Three patients required a re-intervention to maintain graft patency, while one re-intervention was required to restore patency. One graft thrombosis and zero infections were reported.
    Conclusion: The expected advantages of the novel aXess Hemodialysis Graft over conventional AVGs would be evaluated by the analysis on long-term safety and effectiveness during the 5-year follow-up of the currently ongoing trial.
    Language English
    Publishing date 2024-02-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2252820-9
    ISSN 1724-6032 ; 1129-7298
    ISSN (online) 1724-6032
    ISSN 1129-7298
    DOI 10.1177/11297298231220967
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Radiation Awareness for Endovascular Abdominal Aortic Aneurysm Repair in the Hybrid Operating Room: An Instant Operator Risk Chart for Daily Practice.

    de Ruiter, Quirina M B / Moll, Frans L / Hazenberg, Constantijn E V B / van Herwaarden, Joost A

    Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

    2021  Volume 28, Issue 4, Page(s) 530–541

    Abstract: Introduction: While the operator radiation dose rates are correlated to patient radiation dose rates, discrepancies may exist in the effect size of each individual radiation dose predictors. An operator dose rate prediction model was developed, compared ...

    Abstract Introduction: While the operator radiation dose rates are correlated to patient radiation dose rates, discrepancies may exist in the effect size of each individual radiation dose predictors. An operator dose rate prediction model was developed, compared with the patient dose rate prediction model, and converted to an instant operator risk chart.
    Materials and methods: The radiation dose rates (DR
    Results: In the multivariate patient and operator fluoroscopy dose rate models, lower DR
    Conclusion: The operator dose rates were correlated to patient dose rate; however, C-arm angulation and changing from femoral to brachial vascular access site may disproportionally increase the operator radiation risk compared with the patient radiation risk. An instant risk chart may improve operator dose awareness during EVAR.
    MeSH term(s) Abdomen ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/surgery ; Blood Vessel Prosthesis Implantation/adverse effects ; Endovascular Procedures/adverse effects ; Humans ; Operating Rooms ; Radiation Dosage ; Radiation Exposure/adverse effects ; Radiography, Interventional/adverse effects ; Risk Factors ; Treatment Outcome
    Language English
    Publishing date 2021-04-14
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2006618-1
    ISSN 1545-1550 ; 1526-6028
    ISSN (online) 1545-1550
    ISSN 1526-6028
    DOI 10.1177/15266028211007458
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Eversion technique versus traditional carotid endarterectomy with patch angioplasty: a systematic review with meta-analyses and trial sequential analysis.

    Marsman, Martijn S / Wetterslev, Jørn / Vriens, Patrick W H E / Bleys, Ronald L A W / Jahrome, Abdelkarime Kh / Moll, Frans L / Keus, Frederik / Reijnen, Michel M P J / Koning, Giel G

    Surgery open science

    2023  Volume 13, Page(s) 99–110

    Abstract: Introduction: The use of an 'eversion' technique is not unequivocally proven to be superior to carotid endarterectomy with patch angioplasty. An up-to-date systematic review is needed for evaluation of benefits and harms of these two techniques.: ... ...

    Abstract Introduction: The use of an 'eversion' technique is not unequivocally proven to be superior to carotid endarterectomy with patch angioplasty. An up-to-date systematic review is needed for evaluation of benefits and harms of these two techniques.
    Methods: RCTs comparing eversion technique versus endarterectomy with patch angioplasty in patients with a symptomatic and significant (≥50 %) stenosis of the internal carotid artery were enrolled. Primary outcomes were all-cause mortality rate, health-related quality of life and serious adverse events. Secondary outcomes included 30-day stroke and mortality rate, (a) symptomatic arterial occlusion or restenosis, and adverse events not critical for decision making.
    Results: Four RCTs were included with 1272 surgical procedures for carotid stenosis; eversion technique
    Conclusions: This systematic review showed no conclusive evidence of any difference between eversion technique and carotid endarterectomy with patch angioplasty in carotid surgery. These conclusions are based on data obtained in trials with very low certainty according to GRADE and should therefore be interpreted cautiously. Until conclusive evidence is obtained, the standard of care according to ESVS guidelines should not be abandoned.
    Language English
    Publishing date 2023-05-23
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2589-8450
    ISSN (online) 2589-8450
    DOI 10.1016/j.sopen.2023.05.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: A proof-of-concept study of the VeinScrew: A new percutaneous venous closure device.

    Boersma, Doeke / de Borst, Gert Jan / Moll, Frans L

    Vascular

    2017  Volume 25, Issue 1, Page(s) 105–109

    Abstract: Objective This study evaluated the concept of percutaneous closure of insufficient veins using the VeinScrew principle. Methods The VeinScrew is designed to place a spring-shaped implant that contracts and clamps around the vein. The ability of the ... ...

    Abstract Objective This study evaluated the concept of percutaneous closure of insufficient veins using the VeinScrew principle. Methods The VeinScrew is designed to place a spring-shaped implant that contracts and clamps around the vein. The ability of the device to occlude adequately was tested in a bench model experiment. The feasibility of accurate placement and adequate venous occlusion was evaluated in an animal experiment and in a human cadaveric experiment. Results The VeinScrew implant occluded up to a pressure of 135 mmHg. In vivo studies confirmed that deployment was challenging but technically feasible, and subsequent phlebography showed closure of the vein. The cadaveric study showed that percutaneous placement of the evolved VeinScrew around the great saphenous vein was feasible and accurate. Conclusions The current studies show the feasibility of the VeinScrew concept. Future developments and translational studies are necessary to determine the potential of this technique as a new option in the phlebologist's toolbox.
    MeSH term(s) Animals ; Cadaver ; Equipment Design ; Feasibility Studies ; Female ; Hemostatic Techniques/instrumentation ; Humans ; Models, Animal ; Saphenous Vein/diagnostic imaging ; Swine ; Ultrasonography, Interventional ; Vascular Closure Devices ; Venous Pressure
    Language English
    Publishing date 2017-02
    Publishing country England
    Document type Evaluation Studies ; Journal Article
    ZDB-ID 2137151-9
    ISSN 1708-539X ; 1708-5381
    ISSN (online) 1708-539X
    ISSN 1708-5381
    DOI 10.1177/1708538116644117
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Mid-Term Outcomes of Chimney Endovascular Aortic Aneurysm Repair: A Systematic Review and Meta-analysis.

    Prapassaro, Tossapol / Teraa, Martin / Chinsakchai, Khamin / Hazenberg, Constantijn E V B / Hunnangkul, Saowalak / Moll, Frans L / van Herwaarden, Joost A

    Annals of vascular surgery

    2021  Volume 79, Page(s) 359–371

    Abstract: Background: To provide an overview of the literature on the mid-term outcomes of chimney EVAR (ChEVAR) for the treatment of juxtarenal abdominal aortic aneurysms (JAAA).: Methods: Different electronic databases were searched for published articles up ...

    Abstract Background: To provide an overview of the literature on the mid-term outcomes of chimney EVAR (ChEVAR) for the treatment of juxtarenal abdominal aortic aneurysms (JAAA).
    Methods: Different electronic databases were searched for published articles up to January 2020. The eligibility criteria were studies describing mid- or long-term outcomes of chimney EVAR (mean follow-up at least 1 year) for treatment of JAAA, including more than 10 cases, published in English, and with full text available. The outcomes measure were overall survival rate, target vessel patency, and freedom from reintervention at 3 years. Quality of the included studies was analyzed using the MINORS criteria. Pooled effect estimates were analyzed using random-effect models and heterogeneity was tested using I
    Results: Thirteen articles met the inclusion criteria. The included studies described 1,019 patients. According to the quality assessment, methodological quality was moderate to poor. The pooled overall survival, freedom from reintervention, and target vessel patency at 3 year was 81.4 % (95%CI 73.8-87.9), 85.7% (95%CI 75.6-93.5), and 95.1% (95%CI 89.3-98.7) respectively.
    Conclusions: The results of this review show good to acceptable short and mid-term survival and good mid-term durability, which supports that ChEVAR as a suitable alternative in high-risk JAAA. However, proper patient selection for ChEVAR seems essential to attain good mid-term outcomes, and further large prospective and good quality studies are required to demonstrate its long-term results and enable conclusions on specific determinants for outcome.
    MeSH term(s) Aged ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/mortality ; Aortic Aneurysm, Abdominal/physiopathology ; Aortic Aneurysm, Abdominal/surgery ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/mortality ; Endovascular Procedures/adverse effects ; Endovascular Procedures/mortality ; Female ; Humans ; Male ; Postoperative Complications/mortality ; Postoperative Complications/therapy ; Risk Assessment ; Risk Factors ; Time Factors ; Treatment Outcome ; Vascular Patency
    Language English
    Publishing date 2021-10-16
    Publishing country Netherlands
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2021.08.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: A systematic review of the current status of interventions for type II endoleak after EVAR for abdominal aortic aneurysms.

    Akmal, Marethania M / Pabittei, Dara R / Prapassaro, Tossapol / Suhartono, Raden / Moll, Frans L / van Herwaarden, Joost A

    International journal of surgery (London, England)

    2021  Volume 95, Page(s) 106138

    Abstract: Objective: To study the mid- and long-term outcomes of type II endoleak treatment after EVAR and the technical aspects of different techniques to exclude endoleaks which different embolic agents.: Methods: A systematic review was performed using the ... ...

    Abstract Objective: To study the mid- and long-term outcomes of type II endoleak treatment after EVAR and the technical aspects of different techniques to exclude endoleaks which different embolic agents.
    Methods: A systematic review was performed using the approach recommended by the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for meta-analyses of interventional studies. The comprehensive search was conducted using the following database: MEDLINE, EMBASE, and the Cochrane Library. Patient characteristic, intervention approaches, embolic agents, and results at mid and long term follow up were studied.
    Results: A total of 6 studies corresponding to a total of 141 patients fulfilled the inclusion criteria with a mean age of 73-78.6 years and a mean duration of follow up varying from 25 to 42 months. There were different techniques for embolization used (translumbar, transarterial, and transcaval approach) with various types of embolic agents. In all studies, the indication for embolization of the type II endoleaks was sac enlargement of more than 5 mm. A wide range of technical success rate was reported regardless of the intervention strategy being used (17,6%-100%). The overall technical success rate of all studies was 62%.
    Conclusion: This systematic review shows that there is a wide variety of techniques to exclude a persistent type II endoleak. Different kinds of embolic agents have be used. Due to a lack of peer reviewed data on longterm follow-up, it was not possible to come to recommendations what treatment would be the best for a durable exclusion of a persistent type II endoleak after an initially successful EVAR. There remains an urgent need for proper executed studies, either randomized or with close observation in relation to longer follow-up.
    MeSH term(s) Aged ; Aortic Aneurysm, Abdominal/surgery ; Embolization, Therapeutic ; Endoleak/etiology ; Endoleak/surgery ; Endovascular Procedures/adverse effects ; Humans
    Language English
    Publishing date 2021-10-09
    Publishing country England
    Document type Journal Article ; Review ; Systematic Review
    ZDB-ID 2212038-5
    ISSN 1743-9159 ; 1743-9191
    ISSN (online) 1743-9159
    ISSN 1743-9191
    DOI 10.1016/j.ijsu.2021.106138
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Carotid endarterectomy with patch angioplasty versus primary closure in patients with symptomatic and significant stenosis: a systematic review with meta-analyses and trial sequential analysis of randomized clinical trials.

    Marsman, Martijn S / Wetterslev, Jørn / Jahrome, Abdelkarime Kh / Gluud, Christian / Moll, Frans L / Keus, Frederik / Koning, Giel G

    Systematic reviews

    2021  Volume 10, Issue 1, Page(s) 139

    Abstract: Background: Patch angioplasty in conventional carotid endarterectomy is suggested to reduce the risk of restenosis and recurrent ipsilateral stroke compared with primary closure. A systematic review of randomized clinical trials is needed to compare ... ...

    Abstract Background: Patch angioplasty in conventional carotid endarterectomy is suggested to reduce the risk of restenosis and recurrent ipsilateral stroke compared with primary closure. A systematic review of randomized clinical trials is needed to compare outcomes (benefits and harms) of both techniques.
    Methods: Searches (CENTRAL, PubMed/MEDLINE, EMBASE, and other databases) were last updated 3rd of January 2021. We included randomized clinical trials comparing carotid endarterectomy with patch angioplasty versus primary closure of the arterial wall in patients with a symptomatic and significant (> 50%) carotid stenosis. Primary outcomes are defined as all-cause mortality and serious adverse events.
    Results: We included 12 randomized clinical trials including 2187 participants who underwent 2335 operations for carotid stenosis comparing carotid endarterectomy with patch closure (1280 operations) versus carotid endarterectomy with primary closure (1055 operations). Meta-analysis comparing carotid endarterectomy with patch angioplasty versus carotid endarterectomy with primary closure may potentially decrease the number of patients with all-cause mortality (RR 0.53; 95% CI 0.26 to 1.08; p = 0.08, best-case scenario for patch), serious adverse events (RR 0.73; 95% CI 0.56 to 0.96; p = 0.02, best-case scenario for patch), and the number of restenosis (RR 0.41; 95% CI 0.23 to 0.71; p < 0.01). Trial sequential analysis demonstrated that the required information sizes were far from being reached for these patient-important outcomes. All the patient-relevant outcomes were at low certainty of evidence according to The Grading of Recommendations Assessment, Development, and Evaluation.
    Conclusions: This systematic review showed no conclusive evidence of a difference between carotid endarterectomy with patch angioplasty versus primary closure of the arterial wall on all-cause mortality, < 30 days mortality, < 30 days stroke, or any other serious adverse events. These conclusions are based on data from 15 to 35 years ago, obtained in trials with very low certainty according to GRADE, and should be interpreted cautiously. Therefore, we suggest conducting new randomized clinical trials patch angioplasty versus primary closure in carotid endarterectomy in symptomatic patients with an internal carotid artery stenosis of 50% or more. Such trials ought to be designed according to the Standard Protocol Items: Recommendations for Interventional Trials statement (Chan et al., Ann Intern Med 1:200-7, 2013) and reported according to the Consolidated Standards of Reporting Trials statement (Schulz et al., 7, 2010). Until conclusive evidence is obtained, the standard of care according to guidelines should not be abandoned.
    Systematic review registration: PROSPERO CRD42014013416 . Review protocol publication 2019 DOI: https://doi.org/10.1136/bmjopen-2018-026419 .
    MeSH term(s) Angioplasty ; Carotid Stenosis/surgery ; Constriction, Pathologic ; Endarterectomy, Carotid ; Humans ; Randomized Controlled Trials as Topic ; Stroke ; Treatment Outcome
    Language English
    Publishing date 2021-05-06
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Review ; Systematic Review
    ZDB-ID 2662257-9
    ISSN 2046-4053 ; 2046-4053
    ISSN (online) 2046-4053
    ISSN 2046-4053
    DOI 10.1186/s13643-021-01692-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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