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Article ; Online: Sealing zone issues in different parts of the aorta post-endovascular repair.

Schuurmann, Richte Cl / de Vries, Jean-Paul Pm

2023 Volume 64, Issue 2, Page(s) 131–133

MeSH term(s)	Humans ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/adverse effects ; Aorta ; Endovascular Procedures/adverse effects ; Treatment Outcome ; Stents ; Retrospective Studies
Language	English
Publishing date	2023-03-29
Publishing country	Italy
Document type	Editorial
ZDB-ID	80143-4
ISSN	1827-191X ; 0021-9509
ISSN (online)	1827-191X
ISSN	0021-9509
DOI	10.23736/S0021-9509.22.12587-5
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Article: Treatment of clinically uninfected diabetic foot ulcers, with and without antibiotics.

Huizing, Eline / Schreve, Michiel A / Stuart, James Wt Cohen / de Vries, Jean-Paul Pm / Çağdaş, Ünlü

Journal of wound care

2024 Volume 33, Issue 2, Page(s) 118–126

Abstract: Objective: Current guidelines do not recommend the use of antibiotics to treat clinically uninfected ulcers. However, physicians continue to prescribe antibiotics for clinically uninfected ulcers with the rationale 'better to be safe than sorry'. Yet, ... ...

Abstract	Objective: Current guidelines do not recommend the use of antibiotics to treat clinically uninfected ulcers. However, physicians continue to prescribe antibiotics for clinically uninfected ulcers with the rationale 'better to be safe than sorry'. Yet, antibiotic resistance is increasing, side-effects are common and treatment costs are rising. Evidence is needed to identify whether antibiotic treatment for clinically uninfected ulcers can be justified or we should stop prescribing them. The aim of this study was to evaluate whether antibiotic treatment in cases of clinically uninfected ulcers improved ulcer healing compared to treatment without antibiotics. Method: Consecutive patients treated in the outpatient clinic for clinically uninfected diabetic foot ulcer both in 2015 and in 2017 were retrospectively analysed. Primary outcome was ulcer healing at one year. Secondary outcomes were limb salvage, freedom from any amputation, amputation-free survival (AFS) and survival. Results: A total of 102 ulcers of 91 patients were included for final analyses. The non-antibiotics and antibiotics groups both consisted of 51 ulcers. Ulcer healing at one year was 77.3% in the non-antibiotics group and 74.7% in the antibiotics group (p=0.158). No difference was found for limb salvage (93.8% versus 95.9%, respectively; p=0.661), freedom from any amputation (85.6% versus 85.6%, respectively; p=1.000), AFS (85.4% versus 79.1%, respectively; p=0.460) or survival (89.6% versus 83.7%, respectively; p=0.426). Conclusion: In this study, no benefits of antibiotic treatment over non-antibiotic treatment for clinically uninfected ulcers were identified. The findings of this study emphasise the recommendation of current guidelines to not treat clinically uninfected ulcer with antibiotics.
MeSH term(s)	Humans ; Diabetic Foot/drug therapy ; Anti-Bacterial Agents/therapeutic use ; Wound Healing ; Retrospective Studies ; Limb Salvage ; Diabetes Mellitus/drug therapy
Chemical Substances	Anti-Bacterial Agents
Language	English
Publishing date	2024-02-08
Publishing country	England
Document type	Journal Article
ZDB-ID	1353951-6
ISSN	0969-0700
ISSN	0969-0700
DOI	10.12968/jowc.2024.33.2.118
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Zs.A 4572: Show issues			Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG)
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Article ; Online: Importance of sac regression after EVAR and the role of EndoAnchors.

Vos, Cornelis G / Fouad, Fatima / Dieleman, Isabel M / Schuurmann, Richte Cl / de Vries, Jean-Paul Pm

The Journal of cardiovascular surgery

2024

Abstract: The initial success and widespread adoption of endovascular aneurysm repair (EVAR) for the treatment of abdominal aortic aneurysms have been tempered by numerous reports of secondary interventions and increased long-term mortality compared with open ... ...

Abstract	The initial success and widespread adoption of endovascular aneurysm repair (EVAR) for the treatment of abdominal aortic aneurysms have been tempered by numerous reports of secondary interventions and increased long-term mortality compared with open repair. Over the past decade, several studies on postoperative sac dynamics after EVAR have suggested that the presence of sac regression is a benign feature with a favorable prognosis. Conversely, increasing sacs and even stable sacs can be indicators of more unstable sac behavior with worse outcomes in the long-term. Endoleaks were initially perceived as the main drivers of sac behavior. However, the observation that sac regression can occur in the presence of endoleaks, and vice versa - increasing sacs without evidence of endoleak - on imaging studies, suggests the involvement of other contributing factors. These factors can be divided into anatomical factors, patient characteristics, sac thrombus composition, and device-related factors. The shift of interest away from especially type 2 endoleaks is further supported by promising results with the use of EndoAnchors regarding postoperative sac behavior. This review provides an overview of the existing literature on the implications and known risk factors of post-EVAR sac behavior, describes the accurate measurement of sac behavior, and discusses the use of EndoAnchors to promote sac regression.
Language	English
Publishing date	2024-03-29
Publishing country	Italy
Document type	Journal Article
ZDB-ID	80143-4
ISSN	1827-191X ; 0021-9509
ISSN (online)	1827-191X
ISSN	0021-9509
DOI	10.23736/S0021-9509.24.12992-8
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Zs.A 469: Show issues

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Article ; Online: Effectiveness of current perioperative telemonitoring on postoperative outcome in patients undergoing major abdominal surgery: A systematic review of controlled trials.

Haveman, Marjolein E / Jonker, Leonie T / Hermens, Hermie J / Tabak, Monique / de Vries, Jean-Paul Pm

Journal of telemedicine and telecare

2021 Volume 30, Issue 2, Page(s) 215–229

Abstract: Background: Perioperative telemonitoring of patients undergoing major surgery might lead to improved postoperative outcomes. The aim of this systematic review is to evaluate the effectiveness of current perioperative telemonitoring interventions on ... ...

Abstract	Background: Perioperative telemonitoring of patients undergoing major surgery might lead to improved postoperative outcomes. The aim of this systematic review is to evaluate the effectiveness of current perioperative telemonitoring interventions on postoperative clinical, patient-reported, and financial outcome measures in patients undergoing major surgery. Methods: For this systematic review, PubMed, CINAHL, and Embase databases were searched for eligible articles published between January 1, 2009 and March 15, 2021. Studies were eligible as they described: (P) patients aged 18 years or older who underwent major abdominal surgery, (I) perioperative telemonitoring as intervention, (C) a control group receiving usual care, (O) any type of postoperative clinical, patient-reported, or financial outcome measures, and (S) an interventional study design. Results: The search identified 2958 articles of which 10 were eligible for analysis, describing nine controlled trials of 2438 patients. Perioperative telemonitoring comprised wearable biosensors ( Conclusion: Evidence for the effectiveness of perioperative telemonitoring in major surgery is scarce. There is a need for good quality studies with sufficient patients while ensuring that the quality and usability of the technology and the adoption in care processes are optimal.
MeSH term(s)	Humans ; Pain ; Controlled Clinical Trials as Topic ; Abdomen/surgery ; Telemetry ; Postoperative Care ; Intraoperative Care
Language	English
Publishing date	2021-11-01
Publishing country	England
Document type	Systematic Review ; Journal Article
ZDB-ID	1340281-x
ISSN	1758-1109 ; 1357-633X
ISSN (online)	1758-1109
ISSN	1357-633X
DOI	10.1177/1357633X211047710
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Zs.A 4525: Show issues

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Article ; Online: Single-center results of the Gore Excluder Conformable Endoprosthesis with active control system in endovascular aneurysm repair.

Zuidema, Roy / Bastianon, Martina / Mena Vera, Jorge M / DI Gregorio, Sara / Mozzetta, Gaddiel / de Vries, Jean-Paul Pm / Schuurmann, Richte Cl / Pratesi, Giovanni

The Journal of cardiovascular surgery

2023 Volume 64, Issue 2, Page(s) 150–158

Abstract: Background: The GORE EXCLUDER Conformable Endoprosthesis with active control (CEXC) was developed to treat challenging aortic neck anatomy. This study investigated the clinical results and changes in endograft (ap)position during follow-up.: Methods: ...

Abstract	Background: The GORE EXCLUDER Conformable Endoprosthesis with active control (CEXC) was developed to treat challenging aortic neck anatomy. This study investigated the clinical results and changes in endograft (ap)position during follow-up. Methods: Patients treated with the CEXC between 2018 and 2022 were included in this prospective single-center study. Computed tomography angiography (CTA) follow-up was grouped into three categories: 0 to 6 (FU1), 7 to 18 (FU2), and 19 to 30 (FU3) months. Clinical end points were endograft-associated complications and reinterventions. CTA analysis included the shortest apposition length (SAL) between the endograft fabric and the first slice where circumferential apposition was lost, shortest fabric distance (SFD) between both renal arteries and the endograft fabric, and maximum infrarenal and suprarenal aortic curvature. FU2 and FU3 were compared with FU1 to establish changes. Results: Included were 46 patients, of whom 36 (78%) had at least one hostile neck feature and 13 (28%) were treated outside instructions for use. Technical success was 100%. Median CTA follow-up was 10 months (2-20 months); 39 patients had a CTA available at FU1, 22 at FU2, and 12 at FU3. At FU1, the median SAL was 21.4 mm (13.2-27.4 mm), which did not significantly change during follow-up. No type I endoleaks, and one type III endoleak at an IBD occurred during follow-up. Two cases of endograft migration (SFD increase >10 mm) were seen during follow-up (one treated outside the instructions for use). Maximum infrarenal and suprarenal aortic curvature did not significantly change during follow-up. Conclusions: The use of the CEXC in challenging aortic necks enables stable apposition without significant changes in aortic morphology at short-term follow-up.
MeSH term(s)	Humans ; Blood Vessel Prosthesis/adverse effects ; Blood Vessel Prosthesis Implantation/adverse effects ; Endovascular Aneurysm Repair ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/surgery ; Aortic Aneurysm, Abdominal/complications ; Prospective Studies ; Endovascular Procedures/adverse effects ; Treatment Outcome ; Endoleak/diagnostic imaging ; Endoleak/etiology ; Retrospective Studies ; Prosthesis Design
Language	English
Publishing date	2023-03-10
Publishing country	Italy
Document type	Journal Article
ZDB-ID	80143-4
ISSN	1827-191X ; 0021-9509
ISSN (online)	1827-191X
ISSN	0021-9509
DOI	10.23736/S0021-9509.23.12589-4
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Zs.A 469: Show issues

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Article ; Online: Mid-term proximal sealing zone evaluation after fenestrated endovascular aortic aneurysm repair.

VAN DER Riet, Claire / Schuurmann, Richte Cl / Schuurman, Simone N / Koopmans, Ingeborg K / Werson, Debora A / Tielliu, Ignace F / Bokkers, Reinoud P / de Vries, Jean-Paul Pm

The Journal of cardiovascular surgery

2023 Volume 64, Issue 2, Page(s) 142–149

Abstract: Background: Fenestrated endovascular aortic aneurysm repair (FEVAR) is used in pararenal abdominal aortic aneurysms to achieve a durable proximal seal. This study investigated the mid-term course of the proximal fenestrated stent graft (FSG) sealing ... ...

Abstract	Background: Fenestrated endovascular aortic aneurysm repair (FEVAR) is used in pararenal abdominal aortic aneurysms to achieve a durable proximal seal. This study investigated the mid-term course of the proximal fenestrated stent graft (FSG) sealing zone on the first and latest available post-FEVAR computed tomographic angiography (CTA) scan in a single-center series. Methods: In 61 elective FEVAR patients, the shortest length of circumferential apposition between the FSG and the aortic wall (shortest apposition length [SAL]) was retrospectively assessed on the first and last available postoperative CTA scans. Patient records were reviewed for FEVAR-related procedural details, complications, and reinterventions. Results: The median (interquartile range) time between the FEVAR procedure and the first and last CTA scan was 35 (30-48) days and 2.6 (1.2-4.3) years, respectively. The median (interquartile range) SAL was 38 (29-48) mm, and 44 (34-59) mm on the first and last CTA scans, respectively. During follow-up, the SAL increased >5 mm in 32 patients (52%), and decreased >5 mm in six patients (10%). Reintervention was performed for a type 1a endoleak in one patient. Twelve other patients needed 17 reinterventions for other FEVAR-related complications. Conclusions: Good mid-term apposition of the FSG in the pararenal aorta was achieved post-FEVAR, and the occurrence of type 1a endoleaks was low. The number of reinterventions was substantial, however, but for reasons other than loss of proximal seal.
MeSH term(s)	Humans ; Blood Vessel Prosthesis/adverse effects ; Blood Vessel Prosthesis Implantation/adverse effects ; Stents/adverse effects ; Retrospective Studies ; Treatment Outcome ; Endovascular Procedures/adverse effects ; Aorta/surgery ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/surgery ; Aortic Aneurysm, Abdominal/complications ; Endoleak/diagnostic imaging ; Endoleak/etiology ; Endoleak/surgery
Language	English
Publishing date	2023-03-10
Publishing country	Italy
Document type	Journal Article
ZDB-ID	80143-4
ISSN	1827-191X ; 0021-9509
ISSN (online)	1827-191X
ISSN	0021-9509
DOI	10.23736/S0021-9509.23.12585-7
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Zs.A 469: Show issues

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ab Jg. 2022: Lesesaal (EG)

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Article ; Online: Midterm changes in iliac limb apposition after endovascular aortic aneurysm repair.

Kooijman, Maria-Annette / Schuurmann, Richte Cl / Kropman, Rogier Hj / Elzefzaf, Nada Y / Wille, Jan / Tielliu, Ignace Fj / Antoniou, George A / de Vries, Jean-Paul Pm

The Journal of cardiovascular surgery

2023 Volume 64, Issue 2, Page(s) 159–166

Abstract: Background: Literature is scarce on the course of iliac endograft limb apposition after endovascular aortic aneurysm repair (EVAR), which is why this study was conducted.: Methods: A retrospective observational imaging study was performed to measure ... ...

Abstract	Background: Literature is scarce on the course of iliac endograft limb apposition after endovascular aortic aneurysm repair (EVAR), which is why this study was conducted. Methods: A retrospective observational imaging study was performed to measure iliac apposition of endograft limbs on the first post-EVAR computed tomography angiography (CTA) scan and on the latest available follow-up CTA scan. With center lumen line reconstructions and CT-applied dedicated software, the shortest apposition length (SAL) of the endograft limbs was assessed as well as the distance between the end of the fabric and the proximal border of the internal iliac artery or the endograft-internal artery distance (EID). Results: Ninety-two iliac endograft limbs were eligible for measurements, with a median follow-up of 3.3 years. At the first post-EVAR CTA, the mean SAL was 31.9±15.6 mm, and the mean EID was 19.5±11.8. At the last follow-up CTA, there was a significant decrease in apposition of 10.5±14.1 mm (P<0.001) and a significant increase in EID of 5.3±9.5 mm (P<0.001). A type Ib endoleak developed in three patients due to a reduced SAL. The apposition was <10 mm in 24% of limbs at the last follow-up vs. 3% at the first post-EVAR CTA. Conclusions: This retrospective study documented a significant decrease in post-EVAR iliac apposition over time, partly due to retraction of iliac endograft limbs at mid-term CTA follow-up. Further research is required to identify whether regular determination of iliac apposition may predict and prevent type IB endoleaks.
MeSH term(s)	Humans ; Aortic Aneurysm/surgery ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/surgery ; Aortography/methods ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation/adverse effects ; Endoleak/diagnostic imaging ; Endoleak/etiology ; Endovascular Procedures/adverse effects ; Retrospective Studies ; Treatment Outcome
Language	English
Publishing date	2023-03-10
Publishing country	Italy
Document type	Journal Article ; Observational Study
ZDB-ID	80143-4
ISSN	1827-191X ; 0021-9509
ISSN (online)	1827-191X
ISSN	0021-9509
DOI	10.23736/S0021-9509.23.12582-1
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Zs.A 469: Show issues

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Article ; Online: Determination of the gained proximal sealing zone length after debranching of the left subclavian artery in thoracic endovascular aortic repair.

Dieleman, Isabel M / Zuidema, Roy / de Beaufort, Hector W / Gallitto, Enrico / Spath, Paolo / Logiacco, Antonino / Gargiulo, Mauro / Heijmen, Robin H / de Vries, Jean-Paul Pm / Schuurmann, Richte Cl

The Journal of cardiovascular surgery

2023 Volume 64, Issue 2, Page(s) 134–141

Abstract: Background: For descending thoracic aortic aneurysms (TAA) in proximity of the aortic arch, debranching of the left subclavian artery (LSA) may be necessary to extend proximal sealing in zone 2. The aim of this study was to determine the added proximal ... ...

Abstract	Background: For descending thoracic aortic aneurysms (TAA) in proximity of the aortic arch, debranching of the left subclavian artery (LSA) may be necessary to extend proximal sealing in zone 2. The aim of this study was to determine the added proximal apposition length gained from LSA debranching during thoracic endovascular aortic repair (TEVAR). Methods: This multicenter retrospective study (2010-2020) included patients who underwent elective TEVAR in zone 2 for a degenerative TAA where the LSA was surgically debranched. The endograft position on the first postoperative computed tomography angiography (CTA) scan was assessed using post-processing software. The analysis included the shortest apposition length (SAL), the tilt of the proximal edge of the endograft, and the distance between the endograft and the left common carotid artery. Clinical endpoints (neurological complications and endoleaks) at 30 days were also reported. Results: Twenty-two patients were included. The median interval between TEVAR and the first postoperative CTA was 3 days (2-10 days). Median SAL was 9.2 mm (1.3-26.4 mm), of which 8.6 mm (1.3-16.2 mm) was gained proximal of the LSA, including the LSA orifice. In 12 patients (55.5%) the SAL was <10 mm. The median tilt was 18.3° (13.9°-22.2°). Seven endoleaks were reported on the first CTA: 1 type Ia, 2 type Ib, 3 type II, and 1 type III. Conclusions: Debranching the LSA adds valuable sealing length in zone 2, but the SAL was still relatively short in many patients, putting these patients at risk for a future type Ia endoleak. Accurate assessment of the circumferential apposition on postoperative CTA follow-up in these high-risk patients with short, complex landing zones seems mandatory. Evaluation of apposition in a larger population with longer follow-up is advised.
MeSH term(s)	Humans ; Aorta, Thoracic/diagnostic imaging ; Aorta, Thoracic/surgery ; Blood Vessel Prosthesis/adverse effects ; Blood Vessel Prosthesis Implantation/adverse effects ; Blood Vessel Prosthesis Implantation/methods ; Endovascular Aneurysm Repair ; Endoleak/diagnostic imaging ; Endoleak/etiology ; Endoleak/surgery ; Subclavian Artery/diagnostic imaging ; Subclavian Artery/surgery ; Retrospective Studies ; Treatment Outcome ; Aortography/methods ; Endovascular Procedures/adverse effects ; Endovascular Procedures/methods ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/surgery ; Aortic Aneurysm, Thoracic/complications
Language	English
Publishing date	2023-03-29
Publishing country	Italy
Document type	Multicenter Study ; Journal Article
ZDB-ID	80143-4
ISSN	1827-191X ; 0021-9509
ISSN (online)	1827-191X
ISSN	0021-9509
DOI	10.23736/S0021-9509.23.12578-X
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Article ; Online: Mid-term outcomes of an everolimus-eluting bioresorbable vascular scaffold in patients with below-the-knee arterial disease: A pooled analysis of individual patient data.

Huizing, Eline / Kum, Steven / Ipema, Jetty / Varcoe, Ramon L / Shah, Atman P / de Vries, Jean-Paul Pm / Ünlü, Çağdaş

Vascular medicine (London, England)

2021 Volume 26, Issue 2, Page(s) 195–199

Abstract: Previous studies on everolimus-eluting bioresorbable vascular scaffolds (BVS) have shown promising 1-year primary patency rates in infrapopliteal arteries. Literature from large cohorts on long-term outcomes with the infrapopliteal Absorb BVS (Abbott ... ...

Abstract	Previous studies on everolimus-eluting bioresorbable vascular scaffolds (BVS) have shown promising 1-year primary patency rates in infrapopliteal arteries. Literature from large cohorts on long-term outcomes with the infrapopliteal Absorb BVS (Abbott Vascular) is lacking. The aim of this study is to pool published and unpublished data to provide a more precise estimate of the 24-month outcomes of Absorb BVS for the treatment of infrapopliteal disease. For the pooled analysis, updated original and newly collected data from three cohorts on treatment with the Absorb BVS for de novo infrapopliteal lesions were combined. The primary endpoint was freedom from restenosis. Secondary endpoints were freedom from clinically driven target lesion revascularization (CD-TLR), major amputation and survival. The pooled analysis included a total of 121 patients with 161 lesions, treated with 189 Absorb BVS in 126 limbs. The mean age of the patients was 73 years, 57% had diabetes mellitus, and 75% were classified as Rutherford-Becker class 5 or 6. Of the 161 lesions, 101 (63%) were calcified and 36 (22%) were occlusions. Successful deployment was achieved with all scaffolds. Freedom from restenosis was 91.7% and 86.6% at 12 and 24 months, respectively, and freedom from CD-TLR was 97.2% and 96.6%. Major amputation occurred in 1.6% of the limbs. Overall survival was 85% at 24 months. In conclusion, this pooled analysis represents the largest reported analysis of mid-term results of the Absorb BVS for the management of chronic limb-threatening ischemia. At 24 months, the Absorb BVS was safe with promising clinical outcomes for the treatment of infrapopliteal disease.
MeSH term(s)	Absorbable Implants ; Aged ; Coronary Artery Disease ; Everolimus/administration & dosage ; Humans ; Peripheral Arterial Disease/diagnostic imaging ; Peripheral Arterial Disease/therapy ; Popliteal Artery/diagnostic imaging ; Prosthesis Design ; Treatment Outcome ; Vascular Patency
Chemical Substances	Everolimus (9HW64Q8G6G)
Language	English
Publishing date	2021-01-28
Publishing country	England
Document type	Journal Article ; Meta-Analysis
ZDB-ID	1311628-9
ISSN	1477-0377 ; 1358-863X
ISSN (online)	1477-0377
ISSN	1358-863X
DOI	10.1177/1358863X20977907
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Article: Commentary on 'Totally Endoscopic (VATS) First Rib Resection for Thoracic Outlet Syndrome'.

Vos, Cornelis G / Ünlü, Çağdaş / de Vries, Jean-Paul Pm

Journal of thoracic disease

2016 Volume 8, Issue 11, Page(s) 3046–3048

Language	English
Publishing date	2016-12-27
Publishing country	China
Document type	Editorial ; Comment
ZDB-ID	2573571-8
ISSN	2077-6624 ; 2072-1439
ISSN (online)	2077-6624
ISSN	2072-1439
DOI	10.21037/jtd.2016.11.21
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