European Journal Of Vascular And Endovascular Surgery[JOURNAL]

OBJECTIVE: The aim of this study was to evaluate the safety, efficacy, and associated complications of the Zylox Penguin venous stent system vs. the Zilver Vena stent for treating non-thrombotic iliac vein lesions (NIVLs... OBJECTIVE: The aim of this study was to evaluate the safety, efficacy, and associated complications of the Zylox Penguin venous stent system vs. the Zilver Vena stent for treating non-thrombotic iliac vein lesions (NIVLs) through a multicentre randomised controlled trial (NCT04812444). METHODS: Patients with NIVLs were assigned randomly to either the Zylox Penguin stent group or the Zilver Vena stent group to assess treatment efficacy. The primary outcome was 12 month primary patency. Secondary outcomes included minimum luminal diameter (MLD), degree of diameter stenosis, target vein revascularisation rate at 12 months, device placement success, procedural success, and improvement of Venous Clinical Severity Score (VCSS), Clinical-Etiology-Anatomy-Pathophysiology (CEAP) classification, and Chronic Venous Disease Quality of Life Questionnaire 14 (CIVIQ-14). RESULTS: The study recruited 161 patients from 14 Chinese hospitals. The 12 month primary patency rate was 98% for the Zylox Penguin stent and 90% for the Zilver Vena stent, with an absolute risk difference of 7.5% (95% confidence interval -0.1 - 16.6%). The Zylox Penguin met the non-inferiority endpoint (p = .069). No significant differences were observed in MLD, degree of iliac vein stenosis, or rates of target lesion revascularisation, device placement success, or procedural success. The Zylox Penguin stent group showed a significantly lower degree of iliac vein diameter stenosis (17.6 ± 10.0%) than the Zilver Vena stent group (23.2 ± 15.7%) at 12 months (p = .010). VCSS changes were -5 and -6 for the Zylox Penguin and Zilver Vena stent groups, respectively, while CIVIQ-14 changes were -7 for both groups at 12 months, showing statistically significant improvements compared with baseline (both p < .001). At 12 months post-procedure, oedema resolution occurred in 28% and 29% of all Zylox and Zilver patients, respectively (p = .92), with 85% and 82% of baseline C6 patients showing ulcer healing (p = .85). CONCLUSION: The Zylox Penguin venous stent system is safe and effective for treating NIVLs, significantly relieving clinical symptoms and improving quality of life.

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Anatomic Characterisation of the Vascular System of the Lower Limb using Artificial Intelligence Based Segmentation Models.

Guzzi L, Lareyre F, Goffart S … +3 more , Zuluaga MA, Delingette H, Raffort J

Eur J Vasc Endovasc Surg · 2026 Feb · PMID 41759710 · Publisher ↗

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Rigid Hoses Are Not Good for the Pump!

Chakfe N, Lejay A

Eur J Vasc Endovasc Surg · 2026 Feb · PMID 41747924 · Publisher ↗

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When the Intima Turns Against Us: Angiographic Clues to Intimo-Intimal Intussusception during Thoracic Endovascular Aortic Repair.

Azhar A, Tsilimparis N

Eur J Vasc Endovasc Surg · 2026 Feb · PMID 41747923 · Publisher ↗

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A comparison of arteriovenous grafts and fistulas in lower extremity hemodialysis procedures: Presented at the Thirty-sixth European Congress of Radiology (ECR), Vienna, Austria, February 28-March 3, 2024; at the Thirty-fourth Spring Meeting of the Korean Society of Interventional Radiology (KSIR), Busan, Korea, May 24-25, 2024; and at the Eighteenth Annual Scientific Meeting of the Asia Pacific Society of Cardiovascular and Interventional Radiology (APSCVIR), Bangkok, Thailand, May 3-5, 2024.

Jeong J, Choi SY, Kim YJ … +1 more , Lee EJ

Eur J Vasc Endovasc Surg · 2025 Jul · PMID 41746177 · Publisher ↗

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Analysis of radiation exposure learning curves for vascular surgery trainees during fluoroscopically guided interventions: Presented at the Forty-ninth Annual Meeting for the Southern Association for Vascular Surgery, Saint Thomas, U.S. Virgin Islands, January 22-25, 2025.

Solano A, Shih M, Klein A … +9 more , Siah MC, Gonzalez-Guardiola G, Chamseddin K, Prakash V, Wagner A, Baig MS, Timaran CH, Guild J, Kirkwood ML

Eur J Vasc Endovasc Surg · 2025 Jul · PMID 41746176 · Publisher ↗

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Outcomes of mechanical thrombectomy for acute limb ischemia at a tertiary referral center: Presented at the Fifty-first Annual Meeting of the New England Society for Vascular Surgery, Portland, Maine, October 25-27, 2024.

Loh SA, Nasir A, Strosberg D … +3 more , Ochoa Chaar CI, Guzman RJ, Tonnessen BH

Eur J Vasc Endovasc Surg · 2025 Jul · PMID 41746175 · Publisher ↗

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Carotid artery stenting with open vs closed stent cell configurations in the CREST-2 Registry.

Lal BK, Roubin GS, Meschia JF … +9 more , Jones M, Heck DV, Sternbergh WC, Aronow HD, Mena-Hurtado C, Howard G, Mayorga-Carlin M, Sorkin JD, Brott TG

Eur J Vasc Endovasc Surg · 2025 Jul · PMID 41746174 · Publisher ↗

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The value of volume over maximum diameter for following abdominal aortic aneurysm growth and reducing surveillance visits in patients with a subthreshold aneurysm.

Vanmaele A, Bouwens E, Hoeks SE … +9 more , de Bruin JL, Ten Raa S, Akkerhuis KM, van Lier F, Budde RPJ, Fioole B, Verhagen HJM, Boersma E, Kardys I

Eur J Vasc Endovasc Surg · 2025 Jul · PMID 41746173 · Publisher ↗

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Predictors of failure to rescue after fenestrated-branched endovascular aortic repair of thoracoabdominal aortic aneurysms: Presented at the Thirty-seventh Annual Meeting of the European Society of Vascular Surgery, Belfast, Northern Ireland, September 26-29, 2023.

Vacirca A, Mesnard T, Huang Y … +58 more , Mendes BC, Jakimowicz T, Schneider DB, Haulon S, Sobocinski J, Beck AW, Schanzer A, Farber MA, Timaran C, Kahlberg A, Kölbel T, Gasper WJ, Mees BME, Gargiulo M, Dias NV, Woongchae AL, Sweet MP, Mani K, Eagleton M, Pedro LM, Verhagen H, Yeung KK, Tsilimparis N, Resch T, Bertoglio L, Ferreira E, Khashram M, Sulzer T, Dias-Neto M, Tenorio ER, Kanamori LR, Jama K, Parodi E, Gomes V, Colon JP, Chiesa R, Panuccio G, Schurink GW, Lemmens C, Gallitto E, Faggioli G, Karelis A, Wanhainen A, Habib M, Gouveia E Melo R, Kappe KO, Mariko van Knippenberg SE, Tran B, Crawford S, Panagrosso M, Melloni A, Bonardelli S, Garcia R, Ribeiro T, Gormley S, Maximus S, Oderich GS, International Multicenter Aortic Research Group

Eur J Vasc Endovasc Surg · 2025 Jul · PMID 41746172 · Publisher ↗

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A National Study on Burnout and Pain in Vascular Surgery.

Møller CM, Clausen T, Aust B … +1 more , Eiberg JP

Eur J Vasc Endovasc Surg · 2026 Feb · PMID 41740664 · Publisher ↗

OBJECTIVE: The aim of this cross-sectional study was to assess the association between burnout and pain among vascular surgeons (VS) and vascular surgical trainees (VST) in Denmark. METHODS: In 2023, all clinically activ... OBJECTIVE: The aim of this cross-sectional study was to assess the association between burnout and pain among vascular surgeons (VS) and vascular surgical trainees (VST) in Denmark. METHODS: In 2023, all clinically active VS/VST in Denmark were invited to participate in an anonymous survey consisting of validated questionnaires assessing burnout, perceived physical job demands, and pain. RESULTS: Of 111 VS/VST in Denmark, a response rate of 72% was obtained (n = 80). The majority were men (54%, n = 43) and VS (75%, n = 60). Associations between burnout and pain in the nine body regions assessed were statistically significant (p = .035 to < .001). Surgeons reporting frequent pain (weekly or more often) had statistically significantly higher burnout scores compared with surgeons reporting pain less often (monthly or never) (p = .029 to < .001). Pain was primarily reported in the neck/shoulders, back, and head, with different main pain areas depending on type of surgical procedure primarily performed (open, endovascular, endovenous). Pain during or after surgery was reported by 65% (n = 51), with frequency ranging from always (8%, n = 6), to often (24%, n = 19) and sometimes (33%, n = 26). The overall burnout prevalence (ranging from mild to severe) was 72% (n = 58), of whom 32% (n = 26) reported moderate to severe burnout symptoms. On a scale from 0 - 100, the mean burnout score was 37.7 (95% confidence interval [CI] 32.9 - 42.4) and varied between departments (p = .096) and job positions, with junior attendings reporting the highest levels of burnout (47.4, 95% CI 36.8 - 57.9) (attending vs. junior attending, p = .066; chief resident vs. resident, p = .58). Higher levels of perceived physical job demands were associated with higher levels of burnout (Pearson's r = 0.49). CONCLUSION: This national study showed that pain during or after surgery is frequent among VS/VST and that it is significantly associated with burnout. Creating work conditions that mitigate pain and burnout is essential to support occupational health and to maintain a robust vascular surgical service.

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Bridging the Gap: Prospective Evidence for Covered Stents in Complex Aortic Aneurysm Repair.

Martinez Valiente V, Altes Mas P

Eur J Vasc Endovasc Surg · 2026 Feb · PMID 41730348 · Publisher ↗

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Corrigendum to: "The ENGAGE Registry TenYear Outcomes with the Endurant Stent Graft System for Endovascular Abdominal Aortic Aneurysm Repair [European Journal of Vascular and Endovascular Surgery 2026;71:22-31"].

Verhagen HJM, Teijink JAW, Power AH … +9 more , Reijnen MMPJ, Bouwman LH, Vermassen FEG, Riambau V, Erhart P, Ling S, Cuypers PWM, Loftus IM, ENGAGE Investigators

Eur J Vasc Endovasc Surg · 2026 Apr · PMID 41724642 · Publisher ↗

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Isotope Labelled Butyrate and Glucose Breath Testing Identifies Exercise Induced Mesenteric Ischaemia in Healthy Volunteers.

Harmankaya D, Terlouw LG, Parikh K … +3 more , Bruno MJ, Peppelenbosch MP, van Noord D

Eur J Vasc Endovasc Surg · 2026 Feb · PMID 41724321 · Publisher ↗

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Early Outcome Predictability in Revascularised Patients with Chronic Limb Threatening Ischaemia: When WIfI Matters Beyond Connectivity.

Rassam S, Roy TL

Eur J Vasc Endovasc Surg · 2026 Feb · PMID 41724320 · Publisher ↗

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European Journal Of Vascular And Endovascular Surgery[JOURNAL]

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