European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
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Eur J Vasc Endovasc Surg · Apr 2012
Randomized Controlled Trial Multicenter StudySUPERvised exercise therapy or immediate PTA for intermittent claudication in patients with an iliac artery obstruction--a multicentre randomised controlled trial; SUPER study design and rationale.
Treatment of intermittent claudication (IC) due to peripheral arterial disease (PAD) is aimed at improving walking distance and includes secondary prevention of cardiovascular disease. Both supervised exercise therapy (SET) and percutaneous transluminal angioplasty (PTA) have proven to be effective in increasing maximum and pain-free walking distance in IC. However, the optimal treatment strategy in patients with IC due to iliac artery stenosis or occlusion remains unclear. ⋯ Based on the results of this proposed large study well-founded adjustments of existing guidelines on the treatment of iliac artery occlusive disease can be implemented (Clinical Trials.gov NCT01385774; Nederlands Trial Register NTR2776).
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Eur J Vasc Endovasc Surg · Jan 2012
Multicenter StudyLaparoscopic surgery for coeliac artery compression syndrome: current management and technical aspects.
The study aims to assess the feasibility and midterm outcome of trans-peritoneal laparoscopy for coeliac artery compression syndrome (CACS). ⋯ Our study demonstrates that trans-peritoneal laparoscopy for treating median arcuate ligament syndrome is safe and feasible. Additional patients and a longer follow-up are needed for long-term assessment of this laparoscopic technique.
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Eur J Vasc Endovasc Surg · Aug 2011
Randomized Controlled Trial Multicenter StudyEfficient implementation of patient-specific simulated rehearsal for the carotid artery stenting procedure: part-task rehearsal.
Patient-specific simulated rehearsal (PsR) is a technological advance within the domain of endovascular virtual reality (VR) simulation. It allows incorporation of patient-specific computed tomography Digital Imaging and Communications in Medicine (CT DICOM) data into the simulation and subsequent rehearsal of real patient cases. This study aimed to evaluate whether a part-task rehearsal (PTr) of a carotid artery stenting procedure (CAS) on a VR simulator is as effective as a full-task (FTr) preoperative run through. ⋯ Part- and full-task rehearsals are equally effective with respect to the operative performance of a simulated CAS intervention. This finding makes a patient-specific rehearsal more efficient and may increase the feasibility of implementation of this technology into medical practice.
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Eur J Vasc Endovasc Surg · Jan 2011
Randomized Controlled Trial Multicenter StudyComparison of surveillance versus aortic endografting for small aneurysm repair (CAESAR): results from a randomised trial.
Randomised trials have failed to demonstrate benefit from early surgical repair of small abdominal aortic aneurysm (AAA) compared with surveillance. This study aimed to compare results after endovascular aortic aneurysm repair (EVAR) or surveillance in AAA <5.5 cm. ⋯ This study is registered, NCT Identifier: NCT00118573.
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Eur J Vasc Endovasc Surg · Jun 2010
Randomized Controlled Trial Multicenter Study Comparative StudyPTFE bypass to below-knee arteries: distal vein collar or not? A prospective randomised multicentre study.
Patency and limb salvage after synthetic bypass to the arteries below-knee are inferior to that which can be achieved with autologous vein. Use of a vein collar at the distal anastomosis has been suggested to improve patency and limb salvage, a problem that is analysed in this randomised clinical study. ⋯ This study failed to show any benefit for vein collar with PTFE bypass to a below-knee artery.