New podcast episode on Virtual Vascular chapter of AAA is live! Tune in to hear experts dive into patient selection for open or endovascular repair, tough decision-making, and more! Don't miss out!

This week, we decided to clarify the unclear on the topic of vascular malformations with one of the best in the field – Prof. Iris Baumgartner. This group of diseases is a rather neglected one in vascular medicine, but make no mistake after listening to this episode you will get clarifications on a topic and for your own comfort, we created some bullet points with shownotes below, so that you can start using it in your practice right away. Enjoy!Bullet points:

• An inherited congenital vascular malformation is diagnosed in 0.5-1.5% of all people worldwide

• A congenital vascular malformation is classified according to ISSVA (International Society for the Study of Vascular Anomalies) https://www.issva.org/classification

• The most frequent congenital vascular malformation is venous malformation (up to 50-70% of all vascular malformations). The arterio-venous malformation is rather rare, with 10-15% at most.

• Clinical symptoms depend on the vascular bed (venous, capillary, lymphatic, arterio-venous) involved and in combination with other anomalies (e.g., overgrowth)

• Duplex ultrasound and magnetic resonance are basic imaging modalities to diagnose congenital vascular malformation.

• Management of patients with congenital vascular malformations is a multidisciplinary approach.

• The symptomatic arterio-venous malformation is progressive, and over time, most patients with large-sized arterio-venous malformation need therapy.

• Most arterio-venous malformations are based on oncogenes activated in endothelial cells within the nidus.

• For patients with extensive disease, molecularly targeted drug therapy might become lifesaving.

• As targeted drug therapy comes along with side effects, it is necessary to collaborate with an experienced internist or oncologist.

• Medial therapy still is experimental and needs acceptance for compassionate use.

• Unexperienced colleagues should take some time and join large centres with experience to learn invasive and medical treatment under close supervision.

In this week’s podcast, the three authors of the recently published Virtual Vascular Chapter about popliteal artery aneurysms. Dr. Anne Cervin, Dr. Igor Koncar, and Prof. Dr Martin Björck share their knowledge about this disease and the surgical treatment. You can find this chapter and all the other Virtual Vascular Chapters in the E-library on the ESVS website. It is only accessible to ESVS members, so if you are not a member yet subscribe now and don’t miss out on great educational content.https://esvs.org/e-library-home/

In this week’s podcast, two team members joined forces to interview two legendary vascular surgeons: Prof. Jürg Schmidli and Prof. Michael Jacobs. Both professors have left a significant imprint on the clinical and educational development of vascular surgery in Europe and beyond. Both are actively involved in educational work and throughout their career have been mentors and inspirations to a great number of colleagues, including Vaiva & Suzanne. Take a listen and get to know their paths and their tips for your future as a vascular specialist. Shownotes:Greiner et al; Cyber medicine enables remote neuromonitoring during aortic surgery. J Vasc Surg. 2012 May;55(5):1227-32; discussion 1232-3. DOI: 10.1016/j.jvs.2011.11.121

This is a Virtual Vascular podcast on the chapter of Thoracic Outlet Syndrome with dr. Rebecca Winterborn, where we hear tips and tricks on how to get good transaxillary exposure, the role of physical therapy, and much more!

In this podcast, we cover physician (or surgeon) modified stent-grafts with leading vascular experts in the field: Prof. Vladimir Makaloski, and Prof. Nikolaos Tsilimparis.

Designed for all colleagues from different backgrounds in vascular medicine, we go over the adequate preparation, execution and tips and tricks given by experienced colleagues. Take a listen!

Stay up to date with the European Society of Vascular Surgery as we offer more discussions like these in our webinars, our podcasts, our Masterclass and other events. We even offer hands-on and face-to-face practical experiences through our Academy workshops.

- Instagram: https://www.instagram.com/esvs_admin/

- Twitter: https://twitter.com/ESVSmembership

- Facebook: https://www.facebook.com/EuropeanSocietyforVascularSurgery

- LinkedIn: https://www.linkedin.com/company/european-society-for-vascular-surgery/

Shownotes:

Wanhainen et al. Editor's Choice - European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms. Eur J Vasc Endovasc Surg. 2019 Jan;57(1):8-93. DOI: 10.1016/j.ejvs.2018.09.020

Gouveia e Melo et al. Systematic Review and Meta-analysis of Physician Modified Endografts for Treatment of Thoraco-Abdominal and Complex Abdominal Aortic Aneurysms. Eur J Vasc Endovasc Surg. 2022 Aug-Sep;64(2-3):188-199. DOI: 10.1016/j.ejvs.2022.04.015

Coles-Back et al. A systematic review of three-dimensional printed template-assisted physician-modified stent grafts for fenestrated endovascular aneurysm repair. J Vasc Surg. 2021 Jul;74(1):296-306.e1. DOI: 10.1016/j.jvs.2020.08.158

Canaud et al. Total Arch Thoracic Endovascular Aortic Repair Using Double Fenestrated Physician-Modified Stent-Grafts: 100 Patients. J Endovasc Ther. 2022 Aug 4;15266028221116747. DOI: 10.1177/15266028221116747

Can early carotid endarterectomy impact neurological impairment?

Our two experts, Hans-Henning Eckstein and Gabor Menyhei, discuss the latest evidence regarding the asymptomatic carotid disease. Listen and find out what they have to say!

Read more about what Hans-Henning Eckstein has to say about Asymptomatic Carotid Disease by becoming an ESVS member and accessing the Virtual Vascular chapter dedicated to the topic!

https://esvs.org/blog/virtualvascular/asymptomatic-carotid-stenosis/

Stay up to date with the European Society of Vascular Surgery as we offer more discussions like these in our webinars, our podcasts, our Masterclass and other events. We even offer hands-on and face-to-face practical experiences through our Academy workshops.

- Instagram: https://www.instagram.com/esvs_admin/

- Twitter: https://twitter.com/ESVSmembership

- Facebook: https://www.facebook.com/EuropeanSocietyforVascularSurgery

- LinkedIn: https://www.linkedin.com/company/european-society-for-vascular-surgery/

This is the second part of the mesenteric ischemia interview with expert in the field professor Geelkerken. This podcast is solely focused on the median arcuate ligament syndrome (MALS) and whether it exists or not. We talk about aetiology, diagnostic tools & treatment and will talk about the CARoSO study.

Shownotes:

Metz et al; Systematic Review of the Efficacy of Treatment for Median Arcuate Ligament Syndrome. Eur J Vasc Endovasc Surg. 2022 Dec;64(6):720-732

DOI: 10.1016/j.ejvs.2022.08.033

Blauw et al; Coeliac Artery Release or Sham Operation in Patients Suspected of Having Median Arcuate Ligament Syndrome: The CARoSO study. Eur J Vasc Endovasc Surg. 2022 Nov;64(5):573-574

DOI: 10.1016/j.ejvs.2022.07.043

Terlouw et al; The Incidence of Chronic Mesenteric Ischemia in the Well-Defined Region of a Dutch Mesenteric Ischemia Expert Center. Clin Transl Gastroenterol. 2020 Aug;11(8):e00200.

DOI: 10.14309/ctg.0000000000000200

Mensink et al; Gastric exercise tonometry: the key investigation in patients with suspected celiac artery compression syndrome. J Vasc Surg. 2006 Aug;44(2):277-81

DOI: 10.1016/j.jvs.2006.03.038

Van Petersen et al; Retroperitoneal endoscopic release in the management of celiac artery compression syndrome. J Vasc Surg. 2009 Jul;50(1):140-7

DOI: 10.1016/j.jvs.2008.12.077

ESVS 2017 guidelines Management of the Diseases of Mesenteric Arteries and Veins

DOI: https://doi.org/10.1016/j.ejvs.2017.01.010

The ESVS Academy offers a wide range of online and face-to-face workshops, covering various topics such as aortic, carotid, PAD, vascular access, venous, vascular ultrasound and more!

In this episode, Egle Kavaliunaite discusses with Ramon Vila and Igor Koncar, the people behind the ESVS Academy, its history, the challenges they overcame and how the Academy benefits not only young vascular trainees but also those who wish to improve their knowledge on certain techniques and skills.

Stay up to date with the European Society of Vascular Surgery as we offer more discussions like these in our webinars, our podcasts, our Masterclass and other events. We even offer hands-on and face-to-face practical experiences through our Academy workshops.

- Instagram: https://www.instagram.com/esvs_admin/

- Twitter: https://twitter.com/ESVSmembership

- Facebook: https://www.facebook.com/EuropeanSocietyforVascularSurgery

- LinkedIn: https://www.linkedin.com/company/european-society-for-vascular-surgery/

The first of a 2-part interview on mesenteric ischaemia with expert in the field professor Bob Geelkerken.

In this episode we talk about the different forms of mesenteric ischemia (acute, chronic, venous) and clinical challenges in diagnosis and treatment. Great to refresh or deepen your knowledge on this topic.

Please also check the show notes for literature references if you are interested. Keep an eye out for the second part of the interview which is focussed completely on median arcuate ligament syndrome (MALS) - and if it exists or not..!

Shownotes:

Björk et al; Management of the Diseases of Mesenteric Arteries and Veins: Clinical Practice Guidelines of the European Society of Vascular Surgery (ESVS), European Journal of Vascular and Endovascular Surgery, Volume 53, Issue 4, 2017, Pages 460-510,

DOI: https://doi.org/10.1016/j.ejvs.2017.01.010

Terlouw et al; European guidelines on chronic mesenteric ischaemia. United European Gastroenterol J. 2020 May;8(4):371-395

DOI: 10.1177/2050640620916681

Huber et al; Chronic mesenteric ischemia: Clinical practice guidelines from the Society for Vascular Surgery. J Vasc Surg 2021 Jan;73(1S):87S-115S

DOI: 10.1016/j.jvs.2020.10.029

Bjork and Huber; Chronic Mesenteric Ischaemia, the Transatlantic Perspective. Eur J Vasc Endovasc Surg 2021 Feb;61(2):177-178

DOI: 10.1016/j.ejvs.2020.12.013

Van Dijk et al; Validation of a score chart to predict the risk of chronic mesenteric ischemia and development of an updated score chart. United European Gastroenterol J 2019 Nov;7(9):1261-1270

DOI 10.1177/2050640619856765

Vaassen et al; Intraoperative quantification of fluorescence angiography for assessment of intestinal perfusion: in vivo exploration of clinical value. BJS Open 2022 May 2;6(3):zrac058

DOI: 10.1093/bjsopen/zrac058

Contact the mesenteric ischemia expert group in the Medisch Spectrum Twente trough: [email protected]