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Vascular and Endovascular Surgery: Current Progress and Future Challenges
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Vascular and Endovascular Surgery: Current Progress and Future Challenges

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Vascular Medicine".

Deadline for manuscript submissions: 28 March 2025 | Viewed by 1627

Special Issue Editors

Prof. Dr. Michael Keese

E-Mail Website
Guest Editor
Department for Vascular and Endovascular Surgery, Theresienkrankenhaus Mannheim, Mannheim, Germany
Interests: vascular and endovascular surgery; vascular medicine; cell-based therapies
Dr. Martin Sigl

E-Mail Website
Guest Editor Assistant
Department of Cardiology, Angiology, Haemostaseology and Medical Intensive Care, University Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, D-68167 Mannheim, Germany
Interests: interdisciplinary vascular medicine; peripheral arterial disease; percutaneous intervention; diabetic foot syndrome; microcirculation

Special Issue Information

Dear Colleagues,

Vascular medicine is ever-changing and rapidly evolving. In view of demographic changes that lead to an increase in elderly patients, fundamental and translational research both from academia and industry provides diverse novel diagnostic, preventive, and therapeutic approaches. Examples, among many others, are the use of artificial intelligence in vascular imaging, minimally invasive endovascular treatment approaches, or robotic-aided and cell-based medicine. We, as therapists, must maintain an overview. This is the first focus of our Special Issue, “Vascular and Endovascular Surgery: Current Progress and Future.”

One of the most important aspects of vascular medicine is interdisciplinary and intersectoral work. We strongly believe in overcoming borders between general practitioners in ambulatory care and patient care provided by angiologists, interventional radiologists, and vascular surgeons on the other side. Patient care will be optimized if we achieve a multidisciplinary “togetherness”. With our second focus, we invite works related to patient care in vascular medicine with a flash-light focus on interdisciplinary medicine. Therefore, we will also include well-documented articles and reviews that are presented with a “take-home message” for clinical practice.

Prof. Dr. Michael Keese
Guest Editor

Dr. Martin Sigl
Guest Editor Assistant

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • vascular
  • endovascular
  • surgery
  • therapy
  • aneurysm
  • vascular
  • PAD
  • venous
  • interdisciplinary

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Published Papers (2 papers)

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15 pages, 602 KiB  
Article
A Routine Coronary Angiography before Carotid Endarterectomy as an Example of Interdisciplinary Work: The Immediate Results of the Surgery
by Alexey N. Sumin, Anna V. Shcheglova, Olesya V. Adyakova, Darina N. Fedorova, Denis D. Yakovlev, Natalia A. Svinolupova, Svetlana V. Kabanova, Anastasia V. Malysheva, Marina Yu Karachenko, Vasily V. Kashtalap and Olga L. Barbarash
J. Clin. Med. 2024, 13(18), 5495; https://doi.org/10.3390/jcm13185495 - 17 Sep 2024
Viewed by 799
Abstract
The aim: to evaluate the incidence of obstructive lesions of the coronary arteries during routine coronary angiography (CAG) before carotid endarterectomy (CEA) and the incidence of perioperative complications. Materials and Methods: We examined a continuous sample of 498 patients before CEA [...] Read more.
The aim: to evaluate the incidence of obstructive lesions of the coronary arteries during routine coronary angiography (CAG) before carotid endarterectomy (CEA) and the incidence of perioperative complications. Materials and Methods: We examined a continuous sample of 498 patients before CEA who underwent an invasive evaluation of the coronary bed during CAG. Depending on the hemodynamic significance of coronary artery lesions, the patients were divided into three groups: group I—obstructive coronary artery disease (≥70%) (n = 309, 62.0%); group II—non-obstructive lesions of the coronary arteries (<70%) (n = 118, 23.7%); group III—intact coronary arteries (n = 71, 14.3%). The groups were compared with each other according to the data of the preoperative examination (clinical and anamnestic parameters, laboratory data and results of echocardiography), as well as according to the immediate results of the operation. In the hospital period, adverse cardiovascular events were assessed: death, myocardial infarction (MI), stroke, arrhythmias, atrial fibrillation or flutter (AF/AFL) and combined endpoint. Results: The groups differed significantly in the presence of symptoms of angina pectoris, myocardial infarction and myocardial revascularization procedures in their medical history and in the presence of chronic ischemia of the lower extremities. However, in the group of intact coronary arteries, the symptoms of angina were in 14.1% of patients, and a history of myocardial infarction was in 12.7%. Myocardial revascularization before CEA or simultaneously with it was performed in 43.0% of patients. As a result, it was possible to reduce the number of perioperative cardiac complications (mortality 0.7%, perioperative myocardial infarction 1.96%). Conclusions: The high incidence of obstructive lesions in the coronary arteries in our patients and the minimum number of perioperative complications favor routine CAG before CEA. Full article
(This article belongs to the Special Issue Vascular and Endovascular Surgery: Current Progress and Future Challenges)
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8 pages, 3132 KiB  
Case Report
Navigating the Rare and Dangerous: Successful Clipping of a Superior Cerebellar Artery Aneurysm Against the Odds of Uncontrolled Hypertension
by Corneliu Toader, Matei Serban, Razvan-Adrian Covache-Busuioc, Mugurel Petrinel Radoi, Ghaith Saleh Radi Aljboor, Luca-Andrei Glavan, Antonio Daniel Corlatescu, Milena-Monica Ilie and Radu M. Gorgan
J. Clin. Med. 2024, 13(23), 7430; https://doi.org/10.3390/jcm13237430 - 6 Dec 2024
Viewed by 420
Abstract
Background/Objectives: Superior cerebellar artery (SCA) aneurysms are exceedingly rare, posing unique diagnostic and management challenges due to their complex anatomical location within the posterior circulation. The proximity of the SCA to vital structures, such as the brainstem and cerebellum, along with the [...] Read more.
Background/Objectives: Superior cerebellar artery (SCA) aneurysms are exceedingly rare, posing unique diagnostic and management challenges due to their complex anatomical location within the posterior circulation. The proximity of the SCA to vital structures, such as the brainstem and cerebellum, along with the significant role of poorly controlled hypertension in aneurysm formation, further complicates treatment. This case aims to highlight the surgical approach and management strategies employed in treating a rare SCA aneurysm in a patient with longstanding hypertension. Methods: A 68-year-old female presented with an acute onset of severe headache, nausea, and vomiting, later confirmed to be due to a ruptured SCA aneurysm. The patient’s history of poorly controlled hypertension was identified as a major contributing factor to the aneurysm’s development and rupture. Due to the aneurysm’s wide-neck morphology and irregular shape, microsurgical clipping was selected as the treatment method. The occipito-parietal far-lateral approach was employed to gain optimal access to the aneurysm, minimizing the risk to adjacent neurovascular structures. Results: Microsurgical clipping successfully excluded the aneurysm while preserving the parent artery. The surgical approach enabled precise aneurysm isolation and ensured no postoperative neurological deficits. The patient recovered well, with no significant complications, and hypertension management was emphasized as a vital element of the patient’s long-term care. Conclusions: The surgical technique effectively achieved complete aneurysm exclusion with preservation of the parent artery and no associated neurological deficits. The patient’s recovery was uneventful, highlighting the efficacy of the approach. Long-term management of hypertension remains a critical component to prevent recurrence and ensure sustained outcomes. Full article
(This article belongs to the Special Issue Vascular and Endovascular Surgery: Current Progress and Future Challenges)
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