European Society for Vascular Surgery

• TOGETHER Registry - with K.K. Yeung and T. Resch

  How can a global, imaging-rich registry powered by AI reshape surveillance and quality of life after EVAR and TEVAR?In this episode of the ESVS Podcast, host Egle Kavaliunaite speaks with Prof. Kak Khee Yeung (Amsterdam UMC, ESVS President 2026–27-elect) and Prof. Timothy Resch (Copenhagen University Hospital) about the TOGETHER Registry, a large, prospective, long-term aortic registry capturing real-world data on EVAR, TEVAR and iliac branch devices, including hostile as well as standard anatomy.In this conversation, they explore:What makes TOGETHER different from previous aortic registries (central imaging, longer follow-up, global scope)How advanced imaging and AI-ready data may help predict which patients need intensive surveillance – and who may safely need lessThe clinical meaning of sac regression, endoleaks and durability when viewed through patient quality of lifeThe strengths and limitations of a single-brand registry in a multi-device treatment landscapeHow remote monitoring, mobile tools and future biomarkers could transform aortic follow-upListen now, and subscribe to the ESVS Podcast on Spotify, Apple Podcasts or SoundCloud, and explore more aortic content in the ESVS Library.

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• Exploring Peripheral Arterial Disease in Women

  We explore the challenges of Peripheral Arterial Disease (PAD) in women, with two renowned experts: Professor Maarit Venermo and Professor Mirjami Laivuori.Together, we discuss why PAD continues to be underdiagnosed in women despite equal or even higher prevalence, the limitations of the ankle–brachial index (ABI) in female patients, the intricate interplay between estrogen, menopause, and vascular health, the growing trend toward endovascular-first strategies in women, and the conflicting evidence surrounding revascularisation outcomes.An evidence-based and clinically relevant conversation awaits.ReferencesDivakaran S, Krawisz AK, Secemsky EA, Kant S. Sex and Racial Disparities in Peripheral Artery Disease. 2023Jelani QU, Petrov M, Martinez SC, Holmvang L, Al-Shaibi K, Alasnag M. Peripheral Arterial Disease in Women: an Overview of Risk Factor Profile, Clinical Features, and Outcomes. 2018Kozak M, Poredoš P, Blinc A, Kaja Ježovnik M, Poredoš P. Peripheral arterial disease in women. 2024Porras CP, Bots ML, Teraa M, van Doorn S, Vernooij RWM. Differences in Symptom Presentation in Women and Men with Confirmed Lower Limb Peripheral Artery Disease: A Systematic Review and Meta-Analysis. 2022Kavurma MM, Boccanfuso L, Cutmore C, Passam F, Patel S, Hennessy A, Loa J, Figtree GA, Golledge J, Robinson DA, Aitken S. A hidden problem: peripheral artery disease in women. 2023Srivaratharajah K, Abramson BL. Women and Peripheral Arterial Disease: A Review of Sex Differences in Epidemiology, Clinical Manifestations, and Outcomes. 2018Pabon M, Cheng S, Altin SE, Sethi SS, Nelson MD, Moreau KL, Hamburg N, Hess CN. Sex Differences in Peripheral Artery Disease. 2022Twine CP, Kakkos SK, Aboyans V, Baumgartner I, Behrendt CA, Bellmunt-Montoya S, Jilma B, Nordanstig J, Saratzis A, Reekers JA, Zlatanovic P; ESVS Guidelines Committee; Antoniou GA, de Borst GJ, Bastos Gonçalves F, Chakfé N, Coscas R, Dias NV, Hinchliffe RJ, Kolh P, Lindholt JS, Mees BME, Resch TA, Trimarchi S, Tulamo R, Vermassen FEG, Wanhainen A; Document Reviewers; Koncar I, Fitridge R, Matsagkas M, Valgimigli M. European Society for Vascular Surgery (ESVS) 2023 Clinical Practice Guidelines on Antithrombotic Therapy for Vascular Diseases. 2023Nordanstig J, Behrendt CA, Baumgartner I, Belch J, Bäck M, Fitridge R, Hinchliffe R, Lejay A, Mills JL, Rother U, Sigvant B, Spanos K, Szeberin Z, van de Water W; ESVS Guidelines Committee; Antoniou GA, Björck M, Gonçalves FB, Coscas R, Dias NV, Van Herzeele I, Lepidi S, Mees BME, Resch TA, Ricco JB, Trimarchi S, Twine CP, Tulamo R, Wanhainen A; Document Reviewers; Boyle JR, Brodmann M, Dardik A, Dick F, Goëffic Y, Holden A, Kakkos SK, Kolh P, McDermott MM. European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Asymptomatic Lower Limb Peripheral Arterial Disease and Intermittent Claudication. 2024

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• CO2 Flushing w/T. Kölbel

  In this episode, with Prof. Tilo Kölbel, we discuss the significant risks associated with air embolism during aortic surgery, the innovative technique of CO2 flushing of aortic endografts, and the practical tips and tricks of implementing this technique in clinical practice. The conversation also touches on current guidelines and the future of CO2 flushing in endovascular protocols, emphasising its potential to improve patient outcomes. Unmissable!Also, check out these papers that we mentioned in the podcast:https://www.ejves.com/action/showPdf?pii=S1078-5884%2825%2900409-5https://journals.sagepub.com/doi/10.1177/1526602816633705https://pmc.ncbi.nlm.nih.gov/articles/PMC10151986/https://www.ejves.com/action/showPdf?pii=S1078-5884%2818%2930692-0

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• Gaza: A Vascular Surgeon's Experience

  The war in Gaza has been described as a humanitarian catastrophe. Ever since the war began 2 years ago, following the October 7th attack by Hamas it is estimated that over 68,000 people have been killed, with a further 180,000 injured. Thousands have been displaced, and many have suffered starvation and famine because of the Israeli blockade. The plight of medics trying to treat civilians has also been extremely challenging and dangerous, with health care facilities often targeted by the IDF airstrikes. In this podcast, we talk to Mr Ed Brown, a consultant vascular surgeon from the UK who has recently returned from Gaza and describes his experiences working in a warzone. What does it take to work in such an environment? What are the challenges facing surgeons and other health professionals in Gaza? Ever thought of humanitarian work yourself? These are the questions we hope to answer. With Justin Woolgar.

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• #ESVS2025: Management of Aortic Graft Infections with A. LeJay

  Aortic stent infections remain among the most feared and complex complications in vascular surgery—rare but devastating when they occur. In episode, recorded live in ESVS Istanbul, Dr. Laurence Bertrand speaks with Dr. Anne Le Jay, about complex aortic reconstruction and graft infection management. Together, they examine how vascular specialists are redefining best practice: from early recognition and imaging to multidisciplinary treatment planning, surgical decision-making, and long-term outcomes.

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