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Clinical Perspectives of Vascular and Endovascular Surgeries
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Clinical Perspectives of Vascular and Endovascular Surgeries

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

Deadline for manuscript submissions: 20 December 2025 | Viewed by 2089

Special Issue Editors

Dr. Adrian Vasile Muresan

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Guest Editor
1. Department of Vascular Surgery, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540139 Targu Mures, Romania
2. Clinic of Vascular Surgery, Mures County Emergency Hospital, 540136 Targu Mures, Romania
Interests: vascular surgery; varicose veins; abdominal aortic aneurysms; carotid disease; peripheral arterial disease
Dr. Emil Marian Arbănași

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Guest Editor
1. Department of Vascular Surgery, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540139 Targu Mures, Romania
2. Clinic of Vascular Surgery, Mures County Emergency Hospital, 540136 Targu Mures, Romania
3. Doctoral School of Medicine and Pharmacy, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540139 Targu Mures, Romania
4. Regenerative Medicine Laboratory, Centre for Advanced Medical and Pharmaceutical Research (CCAMF), George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540139 Targu Mures, Romania
Interests: vascular surgery; arteriovenous fistula; abdominal aortic aneurysms; bioengineering; biomechanical
Special Issues, Collections and Topics in MDPI journals
Dr. Eliza Russu

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Guest Editor
Department of Vascular Surgery, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mures, 540139 Targu Mures, Romania
Interests: cardiology; vascular surgery; endovascular surgery
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

We cordially invite submissions for a forthcoming Special Issue entitled "Clinical Perspectives of Vascular and Endovascular Surgeries". This issue aims to compile pioneering research, case studies, and clinical insights that exemplify the dynamic and evolving nature of vascular and endovascular surgical practices.

Recently, there have been numerous innovations in vascular and endovascular surgery, yielding promising results concerning the clinical outcomes and quality of life for patients. Notable advancements include the percutaneous arteriovenous fistula, the covered endovascular reconstruction of the aortic bifurcation technique, and intravascular lithotripsy, among others. Nonetheless, several aspects necessitate improvement, particularly the long-term performance of arteriovenous fistulas, lower limb bypass patency, restenosis risk following carotid endarterectomy, long-term survival following open repair of abdominal aortic aneurysms, and the risk of restenosis following percutaneous balloon angioplasty or stenting.

This topic aims to highlight current advancements in both open and minimally invasive techniques, innovations in perioperative care, long-term patient outcomes, and the integration of new technologies in clinical settings. We particularly welcome contributions that explore multidisciplinary approaches, address complex vascular pathologies, or offer novel perspectives on clinical decision-making and patient management.

We encourage original research articles and reviews. This collection aims to advance knowledge and improve best practices in vascular disease treatment by promoting collaboration among vascular surgeons, interventional radiologists, and researchers.

Dr. Adrian Vasile Muresan
Dr. Emil Marian Arbănași
Dr. Eliza Russu
Guest Editors

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 250 words) can be sent to the Editorial Office for assessment.

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 surgery
  • varicose veins
  • abdominal aortic aneurysms
  • carotid disease
  • peripheral arterial disease

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Published Papers (2 papers)

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Research

14 pages, 1881 KB  
Article
A Three-Decade Analysis of Ischemic Stroke in India: Mortality, Morbidity, and Risk Factors Using the Global Burden of Diseases Study from 1990 to 2019
by Aditya D. Goyal, Avi A. Gajjar, Najib Muhammad, Albert Q. Wu, Hanish Polavarapu, Oliver Tang, Mohamed M. Salem, Ethan D. Paliwoda, Nithin Gupta, Jagroop Doad, Brian T. Jankowitz, Visish M. Srinivasan and Jan-Karl Burkhardt
J. Clin. Med. 2025, 14(21), 7807; https://doi.org/10.3390/jcm14217807 - 3 Nov 2025
Viewed by 833
Abstract
Background/Objectives: India has experienced a sharp increase in stroke burden over the last half-century. The diverse geographical conditions and developing health infrastructure warrant an investigation into changes in mortality and morbidity due to ischemic stroke. This research aims to estimate the impact [...] Read more.
Background/Objectives: India has experienced a sharp increase in stroke burden over the last half-century. The diverse geographical conditions and developing health infrastructure warrant an investigation into changes in mortality and morbidity due to ischemic stroke. This research aims to estimate the impact of attributable risk factors, providing comprehensive insights into the temporal trends of ischemic stroke in India. Methods: Data regarding ischemic stroke in India were queried from the 2019 Global Burden of Disease (GBD) study. Age-standardized deaths, disability-adjusted life years (DALYs), years lived with disability (YLDs), years of life lost (YLLs), prevalence, and incidence were collected and analyzed. Descriptive statistics and 95% uncertainty intervals (UI) were utilized to ensure reliability. Results: In 2019, there were 535,700 incident stroke cases in India (95% CI 453,200–631,800), marking a 118.8% increase from 1990. Females saw a higher incidence rise (131.1%) than males (107.5%). The incidence rate reached 38.5 per 100,000 (95% CI 32.6–45.4), a 34.6% increase, while the age-standardized incidence rate declined by 4.2%. Stroke deaths rose by 148.5%, totaling 271,200 (95% CI 227,800–320,700). Females experienced a higher increase (183.5%) than males (123.0%). Prevalence increased by 130.4%, reaching 6,465,700 cases (95% CI 5,541,000–7,378,000), while age-standardized prevalence rose by 5.7%. Disability-adjusted life years (DALYs) increased by 121.0% to 5,689,300 (95% CI 4,821,100–6,649,500), but the age-standardized DALY rate fell by 23.1%. Years lived with disability (YLD) increased by 135.5% to 907,000 (95% CI 640,300–1,172,900). Years of life lost (YLL) rose by 118.4% to 4,782,300 (95% CI 3,945,500–5,743,700), but the age-standardized YLL rate fell by 26.3%. Metabolic risks, ambient particulate matter pollution, and tobacco smoking were significant risk factors contributing to stroke burden. Conclusions: This study highlights contrasting trends in ischemic stroke indicators in India from 1990 to 2019. While prevalence and YLDs have increased, the overall decline in mortality, YLLs, DALYs, and stroke incidence points to improvements in healthcare access and treatment. There is a need for targeted public health interventions to address the growing stroke burden, mainly focusing on preventive measures and addressing sex-based disparities. Full article
(This article belongs to the Special Issue Clinical Perspectives of Vascular and Endovascular Surgeries)
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12 pages, 261 KB  
Article
Evaluation of the Safety of Percutaneous Dilatational Tracheostomies in Patients with Antiplatelet Therapy—A Comparison of Two Single-Step Percutaneous Dilatational Techniques
by Lukas Ley, Mustafa Kerem Cinar, Anita Windhorst, Jens Allendoerfer, Hossein Ardeschir Ghofrani and Dirk Bandorski
J. Clin. Med. 2025, 14(14), 5036; https://doi.org/10.3390/jcm14145036 - 16 Jul 2025
Viewed by 1011
Abstract
Introduction: Antiplatelet therapy (APT) increases bleeding risk and is frequently used in patients who undergo percutaneous dilatational tracheostomy (PDT). However, there are different techniques for single-step PDTs, which can be differently invasive. The aim of the present study was to investigate complications in [...] Read more.
Introduction: Antiplatelet therapy (APT) increases bleeding risk and is frequently used in patients who undergo percutaneous dilatational tracheostomy (PDT). However, there are different techniques for single-step PDTs, which can be differently invasive. The aim of the present study was to investigate complications in patients undergoing PDT while being on APT, especially with regard to bleeding and the influence of different PDT techniques. Material and Methods: Between July 2016 and June 2021, 273 intensive care unit (ICU) patients underwent in-house PDT with two different techniques (direct or indirect) and were retrospectively enrolled. Results: A total of 273 patients (mean age: 68 years, 37% female) were included in the study. A total of 51% of patients were on APT on the day of PDT procedure (SAPT: 34%, DAPT: 17%). Direct and indirect PDTs were performed in 33% and 67% of patients. Periprocedural airway or skin bleedings and postprocedural bleedings occurred in 53%, 11%, and 1%. A need for bronchoscopic re-intervention was observed in 2% of APT patients. No death was procedure related. Periprocedural airway bleedings occurred more frequent in “APT patients” (60% vs. 46%, p = 0.03). Periprocedural airway and skin bleedings were more frequent in indirect PDTs (52% and 14%) than direct PDTs (32% and 0%, p = 0.04 and p = 0.02) in “no APT patients”. In “APT patients” this difference was only seen in periprocedural airway bleeding (69% vs. 45%, p = 0.01). Moreover, periprocedural airway bleedings were more frequent in “APT patients” when performing an indirect PDT rather than a direct PDT (69% vs. 52%, p = 0.02). Conclusions: PDTs appear to be safe in patients receiving APT. Indirect PDTs appear to generally increase the risk of clinically irrelevant, minor periprocedural airway and possibly skin bleedings, especially in APT patients. Full article
(This article belongs to the Special Issue Clinical Perspectives of Vascular and Endovascular Surgeries)
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