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Letter to the Editor|Articles in Press

Failing To See the Forest for the Trees

Published:February 14, 2023DOI:https://doi.org/10.1016/j.ejvs.2023.02.005
      We appreciate the attention Ouriel et al. have dedicated to reviewing our work.
      • Weissler E.H.
      • Hammill B.G.
      • Armstrong J.L.
      • et al.
      Association between device type and Type IIIb endoleaks following thoracic endovascular aortic repair.
      However, their complete dismissal of our findings raises significant concerns for conscious or unconscious bias on their part, given their extensive industry ties,
      • Lundh A.
      • Lexchin J.
      • Mintzes B.
      • Schroll J.B.
      • Bero L.
      Industry sponsorship and research outcome.
      and furthermore runs counter to ongoing efforts to improve medical device safety. Specifically, we would like to address the following points.
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      References

        • Weissler E.H.
        • Hammill B.G.
        • Armstrong J.L.
        • et al.
        Association between device type and Type IIIb endoleaks following thoracic endovascular aortic repair.
        Eur J Vasc Endovasc Surg. 2023; 65: 112-119
        • Lundh A.
        • Lexchin J.
        • Mintzes B.
        • Schroll J.B.
        • Bero L.
        Industry sponsorship and research outcome.
        Cochrane Database Syst Rev. 2017; 2MR000033
        • Evans S.J.
        • Waller P.C.
        • Davis S.
        Use of proportional reporting ratios (PRRs) for signal generation from spontaneous adverse drug reaction reports.
        Pharmacoepidemiol Drug Saf. 2001; 10: 483-486

      Linked Article

      • Association Between Device Type and Type IIIb Endoleaks Following Thoracic Endovascular Aortic Repair
        European Journal of Vascular and Endovascular SurgeryVol. 65Issue 1
        • Preview
          Endoleaks following thoracic endovascular aortic repair (TEVAR) can lead to the need for re-intervention and aortic rupture. Given the recent recall of a specific thoracic stent graft type due to concerns about type IIIb endoleak (T3bE), in which blood leaks through the stent graft fabric, the aim was to characterise patterns of T3bEs among available TEVAR devices.
        • Full-Text
        • PDF
        Open Access
      • Not So Fast, All Devices and Their Materials Are Different
        European Journal of Vascular and Endovascular Surgery
        • Preview
          Fabric defects causing type IIIb endoleaks (ELs) were first described > 20 years ago, and this issue has recently been found at a high rate in the Medtronic (MDT; Santa Rosa, CA) Valiant Navion (Navion) device.1–3 Reporting device failures is important, and we applaud Weissler et al. for their attempt to bring further scrutiny to Navion device failures.4 However, we are concerned that they have missed much of the important nuance required in this type of study.
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        • PDF