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Objective: Endovascular aneurysm repair is well established as the gold standard in treating abdominal aortic aneurysms. Generally, endovascular repair is performed using a bi or trimodular stent graft, requiring placement of a contralateral iliac limb. Deployment of the contralateral iliac limb requires retrograde gate cannulation of the endograft main body contralateral limb. This step represents the crucial point of a standard endovascular repair procedure and can become challenging, especially in the case of high iliac tortuosity. This study compares the procedural times between the retrograde gate cannulation and the contralateral snare cannulation to demonstrate the possibility of directly performing the contralateral snare cannulation in the case of a complex iliac anatomy assessed by the iliac tortuosity index. Methods: One hundred and forty-eight patients with infrarenal abdominal aortic aneurysms who underwent endovascular aneurysm repair from 2017 to 2022 were analyzed retrospectively. Cannulation times between retrograde gate cannulation and contralateral snare cannulation were compared for each degree of iliac tortuosity. The degree of iliac tortuosity was assessed through the iliac tortuosity index. Cannulation times were detected from inserting the wire into the introducer to passing through the radio-opaque gate markers. Results: The cannulation times were 2.94 min for the retrograde gate cannulation group and 3.15 min for the contralateral snare cannulation group, respectively, with no statistically significant differences (p = 0.33). Overall cannulation times were 2.98 min. For the iliac tortuosity index grade 0, the cannulation times were 2.71 min for the retrograde gate cannulation group and 3.85 min for the contralateral snare cannulation group, respectively, with a significant difference in favor of the retrograde gate cannulation group (p < 0.0001). For the iliac tortuosity index grade 1, the cannulation times were 2.74 min for the retrograde gate cannulation group and 2.8 min for the contralateral snare cannulation group, respectively, with no statistically significant differences (p = 0.63). Regarding the iliac tortuosity index grades 2 and 3, the cannulation times were 3.01 and 4.93 min for the retrograde gate cannulation group and 2.71 and 3.28 min for the contralateral snare cannulation group, respectively. The first group's times were significantly higher than the second group's (p = 0.01 and p = 0.0001). Conclusions: In patients with infrarenal abdominal aortic aneurysms undergoing endovascular aortic repair, the gate cannulation times were significantly shorter for the contralateral snare cannulation method than the retrograde gate cannulation method in the iliac tortuosity index grades 2 and 3. Therefore, performing the contralateral snare cannulation method would be appropriate. [ABSTRACT FROM AUTHOR]

Seabirds are compelled to nest on land, away from their feeding areas, which they can only reach by leaving eggs or chicks in the nest, often for long periods of time. For this reason, almost all of them have evolved social monogamy as a reproductive system, cooperation between partners for incubation and chick rearing, and long-lasting pair bonds. Additionally, nesting conditions are essential for successful reproduction, and the nest can be considered a resource if it provides more guarantees in this aspect. As a result, the nest may be a source of contention and intraspecific competition, especially among males. In this work, we analyze long-term data of the Scopoli's shearwater (Calonectris diomedea) population to address the fitness consequences of nest change regarding survival and reproductive success. We used capture–recapture multistate models and the AICc model selection approach to test three hypotheses: breeding failure triggers nest change; nest change affects breeding success probability; nest change affects survival. Each year, about 5% of the breeders move to a new nest. For males, it was mainly a way to improve their breeding conditions and was observed in their early years as a breeder. Conversely, for females, it was a way to improve their reproductive performance by trying with a new mate after a failure. Males that changed nests improved their breeding success probability. Instead, in females, there was no causal relation between nest change and breeding success, the latter having been more influenced by the intrinsic quality of the female as a breeder. We did not even find a link between nest change and survival. Instead, we demonstrated that reproductive failure could affect the apparent survival of females, probably because it induces breeding dispersal. [ABSTRACT FROM AUTHOR]

Reintroductions represent an opportunity to restore local biodiversity and reverse the effect of taxa extinction. However, they need feasibility and monitoring plans before and during their implementation to ensure concrete and lasting results. During the 20th century, the osprey (Pandion haliaetus) underwent a severe population decline in many European countries due to direct persecution and coast exploitation. In the 1960s–1970s, it was declared extinct as a breeder in Italy. In 2004, the Maremma Regional Park (Tuscany, central Italy) started a reintroduction project by capturing and releasing, from 2006 to 2010, 33 juvenile Corsican ospreys on the southern coast of Tuscany. The settlement of the first breeding pair in 2011 was the initial sign of the success of the reintroduction project, then further pairs settled from 2011 onward. A total of 81 feather or blood samples were collected for DNA extraction from both translocated (2006–2010) and newborn individuals (2011–2021). Individuals were analyzed at 16 microsatellite loci to verify any changes in genetic variability over time and to set out a protocol for the reconstruction of kinship for conservation and management purposes. We did not observe a reduction in genetic variability between the two sampling periods, although we found a slight sign of the founder effect in the reestablished population. A strong genetic differentiation was observed between this Mediterranean population and an injured osprey from a Northern European population, thus confirming the importance of considering the local genetic pool in any reintroduction project. Monogamous behavior was confirmed by family reconstruction, which allowed the identification of clear kinship relationships. Our findings indirectly inform on the genetic variability of the population during the 16-year period from the start of the project and provide useful insights for its long-term conservation. [ABSTRACT FROM AUTHOR]

Background: Identifying sex-related differences/variables associated with 30 day/1 year mortality in patients with chronic limb-threatening ischemia (CLTI). Methods: Multicenter/retrospective/observational study. A database was sent to all the Italian vascular surgeries to collect all the patients operated on for CLTI in 2019. Acute lower-limb ischemia and neuropathic-diabetic foot are not included. Follow-up: One year. Data on demographics/comorbidities, treatments/outcomes, and 30 day/1 year mortality were investigated. Results: Information on 2399 cases (69.8% men) from 36/143 (25.2%) centers. Median (IQR) age: 73 (66–80) and 79 (71–85) years for men/women, respectively (p < 0.0001). Women were more likely to be over 75 (63.2% vs. 40.1%, p = 0.0001). More men smokers (73.7% vs. 42.2%, p < 0.0001), are on hemodialysis (10.1% vs. 6.7%, p = 0.006), affected by diabetes (61.9% vs. 52.8%, p < 0.0001), dyslipidemia (69.3% vs. 61.3%, p < 0.0001), hypertension (91.8% vs. 88.5%, p = 0.011), coronaropathy (43.9% vs. 29.4%, p < 0.0001), bronchopneumopathy (37.1% vs. 25.6%, p < 0.0001), underwent more open/hybrid surgeries (37.9% vs. 28.8%, p < 0.0001), and minor amputations (22% vs. 13.7%, p < 0.0001). More women underwent endovascular revascularizations (61.6% vs. 55.2%, p = 0.004), major amputations (9.6% vs. 6.9%, p = 0.024), and obtained limb-salvage if with limited gangrene (50.8% vs. 44.9%, p = 0.017). Age > 75 (HR = 3.63, p = 0.003) is associated with 30 day mortality. Age > 75 (HR = 2.14, p < 0.0001), nephropathy (HR = 1.54, p < 0.0001), coronaropathy (HR = 1.26, p = 0.036), and infection/necrosis of the foot (dry, HR = 1.42, p = 0.040; wet, HR = 2.04, p < 0.0001) are associated with 1 year mortality. No sex-linked difference in mortality statistics. Conclusion: Women exhibit fewer comorbidities but are struck by CLTI when over 75, a factor associated with short- and mid-term mortality, explaining why mortality does not statistically differ between the sexes. [ABSTRACT FROM AUTHOR]