030/full), inves0gates a procedural innova0on relevant to remote support of vascular access procedures. Although primarily focused on an interven0onal technique, its findings have implica0ons for how telehealth can support procedural planning and training. The study's retrospec0ve analysis of 224 pa0ents demonstrates that an integrated puncture method achieves significantly higher first-aGempt success rates, reduces procedural 0me, and lowers exposure risks compared to conven0onal puncture approaches. These results suggest that paired with remote guidance and tele-supervision, such op0mized techniques could enhance safety and efficacy in seOngs with limited on-site exper0se. The second contribu0on, Endovascular management of a fractured dialysis catheter: a case report and review of retrieval techniques (https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2025.1700 677/full) , highlights the cri0cal role of telehealth-supported collabora0on in handling rare but poten0ally life-threatening vascular complica0ons. This case report describes the successful percutaneous retrieval of an intravascular catheter fragment that migrated to the right atrium. While not a telehealth interven0on per se, the ar0cle underscores how telecommunica0on and digital imaging exchange can facilitate mul0disciplinary decision-making, expedite remote consulta0on with specialists, and guide care in urgent scenarios where 0me and exper0se are constrained. Complemen0ng these clinical procedural insights, the third ar0cle, Telemedicine in Polish primary care during and aDer the COVID-19 crisis: a retrospec-ve analysis of over 720,000 consulta-ons (hNps://www.fron-ersin.org/journals/public-health/ar-cles/10.3389/fpubh.2025.1695625/full) , provides a comprehensive popula0on-level evalua0on of remote care u0liza0on paGerns. Drawing on a na0onwide dataset spanning over 720,000 consulta0ons, the authors document the drama0c rise in teleconsulta0ons during the pandemic, peaking at nearly 80 % of visits, and their stabiliza0on at approximately 12-15 % in the post-pandemic period. The study reveals demographic dispari0es in telemedicine use, with older adults less likely to u0lize remote visits, and modality-specific differences in clinical ac0ons (e.g., prescrip0ons issued more oYen during teleconsulta0ons). These findings underscore both the resilience of telehealth integra0on into rou0ne care and the persistent need to address equity, technology proficiency, and infrastructure to op0mize its long-term uptake in vascular and general prac0ce seOngs. The fourth ar0cle, Clinical comparison of transfemoral vs. distal transradial access for lower extremity arteriography (hNps://www.fron-ersin.org/journals/surgery/ar-cles/10.3389/fsurg.2025.1677953/full) , delivers valuable compara0ve data on vascular access approaches that may be informed by remote assessment and planning. Although its primary focus is anatomical and technical, the study's outcomes regarding procedural safety and efficacy can inform virtual pre-procedure evalua0ons and shared decision-making between clinicians and pa0ents in telehealth contexts. By quan0fying differences in procedural metrics and complica0ons between access routes, the ar0cle serves as a founda0on for future telemedicine applica0ons that support individualized procedural planning and remote risk stra0fica0on. Together, the ar0cles in this Research Topic highlight that telehealth in vascular care encompasses both direct remote interac0ons (e.g., teleconsulta0ons) and broader digital health-enabled prac0ces such as remote planning, interpreta0on of imaging, mul0disciplinary coordina0on, and pa0ent follow-up. Across all contribu0ons, there is a clear signal that telehealth can enhance access, streamline care pathways, and support clinical decision-making when integrated purposefully within exis0ng clinical workflows. At the same 0me, the collec0on reflects important limita0ons: dispari0es in access and u0liza0on, the need for robust infrastructure and digital literacy, and the absence of standardized frameworks to guide clinical implementa0on. Looking forward, future research should emphasize prospec0ve evalua0ons of telehealth interven0ons tailored to specific vascular disease states, the valida0on of remote monitoring tools and wearable technologies for longitudinal surveillance, and the development of evidence-based guidelines that ensure safe, equitable, and effec0ve telehealth prac0ce. Moreover, as digital health ecosystems evolve, equitable access and user-centered design must remain central to innova0on to avoid perpetua0ng dispari0es among vulnerable pa0ent popula0ons. In conclusion, "Telehealth Innova-ons in Vascular Care" offers a mul0faceted examina0on of how digital modali0es are reshaping vascular prac0ce, fostering innova0on not only in remote consulta0on and care delivery but also in the procedural, collabora0ve, and system-level domains that define contemporary vascular health care.
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Davide Costa
Umberto Marcello Bracale
Raffaele Serra
SHILAP Revista de lepidopterología
Frontiers in Surgery
Federico II University Hospital
Magna Graecia University
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Costa et al. (Fri,) studied this question.
www.synapsesocial.com/papers/69a75fa3c6e9836116a2b264 — DOI: https://doi.org/10.3389/fsurg.2026.1788416