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Journal of Vascular Surgery

Dimitrios Kapetanios, Nikolaos Kontopodis, Dimitrios Mavridis, Richard G McWilliams, Athanasios D Giannoukas, George A Antoniou
OBJECTIVE: The purpose of this systematic review and meta-analysis was to investigate the diagnostic accuracy of contrast-enhanced ultrasound (CEUS) for detection of endoleak after endovascular aneurysm repair (EVAR). METHODS: We searched electronic bibliographic databases for original articles comparing concurrent CEUS and computed tomography angiography for detection of endoleak after EVAR. We assessed the methodologic quality of the studies with the Quality Assessment of Diagnostic Accuracy Studies-2 tool...
October 29, 2018: Journal of Vascular Surgery
Konstantinos Spanos, Tilo Kölbel, Jens C Kubitz, Sabine Wipper, Nikolaos Konstantinou, Franziska Heidemann, Fiona Rohlffs, Sebastian E Debus, Nikolaos Tsilimparis
OBJECTIVE: The aim of our study was to analyze the incidence of spinal cord ischemia (SCI) in patients presenting with complex aortic aneurysms treated with endovascular aneurysm repair (EVAR) and to identify risk factors associated with this complication. METHODS: A retrospective study was undertaken of prospectively collected data including patients presenting with complex aortic aneurysm (pararenal abdominal aortic aneurysm and thoracoabdominal aortic aneurysm) treated with fenestrated EVAR (F-EVAR) or branched EVAR (B-EVAR)...
October 29, 2018: Journal of Vascular Surgery
Abeeku Hammond, Vivak Hansrani, Chris Lowe, Imran Asghar, Stavros A Antoniou, George A Antoniou
OBJECTIVE: Our objective was to investigate the incidence, interventions and outcomes of iliac limb occlusion after endovascular aneurysm repair (EVAR). METHODS: We performed a systematic review that conformed to the Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines using a registered protocol (CRD42017064375). We considered studies reporting patients with iliac limb occlusion after EVAR. We interrogated electronic information sources and bibliographic reference lists using a combination of free text and controlled vocabulary searches...
October 23, 2018: Journal of Vascular Surgery
Joseph D Raffetto
No abstract text is available yet for this article.
October 20, 2018: Journal of Vascular Surgery
Kathleen G Raman
No abstract text is available yet for this article.
October 20, 2018: Journal of Vascular Surgery
Michael C Dalsing
No abstract text is available yet for this article.
October 20, 2018: Journal of Vascular Surgery
Georg P Györi, Wolf Eilenberg, Luca Dittrich, Christoph Neumayer, Sebastian Roka, Gabriela A Berlakovich
OBJECTIVE: We aimed to compare routine preoperative color-coded duplex ultrasound (DUS) to clinical examination (CE) alone in surgery for arteriovenous fistula (AVF) with special emphasis on long-term outcomes and cost effectiveness. METHODS: All patients undergoing an AVF formation or revision between January 1, 2011, and December 31, 2016, at our tertiary referral center were subject to analysis. Routine DUS was performed in 114 patients and CE alone in 217 patients...
October 9, 2018: Journal of Vascular Surgery
Jelle J Posthuma, Jens J N Posma, Goof Schep, Mart M H Bender, Rene van Oerle, Allard C van der Wal, Hugo Ten Cate, Henri M H Spronk
OBJECTIVE: High-performance athletes can develop symptomatic arterial flow restriction during exercise caused by endofibrosis. The pathogenesis is poorly understood; however, coagulation enzymes, such as tissue factor (TF) and coagulation factor Xa, might contribute to the fibrotic process, which is mainly regulated through activation of protease-activated receptors (PARs). Therefore, the aim of this explorative study was to evaluate the presence of coagulation factors and PARs in endofibrotic tissue, which might be indicative of their potential role in the natural development of endofibrosis...
October 9, 2018: Journal of Vascular Surgery
Nicholas J Swerdlow, Douglas W Jones, Alexander B Pothof, Thomas F X O'Donnell, Patric Liang, Chun Li, Mark C Wyers, Marc L Schermerhorn
OBJECTIVE: Three-dimensional (3D) image fusion is associated with lower radiation exposure, contrast agent dose, and operative time during endovascular abdominal aortic aneurysm repair. Therefore, we evaluated the impact of this technology on carotid artery stenting (CAS). METHODS: We identified consecutive CAS procedures from 2009 to 2017 and compared those performed with and without 3D image fusion. For image fusion, we created a 3D reconstruction of the aortic arch anatomy based on preoperative computed tomography or magnetic resonance angiography that we merged with two-dimensional fluoroscopy, allowing 3D image overlay...
October 6, 2018: Journal of Vascular Surgery
Thomas F X O'Donnell, Jacqueline E Wade, Patric Liang, Chun Li, Nicholas J Swerdlow, Randall R DeMartino, Mahmoud B Malas, Bruce E Landon, Marc L Schermerhorn
BACKGROUND: Endovascular aneurysm repair (EVAR) has decreased the perioperative mortality for patients undergoing abdominal aortic aneurysm repair and has increased the rates of elective aneurysm repair in the elderly. However, Medicare will not cover abdominal aortic aneurysm screening for beneficiaries over 75 years of age. Consequently, abdominal aortic aneurysm treatment in this population depends on incidental detection. Targeted coverage for screening in this population, however, might be beneficial for a subgroup of patients...
October 6, 2018: Journal of Vascular Surgery
Matthew R Janko, Matthew R Smeds
OBJECTIVE: Burnout is a work-related syndrome involving emotional exhaustion, depersonalization, and a sense of reduced personal accomplishment that has become prevalent in all levels of medical training. We sought to understand factors associated with burnout identified in vascular surgery trainees. METHODS: An anonymous electronic survey consisting of demographic and programmatic information as well as validated scales for burnout, depression, perceived stress, self-efficacy, and social support was given to all vascular surgery trainees in the United States...
October 6, 2018: Journal of Vascular Surgery
S Keisin Wang, Andres Fajardo, Alan P Sawchuk, Gary W Lemmon, Michael C Dalsing, Alok K Gupta, Michael P Murphy, Raghu L Motaganahalli
OBJECTIVE: This investigation describes the perioperative and early follow-up results associated with transcarotid artery revascularization (TCAR) in patients not participating in the Safety and Efficacy Study for Reverse Flow Used During Carotid Artery Stenting Procedure II (ROADSTER-2) registry using the ENROUTE neuroprotection system (ENPS; Silk Road Medical, Sunnyvale, Calif). METHODS: A retrospective review was performed capturing all TCAR/ENPS procedures in patients deemed to be at high risk for complications after traditional carotid endarterectomy...
October 6, 2018: Journal of Vascular Surgery
Patric Liang, Chun Li, Thomas F X O'Donnell, Ruby C Lo, Peter A Soden, Nicholas J Swerdlow, Marc L Schermerhorn
OBJECTIVE: Studies using hospital discharge data likely underestimate postoperative morbidity and mortality after lower extremity revascularization because they fail to capture postdischarge events. However, the degree of underestimation and the timing of postdischarge complications are not well-characterized. METHODS: We used the American College of Surgeons National Surgical Quality Improvement Program procedure-targeted vascular databases from 2011 to 2015 to tabulate 30-day adverse events (in hospital and after discharge) for lower extremity bypass (LEB) and percutaneous vascular interventions (PVIs) performed for claudication and chronic limb-threatening ischemia (CLTI)...
October 6, 2018: Journal of Vascular Surgery
Hunter M Ray, Joseph M Besho, Jason Au, Kristofer M Charlton-Ouw, Anthony L Estrera, Charles C Miller, Hazim J Safi, Ali Azizzadeh
OBJECTIVE: Recent studies demonstrate that uncomplicated acute type B aortic dissection (uATBAD) patients with enlarged descending thoracic aortic diameters are at high risk for development of complications. This study aimed to determine the association of maximum ascending aortic diameter and area and outcomes in patients with uATBAD. METHODS: All patients admitted with uATBAD from June 2000 to January 2015 were reviewed, and those with available imaging were included...
October 6, 2018: Journal of Vascular Surgery
Seyed M Qaderi, Nam T Tran, Billi Tatum, Jan D Blankensteijn, Niten Singh, Benjamin W Starnes
OBJECTIVE: Long-term outcomes after endovascular aneurysm repair (EVAR) are threatened by aortic neck dilation (AND), graft migration, and subsequent endoleak development. The aim of this study was to determine the rate of AND and the occurrence of endoleaks after fenestrated EVAR of juxtarenal aneurysms with physician-modified endovascular grafts (PMEGs). METHODS: The study included 77 patients presenting with asymptomatic and ruptured juxtarenal abdominal aortic aneurysms treated with PMEGs who received radiologic follow-up...
October 6, 2018: Journal of Vascular Surgery
Sam C Tyagi, Keith D Calligaro, Shinichi Fukuhara, Jacques Greenberg, Danielle M Pineda, Hong Zheng, Matthew J Dougherty, Douglas A Troutman
OBJECTIVE: Although lifelong surveillance is recommended by the Society for Vascular Surgery for patients undergoing endovascular aneurysm repair (EVAR) reported that compliance with long-term follow-up has been poor. We sought to identify factors that predict compliance with EVAR surveillance through analysis of patient variables and post-EVAR questionnaire results. METHODS: We analyzed 28 patient variables gathered from our computerized registry, patient charts, and phone questionnaires of patients who underwent EVAR between January 1, 2010, and December 31, 2014...
October 6, 2018: Journal of Vascular Surgery
Tze-Woei Tan, Jeffrey J Siracuse, Benjamin S Brooke, Donald T Baril, Karen Woo, Denis Rybin, Gheorghe Doros, Alik Farber
OBJECTIVE: An upper arm brachiobasilic arteriovenous fistula (BBAVF) is a reliable autogenous hemodialysis access created with a one-stage or two-stage technique. Although both techniques are variably used, the optimal approach is uncertain. In this study, we compared the outcomes of one-stage and two-stage BBAVF procedures. METHODS: We identified 2648 patients who had received BBAVFs within the Vascular Quality Initiative data set (2010-2016) and compared those created using the one-stage and two-stage technique...
October 6, 2018: Journal of Vascular Surgery
Daiva Nevidomskyte, Gale L Tang, Susanna H Shin, Thomas S Hatsukami, Sara Khor, David R Flum, Mark H Meissner, Sherene Shalhub
BACKGROUND: The benefit for carotid endarterectomy (CEA) to prevent a potential stroke has been shown to be less beneficial for women compared with men and the risk of carotid stenting (CAS) is higher in women than men. We hypothesized that a community-based Washington state registry data would also reveal increased morbidity and mortality for women undergoing carotid interventions. METHODS: Deidentified data for CEA and CAS between 2010 and 2015 were obtained from 19 hospitals participating in the Washington State Vascular-Interventional Surgical Care and Outcomes Assessment Program...
October 6, 2018: Journal of Vascular Surgery
Leonard N Girardi, Jeremy R Leonard, Christopher Lau, Lucas B Ohmes, Ivancarmine Gambardella, Erin M Iannacone, Monica Munjal, Alexandra N Schwann, Mario F L Gaudino
OBJECTIVE: Female sex has been associated with greater morbidity and mortality for a variety of major cardiovascular procedures. We sought to determine the influence of female sex on early and late outcomes after open descending thoracic aortic aneurysm (DTA) and thoracoabdominal aortic aneurysm (TAAA) repair. METHODS: We searched our aortic surgery database to identify patients having open DTA or TAAA repair. Logistic regression and Cox regression analyses were used to assess the effect of sex on perioperative and long-term outcomes...
October 3, 2018: Journal of Vascular Surgery
Joel L Ramirez, Sukaynah A Khetani, Greg J Zahner, Kimberly A Spaulding, Melinda S Schaller, Warren J Gasper, Nancy K Hills, Anne L Schafer, S Marlene Grenon
OBJECTIVE: Resistin is a hormone that has been associated with metabolic syndrome and cardiovascular disease. The role of resistin in patients with peripheral artery disease (PAD) has not been fully explored. This study seeks to understand the relationship between serum resistin, vascular function, and cardiovascular outcomes in patients with PAD. METHODS: There were 106 patients with PAD who were recruited between 2011 and 2016. Patients attended a baseline visit during which a comprehensive vascular physiology assessment including medical and surgical history, radial artery tonometry, and flow mediated-vasodilation (FMD) was completed...
October 3, 2018: Journal of Vascular Surgery
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