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Journal of Vascular Surgery

Gaurav Sharma, Rebecca E Scully, Samir K Shah, Arin L Madenci, Dean J Arnaoutakis, Matthew T Menard, C Keith Ozaki, Michael Belkin
OBJECTIVE: Endovascular intervention has supplanted open bypass as the most frequently used approach in patients with aortoiliac segment atherosclerosis. We sought to determine whether this trend together with changing demographic and clinical characteristics of patients undergoing aortobifemoral bypass (ABFB) for aortoiliac occlusive disease (AOD) have an association with postoperative outcomes. METHODS: Using a prospectively maintained institutional database, we identified patients who underwent ABFB for AOD from 1985 to 2015...
July 9, 2018: Journal of Vascular Surgery
Péter Vince Banga, Andrea Varga, Csaba Csobay-Novák, Márton Kolossváry, Emese Szántó, Gustavo S Oderich, László Entz, Péter Sótonyi
OBJECTIVE: A complete circle of Willis (CoW) is considered an important collateral network to maintain blood flow during cross-clamping in carotid endarterectomy (CEA). The aim of this study was to evaluate the impact of an incomplete CoW with isolated middle cerebral artery (iMCA) on immediate neurologic events (INEs) after CEA. METHODS: We prospectively collected the clinical data and outcomes of 902 patients who underwent CEA under general anesthesia between 2013 and 2015...
July 5, 2018: Journal of Vascular Surgery
Kenneth Tran, Andy M Lee, Graeme E McFarland, Michael D Sgroi, Jason T Lee
OBJECTIVE: As our collective experience with complex endovascular aneurysm repair (EVAR) has grown, an increasing number of older patients are being offered endovascular repair of juxtarenal aneurysms. Outcomes after complex EVAR in this older subpopulation are not well-described. We sought to specifically evaluate clinical outcomes after complex EVAR compared with infrarenal EVAR in a cohort of octogenarians. METHODS: A single-center retrospective review was conducted using a database of consecutive patients treated with elective EVAR for abdominal aortic aneurysms (AAAs) between 2009 and 2015...
June 30, 2018: Journal of Vascular Surgery
Vladimir Makaloski, Tilo Kölbel, Beatrice Fiorucci, Fiona Rohlffs, Sebastian Carpenter, Yuk Law, Eike Sebastian Debus, Nikolaos Tsilimparis
BACKGROUND: Fascial suture technique (FST) has proved to be a safe and effective access closure technique after endovascular repair of the abdominal aorta. FST has not yet been investigated for closure of large-bore access after thoracic endovascular aortic repair (TEVAR). The aim of this study was to compare FST with open femoral access in terms of access safety, hemostasis efficacy, and reintervention rate after TEVAR. METHODS: A retrospective study including consecutive patients undergoing TEVAR with either FST or open femoral access between January 2010 and April 2016 was undertaken...
June 27, 2018: Journal of Vascular Surgery
Masakazu Kobayashi, Kenji Yoshida, Daigo Kojima, Sotaro Oshida, Shunrou Fujiwara, Yoshitada Kubo, Kuniaki Ogasawara
OBJECTIVE: The external carotid artery (ECA) is inadvertently occluded during carotid endarterectomy (CEA). The importance of ECA occlusion has been emphasized as a loss of extracranial to intracranial collaterals, a source of chronic embolization, or a site for extended thrombosis during wound closure. This study aimed to determine whether ECA occlusion that inadvertently developed during endarterectomy and that was eventually detected using blood flow measurement of the ECA after declamping of all carotid arteries is a risk factor for development of new postoperative ischemic lesions at declamping of the ECA and common carotid artery (CCA) while clamping the internal carotid artery (ICA)...
June 27, 2018: Journal of Vascular Surgery
Sherwin Abdoli, Anuj Mahajan, Sukgu M Han, Vincent L Rowe, Steven G Katz, Christian J Ochoa
OBJECTIVE: Tunneled dialysis catheter (TDC) use has been associated with increased infectious complications and mortality in hemodialysis-dependent patients. Unfortunately, patients who undergo fistula revisions or creation of a new arteriovenous fistula frequently require a TDC during the postoperative period. Bovine carotid artery grafts (BCAGs) can be used as an early-access dialysis conduit to reduce TDC dependence. This study describes the performance of BCAGs that were cannulated early (<3 days) after implantation and associated clinical outcomes...
June 27, 2018: Journal of Vascular Surgery
Fernando Motta, Raghuveer Vallabhaneni, Corey A Kalbaugh, Mark A Farber
OBJECTIVE: Stenting of small fenestrations of the Zenith fenestrated endograft (ZFEN; Cook Medical, Bloomington, Ind) is necessary during fenestrated endovascular aneurysm repair (FEVAR) of complex abdominal aortic aneurysms to avoid malalignment. However, stenting of superior mesenteric artery (SMA) scallops of ZFEN devices is optional according to the instructions for use. The objective of this study was to assess the early and midterm outcomes of selective use of stents in SMA scallops of ZFEN during FEVAR procedures...
June 27, 2018: Journal of Vascular Surgery
Halah Abdulameer, Haider Al Taii, Sadeer G Al-Kindi, Ross Milner
OBJECTIVE: Ruptured aortic aneurysms (rAAs) are associated with high mortality. The purpose of this study was to describe the trends of deaths due to rAA in the United States. METHODS: A retrospective review of the national death certificate data from the U.S. National Vital Statistics System was done to identify deaths due to rAAs in the United States between 1999 and 2016. Patients aged 15 years or older with rAA as the underlying cause of death as defined by International Classification of Diseases, Tenth Revision codes I71...
June 27, 2018: Journal of Vascular Surgery
Taoping Bai, Yuqiu Liu, Jiche Liu, Chenhao Yu, Wentao Jiang, Yubo Fan
OBJECTIVE: This article compares the effect of different surfactants on foam stability and determines the foam decay relationship, so that the suitability of surfactants in a clinical setting can be evaluated. METHODS: Five different surfactants were used to prepare sclerosing foam at room temperature using a liquid:gas ratio of 1:4 in vitro. Foam decay experiments were performed for each sample using a laboratory-made foaming apparatus, and the process was recorded using a video camera...
June 25, 2018: Journal of Vascular Surgery
Ziad Al Adas, Alexander D Shepard, Mitchell R Weaver, Daniel J Miller, Timothy J Nypaver, Sumul Modi, Muhammad Affan, Khaled Nour, Praveen Balraj, Loay S Kabbani
OBJECTIVE: Cerebrovascular injury (CVI) is a recognized but underappreciated complication of acute type B aortic dissection (ATBAD). This study was performed to determine risk factors for CVI associated with ATBAD and, in particular, the possible contributory role of aggressive anti-impulse therapy. METHODS: A retrospective review of all patients presenting to a tertiary medical center with an ATBAD between January 2003 and October 2012 was conducted. All CVIs were adjudicated by a vascular neurologist and assigned a probable cause...
June 23, 2018: Journal of Vascular Surgery
Sevan Komshian, Alik Farber, Virendra I Patel, Philip P Goodney, Marc L Schermerhorn, Elizabeth A Blazick, Douglas W Jones, Denis Rybin, Gheorghe Doros, Jeffrey J Siracuse
OBJECTIVE: Although endovascular repair of abdominal aortic aneurysms (AAAs) has been demonstrated to have favorable outcomes, not all cohorts of patients with AAA fare equally well. Our goal was to investigate perioperative and 1-year outcomes in patients with end-stage renal disease (ESRD) on dialysis, who have traditionally fared worse after vascular interventions, to assess how ESRD affects outcomes in a large modern cohort of endovascular aneurysm repair (EVAR) patients. METHODS: The Vascular Quality Initiative database was queried for all patients undergoing EVAR from 2010 to 2017...
June 23, 2018: Journal of Vascular Surgery
Yuk Law, Tilo Kölbel, Fiona Rohlffs, Christian Behrendt, Franziska Heidemann, Eike Sebastian Debus, Nikolaos Tsilimparis
OBJECTIVE: Manufacturers often recommend the iliac arteries as the distal landing zone in fenestrated or branched endovascular aortic repair (FB-EVAR) for thoracoabdominal aneurysm. It is not uncommon to choose distal landing at the infrarenal aorta for preservation of lumbar arteries or the inferior mesenteric artery (IMA); however, the safety and durability of this procedure have not been verified in the literature. METHODS: Consecutive patients who underwent FB-EVAR with distal landing at the infrarenal aorta were reviewed retrospectively...
June 23, 2018: Journal of Vascular Surgery
Bruce L Tjaden, Harleen Sandhu, Charles Miller, Dennis Gable, Santi Trimarchi, Fred Weaver, Ali Azizzadeh
OBJECTIVE: The Global Registry for Endovascular Aortic Treatment (GREAT) is a prospective multicenter registry collecting real-world data on the performance of W. L. Gore (Flagstaff, Ariz) aortic endografts. The purpose of the present study was to analyze the implementation and outcomes of thoracic endovascular aortic repair (TEVAR) in GREAT patients with type B aortic dissection (TBAD). METHODS: From 2010 to 2016, >5000 patients were enrolled in the GREAT from 113 centers in 14 countries across 4 continents...
June 22, 2018: Journal of Vascular Surgery
Alian Al-Balas, Timmy Lee, Carlton J Young, Michael Allon
OBJECTIVE: We have previously shown that arteriovenous fistulas (AVFs) are more expensive to create and to maintain than arteriovenous grafts (AVGs) in patients undergoing their first access. Because those for whom this first access fails may be a more disadvantaged group, we hypothesized that the cost of a second access may be different from that in the primary access group. With this in mind, we compared access costs in patients receiving a secondary AVF or AVG after their initial AVF failed to mature...
June 21, 2018: Journal of Vascular Surgery
William P Robinson, J Hunter Mehaffey, Robert B Hawkins, Megan C Tracci, Kenneth J Cherry, Mohammad Eslami, Gilbert R Upchurch
OBJECTIVE: In 2009, the Society for Vascular Surgery (SVS) developed objective performance goals (OPGs) to define the therapeutic benchmarks in critical limb ischemia (CLI) based on outcomes from randomized trials of lower extremity bypass (LEB). Current performance relative to these benchmarks in both LEB and infrainguinal endovascular intervention (IEI) remains unknown. The objective of this study was to determine whether LEB and IEI performed for CLI in a contemporary national cohort met OPG 30-day safety thresholds...
June 21, 2018: Journal of Vascular Surgery
(no author information available yet)
No abstract text is available yet for this article.
June 21, 2018: Journal of Vascular Surgery
Sathish Mohan, Julie M Flahive, Edward J Arous, Dejah R Judelson, Francesco A Aiello, Andres Schanzer, Jessica P Simons
OBJECTIVE: Peripheral atherectomy has been shown to have technical success in single-arm studies, but clinical advantages over angioplasty and stenting have not been demonstrated, leaving its role unclear. We sought to describe patterns of atherectomy use in a real-world U.S. cohort to understand how it is currently being applied. METHODS: The Vascular Quality Initiative was queried to identify all patients who underwent peripheral vascular intervention from January 2010 to September 2016...
June 21, 2018: Journal of Vascular Surgery
Jordan Knepper, Karen Woo, Jill Rathbun, Brad Johnson, Timothy P Copeland
No abstract text is available yet for this article.
June 21, 2018: Journal of Vascular Surgery
Julien Gaudric, Philippe Tresson, Lucie Derycke, Sophie Tezenas Du Montcel, Thibault Couture, Jean-Michel Davaine, Mahine Kashi, James Lawton, Laurent Chiche, Fabien Koskas
OBJECTIVE: The objective of this study was to assess outcomes of a hybrid technique for treatment of abdominal aortic aneurysm (AAA) associated with iliac aneurysm without distal neck by combining an AAA endovascular repair approach with open surgery for preservation of the internal iliac artery (IIA). METHODS: The files of 51 patients operated on between 1998 and 2017 in a single vascular surgery department were retrospectively analyzed. Inclusion criteria were patients with AAA associated with uni-iliac or bi-iliac aneurysm without suitable distal sealing zone...
June 21, 2018: Journal of Vascular Surgery
Agenor P Dias, Behzad S Farivar, Sean P Steenberge, Corey Brier, Yuki Kuramochi, Sean P Lyden, Matthew J Eagleton
OBJECTIVE: The incidence of failed endovascular aneurysm repair (EVAR) is increasing, and understanding the different methods of management and repair is paramount. The objective of this study was to evaluate the clinical management and rescue of failed EVAR by either explantation or fenestrated-branched EVAR (F/B-EVAR). METHODS: A retrospective analysis (1999-2016) of 247 patients who underwent either explantation (n = 162) or F/B-EVAR (n = 85) for failed EVAR was performed...
June 21, 2018: Journal of Vascular Surgery
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