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Vascular

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https://www.readbyqxmd.com/read/28068871/predilation-technique-with-balloon-angioplasty-to-facilitate-percutaneous-groin-access-of-large-size-sheath-through-scar-tissue
#1
Felice Pecoraro, Mayur Krishnaswamy, Johnny Steuer, Gilbert Puippe, Nicola Mangialardi, Thomas Pfammatter, Zoran Rancic, Frank J Veith, Neal S Cayne, Mario Lachat
Purpose Percutaneous remote access for endovascular aortic repair is an advantageous alternative to open access. Previous surgery in the femoral region and the presence of synthetic vascular grafts in the femoral/iliac arteries represent major limitations to percutaneous remote access. The aim of this study was to evaluate an original technique used for enabling percutaneous remote access for thoracic or abdominal endovascular aortic repair in patients with scar tissue and/or a vascular graft in the groin. Methods Twenty-five consecutive patients with a thoracic (11/25; 44%) or an aortic aneurysm (14/25; 66%) and with a synthetic vascular graft in the groin (16/25; 64%) or a redo groin access (9/25; 36%) were managed through the percutaneous remote access...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/28059000/the-effects-of-preoperative-cardiology-consultation-prior-to-elective-abdominal-aortic-aneurysm-repair-on-patient-morbidity
#2
Anna E Boniakowski, Frank M Davis, Amanda R Phillips, Adina B Robinson, Dawn M Coleman, Peter K Henke
Objectives The relationship between preoperative medical consultations and postoperative complications has not been extensively studied. Thus, we investigated the impact of preoperative consultation on postoperative morbidity following elective abdominal aortic aneurysm repair. Methods A retrospective review was conducted on 469 patients (mean age 72 years, 20% female) who underwent elective abdominal aortic aneurysm repair from June 2007 to July 2014. Data elements included detailed medical history, preoperative cardiology consultation, and postoperative complications...
January 1, 2017: Vascular
https://www.readbyqxmd.com/read/27940896/effect-of-diabetes-mellitus-on-the-clinical-outcome-of-lower-limb-arterial-bypass-surgery-a-propensity-score-analysis
#3
Andreas M Lazaris, Evangelos Kontopantelis, Konstantinos Antonopoulos, Georgios Mantas, Georgios Kouvelos, Konstantinos Moulakakis, Miltiadis I Matsagkas, Spyros N Vasdekis, George Geroulakos
OBJECTIVES: Diabetic patients who undergo lower limb arterial bypass surgery are considered to have a worse clinical outcome compared to non-diabetics. The aim of the study was to test this hypothesis after applying propensity score matching analysis. PATIENTS AND METHODS: A total of 113 consecutive lower limb bypass procedures (55 diabetic and 58 non-diabetic) were evaluated regarding their clinical outcome. Endpoints of the study included amputation-free survival, limb salvage, patency and patients' survival up to 36 months post-procedure...
December 9, 2016: Vascular
https://www.readbyqxmd.com/read/27928066/clinical-correlation-of-anatomical-location-of-non-thrombotic-iliac-vein-lesion
#4
Afsha Aurshina, Borislav Kheyson, Justin Eisenberg, Anil Hingorani, Arkady Ganelin, Enrico Ascher, Eleanor Iadgarova, Natalie Marks
OBJECTIVE: Treatment of non-thrombotic iliac vein lesions is an active area of research. Intravascular ultrasound allows its localization. We chose intravascular ultrasound to clarify the exact anatomical location of non-thrombotic iliac vein lesions and correlate it with clinical findings. MATERIALS AND METHODS: Over seven months, we performed ilio-femoral intravascular ultrasound studies on 217 patients, in 141 women and 76 men. The average age ± standard deviation was 68 ± 14 years...
December 6, 2016: Vascular
https://www.readbyqxmd.com/read/27928065/efficacy-and-safety-of-endovascular-treatment-for-femoropopliteal-lesions-of-tasc-ii-type-c-and-d-compared-with-tasc-ii-type-a-and-b-in-korea
#5
Hyung Joon Joo, Duck Hyun Jang, Cheol Woong Yu, Young Jin Choi, Jinsik Park, Hyun Jong Lee, Jae Hyoung Park, Soon Jun Hong, Do Sun Lim
OBJECTIVE: To compare the long-term safety and clinical efficacy of endovascular treatment for TASC-II type C/D femoropopliteal lesion compared with TASC-II type A/B femoropopliteal lesion in Korea. METHODS: A total of 179 limbs [TASC-II A/B femoropopliteal lesion (group I, n = 105 limbs) and TASC-II C/D (group II, n = 74 limbs)] were retrospectively analyzed from patients who underwent angioplasty with or without primary stent implantation between February 2008 and November 2012 at two medical centers in South Korea...
December 6, 2016: Vascular
https://www.readbyqxmd.com/read/27928064/3d-printing-guiding-stent-graft-fenestration-a-novel-technique-for-fenestration-in-endovascular-aneurysm-repair
#6
Jianhua Huang, Gan Li, Wei Wang, Keming Wu, Tianming Le
OBJECTIVE: To describe a novel approach, 3D printing guiding stent graft fenestration, for fenestration during endovascular aneurysm repair for juxtarenal abdominal aortic aneurysm. METHODS: A 69-year-old male with juxtarenal abdominal aortic aneurysm underwent endovascular aneurysm repair with "off the label" fenestrated stent graft. To precisely locate the fenestration position, we reconstructed a 3D digital abdominal aortic aneurysm model and created a skin template covering this abdominal aortic aneurysm model...
December 6, 2016: Vascular
https://www.readbyqxmd.com/read/27928063/could-advanced-drug-delivery-systems-be-the-future-in-cardiovascular-revascularization-medicine
#7
Marco Zuin, Gianluca Rigatelli, Giuseppe Faggian, Roberto L'Erario, Mauro Chinaglia, Loris Roncon
Acute myocardial infarction, stroke and pulmonary embolism required a prompt revascularization to restore the normal blood flow as soon as possible. Fibrinolytic treatment has gradually become both dated and underused in the treatment of acute myocardial infarction, after the wide diffusion of cathlab and percutaneous transluminal coronary angioplasty. Conversely, the use of systemic thrombolysis remained a benchmark in the treatment of both ischemic stroke and massive pulmonary embolism. In daily clinical practice, the use of thrombolytic agents is often limited by absolute and/or relative contraindications and possible adverse events after the drug administration, as intracranial and/or extracranial bleeding events...
December 6, 2016: Vascular
https://www.readbyqxmd.com/read/27913808/treatment-of-upper-extremity-venous-aneurysms-with-a-polytetrafluoroethylene-covered-stent
#8
David Parizh, Jesse Victory, Syed Ali Rizvi, Anil Hingorani, Enrico Ascher
BACKGROUND: Venous aneurysms of the upper torso are uncommon in contrast to the abdomen and lower extremities. Mostly silent, they can cause significant morbidity. Large or symptomatic venous aneurysms are generally treated with open resection. To our knowledge, there are no documented cases of head and neck venous aneurysms treated by a hybrid endovascular and open approach. CASE PRESENTATION: A 56-year-old female presented with the complaint of pain and increasing size of a supraclavicular mass...
December 2, 2016: Vascular
https://www.readbyqxmd.com/read/27903932/laparoscopic-approach-to-splenic-aneurysms
#9
Piotr Małczak, Michał Wysocki, Piotr Major, Michał Pędziwiatr, Anna Lasek, Tomasz Stefura, Dorota Radkowiak, Anna Zub-Pokrowiecka, Andrzej Budzyński
BACKGROUND: Splenic artery aneurysm is a rare disease with possibly mortal complications. For years, the main method of treatment was excision of aneurysm with spleen. In recent years, several methods have been developed in order to salvage the spleen such endovascular techniques and aneurysmectomy. OBJECTIVE: The aim of our study was to determine the feasibility of laparoscopic aneurysmectomy with spleen salvage in cases of splenic artery aneurysm. MATERIALS: Analysis of prospectively gathered data containing records of patients operated laparoscopically due to diseases of the spleen in 1998-2016 in our department...
November 30, 2016: Vascular
https://www.readbyqxmd.com/read/27903931/comparison-of-perioperative-outcomes-in-endovascular-versus-open-repair-for-juxtarenal-and-pararenal-aortic-aneurysms-a-propensity-matched-analysis
#10
Nathan T Orr, Daniel L Davenport, David J Minion, Eleftherios S Xenos
OBJECTIVE: Endoluminal aortic aneurysm repair is suitable within certain anatomic specifications. This study aims to compare 30-day outcomes of endovascular versus open repairs for juxtarenal and pararenal aortic aneurysms (JAA/PAAs). METHODS: The ACS-NSQIP database was queried from 2012 to 2015 for JAA/PAA repairs. Procedures characterized as emergent were included in the study; however, failed prior repairs and ruptured aneurysms were excluded. The preoperative and perioperative patient characteristics, operative techniques, and outcome variables were compared between the open aortic repair and the endovascular aortic repair groups...
November 30, 2016: Vascular
https://www.readbyqxmd.com/read/27884944/ruptured-abdominal-aortic-aneurysm-after-endovascular-aortic-aneurysm-repair-thrombosis
#11
Jesse Victory, Syed Ali Rizvi, Enrico Ascher, Anil Hingorani
BACKGROUND: Complete thrombosis of an aortic endograft after an endovascular aortic aneurysm repair is a rare complication. The majority of thrombotic events occur in the iliac limbs. CASE PRESENTATION: We present the case of a patient who presented with acute limb ischemia as the result of a thrombosed infra-renal aortic endograft. After restoration of blood flow to the lower extremities with an axillary to bi-femoral artery bypass, the patient was lost to follow-up...
November 24, 2016: Vascular
https://www.readbyqxmd.com/read/27811331/carotid-stenting-versus-endarterectomy-in-the-same-patient-a-direct-comparison
#12
Marco M Ciccone, Pietro Scicchitano, Francesca Cortese, Michele Gesualdo, Annapaola Zito, Rosa Carbonara, Ilaria Dentamaro, Raffaele Pulli, Christian Salerno, Giovanni Impedovo, Davide Marinazzo, Domenico Angiletta, Davide Guido, Guido Regina
The aim of this study was to evaluate outcomes and feasibility of carotid artery stenting versus carotid endarterectomy, both procedures performed in the same patient. Forty-five subjects (33 males, 70 ± 7 years) underwent carotid endarterectomy or carotid artery stenting, the counter procedure on the contralateral carotid performed after a variable period. We evaluated the post-procedural percentage of carotid stenosis at 30, 180 days and one-year follow-up, and the occurrence of acute myocardial infarction, New York Heart Association class progression, stroke, death, cardiovascular death, angina, transient ischemic attack and renal failure...
November 3, 2016: Vascular
https://www.readbyqxmd.com/read/27771621/comparison-of-protein-chip-array-analysis-and-traditional-elisas-for-biomarker-detection-of-diabetic-limb-arterial-stenosis
#13
Qiang Sun, Tao Zhou, Jun Niu, Peng Wu, Yanan Guo, Yanfei Yang
The aim of this study was to screen the biomarkers of diabetic limb arterial stenosis. Fasting blood samples of 40 patients with diabetic limb arterial stenosis (experimental group), 40 diabetes patients (diabetic control group), and 40 healthy individuals (healthy control group) were collected. Protein-chip assay analysis and ELISA were used to detect tumor necrosis factor α, interleukin-6, endothelin-1, calcitonin gene-related peptide and high-sensitivity C-reactive protein in the three groups. Protein-chip array analysis and ELISA found consistent results that endothelin-1, tumor necrosis factor α, interleukin-6 and high-sensitivity C-reactive protein in the experimental group were significantly up-regulated while the expression of calcitonin gene-related peptide was down-regulated compared with the healthy control group (P < 0...
October 21, 2016: Vascular
https://www.readbyqxmd.com/read/27770030/the-correlation-of-the-platelet-to-lymphocyte-ratio-with-the-severity-of-stenosis-and-stroke-in-patients-with-carotid-arterial-disease
#14
Ayşegül İdil Soylu, Sümeyra Arıkan Cortcu, Fatih Uzunkaya, Yunus Oktay Atalay, Tumay Bekçi, Levent Güngör, Ümit Belet
OBJECTIVES: Platelet-to-lymphocyte ratio is a novel biomarker, recently shown to be correlated with atherosclerotic inflammation. This study investigated the role of platelet-to-lymphocyte ratio in patients with carotid artery stenosis and stroke. METHODS: Patients, who underwent carotid angiography with Multiple Detector Computed Tomography Angiography at our hospital, were retrospectively screened. Patients enrolled were divided into three groups based on the platelet-to-lymphocyte ratio...
October 20, 2016: Vascular
https://www.readbyqxmd.com/read/27770029/exposure-to-secondhand-smoke-and-risk-of-peripheral-arterial-disease-in-southern-chinese-non-smokers-the-guangzhou-biobank-cohort-study-cardiovascular-disease-sub-cohort
#15
Liya Lu, Chaoqiang Jiang, Danny F Mackay, Jill P Pell, Kar Keung Cheng, Tai Hing Lam, G Neil Thomas
OBJECTIVES: We studied the association between secondhand smoke (SHS) exposure and peripheral arterial disease (PAD) in Chinese non-smokers. METHODS: We conducted a cross-sectional study using baseline data from the Guangzhou Biobank Cohort Study: Cardiovascular Disease Sub-cohort Study (GBCS-CVD). Guangzhou residents aged ≥ 50 years were recruited between 2003 and 2008. Baseline data included measurement of ankle brachial pressure index (ABPI) and self-reported smoking status and SHS exposure...
October 20, 2016: Vascular
https://www.readbyqxmd.com/read/27189809/does-the-diameter-of-abdominal-aortic-aneurysm-influence-late-survival-following-abdominal-aortic-aneurysm-repair-a-systematic-review-and-meta-analysis
#16
REVIEW
Manar Khashram, Phil N Hider, Jonathan A Williman, Gregory T Jones, Justin A Roake
BACKGROUND: Studies reporting the influence of preoperative abdominal aortic aneurysm diameter on late survival following abdominal aortic aneurysm repair have not been consistent. AIM: To report the influence of abdominal aortic aneurysm diameter on overall long-term survival following abdominal aortic aneurysm repair. METHODS: Embase, Medline and the Cochrane electronic databases were searched to identify articles reporting the influence of abdominal aortic aneurysm diameter on late survival following open aneurysm repair and endovascular aneurysm repair published up to April 2015...
December 2016: Vascular
https://www.readbyqxmd.com/read/27126643/which-endovenous-ablation-method-does-offer-a-better-long-term-technical-success-in-the-treatment-of-the-incompetent-great-saphenous-vein-review
#17
REVIEW
Renata Balint, Akos Farics, Krisztina Parti, Laszlo Vizsy, Jozsef Batorfi, Gabor Menyhei, Istvan B Balint
OBJECTIVE: The aim of this review article was to evaluate the long-term technical success rates of the known endovenous ablation procedures in the treatment of the incompetence of the great saphenous vein. METHODS: A literature search was conducted in the PubMed-database until the 5 January 2016. All publications with four to five years follow-up were eligible. Meta-analysis was performed by the IVhet-model. RESULTS: Eight hundred and sixty-two unique publications were found; 17 of them were appropriate for meta-analysis...
December 2016: Vascular
https://www.readbyqxmd.com/read/27059764/xenopericardial-self-made-tube-grafts-in-infectious-vascular-reconstructions-preliminary-results-of-an-easy-and-ready-to-use-surgical-approach
#18
Alicja Zientara, Igor Schwegler, Omer Dzemali, Hans Bruijnen, Andreas Sebastian Peters, Nicolas Attigah
PURPOSE: Infections are a major setback of vascular reconstruction and associated with considerable morbidity and mortality. We evaluated retrospectively our results with self-made bovine pericardial grafts in infected vessel revascularization versus standard graft material. BASIC METHODS: Retrospective analysis of 9 patients with bovine reconstruction and 10 patients with miscellaneous grafts (vein, homograft) for vascular infections. PRINCIPAL FINDINGS: Infection-free rate of the pericardial group was 100% in 17 months...
December 2016: Vascular
https://www.readbyqxmd.com/read/27000385/percutaneous-access-for-endovascular-aortic-aneurysm-repair-a-systematic-review-and-meta-analysis
#19
REVIEW
Shahin Hajibandeh, Shahab Hajibandeh, Stavros A Antoniou, Emma Child, Francesco Torella, George A Antoniou
PURPOSE: Our objective was to undertake a comprehensive review of the literature and conduct an analysis of the outcomes of percutaneous endovascular aneurysm repair. METHODS: MEDLINE; EMBASE; CINAHL; CENTRAL; the World Health Organization International Clinical Trials Registry; ClinicalTrials.gov; and ISRCTN Register, and bibliographic reference lists were searched to identify all studies providing comparative outcomes of the percutaneous technique for endovascular aneurysm repair...
December 2016: Vascular
https://www.readbyqxmd.com/read/26944530/management-of-extremity-arterial-pseudoaneurysms-associated-with-osteochondromas
#20
REVIEW
Fanomezantsoa Raherinantenaina, Hery Nirina Rakoto-Ratsimba, Toky Mamin'Ny Aina Rajaonanahary
Arterial pseudoaneurysms associated with osteochondromas are rare and most publications on this topic are case reports. The management of this double entity is not standardized. We wanted to update it. Literature searches on MEDLINE and EMBASE were performed using the keywords "artery pseudoaneurysm" and "osteochondroma". Patient demographics, clinical presentations, diagnostic and therapeutic modalities were reviewed. In sum, 101 cases were analyzed. Overall, young adults represented the majority of the affected population with a masculine preponderancy (86%)...
December 2016: Vascular
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