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Vascular Surgery

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121 papers 25 to 100 followers
Arturo Evangelista, Martin Czerny, Christoph Nienaber, Marc Schepens, Hervé Rousseau, Piergiorgio Cao, Sergio Moral, Rossella Fattori
An expert panel on the treatment of type B intramural haematoma (IMH) and penetrating atherosclerotic ulcer (PAU) consisting of cardiologists, cardiothoracic surgeons, vascular surgeons and interventional radiologists reviewed the literature to develop treatment algorithms using a consensus method. Data from 46 studies considered relevant were retrieved for a total of 1386 patients consisting of 925 with IMH, and 461 with PAU. The weighted mean 30-day mortality from IMH was 3.9%, 3-year aortic event-related mortality with medical treatment 5...
February 2015: European Journal of Cardio-thoracic Surgery
Jerry Matteo, James Cunningham
Conventional revascularization of the lower extremities secondary to aortoiliac atherosclerotic vascular disease (ASVD) involves major intra-abdominal surgery with aortobifemoral bypass grafting. Complication rates are as high as 10% and perioperative mortality can be as high as 5%; therefore, careful patient selection is paramount. Endovascular aortobifemoral bypass repair with aortic bifurcation reconstruction is an emerging option in patients deemed unsuitable for conventional surgical management. Emerging techniques such as snorkel/chimney method are expanding the number of patients who can undergo endovascular repair of abdominal aortic aneurysms and/or revascularization of the lower extremities...
June 2012: Vascular
John Phair, Charles DeCarlo, Larry Scher, Issam Koleilat, Saadat Shariff, Evan C Lipsitz, Karan Garg
OBJECTIVE: The unplanned 30-day readmission rate is a marker of quality of patient care across many disciplines. Data regarding risk factors for unplanned readmission after major lower extremity amputation (LEA) are limited. We evaluated predictors of readmission at our institution after major LEA. METHODS: We conducted a retrospective review of all patients undergoing above-knee amputation (AKA) or below-knee amputation (BKA) between November 2009 and November 2014...
March 2018: Journal of Vascular Surgery
Khaldoun Bekdache, Alan M Dietzek, Andrew Cha, Vladimir Neychev
Despite the improvement in endovascular techniques, one aspect of aneurysmal disease that continues to be challenging is the management of aortoiliac aneurysms. Sacrificing the hypogastric artery (HGA) for effective treatment is not without sequelae, which may include buttocks claudication, colonic ischemia, spinal cord ischemia, as well as buttock and scrotal necrosis. This should be taken into consideration particularly in patients with previous intervention or potential additional future interventions. This review describes the current endovascular techniques for preservation of HGA perfusion...
February 2015: Annals of Vascular Surgery
Karan Garg, Brittny Williams Howell, Stephanie S Saltzberg, Todd L Berland, Firas F Mussa, Thomas S Maldonado, Caron B Rockman
BACKGROUND: Cannulation of the radial artery is frequently performed for invasive hemodynamic monitoring. Complications arising from indwelling catheters have been described in small case series; however, their surgical management is not well described. Understanding the presentation and management of such complications is imperative to offer optimal treatment, particularly because the radial artery is increasingly accessed for percutaneous coronary interventions. METHODS: We conducted a retrospective review to identify patients who underwent surgical intervention for complications arising from indwelling radial artery catheters from 1997 to 2011...
November 2013: Journal of Vascular Surgery
Stéphanie Debette, Annette Compter, Marc-Antoine Labeyrie, Maarten Uyttenboogaart, Tina M Metso, Jennifer J Majersik, Barbara Goeggel-Simonetti, Stefan T Engelter, Alessandro Pezzini, Philippe Bijlenga, Andrew M Southerland, Olivier Naggara, Yannick Béjot, John W Cole, Anne Ducros, Giacomo Giacalone, Sabrina Schilling, Peggy Reiner, Hakan Sarikaya, Janna C Welleweerd, L Jaap Kappelle, Gert Jan de Borst, Leo H Bonati, Simon Jung, Vincent Thijs, Juan J Martin, Tobias Brandt, Caspar Grond-Ginsbach, Manja Kloss, Tohru Mizutani, Kazuo Minematsu, James F Meschia, Vitor M Pereira, Anna Bersano, Emmanuel Touzé, Philippe A Lyrer, Didier Leys, Hugues Chabriat, Hugh S Markus, Bradford B Worrall, Stéphane Chabrier, Ralph Baumgartner, Christian Stapf, Turgut Tatlisumak, Marcel Arnold, Marie-Germaine Bousser
Spontaneous intracranial artery dissection is an uncommon and probably underdiagnosed cause of stroke that is defined by the occurrence of a haematoma in the wall of an intracranial artery. Patients can present with headache, ischaemic stroke, subarachnoid haemorrhage, or symptoms associated with mass effect, mostly on the brainstem. Although intracranial artery dissection is less common than cervical artery dissection in adults of European ethnic origin, intracranial artery dissection is reportedly more common in children and in Asian populations...
June 2015: Lancet Neurology
Mario D'Oria, Marco Pipitone, Giada Sgorlon, Stefano Chiarandini, Alice Rotelli, Filippo Griselli
BACKGROUND: The purpose of the study was to report an alternative endovascular technique to exclude aneurysms of the internal iliac artery in the setting of abdominal aortic aneurysm (AAA) disease using the anterior division of the hypogastric artery (HGA) or the superior gluteal artery (SGA) as distal landing zone for the stent graft. METHODS: Three patients with HGA aneurysms in the setting of AAA that were excluded with placement of a self-expandable covered stent...
January 2018: Annals of Vascular Surgery
A T Abdool-Carrim, J V Robbs, A M Kadwa, G Kenoyer, K Cooper
OBJECTIVE: Review management of patients presenting with aneurysms due to intimomedial mucoid degeneration (IMMD). DESIGN: Retrospective analysis. SETTING: Metropolitan Vascular Service, Departments of Haematology and Pathology, University of Natal. MATERIALS AND METHODS: Case records reviewed over an 11 year period. Twenty-two patients were submitted for surgery. All had histological confirmation of disease. All patients were black African (Negro) descent and nineteen were female...
April 1996: European Journal of Vascular and Endovascular Surgery
Zachary D Weidner, William G Hamilton, John Smirniotopoulos, Sandeep Bagla
Recurrent hemarthrosis is an uncommon but troublesome complication following knee arthroplasty. This study reports the results for 13 patients with spontaneous recurrent hemarthrosis after knee arthroplasty treated with arterial embolization. The average interval between arthroplasty and embolization was 47 months (range, 2-103 months), and the average time from onset of hemarthrosis to embolization was 4.1 months (range, 1-11 months). Geniculate arterial embolization lead to resolution of hemarthrosis in 12 of 13 patients (92...
November 2015: Journal of Arthroplasty
Mark Edward Ogilvie, Sean M Tutton, John C Neilson, William S Rilling, Eric J Hohenwalter
No abstract text is available yet for this article.
July 2016: Journal of Vascular and Interventional Radiology: JVIR
Annette Compter, H Bart van der Worp, Wouter J Schonewille, Jan Albert Vos, Jelis Boiten, Paul J Nederkoorn, Maarten Uyttenboogaart, Rob T Lo, Ale Algra, L Jaap Kappelle
BACKGROUND: Patients with a recent vertebrobasilar transient ischaemic attack or ischaemic stroke and vertebral artery stenosis of at least 50% have a high risk of future vertebrobasilar stroke. Stenting of vertebral artery stenosis is promising, but of uncertain benefit. We investigated the safety and feasibility of stenting of symptomatic vertebral artery stenosis of at least 50%, and assessed the rate of vascular events in the vertebrobasilar supply territory to inform the design of a phase 3 trial...
June 2015: Lancet Neurology
Konstantinos Katsanos, Stavros Spiliopoulos, Athanasios Diamantopoulos, Dimitris Siablis, Dimitris Karnabatidis, Dierk Scheinert
OBJECTIVES: The authors sought to report the wound healing outcomes, health-related quality-of-life changes and quality-adjusted life-years (QALYs) gain in the 2 treatment arms of the ACHILLES (Comparing Angioplasty and DES in the Treatment of Subjects With Ischemic Infrapopliteal Arterial Disease) multicenter randomized trial. BACKGROUND: The ACHILLES randomized trial has previously shown that sirolimus-eluting stents (SES) may achieve lower vessel restenosis and higher event-free survival rates compared with plain balloon angioplasty (PTA) for infrapopliteal lesions...
February 8, 2016: JACC. Cardiovascular Interventions
Kevin E Todd, Sadaf S Ahanchi, Christian A Maurer, Jung H Kim, Candice R Chipman, Jean M Panneton
BACKGROUND: Endovascular adjuncts, like atherectomy, were developed to improve outcomes of endovascular arterial interventions. The true impact of atherectomy on endovascular outcomes remains to be determined, and little data exist on the influence of atherectomy on tibial interventions. Our study compares early and late outcomes of tibial intervention with angioplasty vs atherectomy-assisted interventions. METHODS: We completed a retrospective review of all tibial interventions between 2008 and 2010...
October 2013: Journal of Vascular Surgery
Ridong Wu, Chen Yao, Siwen Wang, Xiangdong Xu, Mian Wang, Zilun Li, Shenming Wang
BACKGROUND: Percutaneous transluminal angioplasty (PTA) and primary stenting are commonly used endovascular therapeutic procedures for the treatment of infrapopliteal arterial occlusive disease. However, which procedure is more beneficial for patients with infrapopliteal arterial occlusive disease is unknown. METHODS AND RESULTS: We performed a meta-analysis, searching PubMed, EMBASE, the Cochrane Central Register of Controlled Trials, ISI Web of Knowledge, and relevant websites without language or publication date restrictions for randomized trials that compared primary stenting with PTA in patients with infrapopliteal arterial occlusive disease...
June 2014: Journal of Vascular Surgery
Shaun Reynolds, Edgar Luis Galiñanes, Viktor Y Dombrovskiy, Todd R Vogel
OBJECTIVES: There are limited data available evaluating longitudinal outcomes after tibioperoneal angioplasty (TA) alone compared to adjunctive tibial procedures including stenting and atherectomy. METHODS: Using the Centers for Medicare & Medicaid Services inpatient claims (2005-2007), patients evaluated TA only, TA plus stent placement (TA + S), and TA plus atherectomy (TA + A). RESULTS: A total of 2080 patients with critical limb ischemia underwent percutaneous tibioperoneal intervention for the indication of ulceration...
October 2013: Vascular and Endovascular Surgery
Roberto Silingardi, Antonio Lauricella, Giovanni Coppi, Johanna Chester, Giulia Trevisi-Borsari, Vittorio Corvi, Luigi Marcheselli, Gioacchino Coppi
PURPOSE: To analyze the efficacy and durability of long-term tibioperoneal arterial stent placement for selected cases of symptomatic chronic limb ischemia (CLI). MATERIALS AND METHODS: From January 2005 to June 2012, 168 limbs (155 patients) were treated with percutaneous transluminal angioplasty (PTA)/stent placement for de novo tibial stenosis or occlusion in at least one tibial artery. Most patients (92.9%) were classified with severe disease (Rutherford category 5/6)...
April 2015: Journal of Vascular and Interventional Radiology: JVIR
Alberto Aiolfi, Kenji Inaba, Aaron Strumwasser, Kazuhide Matsushima, Daniel Grabo, Elizabeth Benjamin, Lydia Lam, Demetrios Demetriades
BACKGROUND: Splenic artery embolization (SAE) has gained increasing acceptance as an important adjunct in the treatment of splenic injuries. Residual immunologic function of the spleen after embolization and its consequences on early infectious complications still remain intensely debated. The purpose of this study was to compare SAE and splenectomy (SP) in terms of early in-hospital infectious complications and outcomes. METHODS: Two-year retrospective Trauma Quality Improvement Program database prognostic study...
September 2017: Journal of Trauma and Acute Care Surgery
Bibombe P Mwipatayi, Shannon Thomas, Jackie Wong, Suzanna E L Temple, Vikram Vijayan, Mark Jackson, Sally A Burrows
OBJECTIVE: This trial was conducted to determine if covered stents offer a patency advantage over bare-metal stents in the treatment of aortoiliac arterial occlusive disease. METHODS: The Covered Versus Balloon Expandable Stent Trial (COBEST), a prospective, multicenter, randomized controlled trial, was performed involving 168 iliac arteries in 125 patients with severe aortoiliac occlusive disease who were randomly assigned to receive a covered balloon-expandable stent or bare-metal stent...
December 2011: Journal of Vascular Surgery
Jean Bismuth, Bruce H Gray, Andrew Holden, Christopher Metzger, Jean Panneton
PURPOSE: To evaluate the safety and efficacy of a next-generation balloon-expandable stent-graft for the treatment of arterial occlusive disease in patients with de novo or restenotic lesions in the common and/or external iliac arteries. METHODS: A prospective, multicenter, single-arm safety and efficacy study ( identifier: NCT02080871) of the VBX Stent Graft for treatment of de novo or restenotic lesions in the iliac arteries was conducted under an Investigational Device Exemption at 26 US sites and 1 New Zealand center...
October 2017: Journal of Endovascular Therapy
James F McKinsey, Thomas Zeller, Krishna J Rocha-Singh, Michael R Jaff, Lawrence A Garcia
OBJECTIVES: The aim of this study was to assess the safety and effectiveness of directional atherectomy (DA) for endovascular treatment of peripheral arterial disease (PAD) in infrainguinal arteries in patients with claudication or critical limb ischemia. BACKGROUND: To date, no prospective, multicenter, independently-adjudicated study has evaluated the effectiveness and durability of DA in the treatment of PAD. Previous DA studies have not been prospectively powered to evaluate any differences in outcomes in patients with and without diabetes...
August 2014: JACC. Cardiovascular Interventions
2017-10-13 22:43:39
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