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Journal of Vascular Surgery

Courtney L Furlough, Ashish K Jain, Karen J Ho, Heron E Rodriguez, Tadaki M Tomita, Mark K Eskandari
OBJECTIVE: Cryopreserved human arterial allografts are a recognized acceptable alternative for vascular reconstruction when other traditional conduits are either unavailable or contraindicated. We reviewed our experience using cryopreserved arterial allografts for peripheral artery reconstructions in contaminated and infected surgical fields. METHODS: A single-center, retrospective review was conducted of 57 patients who underwent a peripheral vascular reconstruction using a cryopreserved arterial allograft from January 2002 through July 2017...
February 5, 2019: Journal of Vascular Surgery
Christopher A Latz, Richard P Cambria, Virendra I Patel, Jahan Mohebali, Emel A Ergul, R Todd Lancaster, Mark F Conrad, W Darrin Clouse
OBJECTIVE: Early outcomes and late mortality after open repair of extent I to III thoracoabdominal aortic aneurysms (TAAAs) are described, but late graft and aortic events are seldom detailed. This study investigated long-term aortic and graft outcomes as these data are increasingly important as endovascular repair matures. METHODS: During 28 years, 516 patients underwent repair (type I, n = 177 [34%]; type II, n = 100 [20%]; type III, n = 239 [46%]). Patients were monitored for late events...
February 5, 2019: Journal of Vascular Surgery
Gaurav M Parmar, Zdenek Novak, Emily Spangler, Mark Patterson, Marc A Passman, Adam W Beck, Benjamin J Pearce
BACKGROUND: Statin use is recommended in all patients with peripheral arterial disease (PAD) owing to its morbidity and mortality benefits. However, the effect of statin use on limb salvage in patients with PAD after intervention is unclear. We examined the effect of statin use on limb salvage and survival among patients with PAD undergoing surgical or endovascular intervention. METHODS: A total of 488 patients with PAD were identified who underwent surgical (n = 297) or endovascular (n = 191) intervention between 2009 and 2010...
February 1, 2019: Journal of Vascular Surgery
Alexander H King, Norman H Kumins, Mazin I Foteh, Jeffrey Jim, Jeffrey M Apple, Vikram S Kashyap
BACKGROUND/OBJECTIVE: In the pivotal U.S. Food and Drug Administration approval trial, ROADSTER, transcarotid artery revascularization (TCAR) using the ENROUTE Transcarotid Neuroprotection System (Silk Road Medical Inc, Sunnyvale, Calif) was shown to have one of the lowest reported complication rates, not only for carotid artery stent placement, but also for any carotid intervention, including endarterectomy. The number of cases required for a surgeon to gain the proficiency to realize these outcomes has not been studied...
February 1, 2019: Journal of Vascular Surgery
Raffaella Berchiolli, Francesca Tomei, Michele Marconi, Davide Maria Mocellin, Riccardo Morganti, Marta Mari, Daniele Adami, Mauro Ferrari
OBJECTIVE: Hand-assisted laparoscopic surgery (HALS) for the treatment of abdominal aortic aneurysm (AAA) has shown promising initial results compared with traditional surgery, but its efficacy remains highly debated. The aim of this monocentric, retrospective study was to investigate differences in morbidity, mortality, and reintervention rates between endovascular aneurysm repair (EVAR) and HALS, in the medium- and long-term follow-up in a highly selected population. METHODS: We treated 977 patients consecutively for nonurgent AAA from January 2006 to December 2013; among them, 615 (62...
February 1, 2019: Journal of Vascular Surgery
Thomas F X O'Donnell, Virendra I Patel, Sarah E Deery, Chun Li, Nicholas J Swerdlow, Patric Liang, Adam W Beck, Marc L Schermerhorn
BACKGROUND: Endovascular repair of complex abdominal aortic aneurysms has become increasingly common, but reports have mostly been limited to single centers and single devices. METHODS: We studied all endovascular repairs of complex abdominal aortic aneurysms (zone 6 or caudal) from 2014 to 2018 in the Vascular Quality Initiative. This included all commercially available fenestrated endovascular aneurysm repair (FEVAR), chimney/snorkel repairs, and physician-modified endografts (PMEGs), exclusive of investigational device exemptions and clinical trial devices...
February 1, 2019: Journal of Vascular Surgery
Yuk Law, Nikolaos Tsilimparis, Fiona Rohlffs, Vladimir Makaloski, Christian-Alexander Behrendt, Franziska Heidemann, Sabine Helena Wipper, Eike Sebastian Debus, Tilo Kölbel
OBJECTIVE: Fenestrated or branched endovascular aortic repair (FB-EVAR) usually represents the last stage in endovascular treatment of postdissection aneurysm after thoracic endograft coverage of entry tear and false lumen embolization. METHODS: The study was a retrospective analysis of all patients with postdissection thoracoabdominal aneurysm treated with FB-EVAR in a single center. Short-term outcomes included technical success, operative mortality, and morbidities...
January 28, 2019: Journal of Vascular Surgery
Alejandro Suarez-Pierre, Xun Zhou, Jose E Gonzalez, Muhammad Rizwan, Charles D Fraser, Cecillia Lui, Mahmoud B Malas, Christopher J Abularrage, James H Black
OBJECTIVE: Spinal cord ischemia (SCI) is among the most devastating complications of thoracic endovascular aortic repair (TEVAR). Spinal fluid drainage has been proposed as a viable means to reduce SCI, but few data exist to support its routine use. This study investigated the association of preoperative spinal fluid drainage with the risk of SCI after TEVAR. METHODS: The Vascular Quality Initiative TEVAR module was queried for adult patients (≥18 years) undergoing TEVAR (coverage of zones 0-5) between September 2014 and March 2018 (inclusive)...
January 28, 2019: Journal of Vascular Surgery
Hyun-Chel Joo, Joon Ho Kwon, Jung-Hwan Kim, Seung Hyun Lee, Sak Lee, Young-Nam Youn, Kyung-Jong Yoo
OBJECTIVE: With the increasing use of endovascular aortic repair, open repair after aortic stent grafting is of increasing interest. We retrospectively reviewed cases of late open conversion for complications after thoracic endovascular aortic repair (TEVAR). METHODS: TEVAR due to aortic aneurysm and dissection was performed in 538 patients between 1994 and 2017. A total of 33 patients, including 4 patients referred from other centers, required late conversion to open repair; 14 (42...
January 25, 2019: Journal of Vascular Surgery
Hanaa Dakour-Aridi, Besma Nejim, Satinderjit Locham, Widian Alshwaily, Mahmoud B Malas
OBJECTIVE: Anemia is associated with increased cardiac adverse events during the early postoperative period because of high physiologic stress and increased cardiac demand. The aim of this study was to assess the surgical outcomes and prognostic implications of anemia in patients undergoing repair of intact abdominal aortic aneurysms (AAAs). METHODS: A retrospective analysis of all patients who underwent open aortic repair (OAR) or endovascular aneurysm repair (EVAR) in the Vascular Quality Initiative database (2008-2017) was performed...
January 23, 2019: Journal of Vascular Surgery
(no author information available yet)
No abstract text is available yet for this article.
January 23, 2019: Journal of Vascular Surgery
Tilo Kölbel
No abstract text is available yet for this article.
January 22, 2019: Journal of Vascular Surgery
Rafael de Athayde Soares, Marcelo Fernando Matielo, Francisco Cardoso Brochado Neto, Marcus Vinícius Martins Cury, Rogério Duque de Almeida, Murilo de Jesus Martins, Bruno Vinícius Pereira de Carvalho, Roberto Sacilotto
OBJECTIVE: The objective of this study was to evaluate the long-term estimates of limb salvage and survival in patients with acute limb ischemia (ALI) receiving open surgery or endovascular revascularization. METHODS: This was a retrospective consecutive cohort study of patients with ALI who underwent open surgery or endovascular treatment at the Vascular and Endovascular Surgery Unit, Hospital do Servidor Público Estadual (São Paulo, Brazil), between July 2010 and July 2016...
January 21, 2019: Journal of Vascular Surgery
(no author information available yet)
No abstract text is available yet for this article.
January 8, 2019: Journal of Vascular Surgery
Esther Mihindu, Alaa Mohammed, Taylor Smith, Clayton Brinster, W Charles Sternbergh, Hernan A Bazan
OBJECTIVE: Increasing evidence suggests that urgent carotid intervention after a nondisabling stroke is safe. However, the functional outcome of such patients has not been quantified for various degrees of stroke. We aimed to determine whether increased presenting stroke severity and timing to intervention are associated with poor functional outcomes in patients undergoing urgent carotid endarterectomy (CEA) or carotid artery stenting (CAS) after an acute transient ischemic attack or stroke...
January 8, 2019: Journal of Vascular Surgery
Wesley S Moore, Jenifer H Voeks, Gary S Roubin, Wayne M Clark, Virginia J Howard, Michael R Jones, Thomas G Brott
BACKGROUND: Most carotid revascularization studies define asymptomatic as symptom-free for more than 180 days; however, it is unknown if intervention carries similar risk among those currently asymptomatic but with previous symptoms (PS) vs those who were always asymptomatic (AA). METHODS: We compared the periprocedural and 4-year risks of PS vs AA patients in the Carotid Revascularization Endarterectomy vs Stenting Trial (CREST) randomized to carotid endarterectomy (CEA) or carotid artery stenting (CAS)/angioplasty...
January 7, 2019: Journal of Vascular Surgery
(no author information available yet)
No abstract text is available yet for this article.
January 7, 2019: Journal of Vascular Surgery
Panos Kougias, Bernardino C Branco, Jonathan Braun, Sherene Sharath, Houssam Younes, Neal R Barshes, Joseph L Mills
OBJECTIVE: Placement of large sheaths in the iliac system during fenestrated endovascular aneurysm repair (FEVAR) leads to lower extremity (LE) ischemia that can be associated with serious neurologic complications. We sought to determine the effect of LE ischemic time on neurologic impairment after FEVAR. METHODS: Consecutive patients who underwent FEVAR at a single institution were analyzed. LE ischemic time was calculated from the time of large sheath (≥18F) insertion to the time of sheath removal from the iliac arteries that led to continuous LE ischemia...
January 7, 2019: Journal of Vascular Surgery
Abigail L Johnston, Sreekanth Vemulapalli, Kensey L Gosch, Herbert D Aronow, J Dawn Abbott, Manesh R Patel, Kim G Smolderen, Mehdi Shishebor, John A Spertus, W Schuyler Jones
BACKGROUND: The association between the severity of ankle-brachial index (ABI), a traditional measure of the severity of peripheral artery disease (PAD), and patients' perceptions of their health status is poorly characterized. In Patient-Centered Outcomes Related to Treatment Practices in Peripheral Artery Disease: Investigating Trajectories (PORTRAIT), a study of patients with intermittent claudication (IC), we studied the correlation of ABI values and Rutherford symptom classification with PAD-specific health status as measured by the Peripheral Artery Questionnaire (PAQ)...
January 6, 2019: Journal of Vascular Surgery
Adam Tanious, James D Brooks, Linda J Wang, Murray L Shames, Paul A Armstrong, Mark F Conrad, David L Dawson
OBJECTIVE: The Registered Physician in Vascular Interpretation (RPVI) credential is a prerequisite for certification by the Vascular Surgery Board of the American Board of Surgery. Of concern, as more current trainees and recent program graduates take the Physician Vascular Interpretation (PVI) examination, vascular surgery trainee pass rates have decreased. Residents and fellows have a lower PVI examination pass rates than practicing vascular surgeons. The purpose of this study was to assess current vascular laboratory (VL) training for vascular surgery residents and fellows and to identify gaps that residency and fellowship programs might address...
January 6, 2019: Journal of Vascular Surgery
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