journal
https://read.qxmd.com/read/38782216/impact-of-regional-differences-and-neighborhood-socioeconomic-deprivation-on-the-outcomes-of-patients-with-lower-extremity-wounds-evaluated-by-a-limb-preservation-service
#1
JOURNAL ARTICLE
Gloria Sanin, Caroline Minnick, Ashlee Stutsrim, Timothy Williams, Gabriela Velazquez, Cody Blazek, Matthew Edwards, Timothy Craven, Matthew Goldman
INTRODUCTION: Management of lower extremity (LE) wounds has evolved with the establishment of specialized limb preservation services. While clinical factors contribute to limb outcomes, socioeconomic status and community factors also influence the risk for limb loss. The Distressed Community Index (DCI) score is a validated index of social deprivation created to provide an objective measure of economic well-being in U.S communities. Few studies have examined the influence of geographic deprivation on outcomes in patients with LE wounds...
May 21, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38782215/risk-score-for-one-year-mortality-following-emergent-infra-inguinal-bypass
#2
JOURNAL ARTICLE
Priya Rao, Rylie O'Meara, Ian Kang, Meghan N Cichocki, Zach Kittrell, Lorela B Weise, Trissa Babrowski, Matthew Blecha
OBJECTIVE: The purpose of this study is to identify variables which places patients at higher risk for mortality following emergent infra-inguinal bypass. Further, this study will create a risk score for mortality following emergent infra-inguinal bypass to help tailor postoperative and long-term patient management. METHODS: In the Vascular Quality Initiative, we identified 2126 patients who underwent emergent infra-inguinal artery bypass. Two primary outcomes were investigated : 30 day mortality following emergent infra-inguinal bypass; and, 1 year mortality following emergent infra-inguinal bypass...
May 21, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38782214/systematic-review-and-meta-analysis-to-assess-the-racial-disparities-in-the-outcomes-of-carotid-endarterectomy-in-the-united-states
#3
REVIEW
Ahsan Zil-E-Ali, Billal Alamarie, Abdul Wasay Paracha, Fadi Samaan, Faisal Aziz
OBJECTIVE: Race-based disparities in healthcare have been related to a myriad of prevailing factors among minorities in the United States. This study aims to study the race-based differences in the outcomes of carotid endarterectomy (CEA). METHODS: The PROSPERO database registered the review protocol (CRD42023428253). A systematic English literature review was performed using literature databases PubMed and Scopus from inception till June 2023. The review was designed on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and included studies reporting mortality, stroke or composite outcome of mortality and stroke after CEA for carotid artery disease, regardless of any degree of stenosis including both symptomatic and asymptomatic patients...
May 21, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38777159/prosthetic-fitting-and-mortality-after-major-lower-extremity-amputation
#4
JOURNAL ARTICLE
Nathaniel Forrester, Maja Wichhart Donzo, Chengcheng Hu, Brandi M Mize, Ka Hoi Hui, Yazan Duwayri, Luke Brewster, Olamide Alabi
INTRODUCTION: Studies suggest that ambulation after major lower extremity amputation (LEA) is low and mortality after LEA is high. Successful prosthetic fitting after LEA has a significant quality of life benefit, however, it is unclear if there are benefits in post-LEA mortality. Our objective was to examine a contemporary cohort of patients who underwent LEA and determine if there is an association between fitting for a prosthetic and mortality. METHODS: We reviewed all patients who underwent LEA between 2015 and 2022 at two academic healthcare systems in a large metropolitan city...
May 20, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38777158/classification-and-management-strategy-of-spontaneous-carotid-artery-dissection
#5
JOURNAL ARTICLE
Baoning Zhou, Zhaohui Hua, Chong Li, Zhouyang Jiao, Hui Cao, Peng Xu, Shirui Liu, Zhen Li
OBJECTIVE: Spontaneous carotid artery dissections (sCAD) are the common cause of stroke in middle-aged and young people. There is still a lack of clinical classification to guide the management of sCAD. We reviewed our experience with 179 sCAD patients and proposed a new classification for sCAD with prognostic and therapeutic significance. METHODS: This is a retrospective review of prospectively collected data from June 2018 to June 2023 of sCAD patients treated at a large tertiary academic institution in an urban city in China...
May 20, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38777157/multi-center-experience-with-intravascular-lithotripsy-for-treatment-of-severe-calcification-during-tcar-for-high-risk-patients
#6
JOURNAL ARTICLE
Kathryn DiLosa, Sally Schonefeld, Rym El-Khoury, Charles Eichler, Alexander DiBartolomeo, Gregory A Magee, Jeniann Yi, Andrea Simioni, Dennis Gable, Robert Barghout, Micheal Ayad, Nicolas J Mouawad, Steven Maximus, Donald Baril, Nathan Aranson, Ali Azizzadeh, Misty Humphries
OBJECTIVES: Transcarotid artery revascularization (TCAR) offers a safe alternative to carotid endarterectomy (CEA), but severe calcification is currently considered a contraindication in carotid artery stenting. This study aims to describe the safety and effectiveness of TCAR with intravascular lithotripsy (IVL) in patients with traditionally prohibitive calcific disease. METHODS: All consecutive patients who underwent TCAR+IVL from 2018-2022 at nine institutions were identified...
May 20, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38768834/trends-in-hospitalization-of-patients-undergoing-endovascular-treatment-of-thoracoabdominal-aortic-aneurysms-based-on-cerebrospinal-fluid-drainage-strategy
#7
JOURNAL ARTICLE
Diego Vs Rodrigues, Jesse Chait, Nolan C Cirillo-Penn, Randall R DeMartino, Robert A Vierkant, Gustavo S Oderich, Bernardo C Mendes
OBJECTIVE: The aim of this study was to identify trends in hospital (HLOS) and ICU (ICULOS) lengths of stay, and the relationship with cerebrospinal fluid drainage (CSFD) protocols in patients undergoing fenestrated-branched endovascular aortic repair (FB-EVAR) of thoracoabdominal aortic aneurysms (TAAAs). METHODS: A retrospective review of patients who underwent elective FB-EVAR for extent I-IV TAAAs between 2008-2023 at a single aortic center of excellence was conducted...
May 18, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38768833/clinical-factors-associated-with-ultrashort-length-of-stay-in-patients-undergoing-lower-extremity-bypass-for-peripheral-arterial-disease
#8
JOURNAL ARTICLE
Shannon N Radomski, Rebecca Sorber, Joseph K Canner, Courtenay M Holscher, M Libby Weaver, Caitlin W Hicks, Thomas Reifsnyder
INTRODUCTION: Length of stay (LOS) is a major driver of cost and resource utilization following lower extremity bypass (LEB). However, the variable comorbidity burden and mobility status of LEB patients makes implementing enhanced recovery after surgery (ERAS) pathways challenging. The aim of this study was to utilize a large national database to identify patient factors associated with ultrashort LOS among patients undergoing LEB for peripheral artery disease (PAD). METHODS: All patients undergoing LEB for PAD in the National Surgical Quality Improvement Project database from 2011-2018 were included...
May 18, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38768832/treatment-strategy-for-splenic-artery-aneurysms-and-novel-classification-based-on-imaging
#9
JOURNAL ARTICLE
Keqiang Shu, Jiang Shao, Zhichao Lai, Xianlin Han, Kang Li, Yiyun Xie, Deqiang Kong, Leyin Xu, Junye Chen, Yuyao Feng, Yuru Wang, Xiaolong Liu, Bao Liu
OBJECTIVE: The incidence of splenic artery aneurysms (SAAs) has increased with advancements in imaging techniques, necessitating a comprehensive classification to guide treatment strategies. This study aims to propose a novel classification system for SAAs based on aneurysm characteristics and to review treatment outcomes at our center. METHODS: This retrospective study included 113 SAAs patients admitted at Peking Union Medical College Hospital from January 2019 to December 2023, assessed using computed tomography angiography (CTA) or digital subtraction angiography (DSA)...
May 18, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38763456/the-effect-of-controlled-versus-uncontrolled-hypertension-on-outcomes-of-carotid-revascularization-procedures
#10
JOURNAL ARTICLE
Marc Farah, Marjan Moghaddam, Sina Zarrintan, Daniel Willie-Permor, Marc Schermerhorn, Mahmoud Malas
INTRODUCTION: Hypertension has been implicated as a strong predictive factor for poorer outcomes in patients undergoing various vascular procedures. However, limited research is available that examines the effect of uncontrolled hypertension on outcomes after carotid revascularization. We aimed to determine which carotid revascularization procedure yields the best outcome in this patient population. METHODS: We studied patients undergoing Carotid Endarterectomy (CEA), Transfemoral Carotid Artery Stenting (TFCAS), or Transcarotid Artery Revascularization (TCAR) from April 2020 to June 2022 using data from Vascular Quality Initiative (VQI)...
May 17, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38763455/predictors-of-prolonged-length-of-stay-after-elective-carotid-revascularization
#11
JOURNAL ARTICLE
Hanaa Aridi, Brandon Leon, Michael P Murphy, Mahmoud Malas, Marc Schermerhorn, Vikram S Kashyap, Grace Wang, Jens Eldrup-Jorgensen, Andrew Gonzalez, Raghu Motaganahalli
OBJECTIVE: Postoperative day-one discharge is used as a quality-of-care indicator after carotid revascularization. This study identifies predictors of prolonged length of stay (pLOS), defined as a postprocedural LOS of > 1 day, after elective carotid revascularization. METHODS: Patients undergoing carotid endarterectomy (CEA), Transcarotid artery revascularization (TCAR) and Transfemoral carotid artery stenting (TFCAS) in the Vascular Quality Initiative between 2016 and 2022 were included in this analysis...
May 17, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38750944/extended-thoracic-endovascular-aortic-repair-is-optimal-therapy-in-acute-complicated-type-b-dissection
#12
JOURNAL ARTICLE
Alexander P Nissen, Lauren V Huckaby, Yazan M Duwayri, William D Jordan, Woodrow J Farrington, W Brent Keeling, Bradley G Leshnower
BACKGROUND: Thoracic endovascular aortic repair (TEVAR) represents optimal therapy for complicated acute type B aortic dissection (aTBAD). Persistent knowledge gaps remain, including optimal length of aortic coverage, impact on distal aortic remodeling, and fate of the dissected abdominal aorta. METHODS: Review of the Emory Aortic Database identified 92 patients who underwent TEVAR for complicated aTBAD from 2012-2018. Standard TEVAR covered aortic zones 3 and 4 (from the left subclavian to the mid-descending thoracic aorta)...
May 13, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38750943/outcomes-of-brachial-artery-transposition-in-hemodialysis-patients
#13
JOURNAL ARTICLE
Keisuke Morita, Masaaki Murakami, Ryota Akagi, Kojiro Nagai
OBJECTIVE: In hemodialysis patients with a difficult access extremity who are not suitable for an arteriovenous fistula or arteriovenous graft creation, the concept of cannulating a superficialized artery for arterial outflow in dialysis sessions has been adopted as a tertiary alternative. However, its long-term patency and complications have not been widely recognized. We report our 16-year experience with hemodialysis access creation using the brachial artery transposition (BAT) technique...
May 13, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38750942/clinical-impact-of-proximal-fixation-augmentation-using-the-najuta-thoracic-fenestrated-stent-graft-during-endovascular-treatment-for-distal-aortic-arch-aneurysm
#14
JOURNAL ARTICLE
Soichiro Fukushima, Takao Ohki, Hiromasa Tachihara, Kota Shukuzawa, Makiko Ohmori, Hirotsugu Ozawa, Shirouzu Miyo, Hikaru Nakagawa, Yuta Yamada, Kentaro Kasa
OBJECTIVE: Prevention of late type 1a endoleaks is the main concern in thoracic endovascular aortic aneurysm repair (TEVAR) for thoracic aortic aneurysm (TAA). Since 2017, we have performed zone 0 TEVAR with proximal fixation augmentation using a Najuta thoracic fenestrated stent graft in addition to zone 2 TEVAR for distal arch aneurysms. We report the early-midterm outcomes of TEVAR performed using this strategy. METHODS: This single-center retrospective study enrolled 386 cases of TEVAR for thoracic aortic disease between January 2013 and December 2020...
May 13, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38750941/a-decade-s-experience-with-retrograde-open-mesenteric-stenting-for-acute-mesenteric-ischemia
#15
JOURNAL ARTICLE
Salim G Habib, Dana B Semaan, Elizabeth A Andraska, Michael C Madigan, Georges E Al-Khoury, Rabih A Chaer, Mohammad H Eslami
OBJECTIVE: Retrograde open mesenteric stenting (ROMS) is an alternative to mesenteric bypass in patients with acute mesenteric ischemia (AMI) with variable reported 30-day mortality rates. Large studies evaluating patient outcomes following ROMS are scarce. Our study aims to assess the results of this approach among patients presenting with AMI. METHODS: We reviewed all the patients with AMI who were treated with ROMS (2011-2022). Patient demographics, presentation, operative details, and outcomes were analyzed...
May 13, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38735596/impact-of-early-intervention-on-health-status-outcomes-in-peripheral-artery-disease-patients-with-chronic-total-occlusion-lesions-using-the-portrait-registry
#16
JOURNAL ARTICLE
Roberto C Cerrud-Rodriguez, Gaëlle Romain, Yasin Hussain, Jacob Cleman, Santiago Callegari, Lindsey Scierka, Kim Smolderen, Carlos Mena-Hurtado
OBJECTIVES: To analyze the impact of non-invasive and early invasive treatments on health status in patients with lower extremity peripheral arterial disease (PAD) without and with chronic total occlusions (CTO) after 12 months of follow-up. METHODS: Using the international (U.S., Netherlands, and Australia) observational longitudinal PORTRAIT registry, we included patients with recent PAD symptoms between June 2011 and December 2015. We assessed the PAD-specific health status at initial visit, 3-, 6- and 12-month follow-up using the Peripheral Arterial Questionnaire (PAQ)...
May 10, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38729586/national-registry-insights-on-genetic-aortopathies-and-thoracic-endovascular-aortic-interventions
#17
JOURNAL ARTICLE
Jorge L Gomez-Mayorga, Sai Divya Yadavalli, Sara Allievi, Sophie X Wang, Vinamr Rastogi, Sabrina Straus, Tim J Mandigers, James H Black, Sara L Zettervall, Marc L Schermerhorn
OBJECTIVE: Thoracic endovascular aortic repair (TEVAR) in patients with genetic aortopathies (GA) is controversial given concerns of durability. We describe characteristics and outcomes following TEVAR in patients with GA. METHODS: All patients undergoing TEVAR between 2010-2023 in the VQI were identified and categorized as having a GA or not. Demographics, baseline, and procedural characteristics were compared among groups. Multivariable logistic regression was used to evaluate the independent association of GA with postoperative outcomes...
May 8, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38729585/variability-in-short-term-mortality-following-repair-of-ruptured-abdominal-aortic-aneurysms-across-centers-and-physicians
#18
JOURNAL ARTICLE
Gaëlle Romain, Kristy Wang, Lindsey E Scierka, Jacob Cleman, Santiago Callegari, Edouard Aboian, Kim G Smolderen, Carlos Mena-Hurtado
BACKGROUND: Variation in the care management of repairs for ruptured infrarenal abdominal aortic aneurysms (rAAA) between centers and physicians, e.g., the procedural volumes may explain differences in mortality outcomes. First, we quantified the center and physician variability associated with 30- and 90-day mortality risk following open (rOSR) and endovascular (rEVAR) aneurysm repair. Second, we explored wheter part of this variability was attributable to procedural volume at the center and physician level...
May 8, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38723913/real-world-application-of-wifi-scores-in-peripheral-arterial-disease-patients
#19
JOURNAL ARTICLE
Margaret E Smith, Drew J Braet, Jeremy Albright, Matthew A Corriere, Nicholas H Osborne, Peter Henke
OBJECTIVE: The Society for Vascular Surgery wound, ischemia, and foot infection (WIfI) classification system aims to risk stratify patients with chronic limb threatening ischemia (CLTI), predicting both amputation rates and the need for revascularization. However, real-world utilization of the system and whether it accurately predicts outcomes following open revascularization and peripheral interventions is unclear. Therefore, we sought to determine the adoption of the WIfI classification system within a contemporary statewide collaborative as well as the impact of patient factor, and WIfI risk assessment on short- and long-term outcomes...
May 7, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38723912/spinal-cord-ischemia-and-reinterventions-following-thoracic-endovascular-repair-for-acute-type-b-aortic-dissections
#20
JOURNAL ARTICLE
Helen A Potter, Li Ding, Sukgu M Han, Fernando Fleischman, Fred A Weaver, Gregory A Magee
OBJECTIVE: The technical aspects of thoracic endovascular aortic repair (TEVAR) for acute type B aortic dissection (TBAD), specifically the location of proximal seal zone (PSZ) (need to cover the left subclavian artery [LSA]), distal seal zone (DSZ) (length of aortic coverage), benefit of LSA revascularization, and prophylactic lumbar drainage are still debated. Each of these issues has potential benefits but also has known risks. This study aims to identify factors associated with reintervention and spinal cord ischemia (SCI) following TEVAR for acute TBAD with a zone 3 entry tear...
May 7, 2024: Journal of Vascular Surgery
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