journal
https://read.qxmd.com/read/38367850/detour2-trial-outcomes-demonstrate-clinical-utility-of-percutaneous-transmural-bypass-for-the-treatment-of-long-segment-complex-femoropopliteal-disease
#41
JOURNAL ARTICLE
Sean P Lyden, Peter A Soukas, Ajanta De, Barry Tedder, Jonathan Bowman, Jihad A Mustapha, Ehrin J Armstrong
OBJECTIVE: Percutaneous transmural arterial bypass (PTAB) using the DETOUR system aims to create a percutaneous, endovascular femoropopliteal bypass for the treatment of long segment, complex superficial femoral and proximal popliteal artery disease. The goal of the DETOUR2 study is to investigate the safety and effectiveness of the therapy in comparison with pre-established performance goals. METHODS: The DETOUR-2 investigational device exemption study is a prospective, single-arm, multicenter, international trial of symptomatic peripheral arterial disease patients (Rutherford classes 3-5) undergoing the DETOUR procedure for long segment (>20 cm) superficial femoral artery disease...
February 15, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38367849/impact-of-the-endovascular-revolution-on-vascular-training-through-analysis-of-national-data-case-reports
#42
JOURNAL ARTICLE
Alexis Roth, Oscar Moreno, Tyler Santos, Hason Khan, Natalie Marks, Enrico Ascher, Anil Hingorani
BACKGROUND: In the last couple decades, there has been a shift in use of endovascular procedures in vascular surgery. We aim to examine the impact of this endovascular shift on vascular trainees, determine whether surgical experiences of trainees in the integrated residency and fellowship program changed over time, and identify differences between the two training paradigms. METHODS: Data was extracted from the Accreditation Council for Graduate Medical Education National Data Case Logs for the vascular surgery fellowship (1999-2021) and integrated residency (2012-2021) programs...
February 15, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38360191/morbidity-and-mortality-of-common-femoral-endarterectomy
#43
JOURNAL ARTICLE
Michael Chaney, Gaurang Joshi, Jose Cataneo Serrato, Mohammad Rashid, Abraham Jacobs, Chad E Jacobs, John V White, Lewis B Schwartz, Rym El Khoury
OBJECTIVE: Common femoral endarterectomy (CFE) comprises the current standard-of-care for symptomatic common femoral artery (CFA) occlusive disease. While it provides effective inflow revascularization via a single incision, it remains an invasive procedure in an often-frail patient population. The purpose of this retrospective clinical study was to assess the morbidity and mortality of CFE in a contemporary cohort. METHODS: Consecutive CFEs performed at a large, urban hospital were reviewed...
February 13, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38354829/national-trends-in-utilization-of-surgeon-modified-grafts-for-complex-and-thoracoabdominal-aortic-aneurysms
#44
JOURNAL ARTICLE
Thomas Fx O'Donnell, Kirsten D Dansey, Marc Schermerhorn, Sara L Zettervall, Randall R DeMartino, Hiroo Takayama, Virendra I Patel
INTRODUCTION: Custom branched/fenestrated grafts are widely available in other countries, but in the United States they are limited to a handful of centers, with the exception of a 3-vessel juxtarenal device (ZFEN). Consequently, many surgeons have turned to alternative strategies such as physician-modified endografts (PMEG). We therefore sought to determine how widespread the use of these grafts are. METHODS: We studied all complex endovascular repairs of complex and thoracoabdominal aortic aneurysms in the VQI from 2014-2022 to examine temporal trends...
February 12, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38350554/early-outcomes-of-endovascular-repairs-of-the-aortic-arch-using-thoracic-branch-endoprosthesis
#45
JOURNAL ARTICLE
Haley J Pang, Andrew S Warren, Kirsten D Dansey, Christopher Burke, Scott DeRoo, Matthew P Sweet, Matthew Smith, Sara L Zettervall
OBJECTIVE: The only commercially available branched thoracic endoprosthesis (TBE) for treatment of the aortic arch was released in 2022. Limited data outside of clinical trial results have been reported. This study describes the demographics, anatomic details, and outcomes for patients treated for zone 0-2 using TBE outside of a clinical trial. METHODS: All patients treated using TBE for zone 0-2 were included. Patients treated as part of the clinical trial for zone 0-1 (6) were excluded...
February 11, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38336105/long-term-outcomes-of-staged-iliofemoral-endoconduits-prior-to-complex-endovascular-aortic-aneurysm-repair
#46
JOURNAL ARTICLE
Andres V Figueroa, Mira T Tanenbaum, Jose Eduardo Costa Filho, Marilisa Soto Gonzalez, Natalia I Coronel, Mirza S Baig, Carlos H Timaran
OBJECTIVES: Adverse iliofemoral anatomy may preclude complex endovascular aortic aneurysm repair (EVAR). In our practice, staged iliofemoral endoconduits (EC) are planned prior to complex EVAR to improve vascular access and decrease operative time while allowing the stented vessel to heal. This study describes the long-term results of iliofemoral EC prior to complex EVAR. METHODS: Between 2012 and 2023, 59 patients (44% male, median age 75±6 years) underwent EC before complex EVAR using self-expanding covered (Viabahn)...
February 7, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38325564/multicentric-clinical-evaluation-of-a-computed-tomography-based-fully-automated-deep-neural-network-for-aortic-maximum-diameter-and-volumetric-measurements
#47
JOURNAL ARTICLE
Thomas J Postiglione, Enora Guillo, Alexandre Heraud, Alexandre Rossillon, Michel Bartoli, Guillaume Herpe, Chloé Adam, Dominique Fabre, Roberto Ardon, Arshid Azarine, Stéphan Haulon
OBJECTIVE: This study aims to evaluate a fully automatic deep learning-based method (Augmented Radiology for Vascular Aneurysm [ARVA]) for aortic segmentation and simultaneous diameter and volume measurements. METHODS: A clinical validation dataset was constructed from preoperative and postoperative aortic Computed Tomography Angiography (CTA) scans for assessing these functions. The dataset totalled 350 CTA scans from 216 patients treated at two different hospitals...
February 5, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38320692/clinical-outcomes-of-trans-carotid-artery-revascularization-vs-carotid-endarterectomy-from-a-large-single-center-experience
#48
JOURNAL ARTICLE
Ali F AbuRahma, Adrian Santini, Zachary T AbuRahma, Andrew Lee, Christina Veith, Noah Dargy, Robert Cargon, Scott Dean, Elaine Mattox
BACKGROUND/PURPOSE: Trans carotid artery revascularization (TCAR) has been practiced as an alternative for both carotid endarterectomy (CEA) and transfemoral carotid artery stenting (TFCAS) specifically in high-risk patients. More recently CMS expanded coverage for TCAR in standard surgical risk patients if done within the SVS/vascular quality initiative (SVS/VQI) TCAR surveillance project. A few registry studies (primarily from SVS/VQI) compared the early and up to one year outcome of TCAR vs CEA or TFCAS...
February 4, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38316346/five-year-outcomes-for-bell-bottom-iliac-branch-endoprosthesis-and-coil-and-cover-approaches-from-the-great-registry
#49
JOURNAL ARTICLE
Angela Giese, Jan Mm Heyligers, Ross Milner
OBJECTIVES: There are a variety of methods used today to treat common iliac aneurysms with endovascular techniques. Of these approaches, little is known about whether a particular limb strategy influences endoleak, reintervention, or aneurysm regression rates. We present the 5 year data comparing endoleak, stent graft migration, fracture, aneurysm sac dynamics, and aortic rupture rates among patients treated with Bell Bottom limbs (BB), Iliac Branch Endoprosthesis (IBE), and Coil & Cover (CC) approaches from the GREAT registry...
February 3, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38310981/predictors-of-amputation-free-survival-and-wound-healing-after-infrainguinal-bypass-with-alternative-conduits
#50
JOURNAL ARTICLE
Zachary A Matthay, William A Pace, Eric J Smith, Richard D Gutierrez, Warren J Gasper, Jade S Hiramoto, Linda M Reilly, Michael S Conte, James C Iannuzzi
OBJECTIVE: Inadequate vein quality or prior harvest precludes use of autologous single segment greater saphenous vein (ssGSV) in many patients with chronic limb threatening ischemia (CLTI). Predictors of patient outcome after infrainguinal bypass with alternative (non-ssGSV) conduits are not well understood. We explored whether limb presentation, bypass target, and conduit type were associated with amputation-free survival (AFS) after infrainguinal bypass using alternative conduits. METHODS: A single center retrospective study (2013-2020) was conducted of 139 infrainguinal bypasses performed for CLTI with cryopreserved ssGSV (cryovein) (n=71), PTFE (n=23), or arm/spliced vein grafts (n=45)...
February 2, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38310980/a-comparison-of-the-2022-society-for-vascular-surgery-and-the-2023-european-society-for-vascular-surgery-guidelines-for-the-management-of-patients-with-asymptomatic-and-symptomatic-carotid-stenosis
#51
JOURNAL ARTICLE
https://read.qxmd.com/read/38301809/long-term-outcomes-of-autologous-vein-bypass-for-repair-of-upper-and-lower-extremity-major-arterial-trauma
#52
JOURNAL ARTICLE
Alexandra Forsyth, Maha H Haqqani, Daniel B Alfson, Shams P Shaikh, Fernando Brea, Aaron Richman, Jeffrey J Siracuse, Denis Rybin, Alik Farber, Tejal S Brahmbhatt
OBJECTIVE: Autologous vein is the preferred bypass conduit for extremity arterial injuries due to superior patency and low infection risk; however, long-term data on outcomes in civilians is limited. Our goal was to assess short- and long-term outcomes of autologous vein bypass for upper and lower extremity arterial trauma. METHODS: A retrospective review was performed of patients with major extremity arterial injuries (2001-2019) at a Level I Trauma Center. Demographics, injury and intervention details, and outcomes were recorded...
January 30, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38301808/clinical-implications-of-diverse-calcification-patterns-in-endovascular-therapy-for-femoral-popliteal-arterial-occlusive-disease
#53
JOURNAL ARTICLE
Bingchen Hou, Qingwei Gang, Xinyang Li, Yu Lun, Han Jiang, Shikai Shen, Shijie Xin, Jian Zhang
OBJECTIVE: The aim of this study was to investigate whether intimal arterial calcification (IAC) and medial arterial calcification (MAC) are correlated with the various clinical outcomes following endovascular therapy (EVT) for peripheral arterial disease (PAD). METHODS: This single-center retrospective study comprised 154 consecutively hospitalized individuals with PAD who underwent EVT for de novo femoral-popliteal calcific lesions from January 2016 to July 2021...
January 30, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38301807/contemporary-outcomes-of-surgical-decompression-for-functional-popliteal-entrapment-syndrome
#54
JOURNAL ARTICLE
James J Fitzgibbon, Patrick Heindel, Magda Abdou, Bernadette Goudreau, Bryan V Dieffenbach, Brittany Aicher, Matthew T Menard
INTRODUCTION: Functional popliteal entrapment syndrome (FPES) is an underrecognized source of leg pain caused by dynamic compression of the popliteal vessels by surrounding musculature in the absence of anatomic abnormality. Late recognition and difficulty capturing this entity across imaging modalities can lead to significant morbidity in an often young and active patient population. Surgical outcomes and optimal diagnostic strategies remain uncertain. METHODS: We performed a retrospective cohort study of all patients undergoing surgical decompression for FPES at an academic medical center between 2018-2022...
January 30, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38286153/contemporary-outcomes-for-arterial-reconstruction-with-non-saphenous-vein-cryo-preserved-conduits
#55
JOURNAL ARTICLE
Gloria D Sanin, Ulugbek Negmadjanov, James W Patterson, Rasikh N Hamid, Taron Torosian, Jeanette M Stafford, Maureen K Sheehan, Matthew P Goldman, Justin Hurie, Matthew S Edwards, Gabriela Velazquez
BACKGROUND/OBJECTIVE: Cryo-preserved (CP) products are utilized during challenging cases when autogenous or prosthetic conduit use is not feasible. Despite decades of experience with cadaveric greater saphenous vein (GSV), there is limited available data regarding the outcomes and patency of other cryopreserved products, specifically, arterial and deep venous grafts. This study was designed to evaluate outcomes of non-GSV CP conduits in patients undergoing urgent, emergent, and elective arterial reconstruction at our institution...
January 27, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38286152/outcomes-of-post-implantation-syndrome-after-endovascular-repair-for-stanford-type-b-aortic-dissection
#56
JOURNAL ARTICLE
Qingsong Wu, Jian He, Huangwei Li, Linfeng Xie, Wenxin Zeng, Xinfan Lin, Zhihuang Qiu, Liangwan Chen
OBJECTIVE: To investigate the correlation between post-implantation syndrome (PIS) and long-term prognosis in patients with Stanford type B aortic dissection (TBAD) undergoing thoracic endovascular aortic repair (TEVAR). METHODS: This retrospective study included 547 consecutive patients diagnosed with TBAD who underwent TEVAR at our institution between January 2014 and December 2019. Patients were categorized into two groups: the PIS group (patients with post-TEVAR PIS) and the non-PIS group (patients without post-TEVAR PIS)...
January 27, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38280686/prognostic-factors-after-open-and-endovascular-repair-for-infective-native-aneurysms-of-the-abdominal-aorta-and-common-iliac-artery
#57
JOURNAL ARTICLE
Akihiro Hosaka, Arata Takahashi, Hiraku Kumamaru, Nobuyoshi Azuma, Hideaki Obara, Tetsuro Miyata, Yukio Obitsu, Nobuya Zempo, Hiroaki Miyata, Kimihiro Komori
OBJECTIVE: Infective native aneurysms (INAs) of the abdominal aorta and iliac arteries are uncommon, but potentially fatal. Endovascular aneurysm repair (EVAR) has recently been introduced as a durable treatment option, with outcomes comparable to those yielded by conventional open repair. However, owing to the rarity of the disease, the strengths and limitations of each treatment remain uncertain. The present study aimed to separately assess post-open repair and post-EVAR outcomes and to clarify factors affecting the short-term and late prognosis after each treatment...
January 26, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38280685/type-ii-endoleaks-after-fenestrated-branched-endografting-for-juxtarenal-and-pararenal-aortic-aneurysms
#58
JOURNAL ARTICLE
Enrico Gallitto, Gian Luca Faggioli, Federica Campana, Francesca Maria Feroldi, Antonio Cappiello, Stefania Caputo, Rodolfo Pini, Mauro Gargiulo
OBJECTIVE: Persistent type II endoleaks (pEL2s) are not uncommon after endovascular aneurysm repair and their impact on long-term outcomes is well-documented. However, their occurrence and natural history after fenestrated/branched endografting (F/B-EVAR) for juxtarenal and pararenal aneurysms (J/P-AAAs) have been scarcely investigated. Aim of this study was to report incidence, risk factors, and natural history of pEL2 after F/B-EVAR in J/P-AAAs. METHODS: Between 2016 and 2022, all J/P-AAAs undergoing F/B-EVAR were prospectively collected and retrospectively analyzed...
January 26, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38278371/comparison-of-direct-oral-anticoagulants-and-warfarin-in-chronic-limb-threatening-ischemia
#59
JOURNAL ARTICLE
Matthew Rockhold, Lauren Kunkel, Jordan L Lacoste, Thomas Szymanski, Paul Rothenberg, Pamela Zimmerman, Samantha Minc
OBJECTIVE: The role of direct oral anticoagulants (DOACs) in chronic limb-threatening ischemia after revascularization is unknown. Current evidence-based guidelines do not provide clear guidance on the role of anticoagulation or the selection of anticoagulant. Current practice is highly varied and based on provider and patient preference. The purpose of this study was to measure the impact of different anticoagulants on the incidence of major adverse limb events (MALEs) after revascularization for chronic limb-threatening ischemia, major adverse cardiovascular events (MACEs), all-cause mortality, and hospitalization for major bleeding events...
January 24, 2024: Journal of Vascular Surgery
https://read.qxmd.com/read/38266885/psychosocial-and-socio-economic-factors-are-most-predictive-of-health-status-in-patients-with-claudication
#60
JOURNAL ARTICLE
Lindsey E Scierka, Poghni A Peri-Okonny, Gaelle Romain, Jacob Cleman, John A Spertus, Robert Fitridge, Eric Secemsky, Manesh R Patel, Kensey L Gosch, Carlos Mena-Hurtado, Kim G Smolderen
BACKGROUND: As a key treatment goal for patients with symptomatic peripheral artery disease (PAD), improving health status has also become an important endpoint for clinical trials and performance-based care. An understanding of patient factors associated with 1-year PAD health status is lacking in patients with PAD. METHODS: The health status of 1,073 consecutive patients with symptomatic PAD in the international multi-center PORTRAIT Registry was measured at baseline and 1-year with the Peripheral Artery Questionnaire (PAQ)...
January 22, 2024: Journal of Vascular Surgery
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