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Annals of Vascular Surgery

Yuyuan Gao, Kun Nie, Zhenpeng Duan, Shuo Wang, Guixian Ma, Xiong Zhang, Changmao Li, Yuhu Zhang, Chengbo Dai, Lijuan Wang
OBJECTIVE: The aims of this study were to explore (i) the dynamic changes in cerebral microbleeds (CMBs) in symptomatic cerebral artery stenosis patients who received endovascular stent-assisted angioplasty and (ii) the risk factors associated with the new incidence of CMBs as well as whether CMBs increased the risk of vascular events in these patients. METHODS: Clinical information and magnetic resonance images were collected on admission and three months after endovascular stent-assisted angioplasty...
February 12, 2019: Annals of Vascular Surgery
E Pasveer, Randolph G S van Eps, Jan J Wever, Hans van Overhagen, Lukas C van Dijk, Hugo T C Veger
Bilateral limb occlusion after aortobifemoral prosthesis occurs in 1-3% patients. Multiple remedial choices are known in literature to manage a bilateral occluded ABF such as "redo" aortobifemoral bypass (rABF), axillobifemoral bypass, endovascular recanalization of the native aortoiliac system and thrombectomy. We present a patient with an occluded aortibifemoral bypass since 2001. A new minimal invasive treatment strategy was performed by traversing the occluded limbs with aortic re-entry using stiff Terumo wires...
February 12, 2019: Annals of Vascular Surgery
Zhao An, Meng-Wei Tan, Zhi-Gang Song, Hao Tang, Fang-Lin Lu, Zhi-Yun Xu
BACKGROUND: Retrograde type A dissection (RTAD) is a serious complication after ascending aorta involved endovascular repair (AAIER). We here report our surgical approach to this serious complication. METHODS: From July 2011 to July 2014, 8 RTAD after AAIER patients received surgical repair in our institution. Data of these RTAD patients were retrospectively collected for further analysis. All patients received urgent surgical repair based on the stented elephant trunk technique...
February 12, 2019: Annals of Vascular Surgery
Sergio Furgiuele, Francesca Persiani
No abstract text is available yet for this article.
February 12, 2019: Annals of Vascular Surgery
Ottavia Borghese, Giorgio Sbenaglia, Rocco Giudice
Spinal cord ischemia is one of the most unpredictable and feared complication following open surgical or endovascular thoracic aortic repair. Protection of collateral network branches that contribute blood supply to spinal cord is fundamental in the prevention of this catastrophic condition. We report the case of a patient who underwent emergent endovascular treatment for a type B aortic dissection complicated by rupture of the false lumen, with intentional coverage of the left subclavian artery without revascularization...
February 12, 2019: Annals of Vascular Surgery
Hanaa Dakour-Aridi, Manasi Arora, Besma Nejim, Satinderjit Locham, Mahmoud B Malas
OBJECTIVE: Drug abuse may affect lower extremity vessels due to ischemia following intra-arterial injections, vasospasm, arterial and venous pseudoaneurysms, arteriovenous fistulae, vasculitis and complicated abscesses. Little is known about the outcomes of Lower Extremity Bypass (LEB) for peripheral arteries disease (PAD) in patients with a history of drug abuse disorder. The aim of this study is to evaluate the outcomes of LEB in this patient population. METHODS: A retrospective study of the Premier Healthcare Database 2009-2015 was performed...
February 12, 2019: Annals of Vascular Surgery
Xiao-Jun Song, Zhi-Li Liu, Rong Zeng, Chang-Wei Liu, Wei Ye
OBJECTIVE: The aim of this study is to examine the efficacy and safety of Angiojet rheolytic thrombectomy for the treatment of subacute deep venous thrombosis (DVT) in lower limbs. METHODS: A retrospective study was performed on 90 patients with subacute DVT (15 ∼90 days) in lower limbss in our center from November 2015 to December 2016. In total, 27 patients with subacute DVT in lower limbs treated with Angiojet rheolytic thrombectomy were included in the study, including 17 males and 10 females...
February 12, 2019: Annals of Vascular Surgery
Francesco Formica, Stefano D'Alessandro, Fabio Sangalli, Leonello Avalli
No abstract text is available yet for this article.
February 12, 2019: Annals of Vascular Surgery
Fokou Marcus, Eyenga Victor Claude, Meli Josephine, Abel Teyang
BACKGROUND: Causes of acute limb ischemia are classically mainly emboli and thrombosis. Nicolau syndrome, is a very rare complication of intramuscular injection presumed to be related to the inadvertent intravascular injection. It was first reported following intramuscular injection of bismuth salt, but it can occur as a complication of various other drugs. Acute limb ischemia is one of its severe outcome but is rarely encountered and reported. CASE PRESENTATION: We present here 4 cases of Nicolau syndrom that lead to acute limb ischemia and with the same outcome: limb or fingers loss; There were two upper extremities for 2 women secondary to diclofenac and dexamethasone intramuscular administration and 2 lower extremities for 2 men in relation with Benzathine Penicillin intramuscular administration...
February 12, 2019: Annals of Vascular Surgery
Michele Antonello, Francesco Squizzato, Alberto Dall'Antonia, Franco Grego, Michele Piazza
PURPOSE: To describe a single-center experience with the Conformable GORE Thoracic Endoprosthesis (C-TAG) with Active Control System, specifically designed to evaluate the accuracy of proximal and distal deployment and its capability to adapt to the aortic wall. METHODS: This is a single-center prospective study including all patients treated with the C-TAG with Active Control System for thoracic aorta pathologies from September 2017 to May 2018. Proximal and distal accuracy of deployment was measured as the distance between "intended" and "actual landing" zone measured on the DSA images...
February 12, 2019: Annals of Vascular Surgery
Weihang Lu, Wei Guo, Jie Liu, Yangyang Ge, Dan Rong, Bai He, Jianfei Dong, Xin Jia
OBJECTIVE: Successful endovascular repair of thoracic aorta for type B aortic dissection requires correct stent-graft sizing, particularly of distal landing zone which is mainly based on operator experience. The present study aimed to quantitatively define proximal-to-distal tapering of descending thoracic aortic diameter and its consistency. METHODS: The novel parameter HDP (Hundred times Distance accounts for Percentage: distance [from distal end of left subclavian artery to each level along aortic central line] / length [from distal end of left subclavian artery to proximal end of celiac artery along aortic central line] *100) was calculated per 1% unit of descending thoracic aorta based on 3mensio software-derived measurements from 281 consecutive individuals who had undergone enhanced chest computer tomography scanning...
February 12, 2019: Annals of Vascular Surgery
Valeria Silvestri, Paolo Sapienza, Paolo Ossola, Raffaele Grande, Gioia Brachini, Antonio V Sterpetti, Andrea Mingoli
Visceral aneurysms are rare entities, with a reported incidence of 0.01-2%. Fibromuscular dysplasia is a non-atherosclerotic, non-inflammatory artery disease which may predispose to aneurysmal degeneration. Schizophrenia has been linked to an increased cardiovascular risk because of the influence of traditional and disease specific risk factors. We report the case of a 44-year old male schizophrenic patient presenting with a ruptured giant aneurysm of superior mesenteric artery, managed by mesenteric ligation...
February 12, 2019: Annals of Vascular Surgery
Sasarman Vasile Aurelian, Molnar Adrian, Octavian Andercou, Schjoth Bruno, Oprea Alexandru, Trifan Catalin, Bindea Dan
BACKGROUND: Neutrophil-to-lymphocyte ratio (NLR) has recently emerged as a useful predictor of cardiovascular risk and adverse outcomes. According to previous studies, an NLR > 5 has the highest sensitivity and specificity for postoperative morbidity and mortality in cardiovascular disease. This study aims to evaluate the NLR in cases of unruptured (uAAA) and ruptured (rAAA) infrarenal abdominal aortic aneurysm (AAA) and to assess the role of NLR as a prognostic marker of 30-day mortality in patients with unruptured and ruptured AAA who underwent surgical repair...
February 12, 2019: Annals of Vascular Surgery
Siyuan Liang, Long Zhou, Kaichuang Ye, Xinwu Lu
OBJECTIVE: To evaluate the short-term outcomes of percutaneous mechanical thrombectomy (PMT) in patients with acute lower limb ischemia (ALI) and to analyze the effect of ALI of different etiologies on the limb salvage. MATERIALS AND METHODS: From January 2015 to December 2017, a retrospective analysis was performed on 112 patients (mean age: 66.5; 117 limbs in total; 66 limbs in 61 males) with ALI treated with PMT at two vascular institutions. Of the 117 limbs, forty-four (41 patients) had acute arterial embolism, 36 (34 patients) had acute arterial thrombosis, and 37 (37 patients) had acute stent (31 limbs in 31 patients) or graft (6 limbs in 6 patients) thrombosis...
February 12, 2019: Annals of Vascular Surgery
Yann Gouëffic, Jean-Pierre Favre, Eric Steinmetz, Aline Ordureau, Valéry-Pierre Riche, Béatrice Guyomarch, Eugenio Rosset
BACKGROUND: While autogenous venous graft is preferable in below the knee bypass surgery for patients in critical limb ischemia, some 20% of patients will have no suitable vein for grafting, compelling a resort to artificial graft materials. Retrospective sub-group analyses within published studies comparing heparin-bonded PTFE with crude PFTE graft in below the knee bypass suggest that heparin-bonded graft offers superior long-term patency rates, but this has not been prospectively verified in patients with critical limb ischemia...
February 12, 2019: Annals of Vascular Surgery
Suh Min Kim, In Mok Jung, Daehwan Kim, Jung Pyo Lee, Young Ho So
BACKGROUND: The aim of this study was to investigate the effect of preexisting calcification in the inflow artery on maturation and flow volume of an arteriovenous fistula (AVF). MATERIALS AND METHODS: Patients who underwent AVF creation for hemodialysis were prospectively recruited between March and November 2017. On preoperative duplex ultrasound, calcification in the arterial media within 5cm of the planned anastomosis area was assessed. Clinical maturation was defined as the successful use of the fistula for ≥75% of the dialysis sessions during a month within 6 months after surgery...
February 12, 2019: Annals of Vascular Surgery
Fan Zhou, Yanfeng Cui, Qian Zhao, Hao Xu, Maoheng Zu, Wei Xu
Renal arteriovenous fistula with renal artery aneurysms and dilated renal veins presents as an infrequent lesion. Endovascular therapy has recently been considered the first-line treatment for these conditions. We report a case of a patient with idiopathic renal arteriovenous fistula concomitant with multiple renal artery aneurysms that was successfully treated by the placement of a covered stent.
February 12, 2019: Annals of Vascular Surgery
Marco Leopardi, Alessia Salerno, Angelica Dante, Vincenza Cofini, Stefano Necozione, Marco Ventura
OBJECTIVE: The aim of this study is to compare two groups of patients treated for great saphenous vein (GSV) reflux with open surgical saphenofemoral ligation (SFL) and EndoVenous Laser Ablation (EVLA) MATERIALS AND METHODS: Consecutive patients with primary unilateral GSV reflux undergoing EVLA treatment since 2014 were enrolled, and another series of patients treated with SFL was considered. The patients were stratified according to treatment and the results were compared using the propensity score (1:1)...
February 12, 2019: Annals of Vascular Surgery
Arthelma C Tyson, Shailraj Parikh, Kuldeep Singh, Saqib Zia, Jonathan S Deitch, Jonathan A Schor
BACKGROUND: Routine laboratory testing to rule out myocardial infarction (MI) after carotid endarterectomy (CEA) is common in many centers. Its utility in this patient population has not been thoroughly investigated. We hypothesize that routine testing for MI in post-CEA patients is of low-yield and not cost-effective. METHODS: A retrospective review of 291 consecutive CEAs from February, 2011 to July, 2015 was performed. Two patients were excluded: one for postoperative non-cardiac death and one for preoperative MI...
February 12, 2019: Annals of Vascular Surgery
Yoshihisa Shimada, Naoto Kino, Daisuke Tonomura, Yuki Yamanaka, Satoshi Nishiura, Kentaro Yano, Kazato Ito, Masataka Yoshida, Takao Tsuchida, Hitoshi Fukumoto
BACKGROUND: Chronic total occlusion (CTO) of femoropopliteal artery (FP) continues to be a lesion subset where maintaining long-term patency after endovascular treatment is challenging. We evaluated the efficacy of cutting balloon angioplasty (CBA) for de novo FP-CTOs in patients with symptomatic lower limb ischemia. METHODS: Seventy-three limbs of 67 symptomatic patients with de novo FP-CTOs successfully recanalized using CBA alone were enrolled in this study. Primary patency was defined as the absence of recurrent symptoms and no deterioration of the ankle-brachial index (ABI) >0...
February 12, 2019: Annals of Vascular Surgery
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