journal
https://read.qxmd.com/read/38614258/creation-of-a-shared-medical-decision-support-tool-for-the-management-of-abdominal-aortic-aneurysms
#1
JOURNAL ARTICLE
Marie Dumausé, Marie Mouillard, Quentin Balézeaux, Eric Ducasse, Caroline Caradu, Yves-Marie Vincent
OBJECTIVE: Patients with an unruptured abdominal aortic aneurysm (AAA) at the surgical threshold may benefit from aneurysmal exclusion either by open surgery or endovascular repair. A patient decision aid (PtDA) could be useful to help patients and their surgeons choose between the two techniques. The aim of this study was to develop a shared medical decision support tool, in french language, for the surgical treatment of AAA. METHODS: Following the steps recommended by the International Patient Decision Aids Standards, we carried out a qualitative study using semi-structured interviews with patients and vascular surgeons and focus group with patients to identify their main points of interest...
April 11, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38609010/social-determinants-of-health-factors-and-loss-to-follow-up-in-the-field-of-vascular-surgery-characteristics-and-vascular-follow-up
#2
JOURNAL ARTICLE
Jonathon Schutt, Nicole L Bohr, Kathleen Cao, Luka Pocivavsek, Ross Milner
OBJECTIVE: It is estimated that 22 - 57% of vascular patients are lost to follow-up which is of concern as the Society of Vascular Surgery recommends annual patient follow-up. The purpose of this report was to identify social determinants of health factors (SDoH) and their relationship to loss to follow-up in vascular patients. METHODS: The methods employed were a systematic literature review of 29 empirical articles and a retrospective quality improvement report with 27 endovascular aortic repair (EVAR) and thoracic endovascular aortic repair (TEVAR) patients at the University of Chicago...
April 10, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38609009/matrix-metalloproteinase-and-aortic-aneurysm-a-two-sample-mendelian-randomization-study
#3
JOURNAL ARTICLE
Tao Qin, Jiankai Zhong, Pinglan Li, Jianlin Liang, Meijun Li, Guangjun Zhang
BACKGROUND: Studies have linked matrix metalloproteinases (MMPs) to both abdominal and thoracic aortic aneurysms (TAA and AAA). The precise MMPs entailed in this procedure, however, were still unknown. This study used a two-sample Mendelian randomization (MR) analysis to look into the causal relationship between MMPs and the risk of AA. MMP and aortic aneurysm METHODS: Eight MMPs, including MMP-1, MMP-2, MMP-3, MMP-8, MMP-9, MMP-10, MMP-12, and MMP-13, were found among people of European ancestry with accessible genome-wide association studies (GWAS)...
April 10, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38604501/using-multidisciplinary-teams-to-improve-outcomes-for-treating-chronic-limb-threatening-ischemia
#4
JOURNAL ARTICLE
Hannah Wolf, Niten Singh
Multidisciplinary teams are necessary to treat complex patients with Chronic Limb Threatening Ischemia (CLTI). The need for adequate wound care and control of comorbid conditions cannot be accomplished by the vascular specialist alone. Numerous specialties have a role in this group to include surgical podiatrists, orthopedic surgery, plastic and reconstructive surgery endocrinology, and wound care. However, the vascular specialist must drive this team as the patients are usually referred to them and numerous studies have shown a direct correlation between major amputations and the lack of vascular involvement...
April 9, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38604500/medium-term-outcomes-of-treatment-with-a-viabahn-vbx-covered-stent-for-aortoiliac-occlusive-lesions-in-patients-with-peripheral-artery-disease
#5
JOURNAL ARTICLE
Maeda Kazuki, Taira Kobayashi, Shogo Emura, Takanobu Okazaki, Shingo Mochizuki, Tomoyasu Sato, Masato Taniguchi, Daisuke Futagami, Risa Inoue, Mayu Tomota, Toshifumi Hiraoka, Takashi Shimonaga, Hitoshi Tachibana, Haruna Shimizu, Shinya Takahashi
BACKGROUND: Endovascular treatment (EVT) for aortoiliac (AI) occlusive lesions is now conducted worldwide, but there are challenges in EVT for complex AI lesions. The VIABAHN VBX (W.L. Gore & Associates, Flagstaff, AZ) is a next-generation balloon-expandable covered stent designed for use with complex AI lesions. The purpose of this study is to evaluate the medium-term outcomes of VIABAHN VBX for such lesions. METHODS: Symptomatic patients who underwent EVT with VIABAHN VBX for an AI lesion from 2018 to 2020 at 7 Japanese centers were reviewed retrospectively...
April 9, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38604499/preoperative-sizing-to-lower-in-stent-restenosis-in-peripheral-arterial-occlusive-disease
#6
JOURNAL ARTICLE
Shaghayegh Jeshari
OBJECTIVES: The primary treatment for lower extremity peripheral arterial occlusive disease (PAOD) is angioplasty-stenting. Its main complication is in-stent restenosis. Poor selection of stent dimensions has been identified as a factor contributing to early in-stent restenosis. The aim of this study is to determine whether the implantation of stents, selected based on arterial morphological reconstruction using sizing software, reduces the occurrence of in-stent restenosis. The study also aims to evaluate the potential benefits of routine preoperative sizing...
April 9, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38604498/midfoot-amputations-as-adjuncts-to-limb-preservation
#7
JOURNAL ARTICLE
Elizabeth A Sanders
No abstract text is available yet for this article.
April 9, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38599493/addressing-the-impact-of-deep-venous-stenting-on-the-management-of-venous-ulcer
#8
JOURNAL ARTICLE
Khaled Atalla, M Elkady, Mostafa S Khalil, Osman Mahmoud, Mohammed Shahat
INTRODUCTION: Venous ulcers are a late and severe form of CVI and account for 70% of all etiologies that cause leg ulcers in the lower limb and they account for 20% of the 2.5 million cases complaining of chronic venous disease. Our study aims to investigate the effect of venous stenting of the deep veins on the healing of the venous ulcer. METHODS: This is a single-center, retrospective study conducted on prospectively recorded medical records of 78 patients with chronic deep venous diseases - C6 (either non-occlusive iliac venous lesion or post-thrombotic syndrome)...
April 8, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38599492/a-multicenter-study-of-the-mid-term-outcomes-of-patients-with-uncomplicated-type-b-aortic-dissection-after-distal-porous-talos-stent-graft-implantation
#9
JOURNAL ARTICLE
Kun Fang, Dong Chen, Mingyao Luo, Quanming Li, Xunqiang Liu, Yongsheng Gao, Jianhua Huang, Xiwei Zhang, Tong Qiao, Xiangchen Dai, Weimin Zhou, Tao Han, Xiaoming Zhang, Weiliang Jiang, Liangwan Chen, Chang Shu
OBJECTIVES: The Talos stent-graft has extended length to improve aortic remodeling, and distal porous design to decrease the rate of spinal cord ischemia. This study retrospectively analyzed its mid-term outcomes for uncomplicated type B aortic dissection in a multicenter study. METHODS: The primary safety endpoint was 30-day major adverse events, including all-cause mortality, dissection-related mortality, conversion to open surgery, and device-related adverse events...
April 8, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38599491/-the-double-burden-deciphering-chronic-limb-threatening-ischemia-in-end-stage-renal-disease
#10
JOURNAL ARTICLE
Pooria Nakhaei, Mohammed Hamouda, Mahmoud B Malas
OBJECTIVES: Chronic Limb-Threatening Ischemia (CLTI) in patients with End-Stage Renal Disease (ESRD) poses significant challenges in clinical management due to its unique pathology and poor treatment outcomes. This review calls for a tailored classification and risk assessment for these patients to guide better revascularization choices with early minor amputation as a first-line strategy in advanced stages. METHODS: This review consolidates key findings from recent literature on CLTI in ESRD, focusing on disease mechanisms, treatment options, and patient outcomes...
April 8, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38599490/prophylactic-transversely-hemisected-sartorius-tht-flap-for-high-risk-groin-dissections-in-vascular-surgery-a-case-series
#11
JOURNAL ARTICLE
Alexander M Schurman, Janine Myint, Maksim Gusev, Mannoia Kristyn, Theodore H Teruya
Groin wound dehiscence and infection are a common complication of femoral artery exposure. In patients with prosthetic conduits placed in the groin, these complications can lead to graft infection or anastomotic dehiscence with hemorrhage. Sartorius flaps can be useful in preventing graft infections or anastomotic breakdown in the setting of wound infections. Prophylactic sartorius flaps have been suggested to be a useful adjunct in patients who are at high risk for groin complications. Standard sartorius flaps can be difficult to perform and increase the operative time...
April 8, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38599489/bailout-distal-internal-carotid-artery-stenting-after-carotid-endarterectomy-indications-technique-and-outcomes
#12
JOURNAL ARTICLE
Michael A Ciaramella, Patric Liang, Allen D Hamdan, Mark C Wyers, Marc L Schermerhorn, Lars Stangenberg
OBJECTIVE: Distal internal carotid artery (ICA) stenting may be employed as a bailout maneuver when an inadequate endpoint or clamp injury is encountered at the time of carotid endarterectomy (CEA) in a surgically inaccessible region of the distal ICA. We sought to characterize the indications, technique, and outcomes for this infrequently encountered clinical scenario. METHODS: We performed a retrospective review of all patients who underwent distal ICA stenting at the time of CEA at our institution between September, 2008 and July, 2022...
April 8, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38599488/mobility-rates-after-lower-limp-amputation-for-patients-treated-with-physician-led-collaborative-care-model
#13
JOURNAL ARTICLE
Allison McGinnis, Zach Weber, Bara Zuhaili, H Edward Garrett
OBJECTIVE: Clinical outcomes after major lower limb amputation have been historically poor. The current care provided to most amputees is often disorganized and without physician supervision. The primary purpose of this study is to examine rates of post-amputation mobility achieved with a prosthesis by patients with chronic limb-threatening ischemia (CLTI) and/or diabetes who required major lower limb amputation and were treated under an established physician-led collaborative care pathway...
April 8, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38599487/a-retrospective-study-comparing-pharmacomechanical-thrombectomy-with-catheter-directed-thrombolysis-for-acute-deep-venous-thrombosis
#14
JOURNAL ARTICLE
Xi Xi Min, Wei Chen, Xiong Zeng, Xiande Zeng, Xianhua Zhu, Kang Hui Dai, Zhi Nan Ju, Wei Min Zhou, Jiehua Qiu
PURPOSE: This study aims to conduct a comparative analysis of the clinical efficacy and safety between pharmacomechanical thrombectomy (PMT) and catheter-directed thrombolysis (CDT) in the context of acute lower-extremity deep venous thrombosis (LEDVT). MATERIALS AND METHODS: A retrospective review of our institution's patient database spanning from February 2011 to December 2019 was performed to identify cases of acute LEDVT. The patients were categorized into two distinct groups based on the thrombolytic interventions administered: the PMT group, specifically denoting PMT with AngioJet in our investigation, and the CDT group...
April 8, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38599486/women-surgeons-barriers-and-solutions
#15
JOURNAL ARTICLE
Piotr Myrcha, Vaishnavi Siripurapu, Monika Gloviczki, Anahita Dua, Peter Gloviczki
OBJECTIVE: Underrepresentation and undertreatment of women in surgery continues to be highly prevalent, with major barriers to improvement. The aim of the study was to review the current state of women surgeons in Poland. METHODS: Information from the various Polish databases on women surgeons in nine medical universities in general, oncological, vascular, thoracic, and cardiac surgery was retrospectively evaluated. Demographics of residents and staff surgeons, academic ranks and leadership positions at universities, in surgical societies and on scientific journals editorial boards were analyzed...
April 8, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38599485/practice-patterns-and-barriers-to-vascular-genetic-testing-among-vascular-surgeons
#16
JOURNAL ARTICLE
James M Dittman, Siddharth K Prakash, Prem Chand Gupta, Wojciech Wiszniewski, Niten Singh, Matthew R Smeds, Sherene Shalhub
INTRODUCTION: Engaging patients living with or at risk for aortic dissection via the Aortic Dissection Collaborative, physician education in vascular genetics was identified as a research priority. We surveyed vascular surgeons to characterize practice patterns, motivations, and barriers regarding aortopathy genetic testing. METHODS: An anonymous 27-question survey was distributed on social media platforms between November and December 2022. Domains included: demographics, vascular genetic education, testing attitudes and utilization, and experience in treating patients with genetic vascular aortopathies...
April 8, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38599484/cutdown-is-associated-with-higher-30-day-unplanned-readmissions-and-wound-complications-than-percutaneous-access-for-evar
#17
JOURNAL ARTICLE
Meagan Read, Trung Nguyen, Kevin Swan, Dean J Arnaoutakis, Anahita Dua, Eric Toloza, Murray Shames, Charles Bailey, Christopher A Latz
OBJECTIVES: A 2023 Cochrane review showed no difference in bleeding/wound infection complications, short-term mortality and aneurysm exclusion between the percutaneous and cut-down approach for femoral access in endovascular aortic aneurysm repair (EVAR). In contrast, single-center studies have shown bilateral cutdown resulting in higher readmission rates due to higher rates of groin wound infections. Whether 30-day readmission rates vary by type of access during EVAR procedures is unknown...
April 8, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38599483/treatment-of-aorto-iliac-and-infra-inguinal-vascular-infections-with-a-prefabricated-bovine-pericardial-graft
#18
JOURNAL ARTICLE
Federica Donato, Tommaso Donati, Fabrizio Minelli, Alberto Borghetti, Marta Minucci, Antonio Luparelli, Giovanni Tinelli, Yamume Tshomba
OBJECTIVE: The use of biological grafts provides acceptable mid- and long-term results in native or prosthetic vascular infections. Several reports describe the successful use of bovine pericardium in case of vascular infections, mainly as a large patch to be sutured as a tubular graft. Recently, a novel prefabricated bovine pericardium graft (Biointegral Surgical No-React® Inc, Mississauga, ON, Canada) has been introduced in clinical practice with promising results. In this study, we report our preliminary experience utilizing Biointegral Surgical graft in case of native and or prosthetic aorto-iliac and infra-inguinal infection...
April 8, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38599482/asymptomatic-carotid-stenosis
#19
LETTER
Antonio V Sterpetti, Raimondo Gabriele, Luca Dimarzo
No abstract text is available yet for this article.
April 8, 2024: Annals of Vascular Surgery
https://read.qxmd.com/read/38599481/moderate-and-severe-chronic-kidney-disease-predict-greater-5-year-mortality-following-major-lower-extremity-amputation
#20
JOURNAL ARTICLE
Luke T Pitsenbarger, Maria N Som, Natalie T Chao, Eyerusalem N Workneh, Allison S Karwoski, Nora Dunlap, Suzanna Simmonds Fitzpatrick, Khanjan H Nagarsheth
INTRODUCTION: Severe Chronic Kidney Disease (CKD) predicts greater mortality after major lower extremity amputation (LEA), but it remains poorly understood whether patients with earlier stages of CKD share similar risk. METHODS: We assessed long-term postoperative outcomes for patients with CKD in a retrospective chart review of 565 patients who underwent atraumatic major LEA at a large tertiary referral center from 2015 to 2021. We stratified patients by renal function and compared outcomes including survival...
April 8, 2024: Annals of Vascular Surgery
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