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    Role of molecular imaging with positron emission tomographic in aortic aneurysms.
    J Thorac Dis 2017 Apr;9(Suppl 4):S333-S342
    Department of Cardiology, Weill Cornell Medicine, New York, USA.
    Aortic aneurysms (AA) are often asymptomatic before the occurrence of acute, potentially fatal complications including dissection and/or rupture. Beyond aortic size, the ability to assess aortic wall characteristics and processes contributing to aneurysm development may allow improved selection of patients who may benefit from prophylactic surgical intervention. Current risk stratification for aneurysms relies upon routine noninvasive imaging of aortic size without assessing the underlying pathophysiologic processes, including features such as inflammation, which may be associated with aneurysm development and progression. Read More

    Imaging for surveillance and operative management for endovascular aortic aneurysm repairs.
    J Thorac Dis 2017 Apr;9(Suppl 4):S309-S316
    Division of Cardiology, Department of Medicine, Weill Cornell Medical College, New York, NY, USA.
    Endovascular aortic aneurysm repairs rely heavily on radiologic imaging modalities for preoperative surveillance, intraoperative management, and postoperative follow-up. Ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI) and angiography all have utility at different stages of management. Often one imaging modality compliments another by providing supplementary information. Read More

    THE RELATIONSHIP BETWEEN SURFACE CURVATURE AND ABDOMINAL AORTIC ANEURYSM WALL STRESS.
    J Biomech Eng 2017 May 24. Epub 2017 May 24.
    Department of Mechanical Engineering, The University of Texas at San Antonio One UTSA Circle, EB 3.04.23 San Antonio, TX
    The maximum diameter criterion is the most important factor when predicting risk of rupture of abdominal aortic aneurysms (AAA). An elevated wall stress has also been linked to a high risk of aneurysm rupture, yet is an uncommon clinical practice to compute AAA wall stress. The purpose of this study is to assess whether other characteristics of the AAA geometry are statistically correlated with wall stress. Read More

    Dynamic simulation and Doppler Ultrasonography validation of blood flow behavior in Abdominal Aortic Aneurysm.
    Phys Med 2017 May 5;37:1-8. Epub 2017 Apr 5.
    Clinical Centre of Vojvodina, Centre of Radiology, Novi Sad, Serbia; University of Novi Sad, Medical Faculty, Novi Sad, Serbia.
    Criteria for rupture prediction of Abdominal Aortic Aneurysm (AAA) are based only on the diameter of AAA. This method does not consider complex hemodynamic forces exerted on AAA wall. The methodology used in our study combines Computer-Aided Design (CAD) with Computational Fluid Dynamics (CFD). Read More

    Access From Above-Bailout Solution for Intraoperative Distal Migration of Abdominal Aortic Stent Graft.
    Vasc Endovascular Surg 2017 Jan 1:1538574417708132. Epub 2017 Jan 1.
    1 Clinical Radiology Institute, University Medical Centre Ljubljana, Ljubljana, Slovenia.
    The majority of the ruptured abdominal aortic aneurysms today is treated endovascularly. In cases with short aneurysm neck, chimney technique can be used to extend landing zone in emergency setting. Additionally, the repositioning ability of C3 delivery system (Gore & Associates) allows better positioning in cases with challenging anatomy. Read More

    Duplex Ultrasound Surveillance After Uncomplicated Endovascular Abdominal Aortic Aneurysm Repair.
    Vasc Endovascular Surg 2017 Jan 1:1538574417708131. Epub 2017 Jan 1.
    2 Department of General and Vascular Surgery, Gundersen Health System, La Crosse, WI, USA.
    Objectives: Health-care costs and risks of radiation and intravenous contrast exposure challenge computed tomography angiography (CTA) as the standard surveillance method after endovascular abdominal aortic aneurysm repair (EVAR). We reviewed our experience using Duplex ultrasound scan (DUS) as an initial and subsequent surveillance technique after uncomplicated EVAR.

    Methods: The medical records of patients who underwent EVAR from 2004 to 2014 with at least 1 postoperative imaging study were retrospectively reviewed. Read More

    Delayed postpartum hemoperitoneum due to uterine artery pseudoaneurysm rupture.
    Obstet Gynecol Sci 2017 May 15;60(3):303-307. Epub 2017 May 15.
    Department of Obstetrics and Gynecology, Chungbuk National University Hospital, Chungbuk National University College of Medicine, Cheongju, Korea.
    A 30-year-old woman experienced severe abdominal pain 8 days after vaginal delivery. The patient was diagnosed with hemoperitoneum due to rupture of the left uterine artery pseudoaneurysm, which was confirmed via ultrasound with color Doppler and computed tomography scans. This patient was treated with bilateral uterine artery embolization to maintain fertility. Read More

    Endovascular Repair of an Unusually Complex Anastomotic Pseudoaneurysm of an Aorto-Bisiliac Graft.
    Pol J Radiol 2017 1;82:244-247. Epub 2017 May 1.
    Department of Radiology - Interventional Radiology Unit, University Hospital of Verona, Polo Chirurgico "P. Confortini", Verona, Italy.
    Background: Anastomotic pseudoaneurysm is an underestimated complication of aorto-iliac grafts.

    Case Report: This case report describes an unusual presentation of a pseudoaneurysm with a particularly complex anatomy involving both the left iliac branches, which hindered the interpretation of diagnostic studies and therapeutic management in a patient with multiple comorbidities.

    Conclusions: The manuscript describes a successful management of such a complication by means of an elective endovascular approach. Read More

    Aortic involvement in relapsing polychondritis.
    Joint Bone Spine 2017 May 17. Epub 2017 May 17.
    Department of Internal Medicine, Rouen University Hospital, 1 rue de Germont, 76000 Rouen, France; INSERM U 905, University of Rouen IFRMP, Institute for Biochemical Research, Rouen University Hospital, 76000 Rouen, France. Electronic address:
    Objective: To assess prevalence of aortic involvement in relapsing polychondritis (RP) patients; to evaluate clinical features and long-term outcome of RP patients exhibiting aortitis, aortic ectasia and/or aneurysm.

    Methods: 172 RP patients underwent aortic computed tomography (CT)-scan; they were seen in 3 medical centers.

    Results: 11 patients (6. Read More

    Endovascular Fenestration for Distal Aortic Sealing After Frozen Elephant Trunk With Thoraflex.
    Ann Thorac Surg 2017 Jun;103(6):e479-e482
    Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong. Electronic address:
    We describe a case of total arch replacement with frozen elephant trunk for chronic type B aortic dissecting aneurysm, which resulted in inadvertent landing of the frozen elephant trunk into the false lumen. A radiofrequency puncture system-assisted controlled endovascular fenestration of the dissection flap was performed at the upper abdominal aorta and subsequent thoracic endovascular stenting, successfully redirecting the blood flow from the false to the true lumen. Our case illustrated a possible way to seal distal reentry in chronic type B aortic dissection. Read More

    Predictors Associated With Increased Prevalence of Abdominal Aortic Aneurysm in Chinese Patients with Atherosclerotic Risk Factors.
    Eur J Vasc Endovasc Surg 2017 May 17. Epub 2017 May 17.
    Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, People's Republic of China.
    Objective/background: Epidemiological screening studies have demonstrated that the prevalence of abdominal aortic aneurysm (AAA) of Asian origin appears to be low and so increases uncertainty about the cost effectiveness of screening for AAAs in Chinese people. Some studies have demonstrated a higher prevalence of AAA in patients with atherosclerotic risk factors. The purpose of the study was to determine the prevalence of AAA and to explore the high risk group of AAA in Chinese patients with atherosclerotic risk factors. Read More

    Experiences of the screening process and the diagnosis abdominal aortic aneurysm among 65-year-old men from invitation to a 1-year surveillance.
    J Vasc Nurs 2017 Jun;35(2):70-77
    Department of Caring Science, Malmö University, Malmö, Sweden.
    The prevalence of abdominal aortic aneurysm (AAA) is reported to be 2.2%-8% among men >65 years. During recent years, screening programs have been developed to detect AAA, prevent ruptures, and thereby saving lives. Read More

    Mechanical behavior of the abdominal aortic aneurysm assessed by biaxial tests in the rat xenograft model.
    J Mech Behav Biomed Mater 2017 May 12;74:28-34. Epub 2017 May 12.
    Bioengineering, Tissues and Neuroplasticity (BIOTN), EA 7377, Paris-Est Créteil University, Faculty of Medicine, Surgical Research Center, 8 rue du Général Sarrail, 94010 Créteil, France. Electronic address:
    This paper addresses the mechanical biaxial behavior of degraded arteries obtained by the rat xenograft model. For that, a pressure myograph was used to perform extension-inflation tests on abdominal aortic aneurysms (AAAs). Furthermore, residual stresses in the aneurismal wall were assessed by opening angle tests. Read More

    The value of contrast-enhanced ultrasound (CEUS) using a high-end ultrasound system in the characterization of endoleaks after endovascular aortic repair (EVAR).
    Clin Hemorheol Microcirc 2017 May 18. Epub 2017 May 18.
    Department of Clinical Radiology, Ludwig-Maximilians-University of Munich-Grosshadern Campus, Munich, Germany.
    Purpose: To evaluate the value of contrast-enhanced ultrasound (CEUS) using a high-end ultrasound system in the characterization of endoleaks after endovascular aortic repair (EVAR).

    Material And Methods: In this mono-center study, 41 patients were retrospectively analyzed after being examined using a modern high-end ultrasound system (RS80A with Prestige, Samsung Medison Co., Ltd. Read More

    The Impact of Initial Misdiagnosis of Ruptured Abdominal Aortic Aneurysms on Lead Times, Complication Rate, and Survival.
    Eur J Vasc Endovasc Surg 2017 May 16. Epub 2017 May 16.
    Department of Vascular Surgery and Institute of Medicine, Department of Molecular and Clinical Medicine, Sahlgrenska University Hospital and Academy, Blå stråket 5, 413 46 Gothenburg, Sweden.
    Objective/background: To investigate the frequency of initial misdiagnosis and the clinical consequences of an initial misdiagnosis of ruptured abdominal aortic aneurysms (rAAA).

    Methods: This was a retrospective cohort study. Data from the Swedish National Registry for Vascular Surgery (Swedvasc) and medical charts were extracted for patients treated for rAAA in the West of Sweden in the period 2008-14. Read More

    Recombinant adeno-associated virus vector carrying the thrombomodulin lectin-like domain for the treatment of abdominal aortic aneurysm.
    Atherosclerosis 2017 Mar 18;262:62-70. Epub 2017 Mar 18.
    Cardiovascular Research Center, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Biochemistry and Molecular Biology, College of Medicine, National Cheng Kung University, Tainan, Taiwan. Electronic address:
    Background And Aims: Thrombomodulin (TM), through its lectin-like domain (TMD1), sequesters proinflammatory high-mobility group box 1 (HMGB1) to prevent it from engaging the receptor for advanced glycation end product (RAGE) that sustains inflammation and tissue damage. Our previous study demonstrated that short-term treatment with recombinant TM containing all the extracellular domains (i.e. Read More

    Investigation of reference levels and radiation dose associated with abdominal EVAR (endovascular aneurysm repair) procedures across several European Centres.
    Eur Radiol 2017 May 18. Epub 2017 May 18.
    Diagnostic Imaging, School of Medicine, University College Dublin, Belfield, Dublin 4, Ireland.
    Objectives: Endovascular aneurysm repair (EVAR) is considered the treatment of choice for abdominal aortic aneurysms with suitable anatomy. In order to improve radiation safety, European Directive (2013/59) requires member states to implement diagnostic reference levels (DRLs) in radio-diagnostic and interventional procedures. This study aimed to determine local DRLs for EVAR across five European centres and identify an interim European DRL, which currently remains unestablished. Read More

    Hemobilia by idiopathic aneurysm of cystic artery, fistulized in the biliary ways - clinical case.
    Rom J Morphol Embryol 2017 ;58(1):267-270
    Department of General Medicine, Faculty of Medicine, "Vasile Goldis" Western University, General Surgery Unit, Emergency County Hospital, Arad, Romania;
    Aneurysm of the cystic artery is not common, and it is a rare cause of hemobilia. Most of reported cases are pseudoaneurysms resulting from either an inflammatory process in the abdomen or abdominal trauma. We report a healthy individual who developed hemobilia associated with cystic artery aneurysm. Read More

    Proximal Aortic Neck Progression: Before and After Abdominal Aortic Aneurysm Treatment.
    Front Surg 2017 4;4:23. Epub 2017 May 4.
    First Department of Propedeutic Surgery, Ippokrateion Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
    Several risk factors including short or highly angulated proximal aortic neck have been associated with long-term outcomes after endovascular or open abdominal aortic aneurysm (AAA) repair. However, research data have emerged recently concerning the behavior of proximal aortic neck, and several authors have tried to evaluate this behavior after endovascular or open repair. Additionally, computed tomography angiography (CTA) remains the golden standard for detecting and observing the morphology of an AAA, both before and after treatment. Read More

    Outcomes After Use of Aortouniiliac Endoprosthesis Versus Modular or Unibody Bifurcated Endoprostheses for Endovascular Repair of Ruptured Abdominal Aortic Aneurysms.
    Vasc Endovascular Surg 2017 Jan 1:1538574417703562. Epub 2017 Jan 1.
    1 Division of Vascular and Endovascular Surgery, University of Tennessee Health Science Center, Memphis, TN, USA.
    Objectives: Outcomes after endovascular repair (EVAR) of ruptured abdominal aortic aneurysms (rAAAs) have been widely published. There is, however, controversy on the role of the use of aortouniiliac endoprosthesis (AUI) versus modular or unibody bifurcated endoprosthesis (MUB) for repair of rAAAs. We study and compare 30-day outcomes after use of AUI and MUB for all rAAAs focusing specifically on patients with instability. Read More

    Association of Very Low-Volume Practice With Vascular Surgery Outcomes in New York.
    JAMA Surg 2017 May 17. Epub 2017 May 17.
    Department of Healthcare Policy and Research, Weill Cornell Medical College, New York, New York.
    Importance: Little research has focused on very low-volume surgery, especially in the context of decreasing vascular surgery volume with the adoption of endovascular procedures.

    Objective: To investigate the existence and outcomes of open abdominal aortic aneurysm repair (OAR) and carotid endarterectomy (CEA) performed by very low-volume surgeons in New York.

    Design, Settings, And Participants: This cohort study examined inpatient data of patients undergoing elective OAR or CEA from 2000 to 2014 from all New York hospitals. Read More

    Contrast-Enhanced Ultrasound in the Follow-Up of Endoleaks after Endovascular Aortic Repair (EVAR).
    Ultraschall Med 2017 May 16. Epub 2017 May 16.
    Department of Clinical Radiology, Ludwig-Maximilians-University of Munich-Großhadern Campus, Munich, Germany.
    Endovascular aortic repair (EVAR) has become established in the treatment of abdominal aortic aneurysms and shows potential benefits such as a low perioperative morbidity and a short hospitalization duration. The follow-up after EVAR primarily consists of lifelong postinterventional imaging of the aneurysm size in order to detect complications such as endoleaks or stent dislocation. Computed tomography angiography, an imaging modality that uses ionizing radiation and that relies on a contrast medium which is dependent on thyroid and renal function, is widely used for follow-up. Read More

    Atherosclerotic vascular diseases have really the same risk factors? Comparison between large abdominal aortic aneurysm and obstructive non-coronary arterial disease.
    Vascular 2017 Jan 1:1708538117708474. Epub 2017 Jan 1.
    Dipartimento di Medicina Interna e, Scienze Biomediche, Sezione di Cardiologia, Università degli Studi di Parma, Parma, Italy.
    Objectives The purpose of this study was to investigate whether there are differences among clinical conditions and traditional atherosclerotic risk factors between patients with large abdominal aortic aneurysm and those with occlusive non-coronary arterial disease. Methods We clinically examined 519 patients with asymptomatic abdominal aortic aneurysm and 672 with severe obstructive arterial diseases before surgical repair. Results In patients with abdominal aortic aneurysm, we identified a clear predominance of males ( p < 0. Read More

    The Consequences of Real Life Practice of Early Abdominal Aortic Aneurysm Repair: A Cost-Benefit Analysis.
    Eur J Vasc Endovasc Surg 2017 May 12. Epub 2017 May 12.
    Department of Surgery, Einthoven Laboratory for Experimental Vascular Medicine, Leiden University Medical Centre, Leiden, The Netherlands. Electronic address:
    Background: The reported 54 mm median intervention diameter for endovascular aneurysm repair (EVAR) in the Vascular Quality Initiative and European data from the Pharmaceutical Aneurysm Stabilisation Trial (PHAST) implies that in real life the majority of abdominal aortic aneurysm (AAA) repairs occur at diameters smaller than the consensus intervention threshold of 55 mm. This study explores the potential consequences of this practice.

    Methods: The differences between real life AAA repair and consensus based intervention threshold were explored in reported data from vascular quality initiatives and PHAST. Read More

    Metformin treatment does not affect the risk of ruptured abdominal aortic aneurysms.
    J Vasc Surg 2017 May 12. Epub 2017 May 12.
    Elitary Research Centre of Individualized Medicine in Arterial Disease (CIMA), Odense University Hospital, Odense, Denmark; Department of Vascular Surgery, Odense University Hospital, Odense, Denmark.
    Objective: Diabetes counteracts formation and rupture of abdominal aortic aneurysms, possibly through arterial matrix accumulation. Use of metformin, on the other hand, reduces arterial accumulation of matrix molecules. Consequently, we hypothesized that metformin treatment may reverse the protective role of diabetes on the development and course of aneurysms, that is, that metformin would be associated with aneurysm rupture among individuals with diabetes. Read More

    Prospective Study of Postoperative Glycemic Control with a Standardized Insulin Infusion Protocol after Infrainguinal Bypass and Open Abdominal Aortic Aneurysm Repair.
    Ann Vasc Surg 2017 May 11. Epub 2017 May 11.
    The University of Vermont Medical Center, 111 Colchester Avenue, Burlington, VT 05401. Electronic address:
    Introduction: The aim of this study was to examine the effect of moderate postoperative glycemic control in diabetic and non-diabetic patients undergoing infrainguinal bypass (INFRA) or open abdominal aortic aneurysm (OAAA) repair.

    Methods: In a single center prospective study, we investigated postoperative glycemic control using a standardized insulin infusion protocol after elective INFRA (n=53, 62%) and OAAA (n=33, 38%) between January 2013 and March 2015. The primary endpoint was optimal glycemic control, defined as having ≥85% of blood glucose values within the 80-150mg/dL target range. Read More

    Bifurcated-bifurcated aneurysm repair is a novel technique to repair infrarenal aortic aneurysms in the setting of iliac aneurysms.
    J Vasc Surg 2017 May 11. Epub 2017 May 11.
    Department of Surgery, University of Washington, Seattle, Wash.
    Background: Up to 40% of abdominal aortic aneurysms (AAAs) have coexistent iliac artery aneurysms (IAAs). In the past, successful endovascular repair required internal iliac artery (IIA) embolization, which can lead to pelvic or buttock ischemia. This study describes a technique that uses a readily available solution with a minimally altered off-the-shelf bifurcated graft in the IAA to maintain IIA perfusion. Read More

    Endovascular repair of a short neck abdominal aortic aneurysm with a physician-modified Vascutek Anaconda stent-graft.
    Ann Vasc Surg 2017 May 8. Epub 2017 May 8.
    Department of Cardiovascular Surgery, University Hospital of Saint-Etienne, France.
    An 81 year-old woman was referred for the treatment of a 79 mm-diameter short neck abdominal aortic aneurysm with highly tortuous iliac arteries. She was considered at high risk for open repair and not suitable for standard endovascular repair given the short length of the proximal neck. Delay for a manufactured custom-made fenestrated stent-graft was too long given the diameter of the aneurysm. Read More

    Lesson Learned with the Use of Iliac Branch Devices: Single Centre 10 Year Experience in 157 Consecutive Procedures.
    Eur J Vasc Endovasc Surg 2017 May 7. Epub 2017 May 7.
    Vascular Surgery Unit, S. Maria della Misericordia Hospital, University of Perugia, Perugia, Italy.
    Objective/background: Absence of an adequate iliac seal rarely represents an absolute contraindication to endovascular abdominal aortic aneurysm repair. Iliac branch devices (IBD) are increasingly used in patients with extensive aorto-iliac aneurysmal disease, but few data are available on the long-term results of these procedures.

    Methods: Between 2006 and 2016, 157 consecutive IBD procedures performed at a single centre were entered into a prospective database. Read More

    A robust construction algorithm of the centerline skeleton for complex aortic vascular structure using computational fluid dynamics.
    Comput Biol Med 2017 Apr 29;86:6-17. Epub 2017 Apr 29.
    Center for Computational Surgery, Houston Methodist Hospital, 6670 Bertner Avenue, WP254, Houston, TX 77030, USA; LaSIE UMR - 7356 CNRS - University of La Rochelle, Avenue Michel Crépeau, 17042, La Rochelle Cedex 1, France.
    Centerlines of blood vessels are useful tools to make important anatomical measurements (length, diameter, area), which cannot be accurately obtained using 2D images. In this paper a brand new method for centerline extraction of vascular trees is presented. By using computational fluid dynamics (CFD) we are able to obtain a robust and purely functional centerline allowing us to support better measurements than classic purely geometrical-based centerlines. Read More

    Percutaneous Septectomy in Chronic Dissection with Abdominal Aortic Aneurysm Creates Uniluminal Neck for EVAR.
    Cardiovasc Intervent Radiol 2017 May 10. Epub 2017 May 10.
    Department of Cardiothoracic Surgery, Falk Cardiovascular Research Center, Stanford University School of Medicine, Stanford Hospital and Clinics, 300 Pasteur Drive, CVRB MC 5407, Stanford, CA, 94305, USA.
    Purpose: The intent of this report is to describe the technical details and rationale of endovascular septectomy using a wire saw maneuver in cases of chronic aortic dissection and associated infra-renal aortic aneurysm to allow standard endovascular abdominal aortic graft placement; preliminary clinical experience is also retrospectively reviewed.

    Materials And Methods: Between June 2013 and June 2016, four consecutive patients (mean age 55.3 years; range 52-58 years) with chronic type B aortic dissection and isolated infra-renal abdominal aortic aneurysm (AAA) underwent endovascular aneurysm repair (EVAR) following guidewire septectomy to create a suitable proximal aortic landing zone. Read More

    Hybrid technique coil embolisation for intrahepatic arterioportal fistula in a cat: case report.
    JFMS Open Rep 2016 Jan-Jun;2(1):2055116916642256. Epub 2016 Apr 7.
    Tokyo University of Agriculture and Technology Animal Medical Center, Tokyo, Japan.
    Case Summary: A 13-month-old, female, mixed breed, 4.0 kg cat was referred with a 6 month history of decreased appetite, loss of vigour and intermittent vomiting. Physical examination revealed no cyanosis or wasting, and no audible heart murmur was auscultated. Read More

    Lifestyle and Risk of Screening-Detected Abdominal Aortic Aneurysm in Men.
    J Am Heart Assoc 2017 May 10;6(5). Epub 2017 May 10.
    Section of Vascular Surgery, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.
    Background: Modifiable lifestyle-related factors associated with risk of abdominal aortic aneurysm (AAA) are rarely investigated with a prospective design. We aimed to study possible associations among such factors and comorbidities with mean abdominal aortic diameter (AAD) and with risk of AAA among men screened for the disease.

    Methods And Results: Self-reported lifestyle-related exposures were assessed at baseline (January 1, 1998) among 14 249 men from the population-based Cohort of Swedish Men, screened for AAA between 65 and 75 years of age (mean 13 years after baseline). Read More

    A Case of Common Peroneal Nerve Palsy Associated with Internal Iliac Artery Embolization by Using N-butyl-2-cyanoacrylate (NBCA).
    Cardiovasc Intervent Radiol 2017 May 9. Epub 2017 May 9.
    Department of Radiology, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae-Ku Kawasaki, Kanagawa, 216-8511, Japan.
    A 64-year-old man was scheduled to undergo endovascular aneurysm repair for an abdominal aortic aneurysm (AAA). Since preoperative computed tomography showed an AAA with common iliac artery and internal iliac artery (IIA) aneurysms, IIA embolization was scheduled. Embolization using a coil was supposed to be performed; however, the lateral sacral artery could not be selected. Read More

    Deriving literature-based benchmarks for surgical complications in high-income countries: a protocol for a systematic review and meta-analysis.
    BMJ Open 2017 May 9;7(5):e013780. Epub 2017 May 9.
    Ariadne Labs, Boston, Massachusetts, USA.
    Introduction: To improve surgical safety, health systems must identify preventable adverse outcomes and measure changes in these outcomes in response to quality improvement initiatives. This requires understanding of the scope and limitations of available population-level data. To derive literature-based summary estimates of benchmarks of care, we will systematically review and meta-analyse rates of postoperative complications associated with several common and/or high-risk operations performed in five high-income countries (HICs). Read More

    A Real-World Experience Comparison of Percutaneous and Open Femoral Exposure for Endovascular Abdominal Aortic Aneurysm Repair in a Tertiary Medical Center.
    Vasc Endovascular Surg 2017 Jan 1:1538574417702774. Epub 2017 Jan 1.
    1 Department of Surgery, Inova Fairfax Medical Campus, Falls Church, VA, USA.
    Objective: To compare the outcomes of elective percutaneous endovascular aneurysm repair (PEVAR) versus surgical cutdown endovascular aneurysm repair (SEVAR) procedures performed at a tertiary medical center from 2012 to 2015.

    Methods: This is a unique study using procedure data from two vascular surgeons who performed SEVAR in almost every case versus three vascular surgeons who performed PEVAR in all cases except when considered prohibitive on account of circumferential calcification or severe occlusive disease of the common femoral artery or some other technical consideration. Medical records of patients aged 18 years or older undergoing elective PEVAR or SEVAR between January 2012 and December 2015 were reviewed. Read More

    Emergent Endovascular Repair of Challenging Aortocaval Fistula With Hostile Anatomy.
    Vasc Endovascular Surg 2017 Jan 1:1538574417701323. Epub 2017 Jan 1.
    1 Department of Vascular Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
    Aortocaval fistula (ACF) is a rare complication. Endovascular repair is an option for this fatal condition. However, endoleak and persistent fistula may occur and lead to technical failure. Read More

    Self-efficacy is an independent predictor for postoperative six-minute walk distance after elective open repair of abdominal aortic aneurysm.
    Disabil Rehabil 2017 Feb 21:1-5. Epub 2017 Feb 21.
    a Department of Rehabilitation , Nagoya University Hospital , Nagoya , Japan.
    Objectives: Open surgery is performed to treat abdominal aortic aneurysm (AAA), although the subsequent surgical stress leads to worse physical status. Preoperative self-efficacy has been reported to predict postoperative physical status after orthopedic surgery; however, it has not been sufficiently investigated in patients undergoing abdominal surgery. The purpose of the present study is to investigate the correlation between preoperative self-efficacy and postoperative six-minute walk distance (6MWD) in open AAA surgery. Read More

    Effect of Beta Blockers on Mortality After Open Repair of Abdominal Aortic Aneurysm.
    Ann Surg 2017 May 8. Epub 2017 May 8.
    *The Johns Hopkins Surgery Center for Outcomes Research (JSCOR), Johns Hopkins School of Medicine, Baltimore, MD †Division of Vascular and Endovascular Surgery, Department of Surgery, Johns Hopkins Bayview Medical Center, Baltimore, MD.
    Objective: To assess the effect of perioperative beta blocker (BB) use on postoperative in-hospital mortality after open repair of abdominal aortic aneurysm (OAR).

    Background: Postoperative mortality after OAR ranges from 3.0% to 4. Read More

    MMP family polymorphisms and the risk of aortic aneurysmal disease: A systematic review and meta-analysis.
    Clin Genet 2017 May 9. Epub 2017 May 9.
    Tumor Etiology and Screening Department of Cancer Institute and General Surgery, the First Affiliated Hospital of China Medical University, and Key Laboratory of Cancer Etiology and Prevention (China Medical University), Liaoning Provincial Education Department, Shenyang, 110001, China.
    It has been suggested that matrix metalloproteinase (MMP) polymorphisms are associated with the pathogenesis of aortic aneurysmal diseases. In this study, we conducted a systematic review with an update meta-analysis to investigate the relationship between MMP family polymorphisms and aortic aneurysmal diseases. We systematically reviewed 24 polymorphisms in eight MMP genes related to the risk of abdominal aortic aneurysm (AAA), thoracic aortic aneurysm (TAA) or thoracic aortic dissection (TAD). Read More

    Lakartidningen 2017 May 8;114. Epub 2017 May 8.
    Lasarettet Kalmar - Kirurgiska kliniken Kalmar, Sweden - Linköping, Sweden.
    Endovascular or open surgery for elective abdominal aortic surgery? Evidence from the 5 randomized trials OAR (open aortic repair) can be demanding for fragile patients, but has good long-term durability. EVAR (endovascular aortic repair) is more lenient, but is associated with life-long controls, more life-threatening reinterventions, a remaining threat of rupture and a possibly increased risk of death by cancer. All patients with an AAA (abdominal aortic aneurysm) must recieve a thorough evaluation of medical risk and expected survival before open/endovascular treatment and a discussion of the short- and long-term risks of the different treatment alternatives. Read More

    Quantitative Aortic Distensibility Measurement Using CT in Patients with Abdominal Aortic Aneurysm: Reproducibility and Clinical Relevance.
    Biomed Res Int 2017 18;2017:5436927. Epub 2017 Apr 18.
    Department of Radiology, Renmin Hospital of Wuhan University, Wuhan, China.
    Purpose. To investigate the reproducibility of aortic distensibility (D) measurement using CT and assess its clinical relevance in patients with infrarenal abdominal aortic aneurysm (AAA). Methods. Read More

    Perioperative Infections after Open Abdominal Aortic Aneurysm Repair lead to Increased Risk of Subsequent Complications.
    Ann Vasc Surg 2017 May 5. Epub 2017 May 5.
    Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University, School of Medicine, Boston, MA 02118. Electronic address:
    Objective: Patients undergoing open abdominal aortic aneurysm (AAA) repair are at risk of perioperative infections that can lead to subsequent complications. Our goal was to understand how an initial infectious complication influences the risk of subsequent complications in this cohort of patients.

    Methods: Using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database (2005 to 2012), we evaluated the relationship between three index infectious complications after open elective AAA repair (pneumonia, deep/organ surgical site infection, and urinary tract infection) and subsequent complications. Read More

    A Steerable Sheath to Deploy Hypogastric Bridging Stent by Contralateral Femoral Approach in an Iliac Branch Procedure after EVAR.
    Ann Vasc Surg 2017 May 5. Epub 2017 May 5.
    Department of Surgery "PietroValdoni", "Sapienza" University, Rome.
    Aneurysmal degeneration of distal landing zones after endovascular aneurysm repair (EVAR), can be a potential cause of late failure of this technique. Aneurysmal degeneration of common iliac arteries increases the risk of rupture of the iliac aneurysm itself as well as of the abdominal aortic aneurysm (AAA) owing to aneurysm's reperfusion as a type Ib endoleak. Reoperation consists in plugging and covering the internal iliac artery (IIA), by extension into the external iliac artery, or preservation of antegrade flow in IIA by iliac branch devices (IBD) or sandwich technique. Read More

    Complicated infective endocarditis: a case series.
    J Med Case Rep 2017 May 8;11(1):128. Epub 2017 May 8.
    Division of Cardiothoracic Surgery, Kangnam Sacred Heart Hospital, Hallym University Medical Center, Seoul, South Korea.
    Background: Infective endocarditis is associated with not only cardiac complications but also neurologic, renal, musculoskeletal, and systemic complications related to the infection, such as embolization, metastatic infection, and mycotic aneurysm.

    Case Presentation: We report three cases (the first patient is Chinese and the other two are Koreans) of complicated infective endocarditis; two of the cases were associated with a mycotic aneurysm, and one case was associated with a splenic abscess. One case of a patient with prosthetic valve endocarditis was complicated by intracerebral hemorrhage caused by mycotic aneurysm rupture. Read More

    Leaking abdominal aortic aneurysm mimicking ureteric colic: So rare but so real in Middle East.
    Urol Ann 2017 Apr-Jun;9(2):192-193
    Department of Urology, King Hamad University Hospital, Al Sayh, Kingdom of Bahrain.
    Aortic aneurysms are very rare in Middle East unlike Europe and America. Therefore, this pathology is very likely to be missed in acute presentation to the Emergency Medicine Department. We present a case of leaking abdominal aortic aneurysm mimicking right ureteric colic, which was missed in the initial assessment. Read More

    Third vs. Second Generation Stent-Graft for Endovascular Aneurysm Repair: a device specific analysis.
    Ann Vasc Surg 2017 May 4. Epub 2017 May 4.
    University of Milan, Milan, Italy, Via festa del perdono,7, Milan, Italy, Institution reference: Centro Cardiologico Monzino, Milan, Italy.
    Purpose: to analyze outcomes of Endovascular Aneurysm Repair (EVAR) in patients treated with Excluder endograft (W.L. Gore and Associate, Flagstaff, AZ), comparing 2(nd) generation featuring SIM-PULL delivery system (ExSP), and 3(rd) generation, featuring C3 (ExC3), concerning intra-procedural data and long-term outcomes. Read More

    Embo-EVAR: a technique to prevent type II endoleak? A single centre experience.
    Ann Vasc Surg 2017 May 4. Epub 2017 May 4.
    Vascular Surgery Department. - U. Parini Hospital - 11100 AOSTA - ITALY.
    Objectives: To evaluate the role of intraprocedural aneurysm sac embolisation (embo-EVAR) during endovascular abdominal aneurysm repair (EVAR) using coils and fibrin glue for preventing type II endoleak (EII).

    Materials And Methods: A retrospective clinical case analysis of 72 patients who underwent EVAR during the period 2011-2014. Two groups were compared at 6 and 12 months follow-up with MDCT scan and Contrast-enhanced ultrasound (CEUS) imaging: consecutively, 36 patients (group A) treated with classic EVAR and 36 patients (group B) treated with embo-EVAR. Read More

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