6,478 results match your criteria Ann Vasc Surg[Journal]


Demystifying the Use of Self Expandable Interwoven Nitinol Stents in Femoropopliteal Peripheral Arterial Disease.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

The Department of Radiology, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK,. Electronic address:

Femoropopliteal atherosclerosis affects a significant percentage of the world population leading to intermittent claudication and critical limb ischemia. The femoropopliteal segment has a unique set of biomechanical challenges that must be considered and overcome for treatment. The use of stents is a reality and a necessity in peripheral interventions. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.014DOI Listing

SINGLE-CENTER EXPERIENCE IN THE TREATMENT OF VISCERAL ARTERY ANEURYSMS.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Vascular Surgery - Policlinico Umberto I°; "Sapienza" University - Rome.

Aims: Visceral artery aneurysms (VAAs), although rare, represent a life-threatening disease with high mortality rates. With the more frequent use of diagnostic tests, there has been an incidental detection of these lesions which are mostly asymptomatic. It follows that surgeons are increasingly called to decide the most appropriate management of VAAs between an open surgical or endovascular approach and among the different endovascular options currently available. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096193024
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http://dx.doi.org/10.1016/j.avsg.2019.01.010DOI Listing
April 2019
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Prevalence and impact of malnutrition in patients surgically treated for chronic mesenteric ischemia.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of vascular surgery, Besançon University Hospital, Besançon, France; EA3920, Besançon University Hospital, Besançon, France. Electronic address:

Objectives: The patients suffering from chronic mesenteric ischemia are at risk of malnutrition due to the fear of food and the weight loss. However the impact of malnutrition on the morbi-mortality at the time of surgery remains little studied, just as its prevalence. The main objective of this study was to evaluate the influence of malnutrition on the survival of the patients operated for chronic mesenteric ischemia. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.02.009DOI Listing
April 2019
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Endovascular Exclusion of Abdominal Aortic Aneurysms and Simultaneous Resection of Colorectal Cancer.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Direction de la Recherche Clinique et de l'Innovation, CHU de Poitiers, DRC, Poitiers, France.

Background: No consensus exists on the optimal strategy for treatment of abdominal aortic aneurysm (AAA) associated with colorectal cancer (CRC). The purpose of this study was to evaluate the results of endovascular treatment of AAA with simultaneous resection of CRC.

Methods: Twenty-two consecutive patients presenting a AAA associated with a CRC were treated by endovascular AAA exclusion (EVAR) and simultaneous colorectal cancer resection. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.02.006DOI Listing

Thrombolysis for Management of Phlegmasia Cerulea Dolens in the First Trimester of Pregnancy.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Surgery, Northwest Community Hospital, Arlington Heights IL.

Introduction: Pregnancy is a hypercoagulable state associated with a fivefold increase in risk of venous thromboembolism. Thrombolysis is the preferred level of care for patients with acute ilio-femoral deep vein thrombosis, however most studies exclude pregnant patients, highlighting the lack of data regarding the efficacy and safety of thrombolytic therapy for the mother and fetus.

Case Report: We describe successful use of thrombolytic therapy in conjunction with ultrasound to remove a large ileo-femoral deep vein thrombosis (DVT) in a first trimester patient with phlegmasia cerulea dolens. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.018DOI Listing

A study on Pressure Lowering Effect of the Multilayer Stent.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Cardiology Ward 1, Beijing Anzhen Hospital of Capital Medical University, Beijing 100029, China. Electronic address:

Objective: To investigate the hemodynamic changes of the blood flow in the aneurysm model after the multilayer stent placement using fluid dynamic method, in order to analyze the effectiveness and properties of the multilayer stent in the treatment of aortic aneurysms.

Methods: A water tank was filled with 5L of experimental liquid after the circular flow pressure test platform with a glass aneurysm model and a multilayer stent was built. Pressure at the middle part and the distal aneurysm neck part of the model was then measured. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.012DOI Listing
April 2019
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Cerebral Hemodynamic Variations in the Early Stage after Carotid Artery Stenting in Patients with and without Near Occlusion.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Interventional Radiology and Vascular Surgery, Peking University First Hospital, Beijing, CHINA.

Objective: To evaluate the unclear cerebral hemodynamic variations in patients with and without near occlusion (NO) in hours following carotid artery stenting (CAS) by transcranial Doppler (TCD).

Methods: Data of 56 patients (11 patients with carotid artery NO and 45 patients with severe stenosis without NO) who underwent unilateral CAS were analyzed. All patients underwent TCD or transcranial color-code Doppler monitoring before CAS, and again at one and three hours post-procedure. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.020DOI Listing

Predisposing factors for migration of the iliac limb and reintervention after endovascular abdominal aortic aneurysm repair.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Vascular Surgery, the Affiliated Hospital of Qingdao University, Qingdao, China. Electronic address:

Objective: Migration of the iliac limb after endovascular abdominal aortic aneurysm repair (EVAR) can result in type 1b and 3 endoleaks that are relatively common causes of reintervention after EVAR. The aim of the present study was to investigate the factors influencing migration of the iliac limb and methods of treatment.

Methods: From April 2012 to September 2017, four patients experienced migration of the iliac limb, requiring additional iliac stent graft implantation intraoperatively or at follow-up at our institute. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.007DOI Listing
April 2019
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Esophageal resection, gastric tube reconstruction and omental flap coverage of iatrogenic aortoesophageal fistula after secondary thoracic stentgraft infection: a case report.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of vascular surgery, UMC Utrecht. Electronic address:

Secondary stentgraft infection is a life-threatening complication after thoracic endovascular aortic repair (TEVAR). There is no consensus on optimal treatment strategy, but combined antibiotic and surgical treatment is advocated. Two years after his TEVAR procedure, a 70-year old patient was admitted to the hospital with a secondary peri-aortic abscess. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.02.011DOI Listing

The Application of Virtual Reality in Patient Education.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Division of Vascular Surgery, Department of Surgery, Virginia Commonwealth University School of Medicine, Richmond, VA. Electronic address:

Background: Virtual reality (VR) provides an immersive image viewing experience that has recently been expanding in use in clinical medicine. We developed a three-dimensional (3D) model of an abdominal aortic aneurysm (AAA) for patients with a diagnosis of an AAA to view in VR to assess the utility of VR in patient education.

Materials And Methods: This was a cross-sectional study using an educational intervention. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.015DOI Listing

Retrograde Type A intramural hematoma treated endovascularly in two cases.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Cardiothoracic Surgery St. Antonius Hospital, Nieuwegein; Department of Cardiothoracic Surgery, Amsterdam AMC, Amsterdam(+) The Netherlands.

Type A aortic dissection is a highly lethal condition, which warrants swift open surgical intervention to prevent death by rupture or malperfusion. Aim is to resect the proximal intimal tear and realign the dissected wall layers. We describe two patients who recently presented in our centre with a retrograde Type A intramural hematoma and a clear intimal tear distal to the left subclavian artery, that were treated in emergency by endovascular means instead of open surgery, with satisfactory short and one year follow-up results. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.107DOI Listing

Endovascular treatment of an external iliac artery dissection causing early renal graft dysfunction.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Cardiology Postgraduate Institute of Medical Education and Research, Chandigarh-160012, India.

Vascular complications such as renal artery or renal vein thrombosis and laceration, and iliac artery dissection are rarely encountered following renal transplantation. A timely management of these vascular complications is important to prevent ischemic injury of a transplanted kidney. We hereby report a 60-year-old male who had acute renal dysfunction due to iatrogenic left external iliac artery dissection, following renal transplantation. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.108DOI Listing

STENT GRAFT LENGTH IS ASSOCIATED WITH DECREASED PATENCY IN TREATMENT OF CENTRAL VENOUS STENOSIS IN HEMODIALYSIS PATIENTS.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

St. Louis University, Saint Louis, MO, USA. Electronic address:

Objectives: Central venous occlusion may occur in hemodialysis patients resulting in arm or facial swelling and failure of dialysis access. Endovascular management with balloon angioplasty or stenting has been described, but there is minimal data on the use of covered stents in this pathology. We sought to review a single institution's experience with the use of covered stents for central venous occlusive disease in hemodialysis patients. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096193025
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http://dx.doi.org/10.1016/j.avsg.2019.01.024DOI Listing
April 2019
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Splenic Infarct After Warfarin Overdose Treatment; Is it coincidence or complication?

Authors:
Gökhan Yilmaz

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Specialist, Emergency Medicine Clinic, Kayseri Training and Research Hospital, Kayseri, Turkey. Electronic address:

The Splenic infarct is a rare clinical condition seen in the emergency department and can mimic acute abdomen. Hematologic, vascular and thromboembolic events are considered in the etiology. Treatment options are varying between symptomatic treatment and splenectomy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096193026
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http://dx.doi.org/10.1016/j.avsg.2019.02.012DOI Listing
April 2019
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Two-Year Outcomes of Early Cannulation Arteriovenous Grafts for End Stage Renal Disease.

Authors:
Sapan S Desai

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Director of Performance Improvement, Northwest Community Healthcare, Arlington Heights, IL 60005. Electronic address:

Introduction: Almost 80% of patients with end stage renal disease (ESRD) initiate dialysis via a central venous catheter (CVC). CVCs are associated with multiple complications and a high cost of care. The purpose of our project is to determine the impact of early cannulation arteriovenous grafts (ECAVGs) on quality of care and costs. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.02.007DOI Listing
April 2019
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Endovascular treatment of aortic arch vessels stents migration: 3case reports.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Vascular Surgery, Nancy University Hospital. University of Lorraine, Nancy, France; Inserm Unit 1116, University of Lorraine, Nancy, France. Electronic address:

Percutaneous angioplasty and stenting is nowadays the treatment of choice in atherosclerotic stenosic lesions of the supra aortic trunks. Stent migration is a seldom published complication that can alter the short term results of these procedures. Herein, we report three cases, from three different institutions, of secondary auto expandable stent migration, following endovascular treatment of major arch vessels stenosis, and their subsequent endovascular management using three different retrieval techniques. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.029DOI Listing
April 2019
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Incidence, management and outcomes of aortic graft infection.R1 Aortic graft infection.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Vascular Surgery, Canberra Hospital, Yamba Drive, Garran, ACT, 2605.

Objectives: Infection complicates 1% of aortic grafts, and although uncommon, the associated morbidity and mortality are significant. We sought to determine risk factors for aortic graft infection (AGI), the long-term outcomes in patients managed both non-operatively and via explantation METHODS: This observational study reviewed sequential aortic grafts (thoracic or abdominal) inserted via open or endovascular (EVAR) means between 2000 and 2017. We used Cox proportional hazards regression analyses to compare risk factors between groups who did and did not acquire an AGI, and recorded method of management, morbidity, mortality, and duration to adverse event RESULTS: There were 883 aortic repairs, 49% were endovascular. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.027DOI Listing
April 2019
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The clinical impact of splanchnic ischemia in patients affected by thoracoabdominal aortic aneurysms treated with fenestrated and branched endograft.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Vascular Surgery, Department of Experimental, Diagnostic and Speciality Medicine, University of Bologna, Policlinico Sant'Orsola-Malpighi Bologna - Italy.

Introduction: Fenestrated/branched endografts (FB-EVAR) are valid options to treat thoraco-abdominal aortic aneurysms (TAAA). Successful repair requires target-visceral-vessels (TVV) manipulation with possible splanchnic ischemia. Aim of the study was to evaluate the clinical impact of splanchnic ischemia occurring in FB-EVAR for TAAA. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.026DOI Listing

Local Anesthetic Block of the Anterior Scalene Muscle Increases Muscle Height in Patients with Neurogenic Thoracic Outlet Syndrome.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Division of Vascular Surgery and Endovascular Therapy, Johns Hopkins University School of Medicine, Baltimore, MD. Electronic address:

Introduction: Local anesthetic (LA) blocks of the anterior scalene muscle are used to predict which patients with neurogenic thoracic outlet syndrome (TOS) may benefit from surgical decompression. The block is thought to work through both analgesic and muscle relaxation effects, but evidence of the latter is lacking. The aim of our study was to assess the effects of LA block on anterior scalene muscle anatomy as captured by magnetic resonance imaging (MRI). Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.023DOI Listing

Multicenter analysis of endovascular aortic arch in situ stent graft fenestrations for aortic arch pathologies.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Vascular and Endovascular Surgery, University Hospital Regensburg, Germany.

Objective: In situ fenestration of aortic stent grafts for treatment of aortic arch aneurysms is a new option for endovascular aortic arch repair. So far, only few reports have shown perioperative and short term results of in situ fenestrations for aortic arch diseases. We present the multicenter experience with the (aortic archin situfenestration) technique documented in the AARCHIF registry for treatment of aortic arch aneurysms or localized type A aortic dissections and analyzed perioperative outcome and midterm follow up. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.02.005DOI Listing

Perioperative and follow-up results of Carotid Artery Stenting and Carotid Endarterectomy in Patients with carotid near-occlusion.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Institute of Vascular Surgery, Department of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, China.

Objective: Comparing perioperative and follow-up results of Carotid Artery Stenting (CAS) and Carotid Endarterectomy (CEA) in Patients with carotid near-occlusion (NO).

Methods: A retrospective analysis was conducted from January 2012 to June 2017 on consecutive NO patients in our center. Perioperative complications, recurrence rate of ischemic stroke, restenosis rate and mortality in follow-up were compared between CAS group and CEA group. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.019DOI Listing

Laparoscopic Surgery in Chronic Mesenteric Ischaemia: Release of the Superior Mesenteric Artery from the Median Arcuate Ligament using the Transperitoneal Left Retrorenal Approach.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Vascular and Thoracic Surgery, Hôpital Bichat, and SURVI (Structure d'URgences Vasculaires Intestinales), Intestinal Stroke Center, Groupe Hospitalier Universitaire Paris Nord Val de Seine (GHUPNVS), Faculté de Médecine Denis Diderot, Paris 7, France.

Median arcuate ligament (MAL) syndrome usually involves the celiac artery (CA) only. Far less frequently, both the CA and superior mesenteric artery (SMA) are compressed, leading to chronic mesenteric ischaemia. We report the case of a 46-year-old woman with a 4-year history of permanent nausea, postprandial abdominal pain and asthenia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096193023
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http://dx.doi.org/10.1016/j.avsg.2019.01.009DOI Listing
April 2019
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Aspirin-Dependent Platelet Inflammatory Inhibition In Healthy Subjects Decreases Nlrp1 Inflammasome.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Angiology and Vascular Surgery Department. Hospital Universitario de Getafe. Madrid. Spain.

Objective: Inflammation and endothelial dysfunction are implicated in the onset of atherosclerosis. Inflammasome activation takes part in the pathogenesis of the atherosclerotic disease. This study investigated the influence of platelet inflammatory inhibition on the transcription of intracitosolic NLRP-1 inflammasome in endothelial cells. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.02.008DOI Listing

THE V -BLOCK OCCLUSION STENT AND SCLEROTHERAPY DEVICE FOR VARICOSE VEIN TREATMENT - A RETROSPECTIVE ANALYSIS.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Centre for Outpatient Vascular Treatment CAT.

Background: The procedure aims to show our results with a novel non-tumescent, non-thermal technique to treat varicose veins. The V Block occlusion stent is a minimally invasive device for treating reflux of the great saphenous vein. It is an office-based procedure that does not require tumescence anesthesia. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.025DOI Listing

Hybrid Repair of an Intrathoracic Bi-Lobed Subclavian Artery Aneurysm.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Department of Vascular Surgery, Englewood Hospital, Englewood New Jersey, USA.

Intrathoracic subclavian artery aneurysms are extremely rare, <1% of all aneurysms. The formation of these aneurysms is often multifactorial, with the most common contributing factor being atherosclerosis. This case report describes a right subclavian artery aneurysm that required a surgical hybrid approach. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.106DOI Listing

Review:Using the Idea, Development, Exploration, Assessment, Long-term study Framework for Devices (IDEAL-D) to better understand the evolution of evidence surrounding fenestrated abdominal aortic endovascular grafts.

Ann Vasc Surg 2019 Apr 19. Epub 2019 Apr 19.

Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire. Electronic address:

The use of fenestrated endovascular devices for repair of complex aortic aneurysms has increased to nearly 5,000 implantations annually in Medicare patients in the United States in recent years. Given that nearly all aspects of treatment for minimally invasive aortic intervention rely on medical devices to better care for patients with vascular disease, a clear understanding how new and innovative technology evolves over the life cycle of a medical device is an essential skill set for cardiovascular physicians. Despite the need for this understanding, there is no standard framework upon which cardiovascular physicians, regulators, and patients can rely to better understand the evolution of evidence from product inception through adoption and long-term effectiveness evaluation. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.02.010DOI Listing
April 2019
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Presentation and Management of Inferior Vena Cava Thrombosis.

Ann Vasc Surg 2019 Apr 27;56:17-23. Epub 2018 Oct 27.

Department of Surgery, New York University Langone Medical Center, New York, NY. Electronic address:

Background: Inferior vena cava thrombosis (IVCT), although rare, has a potential for significant morbidity and mortality. IVCT is often a result of IVC filter thrombosis, but it can also occur de novo. Although anticoagulation remains the standard of care, endovascular techniques to restore IVC patency have become key adjunctive therapies in recent years. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096183084
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http://dx.doi.org/10.1016/j.avsg.2018.08.082DOI Listing
April 2019
2 Reads

Commentary to "Dropped bifurcation technique for femoral endarterectomy".

Ann Vasc Surg 2019 Apr 5. Epub 2019 Apr 5.

Asturias University Central Hospital (HUCA), Oviedo, Spain.

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http://dx.doi.org/10.1016/j.avsg.2019.02.004DOI Listing
April 2019
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Novel approach to prevention of perioperative stroke in patients undergoing debranching thoracic endovascular aortic repair with mini-cardiopulmonary bypass support.

Ann Vasc Surg 2019 Apr 4. Epub 2019 Apr 4.

Department of Cardiovascular Surgery, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.

Objective: Perioperative stroke is a major complication after debranching thoracic endovascular aortic repair (TEVAR), with a reported incidence of 7.0% to 26.9%. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.09.036DOI Listing

Re: "Is there an important role for anxiety and depression in the elderly patient with critical limb ischemia, especially after major amputation?"

Ann Vasc Surg 2019 Mar 26. Epub 2019 Mar 26.

Vascular Surgery Unit, Foundation I.R.C.C.S. Policlinico San Matteo, Pavia, ITALY.

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http://dx.doi.org/10.1016/j.avsg.2019.03.001DOI Listing
March 2019
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Predictors for survival in patients with abdominal aortic aneurysms.

Authors:
Tomoyuki Kawada

Ann Vasc Surg 2019 Mar 26. Epub 2019 Mar 26.

Department of Hygiene and Public Health, Nippon Medical School. Electronic address:

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http://dx.doi.org/10.1016/j.avsg.2019.02.003DOI Listing
March 2019
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African Americans Are at a Higher Risk for Limb Loss but Not Mortality after Lower Extremity Bypass Surgery.

Ann Vasc Surg 2019 Mar 23. Epub 2019 Mar 23.

Division of Vascular Surgery, Penn State Heart and Vascular Institute, Pennsylvania State University, College of Medicine, Hershey, PA. Electronic address:

Background: Lower extremity revascularization is the gold standard for treatment of symptomatic peripheral arterial disease. The objective of this study was to examine the impact of race on 30-day outcomes among patients with peripheral arterial disease who have undergone open lower extremity bypass.

Methods: Data were obtained from the 2013 American College of Surgeons National Surgical Quality Improvement Program database using Procedure Participant User File. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.004DOI Listing
March 2019
4 Reads
1.029 Impact Factor

Higher Inpatient Mortality for Women Following Intervention for Lifestyle Limiting Claudication.

Ann Vasc Surg 2019 Mar 22. Epub 2019 Mar 22.

Section of Vascular and Endovascular Surgery, Department of Surgery, Yale School of Medicine, New Haven, CT. Electronic address:

Objectives: Sex-related differences in outcomes have been identified in patients with peripheral artery disease (PAD). We hypothesized that women with PAD would have equivalent inpatient mortality with men following vascular intervention.

Methods: Patients with a primary diagnosis of critical limb ischemia (CLI) or lifestyle-limiting claudication (LLC) receiving endovascular (EV) or open surgical repair (OSR) from 2003-2012 were identified from the Nationwide Inpatient Sample. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.006DOI Listing
March 2019
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Outcome comparison of TEVAR with and without left subclavian artery revascularization from analysis of Nationwide Inpatient Sample database.

Ann Vasc Surg 2019 Mar 22. Epub 2019 Mar 22.

Department of Surgery, University of Washington, Seattle, WA. Electronic address:

Objectives: The purpose of this study was to compare the outcomes of thoracic endovascular aortic repair (TEVAR) without and with Left Subclavian Artery (LSA) revascularization using the Nationwide Inpatient Sample database (NIS).

Methods: NIS records from 2005 to 2013 were retrospectively analyzed to identify patients undergoing TEVAR without and with LSA revascularization. Perioperative outcomes were compared between the two groups. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.01.005DOI Listing

One-Year Results of Iliocaval Stenting.

Ann Vasc Surg 2019 Mar 1. Epub 2019 Mar 1.

Department of Vascular & Endovascular Surgery, Perth, Western Australia, Australia. Electronic address:

Background: The aim of the study was to assess results of interventions for iliocaval obstruction or compression in patient with acute and chronic venous disease.

Methods: Patients with chronic venous insufficiency (CVI) C3-C6 (Clinical, Etiology, Anatomy, Pathology - classification of venous insufficiency) and acute deep venous thrombosis were assessed by ultrasound scan, computed tomography, venography, and/or intravascular ultrasound, and if an obstruction in their iliocaval or iliofemoral segments were confirmed, they underwent venoplasty and stenting. Acute deep venous thrombosis cases were treated with pharmacomechanical and/or catheter-directed thrombolysis and residual obstruction was then stented. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.082DOI Listing
March 2019
4 Reads

TEVAR for Secondary Aortobronchial Fistulas: Two Cases with Favorable Long-term Outcomes.

Ann Vasc Surg 2019 Feb 28. Epub 2019 Feb 28.

Vascular Surgery Department, General Hospital of Thessaloniki "Georgios Papanikolaou", Exochi, Greece.

Secondary aortobronchial fistula (ABF) is an uncommon clinical entity associated with increased mortality. Most common presentation is hemoptysis, ranging from repetitive self-limiting episodes to massive hematemesis. Mediastinitis (if present) and excessive blood loss burden the unfavorable case of ABF, whereas stent-graft contamination and sepsis are the main concerns regarding endovascular therapy. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.103DOI Listing
February 2019
4 Reads

Impact of the Aortic Graft on Arterial Stiffness and Inflammatory Biomarkers after Endovascular Aortic Repair or Open Surgical Repair in Abdominal Aortic Aneurysm Disease.

Ann Vasc Surg 2019 Feb 23. Epub 2019 Feb 23.

Endothelium and Cardiometabolic Medicine Unit, Department of Internal Medicine, Ramón y Cajal University Hospital, Madrid, Spain.

Background: Abdominal aortic aneurysm (AAA) is an important cardiovascular (CV)-related disease that requires surgical treatment to prevent rupture. The elevation of arterial stiffness (AS) is an increasingly recognized independent determinant of CV morbidity and mortality and plays a special role in atherosclerosis. The importance of the surgical technique used for AAA repair in the long-term outcomes still needs to be clarified, and whether endovascular aortic repair (EVAR) or open surgical repair (OSR) confers high AS measurements and thus worse prognosis in terms of CV morbidity needs further investigation. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.092DOI Listing
February 2019
2 Reads

First Population-Based Screening of Abdominal Aortic Aneurysm in Portugal.

Ann Vasc Surg 2019 Feb 22. Epub 2019 Feb 22.

Departamento de Cirurgia e Fisiologia, Unidade de Investigação Cardiovascular, Faculdade de Medicina da Universidade do Porto, Porto, Portugal.

Background: The incidence of abdominal aortic aneurysm (AAA) repairs in Portugal is one of the lowest mentioned in the literature. This phenomenon can be justified either by a low prevalence of the disease or by its low detection rate. To date, the prevalence of the pathology is unknown. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096193016
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http://dx.doi.org/10.1016/j.avsg.2018.12.091DOI Listing
February 2019
6 Reads

Clinical and Morphological Outcomes in Endovascular Aortic Repair of Abdominal Aortic Aneurysm Using GORE C3 EXCLUDER: Comparison between Patients Treated within and Outside Instructions for Use.

Ann Vasc Surg 2019 Feb 23. Epub 2019 Feb 23.

Department of Surgery, Yale University School of Medicine, New Haven, CT.

Background: The goals of this study were to evaluate mid-term outcome in endovascular aortic repair (EVAR) of abdominal aortic aneurysm (AAA) using a GORE C3 EXCLUDER and compare results between patients treated within and outside the instructions for use (IFU).

Methods: Over a 3-year period spanning October 2013 to September 2016, consecutive patients undergoing EVAR for AAA using the C3 EXCLUDER at Tokyo Medical University Hospital were registered on a prospectively maintained database. The data thus obtained were retrospectively analyzed. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.090DOI Listing
February 2019
3 Reads

Ruptured Mycotic Aneurysm After Intravesical Instillation for Bladder Tumor.

Ann Vasc Surg 2019 Feb 22. Epub 2019 Feb 22.

Nuclear Medicine, Department of Translational Research and New Technology in Medicine, University of Pisa, Pisa, Italy.

Background: Intravesical instillation of Bacillus Calmette-Guérin (BCG) is an effective and widely used treatment for patients with in situ bladder cancer. Major complications are quite uncommon, but a systemic dissemination of the attenuated strain of Mycobacterium bovis is possible. Few cases of aortic rupture caused by M bovis infection are described in literature. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.100DOI Listing
February 2019
2 Reads

"Aortoiliac-Mesenteric Steal Syndrome" Treated with Inferior Mesenteric to Common Iliac Artery Transposition.

Ann Vasc Surg 2019 Feb 22. Epub 2019 Feb 22.

Department of Vascular Surgery, Canberra Hospital, Garran, ACT, Australia.

We report the case of a 54-year-old female who presented with chronic mesenteric ischemia symptoms which could also be provoked on walking 50-100 m. Computed tomography angiography demonstrated ostial occlusion of all 3 mesenteric vessels, with extensive collateralization reconstituting the inferior mesenteric artery from the iliac arteries. As such, her abdominal pain was secondary to preferential flow to the lower limbs stealing from mesenteric vasculature. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.074DOI Listing
February 2019
2 Reads

The clinical outcomes in patients with critical limb ischemia one year after spinal cord stimulation.

Ann Vasc Surg 2019 Feb 22. Epub 2019 Feb 22.

E. Meshalkin National Medical Research Center of the Ministry of Health of the Russian Federation, 15 Rechkunovskaya Street, Novosibirsk 630055, Russia.

Aim: The aim of this study was to evaluate the long-term outcomes of spinal cord stimulation in patients with critical limb ischemia and to test the hypothesis that the dynamics of clinical changes one year after therapy depend both on the clinical determinants associated with the underlying disease and on factors related to systemic atherosclerosis.

Methods: This prospective cohort study included 56 patients with critical limb ischemia. All patients before and after spinal cord stimulation were examined in terms of the dynamics of their clinical changes using the Rutherford scale and transcutaneous oxygen tension (TcPO, mmHg) in the affected foot. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.093DOI Listing
February 2019
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Symptomatic Aortic Bare-Metal Stent Fracture after PETTICOAT Technique for Complicated Type B Aortic Dissection.

Ann Vasc Surg 2019 Feb 23. Epub 2019 Feb 23.

Department of Vascular and Endovascular Surgery, Ramón y Cajal's University Hospital, Madrid, Spain.

Background: Aortic bare-metal stent rupture is an exceptional complication, associated with high risk of aorta rupture and death. We describe a successful endovascular approach for a symptomatic aortic bare-metal stent fracture after the provisional extension to induce complete attachment (PETTICOAT) technique.

Methods: A 53-year-old man with a complicated type B aortic dissection (visceral malperfusion) was treated with thoracic endovascular aortic repair (TEVAR) and "PETTICOAT" technique. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.098DOI Listing
February 2019
7 Reads

Hybrid Repair of an Innominate Artery Mycotic Aneurysm with an "On-The-Table" Customized Endograft.

Ann Vasc Surg 2019 Feb 23. Epub 2019 Feb 23.

Department of Vascular Surgery, Hospital Universitario Central de Asturias (H.U.C.A), Oviedo, Spain.

Background: The objective of this report is to present a challenging case of a mycotic aneurysm of the innominate artery (IA) in a patient with a bovine aortic arch.

Materials And Methods: An 85-year-old woman presented with intermittent fever and positive blood cultures for Staphylococcus aureus. An echocardiogram and a positron emission tomography-computed tomography were performed, showing a hypermetabolic dilation of the IA compatible with a mycotic aneurysm with a type one bovine aortic arch. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.097DOI Listing
February 2019
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A Unique Bailout Method for the Repair of Abdominal Aortic Aneurism with a Narrow Iliac Bifurcation.

Ann Vasc Surg 2019 Feb 23. Epub 2019 Feb 23.

Division of Vascular Surgery, Department of Surgery, University of Maryland Medical Center, Baltimore, MD.

Background: Endovascular aneurysm repair (EVAR) became the procedure of first choice for the repair of the abdominal aortic aneurysms (AAAs) in the last decades. However, narrow distal aorta remains to be the main limiting factor for the use of EVAR. A limited number of bail-out procedures have been described in the literature to overcome this problem. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.096DOI Listing
February 2019
2 Reads

Crohn's Disease Complicated With Extensive Thrombosis of Limbs and Mesenteric Arteries: A Case Report and Literature Review.

Ann Vasc Surg 2019 Feb 23. Epub 2019 Feb 23.

Department of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, Qingdao City, Shandong Province, China. Electronic address:

Background: Crohn's disease (CD) is a lifelong disease characterized by purulent inflammation in the gastrointestinal tract from any part of the mouth to the anus. Various studies have reported complications of the CD. However, arterial thrombosis is an extremely rare complication of CD. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.079DOI Listing
February 2019
3 Reads

Endovascular aortic repair is a viable strategy for treatment of primary infected abdominal aortic aneurysm.

Ann Vasc Surg 2019 Feb 22. Epub 2019 Feb 22.

Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China.

Purpose: Infected abdominal aortic aneurysm (IAAA) is rare, and information is limited whether endovascular aortic repair (EVAR) can be considered a permanent treatment, or is a temporary fix preceding open surgery. This retrospective study reviewed the short- and long-term outcomes of open surgery, emergent EVAR, and elective EVAR in the treatment of primary IAAA.

Methods: Between January 2008 and January 2017, 16 men and 3 women (60. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.080DOI Listing
February 2019

Portopulmonary Hypertension: A Complex Case Derived from Multiple Penetrating Trauma-Induced Mesenteric Arteriovenous Fistulae.

Ann Vasc Surg 2019 Feb 22. Epub 2019 Feb 22.

Department of Vascular Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, People's Republic of China. Electronic address:

Portopulmonary hypertension (PoPH) is a well-recognized complication of portal hypertension. This study reports a case of PoPH that was secondarily caused by post-traumatic mesenteric arteriovenous fistula. A 38-year-old man with a history of knife stabbing wounds in the abdomen in 2003 was admitted to the hospital with exertional shortness of breath and a mechanic murmur over the umbilical region. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.078DOI Listing
February 2019
3 Reads

Complex Repair of Juxtarenal Abdominal Aortic Aneurysm with an Anatomical Variant of the Renal Arteries.

Ann Vasc Surg 2019 Feb 22. Epub 2019 Feb 22.

Division of Vascular Surgery, Mayo Clinic Florida, Jacksonville, FL.

Hybrid repair involves both open and endovascular interventions. This technique has been increasingly used in treating complex aortic aneurysms as an alternative to conventional open repairs, mainly because of the avoidance of aortic cross-clamping and the associated increased ischemia time to the viscera. We report a hybrid repair of a juxtarenal abdominal aortic aneurysm complicated by a nonstandard right renal artery originating just proximal to the aortic bifurcation in the setting of a nonfunctional left kidney. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.076DOI Listing
February 2019
3 Reads

Carotid Endarterectomy Outcomes in the Elderly: A Canadian Institutional Experience.

Ann Vasc Surg 2019 Feb 22. Epub 2019 Feb 22.

Division of Vascular Surgery, McGill University Health Centre, Montreal, Canada.

Background: Carotid endarterectomy (CEA) is a well-established surgical intervention for stroke prevention in patients with carotid stenosis of all ages. However, the decision to proceed to operate in the elderly involves a more complicated risk-benefit assessment due in part to increased comorbidities and reduced life expectancy. Some studies suggest that CEA is more risky in the elderly with worse outcomes, whereas others have found no difference. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.084DOI Listing
February 2019
1 Read