7,366 results match your criteria Ann Vasc Surg[Journal]


A Machine Learning Approach for Predicting Early Phase Postoperative Hypertension in Carotid Endarterectomy Patients.

Ann Vasc Surg 2020 Jul 9. Epub 2020 Jul 9.

Independent Researcher, San Francisco, California, United States. Electronic address:

Objectives: This study aimed to establish and validate a machine learning-based model for the prediction of early phase postoperative hypertension (EPOH) requiring the administration of intravenous vasodilators after carotid endarterectomy (CEA).

Methods: Perioperative data from consecutive CEA procedures performed from Jan 2013 to August 2019 were retrospectively collected. EPOH was defined in post-CEA patients as hypertension involving a systolic blood pressure above 160 mmHg and requiring the administration of any intravenous vasodilator medications in the first 24 hours after a return to the vascular ward. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.07.001DOI Listing

Externally Supported Extra-Anatomical Venous Bypass to Treat Upper Limb Ischemia With Shoulder Prosthetic Infection.

Ann Vasc Surg 2020 Jul 9. Epub 2020 Jul 9.

Vascular Surgery Division, University Campus Bio-Medico, Rome, Italy.

To report a case of acute arm ischemia and prosthetic shoulder infection treated by extra-anatomical great saphenous vein graft with external vascular scaffolding. A 65 years-old man with multiple surgical interventions for soft tissue sarcoma of right shoulder, local radiotherapy with residual brachial plexus neuropraxia, was referred to our attention for signs of arm ischemia. Two weeks before, patient was submitted to prosthetic shoulder replacement complicated with prosthetic infection. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.07.002DOI Listing

Swollen Painful Neck: A Case of a Ruptured Venous Malformation.

Ann Vasc Surg 2020 Jul 9. Epub 2020 Jul 9.

Department of Cardiovascular Surgery, Kaohsiung Medical University Hospital. Electronic address:

A 16-year-old male was brought to our hospital presenting with acute onset of a painful protruding left neck mass within a day, associated with left upper-arm tenderness. Chest-computed tomography revealed high attenuation masses at the left supraclavicular and mediastinal regions, suspected of being venous vascular tumors. Surgery was arranged and then ruptured venous tumor was noted, with pathology results determining a venous malformation. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.07.003DOI Listing

Contemporary Analysis of Senior Level Case Volume Variation between Traditional Vascular Surgery Fellows and Integrated Vascular Surgery Chief Residents.

Ann Vasc Surg 2020 Jul 6. Epub 2020 Jul 6.

Department of Surgery, Boston Medical Center, Boston University, School of Medicine, Boston, MA. Electronic address:

Background: The present study compares the senior level operative experience of graduates from the traditional vascular surgery fellowship (5+2) and integrated vascular surgery training programs (0+5) using contemporary operative case log data.

Methods: The Accreditation Council for Graduate Medical Education (ACGME) integrated vascular surgery, vascular surgery fellowship, and general surgery case logs for trainees graduating between 2013 and 2018 were queried for vascular surgery procedures. 'Senior' cases were categorized as cases logged as 'Surgeon Fellow' by 5 + 2 trainees or 'Surgeon Chief' (PGY-4,5) by 0 + 5 trainees. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.056DOI Listing

Graft infection after prosthetic bypass surgery for infectious femoral artery pseudoaneurysm in intravenous drug users: manifestation, management and prognosis.

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

Department of Vascular Surgery, The First Hospital of Changsha China.

Objective: To assess the incidence, clinical manifestations, management and prognosis of graft infection after bypass surgery with prosthetic conduit for infectious femoral artery pseudoaneurysms (IFAPs) in patients with a history of intravenous drug use (IVDU).

Methods: A single-center retrospective chart review of IVDU presenting with graft infections after previously being treated with extra-anatomic prosthetic conduit bypass surgery for IFAPs between 2009 and 2019 was performed. Relevant clinical data and patient demographics were collected and analyzed. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.058DOI Listing

Results of the surgical management of acute limb ischemia in the nonagenarians.

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

Service de Chirurgie vasculaire, CHU Besançon, France; EA3920, Université de Franche-Comté, CHU Besançon, France. Electronic address:

Background: The aging of the population leads us to treat older patients, in particular presenting with acute limb ischemia (ALI). However there has been little evaluation of this pathology in the nonagenarians. The objectives of this work were thus to evaluate the one-month and one-year mortality of the nonagenarians treated for ALI, which made possible to determine the one-year survival and to highlight the factors influencing the mortality. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.05.073DOI Listing

Complete relining in type 3 endoleak with AFX endograft billowing and severe kinking: case report.

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

Vascular Surgery, Department of Medicine and Surgery, University of Parma, Parma, Italy.

Introduction: Type 3 endoleak (T3E) is usually treated by endovascular relining. The procedure can be technically complex in cases of endografts with kinking of innermost stents. We report a case of T3E in an AFX (Endologix, Irvine, CA, USA) endograft with sac enlargement, billowing and severe kinking of the main body stents, managed with a complete relining endovascular procedure. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.054DOI Listing

OCT (optical coherence tomography) contribution assessment in the revascularisation of long femoro-popliteal occlusive lesions (TASC C and D): a randomised trial.

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

Vascular Surgery, Institut Cœur-Poumon, CHU Lille. Electronic address:

Background: Endovascular treatment has become the first-line revascularisation technique for femoropopliteal lesions. This technique lacks of reliable and accurate morphological control of the arterial segment treated. Intraoperative 2-D angiogram consumes iodinated contrast media and increases X-ray exposure; this subsequently provides none 3D information on the quality of the revascularisation completed, what could explain some of the early and late failures of the technique. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.061DOI Listing

Functional and Cardiovascular Parameters in Peripheral Artery Disease Patients with Interarm Blood Pressure Difference.

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

Universidade Nove de Julho, São Paulo, SP, Brazil. Electronic address:

Objective: To analyze the impact of inter-arm blood pressure difference (IAD) in functional and cardiovascular parameters in patients with peripheral artery disease (PAD).

Patients And Methods: Ninety-eight patients with PAD were recruited in this cross-sectional study. Patients with differences between the right and left arms of systolic and/or diastolic blood pressure ≥10 mmHg were classified as IAD, while the remaining patients were classified as PAD controls. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.055DOI Listing

Distal Superior Mesenteric Artery Endarterectomy Remains Excellent Option for Mesenteric Revascularization in the Endovascular Era.

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

University of Maryland School of Medicine, Division of Vascular Surgery, Department of Surgery, 22 South Greene Street, Suite S10B001, Baltimore, MD 21201.

Background: Endovascular treatment of mesenteric lesions has become increasingly prevalent. Mesenteric bypass, however, remains the optimal treatment in the cases of chronic mesenteric ischemia (CMI) in young, medically fit patients given its durability. Endarterectomy, has gone by the wayside, but in certain situations, this technique remains surgically relevant and should still be employed. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.065DOI Listing

Branch vessel patency after TEVAR for type B aortic dissection.

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Keck School of Medicine of USC, University of Southern California, 1520 San Pablo St., Suite #4300, Los Angeles, CA, USA, 90033.

Objectives: Thoracic endovascular aortic repair (TEVAR) for type B aortic dissections is used to promote false lumen (FL) thrombosis and favorable aortic remodeling, but its impact on occlusion of FL origin branch vessels has not been widely described. We compare FL vs. true lumen (TL) branch vessel patency after TEVAR. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.053DOI Listing

Propensity-matched comparison for carotid artery stenting in primary stenosis versus post-CEA restenosis.

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

Vascular Surgery, Vita-Salute University School of Medicine, San Raffaele Scientific Institute, Milan, Italy.

Objectives: Carotid artery stenting (CAS) has been proposed as the treatment of choice in case of post-carotid endarterectomy (CEA) restenosis. The aim of the study is to analyze periprocedural results of CAS for the treatment of post-CEA restenosis (RES) compared with those of CAS performed for primary carotid stenosis (PRS).

Methods: Data from consecutive patients submitted to CAS at our Institution from 2008 to 2016 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.063DOI Listing
July 2020
1.029 Impact Factor

Microsurgical salvage of acute lower limb ischemia after iatrogenic femoral injury during orthopedic surgery in a pediatric patient.

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

Department of Plastic and Maxillofacial Surgery, Uppsala University Hospital and Department of Surgical Sciences, Uppsala University, Sweden.

Introduction: Acute lower limb ischemia (ALLI) in the pediatric population is rare but may lead to limb loss and life-long complications. We report the technique and outcomes of microsurgical salvage of ALLI in a pre-term newborn after open reduction of congenital hip dysplasia.

Case Report: A two months-old girl was born premature at week 36 with congenital bilateral hip dysplasia. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.064DOI Listing

Correspondence re "Mid- to Long-Term Outcome Results of the Ovation Stent Graft." By Mufty et al.

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

Bedfordshire - Milton Keynes Vascular Centre, Bedfordshire Hospitals NHS Foundation Trust, Kempston Road, Bedford MK42 9DJ, UK.

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http://dx.doi.org/10.1016/j.avsg.2020.06.047DOI Listing

Intravascular Ultrasound-Assisted Endovascular Exclusion of Penetrating Aortic Ulcers.

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

Department of Clinical Research, University Hospital of Poitiers, France.

Background: Penetrating aortic ulcer (PAU) is an atherosclerotic lesion penetrating the elastic lamina and extending into the media of the aorta. It may evolve into intramural hematoma, focal dissection, pseudoaneurysm and eventually rupture. The purpose of this study was to evaluate the effectiveness of a totally intravascular ultrasound (IVUS) - assisted endovascular exclusion of PAU. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.059DOI Listing

Determinants of changes in arterial stiffness following thoracic endovascular aortic repair.

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

Department of Cardiovascular Surgery, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. Electronic address:

Objective: Aortic stent grafting can cause aortic stiffening and increase pulse wave velocity (PWV), which can potentially affect long-term cardiovascular outcomes. The aim of this study was to clarify the factors contributing to increases in PWV after thoracic endovascular aortic repair (TEVAR).

Methods: We included 64 patients with thoracic aortic pathology (51 men; mean age: 73 years) who underwent elective TEVAR, in this study. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.062DOI Listing

Endovascular treatment of an abdominal aortic pseudo-aneurysm with a very narrow distal aorta and aortic lumen using an iliac branch device.

Authors:
Gino Gemayel

Ann Vasc Surg 2020 Jul 4. Epub 2020 Jul 4.

Vascular surgery, La Tour Hospital, Meyrin Switzerland. Electronic address:

Introduction: Narrow distal aorta (NDA) makes endovascular aortic repair (EVAR) challenging and prone to immediate and late complications. We describe a case of an abdominal aortic false aneurysm (AAFA) with a NDA and iliac occlusive disease that was treated by an iliac branch device (IBD) placed at the aortic bifurcation.

Case Report: A 76-year-old male patient suffering from severe bilateral calf claudication presented to our clinic. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.060DOI Listing

Living in a Food Desert is Associated with 30-day Readmission After Revascularization for Chronic Limb-Threatening Ischemia.

Ann Vasc Surg 2020 Jul 3. Epub 2020 Jul 3.

Department of Surgery, University of California, San Francisco, San Francisco, CA. Electronic address:

Objective: Living in a Food Desert has been associated with increased cardiovascular risk; however, its impact on vascular surgery outcomes is unknown. This study hypothesized that living in a Food Desert would be associated with increased postoperative complications in patients undergoing revascularization for chronic limb-threatening ischemia (CLTI).

Methods: This was a single-center retrospective analysis of open and endovascular infrainguinal revascularization for CLTI between April 2013 and December 2015. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.052DOI Listing

Metformin prescription associated with reduced AAA growth rate and reduced chemokine expression in a Swedish cohort.

Ann Vasc Surg 2020 Jun 30. Epub 2020 Jun 30.

Department of Surgical Sciences, Vascular Surgery, Uppsala University, Akademiska sjukhuset ing 70, 751 85, Uppsala, Sweden.

Objective: Recent reports suggest that the negative association between diabetes mellitus and abdominal aortic aneurysm (AAA) may be driven by metformin, the world's most common antidiabetic drug, rather than diabetes per se. We sought to investigate the association between AAA growth rate, chemokine profile and metformin prescription in a contemporary Swedish cohort.

Methods: Patients under surveillance for small AAA were identified at four Swedish vascular centers with active AAA screening programs. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.039DOI Listing

Diffuse Cutaneous Manifestations after Drug-Coated Balloon Angioplasty.

Ann Vasc Surg 2020 Jun 29. Epub 2020 Jun 29.

University of Arizona, Department of Surgery, Division of General Surgery,. Electronic address:

We present here a case of an uncommon cutaneous manifestation after paclitaxel-coated balloon angioplasty. In this case, the patient underwent drug-coated balloon angioplasty for stenosis of a prior vein bypass graft. The patient subsequently developed extensive cutaneous lesions not confined to a single arterial distribution. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.034DOI Listing

Type B Aortic Dissection Complicated by Intimo-intimal Intussusception and Extensive Intimal Denuding: Case Report with Long Term Follow-up.

Ann Vasc Surg 2020 Jun 29. Epub 2020 Jun 29.

University of Maryland School of Medicine, Division of Cardiac Surgery, Department of Surgery, Baltimore, MD.

Objectives: Acute aortic dissection rarely results in circumferential dissections of the aortic intima that may lead to intimo-intimal intussusception (IIS) with complete separation from the aortic wall. Circumferential dissection may then result in distal embolization of the involved intima and media, adding considerable complexity to the management of such cases. Despite the severity of this complication, the natural history of aortic disease following extensive intimal denuding and IIS is not well documented in the literature. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.041DOI Listing

Impact of gradual adoption of EVAR in elective repair of abdominal aortic aneurysm. Retrospective cohort study from 2009 to 2015.

Ann Vasc Surg 2020 Jun 29. Epub 2020 Jun 29.

Center for Health Technology and Services Research (CINTESIS) and Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto.

Introduction: The recommendations about the preferred type of elective repair of abdominal aortic aneurysm (AAA) still divides guidelines committees, even nowadays. The aim is to assess outcomes after AAA repair focusing on differences between endovascular (EVAR) and open repair (OSR).

Methods: Observational retrospective cohort study of consecutive patients submitted to elective AAA repair at a tertiary centre, 2009-2015. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.029DOI Listing

Long-term Impact of Vascular Surgery Stress on Frail Older Patients.

Ann Vasc Surg 2020 Jun 27. Epub 2020 Jun 27.

Division of Vascular Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT. Electronic address:

Introduction: /Objective: Frailty is a syndrome where the ability to cope with acute physiological stress is compromised, although it's unclear what impact this stress has on long-term outcomes. V-POSSUM is a validated method for calculating levels of stress associated with vascular procedures. We designed this study to evaluate the long-term impact of different levels of surgical stress among frail older patients undergoing vascular surgery procedures. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.048DOI Listing

Outcomes of Open versus Percutaneous Access for Patients Enrolled in the GREAT Registry.

Ann Vasc Surg 2020 Jun 27. Epub 2020 Jun 27.

Division of Vascular Surgery, Baylor Scott and White Heart Hospital, Plano, TX, Texas Vascular Associates. Electronic address:

Background: Arterial access and device delivery in endovascular aortic repair (EVAR) and thoracic endovascular aortic repair (TEVAR) have evolved from open femoral or iliac artery exposure to selective percutaneous arterial access. Although regional application of percutaneous access for these two procedures varies widely, the use of this technique continues to increase. [1,2] Currently, differences in the use of percutaneous access between EVAR and TEVAR have not been well explored. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.033DOI Listing

"Failure-to-Cross" in Patients Undergoing Percutaneous Peripheral Intervention: The Non-Reimbursed Procedure.

Ann Vasc Surg 2020 Jun 27. Epub 2020 Jun 27.

Department of Surgery, Advocate Lutheran General Hospital, Park Ridge, IL. Electronic address:

Background: Percutaneous Peripheral Intervention (PPI) is often the first mode of therapy for patients with symptomatic arterial occlusive disease. Technical success generally remains high although "failure-to-cross" still complicates 5-20% of cases. Extended efforts to cross long, occlusive lesions can utilize significant hospital and practitioner resources. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.038DOI Listing

Complete venous ulceration healing following perforator ablation does not depend on treatment modality.

Ann Vasc Surg 2020 Jun 27. Epub 2020 Jun 27.

Division of Vascular Surgery, University of Pittsburgh, Pittsburgh, PA.

Objectives: Venous leg ulceration (VLU) represents the most advanced form of chronic venous insufficiency (CVI). Persistent VLU that fail to respond to non-invasive treatment require a minimally invasive endovascular treatment which may include chemical (ultrasound guided foam sclerotherapy [UGFS]) and thermal ablation (endovenous laser therapy [EVLT] or radiofrequency ablation [RFA]) targeting incompetent veins. Current guidelines suggest ablation of incompetent perforating veins (IPV) juxtaposed to active or healed VLU; however, the ideal treatment modality is unknown. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.051DOI Listing

Anatomic eligibility for commercial branched endograft repair of thoraco-abdominal aortic aneurysms.

Ann Vasc Surg 2020 Jun 27. Epub 2020 Jun 27.

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

Objective: First generation "off-the-shelf" branched endovascular stent grafts are in development for treatment of thoraco-abdominal aneurysms (TAAA). Prior studies have assessed eligibility rates among highly selected cohorts of patients referred for endovascular treatment, and the broader applicability of these devices to all patients with TAAA is unknown. The aims of this study were to assess the overall suitability of the 3 commercial 4-branched devices with or without adjunct procedure(s) in an unselected cohort of patients with TAAA, and to identify areas for improvement in the next generation of devices. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.032DOI Listing

Comment on "Usefulness of platelet-to-lymphocyte ratio (PLR) as a marker of sarcopenia for critical limb threatening ischemia".

Ann Vasc Surg 2020 Jun 27. Epub 2020 Jun 27.

University of Health Sciences Turkey, Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital, Department of Palliative Care, Istanbul, Turkey; University of Health Sciences Turkey, Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital, Department of Internal Medicine, Istanbul, Turkey.

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http://dx.doi.org/10.1016/j.avsg.2020.06.045DOI Listing

Thoracic Aortic Dilation Following Endovascular Repair of Blunt Traumatic Aortic Injury.

Ann Vasc Surg 2020 Jun 27. Epub 2020 Jun 27.

Division of Vascular Surgery, Stanford University, Stanford, CA.

Objectives: Thoracic endovascular aneurysm repair (TEVAR) has become the current standard of care for emergent treatment of blunt traumatic aortic injuries (BTAI). Although aortic dilation of the infrarenal neck following EVAR for aortic aneurysms has been studied, changes in aortic diameter following TEVAR for BTAI is not well understood. This study aims to characterize changes in thoracic aortic diameter following stent graft placement in the setting of non-aneurysmal traumatic aortic injury. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.049DOI Listing

Octogenarians and Non-Octogenarians Have Similar Outcomes After Upper Extremity Hemodialysis Access Creation.

Ann Vasc Surg 2020 Jun 26. Epub 2020 Jun 26.

Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University, School of Medicine, Boston, MA. Electronic address:

Introduction: and Objectives: Routine arteriovenous (AV) access creation in octogenarians is controversial. Our goal was to assess perioperative and long-term outcomes in octogenarians after undergoing upper extremity AV access to determine whether advanced age should influence AV access decision making.

Methods: All AV access creations performed at a single institution from 2014-2018 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.035DOI Listing

Risk Factors for Early and Late Iliac Limb Occlusions of Stent Grafts Extending to the External Iliac Artery Following Endovascular Abdominal Aneurysm Repair.

Ann Vasc Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Vascular Surgery, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Republic of Korea. Electronic address:

Purpose: Iliac limb stent grafting to the external iliac artery (EIA) is a commonly performed procedure in various situation during endovascular abdominal aneurysm repair (EVAR). However, this procedure is associated with a risk of graft occlusion. We evaluated risk factors affecting occlusion among patients who underwent iliac limb stent graft extension to the EIA. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.028DOI Listing
June 2020
1.029 Impact Factor

Female Sex is a Marker for Higher Morbidity and Mortality after Elective Endovascular Aortic Aneurysm Repair: A National Surgical Quality Improvement Program Analysis.

Ann Vasc Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Health Sciences Research, Robert D. and Patricia E. Kern Center for Science of Health Care Delivery Surgical Outcomes Program, Mayo Clinic, Rochester, MN.

Objective: The adverse gender disparities for women after open abdominal aortic aneurysm (AAA) repair have been well documented. The purpose of this study is to review whether these disparities extend to elective endovascular aneurysm repair (EVAR).

Methods: Non-ruptured, elective AAA were identified from the American College of Surgeons' National Quality Improvement Program (NSQIP) Targeted Participant User File (PUF) for EVAR from 2012-2017. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.031DOI Listing

The interplay between pre-operative anemia and post-operative blood transfusion on survival following Fenestrated Aortic Aneurysm Repair.

Ann Vasc Surg 2020 Jun 26. Epub 2020 Jun 26.

Northern Vascular Centre, Freeman Hospital, Newcastle-upon-Tyne Hospitals, Newcastle, UK.

Introduction: Anemia is associated with a higher mortality following standard-EVAR. This study evaluates the impact of anemia on fenestrated endovascular aortic repair (FEVAR) for complex AAA repair.

Methods: All elective-FEVAR's performed between 2010-2018 at a tertiary vascular-centre were analysed. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.040DOI Listing
June 2020
1.029 Impact Factor

Impact of Adding Carotid Endarterectomy to Supra-Aortic Trunk Surgical Reconstruction.

Ann Vasc Surg 2020 Jun 26. Epub 2020 Jun 26.

Division of Vascular and Endovascular Surgery, University of Virginia, Charlottesville, VA. Electronic address:

Objectives: Up to 20% of patients requiring open supra-aortic trunk reconstruction (SAT) have significant carotid artery stenosis. The addition of carotid endarterectomy (CEA) to SAT has been described. Yet, additive risks are not well defined and controversy remains as to whether concomitant CEA increases stroke risk. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.037DOI Listing

Identification of serum biomarker in Acute Aortic Dissection by global and targeted Metabolomics.

Ann Vasc Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Intervention, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

Objective: Acute aortic dissection (AAD) is the most devastating aortic pathology and the incidence is increasing worldwide. However, the occurrence and development of AAD are unpredictable. A thorough understanding of the serum metabolic landscape through metabolomic analysis may help identify new biomarkers for AAD, and offer new insights into its prevention and evaluation. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.026DOI Listing

ARM VEIN VERSUS SMALL SAPHENOUS VEIN FOR LOWER EXTREMITY BYPASS IN THE ABSENCE OF BOTH GREAT SAPHENOUS VEINS.

Ann Vasc Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Vascular and Endovascular Surgery, University Hospital Salzburg, Paracelsus Medical University, Salzburg, Austria.

Background: Bypass surgery remains the gold standard for long and complex arterial occlusions in the lower limb. Vein is regarded superior to prosthetic conduits in peripheral arterial bypass surgery. However, this option is often limited due to previous bypass, stripping, or poor quality of the ipsilateral and/or contralateral great saphenous vein (GSV). Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.043DOI Listing

Endovascular aneurysm repair assisted by CO digital subtraction angiography and intra-operative contrast-enhanced ultrasonography: Single centre experience.

Ann Vasc Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Vascular and Endovascular Surgery, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Background: Allergy to iodinated contrast (IC) agent and advanced chronic kidney disease (CKD) are major limitations to endovascular repair of abdominal aortic aneurysms (EVAR). We describe our experience combining CO assisted EVAR with intraoperative contrast-enhanced ultrasound (CEUS) in an attempt to avoid contrast induced allergy or nephropathy.

Methods: Observational cohort study using prospectively acquired data on patients undergoing CO-assisted EVAR in single institution. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.036DOI Listing

Surgical "New Aortic Carrefour Technique" for late open conversion after Endovascular Aortic Repair.

Ann Vasc Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Vascular Surgery, University and Hospital Trust of Verona, University of Verona-School of Medicine, Verona, Italy.

Objectives: The aim of the study is to report the early and mid-term outcomes of late open conversion (LOC) after endovascular aortic repair (EVAR) using the "New Aortic Carrefour Technique" (NACT) for preservation of the stent-graft iliac limbs. Late conversions were defined as explants >6 months after previous EVAR.

Methods: Patients treated for elective or urgent LOC after EVAR with the "New Aortic Carrefour Technique" at a single centre (2009-2019), and with ≥6 months of follow-up, were included. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.027DOI Listing

Milrinone Attenuates Heart and Lung Remote Injury Following Abdominal Aortic Cross-Clamping.

Ann Vasc Surg 2020 Jun 26. Epub 2020 Jun 26.

Marmara University, Faculty of Medicine, Department of Histology and Embryology, Istanbul Turkey.

Objective: Phosphodiesterase enzymes play a pivotal role in the pathogenesis of ischemia/reperfusion (IR). We examined the role of Milrinone, a phosphodieasterase 3 inhibitor, on remote injury of heart and lung after abdominal aortic cross clamping.

Design: Experimental study. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.050DOI Listing

Procedural Risks of Carotid Intervention in 19,000 patients.

Ann Vasc Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Academic Surgery, St Mary's Hospital, Imperial College, London, UK.

Background And Objective: Randomised controlled trials (RCTs) show that carotid endarterectomy (CEA) and stenting (CAS) reduce long-term stroke risk in symptomatic and asymptomatic patients with carotid artery stenosis. Historical RCTs may not represent contemporary practice and administrative datasets may estimate procedural risks more reliably. We studied procedural risks following carotid intervention in a novel, international administrative dataset of 18,997 patients admitted to 28 hospitals across 7 countries. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.030DOI Listing

Patient characteristics, patterns, and repair of aneurysms in human immunodeficiency virus-positive patients.

Ann Vasc Surg 2020 Jun 26. Epub 2020 Jun 26.

Division of Vascular Diseases and Surgery, Department of Surgery, Ohio State University Wexner Medical Center, 376 West 10(th) Avenue, Columbus, OH. Electronic address:

Objectives: Human immunodeficiency virus (HIV) is a multisystem disease and associated with vascular complications including aneurysm formation. HIV-associated aneurysms are well-documented and may present in unusual locations with concerning features. However, the majority of the literature regarding aneurysms in HIV-positive patients are limited to case series with limited data regarding aneurysm patterns. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.042DOI Listing

The potential relation between PTFE grafts after open reconstructions for AAA and perigraft seromas.

Ann Vasc Surg 2020 Jun 24. Epub 2020 Jun 24.

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

Introduction: The presence of sac enlargement after abdominal aortic aneurysm (AAA) open repair (OR), a condition usually called perigraft-seroma (PGS) nearly always has a benign behavior. Some theories implicated for PGS formation include coagulation abnormalities, fibroblast inhibition, low-grade infection or improper graft handling.

Methods: This is a retrospective study including patients treated for AAA in 2 academic vascular surgery departments from 2007 to 2014, where one center preferably used PTFE grafts while the other's preference was mostly Dacron graft. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.025DOI Listing

A case of Covid-19 patient with acute limb ischemia and heparin resistance.

Ann Vasc Surg 2020 Jun 23. Epub 2020 Jun 23.

Department of Vascular Surgery, IRCCS San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy.

Heparin resistance is an uncommon phenomenon defined as the need for high dose unfractionated heparin (UFH) of more than 35,000 IU/day to achieve the target activated partial thromboplastin time ratio or the failure to achieve the desired activated clotting time after a full UFH dose. This rare phenomenon is being more commonly observed in Covid-19 patients in a hypercoagulable state. We describe a Covid-19 patient confirmed by reverse-transcriptase-polymerase-chain-reaction (RT-PCR) assay, with acute limb ischemia, who developed heparin resistance. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.046DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311350PMC

Wound care during COVID-19 pandemic.

Ann Vasc Surg 2020 Jun 23. Epub 2020 Jun 23.

Unit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.

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http://dx.doi.org/10.1016/j.avsg.2020.06.044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7311334PMC

Factors Affecting the Interest in a Surgical Career Among Medical Students at a Non-Urban, Tertiary Care Academic Institution.

Ann Vasc Surg 2020 Jun 19. Epub 2020 Jun 19.

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

Objectives: Present day medical students are inherently different from those in the past by growing up in a uniquely different environment that shapes their personal and professional values which affects their career decisions. Vascular surgery (VS) task force is facing a shortage in the near future. The purpose of this analysis was to gain a better understanding of the medical students' perceptions about surgery in general and VS in particular. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.022DOI Listing

About the published article "Successfully kissing stent of innominate artery and left common carotid artery subsequent to blunt injury, in the setting of a bovine aortic arch".

Ann Vasc Surg 2020 Jun 19. Epub 2020 Jun 19.

Vascular Surgery Department, CHU of Morafeno Toamasina, Medicine Faculty and University of Toamasina, Madagascar.

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http://dx.doi.org/10.1016/j.avsg.2020.06.020DOI Listing

Pilot Study Using Telemedicine Video Consultation for Vascular Patients' Care During the COVID-19 Period.

Ann Vasc Surg 2020 Jun 17. Epub 2020 Jun 17.

Division of Vascular Surgery, Department of Surgery, University of Hong Kong- Shenzhen Hospital, Shenzhen, China; Division of Vascular & Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong, China.

Background: The aim of this pilot study was to evaluate the effectiveness and patients satisfaction of using telemedicine virtual communications to provide remote health care to vascular patients during the coronavirus disease 2019 (COVID-19) period in China.

Methods: Video calls using WeChat software (Tencent, Shenzhen, China) between patients and vascular surgeons were conducted in a period when there were restrictions and limitations for people' travels in China. At the end of each video call, a short questionnaire was used to evaluate the patient satisfaction level. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.023DOI Listing

''Evidence-based Tweeting'' in Vascular Surgery.

Ann Vasc Surg 2020 Jun 17. Epub 2020 Jun 17.

Medical School, Democritus University, Alexandroupolis, Greece.

The use of social media for academic or research purposes is still in infancy. However, the potential of dissemination of medical knowledge through these electronic platforms is dynamically increasing. We performed a search on Twitter® collecting tweets containing the keywords 'peripheral arterial disease' (PAD) and 'abdominal aortic aneurysm' (AAA) separately and including three types of emitters. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.024DOI Listing

Population-based Assessment of Aortic-related Outcomes in Aortic Dissection, Intramural Hematoma, and Penetrating Aortic Ulcer.

Ann Vasc Surg 2020 Jun 16. Epub 2020 Jun 16.

Division of Vascular and Endovascular Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, United States.

Objective: Aim was to analyze aortic-related outcomes after diagnosis of aortic dissection (AD), intramural hematoma (IMH), and penetrating aortic ulcer (PAU) from a population-based approach.

Methods: Retrospective review of an incident cohort of AD, IMH, and PAU patients in Olmsted County, MN from 1995-2015. Primary end-point was aortic death. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.004DOI Listing