8,514 results match your criteria Annals Of Vascular Surgery[Journal]


Gender Disparities in Aorto-iliac Revascularization in Patients with Aortoiliac Occlusive Disease.

Ann Vasc Surg 2022 May 20. Epub 2022 May 20.

Department of Vascular Surgery, University of North Carolina School of Medicine, Chapel Hill NC. Electronic address:

Introduction: Gender disparities have been previously reported in aortic aneurysm and critical limb ischemia outcomes; however, limited info is known about disparities in aorto-iliac occlusive disease. We sought to characterize potential disparities in this specific population.

Material And Methods: Patients who underwent aorto-bifemoral bypass and aortic thromboendarterectomy (CPT codes: 35646, 35331) between 2012 and 2019 were identified in the National Surgical Quality Improvement Program database. Read More

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The VASQIP Calculator is a poor predictor of morbidity and mortality in octogenarian and nonagenarian veterans undergoing major lower extremity amputations.

Ann Vasc Surg 2022 May 17. Epub 2022 May 17.

Orthopedic Surgery, Dallas, Texas.

Background: Morbidity and mortality for major (above the ankle) lower extremity amputation (LEA) is high in veteran patients and age is a predictor of mortality. The Veteran Affair Surgical Quality Improvement Program (VASQIP) risk assessment tool has been validated for several operations, but not for elderly patients undergoing LEA. The present study interrogated the accuracy for the VASQIP calculator for a medium/high-risk operation in a high-risk veteran population (octogenarians and nonagenarians). Read More

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Palliative Care Consultation is Associated with Decreased Rates of In-Hospital Mortality Among Patients Undergoing Major Amputation.

Ann Vasc Surg 2022 May 17. Epub 2022 May 17.

University of Maryland School of Medicine; Division of Vascular Surgery, Department of Surgery, University of Maryland Medical Center.

Objective: Despite advancements in medical care and surgical techniques, major amputation continues to be associated with risks for morbidity and mortality. Palliative care programs may help alleviate symptoms and align patients' goals and the care they receive with their treatment plan. Access to specialty Palliative medicine among vascular surgery patients is limited . Read More

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Endovascular Repair in Patients with Marfan Syndrome: Concerns Amid Controversy.

Ann Vasc Surg 2022 May 17. Epub 2022 May 17.

Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA; Department of Cardiovascular Surgery, Texas Heart Institute, Houston, Texas, USA; Department of Cardiovascular Surgery, CHI St Luke's Health-Baylor St Luke's Medical Center, Houston, Texas, USA; Cardiovascular Research Institute, Baylor College of Medicine, Houston, Texas, USA. Electronic address:

Endovascular aortic repair is widely used to treat patients with degenerative aneurysms or aortic dissection within the distal aorta. Thoracic endovascular aortic repair (TEVAR) is generally associated with fewer short-term complications than open surgical repair, which is particularly important for older patients with significant comorbid conditions. However, for patients with Marfan syndrome, a heritable thoracic aortic disease associated with aortic dilatation, dissection, and rupture, the utility of endovascular aortic repair remains questionable. Read More

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Thoracic endovascular aortic repair of highly tapered type B aortic dissection with proximal tapered stent grafts and distal restrictive stent grafts.

Ann Vasc Surg 2022 May 17. Epub 2022 May 17.

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

Objectives: This study evaluated aortic remodeling in highly tapered type B aortic dissection (TBAD) patients who underwent thoracic endovascular aortic repair (TEVAR) with a proximal tapered stent graft plus a distal restrictive stent graft to maximize thoracic coverage while avoiding distal excessive oversizing.

Methods: Thirty-four patients presenting with highly tapered TABD were randomized to restricted TEVAR (r-TEVAR) and standard TEVAR groups. Highly tapered TBAD was defined as the maximal diameter of the true lumen at proximal and distal thoracic aorta landing zone tapers greater than 8 mm or taper ratio greater than 20%. Read More

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Impact of "Defensive Medicine" On the Costs of Diabetes and Associated Conditions.

Ann Vasc Surg 2022 May 17. Epub 2022 May 17.

Department of Vascular Surgery, Mayo Clinic Arizona, 5777 E Mayo Blvd Phoenix, AZ 85054.

Objectives: Geographic variation in healthcare spending is typically attributed to differences in patient health status and provider practice patterns. While medicolegal considerations (i.e. Read More

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Predictors of amputation-free survival after endovascular intervention for chronic limb-threatening ischemia in the modern era.

Ann Vasc Surg 2022 May 17. Epub 2022 May 17.

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

Objective: Chronic limb-threatening (CLTI) is associated with 25% limb loss and 25% mortality at 1-year. Its lethality increases to 45% in patients subjected to a major amputation. Percutaneous peripheral intervention (PPI) constitutes an attractive and less morbid treatment option for patients with CLTI. Read More

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Outcomes Following Urgent Fenestrated-Branched Endovascular Repair For Pararenal And Thoracoabdominal Aortic Aneurysms.

Ann Vasc Surg 2022 May 17. Epub 2022 May 17.

From the Advanced Endovascular Aortic Research Program Mayo Clinic, 200 1(st) St NW, Rochester, MN 55905. Electronic address:

Objectives: To evaluate outcomes following urgent or emergent fenestrated-branched endovascular aortic repair (F-BEVAR) for pararenal (PRA) and thoracoabdominal aortic aneurysms (TAAA) in patients considered high-risk for open repair.

Methods: A retrospective, single institution evaluation of outcomes following F-BEVAR of symptomatic, rapidly enlarging, or ruptured PRA or TAAA treated with physician modified endograft (PMEG) and company manufactured devices (CMD). Outcomes were technical success, 30-day morbidity and mortality, and one year aortic related outcomes. Read More

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The Use of Paclitaxel-Coated Devices in the Treatment of Peripheral Arterial Disease Is Not Associated with Increased Mortality or Amputations.

Ann Vasc Surg 2022 May 17. Epub 2022 May 17.

-Department of Endovascular & Vascular Surgery, Geisinger Medical Center. Electronic address:

Introduction And Objectives: Strategies for the most effective treatment for peripheral arterial disease (PAD) remain controversial among clinicians. Several trials have shown improved primary patency of femoropopliteal interventions with the utilization of paclitaxel-coated balloons or stents (DCBS) compared to conventional balloons or stents. However, a 2018 meta-analysis suggested an increased mortality risk for patients receiving DCBS, resulting in an international pause in the use of DCBS. Read More

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"Large Diameter" Aortic Endografts Are Associated With Aneurysm Sac Expansion.

Ann Vasc Surg 2022 May 17. Epub 2022 May 17.

Mayo Clinic, 5777 E Mayo Blvd, Phoenix AZ 85054.

Introduction/objectives: The purpose of this study was to evaluate the association between aortic endograft diameter and long-term outcomes following endovascular aneurysm repair (EVAR) performed in accordance with manufacturer instructions for use (IFU).

Methods: Retrospective review of consecutive patients undergoing on-IFU EVAR (2000-2018) was performed to facilitate a comparative analysis of long-term patient outcomes based on device diameter. "Large diameter" devices were defined as >34mm. Read More

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Eligibility of Patients with Chronic Limb Threatening Ischemia for Deep Venous Arterialization.

Ann Vasc Surg 2022 May 16. Epub 2022 May 16.

Division of Vascular Surgery and Endovascular Therapy, Yale School of Medicine, New Haven, CT.

Objectives: Percutaneous deep venous arterialization (pDVA) has emerged as a new modality for limb salvage in patients with chronic limb threatening ischemia (CLTI) and no standard option for revascularization. The proportion of patients facing major amputation that are eligible for this technology remains unknown. This study aims to provide a real-life estimate of patient eligibility for pDVA to reduce major amputations. Read More

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Influence of abdominal aortic calcification on the distal extent and branch blood supply of acute aortic dissection.

Ann Vasc Surg 2022 May 16. Epub 2022 May 16.

Department of Vascular Surgery, First Affiliated Hospital of China Medical University, Shenyang, China. Electronic address:

Objective: This study aimed to investigate the influence of abdominal aortic calcification on the distal extent, blood supply, and mid-term outcomes of acute aortic dissection (AAD).

Methods: This single-centre retrospective study was conducted from August 2014 to May 2021. The aortic calcification index (ACI) was used to evaluate abdominal aortic calcification. Read More

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Racial Disparities in the Risk for Thromboembolic Events in COVID-19 Patients during the Height of the SARS-CoV-2 Pandemic and Impact on Outcomes.

Ann Vasc Surg 2022 May 16. Epub 2022 May 16.

Loyola University Medical Center, Department of Surgery, Division of Vascular Surgery and Endovascular Therapy, 2160 S. First Avenue, EMS 110 Room 3215, Maywood, IL, USA, 60153. Electronic address:

Objective: The primary objective of this study is to assess the risk of thromboembolic events in hospitalized patients with COVID-19 and study the impact of thromboembolic events on hospital course and mortality risk during the initial height of the SARS-CoV-2 pandemic.

Methods: A retrospective review of all adult inpatients (≥18 years old) with COVID-19 infection at a single academic institution from March 15, 2020 - July 1, 2020 was performed. Collected data included patient demographics, comorbidities, hospital admission type, thromboembolic events, laboratory values, use of anticoagulants/antiplatelet agents, hospital length of stay, and in-hospital mortality. Read More

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Embolic protection devices are not associated with improved outcomes of atherectomy for lower extremity revascularization.

Ann Vasc Surg 2022 May 16. Epub 2022 May 16.

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

Objective: Atherectomy is associated with a risk of distal embolization, but the role of embolic protection devices (EPD) during atherectomy is not well-defined. This study examines the utilization and impact of EPD on the outcomes of atherectomy during peripheral vascular interventions (PVI).

Methods: The annual trend in utilization of EPD during atherectomy in the Vascular Quality Initiative PVI files (2010-2018) was derived. Read More

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Mechanisms and Interventions on Acute Lower Limb Ischemia/Reperfusion Injury: A Review and Insights from Cell to Clinical Investigations.

Ann Vasc Surg 2022 May 16. Epub 2022 May 16.

Cardiac Electrophysiology Unit, Department of Physiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand; Cardiac Electrophysiology Research and Training Center, Faculty of Medicine, Chiang Mai University, Chiang Mai, 50200, Thailand; Center of Excellence in Cardiac Electrophysiology Research, Chiang Mai University, Chiang Mai, 50200, Thailand. Electronic address:

Aim: This review aims to highlight mechanistic insights on skeletal muscle ischemia/reperfusion injury (IRI), a potentially life-threatening complication after acute lower limb ischemia. Lower limb IRI produces a wide spectrum of manifestations, ranging from local skeletal muscle necrosis to multi-organ failure. There is increasing evidence from both in vitro and in vivo reports to demonstrate several promising interventions that have successfully reduced IRI in skeletal muscle ischemic models. Read More

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Short-term outcomes of transfemoral carotid artery stenting and carotid endarterectomy in symptomatic patients: data from a multicentric prospective registry in Brazil.

Ann Vasc Surg 2022 May 16. Epub 2022 May 16.

University Hospital of Botucatu Medical School - São Paulo State University.

Background: Transfemoral carotid artery stenting (TF-CAS) and carotid endarterectomy (CEA) are alternative strategies for stroke prevention in patients with atherosclerotic carotid disease. Since their main objective is to prevent future ischemic events, regular reassessment of the outcomes is mandatory for providing the best therapy.

Objective: The purpose of this study was to describe the practice and the outcomes of TF-CAS and CEA in symptomatic patients in public university hospitals in Brazil, using data from a prospective multicentric registry. Read More

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Elucidating the role of the AFX2 endograft in endovascular treatment of aortic pathology.

Ann Vasc Surg 2022 May 16. Epub 2022 May 16.

Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Yale University School of Medicine, New Haven, CT, USA. Electronic address:

Objective: The purpose of this study is to elucidate the role of the AFX2 platform in the endovascular treatment of aortic pathology.

Methods: All procedures by a single surgeon resulting in implantation of a bifurcated unibody stent graft were retrospectively reviewed. Indications for selection of the AFX2 endograft in each case were evaluated. Read More

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A meta-analysis of 37 studies on the effectiveness of microsurgical techniques for lymphedema.

Ann Vasc Surg 2022 May 16. Epub 2022 May 16.

Division of Lymphatic Surgery, Department of Vascular Surgery, Engineering Laboratory of Memory and Cognitive Impairment Disease Jilin Province, China‒Japan Union Hospital of Jilin University, Jilin University, Changchun 130031, P. R. China.

Objectives: Microsurgery is a new technique for lymphedema treatment. Its advantages and disadvantages remain controversial. This study sought to collect clinical data from patients who underwent lymphovenous bypass and vascularized lymph node transplantation to explore whether surgical procedures can effectively treat lymphedema. Read More

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Central Line Access for Hemodialysis Adversely Affects Ipsilateral Arteriovenous Graft Outcomes.

Ann Vasc Surg 2022 May 13. Epub 2022 May 13.

Central Virginia Veterans Administration Health System, Richmond, Virginia; Virginia Commonwealth University School of Medicine, Richmond, Virginia.

Objective: Central venous stenosis is a common problem that diminishes vascular access lifespan. Current national guidelines recommend that central catheters and arteriovenous grafts (AVG) be placed contralateral to an existing hemodialysis access. We set forth to delineate any clinically significant outcomes based on laterality in patients undergoing AVG placement with an existing central catheter for dialysis treatments. Read More

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Ischemic Complications Following Thoracic Endovascular Aortic Repair with and without Revascularization of Left Subclavian Artery: A Systematic Review and Meta-Analysis.

Ann Vasc Surg 2022 May 13. Epub 2022 May 13.

Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Indonesia/National Cardiovascular Center, Harapan Kita Hospital, Jakarta, Indonesia General Practitioner at Cilandak Marine Hospital, Jakarta, Indonesia.

Background: Thoracic Endovascular Aortic Repair has been widely performed to treat various thoracic aortic pathologies. However, stent-graft placement in the thoracic aorta may result in left subclavian artery coverage, potentially leading to ischemic complications. The role of the left subclavian artery revascularization procedure to prevent ischemic complications remains controversial. Read More

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Left Subclavian Artery Coverage is Not Associated with Neurological Deficits in Trauma Patients Undergoing Thoracic Endovascular Repair.

Ann Vasc Surg 2022 May 11. Epub 2022 May 11.

Division of Vascular Surgery, Department of Surgery, University of Rochester Medical Center, Rochester, NY. Electronic address:

Background: Endovascular repair of the thoracic aorta (TEVAR) outcomes have been studied with interest in complications related to left subclavian artery (LSA) coverage in patients with atherosclerotic pathologies; however, specific data on the management of the LSA in a trauma population is lacking. The objective of this study is to evaluate outcomes following TEVAR for traumatic aortic injury based on LSA coverage.

Methods: The Vascular Quality Initiative thoracic endovascular aortic repair module (2010-2017) was analyzed. Read More

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A Novel Marker Indicating Restenosis in Superficial Femoral Artery: C Reactive Protein to Albumin Ratio.

Ann Vasc Surg 2022 May 11. Epub 2022 May 11.

Department of Cardiology, University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, Istanbul, Turkey.

Aim: In this study, we aimed to investigate the prognostic value of CAR for predicting restenosis in SFA lesions and its association with subsequent clinical outcomes in patients undergoing endovascular intervention.

Methods: The records of 685 consecutive patients who underwent endovascular intervention due to symptomatic peripheral artery disease were analyzed. Patients were divided into 2 groups based on the CAR values. Read More

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Carotid revascularization improves cognitive function in patients with asymptomatic carotid artery stenosis.

Ann Vasc Surg 2022 May 11. Epub 2022 May 11.

Department of Vascular Surgery, Xuanwu Hospital and Institute of Vascular Surgery, Capital Medical University, Beijing, China. Electronic address:

Objective: To investigate cognitive changes after carotid revascularization in elderly patients with asymptomatic carotid artery stenosis. We also compared cognitive outcomes of carotid endarterectomy with stenting in asymptomatic patients.

Methods: From April 2019 to December 2019, patients with ≥70% asymptomatic carotid stenosis who were treated with CEA or CAS were recruited for this study. Read More

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Thromboembolism after Covid-19 vaccination: a systematic review of such events in 286 patients.

Ann Vasc Surg 2022 May 11. Epub 2022 May 11.

Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi-110029, India. Electronic address:

Background: Development of vaccines with high efficacy against Covid-19 disease has ushered a new ray of hope in the fight against the pandemic. Thromboembolic events have been reported after administration of vaccines. We aim to systematically review thromboembolic events reported after Covid-19 vaccination. Read More

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Metformin inhibits multiple myeloma serum-induced endothelial cell thrombosis by down-regulating miR-532.

Ann Vasc Surg 2022 May 10. Epub 2022 May 10.

Department of Neurology, Karamay Central Hospital. Electronic address:

Objectives: Thrombotic complications in multiple myeloma (MM) impairs the quality of life of patients. Metformin has a certain effect on anti-thrombosis, but its role and mechanism in MM-induced thrombosis are still uncovered. Therefore, this study evaluated the effect of metformin on MM-induced thrombosis. Read More

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A Systematic Review of Cost-Utility Analyses in Chronic Limb-Threatening Ischemia.

Ann Vasc Surg 2022 May 10. Epub 2022 May 10.

Department of Surgery, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Australia.

Objective: To review and describe the available literature on cost-utility analysis of revascularisation and non-revascularisation treatment approaches in chronic limb-threatening ischemia.

Methods: A systematic review was performed on cost-utility analysis studies evaluating revascularisation (open surgery or endovascular), major lower extremity amputation, or conservative management in adult chronic limb-threatening ischemia patients. Six bibliographic databases and online registries were searched for English language articles up to August 2021. Read More

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Systematic review and meta-analysis of the outcomes of drug eluting stent versus drug coated balloon angioplasty for lower extremity peripheral artery diseases.

Ann Vasc Surg 2022 May 10. Epub 2022 May 10.

Division of Vascular and Endovascular Surgery, Department of Surgery, University of Washington and Puget Sound VA Health Care System, Seattle, Washington, USA. Electronic address:

Objectives: Recent evidence raised the concern that paclitaxel-containing therapy was associated with increased risk of mortality in patients with peripheral artery diseases (PAD). However, it is unclear whether drug-eluting stent (DES) versus drug-coated balloon (DCB) have different effect on mortality of PAD patients. Our study aimed to systematically review current literature comparing clinical outcomes of patients treated with DES versus DCB for PAD. Read More

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Preanalytical and analytical phase considerations are important when studying platelet to lymphocyte ratio and red blood cell distribution width.

Authors:
John L Frater

Ann Vasc Surg 2022 May 9. Epub 2022 May 9.

Department of Pathology and Immunology, Washington University, St Louis, MO, USA. Electronic address:

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Increased Frailty Associated with Higher Long-Term Mortality after Major Lower Extremity Amputation.

Ann Vasc Surg 2022 May 6. Epub 2022 May 6.

Department of Surgery, Audie Murphy VA Hospital, South Texas Veterans Healthcare System; Department of Vascular and Endovascular Surgery, UT Health San Antonio, San Antonio, Texas, 78229. Electronic address:

Introduction: Frailty assessments have been incorporated into preoperative planning for surgery in the elderly population. Frailty in patients undergoing lower extremity amputation has been associated with increased short-term mortality. We compared two frailty scores, modified Frailty Index (mFI) and Risk Analysis Index (RAI), to evaluate the short- and long-term mortality stratified by frailty status after lower extremity amputation. Read More

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Surgical treatment of femoral artery bifurcation without material. Technique and follow up.

Ann Vasc Surg 2022 May 2. Epub 2022 May 2.

Sorbonne Université, 15-21 Rue de l'École de Médecine, 75006 Paris. Electronic address:

Introduction: Complete eversion of the femoral tripod is interesting to reduce clinical consequences of wound infection, in particular for patients at high risk (eg: obese, diabetics, cancer). Experience and follow up of this technique are scarce. The different technical possibilities and results are reported here. Read More

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