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    5839 results match your criteria Annals of Vascular Surgery[Journal]

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    Elevated Wall Tension Initiates Interleukin-6 Expression and Abdominal Aortic Dilation.
    Ann Vasc Surg 2017 Oct 26. Epub 2017 Oct 26.
    Medical University of South Carolina, Division of Vascular Surgery, Charleston, SC 29425. Electronic address:
    Introduction: Hypertension (HTN) has long been associated with abdominal aortic aneurysm (AAA) development and these cardiovascular pathologies are biochemically characterized by elevated plasma levels of Angiotensin-II (AngII) as well as interleukin-6 (IL-6). A biologic relationship between HTN and AAA has not been established, however. Accordingly, the objective of this study was to evaluate whether elevated tension may initiate IL-6 production to accumulate monocyte/macrophages and promote dilation of the abdominal aorta (AA). Read More

    Preoperative Antiplatelet and Statin Use Does Not Affect Outcomes after Carotid Endarterectomy.
    Ann Vasc Surg 2017 Nov 1. Epub 2017 Nov 1.
    Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University, School of Medicine, Boston, MA. Electronic address:
    Background: The use of statin and antiplatelet medications has been advocated in patients with cerebrovascular disease as primary medical therapy and as an adjunct to carotid endarterectomy (CEA). Our goal was to assess the prevalence of preoperative statin and antiplatelet use and its effect on perioperative outcomes after CEA.

    Methods: The American College of Surgeons National Surgical Quality Improvement Program targeted CEA database was queried for patients undergoing CEA between 2011 and 2014. Read More

    First Case of 2 Synchronous Gluteal Arteries Aneurysms Treated by Endovascular Plug Embolization: Case Report and Literature Review.
    Ann Vasc Surg 2017 Sep 28. Epub 2017 Sep 28.
    Cardiovascular Department, Vascular and Endovascular Surgery Unit, San Carlo Hospital, Potenza, Italy.
    Introduction: Gluteal artery aneurysms (GAAs) are rare, accounting for less than 1% of all arterial aneurysms. Most of them are post-traumatic in nature and involve the superior gluteal artery (SGA), while injuries of the inferior gluteal artery (IGA) have been reported less frequently. We report an unusual case of a patient with double saccular GAA of unknown etiology, involving both the SGA and IGA, successfully treated by endovascular embolization. Read More

    Comparison between Saline Solution Containing Heparin versus Saline Solution in the Lock of Totally Implantable Catheters.
    Ann Vasc Surg 2017 Sep 23. Epub 2017 Sep 23.
    Federal University of Alagoas, Arapiraca, Alagoas, Brazil.
    Background: There are only 3 studies comparing the efficacy of 2 different types of lock used in totally implantable catheters regarding occlusion or reflux dysfunction. The present study contains the largest published casuistry (862 patients) and is the only one that analyzes 3 parameters: occlusion, reflux dysfunction, and flow dysfunction.

    Methods: This was a retrospective study of patients operated at a large oncology center and followed up in the outpatient clinic between 2007 and 2015. Read More

    Late Peroneal Neuropathy after Open Surgical Treatment of Popliteal Artery Aneurysm.
    Ann Vasc Surg 2017 Sep 23. Epub 2017 Sep 23.
    Department of Vascular Surgery and Kidney Transplantation, University Hospital of Strasbourg, Strasbourg, France.
    We report the case of a 71-year-old man complaining of swollen left limb and progressively worsening pain. He underwent surgery 12 years ago for popliteal artery aneurysm with proximal and distal ligation and venous bypass grafting. The patient was diagnosed as having left peroneal neuropathy caused by a 10. Read More

    Management and Evolution of a Wallstent Migration in a Pediatric Blunt Traumatic Abdominal Aortic Injury.
    Ann Vasc Surg 2017 Sep 23. Epub 2017 Sep 23.
    Department of Vascular Surgery, Hospital de Cruces, Barakaldo, Spain.
    Blunt traumatic abdominal aortic injury in children is a rare but a severe condition. The clinical manifestation often involves other intra-abdominal visceral injuries and vertebral fractures. The best therapeutic management is still unclear with few reported endovascular cases treated. Read More

    The FREEDOM Study: A Pilot Study Examining the Feasibility and Safety of Early Walking following Femoral Manual Compression after Endovascular Interventions Using 5F Sheath-Compatible Devices.
    Ann Vasc Surg 2017 Sep 23. Epub 2017 Sep 23.
    CHU Nantes, l'Institut du Thorax, service de chirurgie vasculaire, Nantes, France; Université de Nantes, Nantes, France; INSERM UMR1238, Nantes, France. Electronic address:
    Background: Increasing prevalence of peripheral arterial disease (PAD) burning and pressure to reduce costs and promote patient empowerment make outpatient endovascular procedures an attractive alternative to conventional hospitalization. For outpatient peripheral endovascular procedures, femoral manual compression could replace the use of arterial closure devices for small-bore punctures. Presently, safety and feasibility evidence for femoral manual compression is still lacking. Read More

    Emergent endovascular treatment of thoraco-abdominal aortic rupture in Behcet's disease.
    Ann Vasc Surg 2017 Sep 22. Epub 2017 Sep 22.
    Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia.Vascular Surgery Unit. Fondazione IRCCS Policlinico San Matteo, Pavia, Italy.
    Purpose: Endovascular approach with parallel graft technique can be a valid solution in emergency setting for the treatment of thoraco-abdominal aorta involvement in Behcet's disease.

    Case Report: we describe the clinical case of a 41-year-old man, urgently hospitalized for a rupture of thoraco-abdominal aorta with occlusion of the celiac trunk and involvement of superior mesenteric artery. The patient also presented a massive right hemothorax and a massive left pulmonary thromboembolism. Read More

    Comparison of endovascular versus bypass surgery in femoropopliteal TASC II D lesions: A single-center study.
    Ann Vasc Surg 2017 Sep 22. Epub 2017 Sep 22.
    Department of Medical Direction and Public Health, University of Verona, School of Medicine, University Hospital of Verona, Verona, Italy.
    Background: In patients with severe occlusive disease (Trans-Atlantic Inter-Society Consensus II D [TASC II D]) of the femoropopliteal segment, the advantages of endovascular versus bypass revascularization still remain debated. Most reports available in literature comparing percutaneous transluminal angioplasty (PTA) ± bare metal stent (BMS) versus synthetic bypass analyze patients with heterogeneous anatomical lesions creating possible bias when results of different treatments are matched. In this study, we compared early and midterm outcomes of PTA ± BMS versus heparin-bonded expanded polytetrafluoroethylene graft (Propaten-Gore) + Linton patch in patient affected by symptomatic femoropopliteal TASC II-D lesions. Read More

    The Curcumin-Induced Vasorelaxation in Rat Superior Mesenteric Arteries.
    Ann Vasc Surg 2017 Sep 22. Epub 2017 Sep 22.
    College of Pharmacy, Xi'an Medical University, Xi'an, Shaanxi, China.
    Background: Curcumin (Cur) is a natural lipophilic polyphenol compound extracted from the rhizome of turmeric. Recently, protective effect of Cur on cardiovascular system is paid close attention. Some researches demonstrated that Cur could induce vascular relaxation in many arterial beds. Read More

    Frequency of the pectoralis minor compression syndrome in patients treated for thoracic outlet syndrome.
    Ann Vasc Surg 2017 Sep 21. Epub 2017 Sep 21.
    Department of Vascular and Thoracic Surgery, University Hospital, 49933 Angers, France.
    Background: Pectoralis minor compression syndrome (PMCS) is a compression of the neurovascular structures in the sub-pectoral tunnel and remains underestimated in the management of patients with thoracic outlet syndrome (TOS). Its underdiagnosis may be responsible for incomplete or failed treatment. The aim of the study was to evaluate the frequency of PMCS in our experience. Read More

    Common Femoral Artery Caliber Changes after Percutaneous versus Surgical Access in Endovascular Aneurysm Repair in the Asian Population.
    Ann Vasc Surg 2017 Sep 22. Epub 2017 Sep 22.
    Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Department of Diagnostic Radiology, Tan Tock Seng Hospital, Singapore, Singapore. Electronic address:
    Background: Western studies showed vascular caliber changes post-endovascular aneurysm repair (EVAR). This study aims to evaluate for postoperative changes of the common femoral artery inner diameter (CFA ID) in the Asian population.

    Methods: From January 2011 to June 2016, 202 patients who underwent EVAR were reviewed. Read More

    Risk Prediction for Portal Vein Thrombosis in Acute Pancreatitis Using Radial Basis Function.
    Ann Vasc Surg 2017 Sep 22. Epub 2017 Sep 22.
    Surgical Intensive Care Unit, Department of General Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China. Electronic address:
    Background: Acute pancreatitis (AP) can induce portosplenomesenteric vein thrombosis (PVT), which may generate higher morbidity and mortality. However current diagnostic modalities for PVT are still controversial. In recent decades, artificial neural networks have been increasingly applied in medical research. Read More

    Treatment of Complex Abdominal Aortic Aneurysms with Parallel Graft-Endovascular Aneurysm Repair. Retrospective Analysis of a Single Center Experience and Midterm Results.
    Ann Vasc Surg 2017 Sep 22. Epub 2017 Sep 22.
    Vascular and Endovascular Surgery Unit, Cardiovascular Department, University Hospital of Cattinara ASUITS, Trieste, Italy.
    Background: We sought to evaluate the midterm results of parallel-graft-endovascular aneurysm repair (pg-EVAR) for complex aortic anatomy in high-risk candidates for open surgical repair of abdominal aortic aneurism (AAA).

    Methods: Clinical and radiographic information on 35 patients treated by pg-EVAR between March 2010 and December 2015 was retrospectively reviewed and analyzed. All patients presented with symptomatic aneurysms and were treated within 3 days of clinical presentation. Read More

    Results of Infrageniculate Bypasses Using the Profunda Femoris Artery as Inflow Source.
    Ann Vasc Surg 2017 Sep 22. Epub 2017 Sep 22.
    The Department of Surgical Sciences, The University of Rome "La Sapienza", Rome, Italy.
    Background: When the common femoral artery is not accessible for infrainguinal bypass grafting, the profunda femoris artery (PFA) can be a valuable alternative inflow source for distal arterial revascularization. The purpose of this retrospective study was to evaluate the results of infrageniculate bypass grafting via the PFA as inflow source for critical limb ischemia.

    Methods: Between 1994 and 2016, 68 patients, 51 men of a mean age of 74 years, underwent an infrageniculate arterial bypass grafting for critical limb ischemia, using the PFA as inflow site. Read More

    Endovascular Chimney Technique for Aortic Arch Pathologies Treatment: A Systematic Review and Meta-Analysis.
    Ann Vasc Surg 2017 Sep 22. Epub 2017 Sep 22.
    Department of Cardiac Surgery, Air Force General Hospital of People's Liberation Army, Beijing, China. Electronic address:
    Background: Endovascular chimney technique has been increasingly reported in treating aortic arch pathologies. However, there are still concerns about this technique. The aim of this study is to evaluate the safety and outcome of this technique by performing a systematic review and meta-analysis. Read More

    Permanent Decline of Renal Function after Infrarenal Abdominal Aortic Aneurysm Repair-Frequency and Risk Factors.
    Ann Vasc Surg 2017 Sep 22. Epub 2017 Sep 22.
    Department of Internal Medicine, Rotes Kreuz Krankenhaus, Bremen, Germany; Department of Nephrology, University Duisburg-Essen, Essen, Germany. Electronic address:
    Background: Permanent renal function decline, and development and deterioration of chronic kidney disease (CKD) are associated with serious complications. How frequent is renal function decline after infrarenal abdominal aortic aneurysm (iAAA) repair according to current definitions and what are its risk factors, especially potentially modifiable ones?

    Methods: Retrospective observational study including all patients with elective or urgent iAAA repair from 2007 to 2011. The primary outcome was renal function decline in the first year after iAAA repair, defined as permanent reduction of estimated glomerular filtration rate (eGFR) ≥20% from baseline and/or end-stage renal disease (ESRD), all in the first year after iAAA repair. Read More

    Thomas Mann: Vascular Fatal Illness of the Writer Who Mastered Disease Through Literary Fiction.
    Ann Vasc Surg 2017 Sep 15. Epub 2017 Sep 15.
    General and Speciality Surgical Department Paride Stefanini, University of Rome La Sapienza, Rome, Italy. Electronic address:
    Ruptured iliac artery may initially clinically mimic an isolated inferior limb venous involvement. It was indeed an acute iliac artery dissection complicated by contained rupture and misdiagnosed as inferior limb venous thrombosis that led to the death of Thomas Mann in 1955. The details of the complex case are analyzed. Read More

    The Incidence of Ischemic Colitis after Repair of Ruptured Abdominal Aortic Aneurysms Is Decreasing in the Endovascular Era.
    Ann Vasc Surg 2017 Sep 15. Epub 2017 Sep 15.
    Division of Vascular Surgery, Department of Surgery, University of Washington Medical Center, Seattle, WA.
    Background: Ischemic colitis (IC) is a well-described complication of ruptured abdominal aortic aneurysms (rAAAs). The purpose of this study was to compare the incidence of IC in patients with rAAA undergoing open repair (OR) versus endovascular aneurysm repair (EVAR) at a single institution. In addition, we analyzed the incidence of IC before and after the implementation of a formal rupture AAA protocol (rEVAR protocol). Read More

    End-To-Side versus Side-To-Side Anastomosis in Upper Limb Arteriovenous Fistula for Dialysis Access: A Systematic Review and a Meta-Analysis.
    Ann Vasc Surg 2017 Sep 13. Epub 2017 Sep 13.
    Lambe Institute for Translational Discipline of Surgery, National University of Ireland, Galway, Ireland.
    Background: An arteriovenous fistula (AVF) is the best modality for hemodialysis access. The end-to-side (ETS) technique has been suggested in the literature to produce superior results to the side-to-side (STS) approach; however, in the absence of a systematic review, this practice remains debatable.

    Methods: Online search for randomized controlled trials and observational studies that compared the ETS versus the STS anastomosis techniques in creating an upper limb AVF. Read More

    Unusual Causes of Venous Thrombosis: Bladder Distension and Uterine Mass.
    Ann Vasc Surg 2017 Sep 13. Epub 2017 Sep 13.
    Department of Surgery, Johns Hopkins Medicine, Baltimore, MD.
    Thrombosis of the inferior vena cava (IVC) continues to be a rare event, and there is a scarcity of evidence with regard to its etiology. One source for IVC thrombosis is external compression from adjacent structures. In this case series, we present 1 case of IVC thrombosis caused by a severely distended bladder and a case of external iliac thrombosis caused by external compression from an abnormally enlarged uterus. Read More

    Rationale and Design of the ARREST Trial Investigating Mesenchymal Stem Cells in the Treatment of Small Abdominal Aortic Aneurysm.
    Ann Vasc Surg 2017 Sep 13. Epub 2017 Sep 13.
    Division of Vascular Surgery, Department of Surgery, IU Health Center for Aortic Disease, Indiana University School of Medicine, Indianapolis, IN; VA Center for Molecular and Cellular Therapeutics in Cardiovascular Disease, Richard L. Roudebush VA Medical Center, Indianapolis, IN. Electronic address:
    Background: Abdominal aortic aneurysms (AAAs) are a major source of morbidity and mortality despite continuing advances in surgical technique and care. Although the inciting factors for AAA development continue to be elusive, accumulating evidence suggests a significant periaortic inflammatory response leading to degradation and dilation of the aortic wall. Previous human trials have demonstrated safety and efficacy of mesenchymal stem cells (MSCs) in the treatment of inflammation-related pathologies such as rheumatoid arthritis, graft versus host disease, and transplant rejection. Read More

    Adventitial Cystic Disease: Complicated and Uncomplicated.
    Ann Vasc Surg 2017 Sep 12. Epub 2017 Sep 12.
    Department of Vascular Surgery, Henry Ford Health System, Detroit, MI.
    Three cases of adventitial cystic disease of popliteal artery are reported; 1 complicated with associated thrombosis of the popliteal artery and 2 uncomplicated. Operative management and follow-up are described. Read More

    Evolution of Computed Tomography Imaging the First Year after Endovascular Sealing of Infrarenal Aortic Aneurysms Using the Nellix Device.
    Ann Vasc Surg 2017 Sep 12. Epub 2017 Sep 12.
    Department of Vascular Surgery, Rijnstate Hospital, Arnhem, The Netherlands.
    Background: The Nellix endovascular aneurysm sealing (EVAS) system is an alternative endovascular treatment option for infrarenal aortic aneurysms (AAAs), with a unique appearance on computed tomography angiography (CTA). Normal evolution of post-EVAS CTA appearance follow-up is still largely unknown and important to timely detect eventual complications. The objective is to assess the normal appearance of CTA images 30 days and 1 year after EVAS in 50 consecutive patients. Read More

    Single-Session Percutaneous Endovascular Mesocaval Shunt Creation and Balloon-Occluded Retrograde Transvenous Obliteration for the Treatment of Gastric Varices.
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, Ann Arbor, MI.
    In the setting of portal hypertension, the body responds by creating portosystemic venous shunts, which may lead to the development of varices. Endoscopic treatment of these varices is often warranted to prevent catastrophic bleeding. During the course of variceal treatment, 1 or more portosystemic shunts may be sacrificed, which may acutely exacerbate portal hypertension and reduce systemic venous return. Read More

    Supervised Exercise Therapy for Intermittent Claudication Is Increasingly Endorsed by Dutch Vascular Surgeons.
    Ann Vasc Surg 2017 Sep 9. Epub 2017 Sep 9.
    Department of Vascular Surgery, Catharina Hospital, Eindhoven, The Netherlands; Department of Epidemiology, CAPRHI School for Public Health and Primary Care, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands. Electronic address:
    Background: Although supervised exercise therapy (SET) is generally accepted as an effective noninvasive treatment for intermittent claudication (IC), Dutch vascular surgeons were initially somewhat hesitant as reported by a 2011 questionnaire study. Later on, a nationwide multidisciplinary network for SET was introduced in the Netherlands. The aim of this questionnaire study was to determine possible trends in conceptions among Dutch vascular surgeons regarding the prescription of SET. Read More

    User Preferences for Mobile Health Interventions: A Survey among Intermittent Claudication Patients and Their Physical Therapists.
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Department of Surgery, Catharina Hospital, Eindhoven, The Netherlands; Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Centre, Maastricht, The Netherlands. Electronic address:
    Background: Smartphone apps provide novel ways for triggering lifestyle change by coupling objective measurements of health behavior with tailored feedback. Little is known about end-user preferences regarding the content of mobile health (mHealth) interventions. The aim of this study was to assess smartphone use and preferences regarding app content among intermittent claudication patients and their treating physical therapists. Read More

    Novel Application of Branched Endograft for Preservation of Pelvic Circulation.
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Cleveland Clinic, Cleveland, OH. Electronic address:
    Background: Endovascular repair of a proximal anastomotic pseudoaneurysm (APSA) of an end-to-side aortobifemoral bypass (ABF) can lead to pelvic ischemia. We present a novel application of branched aortic endograft to repair such pseudoaneurysm while preserving flow into the ABF and native aortoiliac system.

    Methods: A 71-year-old male with history of aortoiliac occlusive disease resulting in lifestyle limiting claudication was treated with an aortobifemoral bypass in 1999. Read More

    Ex Vivo Reconstruction and Autotransplantation for Hilar Renal Artery Aneurysms in Patients with Congenital Anomalies.
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Division of Vascular Surgery and Endovascular Surgery, Department of Surgery, Detroit Medical Center of WSUSOM, Wayne State University School of Medicine, Detroit, MI. Electronic address:
    Renal artery aneurysms (RAAs) are an uncommon finding but are more often associated with other congenital disorders. The complex (hilar) RAAs constitute a subset of RAAs that present a therapeutic dilemma for the vascular surgeon because of their anatomic location. This dilemma worsens when hilar RAAs occur with a solitary kidney where organ preservation is vital. Read More

    Endovascular Aortoiliac Revascularization in a Patient with Spinal Cord Injury and Hip Contracture.
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Division of Vascular and Endovascular Surgery, University of Miami, Bruce W. Carter Miami VAMC, Miami, FL. Electronic address:
    Treatment of chronic peripheral ischemic wounds in patients with spinal cord injury (SCI) can be technically challenging, especially if they have significant hip contracture. This article describes the endovascular aortoiliac revascularization of a paraplegic patient with hip contracture and a hostile abdomen. It also reviews the particularity of the peripheral arterial system in SCI patients. Read More

    Hypertension, Acute Stent Thrombosis, and Paraplegia 6 Months after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury in a 22-Year-Old Patient.
    Ann Vasc Surg 2017 Sep 9. Epub 2017 Sep 9.
    Department of General Surgery, Surgical Specialties and Organ Transplantation "Paride Stefanini", Policlinico "Umberto I" Hospital, "Sapienza" University, Rome, Italy.
    Thoracic endovascular aortic repair (TEVAR) is a less invasive option for managing traumatic injuries of the descending aorta in polytraumatized patients. Concerns arise when treating young patients with TEVAR. A 22-year-old male was admitted to the emergency department following a high-impact road traffic collision. Read More

    Safety and Feasibility of Temporary Superior Vena Cava Filter Combined with Balloon Dilatation and Catheter-Directed Thrombolysis for Catheter-Related Thrombosis.
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Department of Radiology, The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
    Background: The objective was to evaluate the safety and feasibility of temporary superior vena cava (SVC) filter combined with balloon dilatation and catheter-directed thrombolysis for the treatment of catheter-related thrombosis (CRT) caused by implanted ports.

    Methods: Between February 2014 and October 2016, 13 patients with implanted port-related CRT in internal jugular vein, brachiocephalic vein, and/or subclavian vein were treated by temporary SVC filter, balloon dilatation, and catheter-directed thrombolysis. Clinical data were retrospectively analyzed with respect to clinical characteristics, SVC filter placement and retrieval, balloon dilatation, and catheter-directed thrombolysis. Read More

    Late Complication after Thoracic Endovascular Aortic Repair: What Is the Role of an Open Surgical Conversion?
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Division of Vascular Surgery, University Hospital of Zurich, Zurich, Switzerland; Faculty of Medicine, University of Zurich, Zurich, Switzerland.
    Background: The aim was to evaluate the causes of thoracic endovascular aortic repair (TEVAR) failure and conversion to open surgery (COS) in a vascular center with high-volume open surgery and low-volume TEVAR procedures.

    Methods: A total of 8 patients (6 men; mean age, 55.14 years) underwent COS after TEVAR. Read More

    Emergent Treatment of Ruptured Axillary Artery Aneurysm.
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Department of Vascular Surgery, Maastricht University Medical Center MUMC+, Maastricht, The Netherlands.
    The axillary artery aneurysm (AxAA) is a rare entity, with a diverse range of proposed etiologic mechanisms. Although usually asymptomatic, thromboembolic or hemorrhagic complications leave many with vascular and neurologic compromise. Both open and endovascular treatment approaches have been reported. Read More

    Risk Factors Associated with Perioperative Myocardial Infarction in Major Open Vascular Surgery.
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Department of Surgery, Section of Vascular Surgery, University of Michigan, Ann Arbor, MI.
    Background: Among patients undergoing noncardiac surgery, major vascular surgery is associated with a high risk of perioperative myocardial infarction (MI). Currently, there are no perioperative MI risk calculators accounting for intraoperative and postoperative risk factors in vascular surgery patients. We aimed to investigate specific risk factors for perioperative MI after major open vascular surgery to determine which patients are at highest risk of MI and the association of perioperative MI with perioperative transfusion. Read More

    Impact of Vascular Calcifications on Long Femoropopliteal Stenting Outcomes.
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Department of Vascular Surgery, Nantes University Hospital, Thorax Institute, Nantes, France; Laboratory of Pathophysiology of Bone Resorption, UMR-957, Nantes, France; University of Nantes, Nantes, France.
    Background: Vascular calcifications (VCs) may be a prognostic factor for outcome after endovascular treatment of peripheral arterial disease (PAD). Semiquantitative analysis with X-ray imaging is the main limiting factor for assessing VCs. The aim of the present study was to find a correlation between the amount of VC with computed tomography (CT) scan quantification and midterm results of endovascular treatment of Trans-Atlantic Inter-Society Consensus C/D femoropopliteal (FP) lesions. Read More

    Comparison of Radiation Exposure during Endovascular Treatment of Peripheral Arterial Disease with Flat-Panel Detectors on Mobile C-arm versus Fixed Systems.
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Rennes University Hospital, Center of Cardiothoracic and Vascular Surgery, Rennes, France; INSERM, U1099, Rennes, France; University Rennes 1, Signal and Image Processing Laboratory (LTSI), Rennes, France. Electronic address:
    Background: Flat-panel detectors on mobile C-arm (MC-arm) systems are currently challenging fixed C-arm (FC-arm) systems used in hybrid operating rooms. MC-arm systems offer an alternative to FC-arm systems in the endovascular treatment of peripheral arterial disease (PAD) but their efficiency has not been evaluated comparatively.

    Methods: Two series of patients undergoing arteriography with intention to treat were included. Read More

    Is the Endovascular Treatment of Mild Iliac Stenoses Worthwhile to Improve Wound Healing in Patients Undergoing Femorotibial Bypass?
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Department of Vascular and Endovascular Surgery, Groupe Hospitalier Le Raincy-Montfermail, Paris, France.
    Background: After an infrapopliteal reconstruction, minor amputations are frequently required, but even in the case of successful revascularization, wound healing is a major concern. We studied the role of iliac artery inflow correction in patients undergoing infrapopliteal vein grafts to improve the heal of midfoot amputation.

    Methods: Thirty-eight patients affected with Rutherford grade III category 5 peripheral arterial disease, who underwent successful simultaneous iliac endovascular procedure, infrapopliteal reversed vein bypass graft, and minor amputation, were enrolled in this retrospective study. Read More

    Retrosternal Metastatic Papillary Thyroid Cancer Causing Superior Vena Cava Syndrome: A Very Rare Presentation.
    Ann Vasc Surg 2017 Sep 7. Epub 2017 Sep 7.
    Department of General Surgery, Al Ansar General Hospital, Medina, Saudi Arabia.
    Thyroid cancer causing superior vena cava (SVC) syndrome is a very rare clinical entity with only 26 cases reported worldwide. Metastatic thyroid cancer causing SVC syndrome several years following resection of the primary tumor is extremely rare with only 2 cases reported; one of them was of the papillary variety. We report the second case worldwide of metastatic papillary thyroid cancer causing SVC syndrome 2 years after total thyroidectomy of the original tumor in a 62-year-old Indian female pilgrim. Read More

    Ascending Aorta Endovascular Repair of a Symptomatic Penetrating Atherosclerotic Ulcer with a Custom-Made Endograft.
    Ann Vasc Surg 2017 Sep 7. Epub 2017 Sep 7.
    Department of Cardiovascular and Thoracic Surgery, Evangelismos General Hospital of Athens, Athens, Greece.
    Background: Thoracic endovascular aortic repair (TEVAR) has become lately the procedure of choice in the treatment of most pathologies of descending thoracic aorta. Aortic arch aneurysms also came to be treated by TEVAR with various hybrid techniques or custom-made scalloped/fenestrated stent grafts. Zone 0; ascending TEVAR is more challenging than TEVAR of the descending thoracic aorta or aortic arch because of the more complex pathology, hemodynamics, and anatomy. Read More

    Comparison of Endovascular Stent Grafts for Abdominal Aortic Aneurysm Repair in Medicare Beneficiaries.
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Department of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Boston, MA. Electronic address:
    Background: Increased renal complications have been suggested with suprarenal stent grafts, but long-term analyses have been limited. Therefore, the purpose of this study was to evaluate the effect of endograft choice on perioperative and long-term outcomes.

    Methods: We compared Medicare beneficiaries undergoing endovascular abdominal aortic aneurysms repair from 2005 to 2008 with endografts with infrarenal fixation and a single docking limb (AneuRx, Excluder) to those with suprarenal fixation and 2 docking limbs (Zenith), or a unibody configuration (Powerlink). Read More

    Evaluating the Utilization of Prophylactic Inferior Vena Cava Filters in Trauma Patients.
    Ann Vasc Surg 2017 Sep 7. Epub 2017 Sep 7.
    Division of Vascular Surgery, Department of Surgery, University of Arizona College of Medicine, Tucson, AZ. Electronic address:
    Background: The lack of evidence-based guidelines on the use of prophylactic inferior vena cava filters (IVCFs) in patients after trauma has led to variation of its application. We seek to understand the national trend of the use of prophylactic IVCF in trauma population.

    Methods: A retrospective review of the National Trauma Databank (2002-2014) was performed to identify patients who received an IVCF after trauma. Read More

    The Value of Carotid Endarterectomy as a Learning Tool for Trainees.
    Ann Vasc Surg 2017 Sep 7. Epub 2017 Sep 7.
    Vascular Surgery Unit, Dipartimento di Medicina Specialistica Diagnostica e Sperimentale (DIMES), Policlinico S. Orsola-Malpighi, University of Bologna, Bologna, Italy.
    Background: Carotid endarterectomy (CEA) intervention needs a specific training and a sufficient learning curve to obtain optimal results in terms of outcome. A formative program was settled up in a single academic center to optimize training of standard CEA procedures. This study aims to evaluate the 11-year results of the teaching CEA program. Read More

    National Utilization and Outcomes of Redo Lower Extremity Bypass versus Endovascular Intervention after a Previous Failed Bypass.
    Ann Vasc Surg 2017 Sep 7. Epub 2017 Sep 7.
    Division of Vascular and Endovascular Surgery, Department of Surgery, University of Virginia, Charlottesville, VA. Electronic address:
    Background: Redo lower extremity bypass (LEB) and infrainguinal endovascular intervention (IEI) are options to treat critical limb ischemia after a failed prior LEB, but the utilization and outcomes of each are poorly described. The purpose of this study was to compare 30-day major adverse limb events (MALEs) and major adverse cardiovascular events (MACEs) after LEB and IEI in patients with a failed prior ipsilateral LEB and determine risk factors for each composite outcome.

    Methods: Patients with prior failed ipsilateral LEB who underwent LEB or IEI involving the same arterial segment for critical limb ischemia were identified in the National Surgical Quality Improvement Program (NSQIP) Vascular Targeted File (2011-2014). Read More

    Cerebral Protection with a Temporary Ascending Aorta-External Carotid Artery Bypass during Common Carotid Artery Revascularization.
    Ann Vasc Surg 2017 Sep 7. Epub 2017 Sep 7.
    Department of Cardiovascular Surgery, Istanbul University Istanbul Medical Faculty, Istanbul, Turkey.
    Atherosclerosis is a systemic disease, and multiarterial involvement is common. Involvement of all the supra-aortic arteries may occur in the same patient making cerebral revascularization challenging. In this report, we present complete supra-aortic revascularization, that is, revascularization of the bilateral common carotid and subclavian arteries in a 51-year-old male patient with occluded brachiocephalic trunk, left subclavian artery, and proximally stenotic left common carotid artery. Read More

    Transverse versus Longitudinal Incisions for Femoral Artery Exposure in Treating Patients with Peripheral Vascular Disease.
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Division of Vascular Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, FL.
    Background: This study evaluates differences in wound complication rate when transverse versus longitudinal incision is utilized to expose femoral vessels in managing patients with peripheral vascular disease.

    Methods: A retrospective review from 2013 to 2015 was conducted of 150 patients undergoing 156 lower extremity revascularizations with femoral artery exposure through a groin incision. Patients were stratified into 2 groups, transverse versus longitudinal groin incision. Read More

    Covered Stent Grafts for Acquired Arterial Venous Fistulas: A Case Series.
    Ann Vasc Surg 2017 Sep 7. Epub 2017 Sep 7.
    Yale University Section of Vascular Surgery, New Haven, CT.
    Background: Stent grafts have become the preferred method for treating abdominal aortic aneurysms (AAAs) but also have utility in treating other vasculopathies. In 2005, peripheral stent grafts were approved for treating superficial femoral artery occlusive disease. This report describes our experience using covered stent grafts to treat acquired arterial venous fistulae (aAVF). Read More

    Reversal of Acute Mesenteric Ischemia by Salvation of the Meandering Mesenteric Artery with Stenting of the Left Internal Iliac Artery.
    Ann Vasc Surg 2017 Sep 8. Epub 2017 Sep 8.
    Second Department of Surgery, Vascular Unit, Aretaieion University Hospital, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
    The presence of the meandering mesenteric artery, which is a nonconstant tortuous arterial component unifying the peripheral intestinal circulation, is evidence of chronic occlusive disease of the main intestinal arteries. This collateral intestinal arterial pathway, when present, must be preserved in any abdominal intervention, as it is often the only remaining arterial supply of the intestine; its ligation can be accompanied by intestinal ischemia. We present herein, the case of a 42-year-old man, heavy smoker, who had chronic mesenteric ischemia without particular clinical manifestations till the hospitalization for acute myocardial infarction for which he underwent balloon angioplasty and stenting of the left circumflex coronary artery. Read More

    Endovascular Exclusion of Hypogastric Aneurysms Using Distal Branches of the Internal Iliac Artery as Landing Zone: A Case Series.
    Ann Vasc Surg 2017 Sep 7. Epub 2017 Sep 7.
    Vascular and Endovascular Surgery Unit, Cardiovascular Department, University Hospital of Cattinara, Trieste, Italy.
    Background: The purpose of the study was to report an alternative endovascular technique to exclude aneurysms of the internal iliac artery in the setting of abdominal aortic aneurysm (AAA) disease using the anterior division of the hypogastric artery (HGA) or the superior gluteal artery (SGA) as distal landing zone for the stent graft.

    Methods: Three patients with HGA aneurysms in the setting of AAA that were excluded with placement of a self-expandable covered stent. In 2 patients, the AAA had been already treated with resulting exclusion of 1 HGA, while in the remaining we treated the hypogastric aneurysm before the AAA. Read More

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