6,444 results match your criteria Annals of Vascular Surgery[Journal]


One-year results of iliocaval stenting.

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

Department of Vascular & Endovascular Surgery Wellington Street, Perth, 6000, Western Australia.

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

Methods: Patients with chronic venous insufficiency (CVI) C3-C6 (CEAP classification) and acute DVT were assessed by ultrasound scan, CT, venography and/or IVUS, and if an obstruction in their iliocaval or iliofemoral segments were confirmed, they underwent venoplasty and stenting. Acute DVT cases were treated with pharmaco-mechanical and/or catheter-directed thrombolysis and residual obstruction was then stented. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.082DOI Listing
February 2019
2 Reads

TEVAR for secondary aortobronchial fistulas - Two cases with favorable long-term outcomes.

Ann Vasc Surg 2019 Feb 27. Epub 2019 Feb 27.

Vascular surgery department - General hospital of Thessaloniki "Georgios Papanikolaou".

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

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

Impact of the aortic graft on arterial stiffness and inflammatory biomarkers after endovascular aortic repair or open surgical repair in abdominal aortic aneurysm disease.

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

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

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

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

First Population Based Screening of Abdominal Aortic Aneurysm in Portugal.

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

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

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

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

Clinical and morphological outcomes in endovascular aortic repair of abdominal aortic aneurysm using Gore C3 Excluder: comparison between patients treated within and outside instructions for use.

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

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

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

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

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

Ruptured mycotic aneurysm after intravesical instillation for bladder tumor.

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

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

Introduction: Intravesical instillation of Bacillus Calmette-Guérin (BCG) is an effective, widely used treatment for patient affected by in-situ bladder cancer. Major complications are quite uncommon, but a systemic dissemination of the attenuated strain of Mycobacteryum bovis (MB) is possible. Few cases of aortic rupture caused by M. Read More

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

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

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

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

We report the case of a 54-year-old female who presented with chronic mesenteric ischaemia, symptoms which could also be provoked on walking fifty to one hundred metres. CT angiography demonstrated ostial occlusion of all three mesenteric vessels, with extensive collateralisation reconstituting the inferior mesenteric artery (IMA) from the iliac arteries. As such, her abdominal pain was secondary to preferential flow to the lower limbs stealing from mesenteric vasculature. Read More

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

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

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

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

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

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

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http://dx.doi.org/10.1016/j.avsg.2018.12.093DOI Listing
February 2019
1 Read

Symptomatic aortic bare metal stent fracture after petticoat technique for complicated type b aortic dissection.

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

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

Purpose: Aortic bare-metal stent rupture is an exceptional complication, associated to high risk of aorta rupture and death. We describe a successful endovascular approach of a symptomatic aortic bare metal stent fracture after PETTICOAT technique.

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

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

Hybrid Repair Of An Innominate Artery Mycotic Aneurysm With An "On-The-Table" Customized Endograft.

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

Chief of Staff of the Vascular Surgery Departement, Hospital Universitario Central de Asturias (H.U.C.A).

Purpose: To present a challenging case of a mycotic aneurysm of the innominate artery (IA) in a patient with a bovine aortic arch.

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

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http://dx.doi.org/10.1016/j.avsg.2018.12.097DOI Listing
February 2019
1 Read

A Unique Bailout Method for the Repair of Abdominal Aortic Aneurism with a Narrow Iliac Bifurcation.

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

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

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

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http://dx.doi.org/10.1016/j.avsg.2018.12.096DOI Listing
February 2019
1 Read

Crohn's Disease Complicated with Extensive Thrombosis of Limbs and Mesenteric Arteries: A Case report and literature review.

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

Department of Hepatobiliary and Pancreatic Surgery, The Affiliated Hospital of Qingdao University, No.16 Jiangsu Road, Qingdao City 266003, Shandong Province, China.

Introduction: Crohn's disease (CD) is a chronic disease characterized by purulent inflammation involving any part of the gastrointestinal tract between the oral cavity and the anus. Although studies have reported various complications of CD, arterial thrombosis is extremely rare in these patients. We report a patient with CD presenting with extensive thrombosis of the extremities and mesenteric arteries. Read More

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

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

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

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

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

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

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

Portopulmonary hypertension: A complex case derived from multiple penetrating trauma-induced mesentereic arteriovenous fistulae.

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

Department of Vascular Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China. Electronic address:

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

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

Complex repair of juxtarenal abdominal aortic aneurysm (AAA) with an anatomical variant of the renal arteries.

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

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

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

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

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

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

Division of Vascular Surgery, McGill University Health Centre, 1001 Decarie Boulevard, Montreal, Canada, H4A 3J1.

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

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

Outcomes of Chimney Thoracic Endovascular Aortic Repair for an Aortic Arch Aneurysm.

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

Department of Surgery, Division of Vascular Surgery, Jikei University School of Medicine.

Purpose: To evaluate the short and mid-term results of thoracic endovascular aneurysm repair (TEVAR) with chimney technique including the safety, efficacy, and risk factors for occurrence of gutter endoleak in this technique.

Methods: A retrospective single-center study was conducted on 55 consecutive patients who underwent first-time chimney TEVAR for arch aneurysms in the past 7 years. This consisted of 33 cases of single-chimney (SC) TEVAR and 22 cases of double-chimney (DC) TEVAR. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.087DOI Listing
February 2019
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Endovascular therapy with a covered stent graft for pseudo-aneurysm of the peroneal artery complicating high tibial osteotomy _ a case report.

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

Division of Cardiovascular Medicine and Coronary Heart Disease, Hyogo College of Medicine, Nishinomiya, Japan.

Pseudo-aneurysm of below the knee arteries following a high tibial osteotomy (HTO) is rare. A 69-year-old woman with history of right HTO a half year ago, had performed a left HTO for osteoarthritis. Post-operatively, she had swelling and pain of the left lower leg. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.035DOI Listing
February 2019
2 Reads

Endovascular management of ruptured middle colic artery aneurysm and review of the literature.

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

Department of Radiology,Yuseong Sun Hospital,Daejeon, Republic of Korea.

A ruptured aneurysm of the middle colic artery (MCA) is extremely rare, and its etiology and optimal treatment are unclear. Previously, surgical intervention was the treatment of choice for ruptured visceral artery aneurysms. However, owing to recent advances in endovascular techniques, transcatheter arterial embolizations(TAE) has been recommended for the management of even ruptured splanchnic aneurysms in clinically stable patients without evidence of bowel ischemia . Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.099DOI Listing
February 2019
2 Reads

Peak systolic velocity for calcified plaques fails to estimate carotid stenosis degree.

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

Hospital Israelita Albert Einstein, Vascular Surgery, São Paulo, SP, Brazil; Vascular and Endovascular Surgery Division, São Paulo University Medical School, São Paulo, Brazil.

Objective: Duplex ultrasonography (DUS), although consolidated as the primary tool for the estimation of carotid stenosis, may be impaired by calcified plaques that promote acoustic shadow (AcS). AcS seems to hamper the quantification of the main parameter used in the determination of percentage stenosis, i.e. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.086DOI Listing
February 2019
1 Read

Ligation of Common Iliac Artery Mycotic Aneurysm in a Neonate and Review of the Literature.

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

Greenville Health System, 701 Grove Rd. Greenville, SC 29605.

Introduction: Mycotic aortoiliac aneurysms in a neonate are rare. Surgical treatment has traditionally been the standard of care, but recent case reports have suggested that endovascular management of mycotic iliac aneurysms may also be safe and effective. In this case, we describe successful management of a mycotic aortoiliac aneurysm in a neonate with exploratory laparotomy and ligation of the left common iliac artery. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.095DOI Listing
February 2019
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Hybrid Therapy Consisting of Bowel Resection and Fluoroscopic-Assisted Balloon Thrombectomy for Small Bowel Infarction Caused by Acute Mesenteric Venous Thrombosis.

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

Department of Vascular Surgery, Shandong Provincial Qianfoshan Hospital, Shandong University, Jinan 250014, China. Electronic address:

Objective: To investigate the effect of bowel resection combined with fluoroscopic-assisted balloon thrombectomy for small bowel infarction caused by acute mesenteric venous thrombosis (AMVT).

Materials And Methods: Between June 2016 and August 2017, nine patients (seven males and two females; range, 40-73 years; mean, 55.11 ± 10. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.081DOI Listing
February 2019
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The Need for a Vena Cava Filter In Oncological Patients with Acute Venous Thrombosis: A Marker of a Worse Prognosis.

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

Full Professor of the Discipline of Vascular Surgery, Hospital das Clínicas da Faculdade de Medicina, University of São Paulo. Dr Eneas Carvalho de Aguiar avenue, number 255, 05403000, São Paulo, Brazil.

Objective: Active cancer is found in approximately 20% of patients diagnosed with venous thromboembolism (VTE). This condition is more prevalent in patients with advanced and metastatic cancer and is the second largest cause of death among patients with active neoplasm. Many of them have contraindication for anticoagulation and needs an inferior vena cava filter to be implanted, but a large proportion of these patients have very low survival after filter implantation. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.085DOI Listing
February 2019
2 Reads

Custom-made unibody conical endografts for endovascular repair of saccular infrarenal abdominal aortic aneurysms with narrow aortic bifurcations. Novel implementation of the aortoaortic concept.

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

Vascular and Endovascular Surgery - Cardiovascular Department - University Hospital of Cattinara ASUITs - Trieste - Italy.

The aortoaortic concept for endovascular repair (EVAR) of infrarenal abdominal aortic aneurysms (AAAs) is nearly forgotten but may constitute a valuable option for focal pathologies. Herein we describe our experience using custom-made (CM) unibody conical endografts for saccular AAAs with narrow (≤20mm wide) aortic bifurcation (AB) in three patients. Given the narrow AB, the option for a bifurcated stent-graft was reputed not optimal. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.102DOI Listing
February 2019

A Case of Recurrent Secondary Aortoenteric Fistula 4 Months after Surgery Treated by Endovascular Coiling of the Aortic Stump and Bilateral Chimney Stent-Grafts to Renal Arteries.

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

Department of Radiology; Radiology Unit;"Guglielmo da Saliceto" Hospital, Piacenza, Italy.

The treatment of recurrent aorto-enteric fistula (AEF) previously repaired by surgery is challenging, with a high mortality rate. Open repair is often limited by "hostile abdomen", while endovascular treatment is difficult when the distance between the aortic stump and the origin of the renal arteries is short, with high risk of their occlusion. We describe a recurrent AEF repaired by surgery 4 months earlier, treated by endovascular coiling of the aortic stump after deployment of 2 renal arteries stent-grafts with the chimney technique. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.104DOI Listing
February 2019

Guidance of venous stent implantation after CDT in patients with acute left lower extremity DVT based on pressure gradient differences between the iliac vein and inferior vena cava: a single-center retrospective study.

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

Department of Operation, YanTai Yuhuangding Hospital Affiliated to Qingdao University, YanTai, ShanDong, China, 264000. Electronic address:

Background: Iliac vein compression syndrome (IVCS) can lead to acute deep venous thrombosis (DVT) and post-thrombotic syndrome. Endovascular venous stenting has become a preferred treatment for IVCS. In this article, we guide stent implantation by the pressure gradient of iliac vein and inferior vena cava. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.088DOI Listing
February 2019

Locoregional anesthesia offers improved outcomes following endovascular repair of ruptured abdominal aortic aneurysms.

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

Division of Vascular and Endovascular Surgery, Department of Surgery, University of California, Irvine Medical Center, Orange, California, USA.

Objectives: General (GA) and locoregional anesthesia (LA) are two anesthetic options for endovascular repair of ruptured abdominal aortic aneurysms (REVAR). Studies on elective endovascular repair of non-ruptured aneurysms have indicated that in select patients, LA may provide improved outcomes compared to GA. We aimed to examine the 30-day outcomes in patients undergoing REVAR using GA and LA in a contemporary nationwide cohort of patients presenting with ruptured AAAs. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.083DOI Listing
February 2019
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Outcomes of the Repair of 1000 Abdominal Aortic Aneurysms in the Endovascular Era.

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

Department of Angiology and Vascular Surgery, Hospital Clínico San Carlos. Complutense University. Madrid (Spain).

Objectives: To analyse the outcome of abdominal aortic aneurysm (AAA) repair with elective open surgery (OS) versus endovascular aneurysm repair (EVAR), and assess the predictors of survival.

Material And Methods: A retrospective cohort study was made of 1000 AAA treated between January 1998 and November 2014 (68.1% OS and 31. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.089DOI Listing
February 2019
2 Reads

Congenital Subclavian Artery to Azygos Vein Fistula with Congestive Heart Failure in an Adult.

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

Division of Vascular and Endovascular Surgery, University of Washington, USA.

Congenital arteriovenous communications arising from subclavian artery are very rare. We report the first case of multiple congenital arteriovenous fistulas between the right subclavian artery and azygos vein presenting with congestive heart failure. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.073DOI Listing
February 2019
2 Reads

Acute dissection of the middle colic artery immediately after endovascular abdominal aortic aneurysm repair: A case report.

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

Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University, Saga, Japan.

A 78-year-old man underwent endovascular abdominal aortic aneurysm repair (EVAR) for a true aortic aneurysm. He developed sudden abdominal pain four hours after EVAR. Angiography revealed a dissected aneurysm of the middle colic artery (MCA). Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.077DOI Listing
February 2019
1 Read

Endovascular therapy of a giant renal artery aneurysm combined with high-flow renal arteriovenous fistula using a patent ductus arteriosus occluder.

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

Department of Vascular and Endovascular Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, China. Electronic address:

Renal artery aneurysm (RAA) concomitant with a renal arteriovenous fistula (RAVF) is extremely rare. A 32-year-old man suffered from a giant RAAs combined with high flow RAVF. The Computer tomographic angiography (CTA) demonstrated a RAA, which is 6. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.075DOI Listing
February 2019
2 Reads

Surgery for a late type Ⅲb endoleak from a fabric tear of an Excluder stent graft.

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

Departments of Cardiovascular Surgery, National Cerebral and Cardiovascular Center.

An 85-year-old, who had undergone endovascular abdominal aortic aneurysm repair (EVAR) using the Gore Excluder stent graft ten years ago, was referred for intermittent abdominal pain. He also received coil embolization of the lumbar arteries for a persistent type Ⅱ endoleak resulting in continued aneurysmal dilation at 4, 6, and 8 years after the EVAR. The maximum size of the aneurysm sac was dilated from initial size of 49 mm × 55 mm to 78 mm ×90mm, and contrast medium was observed around proximal portion of the stent graft, suggesting the presence of type Ⅰa or II endoleak. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.101DOI Listing
February 2019

National Trends of Thoracic Endovascular Aortic Repair (TEVAR) Versus Open Thoracic Aortic Repair (OTAR) in Pediatric Blunt Thoracic Aortic Injury.

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

Introduction: Blunt thoracic aortic injury (BTAI) occurs in <1% of all trauma admissions. Thoracic endovascular aortic repair (TEVAR) has become the preferred treatment modality in adult patients with BTAI but its use in pediatrics is currently not supported by device manufacturers and lacks United States Food and Drug Administration approval. We hypothesized that there would also be an increased use of TEVAR in the pediatric population, thus conferring a lower risk of mortality compared to open thoracic aortic repair (OTAR). Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.094DOI Listing
February 2019

Hybrid Aortic Arch Debranching and TEVAR is Safe in a Private, Community Hospital.

Ann Vasc Surg 2019 Feb 20. Epub 2019 Feb 20.

University of California, Riverside School of Medicine, Harvey Nurick MD, Inc. Synergy CT Surgery Partnership. Electronic address:

Purpose: Hybrid open cervical vessel de-branching and thoracic endovascular aortic repair (TEVAR) is a treatment option in the management of aortic arch or proximal descending thoracic aortic aneurysms. However, these patients are often referred to tertiary care academic centers for aneurysm repair. Our study looks to assess the safety and outcomes of open cervical de-branching and TEVAR within a private, community hospital setting. Read More

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http://dx.doi.org/10.1016/j.avsg.2019.02.002DOI Listing
February 2019

Genesis of crural revascularization.

Ann Vasc Surg 2019 Feb 19. Epub 2019 Feb 19.

Department of Vascular Surgery- Englewood Hospital and Medical Center, Englewood, NJ. Electronic address:

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http://dx.doi.org/10.1016/j.avsg.2019.01.002DOI Listing
February 2019
1 Read

Title: Spatial distribution of abdominal aortic aneurysm surface expansion and correlation with maximum diameter and volume growth.

Ann Vasc Surg 2019 Feb 15. Epub 2019 Feb 15.

Institute of Applied and Computational Mathematics, Foundation for Research and Technology-Hellas, Greece. Electronic address:

Objective: The growth rate of abdominal aortic aneurysm (AAA) is used as a surrogate marker of rupture risk. Its determination is based on maximum diameter increase. However, AAA expansion presents a significant spatial variability. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.071DOI Listing
February 2019
2 Reads

Perceptions of Canadian vascular surgeons toward pharmacologic risk reduction in patients with peripheral artery disease: 2018 update.

Ann Vasc Surg 2019 Feb 13. Epub 2019 Feb 13.

Division of Vascular Surgery, Li Ka Shing Knowledge Institute of St. Michael's Hospital, and University of Toronto, Toronto, ON, Canada; Department of Surgery, King Saud University, Riyadh, Kingdom of Saudi Arabia; King Saud University-Li Ka Shing Collaborative Research Program, Toronto, Ontario, Canada; and Riyadh, Kingdom of Saudi Arabia. Electronic address:

Background: Vascular surgeons have a central role in managing peripheral artery disease (PAD). This study assessed their knowledge, attitudes, and behaviours regarding pharmacologic risk reduction in PAD and results were compared to a similar 2004 survey conducted by our group.

Methods: An online questionnaire was administered to 161 active members of the Canadian Society for Vascular Surgery. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.034DOI Listing
February 2019

A Follow-up Study of Cerebral Microbleeds in Patients Who Received Stents for Symptomatic Cerebral Artery Stenosis.

Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Neurology, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangdong Neuroscience Institute, No. 106. Zhongshan Er Road, Guangzhou, Guangdong Province, PR China, 510080. Electronic address:

Objective: The aims of this study were to explore (i) the dynamic changes in cerebral microbleeds (CMBs) in symptomatic cerebral artery stenosis patients who received endovascular stent-assisted angioplasty and (ii) the risk factors associated with the new incidence of CMBs as well as whether CMBs increased the risk of vascular events in these patients.

Methods: Clinical information and magnetic resonance images were collected on admission and three months after endovascular stent-assisted angioplasty. Based on susceptibility weighted imaging, the patients were divided into groups with or without newly developed CMBs, and between-group differences in risk factors were compared. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.031DOI Listing
February 2019
3 Reads

Endovascular Revascularization of a Chronic Occluded Aortobifemoral Bypass.

Ann Vasc Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Vascular Surgery, HagaZiekenhuis, The Hague, The Netherlands. Electronic address:

Bilateral limb occlusion after aortobifemoral (ABF) prosthesis occurs in 1-3% patients. Multiple remedial choices are known in literature to manage a bilateral occluded ABF such as "redo" ABF bypass, axillobifemoral bypass, endovascular recanalization of the native aortoiliac system, and thrombectomy. We present a patient with an occluded ABF bypass since 2001. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.066DOI Listing
February 2019

Retrograde Type A Dissection After Ascending Aorta Involved Endovascular Repair and Its Surgical Repair with Stented Elephant Trunk.

Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Background: Retrograde type A dissection (RTAD) is a serious complication after ascending aorta involved endovascular repair (AAIER). We here report our surgical approach to this serious complication.

Methods: From July 2011 to July 2014, 8 RTAD after AAIER patients received surgical repair in our institution. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.024DOI Listing
February 2019
4 Reads

Reply to: Peripheral Blood Mononuclear Cells Therapy For Treatment of Lower Limb Ischemia In Diabetic Patient: It is really true?

Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Vascular Surgery, IDI-IRCCS, Rome, Italy.

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http://dx.doi.org/10.1016/j.avsg.2019.01.003DOI Listing
February 2019

Late-Onset Paraplegia After Endovascular Repair of Type B Aortic Dissection Managed by Urgent Left Subclavian Artery Revascularization: A Case Report.

Ann Vasc Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Vascular and Endovascular Surgery, "San Giovanni-Addolorata Hospital", Rome, RM, Italy.

Spinal cord ischemia is one of the most unpredictable and feared complications after open surgical or endovascular thoracic aortic repair. Protection of collateral network branches that contribute blood supply to spinal cord is fundamental in the prevention of this catastrophic condition. We report the case of a patient who underwent emergent endovascular treatment for a type B aortic dissection complicated by rupture of the false lumen, with intentional coverage of the left subclavian artery without revascularization. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.032DOI Listing
February 2019
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Association between Drug Use and In-hospital Outcomes after Infrainguinal Bypass for Peripheral Arterial Occlusive Disease.

Ann Vasc Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Surgery, Johns Hopkins Bayview Vascular and Endovascular Research Center, Baltimore, MD; Department of Surgery, University of California San Diego, La Jolla, CA. Electronic address:

Background: Drug abuse may affect lower extremity vessels due to ischemia following intra-arterial injections, vasospasm, arterial and venous pseudoaneurysms, arteriovenous fistulae, vasculitis, and complicated abscesses. Little is known about the outcomes of lower extremity bypass (LEB) for peripheral arterial disease (PAD) in patients with a history of drug abuse disorder. The aim of this study is to evaluate the outcomes of LEB in this patient population. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.070DOI Listing
February 2019
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The efficacy and safety of Angiojet rheolytic thrombectomy in the treatment of subacute deep venous thrombosis in lower extremity.

Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Vascular surgery department, Peking Union Medical College Hospital, Beijing, China. Electronic address:

Objective: The aim of this study is to examine the efficacy and safety of Angiojet rheolytic thrombectomy for the treatment of subacute deep venous thrombosis (DVT) in lower limbs.

Methods: A retrospective study was performed on 90 patients with subacute DVT (15 ∼90 days) in lower limbss in our center from November 2015 to December 2016. In total, 27 patients with subacute DVT in lower limbs treated with Angiojet rheolytic thrombectomy were included in the study, including 17 males and 10 females. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.017DOI Listing
February 2019

Distal Perfusion Cannula in Femorofemoral ECMO: Prophylactic or Therapeutic Approach?

Ann Vasc Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Anesthesia and Intensive Care Medicine, San Gerardo Hospital, Monza, Italy.

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http://dx.doi.org/10.1016/j.avsg.2019.02.001DOI Listing
February 2019
1.029 Impact Factor

An Exceptional Cause of Acute Limb Ischemia: Nicolau Syndrome; Single Center Experience With 4 Cases.

Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Surgery, Yaounde General Hospital.

Background: Causes of acute limb ischemia are classically mainly emboli and thrombosis. Nicolau syndrome, is a very rare complication of intramuscular injection presumed to be related to the inadvertent intravascular injection. It was first reported following intramuscular injection of bismuth salt, but it can occur as a complication of various other drugs. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096193012
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http://dx.doi.org/10.1016/j.avsg.2018.11.022DOI Listing
February 2019
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GORE TAG Thoracic Endograft with Active Control System: Landing Accuracy and Wall Apposition in an Initial Clinical Experience.

Ann Vasc Surg 2019 Feb 13. Epub 2019 Feb 13.

Vascular and Endovascular Surgery Division, Padua University - School of Medicine, Padua, Italy. Electronic address:

Background: The aim was to describe a single-center experience with the Conformable GORE TAG Thoracic Endoprosthesis (C-TAG) with active control system, specifically designed to evaluate the accuracy of proximal and distal deployment and its capability to adapt to the aortic wall.

Methods: This is a single-center prospective study including all patients treated with the C-TAG with active control system for thoracic aorta pathologies from September 2017 to May 2018. Proximal and distal accuracy of deployment was measured as the distance between "intended" and "actual landing" zone measured on the digital subtraction angiography images. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.020DOI Listing
February 2019
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Consistency of Proximal-to-Distal Tapering of Descending Thoracic Aortic Diameter: Quantification Using a Novel Computer Tomography Based Assessment.

Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Department of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing, China. Electronic address:

Objective: Successful endovascular repair of thoracic aorta for type B aortic dissection requires correct stent-graft sizing, particularly of distal landing zone which is mainly based on operator experience. The present study aimed to quantitatively define proximal-to-distal tapering of descending thoracic aortic diameter and its consistency.

Methods: The novel parameter HDP (Hundred times Distance accounts for Percentage: distance [from distal end of left subclavian artery to each level along aortic central line] / length [from distal end of left subclavian artery to proximal end of celiac artery along aortic central line] *100) was calculated per 1% unit of descending thoracic aorta based on 3mensio software-derived measurements from 281 consecutive individuals who had undergone enhanced chest computer tomography scanning. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.12.072DOI Listing
February 2019
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Ruptured Superior Mesenteric Artery Aneurysm due to Fibromuscular Dysplasia: A Rare Vascular Presentation in a Patient with Schizophrenia.

Ann Vasc Surg 2019 Feb 13. Epub 2019 Feb 13.

Department of Surgery "Pietro Valdoni", "Sapienza" University of Rome, Rome, Italy.

Visceral aneurysms are rare entities, with a reported incidence of 0.01-2%. Fibromuscular dysplasia is a nonatherosclerotic, noninflammatory artery disease, which may predispose to aneurysmal degeneration. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.030DOI Listing
February 2019
1 Read
1.029 Impact Factor

Neutrophil-to-lymphocyte ratio (NLR): A comparative study of rupture to non-ruptured infra-renal abdominal aortic aneurysm.

Ann Vasc Surg 2019 Feb 12. Epub 2019 Feb 12.

Heart Institute "Niculae Stancioiu" Cluj-Napoca, Calea Motilor nr 19-21, 400001 Cluj-Napoca, Roumania.

Background: Neutrophil-to-lymphocyte ratio (NLR) has recently emerged as a useful predictor of cardiovascular risk and adverse outcomes. According to previous studies, an NLR > 5 has the highest sensitivity and specificity for postoperative morbidity and mortality in cardiovascular disease. This study aims to evaluate the NLR in cases of unruptured (uAAA) and ruptured (rAAA) infrarenal abdominal aortic aneurysm (AAA) and to assess the role of NLR as a prognostic marker of 30-day mortality in patients with unruptured and ruptured AAA who underwent surgical repair. Read More

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http://dx.doi.org/10.1016/j.avsg.2018.11.026DOI Listing
February 2019
2 Reads