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    6059 results match your criteria Annals of Vascular Surgery[Journal]

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    Severe infrarenal atheroma load in open aortic aneurysm repair is not a risk factor for postoperative Acute Kidney Injury.
    Ann Vasc Surg 2018 Jun 14. Epub 2018 Jun 14.
    Department of Vascular Surgery, Haga hospital Leyweg 275 2545CH The Hague, The Netherlands.
    Objectives: Acute Kidney Injury (AKI) after open aortic repair is subject to multiple patient- and operation-related variables. Hostile neck morphology in open aneurysm repair is thought to contribute to this AKI risk post-operatively. The aim of this study was to evaluate if large neck atheroma is a possible risk factor in the postoperative development of AKI. Read More

    Hypogastric Preservation Using Retrograde Endovascular Bypass.
    Ann Vasc Surg 2018 Jun 13. Epub 2018 Jun 13.
    University of Florida, Division of Vascular Surgery, Gainesville, Florida.
    Objective: Maintenance of pelvic circulation has been connected to reduced risks of ischemic colitis, buttock claudication, erectile dysfunction, and spinal cord ischemia during the treatment of extensive aorto-iliac aneurysmal disease. We evaluate the mid to late follow up of a cohort of patients treated using one preservation technique, the endovascular external (EIA) to internal (IIA) iliac artery bypass.

    Methods: All patients undergoing elective retrograde EIA-IIA endovascular bypass at a single institution were retrospectively reviewed over a ten-year period from 2006-2016. Read More

    Infection risk following common femoral artery endarterectomy versus a hybrid procedure.
    Ann Vasc Surg 2018 Jun 8. Epub 2018 Jun 8.
    Department of Surgery, Amphia Hospital, Molengracht 21, 4818CK, Breda, the Netherlands. Electronic address:
    Introduction: Hybrid revascularization combines open lower extremity surgery and endovascular procedures to simultaneously treat atherosclerotic lesions on multiple levels in patients with peripheral arterial occlusive disease. Hybrid surgery appears to be a safe strategy for multilevel stenosis revascularization, though the risk of surgical site infection (SSI) has not been clearly investigated. This study evaluates the development of SSI following common femoral artery endarterectomy (CFE) and hybrid revascularization procedures. Read More

    Removal of Non-Infected Arteriovenous Fistulae Following Kidney Transplantation is a Safe and Beneficial Management Strategy for Unused Dialysis Access.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Division of Vascular Surgery, The Johns Hopkins Bayview Medical Center, Baltimore, Maryland. Electronic address:
    Introduction: Renal transplant recipients often maintain their hemodialysis access in the event of future allograft failure. Patients may develop complications related to the unused dialysis access and it also limits vein availability for phlebotomy. Accordingly, a change in the current paradigm may be warranted. Read More

    National Trends of Thoracic Endovascular Aortic Repair (TEVAR) Versus Open Repair in Blunt Thoracic Aortic Injury.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    University of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, California, USA.
    Background: Blunt thoracic aortic injury (BTAI) occurs in <1% of all trauma admissions. Considering the advent of multiple thoracic endovascular aortic repair (TEVAR) devices over the past decade, improved outcomes of TEVAR supported in the literature, rapid diagnosis and improved preoperative planning of BTAI using computed tomography imaging, we hypothesized that the national incidence of TEVAR in BTAI has increased while open repair has decreased. In addition, we hypothesized that the mortality risk in BTAI patients undergoing TEVAR would be lower than open repair. Read More

    Concomitant Hybrid Arch Vessel Reconstruction and Intracranial Clot Retrieval in Takayasu's Arteritis Presenting With Acute Cerebral Ischaemia: A Case Report.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Department of Vascular Surgery, Royal Melbourne Hospital, 300 Grattan Street, Parkville, Victoria, Australia 3050.
    Introduction: Type 1 Takayasu's arteritis (TA) predominantly affects the supra-aortic branches. Occlusive disease can cause catastrophic complications such as stroke and death. Open and endovascular techniques of revascularisation are described for extracranial disease. Read More

    Contemporary Results of Surgical Management of Peripheral Mycotic Aneurysms.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA.
    Objective: Mycotic aneurysms of the extremities occur infrequently but can cause severe life and limb complications. Traditional treatment typically includes debridement and revascularization, though in select patients ligation may be well tolerated. We reviewed our experience with these aneurysms treated with these two modalities. Read More

    Outcomes of Duplex guided paramalleolar and inframalleolar bypass in patients with critical limb ischemia.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Vascular Surgery, University of Bologna, DIMES, Policlinico Sant'Orsola-Malpighi, Italy.
    Introduction: The aim of the study was to evaluate the outcomes of Duplex Ultrasonoghraphy(DUS) guided autologous vein bypass to paramalleolar (distal third of tibial arteries and peroneal artery) and inframalleolar arteries (dorsalis pedis, common plantar, medial and lateral plantar arteries) in patients with critical limb ischemia (CLI) and extensive tibial arteries disease TASC D.

    Methods: Between January 2007 and October 2016, all paramalleolar or inframalleolar bypasses performed in patients with CLI, planned only on the basis of DUS were collected and analyzed retrospectively. DUS evaluation included arterial disease extension, inflow and outflow arteries' diameter, outflow vessels resistance and autologous veins quality. Read More

    Drug-eluting stent shows similar patency results as prosthetic bypass in patients with femoropopliteal occlusion in a randomized trial.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Oulu University Hospital, Dept. of Radiology.
    Introduction: Claudication and critical limb threatening ischemia (CLTI) are significant causes of mortality in the elderly. The gold standard of superficial femoral artery (SFA) revascularization is thus far considered to be the femoropopliteal bypass. The aim of this study was to compare mid-term patency between drug-eluting stents (DES) and prosthetic bypass grafts (BSX). Read More

    Hepatorenal revascularization enables EVAR repair on a patient with AAA and an ectopic right renal artery.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Vascular Surgery Department, School of Medicine, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece.
    The last thirty years the endovascular repair (EVAR) has become the standard method of treatment of abdominal aortic aneurysms (AAA). Nevertheless, the method has limitations based mainly on the anatomic characteristics of the specific aneurysm. In these cases a combination of endovascular and open techniques can be used. Read More

    Endovascular Treatment of a Large Iliac Vein Aneurysm and High Flow Arteriovenous Fistula.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Yale University School of Medicine, New Haven, CT. Electronic address:
    Aneurysms associated with arteriovenous fistulas (AVF) are rare but can cause significant morbidity. They are often diagnosed after rupture, pain, or embolization. We describe a unique case of a 35-year-old woman with a large iliac vein aneurysm related to an acquired AVF incidentally discovered on ultrasound during pregnancy. Read More

    When there is a will, there is always a way: Superior vena cava recanalization using a hepatic vein access.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Department of Radiology, School of Medicine, Hotel-Dieu de France Hospital, Saint-Joseph University, Alfred Naccache Street, Beirut, Lebanon.
    Superior Vena Cava obstruction is a major complication of different benign, malignant, or iatrogenic etiologies. Angioplasty is the standard of care when conservative treatment fails. We hereby report a hepatic vein percutaneous access when conventional venous access fails or is not available to perform vascular recanalization in a young patient with superior vena cava obstruction. Read More

    Has anatomic complexity of abdominal aortic aneurysms undergoing open surgical repair, changed after the introduction of endovascular treatment? Systematic review and metanalysis of comparative studies.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Vascular Surgery Unit, Department of Cardiothoracic and Vascular Surgery, University Hospital of Heraklion, University of Crete Medical School, Heraklion, Crete, Greece.
    Purpose: At a time when endovascular aneurysm repair (EVAR) is increasingly used to treat abdominal aortic aneurysms (AAAs), lesions undergoing open surgical repair (OSR) may present significant differences compared to those treated before wide EVAR availability. We aim to record discrepancies in AAAs surgically treated before and after the introduction of EVAR.

    Methods: We conducted a systematic review of the literature and meta-analysis of comparative studies. Read More

    The debatable choice of iliac inflow source for redo femoropopliteal and infrapopliteal bypass.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Department of vascular and Endovascular surgery, San Salvatore Hospital, L'Aquila, Italy.
    Background: Redo area region operation is associated with a significant morbidity such as neurovascular injury, infection and lymphorrhea. The traditional management of occluded femoro-popliteal grafts often includes redissection of a scarred groin to obtain adequate inflow via the common femoral artery. These procedures are more technically demanding and require more expertise and judgment than the primary operation. Read More

    Surgical Scarring After Arterial Bypass, an Etiology of Venous Hypertension.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Department of Surgery, University of Maryland School of Medicine, Suite S10B00, 22 South Greene Street, Baltimore, MD 21201, USA; Department of Surgery, Baltimore Veterans Affairs Medical Center, Suite 5C, 10 North Greene Street, Baltimore, MD 21201.
    Venous ulcers can be a chronic debilitating condition with a high rate of recurrence. Herein we describe a case of a patient who successfully underwent an arterial bypass for rest pain but returned with lower extremity swelling and venous ulcers. Venography demonstrated a focal common femoral vein stenosis due to scarring from the surgical exposure. Read More

    Case report of a large common hepatic artery aneurysm.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Division of Vascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea. Electronic address:
    Heparic artery aneurysm is rare, but appropriate treatment is mandatory. We report a 50-year-old woman with an asymptomatic large hepatic artery aneurysm. The aneurysm was found as a result of abdominal computed tomography (CT) performed as a part of the screening. Read More

    A venous malformation in the vastus lateralis: our experience with cryotherapy.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    University of Miami.
    The present report describes a case of cryotherapy ablation in a 35-year-old woman with a 1.5cm painful venous malformation in the right vastus lateralis muscle. After the patient had failed sclerotherapy, a single session of cryotherapy was performed that resulted in both technical and clinical success. Read More

    Short-term efficacy of inguinal reoperation for recurrent saphenofemoral incompetence using the stump suture technique.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Eifelklinik St. Brigida, Vein and Skin Centre, 52152 Simmerath, Germany.
    Objectives: Neovascularization from the saphenofemoral junction (SFJ) is regarded to be an important cause of clinical recurrence. The ideal treatment of SFJ recurrence is still matter of debate. Barrier strategies have been implemented to improve surgical outcome by reducing neovascularization. Read More

    Reinterventions following endovascular revascularization in elderly with critical limb ischemia; an observational study.
    Ann Vasc Surg 2018 Jun 7. Epub 2018 Jun 7.
    Department of Surgery, Amphia Hospital, Breda, The Netherlands.
    Background: Endovascular first strategy for critical limb ischemia is widely accepted, because of the increasing patency rates and minimal invasive character, especially in elderly patients. Nonetheless, the impact of reinterventions because of endovascular treatment failure in this population is not well known. The aim of this study is to evaluate the reintervention rate and outcome following reinterventions. Read More

    One-year outcomes after ruptured abdominal aortic aneurysms repair: is evar the best choice? A single-center experience.
    Ann Vasc Surg 2018 Jun 6. Epub 2018 Jun 6.
    Division of Vascular Surgery, Paride Stefanini Department, Policlinico Umberto I, Sapienza University of Rome.
    Objective: Treatment of ruptured abdominal aortic aneurysms (rAAAs) is still burdened by high morbidity and mortality. Although endovascular aortic repair (EVAR) offers encouraging results in elective setting, its role as first line strategy to treat rAAA is still debated. Our aim was to compare early and late outcomes in patients undergoing open surgical repair (OSR) compared with those submitted to vs EVAR for rAAAs. Read More

    A Comparative Study of the efficacy by using different stent-grafts in bell-bottom technique for the treatment of abdominal aortic aneurysm concomitant with iliac artery aneurysm.
    Ann Vasc Surg 2018 Jun 6. Epub 2018 Jun 6.
    Vascular Surgery Department of Zhongshan Hospital, Fudan University, Shanghai, 200032, China; Vascular Surgery Institute of Fudan University, Shanghai, 200032, China; Vascular Surgery Department of Xiamen branch, Zhongshan Hospital, Fudan University, Xiamen, 361015, China. Electronic address:
    Background: Bell-bottom technique (BBT) is one method to preserve the internal iliac artery during EVAR for abdominal aortic aneurysm(AAA) that extend to iliac artery. The data on the efficacy of this technique is still limited. We sought to evaluate the mid-term efficacy of BBT by using different stent-grafts in the treatment of AAA combined with iliac artery aneurysm (IAA). Read More

    Improving the Power of the ASA Classification System to Risk Stratify Vascular Surgery Patients based on NSQIP-Defined Functional Status.
    Ann Vasc Surg 2018 Jun 6. Epub 2018 Jun 6.
    Division of Vascular and Endovascular Surgery, Northwell Health System, 270-05 76th Ave, New Hyde Park, NY 11040. Electronic address:
    Background: Recently published reports have shown that the American Society of Anesthesiology (ASA) classification system has limited applicability in vascular surgery patients. The majority of patients undergoing vascular procedures are designated ASA Class III, limiting discrimination in preoperative risk assessment. The 2006 National Surgical Quality Improvement Project (NSQIP), containing over 170,000 surgical cases, demonstrated that functional status is an important predictor of mortality. Read More

    Safety and Feasibility of Trans-radial Access for Non Coronary and Peripheral Vascular Interventions.
    Ann Vasc Surg 2018 Jun 6. Epub 2018 Jun 6.
    Staten Island University Hospital Northwell Health, Division of Vascular and Endovascular surgery.
    Purpose: Transradial access (TRad) is becoming the preferred access for cardiac catheterization. The utility and safety of TRad in non-coronary and peripheral vascular interventions remains ill-defined and serves as the basis for this study.

    Methods: Patients undergoing non-coronary and peripheral endovascular procedures via TRad from August 2010 to February 2013 at our institution were reviewed retrospectively. Read More

    Spinal cord ischemia following elective endovascular repair of infrarenal aortic aneurysms: A systematic review.
    Ann Vasc Surg 2018 Jun 6. Epub 2018 Jun 6.
    Professor of Vascular Surgery, Chairman of Department of Vascular Surgery, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece.
    Aim: Spinal cord ischemia (SCI) following endovascular abdominal aortic aneurysm (AAA) repair (EVAR) is a rare but devastating complication. The mechanism underlying the occurrence of SCI following EVAR seems to be multifactorial and is underreported and not fully elucidated. The aim of the study was to investigate the clinical outcomes in patients with this serious complication. Read More

    Ring-stripping retrograde endarterectomy for treatment of common carotid artery occlusion: a minimally invasive, effective procedure.
    Ann Vasc Surg 2018 Jun 6. Epub 2018 Jun 6.
    Department of Vascular and Endovascular Surgery, Changzheng Hospital Affiliated to the Second Military Medical University, Shanghai, 200003, China. Electronic address:
    Objectives: To evaluate the efficacy and safety of in situ ring-stripping retrograde carotid endarterectomy(IS-RRCEA)in long-segment, symptomatic, chronic common carotid artery occlusion(CCAO).

    Methods: Thirty-nine patients (24 men; 15 women) with symptomatic chronic CCAO who underwent IS-RRCEA in our center were included retrospectively. The mean age of the men was significantly less than that of the women (59. Read More

    The Impact of Perioperative Ankle-Brachial Index and Clinical Status on Outcomes Following Lower Extremity Bypass.
    Ann Vasc Surg 2018 Jun 6. Epub 2018 Jun 6.
    Division of Vascular Surgery and Endovascular Interventions, New York Presbyterian / Columbia University Medical Center / Columbia University College of Physicians and Surgeons, New York, NY, 10032. Electronic address:
    Objective: Ankle-brachial index (ABI) is a common method of graft surveillance after infrainguinal bypass surgery (LEB), and is recommended by the Society for Vascular Surgery (SVS). Several studies failed to show benefit of ABI surveillance, but were limited by sample size, and the practice remains variable.

    Methods: We identified all patients who underwent LEB for occlusive disease from the Vascular Study Group of New England Registry (VSGNE) between 2003-2016. Read More

    Factors Predicting Non-Compliance with Follow-up after Endovascular Aneurysm Repair.
    Ann Vasc Surg 2018 May 21. Epub 2018 May 21.
    Department of Vascular Surgery. Royal Prince Alfred Hospital. Missenden Rd, Camperdown, NSW 2050, Australia.
    Purpose: Although the potential for complications following endovascular aneurysm repair (EVAR) mandates lifetime follow-up, non-compliance with follow-up has been shown to be as high as 57%. We sought to investigate the incidence of non-compliance with follow up in our patient population and to identify risk factors associated with this, in order to allow implementation of targeted strategies to prevent loss to follow up.

    Methodology: We carried out a review of consecutive patients undergoing EVAR at two Sydney hospitals between 1995 and 2015. Read More

    Image Fusion and 3D Roadmapping in Endovascular Surgery.
    Ann Vasc Surg 2018 May 21. Epub 2018 May 21.
    Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA. Electronic address:
    Practitioners of endovascular surgery have historically utilized two-dimensional (2D) intraoperative fluoroscopic imaging, with intra-vascular contrast opacification, to treat complex three-dimensional (3D) pathology. Recently, major technical developments in intraoperative imaging have made image fusion techniques possible: the creation of a 3D patient-specific vascular roadmap based on preoperative imaging which aligns with intraoperative fluoroscopy, with many potential benefits. First, a 3D model is segmented from preoperative imaging, typically a CT scan. Read More

    Colonic Ischemia After Standard Endovascular Abdominal Aortic Aneurysm Repair, A Rare But Dangerous Complication.
    Ann Vasc Surg 2018 May 21. Epub 2018 May 21.
    Vascular Surgery Unit, Cardio Thoracic and Vascular department, A.O.U.P., University of Pisa, Pisa, Italy.
    Colonic Ischemia (CI) after abdominal aortic aneurysm (AAA) repair, although rare, is associated with severe prognosis. Endovascular Aneurysm Repair (EVAR) is becoming the standard of practice in most vascular centers, and it also may reduce CI incidence in comparison to conventional open repair. Read More

    Multiple Idiopathic Aneurysms In A 6-Year-Old Boy.
    Ann Vasc Surg 2018 May 21. Epub 2018 May 21.
    Vascular Surgery Unit - ASST Grande Ospedale Metropolitano Niguarda.
    We report the rare case of a young boy affected by idiopathic multiple aneurysms at different arterial locations who was treated at our institution with different surgical and endovascular techniques. Read More

    Right Atrial Anomalous Muscle Bundle Presenting with Acute Superior Vena Cava Syndrome and Pulmonary Embolism: Surgical Management.
    Ann Vasc Surg 2018 May 21. Epub 2018 May 21.
    Department of Cardio-Vascular Surgery, Sanger Heart & Vascular Institute, Charlotte, NC, USA.
    Background: An anomalous muscle bundle crossing the right atrial cavity represents a pathological finding with unproved clinical significance. This congenital anomaly may be difficult to recognize via echocardiography and could be confused with other intra-cavitary lesions.

    Methods: We report a case of a 53-year-old female presented to the cardio-vascular service with acute superior vena cava syndrome and sub-massive pulmonary embolism. Read More

    Calf Muscle Oxygen Saturation During Six-Minute Walk Test And Its Relationship With Walking Impairment In Symptomatic Peripheral Artery Disease.
    Ann Vasc Surg 2018 May 21. Epub 2018 May 21.
    Postgraduate program in rehabilitation sciences, University Nine of July, São Paulo, Brazil.
    Objective: Impaired microcirculation is associated with poor walking capacity in symptomatic peripheral artery disease (PAD) patients during treadmill test, however, this test does not simulate the efforts of daily walking of these patients. Thus, the aim of the study was to describe the microcirculation responses during six-minute walk test (6MWT) and to analyze the relationship between microcirculation indicators and walking impairment in symptomatic PAD patients.

    Methods: Thirty-four patients were included (mean age = 67. Read More

    May-Thurner Syndrome Presenting as Acute Unexplained Deep Venous Thrombosis.
    Ann Vasc Surg 2018 May 21. Epub 2018 May 21.
    R-Endocrinology, Hamilton, NJ.
    May-Thurner syndrome (MTS) is a rare cause of deep venous thrombosis and occurs due to an anatomic anomaly which produces chronic compression of the left common iliac vein by the overlying right common iliac artery when it passes between the right common iliac artery and the spine. Prolonged compression on the vein potentiates thrombus formation by impairing the intima and by leading to the development of membranes within the lumen that may decrease and/or block venous flow. In this case presentation, we elaborate on a case of a 43-year-old woman who presented with worsening left leg swelling and pain. Read More

    Endovascular repair of a penetrating aortic ulcer with a custom-made Relay stent-graft featuring a single celiac trunk fenestration and a superior mesenteric artery scallop.
    Ann Vasc Surg 2018 May 21. Epub 2018 May 21.
    Vascular and Endovascular Division, Di Venere Hospital, Bari, Italy.
    We report the case of a 70-year-old man with an asymptomatic, fast-growing, paraceliac penetrating aortic ulcer (PAU). Guidelines recommend endovascular repair if an asymptomatic PAU shows a mean growth rate ≥5 mm per year: this patient's maximum aortic diameter was 47 mm but had increased 10 mm in the previous year. The very short sealing zones required a custom-made stent-graft. Read More

    Thoracic Endovascular Aortic Repair (TEVAR) versus Best Medical Treatment (BMT) for high-risk type B intramural hematoma (IMH) : A Systematic Review of Clinical Studies.
    Ann Vasc Surg 2018 May 21. Epub 2018 May 21.
    Division of Vascular Surgery, Department of General Surgery, First Affiliated Hospital of Nanjing Medical University; 300 Guangzhou Road, Nanjing 210029, Jiangsu, People's Republic of China.
    Background: To date , thoracic endovascular aortic repair (TEVAR) for type B aortic dissection is favorable, but TEVAR for type B IMH remains uncertain. There are numerous clinical (eg, refractory pain) and radiologic (eg, IMH thickness) factors that are reported to be associated with IMH progression, challenging the treatment for high-risk type B IMH with high risk factors in clinical practice.

    Objective: To perform a systematic review of clinical studies to investigate outcomes of TEVAR+BMT and BMT in the treatment of high-risk type B IMH . Read More

    Restoration of autologous arteriovenous fistula by removal of the occluded short venous part and venovenous end-to-end anastomosis in a hemodialysis patient.
    Ann Vasc Surg 2018 May 21. Epub 2018 May 21.
    Division of Nephrology, Department of Internal Medicine, Saga University Faculty of Medicine, 5-1-1 Nabeshima, Saga, Saga, 849-8501, Japan.
    Standard salvage procedures for occuluded autologous arteriovenous fistula (AVF) in a hemodialysis patient are endovascular and/or surgical therapy. When endovascular therapy and thrombectomy prove unsuccessful, it is most likely that creating a new AVF or arteriovenous graft will be considered. However, if the occuluded venous part is short, we have adopted an operative technique for repair of AVF by removal of the occluded short venous part and venovenous end-to-end anastomosis. Read More

    The Role of Duplex Ultrasound in Detecting Graft Thrombosis and Endoleak after Endovascular Aortic Repair for Abdominal Aneurysm.
    Ann Vasc Surg 2018 May 19. Epub 2018 May 19.
    First Unit of Vascular Surgery, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy; Department of Biomedical Sciences for Health, University of Milan, Milan, Italy.
    Background: To assess the role of duplex ultrasound (DUS) in detecting endoleaks (ELs) and graft thrombosis (GT) in a cohort of patients submitted to endovascular aortic repair (EVAR) for elective infrarenal abdominal aortic aneurysm (AAA) in 2 centers.

    Methods: Data, of all consecutive patients treated in 2 operative units of vascular surgery, from January 01, 2000 to December 31, 2016, were retrospectively collected and evaluated. Follow-up data were analyzed to evaluate survival and device-related complications, both at 30-day and in the midterm. Read More

    False aneurysm of the popliteal artery complicated by a deep venous thrombosis revealing an exostosis in a 20-year-old young woman.
    Ann Vasc Surg 2018 May 19. Epub 2018 May 19.
    Service de chirurgie vasculaire périphérique, CHU Ibn Sina, Rabat, Maroc.
    Exostoses or osteochondromas are benign osseous tumors that develop on the bone surface and can be sporadic or hereditary. Their evolution is generally benign but they may be complicated in some patients by conflicts with the surrounding nervous or vascular structures, in particular arteries. We report a case of false aneurysm of the popliteal artery secondary to an isolated exostosis of the left femur in a 20-year-old young woman. Read More

    Evaluating the Construct Validity of a Pulsatile Fresh Frozen Human Cadaver Circulation Model for Endovascular Training.
    Ann Vasc Surg 2018 May 19. Epub 2018 May 19.
    Professor of Vascular Surgery. Northern Vascular Centre, Department of Vascular Surgery, Freeman Hospital, Newcastle Upon Tyne.
    Objectives: We recently described a pulsatile fresh frozen human cadaver model (PHCM) for training endovascular practitioners. This current study aims to assess the construct validity of PHCM; its ability to differentiate between participants of varying expertise.

    Methods: 23 participants with varying endovascular experience (12 novice, 4 intermediate, 7 expert) were recruited. Read More

    The "Eternal Recurrence" of Arteritis. Suggesting Autoimmunity Underlining Friedrich Nietzsche's Challenging Clinical Case.
    Ann Vasc Surg 2018 May 19. Epub 2018 May 19.
    General and Speciality Surgery Department P. Stefanini, Policlinico Umberto I, La Sapienza University of Rome, Rome, Italy. Electronic address:
    Friedrich Wilhelm Nietzsche (Röcken 1844 -Weimar 1900), the philosopher who theorized the concept of "eternal recurrence", suffered a lifelong multifaceted chronic illness that started in pediatric age with severe headaches and ended up with stroke at the age of 56. Even though many hypothetical diagnosis have been proposed in recent years, they all failed to explain the totality of clinical conditions that co-occurred in the philosopher's extremely challenging case, and debate on the matter is still open. In this report, we suggest an autoimmune condition, specifically Takayasu's arteritis, as a possible etiology of the philosopher's illness, which could not only potentially fit all available clinical data but also be the medical counterpart of Nietzsche's philosophical thought: could eternal recurrence of arteritis explain Zarathustra's destiny? If so, could a vascular surgeon, at this time in future, be so superhuman to change it? Read More

    A Unique All-Payer Rate Setting System Controls the Cost but Not the Racial Disparity in Lower Extremity Revascularization Procedures.
    Ann Vasc Surg 2018 May 18. Epub 2018 May 18.
    The Johns Hopkins Bayview Vascular and Endovascular Research Center. Electronic address:
    Background: Patients with peripheral arterial disease (PAD) often have high comorbidity burden that may complicate post-interventional course and drive increased healthcare expenditures. Racial disparity had been observed in lower extremity revascularization (LER) patterns and outcomes. In 2014, Maryland adopted an all-payer rate setting system to limit the rising hospitalization costs. Read More

    Venous conduits have superior patency compared to prosthetic grafts for femoro-femoral bypass.
    Ann Vasc Surg 2018 May 18. Epub 2018 May 18.
    Division of Vascular Surgery, Knight Cardiovascular Institute, Oregon Health & Science University, Portland, Oregon.
    Objective: To compare outcomes of externally supported polytetrafluoroethylene (PTFE) grafts and femoral vein as conduits for femoro-femoral crossover grafts.

    Methods: This is a retrospective review of consecutive femoro-femoral crossover grafts at our institution between January 2005 and March 2016. Patient demographics, indications, complication rates, patency rates and survival rates were compared between femoro-femoral grafts created with either PTFE or femoral vein conduits, autogenous or cryopreserved. Read More

    Comparison of Stanford B Aortic Dissection Patients Who Received Thoracic Endovascular Aortic Repair Combined with or without Sleep Apnea Syndrome.
    Ann Vasc Surg 2018 May 19. Epub 2018 May 19.
    Vascular Surgery Department, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China; Vascular Surgery Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, China. Electronic address:
    Background: Patients with Stanford B aortic dissection (AD) are usually found to have sleep apnea syndrome (SAS). This condition always complicates the patients' respiration. In this study, we collected and analyzed data of patients' perioperative managements during thoracic endovascular aortic repair (TEVAR) for treating patients with Stanford B AD and SAS. Read More

    Thoracic Duct Embolization: Analysis of Practice Patterns.
    Ann Vasc Surg 2018 May 19. Epub 2018 May 19.
    Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health System, Ann Arbor, MI.
    Background: Thoracic duct embolization (TDE) has become the standard treatment for atraumatic and traumatic chylothoraces. Numerous approaches to embolization including intranodal lymphangiography, transabdominal, and retrograde catheterization of the thoracic duct have become the preferred methods for the treatment of chyle leaks. The purpose of this study was to determine training, treatment techniques, outcomes, and practice patterns of practitioners performing TDE. Read More

    Explanting the Nellix Endovascular Aortic Sealing Endoprosthesis for Proximal Aortic Neck Failure.
    Ann Vasc Surg 2018 May 17. Epub 2018 May 17.
    Division of Vascular Surgery, Spectrum Health.
    Open conversion following endovascular aortic repair (EVAR) has inherent challenges particular to the device being explanted. The Nellix endograft is unlike any other device as it utilizes polymer filling of endobags within the aorto-iliac lumen to seal the AAA sac; a developing concept known as endovascular aortic sealing (EVAS). Conversion to open repair of AAA treated with the Nellix endograft have rarely been discussed. Read More

    Thoracic Stent Grafting through Transapical Approach for Type III Endoleak due to Prosthetic Disconnection.
    Ann Vasc Surg 2018 May 18. Epub 2018 May 18.
    Department of Angiology and Vascular Surgery, Hospital Clínico San Carlos, Madrid, Spain.
    Thoracic endovascular aortic repair is a well-established treatment of descending thoracic aneurysms, and increasingly complex endovascular procedures including aortic arch and ascending aorta are being performed. However, follow-up complications may be expected, which will enhance the need for alternative approaches such as transapical, in case of complex anatomies and reinterventions. We report the case of a man with prior history of ischemic cardiopathy and multiple endovascular aortic interventions with proximal landing in zone 1 and distal landing proximal to celiac trunk. Read More

    EVAR-first strategy for ruptured aneurysm focuses on Fitzgerald classification and vein thrombosis.
    Ann Vasc Surg 2018 May 17. Epub 2018 May 17.
    Department of Surgery, Division of Vascular Surgery, The Jikei University School of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo 105-8461, Japan.
    Background: We report on the results of our endovascular aneurysm repair (EVAR)-first strategy for ruptured abdominal aortic aneurysms (RAAAs) focuses on Fitzgerald classification and vein thrombosis.

    Materials And Methods: From 2011 to 2017, 31 patients with RAAA underwent EVAR at our hospital. We compared Fitzgerald (F)-1 patients (group A) with F-2-4 patients with obvious retroperitoneal hematoma (group B). Read More

    Traumatic Aorto-Cisterna Chlyi Fistula with Treatment of Aortic Pseudoaneurysm with CT-Guided Thrombin Injection.
    Ann Vasc Surg 2018 May 18. Epub 2018 May 18.
    Department of Surgery, Greenville Health System, Greenville, SC.
    Background: Only 3 cases of aorto-cisterna chyli fistula have been described in the literature but none with a resulting pseudoaneurysm (PSA).

    Methods: A 68-year-old man presented following a motor vehicle collision. Imaging revealed a retroperitoneal hematoma with enhancement of the cisterna chyli, representing an aortic to cisterna chyli fistula. Read More

    A Decade of Thoracic Endovascular Aortic Aneurysm Repair in New York State: Volumes, Outcomes, and Implications for the Dissemination of Endovascular Technology.
    Ann Vasc Surg 2018 May 18. Epub 2018 May 18.
    New York-Presbyterian Hospital, Weill Cornell Medicine, New York, NY.
    Background: The purpose of this study was to characterize utilization and outcomes of thoracic endovascular aortic aneurysm repair (TEVAR) in New York State during the first decade of commercial availability, with respect to evolving indications, results, and costs. Of specific interest was evaluation of the volume-outcome relationship for this relatively uncommon procedure.

    Methods: The New York Statewide Planning and Research Cooperative System database was queried to identify patients undergoing TEVAR from 2005 to 2014 for aortic dissection (AD), non-ruptured aneurysm (NRA), and ruptured aneurysm (RA). Read More

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