7,347 results match your criteria Annals of Vascular Surgery[Journal]


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

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

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

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

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

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

Diffuse Cutaneous Manifestations after Drug-Coated Balloon Angioplasty.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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http://dx.doi.org/10.1016/j.avsg.2020.06.040DOI Listing

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Design: Experimental study. Read More

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

Procedural Risks of Carotid Intervention in 19,000 patients.

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Wound care during COVID-19 pandemic.

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

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

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

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

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

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

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

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

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

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

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

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

Pilot study using telemedicine video-consultation for vascular patients' care during the COVID-19 period.

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

Division of Vascular Surgery, Department of Surgery, University of Hong Kong- Shenzhen Hospital, Shenzhen, China; Division of Vascular & Endovascular Surgery, Department of Surgery, University of Hong Kong Medical Centre, South Wing, 14(th) Floor K Block, Queen Mary Hospital, Hong Kong, China.

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

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

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

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

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

Medical School, Democritus University, Alexandroupolis, Greece.

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

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

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

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

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

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

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

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

Using the Outback Catheter to Overcome Aortic Re-entry Issues in Retrograde Open Mesenteric Stenting.

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

Department of Vascular and Thoracic Surgery, Hôpital Bichat, Assistance Publique-Hôpitaux de Paris, Université de Paris, France; SURVI (Structure d'URgences Vasculaires Intestinales), Intestinal Stroke Center, Hôpital Beaujon, Assistance Publique-Hôpitaux de Paris, Université de Paris, France; Department of Vascular Surgery, Hôpital Européen Georges Pompidou, Assistance Publique-Hôpitaux de Paris, Université de Paris, France.

Purpose: To describe the use of the Outback catheter to overcome aortic re-entry issues in acute mesenteric ischemia (AMI) treated by retrograde open mesenteric stenting (ROMS).

Technique: The technique is demonstrated in two female patients presenting with late AMI related to flush occlusion of the SMA. In such cases of thrombotic AMI with clear preoperative evidence of intestinal necrosis, ROMS is the first-line revascularization technique in our intestinal stroke center. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.021DOI Listing

Kounis syndrome following angioplasty of the superficial femoral artery with paclitaxel coated balloon.

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

Department of Vascular Surgery,Prince of Wales Hospital,Sydney,New South Wales,Australia.

Drug-coated balloons (DCB) are used widely as a form of endovascular treatment for peripheral arterial disease, to improve patency by reducing neointimal hyperplasia and re-stenosis. We present a rare case of acute coronary syndrome secondary to anaphylaxis following inflation of a paclitaxel coated DCB used to treat a recurrent superficial femoral artery (SFA) stenosis. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.010DOI Listing

Arteriovenous grafts type of indications and their infection rate.

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

Department of Internal Medicine III, Nephrology, Rheumatology and Endocrinology, Faculty of Medicine and Dentistry, Palacky University Olomouc and University Hospital Olomouc, Czech Republic.

Objective: The objective of this study was to compare infection rates of primary and secondary indicated AVGs.

Subjects: and Methods: Retrospectively, we evaluated the indications for AVGs created at our institution which became infected. One hundred forty AVGs were evaluated. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.018DOI Listing

Increased Re-Intervention Following Infrainguinal Revascularization for Chronic Limb-Threatening Ischemia in Women.

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

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

Objective: The objective of this study was to determine if there are gender-based differences in major adverse limb events following revascularization for chronic limb-threatening ischemia (CLTI), and to identify potential associated factors.

Methods: This was a single center retrospective analysis of 151 patients who underwent infrainguinal revascularization for CLTI between 4/2013 and 12/2015. Only the first revascularized limb was included in patients with bilateral CLTI. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.006DOI Listing

The descending genicular artery as a recipient vessel in chronic limb-threatening ischemia - case report and literature review.

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

Department of Vascular Surgery, Hospital Municipal Carmino Caricchio - HMCC, São Paulo, São Paulo, Brazil.

In recent decades, the increasing complexity of arterial bypasses in the management of chronic limb-threatening ischemia has spurred the development of alternative techniques, such as revascularization of genicular arteries. Few publications on this technique can be found in the literature, and its use has been restricted to specialized vascular groups. This article describes the case of a patient with extensive femorotibial occlusive disease who received a collateral artery bypass, using the deep femoral artery as a donor, the cephalic vein as an alternative autogenous substitute and the descending genicular artery as a recipient. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.008DOI Listing

Outcomes of Surgical and Endovascular Treatment for Arterial Lesions in Intravenous Drug Abusers.

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

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

Objective: The objective of this study is to report an 18-year single-centre experience in the surgical and endovascular treatment of arterial complications due to self-injection in drug-abuser patients.

Methods: This retrospective single-centre study was conducted analyzing a prospectively collected database including all endovascular or surgical procedures performed from January 2007 to December 2019 for any arterial complication due to self-injection in drug abuser patient. Collected data were patient demographic and comorbidity, site and type of arterial lesion (pseudoaneurysm[PA], artero-venous fistula[AVF]), signs of systemic or local infection, procedural data (endovascular/surgical treatment). Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.017DOI Listing

Routine stent flushing with heparinized saline during distal filter-protected carotid artery stenting: a technical modification to reduce delayed embolization.

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

Vascular Unit, 5(th) Department of Surgery, Medical School, Aristotle University of Thessaloniki, Thessaloniki, Greece.

Introduction: Delayed embolization after filter-protected carotid artery stenting (CAS) may occur due to the protrusion and release of loose atherosclerotic plaque fragments through the stent cells.

Technique: We describe a technical modification to the standard filter-protected CAS by introducing an extra step, that of washing away the luminal stent surface debris with heparinized saline while the filter is still in place. Aided by the guiding catheter, flushing heparinized saline under manual pressure against the stent will force all loose fragments distally in the internal carotid artery in order to be captured by the overlying filter. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.019DOI Listing

Vascular Quality of Care Assessment: Clinicians' Adherence to Lipid lowering therapy for Patients with Atherosclerotic Cardiovascular Disease.

Ann Vasc Surg 2020 Jun 15. Epub 2020 Jun 15.

Department of Vascular Surgery, University Health Network, Toronto General Hospital, University of Toronto, Ontario. Electronic address:

Introduction: Lipid-lowering medication can considerably lessen the risk for cardiovascular events in patients with atherosclerotic cardiovascular disease (ASCVD). Despite well-publicized guidelines and the accessibility of effective therapies, many patients do not attain their lipid goals and remain at high cardiovascular risk. Guidelines recommend statins as first-line therapy to reduce cardiovascular morbidity and mortality in ASCVD. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.003DOI Listing

Poly-specialty Application Practices of Medical Students Applying to Integrated Vascular Surgery Residency.

Ann Vasc Surg 2020 Jun 15. Epub 2020 Jun 15.

Cooper University Hospital, Division of Vascular Surgery, Camden, NJ. Electronic address:

Objective: It is not uncommon for medical students seeking surgical residencies to apply to and rank two or more surgical specialties. Level of interest in a specialty is consistently cited as one of the most important factors for program directors when evaluating applicants for 0+5 integrated vascular surgery programs (IVS). The purpose of this study was to examine trends in poly-specialty application submission to IVS and poly-specialty ranking of IVS to determine the percentage of applicants to integrated vascular residencies with vascular surgery as their true preference. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.011DOI Listing

Fenestrated and Scalloped Endovascular Grafts in Zone 0 and Zone 1 for aortic arch disease.

Ann Vasc Surg 2020 Jun 15. Epub 2020 Jun 15.

Division of Vascular Surgery, Complejo Hospitalario of Navarra, Pamplona, Spain.

Objective: To present midterm results of thoracic endovascular aortic repair (TEVAR) using scalloped or fenestrated custom-made endovascular grafts (CMEGs) in aortic arch zones 0 and 1.

Materials And Methods: A retrospective review of prospectively collected data involving consecutive patients with aortic arch disease treated by scalloped or fenestrated Relay Plus stent-grafts (Terumo Aortic, Sunrise, FL, USA) landed in zones 0 and 1. Patient demographics, operative details, clinical outcomes and complications were analyzed. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.009DOI Listing

Identifying a Safe Carotid Stump Pressure Threshold for Selective Shunting during Carotid Endarterectomy.

Ann Vasc Surg 2020 Jun 15. Epub 2020 Jun 15.

676N St Clair Street, Suite 650, Division of Vascular Surgery, Department of Surgery, Feinberg School of Medicine, Chicago, IL 60611. Electronic address:

Background: There is no current consensus on the best criteria for selective shunting during carotid endarterectomy (CEA). The choice of continuous neurologic assessment during awake CEA, intraoperative electroencephalogram (EEG), or carotid stump pressure monitoring as the basis for shunt placement is primarily dependent on surgeon preference. Our goal was to define a safe stump pressure threshold as a guide for selective shunting. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.002DOI Listing
June 2020
1.029 Impact Factor

Patients with a Ruptured Abdominal Aortic Aneurysm are Better Informed in Hospitals with an 'EVAR-preferred' Strategy: An Instrumental Variable Analysis of the DSAA.

Ann Vasc Surg 2020 Jun 15. Epub 2020 Jun 15.

Department of Surgery, Leiden University Medical Center, Leiden, The Netherlands.

Objective: While several observational studies suggested a lower postoperative mortality after minimal invasive endovascular aneurysm repair (EVAR) in RAAA-patients compared to conventional open surgical repair (OSR), landmark RCTs have not been able to prove the superiority of EVAR over OSR. RCTs contain a selected, homogeneous population, influencing external validity. Observational studies are biased and adjustment of confounders can be incomplete. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.015DOI Listing

The use of embolic protection devices during lower extremity peripheral vascular interventions.

Ann Vasc Surg 2020 Jun 15. Epub 2020 Jun 15.

Division of Vascular Surgery, Department of Surgery, Yale School of Medicine, 330 Cedar Street BB204C, New Haven, CT.

Objectives: The use of embolic protection devices (EPD) during lower extremity peripheral vascular interventions (PVI) has been reported but its impact on outcomes is unclear. The goal of this study was to assess the use and outcomes of EPDs during PVI.

Methods: All PVI between 2010 and 2014 in the Vascular Study Group of New England (VSGNE) database were reviewed. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.014DOI Listing

Outcomes of innominate artery revascularization through endovascular, hybrid or open approach.

Ann Vasc Surg 2020 Jun 15. Epub 2020 Jun 15.

Department of Surgery, Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center.

Objective: Atherosclerotic disease of the innominate artery (IA) is rare and can lead to cerebral, upper extremity and vertebral steal symptoms. Non-occlusive lesions can be treated with endovascular interventions, often with a hybrid approach while performing a right carotid endarterectomy (RCEA). Calcified IA lesions have a high risk of embolization to bilateral cerebral hemispheres. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.005DOI Listing

Individual choice for the aspiration thrombectomy treatment of acute iliofemoral deep venous thrombosis.

Ann Vasc Surg 2020 Jun 15. Epub 2020 Jun 15.

Department of Vascular Surgery, The Third Hospital of Hebei Medical University, Shi Jiazhuang, China. Electronic address:

Objective: To compare clinical efficacy, safety and cost of AngioJet rheolytic thrombectomy (ART) plus catheter-directed thrombolysis (CDT) and manual aspiration thrombectomy (MAT) plus CDT for acute iliofemoral deep venous thrombosis (DVT).

Methods: This was a retrospective study. A total of 126 DVT patients met the inclusion criteria. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.013DOI Listing

Protamine induced anaphylactic shock after peripheral vascular surgery.

Ann Vasc Surg 2020 Jun 15. Epub 2020 Jun 15.

Department of Cardiothoracic Surgery, Jessa Hospital, Stadsomvaart 11, 3500 Hasselt, Belgium.

Anaphylactic reactions to protamine are quite rare and almost exclusively reported during cardiac surgery. In this report we illustrate a rare case of protamine reaction after peripheral vascular surgery a couple of months after cardiac surgery and how the patient survived this critical complication. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.016DOI Listing

Symptomatic aortic mural thrombus treatment and outcomes.

Ann Vasc Surg 2020 Jun 15. Epub 2020 Jun 15.

Department of Vascular and Endovascular Surgery, Foch Hospital, Suresnes, France.

Objectives: To report results achieved in treatment of symptomatic aortic mural thrombus in a single Institution.

Materials And Methods: A retrospective analysis of data about 97 patients presenting with acute onset lower limb ischemia (Rutherford stage II-III), upper limb ischemia and mesenteric ischemia surgically treated between January 2011 and December 2018 in the Vascular and Endovascular Unit of Foch Hospital (Suresnes, France) was conducted. Only patients affected with primary aortic mural thrombus (PAMT) as source of embolism were included. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.007DOI Listing

Impact of Temporal Artery Biopsy on Clinical Management of Suspected Giant Cell Arteritis.

Ann Vasc Surg 2020 Jun 15. Epub 2020 Jun 15.

The Ohio State University.

Introduction: Temporal arteritis (TA) is a systemic inflammatory vasculitis of unclear etiology that affects medium sized vessels. The gold standard for diagnosis has traditionally been histological, by temporal artery biopsy. Improved imaging modalities have been increasingly used to aid diagnosis and are recommended in the newest 2018 European (EULAR) Guidelines. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.06.012DOI Listing

"Complex aortic, visceral and renal arteries reconstruction with a four branched Dacron graft for Middle Aortic Syndrome secondary to Takayasu´s Arteritis".

Ann Vasc Surg 2020 Jun 10. Epub 2020 Jun 10.

Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.. Electronic address:

The Middle Aortic Syndrome (MAS) is an uncommon clinical expression as a result of isolated stenosis or complete occlusion of the descending thoracic and/or abdominal aorta; Takayasu's Arteritis (TA) is a rare vasculitis and a recognized etiology of MAS. We herein present the case of a 52 year old woman with refractory renovascular hypertension and progressive bilateral lower extremity claudication, she had known history of TA. A Computed Tomography Angiography (CTA) demonstrated an aortic occlusive lesion compromising the origin of the celiac trunk, superior mesenteric and bilateral renal arteries. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.05.064DOI Listing
June 2020
1.029 Impact Factor