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    5914 results match your criteria Annals of Vascular Surgery[Journal]

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    Evar Complications and The Power of Endovascular Solutions.
    Ann Vasc Surg 2018 Feb 20. Epub 2018 Feb 20.
    Vascular Surgery Unit, SS. Annunziata Hospital, Taranto - Italy.
    We report the case of a 75 years old man submitted to traditional EVAR for infrarenal abdominal aortic aneurysm. He presented a late type II endoleak 6 months after operation, initially without sac enlargement. One year later, a CT scan control demonstred a sac expansion > 10 mm, also responsible of a secondary proximal type I endoleak. Read More

    Severe Pulmonary Embolism Secondary to Cement Embolism in the Inferior Vena Cava after Percutaneous Vertebroplasty.
    Ann Vasc Surg 2018 Feb 16. Epub 2018 Feb 16.
    Department of Cardiovascular Surgery, Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China. Electronic address:
    Cement pulmonary embolism (cPE) and inferior vena cava embolism (cIE) are rare but potentially life-threatening complications of percutaneous vertebroplasty (PVP). Most cPE and cIE occur simultaneously. In this case, a 65-year-old woman complained of dyspnea after PVP for 4 days. Read More

    Ocular Myasthenia Induced By Rivaroxaban In Patient With Deep Vein Thrombosis.
    Ann Vasc Surg 2018 Feb 15. Epub 2018 Feb 15.
    Division of Vascular Surgery, Valladolid University Hospital, Valladolid, Spain.
    The non-VKA oral anticoagulant rivaroxaban is indicated in prevention and treatment of venous thromboembolism. A 60-year-old male patient complained of bilateral ptosis after administration of rivaroxaban for deep vein thrombosis. Myasthenia gravis was confirmed by positive serum antiacetylcholine receptor antibody test. Read More

    Acute massive pulmonary thromboembolism treated by selective catheter-directed thrombolysis.
    Ann Vasc Surg 2018 Feb 15. Epub 2018 Feb 15.
    Department of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China.
    Objective: To evaluate the safety and efficacy of selective catheter-directed thrombolysis in treating acute massive pulmonary thromboembolism (AMPTE).

    Materials And Methods: Twenty-six AMPTE patients were enrolled between March 2010 and March 2013. A Uni*Fuse infusion system was inserted into the main pulmonary artery thrombus. Read More

    Thrombectomy Devices in the Treatment of Acute Mesenteric Ischemia: Initial Single Center Experience.
    Ann Vasc Surg 2018 Feb 15. Epub 2018 Feb 15.
    Department of Interventional Angiology, University Hospital, University of Leipzig, Leipzig, Germany.
    Introduction: To report our preliminary experience with endovascular revascularization of patients with acute mesenteric ischemia (AMI), using thrombectomy devices.

    Material And Methods: A retrospective analysis of patients admitted to our hospital due to AMI and who were subjected to concomitant or exclusive endovascular treatment, from January 2011 to January 2016. Patients were admitted at the emergency department, underwent imaging investigation and were referred to the endovascular specialist. Read More

    Descending Aorta Rupture after Transcatheter Aortic Valve Embolization.
    Ann Vasc Surg 2018 Feb 15. Epub 2018 Feb 15.
    Department of Vascular and Endovascular Surgery. Ramón y Cajal´s University Hospital, Madrid, Spain.
    Purpose: To report a case of rupture of the descending aorta after aortic migration during transcatheter aortic valve replacement (TAVR).

    Case Report: An 85 year-old man with a severe and symptomatic aortic stenosis underwent elective TAVR, which complicated with embolization into the ascending aorta. While repositioning into the descending aorta the procedure complicated with aortic rupture. Read More

    Symptomatic type B Intramural Aortic Hematoma as a complication of retrograde right common iliac artery dissection.
    Ann Vasc Surg 2018 Feb 15. Epub 2018 Feb 15.
    Vascular Surgery, University of Bologna, DIMES, Policlinico Sant'Orsola-Malpighi, Italy.
    Purpose: To report the endovascular treatment of a spontaneous iliac artery dissection (IAD) involving iliac bifurcation, complicated by a type B intramural aortic hematoma (IMH).

    Case Report: A 38-year-old female patient came to our institution referring an acute ascending back pain. The angioCT-scan showed the presence of a retrograde right IAD with entry tear at the iliac bifurcation and a concomitant aortic IMH. Read More

    Cilostazol Improves Wound Healing in Patients Undergoing Open Bypass for Ischemic Tissue Loss: A Propensity Score Matching Analysis.
    Ann Vasc Surg 2018 Feb 15. Epub 2018 Feb 15.
    Department of Vascular Surgery, Kyushu Medical Center, Fukuoka,Japan.
    Background: Few reports have described the effects of medication on the wound healing of ischemic ulcers after revascularization. This study was conducted to investigate the effects of cilostazol on wound healing in patients who underwent infrainguinal bypass for ischemic tissue loss.

    Methods: Two hundred and sixty-three limbs undergoing de novo infrainguinal bypass for tissue loss from January 2004 to December 2015 were divided into two groups based on whether or not cilostazol was administered after surgery. Read More

    Laser Recanalization of Central Venous Occlusion to Salvage a Threated Arteriovenous Fistula.
    Ann Vasc Surg 2018 Feb 15. Epub 2018 Feb 15.
    Division of Vascular Surgery, Mercy Hospital, Toledo, Ohio, USA.
    Central venous occlusion is conventionally managed with balloon angioplasty, stent extension or sharp recanalization. Here we describe recanalization of a chronically occluded innominate vein using excimer laser after conventional techniques were unsuccessful. Patient clinical improvement and fistula patency have been sustained two years post-intervention. Read More

    Deep Venous thrombosis in a patient with duplication of the common iliac vein.
    Ann Vasc Surg 2018 Feb 15. Epub 2018 Feb 15.
    Department of Surgery, Japan Organization of Occupational Health and Safety Ehime Rosai Hospital.
    A congenital abnormality of the inferior vena cava is said to be an anatomical risk factor for venous thromboembolism. In this report, we present a case of a patient with a left duplicated common iliac vein who developed a venous thromboembolism following total abdominal hysterectomy and bilateral salpingo-oophorectomy. Only two items were risk factors for thromboembolism: age of ≥40 years and open surgery duration of ≥30 min; no congenital abnormalities of the inferior vena cava or thrombotic factors were observed. Read More

    Hybrid Retrograde Celiac Artery Stenting for Acute Mesenteric Ischemia after Gastric Surgery.
    Ann Vasc Surg 2018 Feb 15. Epub 2018 Feb 15.
    Angiology and Vascular Surgery Department of Centro Hospitalar do Porto - Hospital de Sto. António.
    Introduction: Celiac artery (CA) occlusions/stenosis are infrequently associated with liver ischemia due to its unique vascularization where portal vein provides about 75% of liver's perfusion. Collateral flow from gastroduodenal artery also provides, in most cases, enough blood supply to prevent ischemic hepatitis. In cases where these collateral pathways are compromised severe liver ischemia can occur. Read More

    Long-Term Outcomes Of Tevar Focused On Bird-Beak And Oversizing In Blunt Traumatic Thoracic Aortic Injury.
    Ann Vasc Surg 2018 Feb 15. Epub 2018 Feb 15.
    Vascular and endovascular surgery department, Hospital Universitari Vall d'Hebron, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain. Electronic address:
    Introduction: The acute aortic arch angle and narrow aortic diameter in young patients may lead to bird-beak configuration and excessive oversizing of the stent-graft in TEVAR for blunt traumatic thoracic aortic injury. Little is known about the association of these factors and complications in long-term follow-up. We evaluated the long-term outcomes in terms of complications, reinterventions and survival, focusing on the effects of bird-beak configuration and oversizing. Read More

    Percutaneous endovenous intervention plus anticoagulation versus anticoagulation alone for treating patients with proximal deep vein thrombosis: a meta-analysis and systematic review.
    Ann Vasc Surg 2018 Feb 14. Epub 2018 Feb 14.
    Department of Vascular Surgery, Fuxing Hospital, Capital Medical University, Beijing, China. Electronic address:
    Background: Combination treatment with percutaneous endovenous intervention (PEVI) and anticoagulation has been proposed for treating lower-extremity proximal deep vein thrombosis (DVT). We performed a systematic review and meta-analysis of randomized controlled trials (RCTs) to assess the effect of PEVI plus anticoagulation versus anticoagulation alone in patients with lower-extremity proximal DVT.

    Methods: We systematically searched PubMed, Embase, and the Cochrane Library from inception to May 2016. Read More

    Vascular trauma in children - Review from a Major Paediatric Centre.
    Ann Vasc Surg 2018 Feb 8. Epub 2018 Feb 8.
    Department of Angiology and Vascular Surgery, Hospital Santa Marta, Centro Hospitalar Lisboa Central, Portugal; NOVA Medical School, Lisbon, Portugal.
    Introduction: Traumatic non-iatrogenic vascular injuries in children are rare and rarely discussed in literature. Paediatric vascular injuries pose a set of challenges mainly because of continued growth and development in a child or adolescent. The purpose of the study is to characterize management strategies and outcomes in these cases. Read More

    Carotid access for endovascular repair of aortic pathology: a systematic review.
    Ann Vasc Surg 2018 Feb 8. Epub 2018 Feb 8.
    Division of Vascular Surgery, National University Heart Centre, Singapore. Electronic address:
    Background: Endovascular repair is now preferred to open access for the management of aortic diseases. This is typically performed via the femoral artery, however not all patients are eligible for this. This systematic review summaries the current evidence for utilising the carotid artery as an alternative access route. Read More

    Neutrophil-to-lymphocyte ratio and platelet-to-lymphocyte ratio are effective predictors of prognosis in patients with acute mesenteric arterial embolism and thrombosis Short title: NLR&PLR predict the prognosis of AMAE&AMAT.
    Ann Vasc Surg 2018 Feb 8. Epub 2018 Feb 8.
    Department of Experimental Pharmacology and Toxicology, School of Pharmaceutical Science, Jilin University. Xinmin Street 1163, Changchun, Jilin, China.
    Background: The neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) have been shown to be valuable prognostic markers for a variety of pathological conditions including solid tumors, sepsis and others. However, the prognostic values of the NLR and PLR in patients with acute mesenteric arterial embolism (AMAE) and acute mesenteric arterial thrombosis (AMAT) have not been elucidated. The aim of this study was to determine the predictive value of the NLR and PLR for poor prognosis in patients with AMAE and AMAT. Read More

    Prospective Comparison of Effect of Ligation and Foam Sclerotherapy with Foam Sclerotherapy Alone for Varicose Veins.
    Ann Vasc Surg 2018 Feb 9. Epub 2018 Feb 9.
    Department of Vascular Surgery, Aviation General Hospital, Beijing, China. Electronic address:
    Background: To compare the efficacy of ligation after foam sclerotherapy (FSL) with foam sclerotherapy (FS) alone for patients with varicose veins prospectively.

    Methods: Ninety-four patients with varicose veins underwent foam sclerothrapy alone and 88 patients with varicose veins received FSL. Patients were followed up at 1, 3, 6, and 12 months after treatment. Read More

    Diabetic foot limb salvage - a series of 809 attempts and predictors for endovascular limb salvage failure.
    Ann Vasc Surg 2018 Feb 8. Epub 2018 Feb 8.
    Vascular Surgery Service, Department of General Surgery, Tan Tock Seng Hospital (Singapore).
    Background: To review patient characteristics and outcomes of inpatient diabetic foot limb salvage and identify risk factors predicting for endovascular limb salvage failure.

    Methodology: Retrospective study of limb salvage attempts in 809 patients between August 2013 and July 2015.

    Results: 68% of our study population were male with mean age at 65 years-old and 73% presented with Rutherford grade 6 critical limb ischaemia, with the remaining 27% Rutherford grade 5. Read More

    Midterm result of endovascular treatment for iliac vein compression syndrome from a single center.
    Ann Vasc Surg 2018 Feb 8. Epub 2018 Feb 8.
    Department of Vascular Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325015, China.
    Objective: To investigate the clinical effect of endovascular interventional treatment for iliac vein compression syndrome (IVCS).

    Material And Methods: The data of 68 patients with IVCS, underwent interventional treatment in our hospital, were analyzed retrospectively. Among these patients, 46 were complicated with lower extremity varicose veins. Read More

    Greater compliance within instruction-for-use (IFU) for concomitant iliac aneurysms and adverse aneurysm characteristics- initial experience with the Nellix endovascular aneurysm sealing system (EVAS) at a single institution.
    Ann Vasc Surg 2018 Feb 8. Epub 2018 Feb 8.
    Department of Vascular Surgery, Singapore General Hospital.
    Aim: The Nellix was introduced to Asia in 2014. Data in Asians have been sparse. Two balloon expandable stents, each surrounded by a polymer-filled endobag are deployed in parallel to obliterate and seal the aneurysm. Read More

    Severe pulmonary embolism was secondary to cement inferior vena cava embolism after percutaneous vertebroplasty.
    Ann Vasc Surg 2018 Feb 8. Epub 2018 Feb 8.
    Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China. Electronic address:
    Cement pulmonary embolism (cPE) and inferior vena cava embolism (cIE) are rare but potentially life-threatening complications of percutaneous vertebroplasty (PVP). Most cPE and cIE occured simultaneously. In this case, a 65-year-old woman complained of dyspnea after PVP for 4 days. Read More

    Early Outcomes with Fast-track EVAR in Teaching and Nonteaching Hospitals.
    Ann Vasc Surg 2018 Feb 6. Epub 2018 Feb 6.
    CHI St. Luke's Health, 6624 Fannin #2780, Houston, TX.
    Purpose: To determine feasibility, safety, and effectiveness of a fast-track endovascular aneurysm repair (EVAR) protocol at teaching and nonteaching hospitals.

    Methods: Patients underwent a fast-track EVAR protocol comprised of bilateral percutaneous access using a 14 Fr stent graft, avoidance of general anesthesia and intensive care admission, and next-day discharge. Patients were followed through 1 month post-treatment. Read More

    True Aneurysm of the Anterior Tibial Artery.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Department of Vascular Surgery, Englewood Hospital and Medical Center, Englewood, NJ.
    Most anterior tibial aneurysm cases described in the literature are pseudoaneurysms resulting from trauma. Since 1967, only 8 cases published on true anterior tibial artery aneurysms were atraumatic. Recent experience with an atraumatic aneurysm of the anterior tibial artery prompted a literature review regarding their incidence, and accordingly, we feel the need exists for greater recognition and understanding of this entity. Read More

    Cryopreserved Homografts in Infected Infrainguinal Fields Are Associated with Frequent Reinterventions and Poor Amputation-Free Survival.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Department of Surgery, Division of Vascular Surgery, Indiana University School of Medicine, Indianapolis, IN.
    Background: Single-length saphenous vein continues to be the conduit of choice in infected-field critical limb ischemia. However, half of these individuals have inadequate vein secondary to previous use or chronic venous disease. We reviewed our outcomes of infected-field infrainguinal bypasses performed with cryopreserved homografts (CHs), a widely accepted alternative to autogenous vein in this setting. Read More

    Left Brachiocephalic Venous Aneurysm: A Rare Clinical Finding.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Department of Thoracic and Endocrine Surgery, Jean Perrin Comprehensive Cancer Center, Clermont-Ferrand, France; Department of Anatomy, Clermont-Ferrand School of Medicine, Université Clermont Auvergne, Clermont-Ferrand, France.
    Brachiocephalic venous aneurysm is an extremely rare condition, with <20 cases reported in the literature. We present a case of a 72-year-old man who was referred to our department owing to a large aneurysm of the left brachiocephalic vein that was incidentally discovered on computed tomography. Further workup confirmed an isolated saccular aneurysm of the left brachiocephalic vein. Read More

    Surgical Treatment of Cephalic Arch Problems in Arteriovenous Fistulas: A Center Experience.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Interventional Radiology Department, Centro Hospitalar de Trás os Montes e Alto Douro EPE, Vila Real, Portugal.
    Background: Cephalic arch problems, mainly stenosis, are a common cause of arteriovenous fistulas (AVFs) failure, and the most effective treatment is yet to be clearly defined. Restenosis usually occurs soon, and multiple interventions become necessary to maintain patency and functionality. The authors present the experience of their center with cephalic vein transposition in a group of patients with different problems involving the cephalic arch. Read More

    A custom-made Treovance® abdominal aortic aneurysm endograft to correct late failure of trombone technique with a tube endograft.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Evros, Alexandroupolis, Greece.
    Purpose: Unfavorable anatomy is one of the major limitations of endovascular aortic aneurysm repair (EVAR) with specifically, adverse proximal neck morphology excluding many patients from receiving the standard endograft devices. Thoracic tube endografts have been used to overcome the issue of wide infrarenal necks, either as a sole device (single tubes or double tubes using the trombone technique) or as the proximal part of a bifurcated device fixed to the aortic bifurcation or infrarenally oriented. However, custom-made large proximal diameter bifurcated endograft designs have never been used. Read More

    Renal Fenestration Closure Technique in fenestrated endovascular repair for para-renal aortic aneurysm.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Vascular Surgery, Department of Experimental, Diagnostic and Speciality Medicine, University of Bologna, Policlinico Sant'Orsola-Malpighi, Bologna - Italy.
    Purpose: To describe an endovascular technique to close a renal artery fenestration during fenestrated endograft implant for a para-renal aneurysm (p-AAA) without interfering with other visceral vessels REPORT: A 76-year-old-male with p-AAA underwent repair by a four fenestrations custom-made endograft. At the intra-procedural angiography, the right renal artery was occluded. In order to avoid a high-flow endoleak from fenestration, we performed the following technique: a 9F-steerable sheath was used to advance a 7F-sheath through the fenestration into aneurism. Read More

    Rupture of an Abdominal Aortic Aneurysm in a Young Man with Marfan Syndrome.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Department of Cardiology, Aalborg University Hospital, Aalborg, Denmark. Electronic address:
    Abdominal aortic aneurysms (AAAs) are very rare in Marfan syndrome. We present a case with a young nonsmoking and normotensive male with Marfan syndrome, who developed an infrarenal AAA that presented with rupture to the retroperitoneal cavity causing life-threatening bleeding shock. The patient had acute aortic surgery and survived. Read More

    Influence of Body Weight on Surgical Treatment for Neurogenic Thoracic Outlet Syndrome.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Center for Thoracic Outlet Syndrome, Section of Vascular Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO. Electronic address:
    Background: Body weight affects outcomes of surgical treatment for various conditions, but its effects on the treatment of neurogenic thoracic outlet syndrome (NTOS) are unknown. The purpose of this study was to evaluate the influence of body weight on technical and functional outcomes of surgical treatment for NTOS.

    Methods: A retrospective review of prospectively collected data was conducted for 265 patients who underwent supraclavicular decompression for NTOS between January 1, 2014 and March 31, 2016. Read More

    Laparoscopic Resection of a Middle Colic Artery Aneurysm.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Vascular Surgery Department, Bordeaux University Hospital, Bordeaux, France; Faculty of Medicine, University of Bordeaux, Bordeaux, France.
    We report herein the successful laparoscopic resection of an asymptomatic 3-cm middle colic artery aneurysm in a young woman. Endovascular treatment represents nowadays the first-line option facing visceral artery aneurysm, but in this case, embolization was excluded because of hostile anatomy. Advantages of laparoscopic approach were the safe resection of the aneurysm with immediate evaluation of the bowel tolerance and the possibility of a histological examination of the arterial wall, without the disadvantages of laparotomy. Read More

    Continuous Blood Glucose Monitoring May Detect Carotid Occlusion Intolerance during Carotid Artery Stenting.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Department of Neurosurgery and Endovascular Therapy, Osaka Medical College, Takatsuki, Osaka, Japan.
    Background: The frequency of the occurrence of adverse events associated with carotid artery stenting (CAS) is usually low, but serious adverse events such as cerebral hyperperfusion syndrome (CHS) may occur. Real-time monitoring is ideal for the early detection of adverse events during the surgical procedure. This study aimed to evaluate continuous blood glucose (BG) monitoring for the detection of adverse events during CAS. Read More

    Contemporary Results of Endovascular Repair of Isolated Abdominal Aortic Dissection with Unibody Bifurcated Stent-grafts.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Department of Vascular Surgery, Nanjing Drum Tower Hospital, Medical School of Nanjing University, Zhongshan Road 321, Nanjing, 210008, P.R China.
    Objectives: To report the midterm safety and efficacy of the Aegis™-B (Microport, Shanghai, China) unibody bifurcated stent-graft for endovascular treatment of isolated abdominal aortic dissection (IAAD).

    Background: Isolated abdominal aorta dissection (IAAD) is a rare event. Endovascular stent grafts seem to offer an efficient therapeutic approach to treating IAAD. Read More

    Fewer Complications in the Obese Following Lower Extremity Endovascular Interventions.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215. Electronic address:
    Background: The prevalence of obesity is increasing in the United States; however its impact on adverse outcomes in patients with peripheral vascular disease is not well studied. Obesity is associated with higher rates of complications following open bypass surgery, but limited data are available on its effect on endovascular intervention. This study aimed to identify whether obese patients suffer the same complications when undergoing lower extremity endovascular interventions. Read More

    Positional Changes of an Endurant Endograft Leading to Simultaneous Ipsilateral Iliac Limb Obstruction and Contralateral Type IIIa Endoleak.
    Ann Vasc Surg 2018 Feb 6. Epub 2018 Feb 6.
    Department of Vascular Surgery, "Democritus" University of Thrace, University General Hospital of Evros, Alexandroupolis, Greece. Electronic address:
    We report the case of a 79-year-old man who was admitted to our department with acute limb ischemia due to the occlusion of the left iliac limb of an Endurant endograft. The admission computed tomography angiography revealed also a type IIIa endoleak due to modular disconnection of the iliac extensions from the right iliac limb of the endograft main body. Interestingly, during the 4-year post-endovascular aneurysm repair period, an increased kinking of the right limb has been observed leading to an almost cross-limb configuration of the limbs at the time of complications. Read More

    Primary Stenting of Right-Sided Subclavian Artery Stenosis Presenting as Subclavian Steal Syndrome: Report of 3 Cases and Literature Review.
    Ann Vasc Surg 2018 Feb 6. Epub 2018 Feb 6.
    Department of Vascular Surgery, 401 General Military Hospital of Athens, Athens, Greece.
    Background: Right-sided subclavian artery stenosis (SAS) is a rare cerebrovascular disease involving the upper extremities. Considering an endovascular approach for its management requires increased endovascular and catheterization skills when compared with the left side, due to the close approximation of the right subclavian artery origin, vertebral, and common carotid arteries.

    Methods: Three patients suffering from proximal right-sided SAS were treated in our center through primary stenting. Read More

    Clinical outcomes of total endovascular aneurysm repair for aortic aneurysms involving the proximal anastomotic aneurysm following initial open repair for infrarenal abdominal aortic aneurysm.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Division of Vascular Surgery, Department of Surgery, Jikei University School of Medicine, 3-25-8, Nishi-shinbashi, Minato-ku, Tokyo 105-8461, Japan.
    Purpose: To evaluate initial and midterm clinical outcomes of aortic aneurysms involving the proximal anastomotic aneurysm (AAPAA) following initial open repair for infrarenal abdominal aortic aneurysm.

    Methods: Between July 2006 and August 2015, 24 patients underwent elective endovascular repair for the treatment of AAPAAs at our institution. AAPAA classification has been categorized as three types. Read More

    How to Treat a Patient with Thromboangiitis Obliterans: A Systematic Review.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
    To date, there is still no treatment protocol for patients with thromboangiitis obliterans (TAO) who are also afflicted with critical limb ischemia (CLI). Smoking cessation on its own cannot be considered a treatment for the purposes of salvaging a limb of a TAO patient with CLI. The aim of this review was to evaluate different studies of various treatment protocols for avoiding amputation in TAO patients. Read More

    Vertebral Osteophyte as Possible Etiology of Aorto-Enteric Fistula.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Case Western Reserve University School of Medicine and Division of Vascular Surgery, MetroHealth Medical Center, Cleveland, Ohio 44109.
    Aortoenteric fistula (AEF) and aortoenteric erosion (AEE) are deadly and difficult to diagnose. We present here a case report of a patient with a delayed diagnosis of AEF whose preoperative imaging revealed a large vertebral osteophyte which likely directed the aortic impulse into the duodenum. We believe this is the first report documenting an anatomical explanation for AEF/AEE and conclude that the presence of vertebral osteophytes should be considered a risk factor when assessing preoperative likelihood of AEF/AEE. Read More

    Right Subclavian Artery Aneurysms with Fibromuscular Dysplasia.
    Ann Vasc Surg 2018 Feb 5. Epub 2018 Feb 5.
    Department of Cardiovascular Surgery, Chiba University Hospital, Chuo-ku, Chiba-shi, Chiba, Japan.
    Subclavian artery aneurysms (SAAs) are rare and even more uncommon in patients with fibromuscular dysplasia (FMD). A 20-year-old man with a past medical history of moyamoya disease presented with an abnormal mass shadow in the apex of the right lung on chest X-ray. Based on computed tomography imaging, a diagnosis of right SAA was established, and an excision of the aneurysm was performed. Read More

    Identification of Anatomical Risk Factors for Type II Endoleak to Guide Selective Inferior Mesenteric Artery Embolization.
    Ann Vasc Surg 2017 Dec 22. Epub 2017 Dec 22.
    Division of Vascular Surgery, Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, Ube, Japan.
    Background: It is unclear which patients are the best candidates for inferior mesenteric artery (IMA) embolization to reduce type II endoleak (ELII). Therefore, this study aimed to identify the anatomical risk factors for ELII after endovascular aneurysm repair (EVAR) and to determine the best candidates for preventative, preoperative IMA embolization.

    Materials And Methods: Between April 2007 and September 2014, 196 patients underwent standard EVAR. Read More

    Aortic Anatomy and Complications of the Proximal Sealing Zone after Endovascular Treatment of the Thoracic Aorta.
    Ann Vasc Surg 2017 Dec 8. Epub 2017 Dec 8.
    Department of Vascular Surgery, Hôpital Nord, Marseille, France; IFSTTAR, UMR T24, Aix-Marseille University, Marseille, France.
    Background: Technical and clinical success of thoracic aortic endovascular procedures rests mainly on the choice of the proximal sealing zone (PSZ). The latter can be affected by multiple complications, all of them having a potential gravity and a direct link with the quality of the PSZ. The objective of this study was to analyze the risk factors of the occurrence of complications of the PSZ. Read More

    Simultaneous Endovascular Repair of a Thoracic Aortic Injury during Posterior Pedicle Screw Removal: A Case Report.
    Ann Vasc Surg 2017 Dec 8. Epub 2017 Dec 8.
    Consultant Vascular Surgeon, Royal Victoria Hospital Belfast, Vascular Unit, Royal Victoria Hospital, Belfast, Northern Ireland.
    Posterior spinal stabilization is a technically demanding procedure which is increasing in popularity. Since this increase in popularity, complications, including screws misplacement, are being highlighted. Accuracy rates are higher when imaging modalities are used intraoperatively. Read More

    Aneurysm of the Anomalous Splenic Artery Arising from Superior Mesenteric Artery Treated by Coil Embolization: A Report of Two Cases and Literature Review.
    Ann Vasc Surg 2017 Dec 6. Epub 2017 Dec 6.
    Division of Vascular Surgery, Hepatic Surgery Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. Electronic address:
    Background: Aneurysm of splenic artery (SA) which arises from the superior mesenteric artery (SMA) is a very rare condition. The aim of this study was to present our experience with 2 such patients treated by coil embolization.

    Methods: A 33-year-old man and a 61-year-old woman were incidentally identified with aneurysms of the SA which arose from the SMA. Read More

    A Single-Center Retrospective Analysis of the Efficacy of a New Balloon Catheter in Autogenous Arteriovenous Fistula Dysfunction Resistant to Conventional Balloon Angioplasty.
    Ann Vasc Surg 2017 Dec 6. Epub 2017 Dec 6.
    Department of Vascular and Thyroid Surgery, the Affiliated Hospital of Southwest Medical University, Luzhou, China. Electronic address:
    Purpose: The purpose of the study was to present a new alternative balloon catheter option for autogenous arteriovenous fistula (AVF) dysfunction with a stiff constriction resistant to conventional balloon angioplasty.

    Methods: Our first series of 51 patients with autogenous AVF dysfunction who were simultaneously treated with VascuTrak™ balloon catheter, following failed conventional balloon therapy (failure was defined as residual stenosis of >30%), were retrospectively observed and analyzed. The indices that were used to evaluate the clinical efficacy of VascuTrak balloon catheter included the immediate technical success rate, residual stenosis, successful dilation times, degree of pain assessed using the Visual Analog Scale, complications, and follow-up patency rate. Read More

    Efficacy versus Complications in Arterial Thrombolysis.
    Ann Vasc Surg 2017 Dec 6. Epub 2017 Dec 6.
    Department of Surgery, Westfriesgasthuis, Hoorn, The Netherlands; Department of Vascular Surgery, VU University Medical Center, Amsterdam, The Netherlands. Electronic address:
    Background: Acute peripheral arterial occlusions threaten life and limb. Thrombolysis is an established, minimally invasive alternative treatment for surgical thromboembolectomy. Yet, there is no consensus regarding an optimal thrombolysis protocol, and current knowledge is largely based on studies from the 1990s. Read More

    Role of Brachial Artery Ligation in Management of Prosthetic Arteriovenous Graft Infections.
    Ann Vasc Surg 2017 Dec 5. Epub 2017 Dec 5.
    Department of Vascular and Endovascular Surgery, Ramaiah Medical College, Bengaluru, India.
    Background: Arteriovenous graft (AVG) infections can present as major life-threatening hemorrhage or sepsis in a chronic kidney disease patient. Frequently, all these patients present in critical condition which need prompt and expeditious management. Various procedures are described for management of infected grafts and its bleeding complications. Read More

    Perioperative Outcomes after Regional Versus General Anesthesia for Above the Knee Amputations.
    Ann Vasc Surg 2017 Dec 5. Epub 2017 Dec 5.
    Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Center for Perioperative Research, Brigham and Women's Hospital, Boston, MA. Electronic address:
    Background: Nontraumatic lower extremity amputation (LEA) remains a common procedure among patients who frequently have significant comorbidities. Patients undergoing above knee amputation (AKA) have the highest rates of mortality in this cohort, yet there is little evidence to support selection between peripheral nerve block or neuraxial regional anesthesia (RA) versus general anesthesia (GA) techniques. The objective of this study was to determine whether RA (neuraxial or peripheral nerve block) techniques were associated with more favorable outcomes versus general anesthesia among patients undergoing AKA. Read More

    Early Experience with Fenestrated Endovascular Compared to Open Repair of Complex Abdominal Aortic Aneurysms in a High-Volume Open Aortic Center.
    Ann Vasc Surg 2017 Dec 5. Epub 2017 Dec 5.
    Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA. Electronic address:
    Background: Early data suggest that fenestrated endovascular aneurysm repair (FEVAR) is feasible but may have higher morbidity and unclear durability compared to open surgical repair (OSR) of complex abdominal aortic aneurysms (CAAAs). We compared the early experience following elective FEVAR to traditional OSR of CAAA in a high-volume open aortic center.

    Methods: All patients undergoing FEVAR and OSR for elective CAAA from 1/2010-7/2015 were identified. Read More

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