15,309 results match your criteria Journal of vascular surgery[Journal]


Correction.

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J Vasc Surg Venous Lymphat Disord 2019 May;7(3):468

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http://dx.doi.org/10.1016/j.jvsv.2018.12.010DOI Listing

Understanding MIPS scoring.

J Vasc Surg Venous Lymphat Disord 2019 May;7(3):463-464

Nashville Vascular and Vein Institute, Nashville, Tenn.

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http://dx.doi.org/10.1016/j.jvsv.2019.02.014DOI Listing

Anomalous course of the left common iliac vein anterior to the right common iliac artery with resultant May-Thurner syndrome.

J Vasc Surg Venous Lymphat Disord 2019 May;7(3):450-451

Section of Vascular and Endovascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Conn. Electronic address:

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http://dx.doi.org/10.1016/j.jvsv.2019.01.059DOI Listing

Ambulatory venous pressure, air plethysmography, and the role of calf venous pump in chronic venous disease.

J Vasc Surg Venous Lymphat Disord 2019 May;7(3):428-440

The Rane Center at St. Dominic Hospital, Jackson, Miss.

Background: Ambulatory venous pressure (AMVP) records pressure dynamics with calf exercise. Air plethysmography (APG) measures related volume detail. APG has been suggested as a noninvasive surrogate for AMVP. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2213333X183040
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http://dx.doi.org/10.1016/j.jvsv.2018.08.009DOI Listing
May 2019
4 Reads

Two-year results of a multicenter randomized controlled trial comparing Mechanochemical endovenous Ablation to RADiOfrequeNcy Ablation in the treatment of primary great saphenous vein incompetence (MARADONA trial).

J Vasc Surg Venous Lymphat Disord 2019 May;7(3):364-374

Department of Surgery, Rijnstate, Arnhem, The Netherlands. Electronic address:

Objective: Endothermal techniques have proved to be effective for treatment of incompetent truncal veins. The tumescentless mechanochemical ablation (MOCA) technique has become an alternative treatment modality, but its outcome with regard to endothermal techniques is still unclear.

Methods: A multicenter prospective randomized controlled trial was designed comparing MOCA with radiofrequency ablation (RFA) to treat great saphenous vein incompetence with the hypothesis that MOCA is associated with less postprocedural pain and a comparable anatomic and clinical success rate at 1-year follow-up. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.12.014DOI Listing

Ablate early the superficial reflux but don't neglect deep reflux or obstruction.

J Vasc Surg Venous Lymphat Disord 2019 May;7(3):315-316

Department of Vascular Surgery, Attikon University Hospital, National and Kapodistrian University of Athens, Athens, Greece. Electronic address:

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http://dx.doi.org/10.1016/j.jvsv.2018.12.015DOI Listing

Discussion.

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J Vasc Surg 2019 Apr 9. Epub 2019 Apr 9.

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http://dx.doi.org/10.1016/j.jvs.2018.10.126DOI Listing

Systematic review and meta-analysis of elective and urgent late open conversion after failed endovascular aneurysm repair.

J Vasc Surg 2019 Apr 4. Epub 2019 Apr 4.

Division of Vascular Surgery, Department of Surgery, University Medical Centre Groningen, Groningen, The Netherlands.

Background: In this study, we systematically reviewed late open conversions after failed endovascular aneurysm repair (EVAR), assessed the methodologic quality of the included studies, and performed a meta-analysis on the 30-day mortality rates for urgent and elective late conversions.

Methods: Electronic databases were systematically searched for studies published up to June 2018 that focused on late open conversion of failed EVAR (ie, >30 days after the initial EVAR), reported the primary outcome of 30-day mortality rate, and distinguished the 30-day mortality rate between urgent and elective late conversions. Two independent reviewers assessed the methodologic quality of the included studies with the Methodological Index for Non-Randomized Studies. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.11.022DOI Listing
April 2019
1 Read

Preliminary outcome of Nellix-in-Nellix extensions in patients treated with failed endovascular aneurysm sealing.

J Vasc Surg 2019 Mar 29. Epub 2019 Mar 29.

Department of Vascular Surgery, Rijnstate Hospital, Arnhem, The Netherlands.

Background: The 1-year results of the use of the Nellix (Endologix Inc, Irvine, Calif) endovascular aneurysm sealing (EVAS) device were initially promising. However, midterm complications including migration and aneurysm growth occurred more frequently than expected, which provided an incentive to refine the instructions for use. Strategies for the management of complications arising after endovascular aneurysm repair are often not applicable for EVAS, given the unique configuration of the Nellix device, and new techniques are needed. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.01.044DOI Listing
March 2019
6 Reads
3.021 Impact Factor

The implementation of a pulmonary embolism response team in the management of intermediate- or high-risk pulmonary embolism.

J Vasc Surg Venous Lymphat Disord 2019 Mar 29. Epub 2019 Mar 29.

Division of Cardiovascular Medicine, The Gill Heart and Vascular Institute, University of Kentucky Medical Center, UK HealthCare, Lexington, Ky.

Background: Massive and submassive pulmonary embolism (PE) can be life-threatening. Treatment options include anticoagulation, fibrinolysis, catheter-directed or open surgical thrombus removal, and extracorporeal membrane oxygenation. With increasing patient complexity and advanced therapeutic options, the approach to optimal care for patients with intermediate- to high-risk PE is not clearly established. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.11.014DOI Listing
March 2019
1 Read

Discussion.

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J Vasc Surg Venous Lymphat Disord 2019 Mar 29. Epub 2019 Mar 29.

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http://dx.doi.org/10.1016/j.jvsv.2018.11.015DOI Listing

The myristoylated alanine-rich C kinase substrate differentially regulates kinase interacting with stathmin in vascular smooth muscle and endothelial cells and potentiates intimal hyperplasia formation.

J Vasc Surg 2019 Mar 28. Epub 2019 Mar 28.

Department of Surgery, Baltimore Veterans Affairs Medical Center, Baltimore, Md; Department of Surgery, University of Maryland School of Medicine, Baltimore, Md. Electronic address:

Objective: Restenosis limits the durability of all cardiovascular reconstructions. Vascular smooth muscle cell (VSMC) proliferation drives this process, but an intact, functional endothelium is necessary for vessel patency. Current strategies to prevent restenosis employ antiproliferative agents that affect both VSMCs and endothelial cells (ECs). Read More

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http://dx.doi.org/10.1016/j.jvs.2018.12.022DOI Listing

Impact of fenestrated stent graft misalignment on patient outcomes.

J Vasc Surg 2019 Mar 27. Epub 2019 Mar 27.

Division of Vascular Surgery, University Health Network, Peter Munk Cardiac Centre, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Objective: During fenestrated endovascular aneurysm repair (FEVAR), accurate alignment of the fenestration and the target artery is necessary to prevent complications. This study's objective is to determine the incidence of clinical outcomes following fenestration misalignment during FEVAR.

Methods: A single-center, retrospective chart review was performed for all elective FEVARs between January 2008 and April 2015. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.12.047DOI Listing
March 2019
5 Reads

A prospective, single-blind, randomized, phase III study to evaluate the safety and efficacy of Fibrin Sealant Grifols as an adjunct to hemostasis compared with manual compression in vascular surgery.

J Vasc Surg 2019 Mar 26. Epub 2019 Mar 26.

Grifols Bioscience Research Group, Grifols, Barcelona, Spain.

Objective: New formulations and applications of hemostatic adjuncts such as fibrin sealant (FS) to support local hemostasis and sutures continue to be developed. In a pivotal, confirmatory, controlled, prospective, single-blinded, randomized, multicenter phase III clinical trial, the efficacy and safety of FS Grifols during vascular surgeries were evaluated.

Methods: Patients undergoing a nonemergency, open, peripheral vascular surgical procedure with moderate arterial bleeding were recruited. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.12.051DOI Listing
March 2019
2 Reads

The presence of long and heavily calcified lesions predisposes for fracture in patients undergoing stenting of the first part of the subclavian artery.

J Vasc Surg 2019 Mar 26. Epub 2019 Mar 26.

Heart and Vascular Center, Semmelweis University, Budapest, Hungary. Electronic address:

Objective: To determine the prevalence and risk factors of subclavian artery stent fractures and to investigate their impact on in-stent restenosis development.

Methods: One hundred eight patients (65 females; median age, 58.3 years [interquartile range, 53. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.01.056DOI Listing
March 2019
1 Read

Single-center retrospective review of early outcomes of radiofrequency ablation versus cyanoacrylate ablation of isolated great saphenous vein insufficiency.

J Vasc Surg Venous Lymphat Disord 2019 Mar 26. Epub 2019 Mar 26.

Department of Cardiovascular Surgery, Goztepe Training and Research Hospital, Istanbul Medeniyet University Medical Faculty, Istanbul, Turkey. Electronic address:

Objective: Data comparing radiofrequency ablation (RFA) with cyanoacrylate closure (CAC) treatment of isolated great saphenous vein (GSV) insufficiency are limited. In this study, we present our early outcomes of RFA vs CAC for the treatment of GSV insufficiency.

Methods: Between March 2015 and February 2017, a total of 159 patients underwent CAC (n = 75) or RFA (n = 84) for treatment of GSV insufficiency by a single surgeon. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.12.017DOI Listing

Defining the utility of anteroposterior venography in the diagnosis of venous iliofemoral obstruction.

J Vasc Surg Venous Lymphat Disord 2019 Mar 26. Epub 2019 Mar 26.

Division of Vascular Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY. Electronic address:

Background: Intravascular ultrasound (IVUS) is the current standard for the diagnosis of obstruction in the iliac and femoral veins. However, multiple venographic findings including collaterals, pancaking, and contrast thinning have been suggested to improve the sensitivity of venography. The objective of our study was to further elucidate where and how anteroposterior venography may successfully guide the diagnosis of venous obstruction. Read More

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http://dx.doi.org/10.1016/j.jvsv.2018.11.012DOI Listing
March 2019
2 Reads

The role of serum bilirubin levels in determining venous thromboembolism.

J Vasc Surg Venous Lymphat Disord 2019 Mar 25. Epub 2019 Mar 25.

Department of Cardiology, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.

Objective: Venous thromboembolism (VTE) is a disease that includes both deep venous thrombosis (DVT) and pulmonary embolism (PE). Bilirubin is an endogenous anti-inflammatory marker associated with atherothrombosis. The purpose of our study was to investigate the association of serum bilirubin levels with the presence of VTE. Read More

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http://dx.doi.org/10.1016/j.jvsv.2019.02.002DOI Listing
March 2019
1 Read

Lower limb volume in healthy individuals after walking with compression stockings.

J Vasc Surg Venous Lymphat Disord 2019 Mar 25. Epub 2019 Mar 25.

Vascular Diseases Center, Translational Surgery Unit, University of Ferrara, Ferrara, Italy.

Objective: Despite the modern appeal of wearing compressive garments during physical activities, the literature is lacking in quality data and controversial in the investigations dealing with the pathophysiologic mechanism by which graduated compression stockings (GCS) affect the calf pump activation in healthy individuals. The aim of the investigation was to provide insight into the clinical effects of GCS use during a standardized walking exercise.

Methods: Twenty physically active healthy volunteers (mean age, 34 ± 5 years; body mass index, 22 ± 2 kg/m) underwent lower limb ultrasound scanning to exclude vascular impairment. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2213333X193015
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http://dx.doi.org/10.1016/j.jvsv.2019.02.001DOI Listing
March 2019
6 Reads

Routine use of ultrasound to avert mechanical complications during placement of tunneled dialysis catheters for hemodialysis.

J Vasc Surg Venous Lymphat Disord 2019 Mar 25. Epub 2019 Mar 25.

Vascular Institute of New York, Brooklyn, NY.

Objective: While placement of tunneled dialysis catheters for hemodialysis access is considered a routine procedure, it is associated with a small chance of mechanical complications. Because the literature examining these issues is not recent and our impression of the incidence of these postprocedural complications is at variance with the existing literature, we decided to review our experience.

Methods: Since 1998, our vascular service has placed 1766 tunneled hemodialysis catheters in 1065 patients for hemodialysis access. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S2213333X193014
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http://dx.doi.org/10.1016/j.jvsv.2018.12.016DOI Listing
March 2019
4 Reads

Carotid stenting and endarterectomy and contralateral carotid occlusion.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Division of Vascular Surgery, Duke University Department of Surgery, Durham, NC. Electronic address:

Background: The presence of contralateral carotid occlusion (CCO) has been controversial throughout the history of carotid intervention. Some studies cite a higher stroke risk in the setting of CCO, whereas other studies document no difference in stroke risk. We investigated the risk of stroke after intervention in the setting of CCO in a large, national, validated dataset. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.12.039DOI Listing
March 2019
1 Read

Systematic review of civilian intravascular ballistic embolism reports during the last 30 years.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Radiology, University of Texas Health Science Center at San Antonio, San Antonio, Tex. Electronic address:

Background: Intravascular ballistic embolization is a rare complication of missile injury. Because of its rarity, much remains to be known about its presentation, pathophysiology, complications, and management. In this study, we analyze case reports of ballistic embolization in the last 30 years and available cases from our institution to determine the likely patient, the nature of the embolization, the possible complications, and a general management strategy. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.02.004DOI Listing

Collapsed bifurcated modular infrarenal endograft.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn.

Bilateral acute limb ischemia after endovascular aneurysm repair is extremely rare. We present the case of a 70-year-old man treated by endovascular aneurysm repair for a 7.9-cm asymptomatic infrarenal abdominal aortic aneurysm using a bifurcated modular GORE EXCLUDER endoprosthesis (W. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.12.049DOI Listing
March 2019
1 Read

Regional variation in use and outcomes of combined carotid endarterectomy and coronary artery bypass.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, Mass. Electronic address:

Objective: In treating concomitant carotid and coronary disease, some recommend staged carotid endarterectomy (CEA) and coronary artery bypass grafting, whereas others favor the combined approach (CCAB). Pressure to reduce surgical variation and to improve quality is real, yet little is known about how geographic practice differences affect outcomes. Using the Vascular Quality Initiative (VQI), this study evaluated regional variation in use and outcomes of CCAB. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.02.003DOI Listing

Moderate-pain versus pain-free exercise, walking capacity, and cardiovascular health in patients with peripheral artery disease.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Division of Internal Medicine, Department of Vascular Diseases, University Medical Centre Ljubljana, Ljubljana, Slovenia; Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

Objective: Supervised exercise training (walking) is recommended in patients with intermittent claudication, both as a means to improve symptoms (walking distance and quality of life [QoL]) and as a means to improve general cardiovascular health (including vascular function and heart rate variability [HRV]). Our aim was to compare two types of supervised training (moderate-pain and pain-free walking) with comparable intensity based on heart rate, in terms of walking capacity, QoL, vascular function, biomarkers, and HRV in patients with intermittent claudication.

Methods: Thirty-six adults with intermittent claudication were randomized to either moderate-pain or pain-free exercise training (36 sessions, two or three times a week) or usual care (no supervised exercise). Read More

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http://dx.doi.org/10.1016/j.jvs.2018.10.109DOI Listing
March 2019
1 Read

Validation of a preoperative prediction model for mortality within 1 year after endovascular aortic aneurysm repair of intact aneurysms.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Division of Vascular Surgery and Endovascular Therapy, University of Florida, Gainesville, Fla. Electronic address:

Objective: Most would agree that at least 1-year survival is necessary after intact abdominal aortic aneurysm (AAA) repair to appropriately justify the cost and risk of the procedure. No validated clinical decision instruments exist to predict survival after endovascular aneurysm repair (EVAR) beyond the perioperative period. The purpose of this analysis was to create a preoperative prediction model for 1-year mortality after EVAR for intact AAA in the Society for Vascular Surgery Vascular Quality Initiative. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.10.122DOI Listing
March 2019
9 Reads

Role of nutritional indices in predicting outcomes of vascular surgery.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Scholars in HeAlth Research Program, Faculty of Medicine, American University of Beirut, Beirut, Lebanon; Vascular Medicine Program, Faculty of Medicine, American University of Beirut, Beirut, Lebanon; Department of Internal Medicine, American University of Beirut, Beirut, Lebanon. Electronic address:

Background: Malnutrition is frequent among vascular surgery patients, given their age, chronic comorbidities, and poor functional status, and it is believed to increase their operative risk. We aimed to assess the combined use of recent significant weight loss (>10% body mass) and serum albumin levels as a nutritional status index to predict outcomes.

Methods: We analyzed vascular surgery data from the American College of Surgeons National Surgical Quality Improvement Program database (2005-2012; N = 238,082) to compare operative death (in-hospital and 30-day operative death) across eight nutritional status groups based on weight loss (yes/no) and albumin category: very low albumin level (VL-Alb; <2. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.10.116DOI Listing
March 2019
1 Read

Cost-effectiveness of the treatments for critical limb ischemia in the elderly population.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Surgery, Amphia Hospital, Breda, The Netherlands.

Objective: The treatment of critical limb ischemia (CLI), with the intention to prevent limb loss, is often an intensive and expensive therapy. The aim of this study was to examine the cost-effectiveness of endovascular and conservative treatment of elderly CLI patients unsuitable for surgery.

Methods: In this prospective observational cohort study, data were gathered in two Dutch peripheral hospitals. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.11.042DOI Listing
March 2019
1 Read

Late complications after hybrid aortic arch repair.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Division of Cardiovascular Surgery, Department of Thoracic and Cardiovascular Surgery, Severance Cardiovascular Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.

Objective: Although hybrid arch repair has gained widespread application as an alternative option for high-risk patients, concerns about its long-term durability remain an important issue. The aim of this study was to investigate late complications after hybrid arch repair.

Methods: From January 2002 to December 2017, hybrid arch repair was performed in 65 patients with aortic arch disease (median age, 66. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.01.058DOI Listing
March 2019
1 Read

A systematic review and meta-analysis of F-fluorodeoxyglucose positron emission tomography or positron emission tomography/computed tomography for detection of infected prosthetic vascular grafts.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Nuclear Medicine, Pusan National University Hospital, Busan, Korea.

Objective: The purpose of this investigation was to evaluate the diagnostic accuracy of F-fluorodeoxyglucose (FDG) positron emission tomography (PET) or PET/computed tomography (PET/CT) for the detection of vascular prosthetic graft infection (VPGI) using a diagnostic accuracy test.

Methods: The MEDLINE/PubMed and Embase databases, from the earliest available date of indexing through March 31, 2018, were searched for results investigating the diagnostic accuracy of F-FDG PET or PET/CT for the detection of VPGI. We calculated the pooled sensitivities and specificities of included studies, calculated positive and negative likelihood ratios, and obtained summary receiver operating characteristic curves. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.01.051DOI Listing

A systematic review of enhanced recovery after surgery for vascular operations.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Surgery, Division of Vascular Surgery, University of North Carolina, Chapel Hill, NC.

Background: Patients undergoing vascular operations face high rates of intraoperative and postoperative complications and delayed return to baseline. Enhanced recovery after surgery (ERAS), with its aim of delivering high-quality perioperative care and accelerating recovery, appears well suited to address the needs of this population.

Methods: In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, we performed a systematic review to characterize the use and effectiveness of ERAS in all types of vascular and endovascular operations. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07415214193020
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http://dx.doi.org/10.1016/j.jvs.2019.01.050DOI Listing
March 2019
8 Reads

Rupture of a previously thrombosed hepatic artery aneurysm.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Surgery, University at Buffalo-SUNY, Buffalo, NY. Electronic address:

Hepatic artery aneurysm (HAA) is a rare form of visceral artery aneurysm. Historically, most HAAs were ruptured at presentation, but advances in imaging have led to an increase in the diagnosis of asymptomatic HAAs. Description of the natural history of patent HAAs has been difficult because of their rarity, even more so for less common thrombosed HAAs. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.09.067DOI Listing

Double homemade fenestrated stent graft for total endovascular aortic arch repair.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Thoracic and Vascular Surgery, Arnaud de Villeneuve Hospital, Montpellier, France.

Objective: The aim of this retrospective analysis was to evaluate the outcomes of physician-modified double fenestrated stent grafts for total endovascular aortic arch repair: one proximal large fenestration for the brachiocephalic trunk and the left common carotid artery and one distal fenestration for the left subclavian artery (LSA).

Methods: From January 2017 through February 2018, 17 patients (88.2% elective) underwent thoracic endovascular aortic repair (TEVAR) with double homemade fenestrated stent graft for total endovascular aortic arch repair to maintain supra-aortic trunk patency. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.11.054DOI Listing
March 2019
2 Reads

Changes in vascular and inflammatory biomarkers after exercise rehabilitation in patients with symptomatic peripheral artery disease.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Physical Medicine and Rehabilitation, Penn State College of Medicine, Hershey, Pa.

Objective: Home-based exercise is an alternative exercise mode to a structured supervised program to improve symptoms in patients with peripheral artery disease (PAD), but little is known about whether the slow-paced and less intense home program also elicits changes in vascular and inflammatory biomarkers. In an exploratory analysis from a randomized controlled trial, we compared changes in vascular and inflammatory biomarkers in patients with symptomatic PAD (typical and atypical of claudication) after home-based exercise and supervised exercise programs and in an attention-control group.

Methods: A total of 114 patients were randomized into one of the three groups (n = 38 per group). Read More

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http://dx.doi.org/10.1016/j.jvs.2018.12.056DOI Listing
March 2019
1 Read

The 10-year outcomes of a regional abdominal aortic aneurysm screening program.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Surgery, Sacramento VA Medical Center, Mather, Calif; Department of Surgery, University of California, Davis, Sacramento, Calif. Electronic address:

Objective: In 2007, Medicare established ultrasound screening guidelines to identify patients at risk for abdominal aortic aneurysm (AAA). The purpose of this study was to evaluate AAA diagnosis rates and compliance with screening during 10 years (2007-2016) of the Screen for Abdominal Aortic Aneurysms Very Efficiently Act implementation within a regional health care system.

Methods: A retrospective chart review of all patients screened for AAA from 2007 to 2016 within a regional Veterans Affairs health care system was conducted. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.01.053DOI Listing
March 2019
1 Read

Implementation and results of a practical grading system for thoracic blunt aortic injury.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, Wash.

Objective: We previously proposed a grading system for blunt thoracic aortic injury (BTAI) designed to guide therapy. This study analyzed our outcomes since implementing this system.

Methods: A single-center, retrospective study was conducted of consecutive patients presenting with BTAI between January 2014 and December 2017. Read More

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http://dx.doi.org/10.1016/j.jvs.2019.01.048DOI Listing
March 2019
1 Read

Molecular changes associated with vascular malformations.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Division of Vascular and Endovascular Surgery, Department of Surgery, Yale University School of Medicine, New Haven, Conn; Department of Surgery, VA Connecticut Healthcare Systems, West Haven, Conn. Electronic address:

Vascular anomalies are typically classified into two major categories, vascular tumors and vascular malformations. Most vascular malformations are caused sporadically by somatic mosaic gene mutations, and genetic analyses have advanced our understanding of the biomolecular mechanisms involved in their pathogenesis. Culprit gene mutations typically involve two major signaling pathways; the RAS/MAPK/ERK pathway is typically involved in fast-flow arteriovenous malformations, whereas the PI3K/AKT/mTOR pathway is typically mutated in slow-flow venous and lymphatic malformations. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07415214193017
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http://dx.doi.org/10.1016/j.jvs.2018.12.033DOI Listing
March 2019
2 Reads
3.021 Impact Factor

Association of opioid use and peripheral artery disease.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Surgery, Stanford University, Stanford, Calif.

Background: Prescription opioids account for 40% of all U.S. opioid overdose deaths, and national efforts have intensified to reduce opioid prescriptions. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.12.036DOI Listing
March 2019
1 Read

A comprehensive report of long-term outcomes after catheter-directed thrombolysis for occluded infrainguinal bypass grafts.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Radiology, University Hospitals Leuven, Leuven, Belgium; Department of Imaging and Pathology, Catholic University of Leuven, Leuven, Belgium. Electronic address:

Objective: The objective of this study was to assess the technical and short- and long-term clinical outcomes of catheter-directed thrombolysis (CDT) with urokinase for occluded infrainguinal bypass grafts. In addition, factors associated with technical success and amputation-free survival were assessed.

Methods: A retrospective analysis of a cohort of patients treated with catheter-directed urokinase-based thrombolysis for occluded infrainguinal bypass grafts was conducted between January 2000 and December 2015. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.12.035DOI Listing

A prognostic score for clinical success after revascularization of critical limb ischemia in hemodialysis patients.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Vascular Surgery, Department of Experimental, Diagnostic, and Specialty Medicine (DIMES), University of Bologna, Policlinico S. Orsola-Malpighi, Bologna, Italy.

Objective: The revascularization of critical limb ischemia (CLI) in hemodialysis (HD) patients features poor results in terms of patient survival and limb salvage. Recent predictive models in CLI revascularization did not specifically address HD patients. The aim of this study was to define risk factors for clinical success (CS) after revascularization of CLI in HD patients and to transform findings in a prognostic score. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.11.034DOI Listing

Claims-based surveillance for reintervention after endovascular aneurysm repair among non-Medicare patients.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Section of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH; The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH.

Objective: Many patients who undergo endovascular aortic aneurysm repair (EVR) also undergo repeat procedures, or reinterventions, to address suboptimal device performance and prevent aneurysm rupture. Quality improvement initiatives measuring reintervention after EVR has focused on fee-for-service Medicare patients. However, because patients aged less than 65 years and those with Medicare Advantage represent an important growing subgroup, we used a novel approach leveraging a state data source that captures patients of all ages and with all types of insurance. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.11.031DOI Listing

Perioperative major adverse cardiac events in urgent femoral artery repair after coronary stenting are less common than previously reported.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Vascular Surgery, University of Basel, University Hospital Basel, Basel, Switzerland.

Objective: Noncardiac surgery early after coronary stenting has been associated with a high rate of stent thrombosis and catastrophic outcomes. However, those outcomes were mostly seen when dual antiplatelet therapy (DAPT) was discontinued before surgery. This observational study sought to estimate the risk of major adverse cardiac events (MACEs) after femoral artery repair following recent stent-percutaneous coronary intervention under continued DAPT and to explore potential risk factors. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.11.035DOI Listing
March 2019
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Using the Society for Vascular Surgery Wound, Ischemia, and foot Infection classification to identify patients most likely to benefit from revascularization.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Division of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Tex. Electronic address:

Background: The Society of Vascular Surgery Wound Ischemia foot Infection (WIfI) classification system for chronic limb-threatening ischemia was intended to predict 1-year major lower extremity amputation (LEA) risk and to identify which patients benefit most from revascularization. We aimed to identify which WIfI presentations benefited most from revascularization to explore whether a cluster analysis could identify a more data-driven WIfI score, and to quantify which component of the WIfI score was most strongly associated with 1-year LEA after revascularization.

Methods: Composite multi-institutional nested cohort data from centers who previously validated WIfI were reviewed retrospectively. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07415214193007
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http://dx.doi.org/10.1016/j.jvs.2018.11.039DOI Listing
March 2019
6 Reads

The GORE TAG conformable thoracic stent graft with the new ACTIVE CONTROL deployment system.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands; Department of Cardiothoracic Surgery, Academic Medical Centre, Amsterdam, The Netherlands.

Objective: The aim of this study was to describe single-center intraoperative details and early outcome of the new GORE TAG conformable stent graft with ACTIVE CONTROL (C-TAG ACTIVE CONTROL; W. L. Gore & Associates, Flagstaff, Ariz). Read More

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http://dx.doi.org/10.1016/j.jvs.2018.11.015DOI Listing
March 2019
1 Read

Comparison of open and endovascular procedures in patients with critical limb ischemia on dialysis.

J Vasc Surg 2019 Mar 25. Epub 2019 Mar 25.

Department of Surgery, University of Texas Southwestern Medical Center and VA North Texas Healthcare System, Dallas, Tex.

Objective: Peripheral artery disease is a common comorbidity in patients with end-stage renal disease (ESRD), but there is a paucity of data comparing outcomes of different interventions in this group of patients. In this study, we examined perioperative outcomes of lower extremity endovascular revascularization (ER) and open revascularization (OR) in dialysis patients with critical limb ischemia (CLI).

Methods: Patients on dialysis and undergoing ER and OR for CLI from 2011 to 2015 were identified in the American College of Surgeons National Surgical Quality Improvement Program dataset. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.12.054DOI Listing
March 2019
1 Read

Invited commentary.

J Vasc Surg 2019 Apr;69(4):985-986

Rochester, Minn.

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http://dx.doi.org/10.1016/j.jvs.2018.09.022DOI Listing
April 2019
1 Read

Correction.

Authors:

J Vasc Surg 2019 Apr;69(4):1329

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http://dx.doi.org/10.1016/j.jvs.2019.01.042DOI Listing
April 2019
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Correction.

Authors:

J Vasc Surg 2019 Apr;69(4):1329

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http://dx.doi.org/10.1016/j.jvs.2019.01.039DOI Listing

Reply.

J Vasc Surg 2019 Apr;69(4):1328

Healthcare Policy and Research, Weill Cornell Medical College, New York, NY.

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http://dx.doi.org/10.1016/j.jvs.2018.11.014DOI Listing

Regarding "Impact of weekend treatment on short-term and long-term survival after urgent repair of ruptured aortic aneurysms in Germany".

J Vasc Surg 2019 Apr;69(4):1327

Cambridge Vascular Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom.

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http://dx.doi.org/10.1016/j.jvs.2018.11.013DOI Listing