Journal of Vascular Surgery

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Pre and postoperative predictors of clinical outcome of fenestrated and branched endovascular repair for complex abdominal and thoracoabdominal aortic aneurysms in an Italian multicenter registry

June 4, 2021 - 10:00
Complex aortic aneurysms (juxtarenal j-AAA, pararenal p-AAAs, thoracoabdominal TAAAs) are treated with increasing frequency through fenestrated and branched endovascular repair (F/B-EVAR), however the outcome of these procedures is usually reported separately by single experiences and wider overviews are not frequent. The aim of this study was therefore to report an Italian experience analyzing the results obtained in 4 academic centers in order to evaluate predictors of outcome.

Ipsilateral Carotid Bypass Outcomes in Hostile Neck Anatomy

June 3, 2021 - 10:00
To determine differences in outcomes among patients undergoing ipsilateral carotid bypass with hostile or normal neck anatomy.

Paclitaxel-Coated Peripheral Arterial Devices Are Associated With Improved Overall Survival and Limb Salvage in Patients with Chronic Limb-Threatening Ischemia

June 3, 2021 - 10:00
Paclitaxel (PTX)-coated peripheral arterial devices have been shown to decrease femoropopliteal artery (FPA) restenosis and the need for reintervention compared to non-PTX-coated devices. The data regarding PTX efficacy and safety comes from randomized controlled trials which almost exclusively enrolled patients with claudication. The outcomes of PTX treatment in patients who present with chronic limb threatening ischemia (CLTI) are unknown. This study compares long-term outcomes in patients with CLTI treated with and without PTX.

Outcomes of bypass and endovascular interventions for advanced femoropopliteal disease in patients with premature peripheral artery disease

June 3, 2021 - 10:00
Patients with premature peripheral artery disease (PAD), defined as age ≤ 50 at presentation, have poor outcomes with open and endovascular lower extremity revascularization (LER). It is unclear if either strategy is associated with better outcomes as comparative studies are limited to case series in this patient population. The aim of this study is to compare outcomes of patients with premature PAD undergoing bypass or endovascular revascularization for advanced femoropopliteal disease. Our hypothesis is that open bypass provides superior long-term outcomes when compared with endovascular intervention in patients with premature advanced femoropopliteal PAD.

Supervised exercise therapy, blood pressure and heart rate during exercise, and functional impairment in Peripheral Artery Disease: results of a randomized clinical trial

June 3, 2021 - 10:00
Supervised exercise therapy (SET) improves walking ability in people with peripheral artery disease (PAD). However, the effects of SET on cardiovascular health in PAD remains unclear. Using data from a randomized clinical trial, this post-hoc study investigated the effects of a 6-month SET intervention, compared to a control group, on changes in blood pressure (BP) and heart rate (HR) during a graded treadmill exercise test (GXT) in people with PAD.

Reinterventions after fenestrated and branched endografting for degenerative aortic aneurysms.

June 1, 2021 - 10:00
Fenestrated/branched endografting (F/B-EVAR) is widely accepted technique to treat juxta/para-renal (j/p-AAAs) and thoracoabdominal (TAAAs) aneurysms, in patients at high-surgical risk. However, follow-up results should be carefully evaluated, particularly in terms of reinterventions rate. Aim of this study was therefore to evaluate the early/mid-term reinterventions after FB-EVAR for j/p-AAAs and TAAAs and their impact on follow-up survival.

An Updated Systematic Review and Meta-Analysis of Home-based Exercise Programmes for Individuals with Intermittent Claudication.

June 1, 2021 - 10:00
Table of Contents Summary: In this meta-analysis, supervised exercise programmes were superior to structured home-based exercise programmes. However, home-based programmes with monitoring methods were equivalent. When supervised exercise programmes are unavailable, home-based exercise programmes can be used. However, they must be appropriately structured and monitored to be effective.

Journal of Vascular Surgery – June 2021 Audiovisual Summary

June 1, 2021 - 10:00
Hello! My name is Peter Lawrence and I am pleased to introduce the June issue of the Journal of Vascular Surgery and highlight four outstanding papers which are freely available for the next 2 months.

Safety and Efficacy of Vacuum Assisted Thrombo-Aspiration in Patients with Acute Lower Limb Ischaemia: The INDIAN Trial

June 1, 2021 - 10:00
The aim was to evaluate the short term safety and effectiveness of the Penumbra/Indigo aspiration thrombectomy Systems (Penumbra Inc.) in patients with acute lower limb ischaemia. (ALLI). Recently, endovascular vacuum assisted thrombectomy devices, similar to those used in the management of acute ischaemic stroke, have become available for peripheral arteries, but data are still scarce.

Type 2 Endoleak With or Without Intervention and Survival After Endovascular Aneurysm Repair

June 1, 2021 - 10:00
The aims of the present study were to examine the impact of type 2 endoleaks (T2EL) on overall survival and to determine the need for secondary intervention after endovascular aneurysm repair (EVAR).

Systematic Review and Meta-Analysis of the Effect of Weekend Admission on Outcomes for Ruptured Abdominal Aortic Aneurysms: A Call for an Equitable Seven Day Vascular Service

June 1, 2021 - 10:00
“The weekend effect” of higher patient mortality when presenting at a weekend compared with a weekday has been established for several conditions. The aim of this study was to investigate whether a weekend effect exists for the emergency condition of ruptured abdominal aortic aneurysm.

The Content of Pre-habilitative Interventions for Patients Undergoing Repair of Abdominal Aortic Aneurysms and Their Effect on Post-Operative Outcomes: A Systematic Review

June 1, 2021 - 10:00
Patients requiring abdominal aortic aneurysm (AAA) repair are at risk of post-operative complications due to poor pre-operative state. Pre-habilitation describes the enhancement of functional capacity and tolerance to an upcoming physiological stressor, intended to reduce those complications. The ability to provide such an intervention (physical, pharmacological, nutritional, or psychosocial) between diagnosis and surgery is a growing interest, but its role in AAA repair is unclear. This paper aimed to systematically review existing literature to better describe the effect of pre-habilitative interventions on post-operative outcomes of patients undergoing AAA repair.

Optimal Threshold for the Volume–Outcome Relationship After Open AAA Repair in the Endovascular Era: Analysis of the International Consortium of Vascular Registries

June 1, 2021 - 10:00
As open abdominal aortic aneurysm (AAA) repair (OAR) rates decline in the endovascular era, the endorsement of minimum volume thresholds for OAR is increasingly controversial, as this may affect credentialing and training. The purpose of this analysis was to identify an optimal centre volume threshold that is associated with the most significant mortality reduction after OAR, and to determine how this reflects contemporary practice.

Early and Late Outcomes after Transcarotid Revascularisation for Internal Carotid Artery Stenosis: A Systematic Review and Meta-Analysis

June 1, 2021 - 10:00
Transcarotid/transcervical revascularisation (TCAR) is an alternative to carotid endarterectomy (CEA) and transfemoral carotid stenting (tfCAS). This review aimed to evaluate pooled data on patients undergoing TCAR.

Events of Interest

June 1, 2021 - 10:00
News items of interest to the vascular surgeon must be received at least 8 weeks before the desired month of publication. Announcements published at no charge include those received from a sponsoring society of this Journal, those courses and conferences sponsored by state, regional, national, or international vascular surgical organizations, and university-sponsored continuing medical education courses. Send applicable events to Andrew O’Brien, Journal Manager, at a.obrien@elsevier.com. All other news items selected for publication carry a charge of $60.00 US for each insertion, and the fee must accompany the request to publish.

Information for Readers

June 1, 2021 - 10:00
Communications regarding original articles and editorial management should be addressed to Peter Gloviczki, MD, and Peter F. Lawrence, MD, Editors, Journal of Vascular Surgery, 9400 W. Higgins Road, Suite 315, Rosemont IL 60018; telephone: 312-334-2355; fax: 312-334-2320; e-mail: JVASCSURG@vascularsociety.org. Information for authors appears in the January and July issues, at www.jvascsurg.org, and at jvs.editorialmanager.com. Authors should consult this document before submitting manuscripts to this Journal.

Table of Contents

June 1, 2021 - 10:00

Editorial Board

June 1, 2021 - 10:00

Antithrombotic Therapy in Peripheral Artery Disease: Stepping in the Right Direction

June 1, 2021 - 10:00
Literature review of randomized studies using PubMed and MEDLINE databases.