Journal of Vascular Surgery

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February 28, 2018 - 23:00

Journal of Vascular Surgery – March 2018 Audiovisual Summary

February 28, 2018 - 23:00
Hi, I am Peter Gloviczki from Mayo Clinic, Editor-in-Chief of the Journal of Vascular Surgery. I am pleased to share with you the highlights of the very best papers we have in the March issue of the Journal of Vascular Surgery. The Editors' Choice article is entitled “An update on the incidence of perioperative outcomes after carotid endarterectomy, stratified by type of preprocedural neurological symptom”, authored by Alexander Pothof and colleagues from the Beth Israel Deaconess Medical Center, the Massachusetts General Hospital, Harvard Medical School in Boston; University Medical Center in Utrecht; Academic Medical Center in Amsterdam, The Netherlands.

Rivaroxaban in peripheral artery disease: The new kid on the block?

February 28, 2018 - 23:00
Important data from the COMPASS (Cardiovascular Outcomes for People Using Anticoagulation Strategies) trial were recently published, which has significant implications for patients with peripheral artery disease (PAD).1,2 COMPASS was a multicenter, randomized controlled trial that compared three different antithrombotic strategies in >27,000 patients with stable atherosclerotic vascular disease: very low dose rivaroxaban, 2.5 mg twice daily plus aspirin 100 mg once daily; low dose rivaroxaban, 5 mg twice daily alone; and aspirin, 100 mg once daily alone.

Correction

February 28, 2018 - 23:00
In the February 2018 issue of the Journal of Vascular Surgery, the article by Jones et al (Jones WS, Krucoff MW, Morales P, Wilgus RW, Heath AH, Williams MF, et al. Registry Assessment of Peripheral Interventional Devices (RAPID): Registry assessment of peripheral interventional devices core data elements. J Vasc Surg 2018;67:637-45) should have included the following acknowledgment and updated copyright line:

Risks Associated With Primary and Redo Carotid Endarterectomy in the Endovascular Era

February 28, 2018 - 23:00
The outcomes of redo carotid endarterectomy (CEA) and primary CEA fall within the professional guidelines for carotid revascularization. However, redo CEA is associated with a 2.8 times increase in the risk of stroke and a 2.2 times increase in the risk of death compared with primary CEA among asymptomatic patients. There is no significant difference in outcomes among symptomatic patients. These redo CEA and primary CEA results should inform patient and clinician expectations at the point of care.

A Population-Based Study of Abdominal Aortic Aneurysm Treatment in Finland 2000 to 2014

February 28, 2018 - 23:00
The incidence of ruptured abdominal aortic aneurysm (AAA) for men >65 years of age has declined by nearly 30% in Finland, likely because of the decrease in AAA prevalence. In addition, the treatment results have improved for both elective and emergency repair and for both open repair and endovascular aneurysm repair (EVAR). The increased use of EVAR has resulted in decreased mortality after elective AAA repair but the late mortality is surprisingly high in comparison with open repair.

Stenting for Symptomatic Vertebral Artery Stenosis: The Vertebral Artery Ischaemia Stenting Trial

February 28, 2018 - 23:00
Stenting in extracranial stenosis appears safe with low complication rates. This study provides class I evidence that for patients with symptomatic vertebral stenosis, angioplasty with stenting does not reduce the risk of stroke. However, the study lacked the precision to exclude a benefit from stenting. Large phase 3 trials are required to determine whether stenting reduces stroke risk.

Radiation Induced DNA Damage in Operators Performing Endovascular Aortic Repair

February 28, 2018 - 23:00
This study detects an acute DNA damage response in operators performing fluoroscopically-guided aortic procedures and highlights the protective effect of leg shielding. Defining the relationship between this response and cancer risk may better inform safe levels of chronic low dose radiation exposure.

Events of interest

February 28, 2018 - 23:00
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

February 28, 2018 - 23:00
Communications regarding original articles and editorial management should be addressed to Peter Gloviczki, MD, and Peter F. Lawrence, MD, Editors, Journal of Vascular Surgery, 633 N. St. Clair, 22nd Floor, Chicago, IL 60611; telephone: 603-523-2222; 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.

Information for authors

February 28, 2018 - 23:00
Complete information for authors and editorial policies are available in the January and July issues, at our Web site www.jvascsurg.org, or at our Editorial Manager Web site at jvs.editorialmanager.com. An abbreviated checklist for manuscript submission follows. Manuscripts that are accepted for publication become the property of the Journal of Vascular Surgery®, which is copyrighted by the Society for Vascular Surgery®. They may not be published or reproduced in whole or in part without the written permission of the author(s) and the Journal.

Contents

February 28, 2018 - 23:00

Editorial Board

February 28, 2018 - 23:00

Sexual Dysfunction After Abdominal Aortic Aneurysm Surgical Repair: Current Knowledge and Future Directions

February 28, 2018 - 23:00
Abdominal aortic aneurysm (AAA) represents a major health concern and the curative treatment relies on surgical approaches including open and endovascular aortic repair (EVAR). While epidemiological studies have addressed the major outcomes including mortality and life threatening complications, the impact of surgical intervention on sexual function has been less well described. The aim of this review was to summarise current knowledge on the occurrence of sexual dysfunction in the context of AAA surgical repair and to explore whether surgical techniques could have differential impact.

Surgical and Endovascular Intervention for Dialysis Access Maturation Failure During and After Arteriovenous Fistula Surgery: Review of the Evidence

February 28, 2018 - 23:00
Maturation failure is the major obstacle to establishing functional arteriovenous fistulae (AVF) for haemodialysis treatment. Various endovascular and surgical techniques have been advocated to enhance fistula maturation and to increase the number of functional AVFs. This narrative review considers the available evidence of interventional techniques for treatment of AVF non-maturation.

The Safety of Device Registries for Endovascular Abdominal Aortic Aneurysm Repair: Systematic Review and Meta-regression

February 28, 2018 - 23:00
New and re-designed stent grafts for endovascular aortic aneurysm repair (EVAR) are released regularly. Manufacturers use data from registries to assess stent graft performance, but little is known about the ability of such registries to detect rates of clinically relevant complications. The aim of this paper was to perform a systematic review and meta-analysis to determine pooled failure rates for EVAR stent grafts, to define an acceptable non-inferiority limit for these devices, and then to calculate the number of patients needed for a new device to achieve non-inferiority against published devices.

A Propensity Matched Comparison for Open and Endovascular Treatment of Post-carotid Endarterectomy Restenosis

February 28, 2018 - 23:00
To compare results of open and endovascular management of post-carotid endarterectomy (CEA) restenosis.

High Annual Hospital Volume is Associated with Decreased in Hospital Mortality and Complication Rates Following Treatment of Abdominal Aortic Aneurysms: Secondary Data Analysis of the Nationwide German DRG Statistics from 2005 to 2013

February 28, 2018 - 23:00
The aim of this study was to analyse the association between annual hospital procedural volume and post-operative outcomes following repair of abdominal aortic aneurysms (AAA) in Germany.

Late Open Surgical Conversion after Endovascular Abdominal Aortic Aneurysm Repair

February 28, 2018 - 23:00
Late open surgical conversion following endovascular aneurysm repair (EVAR) may occur more frequently after performing EVAR in anatomy outside the instructions for use (IFU). This study reviews predictors and outcomes of late open surgical conversion for failed EVAR.

Reply

February 28, 2018 - 23:00
We thank Dr Kouchoukos for his reply to our article, “A 10-year institutional experience with open branched graft reconstruction of aortic aneurysms in connective tissue disorders versus degenerative disease.”1 We congratulate him for his excellent results with open branched graft reconstruction of thoracoabdominal aortic aneurysms (TAAAs).2