Journal of Vascular Surgery

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Editorial Board

September 1, 2018 - 00:00

Acute and Chronic Renal Dysfunction After Open and Endovascular Abdominal Aortic Aneurysm Repair

September 1, 2018 - 00:00
Abdominal aortic aneurysms (AAAs) remain an important health problem. Aspects of both endovascular aneurysm repair (EVAR) and open repair place patients at risk for renal dysfunction in the short and long term, which increases the risk of postoperative morbidity and mortality. The current study analyzed the incidence of acute and chronic renal dysfunction as well as contributing factors in patients after AAA repair.

In Vitro Fatigue Evaluation of Chimney Endovascular Aneurysm Repair: A Case Study

September 1, 2018 - 00:00
The objective was to evaluate the positional stability and physical properties of stent grafts and covered stents that have been used in an aortic arch chimney endovascular aneurysm repair (EVAR) for a specific patient who had a thoracoabdominal aneurysm.

A Comparison of Duplex Ultrasound Findings 2 Years After Cyanoacrylate Embolization Versus Endovenous Laser Ablation of the Great Saphenous Vein

September 1, 2018 - 00:00
The objective of this study was to describe and to compare duplex ultrasound imaging findings of the great saphenous vein (GSV) after cyanoacrylate embolization (CE) relative to endovenous laser ablation (EVLA).

Optimization of the In Situ Laser Fenestration of Stent Graft: In Vitro Studies

September 1, 2018 - 00:00
The in situ fenestration of stent grafts is a bailout technique for patients presenting with an emergent life-threatening complex aortic disease to be amenable to endovascular aneurysm repair. However, questions still remain unanswered about the suitability of the stent grafts and the use of instruments for the fenestrations. We hereby performed a series of in vitro studies regarding the influence of common, commercially available stent grafts made of polyester fabrics in response to instruments such as laser probes used for in situ fenestration, the noncompliant as well as the cutting balloons.

Carotid Endarterectomy in the Elderly: The McGill Experience

September 1, 2018 - 00:00
Carotid endarterectomy (CEA) is a well-established surgical intervention for stroke prevention in patients with carotid stenosis of all ages. Some studies suggest that CEA is more risky in the elderly with worse outcomes, whereas others have found no difference. Our objective was to evaluate and to compare outcomes of CEA between elderly and younger patients at our institution.

Age- and Sex-Stratified Trends in Elective and Ruptured Abdominal Aortic Aneurysm Repair from 2003 to 2016

September 1, 2018 - 00:00
The objective of this study was to determine the trends in open and endovascular repair of elective abdominal aortic aneurysm (eAAA) and ruptured AAA (rAAA) stratified by age and sex from 2003 to 2016.

The Feasibility and Accuracy of Automated Blood Pressure Cuff Ankle-Brachial Index Measurements in Outpatients’ Screening

September 1, 2018 - 00:00
Peripheral artery disease (PAD) is a powerful indicator of diffuse atherosclerosis. Ankle-brachial index (ABI) measurement is recommended to screen for PAD among high-risk patients, but it is underused in family practice settings. A major perceived barrier to PAD screening in family medicine practices is the duration of accurate ABI measurement using Doppler compared with readily available oscillometric methods (eg, automated blood pressure cuff). Our purposes were to assess ABI Doppler (manual) vs oscillometric (automated) readings and to determine the difference in the duration of these two measurement modalities.

Ankle-Brachial Index Measurement With an Automated Oscillometric Blood Pressure Cuff: Bringing the Ankle-Brachial Index Back to the Bedside

September 1, 2018 - 00:00
The ankle-brachial index (ABI), once considered a simple bedside assessment tool for peripheral artery disease (PAD), is now predominantly deferred to the vascular laboratory setting, possibly because of concerns about accuracy, time, and availability of equipment. Automated oscillometric blood pressure devices have improved in technology, are readily available, and may allow a simpler and quicker measurement of ABI. The objective was to determine the accuracy of ABI measurements obtained with an automated oscillometric blood pressure device in diagnosis of PAD.

The Use of Growth Factors for the Treatment of Chronic Venous Leg Ulcers: A Systematic Review and Meta-Analysis

September 1, 2018 - 00:00
The objective of this study was to evaluate the impact of growth factors or treatments high in growth factors on patients with lower limb chronic venous leg ulcers (VLUs).

Prospective Evaluation of Postoperative Urinary Retention in Endovascular Aneurysm Repair Patients: An Interim Analysis of a Novel Vascular Quality Initiative Project

September 1, 2018 - 00:00
Quality improvement aimed at reducing length of stay of endovascular aneurysm repair (EVAR) patients identifies numerous areas for improvement, including optimizing management of Foley catheters. The Vascular Quality Initiative (VQI) program collects standardized quality indicators for EVARs. A novel “hashtag” method has allowed collection of nonstandardized variables. We aimed to prospectively evaluate EVAR Foley use and postoperative urinary retention (POUR) rates in the VQI.

The Contribution of 30-Day Readmissions to the Soaring Costs of Care for the Diabetic Foot

September 1, 2018 - 00:00
The risk of 30-day unplanned readmission in diabetic foot ulcer (DFU) patients is nearly 20%. Our aim was to quantify the cost of readmissions in patients admitted with DFU.

In Situ Tissue Engineering-Oriented Polylactic Acid-Polycaprolactone Composite Vascular Graft: Design and Characterization

September 1, 2018 - 00:00
Vascular grafts used for in situ tissue engineering processes may suffer not only from insufficient mechanical properties but also from vulnerabilities related to their biocompatibility. Bicomponent composite degradable vascular grafts were developed with superior mechanical properties and long-term anticoagulant activity to meet the requirement of small-diameter vascular prostheses with high performance.

Abdominal Aortic Aneurysm Anatomic Severity Grading Score: Identifying Anatomic Attributes That Best Predict Endovascular Aneurysm Repair Outcomes

September 1, 2018 - 00:00
The Society for Vascular Surgery anatomic severity grading (ASG) score is a classification system for abdominal aortic aneurysms (AAAs) stratifying candidates for endovascular aneurysm repair (EVAR). Our objective was to determine the predictive capability of total ASG score, subscores, and individual attributes for implant-related complications, endoleak, and reinterventions.

Prolonged Versus Brief Balloon Inflation for Arterial Angioplasty

September 1, 2018 - 00:00
Angioplasty is a fundamental treatment of atherosclerotic disease; however, the optimal duration of balloon inflation has not been identified. Our study investigated whether prolonged inflation of at least 1 minute, compared with brief inflation, affects residual stenosis after arterial angioplasty. This study is registered on PROSPERO (92702).

Deformation Characteristics of Venous Stents: A Comparative Assessment

September 1, 2018 - 00:00
Stents are often used to maintain the vessel’s restored diameter during or after endovascular treatment for different diseases, such as iliac vein stenosis causing the post-thrombotic syndrome. To improve the success of the treatment, we need to understand the stent’s deformation characteristics (foreshortening, compliance, radial pressure, and collapse). These important factors contribute to each stent’s performance regarding hyperplasia, migration, and restenosis, which are challenges associated with the durability of venous stents.

Postoperative Delirium: The Impact of Preoperative Cognitive Impairment, Type of Vascular Procedure, and Cost Implications

September 1, 2018 - 00:00
A prospective study of preoperative risk factors for postoperative delirium (POD) was conducted to identify high-risk patients and to assess its impact on hospital costs.

Identification of Circulating microRNA Profile in Patients With Peripheral Artery Disease and Critical Limb Ischemia

September 1, 2018 - 00:00
Peripheral artery disease (PAD) is caused by atherosclerosis of the lower extremities. Almost 5% of patients with PAD progress to the advanced stage, critical limb ischemia (CLI). Patients with CLI are at a significant risk of major limb amputation and death. Therefore, there is an immense requirement for the early diagnosis and management of CLI. Several studies suggest that microRNAs (miRNAs), small noncoding ribonucleic acids, can be used as biomarkers of chronic diseases, such as heart failure and diabetes.

Lower Limb Amputations in Patients With Diabetes and Peripheral Artery Disease: A Time-Series Analysis of Trends (2005-2016)

September 1, 2018 - 00:00
Rates of cardiovascular and diabetes-related complications are generally decreasing. Whether a similar decline has occurred with lower extremity amputations remains poorly characterized. The aim of this study was to examine secular trends in the rate of lower extremity amputations among patients with diabetes and peripheral artery disease (PAD) within a single-payer regional health care system.

Composite Self-Expanding Bioresorbable Stents With Reinforced Compression Performance: A Computational and Experimental Investigation

September 1, 2018 - 00:00
Bioresorbable cardiovascular stents are currently developed to reduce the risk of long-term thrombosis and restenosis in diseased vessels. However, absorbable polymers remain mechanically weaker and have a relatively higher degree of stent recoil than metal does. Hence, we hereby intended to develop novel composite bioresorbable stents (cBRSs) made of poly(p- dioxanone) (PPDO) and polycaprolactone with mechanically reinforced compression performance for pediatric patients.