Journal of Vascular Surgery

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FGF-Dependent Metabolic Control of Vascular Development

September 1, 2017 - 00:00
Fibroblast growth factor (FGF) dependent regulation of endothelial glycolysis is a pivotal process in developmental and adult vascular growth and development.

Endovascular Repair of Abdominal Aortic Aneurysm in Octogenarians: A Report on Clinical Outcomes

September 1, 2017 - 00:00
The objective of this study was to investigate outcomes and predictors of complications of endovascular aneurysm repair (EVAR) in octogenarians.

Physicians' Peripheral Arterial Disease Knowledge Gap Starts in Medical School

September 1, 2017 - 00:00
Previous data indicate that physicians have suboptimal knowledge about peripheral arterial disease (PAD). The aim of our study was to evaluate PAD knowledge among Canadian medical school graduates to understand whether this knowledge gap exists early in medical training.

Posterior Approach to Popliteal Artery Aneurysm Repair: An Underused Technique?

September 1, 2017 - 00:00
The objective of this study was to analyze long-term results of popliteal artery aneurysm repair through a posterior approach.

A Novel Iliac Morphology Score Predicts Procedural Mortality and Major Vascular Complication in Transfemoral Aortic Valve Replacement

September 1, 2017 - 00:00
Vascular complications remain a challenge for the transfemoral approach to transcatheter aortic valve replacement (TAVR). The objective of this study was to develop a preoperative tool for prediction of major vascular complications of TAVR.

Development of a Semiautomated Fenestrated Endovascular Aneurysm Repair Planning Technique

September 1, 2017 - 00:00
The objective of this study was to develop a semiautomated method for the generation of fenestrated stent graft plans to minimize the intraoperator variability seen in manual computed tomography angiography measurements.

Temporal Trends of Aortic Custom Medical Device Use in Canada

September 1, 2017 - 00:00
The objective of this study was to evaluate the use of custom medical devices (CMDs) in advanced endovascular aneurysm repair across Canada.

Current Practices in Venous Disease—A Survey of Canadian Vascular Surgeons

September 1, 2017 - 00:00
The objective of this study was to evaluate the practice patterns of vascular surgeons in Canada in the treatment of superficial venous disease.

Computational Simulations to Predict Fenestrated Stent Graft Rotation on Deployment

September 1, 2017 - 00:00
The objective of this study was to use finite element simulations of fenestrated endovascular aneurysm repair to predict whether the stent graft would rotate on deployment, leading to fenestration misalignment and related complications, such as end-organ ischemia.

Establishing the Publication Rate of Abstracts Submitted Between 2012 and 2016 to the Canadian Society for Vascular Surgery Annual Meeting

September 1, 2017 - 00:00
The purpose of this study was to establish the publication rate of abstracts submitted from 2012 to 2016 to the Canadian Society for Vascular Surgery (CSVS) annual meetings and to examine factors related to likelihood of publication.

Assessing Patient Preferences for and Ranking of Outcomes Presented in Randomized Trials of Endovascular Aortic Surgery (APPROPRIATE)

September 1, 2017 - 00:00
We surveyed both abdominal aortic aneurysm (AAA) patients undergoing surveillance and vascular surgeons to assess their preference for and ranking of both traditional and functional outcomes after AAA repair.

Hospital Readmission and Emergency Department Visits After Vascular Surgery: A Prospective Cohort Study

September 1, 2017 - 00:00
The objective of this study was to establish the rates and causes of hospital readmission and emergency department (ED) visits after vascular surgery and to understand how these patients are managed.

The Effect of Renin-Angiotensin System Blockade on Abdominal Aortic Aneurysm Growth, Rupture, and Perioperative Outcomes: A Systematic Review and Meta-Analysis

September 1, 2017 - 00:00
The purpose of this study was to summarize the literature regarding the effects of angiotensin-converting enzyme inhibitor (ACEi) and angiotensin receptor blocker (ARB) treatment on human abdominal aortic aneurysm (AAA) growth, rupture, and perioperative mortality.

Outcomes of Minor Amputations in Patients with Peripheral Vascular Disease at a Tertiary Care Institution

September 1, 2017 - 00:00
We investigated the rates and predictors of healing and major reamputation after nontraumatic minor amputations in vasculopaths at our institution.

Point of Care Ultrasound Use as Adjunct to Physical Examination and Its Impact on Arteriovenous Fistula Maturation

September 1, 2017 - 00:00
Point of care ultrasound (POCUS) as a preoperative assessment tool in the clinic may help identify anatomic factors predictive of fistula maturation, decrease costs to the health care system, and decrease time to access creation compared with formal vein mapping. We sought to determine the impact of POCUS as an adjunct to physical examination on arteriovenous fistula maturation.

Surgically Positioned Paravertebral Catheter for Analgesia After Retroperitoneal Aortic Aneurysm Repair

September 1, 2017 - 00:00
The objective of this study was to report the feasibility and efficacy of surgically positioned paravertebral catheters for postoperative analgesia after retroperitoneal abdominal aortic aneurysm (AAA) repair.

Instructions for Use Violation and Anatomic Factors Are Strongest Predictors of Clinically Significant Type II Endoleaks

September 1, 2017 - 00:00
Although some anatomic factors, such as number of aortic branches and use of anticoagulants, have been linked to type II endoleaks after endovascular aneurysm repair, few studies have examined the potential role of instructions for use (IFU) violations and tenuous endograft sealing resulting in transmitted endotension, which may act as a promoter of persistent and clinically significant type II endoleaks. We examined the role of anatomic factors, clinical factors, and IFU violations in predicting the presence of clinically significant type II endoleaks.

Is Patient Satisfaction Improved by Showing Patients Their Computed Tomography and Angiography Images Before They Undergo Vascular Surgery?

September 1, 2017 - 00:00
Patient-based decision aids and other multimedia tools have been developed to help enrich the preoperative discussion between surgeon and patient. Use of these tools, however, can be time-consuming and logistically challenging. We investigated whether simply showing patients their images from preoperative computed tomography (CT) or angiography would improve patient satisfaction with the preoperative discussion. We also examined whether this improved patient knowledge and patient trust and whether it contributed to increased preoperative anxiety.

Knowledge, Impressions, and Use of Government-Funded Physical Disability Support Programs in Vascular Surgery: A Survey of Canadian Physicians

September 1, 2017 - 00:00
Many medical conditions can qualify for government disability support programs (DSPs), including cardiovascular conditions. However, research investigating the role of DSPs in vascular claudication and surgeon practices is lacking.

Break Out of the Classroom: The Use of Escape Rooms as an Alternative Learning Strategy for Surgical Education

September 1, 2017 - 00:00
Escape Rooms are immersive games in which participants are locked into a room and required to solve a series of riddles to escape. We postulate that Escape Rooms can be used as a learning tool to transform medical learners from passive spectators to active participants. The objective of this study was to implement and to assess the impact of a Vascular Escape Room on medical student motivation, satisfaction, and engagement in CanMEDS roles.