Journal of Vascular Surgery

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Invited commentary

November 30, 2018 - 23:00
The goal of developing a small-caliber, prosthetic vascular graft comparable to autologous vein conduit remains elusive. More than 30 years ago, Dr Alexander Clowes and his group observed that excessive intimal hyperplasia associated with exuberant smooth muscle cell and endothelial cell proliferation occurred in anastomotic stenosis of polytetrafluoroethylene bypass grafts. Over time, this phenomenon has been attributed to factors such as compliance mismatch between the prosthetic graft and the native artery, vascular wall sheer stress, and response to injury.

Discussion

November 16, 2018 - 23:00
Dr Matthew Smeds (Little Rock, Ark). You had mentioned that the people who had these findings of hyperglycemia were more likely to be smokers, to be obese, or to have other significant risk factors. Did you somehow try to control for that?

Poor glycemic control is a strong predictor of postoperative morbidity and mortality in patients undergoing vascular surgery

November 16, 2018 - 23:00
Hyperglycemia is a common occurrence in patients undergoing cardiovascular surgery. It has been identified in several surgical cohorts that improved perioperative glycemic control reduced postoperative morbidity and mortality. A significant portion of the population with peripheral arterial disease suffers from the sequelae of diabetes or metabolic syndrome. A paucity of data exists regarding the relationship between perioperative glycemic control and postoperative outcomes in vascular surgery patients.

Attrition rates in integrated vascular and cardiothoracic surgery residency and fellowship programs

November 15, 2018 - 23:00
Attrition in surgical programs remains a significant problem resulting in trainee dissatisfaction and wasted time and educational dollars. Attrition rates in general surgery training programs approximate 5% per year (30% cumulative). Attrition rates in cardiovascular surgery training for the traditional vascular surgery fellowship (VSF), the vascular surgery residency (VSR), and the corresponding programs in cardiothoracic surgery have yet to be described, although they are assumed to be similar to those associated with general surgery training.

Information for readers

October 31, 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

October 31, 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

October 31, 2018 - 23:00

Editorial Board

October 31, 2018 - 23:00

LEO 8. Diabetic Foot Limb Salvage: A Series of 809 Attempts and Predictors for Endovascular Limb Salvage Failure

October 31, 2018 - 23:00
The objective of this study was to review patients’ characteristics and outcomes of inpatient diabetic foot limb salvage and to identify risk factors predicting endovascular limb salvage failure.

LEO 7. Safety and Effectiveness of the Novel Temren Atherectomy System Combined Use With Extender Drug-Eluting Balloon in Lower Extremity Arteries

October 31, 2018 - 23:00
The objective of this study was to evaluate the novel Temren atherectomy system and Extender drug-eluting balloon (RD Global-Invamed, Ankara, Turkey) as percutaneous treatment of de novo and restenotic infrainguinal arterial lesions.

LEO 6. Ferumoxytol-Enhanced Magnetic Resonance Angiography—Clinical Feasibility and Optimal Dosing

October 31, 2018 - 23:00
Traditional contrast media are problematic in advanced chronic kidney disease. Ultrasmall superparamagnetic particles of iron oxide (ferumoxytol) are safe in chronic kidney disease and have been used for imaging in other settings. We tested the feasibility of ferumoxytol-enhanced magnetic resonance angiography (FeMRA) in patients with renal failure and performed a dose-finding study.

Introduction

October 31, 2018 - 23:00
The Associate Faculty program of the VEITHsymposium was the first forum ever created to motivate young and upcoming vascular specialists as well as more experienced clinicians to present their ongoing clinical and basic science research. This effort turned out to be very successful and it was soon replicated by other large symposia.

LEO 5. The Impact of a Nationwide Network of Community-Based Supervised Exercise Therapy on the Management of Intermittent Claudication in The Netherlands

October 31, 2018 - 23:00
Contemporary guidelines recommend supervised exercise therapy (SET) as initial treatment in intermittent claudication (IC). Unfortunately, limited access to adequate SET programs impedes referral, thereby exposing patients to potentially unnecessary vascular interventions. With Medicare covering SET for its beneficiaries as of 2017, an important barrier to widespread adoption has been overcome. Next, health care providers are tasked with making uniform, high-quality SET accessible for all U.S. IC patients.

LEO 4. Aspiration Thrombectomy for Acute Limb Ischemia: A Single-Center Experience

October 31, 2018 - 23:00
The objective of this study was to report our single-center experience with percutaneous aspiration thrombectomy (PAT) as a first-line treatment of acute lower limb ischemia (ALI).

LEO 2. Arterial Preparation Improves Outcomes of Drug-Coated Balloon Angioplasty

October 31, 2018 - 23:00
Angioplasty without arterial preparation can lead to complications including large, uncontrolled dissections. Arterial preparation can mitigate these risks, providing a better lumen patency, limiting the use of stents, avoiding excess wall stretch from high-pressure balloons, and decreasing the need for stents.

LEO 1. Total Endovascular Management of Aortoiliac Occlusive Disease

October 31, 2018 - 23:00
We aimed to compare the effectiveness of total endovascular repair of aortoiliac occlusive disease with the “gold standard” of aortobifemoral bypass.

MSC 2. What Do Patients Want to Know About Their Surgeon? Stakeholder Views of Surgeon-Specific Mortality Data

October 31, 2018 - 23:00
Surgeon-specific mortality data (SSMD) are used to enhance transparency, to drive quality improvement, and to facilitate patients’ choice. The use of SSMD is controversial, but patients’ views on such data are largely unknown. The aim of this study was therefore to establish the views of patients and to identify their priorities for outcome reporting.

MSC 1. Aviation Safety—Five Human-Factors Lessons for Vascular Surgeons

October 31, 2018 - 23:00
Flying commercially is far safer than undergoing surgery. Nevertheless, pilots and vascular surgeons face similar types of technical and environmental challenges. Differences in outcomes may be attributed to the use of human-factors science in the aviation industry. The study aimed to identify methods of improving patients’ safety in vascular surgery based on the expertise of senior airline pilots.

LUE 2. Midterm Clinical Outcome of Minimally Invasive Vein-Restoring Treatment Method for Chronic Venous Insufficiency

October 31, 2018 - 23:00
The conventional therapeutic option for varicose veins associated with significant saphenofemoral incompetence is high ligation, sclerotherapy, or thermal ablation, which includes a disadvantage that the vein is no longer available as a graft for future cardiovascular surgery. Internal compression therapy (RD Global-Invamed, Ankara, Turkey) is a new, minimally invasive procedure to restore venous valve competence by reducing the vein’s circumference. The procedure is also called percutaneous valvuloplasty.

LUE 1. A Comparative Analysis of the Results of Cyanoacrylate Ablation and Radiofrequency Ablation in the Treatment of Venous Insufficiency

October 31, 2018 - 23:00
Varicose vein treatment has been directed toward less invasive yet lasting techniques. This study was designed to compare the effectiveness of cyanoacrylate ablation (CAA) with that of radiofrequency ablation (RFA).