Journal of Vascular Surgery

Syndicate content
Journal of Vascular Surgery RSS feed.
Updated: 1 day 5 hours ago

Meta-Analysis of the Association Between Peripheral Artery Disease and Growth of Abdominal Aortic Aneurysms

January 31, 2018 - 23:00
This systematic review suggests that currently reported studies demonstrate no robust and consistent association between peripheral arterial disease (PAD) and reduced abdominal aortic aneurysm (AAA) growth.

Prospective Study of Lung Function and Abdominal Aortic Aneurysm Risk: The Atherosclerosis Risk in Communities Study

January 31, 2018 - 23:00
In this prospective population-based cohort study, obstructive and restrictive spirometric patterns were associated with increased risk of abdominal aortic aneurysm (AAA) independent of smoking suggesting that chronic obstructive pulmonary disease (COPD) and restrictive lung disease (RLD) may increase the risk of AAA.

Risk Factors for Mortality Among Individuals With Peripheral Arterial Disease

January 31, 2018 - 23:00
Tobacco use increased the risk of all-cause and cardiovascular death, whereas physical activity was associated with a decreased mortality risk. A low ankle to brachial index (ABI) and diabetes were also predictive of cardiovascular death.

Safety of Simultaneous Coronary Artery Bypass Grafting and Carotid Endarterectomy Versus Isolated Coronary Artery Bypass Grafting: A Randomized Clinical Trial

January 31, 2018 - 23:00
Although our results cannot rule out a treatment-group effect because of lack of power, a superiority of the synchronous combined carotid endarterectomy and coronary artery bypass grafting (CABG) approach seems unlikely. Five-year follow-up of patients is still ongoing.

Percutaneous Coronary Intervention in Stable Angina (ORBITA): A Double-Blind, Randomized Controlled Trial

January 31, 2018 - 23:00
In patients with medically treated angina and severe coronary stenosis, percutaneous coronary intervention (PCI) did not increase exercise time by more than the effect of a placebo procedure. The efficacy of invasive procedures can be assessed with a placebo control as is standard for pharmacotherapy.

Systematic review and meta-analysis of high-pressure intermittent limb compression for the treatment of intermittent claudication

January 31, 2018 - 23:00
High-pressure intermittent limb compression (HPILC) has been proposed as an alternative treatment of disabling intermittent claudication. The objective of this study was to conduct a systematic review and meta-analysis of randomized controlled trials evaluating the efficacy of HPILC in improving walking distance in patients with intermittent claudication.

The MIPS APM scoring standard

January 31, 2018 - 23:00
A hybrid of the two options available for participation in the Quality Payment Program (QPP), Alternative Payment Models (APMs) and the Merit-based Incentive Payment System (MIPS), is a structure called an MIPS APM. MIPS APMs are considered part of the MIPS program, and are not eligible for the 5% incentive payment available to Advanced APMs (AAPMs). Regardless, special scoring standards to calculate a final MIPS score will be applied and the activities that are already being performed to achieve the goals of the MIPS APM are attributed to the score.

Reply

January 31, 2018 - 23:00
We thank Dr Sadaghianloo and colleagues for their comments on an important consideration in using cryopreserved tissue. Anytime allograft tissue is implanted, whether for aortic valve replacement, peripheral bypass, or creation of an access fistula, there is a risk of allogeneic sensitization of the host. The implications of allosensitization may be to increase transplant waitlist time and also to make post-transplantation management more challenging, but many of the patients in our study were not candidates for a kidney transplant.

Regarding “Cryopreserved venous allograft is an acceptable conduit in patients with current or prior angioaccess graft infection”

January 31, 2018 - 23:00
In this multicenter registry-based study, Harlander-Locke et al1 reported interesting results of a large cohort of patients who underwent placement of a cryopreserved allograft for prior or current infection of their hemodialysis access. They concluded that cryopreserved vessels, in particular cryopreserved veins, are an acceptable replacement conduit in these patients.

Conceptualizing treatment of uncomplicated type B dissection using the IDEAL framework

January 31, 2018 - 23:00
The objective of this study was to introduce a new framework, called IDEAL (idea, development, exploration, assessment, and long-term study), to guide physicians, investigators, and regulatory agencies through the life cycle of device development and procedural refinement.

Superior Mesenteric and Celiac Artery Stenting Does Not Increase Complication Rate After Fenestrated or Branched Endovascular Aneurysm Repair

January 31, 2018 - 23:00
Extension of complex endovascular aortic repair into the mesenteric arteries (superior mesenteric artery [SMA] and celiac artery [CA]) may be associated with increased complications. The purpose of this study was to evaluate complications in patients undergoing complex endovascular aortic repair with ZFEN devices (Cook Medical, Bloomington, Ind) and those in a physician-sponsored investigational device exemption clinical trial to compare groups defined by stenting location and the length of coverage above the CA.

The Impact of Abdominal Aortic Branch Involvement on Abdominal Aortic Remodeling After Thoracic Endovascular Aortic Repair for Type B Aortic Dissection

January 31, 2018 - 23:00
Factors influencing abdominal aortic remodeling after thoracic endovascular aortic repair for aortic dissection (TEVAR-AD) remain unknown. The objective of this study was to determine the impact of abdominal aortic branch involvement by dissection on abdominal aortic remodeling after TEVAR-AD.

Clinical Characteristics and Longitudinal Outcomes of Mycotic Aortic Aneurysms

January 31, 2018 - 23:00
Medical therapy alone for mycotic aortic aneurysms (MAAs) is almost universally fatal, whereas open surgical repair and endovascular repair are associated with high morbidity and mortality. It is hypothesized that open surgery would be associated with worse early outcomes but superior long-term results.

The Financial Value of Vascular Surgeons as Operative Consultants to Other Surgical Specialties

January 31, 2018 - 23:00
Vascular surgeons (VSs) provide assistance to other surgical specialties (OSSs) through planned and unplanned joint operative cases. The financial impact of VSs as consultants in this context has not been quantified. We sought to quantify the financial value of services provided by VSs to OSSs in the performance of joint operative procedures, both planned and unplanned.

Disease Activity in Takayasu Arteritis Affects Long-Term Graft-Related Outcomes

January 31, 2018 - 23:00
Takayasu arteritis (TA) is a rare inflammatory large-vessel vasculitis of unknown etiology that occasionally requires surgical intervention. There is a paucity of published data on the long-term outcomes of surgical intervention in these patients, with or without active disease.

Differences in Predictors of Intraoperative Versus Postoperative Strokes After Carotid Endarterectomy and Carotid Artery Stenting

January 31, 2018 - 23:00
Pathophysiologic mechanisms of intraoperative strokes differ from those of postoperative strokes. Carotid artery stent (CAS) patients more often experience an intraoperative stroke compared with carotid endarterectomy (CEA) patients. However, our understanding of differences in predictors of intraoperative strokes between patients undergoing CEA and CAS is limited.

Differences in Anatomic Targets Between Venography and Intravascular Ultrasound in the Setting of Iliofemorocaval Stenting

January 31, 2018 - 23:00
Previous studies have shown limited sensitivity of venography compared with intravascular ultrasound (IVUS), but few studies have analyzed the discrepancies by anatomic location. We report our experience with venography and IVUS and their determination of anatomic targets for iliofemorocaval stenting.

A Black Box or Pandora's Box? Inferior Vena Cava Filter Malpractice Litigation in Context

January 31, 2018 - 23:00
Placement of inferior vena cava (IVC) filters is a controversial focus of medical malpractice. Clinicians currently have little information to guide them regarding key issues and outcomes in litigation. In this retrospective legal case review, we analyzed the factors associated with malpractice actions involving IVC filters.

Catheter-Directed Thrombolysis Versus Suction Thrombectomy in the Management of Acute Pulmonary Embolism

January 31, 2018 - 23:00
Catheter-directed thrombolysis (CDT) is increasingly performed for acute pulmonary embolism (PE) as it is presumed to provide similar therapeutic benefits to systemic thrombolysis but at a lower risk. Contemporary suction thrombectomy (ST) devices are minimal or no-lytic alternatives, but there is no evidence of their comparative effectiveness. This study aimed to compare clinical outcomes of these two interventional alternatives.

One-Stage Upper Arm Brachial-Basilic Arteriovenous Fistulas Have Superior Patency to Two-Stage Procedure

January 31, 2018 - 23:00
An upper arm brachial-basilic arteriovenous fistula (BBAVF) is a reliable autogenous arteriovenous fistula that can be created using a one-stage or two-stage technique. Although both techniques are variably used, the optimal approach is uncertain. In this study, we compared the outcomes of one-stage and two-stage BBAVF procedures.