Journal of Vascular Surgery

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Regarding “The role of immigrants to United States of America in the development of cardiovascular surgery”

October 1, 2017 - 00:00
I am honored and humbled to be cited in the article “The role of immigrants to United States of America in the development of cardiovascular surgery” in the May issue of Journal of Vascular Surgery.1 The article listed a number of immigrants who helped to develop cardiovascular surgery in America. However, there is one notable omission: Dr Geza de Takats of Hungary.

Regarding “Similar failure and patency rates when comparing one- and two-stage basilic vein transposition”

October 1, 2017 - 00:00
We read with great interest the systematic review and meta-analysis on basilic vein transposition (BVT) by Cooper and colleagues published recently in the Journal.1 BVT is an important vascular access type, and we would like to congratulate the authors for trying to tackle the issue of procedure staging. However, we have several comments.

Reply

October 1, 2017 - 00:00
We want to thank Kakkos and coauthors for their careful reading and critique of our meta-analysis comparing one- vs two-stage basilic vein transposition.1 We agree that there is no generally accepted standard in dealing with primary failure and subsequent reporting of fistula patency; however, we chose to include the primary failures in the denominator across all studies. Removing the primary failures from the reporting of patency rates, in our opinion, falsely increases the patency and does not reflect the reality that generally speaking, results after fistula creation are suboptimal.

Of violins, values, and the clinical vascular surgeon

October 1, 2017 - 00:00
I am humbled and deeply honored to have served as the Forty-fourth President of the Society for Clinical Vascular Society (SCVS). As a young surgeon, I was given opportunity to present clinical research and to interact with leaders in our field at the SCVS in a nonthreatening atmosphere. Many of the friendships I have with vascular surgeons began at this meeting, and I cherish them all. The mission of the SCVS is to advance the art and science of vascular surgery; to provide a forum for vascular surgeons to exchange ideas and surgical techniques; and to improve vascular health care delivery.

A systematic review and meta-analysis of factors for delirium in vascular surgical patients

October 1, 2017 - 00:00
Delirium is a common syndrome responsible for a large burden of morbidity and mortality. In surgical settings, research into risk factors for postoperative delirium has largely focused on elective orthopedic patients. We performed a systematic review and meta-analysis to evaluate the evidence surrounding risk factors for delirium in vascular surgical populations.

Invited commentary

October 1, 2017 - 00:00
The advent of isovoxel imaging has meant that surgeons are able to preview and to describe anatomic variants in surgical disease in increasingly better detail before knife touches skin. The ability to manipulate three-dimensional images has changed our approach to aortic surgery and has made complex endovascular surgery more accessible to all. This paper by Guo et al discusses multichanneled aortic dissection [MCAD] and highlights an ability to describe and to detail preoperative anatomy in a way that is now not just informative but may help further refine our understanding of the imaging phenotype of aortic dissection.

Takayasu's expression of viscerorenal aortic aneurysm with near-total infrarenal aortic occlusion

October 1, 2017 - 00:00
A 25-year-old woman with Takayasu arteritis in a quiescent state presented with postprandial abdominal pain and bilateral lower limb claudication for 6 months. Her blood pressure was 140/80 mm Hg on atenolol (25-mg tablet), and lower limb pulses were feeble with an ankle-brachial index of 0.6 in each limb. Computed tomography angiography showed multiple saccular aneurysms of Crawford type III thoracoabdominal extent, nonvisualized right kidney, and hypertrophied precious left kidney, with near-total occlusion of the infrarenal aorta and its reformation by a prominent arc of Riolan (A/Cover).

BubR1 insufficiency impairs angiogenesis in aging and in experimental critical limb ischemic mice

September 30, 2017 - 00:00
Budding uninhibited by benzimidazole-related 1 (BubR1), a cell cycle-related protein, is an essential component of the spindle checkpoint that regulates cell division. Mice in which BubR1 expression is reduced to 10% of the normal level display the phenotypic features of progeria. However, the role of BubR1 in vascular diseases and angiogenesis remains unknown. To investigate the influence of BubR1 on angiogenesis, we generated a low-null-BubR1-expressing (BubR1L/−) mouse strain with reduced BubR1 expression as low as 15% of the normal level without any abnormalities in appearance.

Short- and long-term readmission rates after infrainguinal bypass in a safety net hospital are higher than expected

September 28, 2017 - 00:00
Readmission rates are expected to have an increasing effect on both the hospital bottom line and physician reimbursements. Safety net hospitals may be most vulnerable. We examined readmissions at 30 days, 90 days, and 1 year in a large safety net hospital to determine the magnitude and effect of short- and long-term readmission rates after lower extremity infrainguinal bypass in this setting.

Evaluation of paramalleolar and inframalleolar bypasses in dialysis- and nondialysis-dependent patients with critical limb ischemia

September 28, 2017 - 00:00
The aim of this study was to elucidate the efficacy of paramalleolar or inframalleolar bypass (PIMB) in hemodialysis-dependent (HD) patients with critical limb ischemia (CLI) and nonhemodialysis-dependent (NHD) patients in terms of clinical outcomes.

Multifactorial risk index for prediction of intraoperative blood transfusion in endovascular aneurysm repair

September 28, 2017 - 00:00
In some institutions, the current blood ordering practice does not discriminate minimally invasive endovascular aneurysm repair (EVAR) from open procedures, with consequent increasing costs and likelihood of blood product wastage for EVARs. This limitation in practice can possibly be addressed with the development of a reliable prediction model for transfusion risk in EVAR patients. We used the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database to create a model for prediction of intraoperative blood transfusion occurrence in patients undergoing EVAR.