Journal of Vascular Surgery

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Liver perfusion dependent on superior mesenteric artery aneurysm

January 31, 2018 - 23:00
A 70-year-old woman with history of non-Hodgkin lymphoma in remission was found to have a 22-mm aneurysm of a jejunal branch of the superior mesenteric artery (SMA). She denied any symptoms, in particular, any pain. Her surgical history was notable for a remote celiac artery (CA) patch angioplasty for median arcuate ligament syndrome, which subsequently occluded. A/Cover and B show three-dimensional reconstructions of the aneurysm in right anterior oblique and left anterior oblique views: aorta and branches (red), hepatic artery (white), aneurysm (yellow), two branches connecting the SMA and CA territories (blue, turquoise).

Association between Medicare high-risk criteria and outcomes after carotid revascularization procedures

January 17, 2018 - 23:00
The U.S. Centers for Medicare and Medicaid Services (CMS) has defined a set of high-risk criteria to help define patients who are appropriate for carotid artery stenting (CAS), but these criteria have never been validated. We aimed to validate the CMS high-risk criteria in a nationally representative cohort of patients undergoing CAS and carotid endarterectomy (CEA).

Comparison of access type on perioperative outcomes after endovascular aortic aneurysm repair

January 14, 2018 - 23:00
Endovascular aneurysm repair (EVAR) can be performed through percutaneous or surgical access. Our goal was to assess the difference in perioperative outcomes based on access type in a real-world setting.

Tissue expander-stimulated lengthening of arteries for the treatment of midaortic syndrome in children

January 14, 2018 - 23:00
Midaortic syndrome (MAS) is a rare condition characterized by stenosis of the abdominal aorta. Patients with disease refractory to medical management will usually require either endovascular therapy or surgery with use of prosthetic graft material for bypass or patch angioplasty. We report our early experience with a novel approach using a tissue expander (TE) to lengthen the normal native arteries in children with MAS, allowing primary aortic repair without the need for prosthetic graft material.

Bypass versus endovascular intervention for healing ischemic foot wounds secondary to tibial arterial disease

January 10, 2018 - 23:00
Pedal (inframalleolar) bypass is a long-standing therapy for tibial arterial disease in patients with ischemic tissue loss. Endovascular tibial intervention is an appealing alternative with lower risks of perioperative mortality or complications. Our objective was to compare the effectiveness of these two treatment modalities with respect to patency and limb-related clinical outcomes.

One-year experience of a regional service model of teleconsultation for planning and treatment of complex thoracoabdominal aortic disease

January 10, 2018 - 23:00
The objective of this study was to report the methodology and 1-year experience of a regional service model of teleconsultation for planning and treatment of complex thoracoabdominal aortic disease (TAAD).