Journal of Vascular Surgery

Syndicate content
Journal of Vascular Surgery RSS feed.
Updated: 21 hours 44 min ago

The obsession with metrics in contemporary health care

July 18, 2019 - 00:00
Serving as the Recorder for this Association for 5 years and as President for the past year has certainly been the greatest honor in my professional life. I thank all of you for allowing me this experience. As I look out and consider all of my friends and mentors in the Southern Association for Vascular Surgery and I consider the previous individuals to hold the Presidency, I feel very undeserving but at the same time very blessed. Many of you deserve this position much more than I do.

A systematic review and meta-analysis of endovascular versus open surgical repair for the traumatic ruptured thoracic aorta

July 18, 2019 - 00:00
The purpose of this study was to compare clinical outcomes between open repair and thoracic endovascular aortic repair (TEVAR) in traumatic ruptured thoracic aorta.

Efficacy of intra-arterial catheter-directed thrombolysis for popliteal and infrapopliteal acute limb ischemia

July 18, 2019 - 00:00
The purpose of this study was to examine the efficacy and safety of catheter-directed thrombolysis (CDT) for first-line treatment of popliteal and infrapopliteal acute limb ischemia.

Giant abdominal aortic aneurysm of uncommon etiology due to Behçet disease

July 18, 2019 - 00:00
Behçet disease is a multisystem disorder presenting with recurrent oral and genital ulcerations as well as with ocular involvement. Vascular involvement can occur in up to 50% of affected patients. Arterial aneurysms are often multiple and are characterized by a saccular configuration with increased risk of unexpected rupture, thrombosis, and aneurysm recurrence. Here we report a case of giant infrarenal abdominal aortic aneurysm in a 34-year-old man with Behçet disease who underwent aneurysmorrhaphy and aortobifemoral bypass.

A systematic review and meta-analysis of endovascular juxtarenal aortic aneurysm repair demonstrates lower perioperative mortality compared with open repair

July 18, 2019 - 00:00
The objectives of the present study were to summarize and pool the available data from studies that had directly compared endovascular and open repair of juxtarenal aortic aneurysms.

Systematic review and meta-analysis of the association between intraluminal thrombus volume and abdominal aortic aneurysm rupture

July 18, 2019 - 00:00
Intraluminal thrombus (ILT) is present in most abdominal aortic aneurysms (AAAs), although its role in AAA progression is controversial.

Discussion

July 18, 2019 - 00:00
Dr Patrick Ryan (Nashville, Tenn). That was a great presentation, I've never done that operation. One question of follow-up: Do you shunt in these cases? How could you shunt?

Improving midterm results justify the continued use of bare-metal stents for endovascular therapy for chronic mesenteric ischemia

July 18, 2019 - 00:00
The objective of this study was to evaluate the contemporary results of interventions in the celiac axis (CA) and superior mesenteric artery (SMA) for chronic mesenteric ischemia (CMI) and factors associated with patency and symptom-free survival.

Multibranched endovascular aortic aneurysm repair in patients with and without chronic aortic dissections

July 18, 2019 - 00:00
The objective of this study was to compare multibranched endovascular aneurysm repair (MBEVAR) of postdissection thoracoabdominal aortic aneurysms (TAAAs) and pararenal aortic aneurysms (PRAAs) with MBEVAR of degenerative TAAAs and PRAAs and to assess the role played by the preoperative correction of potential complicating factors, such as true lumen compression and false lumen origin of vital branches, using adjunctive maneuvers.

The role of the inferior mesenteric artery in predicting secondary intervention for type II endoleak following endovascular aneurysm repair

July 18, 2019 - 00:00
Endovascular aneurysm repair (EVAR) is associated with a greater risk of graft-related complications and need for secondary interventions compared with open repair. Type II endoleak (EL-2) is the most common complication. We examined the hypothesis that a functionally occluded inferior mesenteric artery (IMA) before EVAR was associated with fewer secondary interventions for EL-2.

Juxtarenal endovascular therapy with fenestrated and branched stent grafts after previous infrarenal repair

July 18, 2019 - 00:00
The treatment strategy for proximal aortic disease or type I endoleak after previous infrarenal repair has traditionally been open surgery. As endovascular treatment options with fenestrated and branched stent grafts increasingly rival open surgery for juxtarenal and pararenal aortic aneurysms, secondary proximal repair may similarly be performed endovascularly. Fenestrated stent grafts are individually tailored to each patient, whereas a more readily available “off-the-shelf” branched stent graft is often suitable in more urgent settings.

Radiation exposure in an endovascular aortic aneurysm repair program after introduction of a hybrid operating theater

July 18, 2019 - 00:00
A hybrid operating theater (HOT) enables optimal image quality, improved ergonomics, and excellent sterility for complex endovascular and hybrid procedures. We hypothesize that the commissioning of a new HOT involves a learning curve. It is unclear how steep the learning curve of these advanced HOTs is. The main purpose of this research was to evaluate radiation exposure parameters in a new HOT for a team of vascular surgeons experienced with infrarenal endovascular aneurysm repair (EVAR) procedures in a conventional operating room with a mobile C-arm.

Long-term patency of venous and prosthetic conduits for ipsilateral internal carotid artery bypass

July 18, 2019 - 00:00
Ipsilateral internal carotid artery bypass has been used successfully to treat aneurysms, infection, tumor, and occlusive disease. The purpose of this study was to evaluate the long-term outcomes of autogenous and prosthetic conduits used for ipsilateral internal carotid artery bypass.

Surgical management of functional popliteal entrapment syndrome in athletes

July 18, 2019 - 00:00
Functional popliteal artery entrapment syndrome (FPAES) is a rare disorder described in young, physically active adults that can be limb or performance threatening if untreated. We used provocative computed tomography angiography (CTA) in these patients to guide partial debulking of the anterolateral quadrant of the medial head of the gastrocnemius muscle for FPAES and reviewed the outcomes of this technique in this highly specialized cohort.

Prevalence of thoracic aortic aneurysms and dilatations in patients with intracranial aneurysms

July 18, 2019 - 00:00
The prevalence of intracranial aneurysms (IAs) is higher in patients with aortic aneurysms. However, there are lack of studies investigating prevalence of thoracic aortic aneurysms (TAAs) in patients with IAs. The objective of this study was to evaluate the prevalence and risk factors for thoracic aortic dilatations (TADs) and TAAs in patients with IAs.

Duplex ultrasound surveillance of renal branch grafts after fenestrated endovascular aneurysm repair

July 18, 2019 - 00:00
The use of duplex ultrasound (DUS) examinations for surveillance after fenestrated endovascular aneurysm repair (FEVAR) is not well-studied. Our objective was to further characterize normal and abnormal duplex findings in renal branch grafts after FEVAR.

Influence of artery and vein diameters on autogenous arteriovenous access patency

July 11, 2019 - 00:00
Previous investigations have suggested that a minimum venous outflow diameter (MVOD) and perianastomotic arterial diameter are associated with successful autogenous arteriovenous maturation and patency. The goal of this study was to determine anatomic and clinical variables that may influence access patency to guide optimal autogenous access configuration selection.

Evaluation of regional variations in length of stay after elective, uncomplicated carotid endarterectomy in North America

July 4, 2019 - 00:00
The objective of this study was to evaluate factors affecting regional variation in length of stay (LOS) after elective, uncomplicated carotid endarterectomy (CEA).

Sex differences in perioperative outcomes after complex abdominal aortic aneurysm repair

July 4, 2019 - 00:00
Female sex is associated with worse outcomes after infrarenal abdominal aortic aneurysm (AAA) repair. However, the impact of female sex on complex AAA repair is poorly characterized. Therefore, we compared outcomes between female and male patients after open and endovascular treatment of complex AAA.

Thoracic endovascular aortic repair with stent grafts alone or with a composite device design in patients with acute type B aortic dissection in the setting of malperfusion

July 4, 2019 - 00:00
The objective of this study was to compare short-term outcomes in patients who underwent thoracic endovascular aortic repair (TEVAR) with stent grafts alone or with a composite device design (stent graft plus bare-metal aortic stent) for acute type B aortic dissection in the setting of malperfusion.