Journal of Vascular Surgery

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Thrombophilia associated with early post-angioplasty thrombosis of dialysis vascular access

December 31, 2018 - 23:00
Retrospective single-center review between February and October 2015.

Transradial interventions in contemporary vascular surgery practice

December 31, 2018 - 23:00
Retrospective single-center review.

Predicting factors associated with postoperative hypotension following carotid artery stenting

December 31, 2018 - 23:00
Retrospective single-center review between 2009 and 2016.

Preoperative use of statins in carotid artery stenting: a systemic review and meta-analysis

December 31, 2018 - 23:00
Meta-analysis of randomized and observational English-language studies using Scopus, PubMed, and Cochrane Central published before August 19, 2017.

Effects of aspirin for primary prevention in persons with diabetes mellitus: the ASCEND Study Collaborative Group

December 31, 2018 - 23:00
Multicenter prospective randomized trial from 2005 to 2011 as part of A Study of Cardiovascular Events in Diabetes (ASCEND) trial.

Vascular surgery is the best kept secret in medicine and my thoughts on how we can change that

December 31, 2018 - 23:00
Thank you Dr Upchurch for your very kind and humorous words. I know how much work goes into preparing the Introduction and I truly appreciate it. You are a good man and a good friend and will be an outstanding president of our society. Remember—You'll get yours next year!

Vascular surgeon accountability in accountable care organizations

December 31, 2018 - 23:00
The Quality Payment Program aims to enhance individual patient care, improve population health, and decrease costs. To create a shift away from the traditional fee-for-service payment model, the Quality Payment Program requires physicians who bill Medicare to participate in one of two pathways: the Merit-Based Incentive Payment System (MIPS) or Advanced Alternative Payment Models (APMs). MIPS streamlined multiple legacy quality programs into a modified fee-for-service approach that includes a bonus/penalty structure and requires a relatively complex reporting mechanism.

Regarding “Outcomes associated with hyperglycemia after abdominal aortic aneurysm repair”

December 31, 2018 - 23:00
We read with great interest the study published by Tarbunou et al1 on the outcomes associated with hyperglycemia after abdominal aortic aneurysm (AAA) repair.

The relevance of low-fidelity virtual reality simulators compared with other learning methods in basic endovascular skills training

December 31, 2018 - 23:00
The use of simulators has shown a profound impact on the development of both training and assessment of endovascular skills. Furthermore, there is evidence that simulator training is of great benefit for novice trainees. However, there are only a few simulators available geared specifically toward novice learners. Whereas research suggests that low-fidelity simulators could fill this gap, there are insufficient data available to determine the role of low-fidelity simulators in the training of endovascular skills.

Outpatient Grip Strength Measurement Predicts Survival, Perioperative Adverse Events, and Nonhome Discharge Among Patients With Vascular Disease

December 31, 2018 - 23:00
Studies of frailty in patients with vascular disease have focused primarily on preoperative risk assessment, but population-specific associations with survival are unknown. The majority of studies evaluating frailty assessment in patients with vascular disease have relied upon accumulated deficits models that are calculated based upon data within the electronic medical record (which may be incomplete) and are often applied retrospectively. Grip strength measurement is a comparatively simple, quick, and inexpensive frailty screening tool.

Endograft Exclusion of the False Lumen Restores Local Hemodynamics in a Model of Type B Aortic Dissection

December 31, 2018 - 23:00
The role of endovascular intervention in type B dissection on aortic hemodynamics is poorly understood. Although a stent graft may be indicated for patients facing immediate malperfusion or aneurysmal degeneration, its benefit in patients with uncomplicated disease is unclear. To date, only two randomized, controlled trials have been undertaken to study the effect of optimal medical management of uncomplicated dissection with and without adjunctive TEVAR. Despite showing improvements in true lumen caliber and overall aortic modeling, these studies do not definitively demonstrate improved mortality or event-free survival.

Effects of Statin and Antiplatelet Therapy Noncompliance and Intolerance on Patient Outcomes Following Vascular Surgery

December 31, 2018 - 23:00
Prior studies have evaluated the effects of statin and antiplatelet (AP) medications on the vascular surgery patient population. Although the benefits of statin and AP use are well-described, there is a paucity of research into the specific outcomes of patients who are unable to take the medication owing to intolerance or noncompliance. Our goal is to examine the outcomes of intolerant patients and to compare to those who are noncompliant.

Influence of Gender and Frailty on Mortality After Elective Aortic Aneurysm Repair

December 31, 2018 - 23:00
Controversy exists surrounding gender outcome disparity and abdominal aortic aneurysm (AAA) repair. Previous reports have demonstrated worse outcomes for female patients undergoing open aortic repair (OAR); however, these differences are less evident with endovascular aneurysm repair (EVAR). Epidemiologic studies have documented that nonsurgical, female patients score higher on most frailty assessment scales but paradoxically have a longer life expectancy compared with male patients. Notably, the interaction of gender/frailty and their influence on outcomes and practice patterns surrounding EVAR/OAR is poorly described.

National Incidence, Mortality Outcomes, and Predictors of Spinal Cord Ischemia After Thoracic Endovascular Aortic Repair

December 31, 2018 - 23:00
Spinal cord ischemia (SCI) is a dreaded complication of thoracic endovascular aortic repair (TEVAR). There are limited national data describing the incidence and influence of in-hospital SCI recovery on long-term survival. Moreover, no robust preoperative SCI risk assessment tools currently exist. The purpose of this analysis was to analyze the Vascular Quality Initiative to determine the survival impact of SCI with or without in-hospital recovery, and develop a preoperative SCI prediction tool for patients undergoing TEVAR.

Liposomal Nanocarriers Designed for Subendothelial Matrix Targeting Under Vascular Sheer Stress

December 31, 2018 - 23:00
Vascular interventions inherently result in disruption of the tunica intima and exposure of subendothelial matrix proteins. Spatially controlled nanoparticles designed to colocalize to these exposed matrices could provide a targeted drug delivery system aimed at inhibiting dysfunctional vascular remodeling and improving intervention outcomes. We have previously reported the development of a surface-modified liposomal platform designed to preferentially bind collagen type IV, an abundant subendothelial matrix protein, in a static in vitro environment.

A Prospective Randomized Study Comparing Ultrasound- Versus Fluoroscopic-Guided Femoral Arterial Access in Noncardiac Vascular Patients

December 31, 2018 - 23:00
The aim of our prospective, randomized study was to compare the procedural outcomes and complication rates of ultrasound (US)-guided common femoral artery (CFA) access to fluoroscopic guidance in noncardiac procedures. Randomized studies comparing CFA access techniques and resultant complications have been almost exclusively performed in patients undergoing cardiac procedures. Differences between peripheral vascular disease and coronary artery disease patient populations and percutaneous techniques warrant US-guided femoral cannulation to be examined independently in procedures for peripheral vascular disease.

Bleeding and Thrombotic Outcomes Associated With Postoperative use of Direct Oral Anticoagulants After Open Peripheral Artery Bypass Procedures

December 31, 2018 - 23:00
The widespread use of the direct oral anticoagulants (DOACs) for the treatment of atrial fibrillation and venous thromboembolism has inevitably resulted in peripheral bypass patients receiving therapeutic anticoagulation (AC) with DOACs postoperatively. No recommendations exist to guide whether DOACs can be safely used as an alternative to vitamin K antagonists (VKAs) for prophylaxis of high-risk bypass grafts. This study was undertaken to evaluate the bleeding and thrombotic outcomes of patients undergoing open peripheral bypass treated with DOACs compared with VKAs.

Prevalence of Chronic Opioid use in Patients With Peripheral Arterial Disease Undergoing Lower Extremity Interventions

December 31, 2018 - 23:00
Opiate use, dependence, and the associated morbidity and mortality are major current public health problems in the United States. Little is known about patterns of opioid use in patients with peripheral arterial disease (PAD). The purpose of this study was to identify the prevalence of chronic preoperative and postoperative prescription opioid use in patients with PAD. A secondary aim was to determine the demographic, comorbid conditions, and operative characteristics associated with chronic opioid use.

Balloon-Assisted Remote External Iliac Artery Endarterectomy: A Safe and Durable Technique for the Treatment of Iliac Artery Occlusive Disease

December 31, 2018 - 23:00
Historically, the treatment of iliac artery occlusive disease required a surgical bypass usually consisting of an aortobifemoral bypass or an iliofemoral bypass. With the advent of balloon angioplasty and stenting, these procedures are frequently replaced with endovascular options. However, the treatment of diffuse occlusive disease of the external iliac artery (EIA) does not carry a favorable long-term patency rate using balloon angioplasty and/or stenting. Remote endarterectomy of the EIA using ring dissectors with balloon assistance provides a novel, controlled, safe, and durable treatment of the diseased and/or occluded EIA.

Socioeconomically Distressed Communities Index independently Predicts Major Adverse Limb Events After Infrainguinal Bypass in a National Cohort

December 31, 2018 - 23:00
Socioeconomic status is a major determinant of quality of life, as well as life expectancy and health care-related outcomes. Comprising factors such as financial security, housing, employment and education, socioeconomic status can be difficult to measure comprehensively, limiting its inclusion in large databases. There is a growing interest in the relationship between social determinants of health and outcomes as healthcare shifts from volume to quality-driven metrics. Both community- and individual-level socioeconomic factors broadly impact surgical morbidity and mortality, although the effect on peripheral vascular disease is not well-understood.