Journal of Vascular Surgery

  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
  • warning: date() [function.date]: It is not safe to rely on the system's timezone settings. You are *required* to use the date.timezone setting or the date_default_timezone_set() function. In case you used any of those methods and you are still getting this warning, you most likely misspelled the timezone identifier. We selected 'Australia/Melbourne' for 'AEDT/11.0/DST' instead in /home/lambertn/public_html/content/modules/aggregator/aggregator.pages.inc on line 259.
Syndicate content
Journal of Vascular Surgery RSS feed.
Updated: 2 hours 9 min ago

Comparison of Early Outcomes and Restenosis Rate Between Carotid Endarterectomy and Carotid Artery Stenting Using Propensity Score Matching Analysis

November 30, 2017 - 23:00
Despite randomised evidence, the debate continues about the preferred treatment strategy for carotid stenosis in routine clinical practice. The aim of this study was to compare early outcomes and restenosis rates after carotid endarterectomy (CEA) and carotid stenting (CAS) in unselected patients using propensity score matching (PSM).

Post-Carotid Endarterectomy Hypertension. Part 1: Association with Pre-operative Clinical, Imaging, and Physiological Parameters

November 30, 2017 - 23:00
Post-endarterectomy hypertension (PEH) is a well recognised, but poorly understood, phenomenon after carotid endarterectomy (CEA) that is associated with post-operative intracranial haemorrhage, hyperperfusion syndrome, and cardiac complications. The aim of the current study was to identify pre-operative clinical, imaging, and physiological parameters associated with PEH.

Reply

November 30, 2017 - 23:00
I would like to thank Dr Akiyama for his keen interest and insightful remarks regarding our manuscript. His comments have considerably highlighted the importance and characteristics of interleukin (IL)-6 synthesis in patients with immunoglobulin G4 (IgG4)-related aortic aneurysms (IgG4-AAs). I completely agree with several of his suggestions pertaining to the future research regarding IgG4-AAs.

Regarding “Upregulated interleukins (IL-6, IL-10, and IL-13) in immunoglobulin G4-related aortic aneurysm patients”

November 30, 2017 - 23:00
I read with great interest the clinical research article by Kasashima et al,1 recently published in your Journal, describing the involvement of interleukin (IL)-6 in the pathogenesis of immunoglobulin G4 (IgG4)-related aortic aneurysms (IgG4-AAs). IgG4-related disease (IgG4-RD) is a new disease entity that can affect every single organ, including lacrimal and salivary glands, pancreas, kidney, lungs, lymph nodes, skin, and aorta.2 Although IgG4-RD patients commonly present with elevated serum IgG4 levels and IgG4+ plasma cell infiltration, this disease entity may include heterogeneous groups characterized by different underlying pathogenesis.

Regarding “Increased risk of mortality after lower extremity bypass in individuals with acute kidney injury in the Vascular Quality Initiative”

November 30, 2017 - 23:00
With great interest we read the recent article by Flores and colleagues1 determining the risk factors of acute kidney injury (AKI) and assessing the association between AKI and adverse cardiovascular events and mortality after lower extremity bypass. They showed that after adjusting demographic, clinical, and perioperative characteristics by multivariate analyses, a higher estimated glomerular filtration rate, a higher hemoglobin level, and the former or current use of tobacco were associated with a lower risk of AKI.

Tips for participating in the Quality Payment Program in 2018 and beyond

November 30, 2017 - 23:00
With the MIPS transition year coming to an end, it is time to start preparing for the 2018 reporting period.1,2 Compared with 2017, the proposed changes for 2018 include a significant increase in the performance threshold (from 3 to 15 points on the MIPS Composite Performance Score) in order to avoid a 5% negative payment adjustment in 2020.3 We highlight some changes relevant to the 2018 proposed rule that may assist in reaching this threshold. What will not change for 2018 is the basic strategy for getting started:

Regarding “Sex differences in mortality and morbidity following repair of intact abdominal aortic aneurysms”

November 30, 2017 - 23:00
I support and appreciate the recent examination of gender differences in the treatment of abdominal aortic aneurysm (AAA) recently addressed by Deery et al in this publication.1 The authors make a compelling case that women are likely to be underserved where endovascular aneurysm repair (EVAR) is concerned and, as a result, are at higher risk for 30-day death and major complications. Other studies have concurred with the higher rate of female complications.2-5

Reply

November 30, 2017 - 23:00
We appreciate your comments about our work and are eagerly anticipating the first publications from the TriVascular Evaluation of Females Who Are Underrepresented Candidates for Abdominal Aortic Aneurysm Repair (LUCY) study. We agree that the outcomes in women with abdominal aortic aneurysms have repeatedly been shown to be suboptimal, and these data can no longer be overlooked. As Dr Ash described, women have been poorly represented in all major randomized, controlled trials and are likely also to be under-represented in retrospective series, including ours, of outcomes in patients undergoing endovascular aneurysm repair in the real world because of the decreased likelihood that female patients will be offered endovascular repair with their often more challenging anatomy.

An evaluation of the availability, accessibility, and quality of online content of vascular surgery training program websites for residency and fellowship applicants

November 30, 2017 - 23:00
Vascular surgery residency and fellowship applicants commonly seek information about programs from the Internet. Lack of an effective web presence curtails the ability of programs to attract applicants, and in turn applicants may be unable to ascertain which programs are the best fit for their career aspirations. This study was designed to evaluate the presence, accessibility, comprehensiveness, and quality of vascular surgery training websites (VSTW).

Regarding “Predictive value of neutrophil-to-lymphocyte ratio in diabetic wound healing”

November 30, 2017 - 23:00
I would like to comment on an interesting article published in your esteemed journal titled “Predictive value of neutrophil-to-lymphocyte ratio in diabetic wound healing” by Vatankhah et al.1 The study has been well-planned, and I appreciate the effort put in by the authors. However I am concerned regarding the authors' conclusion and would like to express the same through your prestigious journal.

Reply

November 30, 2017 - 23:00
We appreciate the comments on our article “Predictive value of neutrophil-to-lymphocyte ratio in diabetic wound healing.”1 There is an increasing body of evidence for predictability of neutrophil-to-lymphocyte ratio (NLR) for outcomes in different diseases, including cancers and cardiovascular diseases.2,3 We appreciate the attention to our findings, and address the raised concerns as follows.

Systematic review and meta-analysis of duplex ultrasound surveillance for infrainguinal vein bypass grafts

November 30, 2017 - 23:00
Duplex ultrasound (DUS) surveillance of infrainguinal vein bypass grafts is widely practiced, but the evidence of its effectiveness compared with other methods of surveillance remains unclear.

Telehealth electronic monitoring to reduce postdischarge complications and surgical site infections after arterial revascularization with groin incision

November 30, 2017 - 23:00
It is intuitive that postdischarge surgical complications are associated with increased patient dissatisfaction, and are directly associated with an increase in medical expenditures. It is also easy to make the connection that many post-hospital discharge surgical complications, including surgical site infections (SSIs), could be influenced or exacerbated by patient comorbidities. The authors of a recent study reported that female gender, obesity, diabetes, smoking, hypertension, coronary artery disease, critical limb ischemia, chronic obstructive pulmonary disease, dyspnea, and neurologic disease were significant predictors of SSIs after vascular reconstruction was performed.

Retroperitoneoscopic lumbar sympathectomy for plantar hyperhidrosis

November 30, 2017 - 23:00
The objective of this study was to assess the reduction in quality of life (QoL) caused by the persistence of primary plantar hyperhidrosis (PPH) symptoms and the level of satisfaction in PPH patients after retroperitoneoscopic lumbar sympathectomy (RLS). The efficacy, safety, and procedure of bilateral RLS in both sexes are also described in this study.

Invited commentary

November 30, 2017 - 23:00
The North American Symptomatic Carotid Endarterectomy Trial (NASCET) concluded that carotid surgery for symptomatic stenosis is better than medical therapy, and the conferred benefit of surgery is proportional to the degree of stenosis.1 The European Carotid Surgery Trial (ECST) came to a similar conclusion and that “on average, the immediate risk of surgery was worth trading off against the long-term risk of stroke without surgery when the stenosis was greater than 80% diameter.”2 The preceding and other studies leave little room for doubt that endarterectomy is beneficial to symptomatic patients; what is still being debated is the exact timing of surgery.

Invited commentary

November 30, 2017 - 23:00
The authors report the largest single-center experience with spontaneous isolated abdominal aortic dissection. Although abdominal aortic dissection is not common, the potential for life- and limb-threatening complications, including paraplegia, visceral or leg ischemia, and aortic rupture, has prompted recommendations for aggressive follow-up and intervention.

Invited commentary

November 30, 2017 - 23:00
In 1997, Asahara et al first isolated a circulating vascular progenitor cell, termed endothelial progenitor cell (EPC).1 The cells are positive for surface antigen mucosialin (CD34) and vascular endothelial growth factor receptor 2 (VEGFR-2/FLK-1). They have a potency to develop into mature endothelial cells and contribute to neovasculogenesis by forming chimeric vessels in ischemic host in vivo. The discovery of EPCs initiated a new era of ex vivo tissue engineering2 and cell-based therapies for cardiovascular diseases3 that remain a leading cause of morbidity and mortality worldwide.

Invited commentary

November 30, 2017 - 23:00
So you successfully re-establish blood supply to a 70-year-old woman with atrial fibrillation who experienced a right common femoral artery embolus 6 hours prior. Even with four-quadrant fasciotomy, the muscle swelling is tremendous, and some of the anterior compartment muscle appears greyish on initial inspection. You have anticoagulation to prevent recurrent thrombus formation and hydration to aid in managing some of the metabolic consequences but little to actually salvage ongoing muscle damage associated with reperfusion injury.

Repeat presentation for middle aortic syndrome 18 years after original repair

November 30, 2017 - 23:00
A 21-year-old woman with a history of congenital middle aortic syndrome presented with recurrent, refractory hypertension (141/94 mm Hg) and bilateral lower extremity claudication. At 3 years old, the patient had undergone a thoracoabdominal bypass graft with an 8-mm Dacron (DuPont, Wilmington, Del) conduit. A volume-rendered computed tomography study with contrast demonstrated the 8-mm thoracoabdominal bypass graft was patent, without evidence of stenosis of the bypass graft or of any visceral vessels (A/Cover).

Results from a multicenter registry of heparin-bonded expanded polytetrafluoroethylene graft for above-the-knee femoropopliteal bypass

November 22, 2017 - 23:00
The aim of the study was to retrospectively analyze early and follow-up results of above-the-knee femoropopliteal bypasses (AKb) performed with a bioactive heparin-bonded expanded polytetrafluoroethylene (HB-ePTFE) graft in patients with peripheral arterial obstructive disease in a multicentric retrospective registry involving seven Italian vascular centers.