Journal of Vascular Surgery

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Updated: 9 hours 7 min ago

Development of a validated model to predict 30-day stroke and 1-year survival after carotid endarterectomy for asymptomatic stenosis using the Vascular Quality Initiative

June 2, 2017 - 00:00
Carotid endarterectomy (CEA) has been shown to be an effective treatment for patients with asymptomatic carotid artery stenosis when perioperative stroke rates are low and patients survive long enough to benefit from the intervention. Our objective was to develop and to validate a simple risk prediction model for 30-day stroke and 1-year mortality to guide optimal selection of patients for CEA.

Effects of topical negative pressure therapy on tissue oxygenation and wound healing in vascular foot wounds

June 2, 2017 - 00:00
Topical negative pressure (TNP) therapy is widely used in the treatment of acute wounds in vascular patients on the basis of proposed multifactorial benefits. However, numerous recent systematic reviews have concluded that there is inadequate evidence to support its benefits at a scientific level. This study evaluated the changes in wound volume, surface area, depth, collagen deposition, and tissue oxygenation when using TNP therapy compared with traditional dressings in patients with acute high-risk foot wounds.

Information for readers

June 1, 2017 - 00:00
Communications regarding original articles and editorial management should be addressed to Peter Gloviczki, MD, and Peter F. Lawrence, MD, Editors, Journal of Vascular Surgery, 633 N. St. Clair, 22nd Floor, Chicago, IL 60611; telephone: 603-523-2222; fax: 312-334-2320; e-mail: JVASCSURG@vascularsociety.org. Information for authors appears in the January and July issues, at www.jvascsurg.org, and at jvs.editorialmanager.com. Authors should consult this document before submitting manuscripts to this Journal.

Information for authors

June 1, 2017 - 00:00
Complete information for authors and editorial policies are available in the January and July issues, at our Web site www.jvascsurg.org, or at our Editorial Manager Web site at jvs.editorialmanager.com. An abbreviated checklist for manuscript submission follows. Manuscripts that are accepted for publication become the property of the Journal of Vascular Surgery®, which is copyrighted by the Society for Vascular Surgery®. They may not be published or reproduced in whole or in part without the written permission of the author(s) and the Journal.

Contents

June 1, 2017 - 00:00

Editorial Board

June 1, 2017 - 00:00

Introduction

June 1, 2017 - 00:00
The Society for Vascular Surgery (SVS) is dedicated to providing timely, compelling, and original educational content to vascular specialists of all backgrounds and interests. To fulfill this mission, the SVS organizes and presents the Vascular Annual Meeting (VAM), one of the world's largest and most influential annual scientific meetings focused solely on the care of the vascular patient.

VH11 Open Surgical Treatment of Symptomatic Juxtarenal Aortic Occlusion

June 1, 2017 - 00:00
A 49-year-old man presented with a 6-week history of severe rest pain. Computed tomography angiography revealed an occluded infrarenal abdominal aorta to the level of the renal arteries. Both iliac arteries were occluded, and reconstituted femoral and distal arteries were under-perfused but patent. A decision was made to perform an aortobifemoral bypass. A suprarenal clamp was needed initially to clear out juxtarenal thrombus and plaque, then the clamp was subsequently moved to the infrarenal aorta.

VH10 Repair of an Aortic Aneurysm in an Infant

June 1, 2017 - 00:00
A 5-month-old infant with chromosome 22q11.2 microduplication and hypertension presented to the emergency department with fussiness and was incidentally found to have a pulsatile abdominal mass. Workup found a 5-cm saccular aortic aneurysm with right iliac saccular aneurysm. The infant underwent aortic aneurysm repair with a cadaveric femoral artery to reconstruct the aorta and iliac arteries.

VH09 Total Robotic Repair of Bilateral Common Iliac Artery Aneurysms With Sutureless Anastomosis Technique for Internal Iliac Artery Preservation

June 1, 2017 - 00:00
This video describes the steps to perform a total robotic repair of bilateral common iliac aneurysms, using sutureless anastomosis technique for internal iliac artery preservation. We demonstrate deployment of the Gore Hybrid Vascular Graft in the internal iliac arteries, using robotic instruments.

VH08 Complete Aortic Reconstruction With Parallel Stent Grafts: Ascending Aorta to Iliac Bifurcation

June 1, 2017 - 00:00
The video shows a staged complete endovascular reconstruction with off-the-shelf stent grafts in parallel configuration.

VH07 Carotid Body Tumor Resection

June 1, 2017 - 00:00
We present the surgical approach to carotid body tumor as performed in Bogota, a city located 2600 meters above sea level. Aspects to consider are the use of the harmonic scalpel, dissecting from the bifurcation up and ligation of the feeding arteries. This diminishes bleeding and lesions to neurovascular structures.

VH06 Percutaneous Access Site Control in Complex Endovascular Aortic Interventions

June 1, 2017 - 00:00
Complex endovascular aortic interventions carry a significant risk of access site complications as well as limb and spinal cord ischemia. In this video we illustrate our approach to percutaneous access site control in complex endovascular aortic interventions. Key factors are to establish percutaneous large bore access and to maintain access and hemostasis with the ability to downsize a sheath and re-establish limb and spinal cord perfusion. Our technique uses the Abbott Perclose ProGlide Suture-Mediated Closure System with a modified Rummel tourniquet to downsize a large sheath to a much smaller sheath to preserve access with patent hemostasis.

VH05 Paravertebral Catheter Insertion During Retroperitoneal Aortic Aneurysm Repair

June 1, 2017 - 00:00
Paravertebral catheters are commonly used in thoracic and breast surgery as an alternative to epidural catheters for postoperative analgesia but have not been described for abdominal aortic surgery. This video demonstrates the intraoperative insertion of a paravertebral catheter by the surgeon for postoperative analgesia during a retroperitoneal abdominal aortic aneurysm repair. This novel technique has not been described for aortic disease and can be used both in the elective and emergent setting.

VH04 Endovascular Aortic Aneurysm Repair With a CO2 Automated System

June 1, 2017 - 00:00
CO2 has been proposed as an alternative contrast medium for endovascular procedures. No protocols of automated injections in endovascular aortic aneurysm repair procedures are currently available. This video shows a new method of automated CO2 injection in endovascular aortic aneurysm repair procedures with the results achievable

VH03 Lower Extremity Adductorplasty During Superficial Femoral Artery Stenting

June 1, 2017 - 00:00
Superficial femoral artery (SFA) angioplasty and stenting is a commonly performed procedure for occlusive disease. However, extrinsic factors such as mechanical and dynamic forces at the distal SFA impact its patency rates following intervention. Here we demonstrate our method of releasing the adductor hiatus via an adductorplasty at the time of SFA stenting to help extent patency of this anatomically challenged arterial segment.

VH02 Percutaneous In Situ Fenestration of Left Subclavian Artery During Thoracic Endovascular Aortic Repair

June 1, 2017 - 00:00
The patient is a 60-year-old man with a history of hypertension who underwent open repair for ruptured abdominal aortic aneurysm 2 years ago. Follow-up computed tomography angiography revealed a 6-cm saccular aneurysm in aortic arch. Branched aortic arch endografts were not available. Options of open vs endovascular repair were discussed with the patient and family. He decided to proceed with thoracic endovascular aortic repair, left commend carotid artery stenting, and left subclavian artery percutaneous in-situ fenestration.

VH01 Aortic Endarterectomy

June 1, 2017 - 00:00
Aortic endarterectomy is uncommon procedure in modern vascular surgery. This procedure is a durable operation in selective patients. We present an open aortic endarterectomy procedure with patch angioplasty for a patient with aortoiliac disease.

VS11 Triple-Bifurcated, Triple-Fenestrated Endovascular Aneurysm Repair

June 1, 2017 - 00:00
The technique for triple-bifurcated, triple-fenestrated endovascular repair of a juxtarenal aortoiliac aneurysm is described. To our knowledge, this is the first description of a successful SIX vessel combined fenestrated branched endovascular aneurysm repair.

VS10 Endovascular Repair of Chronic Dissection and Extent II Thoracoabdominal Aneurysm Using Fenestrated-Branched Endograft With Novel Preloaded System

June 1, 2017 - 00:00
We report the case of a 78-year-old man who presented with an asymptomatic extent II thoracoabdominal aneurysm with chronic type B dissection. Five-vessel fenestrated-branched endovascular repair was performed using a novel four-vessel preloaded delivery system. The video highlights preoperative planning, technical aspects of device implantation, use of onlay fusion and intraoperative cone-beam computed tomography for immediate technical assessment of the repair.