Journal of Vascular Surgery

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Updated: 7 hours 46 min ago

Comparison of the integrated vascular surgery resident operative experience and the traditional vascular surgery fellowship

May 3, 2017 - 00:00
After almost 10 years since its approval, residents in integrated vascular surgery training programs now outnumber traditional vascular fellows. We examined the Accreditation Council for Graduate Medical Education (ACGME) case log data to assess whether there is a difference in operative experience between the graduating integrated residents and vascular fellows.

Psoas abscess after bacille Calmette-Guérin instillations causing iliac artery contained rupture

May 3, 2017 - 00:00
Intravesical administration of bacille Calmette-Guérin (BCG) is considered to be the therapy of choice for treating superficial bladder carcinoma. Created from a live attenuated strain of Mycobacterium bovis, BCG is theoretically unable to cause infections. However, both local and systemic complications due to infection are known to arise, including vascular complications. We describe the case of a patient with a history of BCG instillations presenting with an arterial rupture of his left iliac artery due to an abscess in the iliopsoas muscle.

Drug-eluting balloons and uncoated balloons perform equally to rescue infrainguinal autologous bypasses at risk

May 3, 2017 - 00:00
Endovascular treatment of a significant stenosis in an infrainguinal autologous bypass prevents bypass occlusion and improves bypass patency. Drug-eluting balloons (DEBs) have been proven to possess antirestenotic features in the treatment of femoropopliteal stenoses and occlusions. This study evaluated the effects of DEB angioplasty vs uncoated balloon (UCB) angioplasty to rescue infrainguinal autologous bypass grafts at risk (BAR).

Outcomes of endovascular aneurysm repair performed in abdominal aortic aneurysms with large infrarenal necks

May 3, 2017 - 00:00
The aim of this study was to evaluate midterm clinical and morphologic outcomes after endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm (AAA) with large (≥28 mm) infrarenal neck.

Classified Advertising

May 1, 2017 - 00:00

Journal of Vascular Surgery – May 2017 Audiovisual Summary

May 1, 2017 - 00:00
Hi, I am Peter Gloviczki from Mayo Clinic, Editor-in-Chief of the Journal of Vascular Surgery. For the first time this year at the annual meeting of the SVS in San Diego, our journal will recognize the authors of the most frequently quoted paper, published in the past 2 years. I have no doubt that the authors of any of the four papers we are going to introduce to you from the May issue of the Journal of Vascular Surgery will also have a chance to one day to be recipients of this award.

Human Adipose-Derived Stem Cells Suppress Elastase-Induced Murine Abdominal Aortic Inflammation and Aneurysm Expansion Through Paracrine Factors

May 1, 2017 - 00:00
Human adipose-derived stem cells (hADSC) demonstrate many immune-modulating effects in vitro and in vivo in a murine model. The temporal evolution of the effects in a systemic manner as well as in aortic tissue specifically suggests that hADSCs induce sequential anti-inflammatory cellular events mediated by paracrine factors that ameliorate abdominal aortic aneurysm (AAA) progression.

Predictors of Change in Omega-3 Index With Fish Oil Supplementation in Peripheral Vascular Disease

May 1, 2017 - 00:00
Short-term, high-dose n-3 polyunsaturated fatty acid (PUFA) supplementation increases the omega-3 index to a greater extent in patients with peripheral arterial disease (PAD) who have a lower body mass index (BMI) and higher total and low-density lipoprotein (LDL) cholesterol levels.

Life Expectancy in Nonagenarians Suffering From Critical Limb Ischemia

May 1, 2017 - 00:00
Chronic limb ischemia (CLI) is a severe disease in nonagenarians with a dreadful life expectancy of 1.23 years for men and 2.7 years for women, corresponding with an age- and gender-adjusted mortality rate ratio of 3.13 relative to the Dutch population. Individual factors, such as preoperative status, arterial occlusive disease, and estimates of diminished postoperative quality of life, are important parameters in clinical decision making. Results of conservative therapy might be acceptable in selected patients, but more focus on quality of life is needed for optimal care.

Management of Immediate Post-Endovascular Aortic Aneurysm Repair Type 1A Endoleaks and Late Outcomes

May 1, 2017 - 00:00
Those patients with a type Ia endoleak on completion angiogram immediately after an endovascular aortic aneurysm repair (EVAR) have higher rates of early intervention, late endoleaks, and reinterventions, which highlights the need for a strict post-EVAR surveillance, especially in this patient cohort.

Characterization of Planned and Unplanned 30-Day Readmissions Following Vascular Surgical Procedures

May 1, 2017 - 00:00
Causes for readmission of vascular surgery patients are multifactorial. Infections, both those related and unrelated to the surgical site, remain common reasons for readmission and represent an opportunity for improvement strategies. Improved understanding of readmissions after vascular surgery could help adjust policy benchmarks for targeted readmission rates and help reduce resource utilization.

Meta-Analysis of Individual-Patient Data From EVAR-1, DREAM, OVER and ACE Trials Comparing Outcomes of Endovascular or Open Repair for Abdominal Aortic Aneurysm Over 5 Years

May 1, 2017 - 00:00
The early survival advantage observed with endovascular aortic repair (EVAR) and its subsequent erosion over time was confirmed in this analysis. Over 5 years, patients of marginal fitness had no early survival advantage from EVAR compared with open repair. Aneurysm-related mortality and patients with low ankle-brachial systolic pressure index (ABI) contributed to the erosion of the early survival advantage for EVAR.

Patterns of Care in Hospitalized Vascular Surgery Patients at End of Life

May 1, 2017 - 00:00
In high-risk patients, discussions regarding extended stays in the intensive care unit, prolonged ventilator management, and the possibility of dialysis and tracheostomy should be discussed with patients and families at the time of hospitalization and advance directives solicited.

Evaluation of Cell Therapy on Exercise Performance and Limb Perfusion in Peripheral Artery Disease: The CCTRN Patients with Intermittent Claudication Injected with ALDH Bright Cells (PACE) Trial

May 1, 2017 - 00:00
Local injection of autologous bone marrow-derived aldehyde dehydrogenase bright (ALDHbr) cells (in the dosage and manner described) into the thigh and calf of patients with claudication does not improve peak walking disease (PWT) or magnetic resonance imaging (MRI) capillary perfusion nor were there demonstrated quality of life (QOL) improvements. In patients with completely occluded superficial femoral arteries, the number of collateral arteries did increase with ALDHbr cell injection on post hoc analysis, which suggests a potential benefit in those with more advanced disease.

Events of interest

May 1, 2017 - 00:00
News items of interest to the vascular surgeon must be received at least 8 weeks before the desired month of publication. Announcements published at no charge include those received from a sponsoring society of this Journal, those courses and conferences sponsored by state, regional, national, or international vascular surgical organizations, and university-sponsored continuing medical education courses. Send applicable events to Andrew O’Brien, Journal Manager, at a.obrien@elsevier.com. All other news items selected for publication carry a charge of $60.00 US for each insertion, and the fee must accompany the request to publish.

Information for readers

May 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

May 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

May 1, 2017 - 00:00

Editorial Board

May 1, 2017 - 00:00

Long-Term Results of Endovascular Treatment of Atherosclerotic Stenoses or Occlusions of the Coeliac and Superior Mesenteric Artery in Patients With Mesenteric Ischaemia

May 1, 2017 - 00:00
Over the past decade, primary percutaneous mesenteric artery stenting (PMAS) has become an alternative to open revascularisation for treatment of mesenteric ischaemia. Institutes have presented favourable short-term outcomes after PMAS, but there is a lack of data on long-term stent patency.