Journal of Vascular Surgery

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The book is a review of most open

September 1, 2018 - 00:00
The book is a review of most open vascular and endovascular procedures, with the majority of the authors from the southeastern part of Michigan. It is attractively presented with clear images. Most sections include a discussion of the indications for and planning of each procedure. An interesting aspect of the book is the case vignettes that accompany each procedure, which truly simplify the clinical scenario and treatment strategy.

The book is a review of most open

September 1, 2018 - 00:00
The book is a review of most open vascular and endovascular procedures, with the majority of the authors from the southeastern part of Michigan. It is attractively presented with clear images. Most sections include a discussion of the indications for and planning of each procedure. An interesting aspect of the book is the case vignettes that accompany each procedure, which truly simplify the clinical scenario and treatment strategy.

Quality measures in the Merit-based Incentive Payment System

September 1, 2018 - 00:00
Under the Medicare Access and Children's Health Insurance Program Reauthorization Act (MACRA), Medicare providers who are not participating in an approved Advanced Alternative Payment Model must participate in the Merit-based Incentive Payment System (MIPS). The MIPS final score is calculated from the scores of the four subcategories: (1) quality, (2) cost, (3) clinical performance improvement activities, and (4) advancing care information. In 2018, the quality category accounts for 50% of the final score.

Quality measures in the Merit-based Incentive Payment System

September 1, 2018 - 00:00
Under the Medicare Access and Children's Health Insurance Program Reauthorization Act (MACRA), Medicare providers who are not participating in an approved Advanced Alternative Payment Model must participate in the Merit-based Incentive Payment System (MIPS). The MIPS final score is calculated from the scores of the four subcategories: (1) quality, (2) cost, (3) clinical performance improvement activities, and (4) advancing care information. In 2018, the quality category accounts for 50% of the final score.

Plant-Based Diet Reverses Vascular Endothelial Dysfunction in Patients With Peripheral Arterial Disease

September 1, 2018 - 00:00
Peripheral arterial disease (PAD) is characterized by impaired arterial circulation to the extremities caused in part by atherosclerosis, a condition that has been linked to hypercholesterolemic dietary lifestyle. This study examined the effect of plant-based diet (PBD) on vascular function in PAD patients.

Plant-Based Diet Reverses Vascular Endothelial Dysfunction in Patients With Peripheral Arterial Disease

September 1, 2018 - 00:00
Peripheral arterial disease (PAD) is characterized by impaired arterial circulation to the extremities caused in part by atherosclerosis, a condition that has been linked to hypercholesterolemic dietary lifestyle. This study examined the effect of plant-based diet (PBD) on vascular function in PAD patients.

Outcomes of Hemodialysis Vascular Access in Patients Initiating Dialysis With a Tunneled Catheter

September 1, 2018 - 00:00
The objective of this study was to determine factors that influence time to removal of tunneled hemodialysis catheter (THC), probability of repeated vascular access creation, and time to repeated vascular access.

Outcomes of Hemodialysis Vascular Access in Patients Initiating Dialysis With a Tunneled Catheter

September 1, 2018 - 00:00
The objective of this study was to determine factors that influence time to removal of tunneled hemodialysis catheter (THC), probability of repeated vascular access creation, and time to repeated vascular access.

Leukocyte Phenotype Is Altered in Peripheral Arterial Disease

September 1, 2018 - 00:00
Peripheral arterial disease (PAD) is characterized by low-grade systemic inflammation. Monocytes and monocyte-derived macrophages (MDMs) play a central role in vascular inflammation and its resolution. We hypothesize that impaired resolution in PAD contributes to adverse clinical outcomes.

Leukocyte Phenotype Is Altered in Peripheral Arterial Disease

September 1, 2018 - 00:00
Peripheral arterial disease (PAD) is characterized by low-grade systemic inflammation. Monocytes and monocyte-derived macrophages (MDMs) play a central role in vascular inflammation and its resolution. We hypothesize that impaired resolution in PAD contributes to adverse clinical outcomes.

Arteriovenous Fistulas Recruited With Regional Anesthesia Have Comparable Functional Outcomes

September 1, 2018 - 00:00
Regional anesthesia-induced vasodilation increases the proportion of patients with venous anatomy suitable for an arteriovenous fistula (AVF). The functional outcomes of AVFs initially small for size on preoperative duplex ultrasound vein mapping (2.4 mm) that are recruited under regional anesthesia have not been clearly defined. We aimed to evaluate reintervention rates and functional outcomes of AVFs recruited after induction of regional anesthesia.

Arteriovenous Fistulas Recruited With Regional Anesthesia Have Comparable Functional Outcomes

September 1, 2018 - 00:00
Regional anesthesia-induced vasodilation increases the proportion of patients with venous anatomy suitable for an arteriovenous fistula (AVF). The functional outcomes of AVFs initially small for size on preoperative duplex ultrasound vein mapping (2.4 mm) that are recruited under regional anesthesia have not been clearly defined. We aimed to evaluate reintervention rates and functional outcomes of AVFs recruited after induction of regional anesthesia.

Management of Moderate Thoracic Blunt Aortic Injuries in Patients With Intracranial Hemorrhage

September 1, 2018 - 00:00
Thoracic blunt aortic injuries (TBAIs) are the second most common cause of death due to blunt trauma in the United States. Patients with minimal injuries do not require surgical repair; patients with severe injuries are treated emergently. Moderate aortic injuries are repaired in a semielective fashion; the optimal management of moderate TBAI patients and associated intracranial hemorrhage (ICH) is unknown. We sought to analyze the management and outcomes of patients presenting with concomitant moderate TBAI and ICH.

Management of Moderate Thoracic Blunt Aortic Injuries in Patients With Intracranial Hemorrhage

September 1, 2018 - 00:00
Thoracic blunt aortic injuries (TBAIs) are the second most common cause of death due to blunt trauma in the United States. Patients with minimal injuries do not require surgical repair; patients with severe injuries are treated emergently. Moderate aortic injuries are repaired in a semielective fashion; the optimal management of moderate TBAI patients and associated intracranial hemorrhage (ICH) is unknown. We sought to analyze the management and outcomes of patients presenting with concomitant moderate TBAI and ICH.

Experienced Operators Achieve Superior Primary Patency and Wound Complication Rates With Endoscopic Great Saphenous Vein Harvest Compared With Open Harvest in Lower Extremity Bypasses

September 1, 2018 - 00:00
Previous studies have suggested improved wound complication rates but decreased primary patency in lower extremity bypasses performed with endoscopic vein harvest (EVH) vs open vein harvest (OVH). We hypothesize that the inferior patency reflects the initial learning curve for EVH and that with experience, improved patency can be achieved.

Experienced Operators Achieve Superior Primary Patency and Wound Complication Rates With Endoscopic Great Saphenous Vein Harvest Compared With Open Harvest in Lower Extremity Bypasses

September 1, 2018 - 00:00
Previous studies have suggested improved wound complication rates but decreased primary patency in lower extremity bypasses performed with endoscopic vein harvest (EVH) vs open vein harvest (OVH). We hypothesize that the inferior patency reflects the initial learning curve for EVH and that with experience, improved patency can be achieved.

A Reliable Method for Renal Volume Measurement and Its Application in Fenestrated Endovascular Aneurysm Repair

September 1, 2018 - 00:00
Renal volume has been shown to decline in the sixth decade of life and beyond. We sought to assess the inter-rater reliability for manually measuring renal volume using computed tomography and to assess the change in renal volume over time as it relates to fenestrated endovascular aneurysm repair (FEVAR).

A Reliable Method for Renal Volume Measurement and Its Application in Fenestrated Endovascular Aneurysm Repair

September 1, 2018 - 00:00
Renal volume has been shown to decline in the sixth decade of life and beyond. We sought to assess the inter-rater reliability for manually measuring renal volume using computed tomography and to assess the change in renal volume over time as it relates to fenestrated endovascular aneurysm repair (FEVAR).

Preoperative Testing Among Patients Undergoing Arteriovenous Fistula Surgery

September 1, 2018 - 00:00
The creation of an arteriovenous fistula (AVF) for hemodialysis access is a low-risk procedure. It is often time sensitive, as avoidance of central venous catheters (CVCs) and their complications is paramount. Thus, the role of preanesthesia testing (PAT) is debatable, particularly if it delays surgery for further workup. We sought to determine the value and potential adverse impact of PAT.

Preoperative Testing Among Patients Undergoing Arteriovenous Fistula Surgery

September 1, 2018 - 00:00
The creation of an arteriovenous fistula (AVF) for hemodialysis access is a low-risk procedure. It is often time sensitive, as avoidance of central venous catheters (CVCs) and their complications is paramount. Thus, the role of preanesthesia testing (PAT) is debatable, particularly if it delays surgery for further workup. We sought to determine the value and potential adverse impact of PAT.