Journal of Vascular Surgery

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Influence of aortic neck characteristics on successful aortic wall penetration of EndoAnchors in therapeutic use during endovascular aneurysm repair

April 21, 2018 - 00:00
This study sought to quantify EndoAnchor (Medtronic Vascular, Santa Rosa, Calif) penetration into the aortic wall in patients undergoing endovascular abdominal aortic aneurysm repair and to assess predictors of successful penetration and its relationship to postprocedural type IA endoleak.

The effect of statin use and intensity on stroke and myocardial infarction after carotid endarterectomy

April 20, 2018 - 00:00
Statin use in patients with cerebrovascular disease undergoing carotid endarterectomy (CEA) has been advocated for prevention of stroke and cardiovascular events. However, the effect of statin therapy on long-term outcomes after CEA still needs to be delineated.

Expression of platelet-derived growth factor B is upregulated in patients with thoracic aortic dissection

April 20, 2018 - 00:00
Thoracic aortic dissection (TAD) is a serious condition requiring urgent treatment to avoid catastrophic consequences. The inflammatory response is involved in the occurrence and development of TAD, possibly potentiated by platelet-derived growth factors (PDGFs). This study aimed to determine whether expression of PDGF-B (a subunit of PDGF-BB) was increased in TAD patients and to explore the factors responsible for its upregulation and subsequent effects on TAD.

Causes and outcomes of finger ischemia in hospitalized patients in the intensive care unit

April 20, 2018 - 00:00
Vascular surgeons may be consulted to evaluate hospitalized patients with finger ischemia. We sought to characterize causes and outcomes of finger ischemia in intensive care unit (ICU) patients.

Retroperitoneal hematoma volume is a good predictor of perioperative mortality after endovascular aneurysm repair for ruptured abdominal aortic aneurysm

April 20, 2018 - 00:00
The objective of this study was to validate the usefulness of retroperitoneal hematoma volume as a predictor of perioperative mortality after endovascular aneurysm repair (EVAR) for ruptured abdominal aortic aneurysm (rAAA).

Some asymptomatic abdominal aortic aneurysms smaller than 5.5 cm can be considered for elective repair

April 20, 2018 - 00:00
The 2018 Society for Vascular Surgery (SVS) guidelines on the care of patients with abdominal aortic aneurysms (AAAs) is a timely and comprehensive document that is expected to guide clinical practice not only in the United States but also worldwide.1 These guidelines update and revise several of the recommendations of the previous 2009 SVS guidelines2 and also include many novel recommendations, such as strategies to improve perioperative outcomes for patients undergoing elective or emergency repair.

Superior mesenteric artery stenting using embolic protection device for treatment of acute or chronic mesenteric ischemia

April 20, 2018 - 00:00
The objective of the study was to report the feasibility and results of superior mesenteric artery (SMA) stenting using embolic protection devices (EPDs) to treat acute mesenteric ischemia (AMI) and chronic mesenteric ischemia (CMI).

RANKL-mediated osteoclastogenic differentiation of macrophages in the abdominal aorta of angiotensin II-infused apolipoprotein E knockout mice

April 20, 2018 - 00:00
Osteoclastogenic activation of macrophages (OCG) occurs in human abdominal aortic aneurysms (AAAs) and in calcium chloride-induced degenerative AAAs in mice, which have increased matrix metalloproteinase activity. As the activity of OCG in dissecting aneurysms is not clear, we tested the hypothesis that OCG contributes to angiotensin II (Ang II)-induced dissecting aneurysm (Ang II-induced AAA) in apolipoprotein E knockout mice.

The effect of statin use and intensity on stroke and myocardial infarction after carotid endarterectomy

April 20, 2018 - 00:00
Statin use in patients with cerebrovascular disease undergoing carotid endarterectomy (CEA) has been advocated for prevention of stroke and cardiovascular events. However, the effect of statin therapy on long-term outcomes after CEA still needs to be delineated.

Expression of platelet-derived growth factor B is upregulated in patients with thoracic aortic dissection

April 20, 2018 - 00:00
Thoracic aortic dissection (TAD) is a serious condition requiring urgent treatment to avoid catastrophic consequences. The inflammatory response is involved in the occurrence and development of TAD, possibly potentiated by platelet-derived growth factors (PDGFs). This study aimed to determine whether expression of PDGF-B (a subunit of PDGF-BB) was increased in TAD patients and to explore the factors responsible for its upregulation and subsequent effects on TAD.

Causes and outcomes of finger ischemia in hospitalized patients in the intensive care unit

April 20, 2018 - 00:00
Vascular surgeons may be consulted to evaluate hospitalized patients with finger ischemia. We sought to characterize causes and outcomes of finger ischemia in intensive care unit (ICU) patients.

Retroperitoneal hematoma volume is a good predictor of perioperative mortality after endovascular aneurysm repair for ruptured abdominal aortic aneurysm

April 20, 2018 - 00:00
The objective of this study was to validate the usefulness of retroperitoneal hematoma volume as a predictor of perioperative mortality after endovascular aneurysm repair (EVAR) for ruptured abdominal aortic aneurysm (rAAA).

Some asymptomatic abdominal aortic aneurysms smaller than 5.5 cm can be considered for elective repair

April 20, 2018 - 00:00
The 2018 Society for Vascular Surgery (SVS) guidelines on the care of patients with abdominal aortic aneurysms (AAAs) is a timely and comprehensive document that is expected to guide clinical practice not only in the United States but also worldwide.1 These guidelines update and revise several of the recommendations of the previous 2009 SVS guidelines2 and also include many novel recommendations, such as strategies to improve perioperative outcomes for patients undergoing elective or emergency repair.

Superior mesenteric artery stenting using embolic protection device for treatment of acute or chronic mesenteric ischemia

April 20, 2018 - 00:00
The objective of the study was to report the feasibility and results of superior mesenteric artery (SMA) stenting using embolic protection devices (EPDs) to treat acute mesenteric ischemia (AMI) and chronic mesenteric ischemia (CMI).

RANKL-mediated osteoclastogenic differentiation of macrophages in the abdominal aorta of angiotensin II-infused apolipoprotein E knockout mice

April 20, 2018 - 00:00
Osteoclastogenic activation of macrophages (OCG) occurs in human abdominal aortic aneurysms (AAAs) and in calcium chloride-induced degenerative AAAs in mice, which have increased matrix metalloproteinase activity. As the activity of OCG in dissecting aneurysms is not clear, we tested the hypothesis that OCG contributes to angiotensin II (Ang II)-induced dissecting aneurysm (Ang II-induced AAA) in apolipoprotein E knockout mice.

Early results of percutaneous arteriovenous fistula creation with the Ellipsys Vascular Access System

April 18, 2018 - 00:00
We reviewed our initial experience creating a percutaneous arteriovenous fistula (pAVF) using a thermal resistance anastomosis device with proximal radial artery inflow.

Experimental evaluation of homemade distal stent graft fenestration for thoracic endovascular aortic repair of type A dissection by a transapical approach

April 18, 2018 - 00:00
The use of off-the-shelf stent grafts for thoracic endovascular aortic repair of type A dissections is limited by variability in both the length of the ascending aorta and the location of the proximal intimal tear. This experimental study aimed to assess the feasibility of using a physician-modified thoracic aortic stent graft to treat acute type A dissection by a transapical cardiac approach.

Early results of percutaneous arteriovenous fistula creation with the Ellipsys Vascular Access System

April 18, 2018 - 00:00
We reviewed our initial experience creating a percutaneous arteriovenous fistula (pAVF) using a thermal resistance anastomosis device with proximal radial artery inflow.

Experimental evaluation of homemade distal stent graft fenestration for thoracic endovascular aortic repair of type A dissection by a transapical approach

April 18, 2018 - 00:00
The use of off-the-shelf stent grafts for thoracic endovascular aortic repair of type A dissections is limited by variability in both the length of the ascending aorta and the location of the proximal intimal tear. This experimental study aimed to assess the feasibility of using a physician-modified thoracic aortic stent graft to treat acute type A dissection by a transapical cardiac approach.

Discussion

April 2, 2018 - 00:00
Dr Sean Lyden (Cleveland, Ohio). I noted you had patients on antiplatelet therapy. How many were on dual antiplatelet therapy?