Journal of Vascular Surgery

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The Society for Vascular Surgery Wound, Ischemia, and foot Infection (WIfI) classification independently predicts wound healing in diabetic foot ulcers

April 2, 2018 - 00:00
Previous studies have reported correlation between the Wound, Ischemia, and foot Infection (WIfI) classification system and wound healing time on unadjusted analyses. However, in the only multivariable analysis to date, WIfI stage was not predictive of wound healing. Our aim was to examine the association between WIfI classification and wound healing after risk adjustment in patients with diabetic foot ulcers (DFUs) treated in a multidisciplinary setting.

Arterial reconstructions for pediatric splanchnic artery occlusive disease

April 2, 2018 - 00:00
Pediatric splanchnic arterial occlusive disease is uncommon and a rare cause of clinically relevant intestinal ischemia. This study was undertaken to better define the clinical manifestations and appropriate treatment of celiac artery (CA) and superior mesenteric artery (SMA) occlusive disease in children.

Risk and outcome profile of carotid endarterectomy with proximal intervention is concerning in multi-institutional assessment

April 2, 2018 - 00:00
Approaching tandem bifurcation and brachiocephalic disease using carotid endarterectomy (CEA) with ipsilateral proximal endovascular intervention (IPE) has been promulgated as safe and durable. There have been recent concerns about neurologic risk with this technique. The goal of this study was to define stroke and perioperative risk with this uncommon procedure across multiple centers.

A prospective randomized study of stent graft placement after balloon angioplasty versus balloon angioplasty alone for the treatment of hemodialysis patients with prosthetic graft outflow stenosis

April 2, 2018 - 00:00
Hemodialysis graft outflow stenosis is a significant complication occurring in hemodialysis patients with prosthetic grafts for vascular access. Balloon angioplasty remains the first-line endovascular treatment of this complication, although covered stent graft implantation after balloon angioplasty also appears to be an effective and promising treatment. The aim of this study was to evaluate the efficacy and durability of stent graft placement after balloon angioplasty in comparison to balloon angioplasty alone for the treatment of graft outflow stenosis in hemodialysis patients.

Perioperative risk factors for hospital readmission after elective endovascular aortic aneurysm repair

April 2, 2018 - 00:00
Elective endovascular aneurysm repair (EVAR) is generally well tolerated. However, the incidence of hospital readmission after EVAR and the risk factors and reasons for it are not well studied. This study sought to determine the incidence, to characterize the indications, and to identify perioperative patient-centered risk factors for hospital readmission within 30 days after elective EVAR.

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?

The Society for Vascular Surgery Wound, Ischemia, and foot Infection (WIfI) classification independently predicts wound healing in diabetic foot ulcers

April 2, 2018 - 00:00
Previous studies have reported correlation between the Wound, Ischemia, and foot Infection (WIfI) classification system and wound healing time on unadjusted analyses. However, in the only multivariable analysis to date, WIfI stage was not predictive of wound healing. Our aim was to examine the association between WIfI classification and wound healing after risk adjustment in patients with diabetic foot ulcers (DFUs) treated in a multidisciplinary setting.

Arterial reconstructions for pediatric splanchnic artery occlusive disease

April 2, 2018 - 00:00
Pediatric splanchnic arterial occlusive disease is uncommon and a rare cause of clinically relevant intestinal ischemia. This study was undertaken to better define the clinical manifestations and appropriate treatment of celiac artery (CA) and superior mesenteric artery (SMA) occlusive disease in children.

Risk and outcome profile of carotid endarterectomy with proximal intervention is concerning in multi-institutional assessment

April 2, 2018 - 00:00
Approaching tandem bifurcation and brachiocephalic disease using carotid endarterectomy (CEA) with ipsilateral proximal endovascular intervention (IPE) has been promulgated as safe and durable. There have been recent concerns about neurologic risk with this technique. The goal of this study was to define stroke and perioperative risk with this uncommon procedure across multiple centers.

A prospective randomized study of stent graft placement after balloon angioplasty versus balloon angioplasty alone for the treatment of hemodialysis patients with prosthetic graft outflow stenosis

April 2, 2018 - 00:00
Hemodialysis graft outflow stenosis is a significant complication occurring in hemodialysis patients with prosthetic grafts for vascular access. Balloon angioplasty remains the first-line endovascular treatment of this complication, although covered stent graft implantation after balloon angioplasty also appears to be an effective and promising treatment. The aim of this study was to evaluate the efficacy and durability of stent graft placement after balloon angioplasty in comparison to balloon angioplasty alone for the treatment of graft outflow stenosis in hemodialysis patients.

Perioperative risk factors for hospital readmission after elective endovascular aortic aneurysm repair

April 2, 2018 - 00:00
Elective endovascular aneurysm repair (EVAR) is generally well tolerated. However, the incidence of hospital readmission after EVAR and the risk factors and reasons for it are not well studied. This study sought to determine the incidence, to characterize the indications, and to identify perioperative patient-centered risk factors for hospital readmission within 30 days after elective EVAR.

Superior 3-Year Value of Open and Endovascular Repair of Abdominal Aortic Aneurysm With High-Volume Providers

March 31, 2018 - 23:00
This analysis was based on a statewide database between 2000 and 2010.

Comparison of Low-Dose Catheter-Directed Thrombolysis With and Without Pharmacomechanical Thrombectomy for Acute Lower Extremity Ischemia

March 31, 2018 - 23:00
This study was a retrospective, single-center review between January 2008 and April 2014.

A 10-Year Experience Using a Hybrid Endovascular Approach to Treat Aberrant Subclavian Arterial Aneurysms

March 31, 2018 - 23:00
This study was a retrospective review of a single-center experience between 2006 and 2016.

Endovascular Treatment of Aortic Arch Lesions Using Scalloped Endografts

March 31, 2018 - 23:00
This study was a retrospective case series of six patients treated between 2014 and 2017.

Endovascular Balloon Angioplasty versus Stenting in Patients With Takayasu Arteritis: A Meta-Analysis

March 31, 2018 - 23:00
This article is a comparative study using a meta-analysis of MEDLINE and EMVASE databases from January 1980 to January 2017.

Systematic Review of Carotid Artery Procedures and the Volume-Outcome Relationship in Europe

March 31, 2018 - 23:00
This study was a search of studies that reported the effect of hospital or clinician volume on carotid endarterectomy (CEA) and stenting (CAS) outcomes restricted to European populations using MEDLINE, Embase, the Cochrane Library, Science Citation Index, and CINAHL from December 2014 to June 2016.

Journal of Vascular Surgery – April 2018 Audiovisual Summary

March 31, 2018 - 23:00
Hello, and welcome to the April video where we discuss four of the most important papers in this month's issue of the Journal of Vascular Surgery.

Events of interest

March 31, 2018 - 23:00
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

March 31, 2018 - 23:00
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.