Journal of Vascular Surgery

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Information for authors

March 31, 2018 - 23:00
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 They may not be published or reproduced in whole or in part without the written permission of the author(s) and the Journal.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

March 31, 2018 - 23:00

Editorial Board

March 31, 2018 - 23:00

Catheter Injected Bone Marrow Mesenchymal Stem Cells Induce Efficacious Occlusion of Arteriovenous Nidus in a Swine Model

March 31, 2018 - 23:00
Arteriovenous malformations (AVMs) are complex vascular lesions. Surgical excision is the treatment of choice, but is often not achievable. Embolo-sclerotherapy alone is associated with high recurrence rates. This study tested the hypothesis that seeding hydrogel conditioned bone marrow derived mesenchymatous stem cells (BM-MSCs) in an AVM nidus model induces solid microvascular occlusion through endoluminal tissue growth.

Mechanical and Biochemical Role of Fibrin Within a Venous Thrombus

March 31, 2018 - 23:00
The physical properties of a venous thrombus are derived from molecular characteristics, including fibrin polymer diameter, density, branching, and cross-linking. Dense thrombi with thin, highly branched fibrin fibres and small pores in the meshwork have been observed to be more rigid, less permeable, and more resistant to lysis. The three dimensional fibrin meshwork acts as the main structure to entrap and capture erythrocytes, platelets and plasma components. Attached factors become integrated into the developing thrombus, co-localise with fibrin deposition and act in either a pro- or anticoagulant capacity.

Predictors of Change in the Ankle Brachial Index with Exercise

March 31, 2018 - 23:00
A 20% or greater decrease in the ankle brachial index (ABI) with exercise is suggestive of peripheral artery disease (PAD), and could identify patients with an increased mortality risk. The predictors of a change in the ABI with exercise have received little attention.

Favourable Outcomes of Endovascular Total Aortic Arch Repair Via Needle Based In Situ Fenestration at a Mean Follow-Up of 5.4 Months

March 31, 2018 - 23:00
Endovascular repair of aortic arch pathologies remains challenging. Recently, needle based in situ fenestration (ISF) has shown great potential in endovascular total aortic arch repair (ETAAR). This study aimed to evaluate the feasibility, effectiveness, and safety of ETAAR via needle based ISF, and to present initial experience with this technique.

A Prospective Study to Evaluate Complete Wound Healing and Limb Salvage Rates After Angiosome Targeted Infrapopliteal Balloon Angioplasty in Patients with Critical Limb Ischaemia

March 31, 2018 - 23:00
To evaluate complete wound healing and limb salvage rates in patients with critical limb ischaemia (CLI) with concurrent foot ulceration/gangrene who underwent angiosome targeted infrapopliteal balloon angioplasty.

Intraoperative insertion of paravertebral catheter for postoperative analgesia in retroperitoneal aortic aneurysm repair

March 31, 2018 - 23:00
Paravertebral catheters are a well-established analgesic modality in thoracic surgery but have not been described in abdominal aortic surgery. We describe a simple, safe, and effective technique of paravertebral catheter insertion by the operative surgeon after a retroperitoneal abdominal aortic aneurysm repair. Once the aneurysm repair is complete, an extrapleural plane between the parietal pleura and the twelfth rib is created through blunt dissection. A catheter is advanced into the space percutaneously under direct vision, and a continuous infusion of local anesthetic is administered.

MIPS cost measures for 2018

March 31, 2018 - 23:00
Calendar year 2018 is the second performance year for the Quality Payment Program (QPP). A major change in 2018 is the increase in the weight of the Merit-Based Incentive Payment System (MIPS) cost performance category from zero percent in 2017 to ten percent in 2018.1 The cost category was designed to provide an incentive aimed at optimizing resource expenditures while maintaining quality patient care.

Reply

March 31, 2018 - 23:00
We would like to thank Drs Srinivasa and Chick for their insightful comments on our manuscript recently published in the Journal of Vascular Surgery regarding the incidence and management of groin lymphocele formation after femoral venoarterial extracorporeal membrane oxygenation.1

Regarding “Incidence and risk factors of groin lymphocele formation after venoarterial extracorporeal membrane oxygenation in cardiogenic shock patients”

March 31, 2018 - 23:00
Salna et al1 described 192 patients who underwent venoarterial extracorporeal membrane oxygenation, 31 (16%) of whom developed cannulation-associated lymphocele formation. Of those with lymphoceles, 13 (42%) required surgical incision and drainage; 4 (31%) patients required repeated surgical intervention. Salna et al highlighted the prevalence of lymphoceles, which have been associated with abdominal and pelvic dissection, radical prostatectomy, kidney transplantation, lumbar fusion, resection of gynecologic malignant neoplasms, and heart transplantation.

Invited commentary

March 31, 2018 - 23:00
The advent of fenestrated and branched endovascular aneurysm repair has brought laser focus to the patency of visceral and renal branch vessels after aortic repair. This is especially true given the necessity of routine follow-up imaging after endovascular repair to monitor for endoleaks, device failures, and vessel patency. Nearly every published branched/fenestrated paper has some degree of focus on branch vessel patency, and larger studies have nicely demonstrated a generally low risk of branch vessel loss in early and late follow-up.

Invited commentary

March 31, 2018 - 23:00
Symptomatic lower extremity arterial disease usually occurs in elderly patients and, to be severe, requires lesions in at least two segments of the arterial tree. Isolated, symptomatic, infrarenal aortic occlusive atherosclerosis without iliofemoral or femoral-popliteal involvement is distinctly uncommon, as reflected by the fact that this study by Monastiriotis and colleagues required 10 years and three institutions to accumulate its 17 patients. The study was undertaken because the authors were interested in how atherosclerosis affects the aorta in younger patients, and indeed, all of their patients were younger than 50 years.

Invited commentary

March 31, 2018 - 23:00
Abdominal aortic aneurysm diameter is the primary factor that has been used to direct aneurysm therapy. Aortic morphologic characteristics have failed to have a demonstrable impact on clinical decision-making for several reasons. Foremost, the morphologic assessments must be readily available to clinicians, inexpensive, and easy to measure and have clinically defined thresholds that direct care. However, defining aneurysm morphologic features does have additional value beyond directing therapy. Clinicians, researchers, and engineers alike are constantly exploring the boundary conditions on which to base new medical treatments; these morphologic features can help direct new therapies.

Invited commentary

March 31, 2018 - 23:00
The authors of this report demonstrate a novel method of fluoroscopy-free tracking of catheters within a three-dimensional space mimicking the abdominal aorta. Although these methods have the potential to affect a number of endovascular procedures, perhaps the most obvious and intriguing is the effect this technology could have on the performance of branched and fenestrated endografting for the treatment of aortic disease involving the branched aorta.

The use of smartphone-attached thermography camera in diagnosis of acute lower limb ischemia

March 31, 2018 - 23:00
An 84-year-old woman presented to the accident and emergency department with acute dyspnea and right lower limb “cramp-like” pain. She was admitted to a medical ward after being diagnosed with fast atrial fibrillation, congestive heart failure, and pulmonary edema. While in the ward, she was noted to have a cool right foot.

Outcomes of infrageniculate retrograde versus transfemoral access for endovascular intervention for chronic lower extremity ischemia

March 30, 2018 - 23:00
Retrograde infrageniculate access is an alternative treatment strategy for patients who have failed to respond to antegrade endovascular intervention. This study compares the outcomes of infrageniculate retrograde arterial access with the conventional transfemoral access for the endovascular management of chronic lower extremity ischemia.

Predictors of health-related quality of life in patients with symptomatic peripheral artery disease

March 30, 2018 - 23:00
The aim of this study was to identify predictors of baseline measures of health-related quality of life (HRQoL) in symptomatic patients with peripheral artery disease (PAD) from objective markers of severity of PAD, clinical and demographic characteristics, comorbid conditions, cardiovascular risk factors, objectively measured physical activity, and patient-based measures of physical function.

Use of extracorporeal bypass is associated with improved outcomes in open thoracic and thoracoabdominal aortic aneurysm repair

March 30, 2018 - 23:00
There is no consensus on the use or benefit of extracorporeal circulation (EC) during aneurysm repair of the descending thoracic aorta (DTA) or thoracoabdominal aorta (TAA). We evaluated the role of EC during DTA or TAA aneurysm repair using U.S. Medicare data.