Journal of Vascular Surgery

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Assessment of long-term survival and stroke after carotid endarterectomy and carotid stenting in patients older than 80 years

March 1, 2019 - 23:00
The objective of this study was to analyze preoperative risk factors affecting long-term survival and the occurrence of stroke in patients older than 80 years undergoing either carotid endarterectomy (CEA) or carotid artery stenting (CAS) for carotid stenosis.

Association between statin use and perioperative mortality after aortobifemoral bypass in patients with aortoiliac occlusive disease

March 1, 2019 - 23:00
The benefit of statins in reducing perioperative cardiovascular events in patients undergoing suprainguinal bypass is still controversial. The purpose of this study was to evaluate the association between statin use and perioperative mortality in patients undergoing aortobifemoral bypass (ABFB) for aortoiliac occlusive disease.

Comparison of Outcomes After Open Surgical and Endovascular Lower Extremity Revascularisation Among End Stage Renal Disease Patients on Dialysis

February 28, 2019 - 23:00
End stage renal disease (ESRD) patients with peripheral arterial disease (PAD) are at high risk of complications following open surgical revascularisation (OSR). Endovascular revascularisation (ER) is an option, but its role is unclear. This study sought to characterise the outcomes of ER and OSR in ESRD patients treated for claudication or critical limb ischaemia (CLI).

The Value of Sigmoidoscopy to Detect Colonic Ischaemia After Ruptured Abdominal Aortic Aneurysm Repair

February 28, 2019 - 23:00
Diagnosing colonic ischaemia (CI) after ruptured abdominal aortic aneurysm (RAAA) repair is challenging. This study determined the diagnostic value of sigmoidoscopy in patients suspected of CI after RAAA repair.

Use of Bilateral Cook Zenith Iliac Branch Devices to Preserve Internal Iliac Artery Flow During Endovascular Aneurysm Repair

February 28, 2019 - 23:00
Iliac branch devices (IBD) have become a widespread option to preserve antegrade internal iliac artery (IIA) flow during endovascular aneurysm repair (EVAR). Reported experience with bilateral implantation of IBDs is limited. This study aimed to describe the indications, technical options, and outcomes with the use of bilateral IBDs.

Nationwide Study on Treatment of Mycotic Thoracic Aortic Aneurysms

February 28, 2019 - 23:00
Mycotic aortic aneurysms are rare, life threatening, and complex. This nationwide study aimed to assess outcome after repair of mycotic thoracic aortic aneurysms (MTAAs).

Optimal Antiplatelet Therapy in Moderate to Severe Asymptomatic and Symptomatic Carotid Stenosis: A Comprehensive Review of the Literature

February 28, 2019 - 23:00
Carotid stenosis patients are at risk of vascular events despite antiplatelet therapy. Data on prescribed antiplatelet regimens have not been comprehensively collated from trials to guide optimal therapy in this population.

Journal of Vascular Surgery – March 2019 Audiovisual Summary

February 28, 2019 - 23:00
Hi, I am Peter Gloviczki from Mayo Clinic, Editor-in-Chief of the Journal of Vascular Surgery. I am pleased to introduce to you some exciting papers from the March issue of the Journal of Vascular Surgery.

Events of interest

February 28, 2019 - 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

February 28, 2019 - 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.

Contents

February 28, 2019 - 23:00

Editorial Board

February 28, 2019 - 23:00

Strength is in numbers when participating in an Accountable Care Organization

February 28, 2019 - 23:00
The Medicare Access and Children's Health Insurance Program Reauthorization Act (MACRA) established the Quality Payment Program, which requires physicians who bill Medicare to participate in either the Merit-based Incentive Payment System or an Advanced Alternative Payment Model (AAPM). For reporting year 2019, providers who do not participate adequately will experience a 7% penalty in their 2021 Medicare reimbursements.1

Computational Fluid Dynamics in Descending Thoracic Aortic Aneurysm: Tortuosity Associated With High Displacement Forces

February 28, 2019 - 23:00
Tortuosity comes with higher displacement forces in the aorta. As the descending thoracic aorta (DTA) is becoming longer and more tortuous with age, it is important to understand the influence of tortuosity on displacement forces in the DTA.

Limb Salvage for “Hopeless” Lymphedema: Reviving the Charles Procedure

February 28, 2019 - 23:00
The Charles procedure offers radical excision of lymphedematous tissue followed by skin grafting. This procedure is rarely offered because of the potential for complications, but it may provide excellent outcomes in improving quality of life. We describe our experience with a modified technique and a multidisciplinary team approach in treating patients with advanced lymphedema.

Factors Predicting Failure of Retrieval of Inferior Vena Cava Filters

February 28, 2019 - 23:00
Inferior vena cava (IVC) filters are commonly used to prevent pulmonary embolism in patients with deep venous thrombosis. However, IVC filters are associated with risks, including IVC perforation, filter migration, fracture, and thrombosis. Filter retrieval is not always successful. Our objective was to identify factors associated with failure of retrieval of IVC filters.

Primary Venous Leiomyosarcoma: Reconstructive and Oncologic Outcomes

February 28, 2019 - 23:00
Primary venous leiomyosarcomas (PVLs) are rare and pose challenges in oncologic management. Surgical resection is the primary therapy, with less clear roles for chemotherapy and radiation. This study evaluates the clinical outcomes and identifies predictors of survival in our surgical series of PVLs.

An Analysis of the Current Educational Courses Offered to Vascular Trainees

February 28, 2019 - 23:00
Whereas there is increasing evidence that short educational courses provide a valuable supplement to vascular surgical training, there are few data regarding the prevalence, content, and educational goals of these programs. Our objective was to catalogue the available extraresidency experiences available to vascular trainees in North America.

Gender-Based Discrimination Is Prevalent in the Integrated Vascular Trainee Experience and Serves as a Predictor of Burnout

February 28, 2019 - 23:00
Trainee burnout is on the rise, and negative training environments may contribute. In addition, as the proportion of women entering vascular surgery increases, identifying factors that challenge recruitment and retention is vital as we grow our workforce to meet demand. This study sought to characterize the learning environment of vascular residents and to determine how gender-based discrimination and bias (GBDB) affect the clinical experience.

Training in Modern Lower Extremity Revascularization: Analysis of the Operative Experience of Surgical Trainees During 20 Years

February 28, 2019 - 23:00
Lower extremity (LE) revascularization training has changed during the last 20 years, with increased emphasis on endovascular procedures and development of integrated programs. The impact of these changes on the surgical resident’s LE revascularization experience is unclear. The objective of this study was to evaluate national trends in training in LE revascularization of general surgery residents (GSRs), vascular fellows (VFs), and integrated vascular residents (IVRs) during the past 20 years. We hypothesized that LE revascularizations of GSRs are downtrending, and patterns among VFs and IVRs may further define these changes.