Factors Affecting the Results of Superficial Femoral Artery Stenting
Conclusion:
SFA stents have superior outcomes in claudicants. Patency is related to severity of disease, diabetes, and location of disease. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - December 7, 2015 Category: Surgery Authors: Kay, M., Rogoveanu, R., Hodson, J., Tallowin, S., Hopkins, J., Duddy, M., Vohra, R. Tags: Articles Source Type: research
A MultiCenter Pilot Randomized Controlled Trial of Remote Ischemic Preconditioning in Major Vascular Surgery
A pilot randomized controlled trial that evaluated the effect of remote ischemic preconditioning (RIPC) on clinical outcomes following major vascular surgery was performed. Eligible patients were those scheduled to undergo open abdominal aortic aneurysm repair, endovascular aortic aneurysm repair, carotid endarterectomy, and lower limb revascularization procedures. Patients were randomized to RIPC or to control groups. The primary outcome was a composite clinical end point comprising any of cardiovascular death, myocardial infarction, new-onset arrhythmia, cardiac arrest, congestive cardiac failure, cerebrovascular acciden...
Source: Vascular and Endovascular Surgery - December 7, 2015 Category: Surgery Authors: Healy, D. A., Boyle, E., McCartan, D., Bourke, M., Medani, M., Ferguson, J., Yagoub, H., Bashar, K., ODonnell, M., Newell, J., Canning, C., McMonagle, M., Dowdall, J., Cross, S., O'Daly, S., Manning, B., Fulton, G., Kavanagh, E. G., Burke, P., Grace, P. A Tags: Articles Source Type: research
Mycotic Celiac Artery Aneurysm: A Case Report, Approach Options, and Review of Literature
Mycotic celiac artery aneurysm (MCAA) is extremely rare. To date, only 8 cases have been reported in the literature. Endocarditis is the most commonly documented etiology. Here, we report a case of a subacute, symptomatic MCAA presenting with progressive enlargement in a patient who was previously treated for bacterial endocarditis. Management involved a 2-stage surgical intervention: First, aortohepatic bypass with autologous conduit via transperitoneal approach, followed several days later by ligation of the aneurysm base via retroperitoneal exposure. The treatment options for this rare pathology are also discussed along...
Source: Vascular and Endovascular Surgery - November 15, 2015 Category: Surgery Authors: Batagini, N. C., Teng, X., Clair, D., Kirksey, L. Tags: Case Reports Source Type: research
Fibromuscular Dysplasia in a Normotensive Patient Presented With Renal Infarct: Case Report and Endovascular Technique
We present a rare case of a young, healthy, and normotensive patient who presented with pain secondary to renal infarction, without any prior signs or symptoms or history of hypertension. This presentation of FMD has not been previously described. The typical but subtle angiographic findings of the macro-aneurysmal FMD as well as the successful endovascular treatment are discussed herein. The macro-aneurysmal form of FMD should be considered in the differential diagnosis of acute renal infarction in young and middle aged patients even if they do not have a history of hypertension. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - November 15, 2015 Category: Surgery Authors: Rostambeigi, N., Goldfarb, R., Hunter, D. W., Anderson, J. K. Tags: Case Reports Source Type: research
Lack of Iliac Engagement Correlates With Iliac Limb Complications Following Standard EVAR
Conclusions:
Increased engagement in the common iliac artery following standard EVAR reduces the risks of limb complications. A clinical guide utilization of more than 70% of the total length of common iliac artery could be used as this was associated with a significantly lower rate of iliac limb complications following standard EVAR. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - November 15, 2015 Category: Surgery Authors: Coulston, J., Baigent, A., Selvachandran, H., Jones, S., Torella, F., Fisher, R. Tags: Articles Source Type: research
Multisite Lymphaticovenular Anastomosis Using Vein Graft for Uterine Cancer-Related Lymphedema After Pelvic Lymphadenectomy
Conclusion:
In SM-LVA surgery, a vein can be harvested from another surgical field without additional invasiveness and is useful for bridging a lymphatic vessel and a distant vein. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - November 15, 2015 Category: Surgery Authors: Yamamoto, T., Yoshimatsu, H., Yamamoto, N., Yokoyama, A., Numahata, T., Koshima, I. Tags: Articles Source Type: research
Orbital Atherectomy Plaque Modification Assessment of the Femoropopliteal Artery Via Intravascular Ultrasound (TRUTH Study)
Conclusion:
The VH-IVUS analysis reveals that OAS modifies the calcified component of the plaque burden. It is hypothesized that calcium modification by OAS changes the lesion compliance, allowing for low pressure adjunctive BA. The clinical outcomes were favorable through 12-month follow-up. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - November 15, 2015 Category: Surgery Authors: Babaev, A., Zavlunova, S., Attubato, M. J., Martinsen, B. J., Mintz, G. S., Maehara, A. Tags: Articles Source Type: research
Racial Differences in Treatment Approaches and Mortality Following Arterial Trauma
Conclusion:
Even after adjusting for potential confounders, minority patients had increased odds of mortality following arterial trauma compared to their white counterparts. Further studies are needed to understand and to eliminate these observed disparities in outcome. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - November 15, 2015 Category: Surgery Authors: Moreira, C. C., Farber, A., Rybin, D., Doros, G., Kalish, J., Eberhardt, R. T., Siracuse, J. J., Hamburg, N. M. Tags: Articles Source Type: research
Fibrinogen Level and Bleeding Risk During Catheter-Directed Thrombolysis Using Tissue Plasminogen Activator
Conclusion:
A fibrinogen level <1.5 g/L during thrombolysis was not associated with an increased bleeding risk. However, larger dose and longer duration of thrombolysis were associated with increased bleeding risk. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - November 15, 2015 Category: Surgery Authors: Lee, K., Istl, A., Dubois, L., DeRose, G., Forbes, T. L., Wiseman, D., Mujoomdar, A., Kribs, S., Power, A. H. Tags: Articles Source Type: research
Do Women Have Worse Amputation-Free Survival Than Men Following Endovascular Procedures for Peripheral Arterial Disease? An Evaluation of the California State-Wide Database
Conclusion:
Despite presenting more frequently with CLI, women had better amputation-free survival than men following endovascular procedures. Future research should determine whether findings favor one type of PAD treatment modality over another for women. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - November 15, 2015 Category: Surgery Authors: Hedayati, N., Brunson, A., Li, C.-S., Baker, A. C., Pevec, W. C., White, R. H., Romano, P. S. Tags: Articles Source Type: research
Risk Factors for Puncture Site Complications After Endovascular Procedures in Patients With Peripheral Arterial Disease
Conclusions:
We observed an inferiority of conventional manual compression. Age, procedure duration > 45 minutes, BTK procedures, uncontrolled hypertension, and impaired coagulation were risk factors. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - November 15, 2015 Category: Surgery Authors: Hackl, G., Gary, T., Belaj, K., Hafner, F., Eller, P., Brodmann, M. Tags: Articles Source Type: research
Spontaneous Splenic Rupture in Vascular Ehlers-Danlos Syndrome
Vascular Ehlers-Danlos Syndrome (VEDS) is a rare autosomal dominant collagen vascular disorder. Different from other Ehler-Danlos Syndrome subtypes, VEDS has poor prognosis due to severe fragility of connective tissues and association with life-threatening vascular and gastrointestinal complications. Spontaneous splenic rupture is a rare but hazardous complication related to this syndrome. To date, only 2 cases have been reported in the literature. Here we present another case of this uncommon complication, occurring in a 54-year-old woman in clinical follow-up for VEDS who presented with sudden onset of abdominal pain and...
Source: Vascular and Endovascular Surgery - September 16, 2015 Category: Surgery Authors: Batagini, N. C., Gornik, H., Kirksey, L. Tags: Case Reports Source Type: research
Novel Approach to a Giant External Iliac Vein Aneurysm Secondary to Posttraumatic Femoral Arteriovenous Fistula
We describe a case of a 55-year-old male with a remote history of a gunshot wound to the left thigh who presented with a 1-year history of worsening high-output congestive heart failure, left lower extremity edema, and left lower abdominal discomfort. Diagnostic evaluation included a computed tomographic angiography (CTA) that demonstrated a fistulous communication between the left superficial femoral artery (SFA) and vein (SFV) as well as a 7.2-cm external iliac vein aneurysm. Given his symptomatology, an endovascular repair of his AVF was recommended, followed by antithrombotic therapy for his aneurysm. Three-month posto...
Source: Vascular and Endovascular Surgery - September 16, 2015 Category: Surgery Authors: Thompson, P. C., Ullery, B. W., Fleischmann, D., Chandra, V. Tags: Case Reports Source Type: research
Acute Limb Ischemia in Pediatric Population Secondary to Peripheral Vascular Cannulation: Literature Review and Recommendations
Conclusion:
Literature review suggests an inverse relationship between age and surgical success, particularly in preschool pediatric population. Conservative management as a preliminary strategy seems most beneficial. It is hoped that the proposed intercalated algorithm of medical and surgical management of these patients can further improve clinical outcomes. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 16, 2015 Category: Surgery Authors: Sadat, U., Hayes, P. D., Varty, K. Tags: Articles Source Type: research
Cryoplasty for Canine Iliac Artery Stenosis and its Impact on Expression of TIMP-2 and MMP-2
Conclusion:
Our study suggests cryoplasty might increase the expression of TIMP-2 and decrease the expression of MMP-2, thereby inhibiting vascular hyperplasia and collagen fibers synthesis of the stenotic vessels. (Source: Vascular and Endovascular Surgery)
Source: Vascular and Endovascular Surgery - September 16, 2015 Category: Surgery Authors: Wu, Z., Zang, S., liu, W., Jiang, N., Yang, W. Tags: Articles Source Type: research
