Contralateral Carotid Stenosis is a Predictor of Long-term Adverse Events in Carotid Endarterectomy
Contralateral carotid stenosis (clCS) has been described as a perioperative predictor of mortality after carotid endarterectomy (CEA). However, its predictive value on long-term cardiovascular events remains controversial. The study aims to assess the potential role of clCS as a long-term predictor of major adverse cardiovascular events (MACE) in patients who underwent CEA. From January 2012 to July 2020, patients undergoing CEA under regional anesthesia for carotid stenosis in a tertiary care and referral center were eligible from a prospective database, and a post hoc analysis was performed. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 23, 2021 Category: Surgery Authors: Rita Moreira, Lu ís Duarte-Gamas, Juliana Pereira-Macedo, António Pereira-Neves, Diogo Domingues-Monteiro, Filipa Jácome, José P. Andrade, Ana Marreiros, João Rocha-Neves Source Type: research

Risk Factors For and Intra-operative Management of Intolerance to Flow Reversal in TCAR
: In patients deemed high risk for carotid endarterectomy (CEA) who are indicated for treatment of carotid artery stenosis (CAS), transcarotid artery revascularization (TCAR) has been demonstrated as a safe and effective alternative to trans-femoral carotid artery stenting (TF-CAS). Compared to CEA, where approx. 12% of patients undergoing awake intervention do not tolerate internal carotid artery (ICA) clamping, only 1-2% of patients were observed to have intolerance to flow reversal during TCAR based on data from the ROADSTER1/2 trials. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 21, 2021 Category: Surgery Authors: Katherine Teter, Caron Rockman, Patrick Lamparello, Sumaira Macdonald, Karan Garg, Michael Barfield, Thomas S. Maldonado Source Type: research

Platelet depletion after thoraco-abdominal aortic aneurysm endovascular repair is associated with clinically relevant hemorrhagic complications
: thoraco-abdominal endovascular aortic repair (TA-EVAR) can be associated with platelet depletion (PD); the present study aims to evaluate PD incidence after TA-EVAR and to investigate its possible predictors and its influence on hemorrhagic complications and mortality. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 21, 2021 Category: Surgery Authors: Rodolfo Pini, Gianluca Faggioli, Enrico Gallitto, Chiara Mascoli, Cecilia Fenelli, Cecilia Angher à, Antonino Logiacco, Stefano Ancetti, Mauro Gargiulo Tags: Article Type: clinical research Source Type: research

Association of skeletal muscle and cardiovascular risk factors in patients with lower extremity arterial disease
: Sarcopenia is defined as low muscle mass, with low muscle strength or low physical performance. The skeletal muscle mass (or density) and strength are inversely associated with cardiovascular risk factors. We aim to determine the relationship between skeletal muscle characteristics (strength, mass, area), and cardiovascular risk factors in a population with lower extremity artery disease (LEAD) (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 21, 2021 Category: Surgery Authors: J. Ferreira, A. Carneiro, I. Vila, C. Cunha, C. Silva, A. Longatto-Filho, A. Mesquita, J. Cotter, A. Mansilha, M. Correia-Neves, P. Cunha Tags: : original article Source Type: research

Feasibility of the ultrasound-guided insertion of the peripherally inserted central catheter (PICC) by the vascular surgeon at the bedside in the trauma intensive care unit
This study analyzed the outcomes of the ultrasound-guided insertion of the peripherally inserted central venous catheter (PICC) by experienced vascular surgeons at the bedside of the trauma intensive care unit (ICU) and compared the outcomes with those of fluoroscopy-guided PICC performed by radiologists in the interventional suite. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 21, 2021 Category: Surgery Authors: Kyunghak Choi, Min Ae Keum, Min Soo Kim, Youngwoong Kim, Seongho Choi, Kyu-Hyouck Kyoung, Jihoon T Kim, Sungjeep Kim, Minsu Noh Tags: Category: Original Article Source Type: research

Early Experience with Sine Wave Technique for Superficialization of a difficult to cannulate Arterio Venous Fistula
Arterio venous fistula (AVF) is the preferred modality for hemodialysis in end stage kidney disease (ESKD).1 A deep AVF is difficult to cannulate safely and requires additional procedures to superficialize.2 Various methods for superficializing a deep AVF have been described.2-8 (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 21, 2021 Category: Surgery Authors: Ajay Kumar Dabas, Vikram Patra, Sebasish Metia, D Mahapatra, Vijoy Kumar Jha, Sachin Srivastava Tags: Clinical Research Source Type: research

Vascular Surgery Curriculum for Medical Students: A National Targeted Needs Assessment
At present, neither the  American College of Surgeons (ACS) nor the Society for Vascular Surgery (SVS) provides curriculum recommendations for medical students rotating on a vascular surgery service. We sent a targeted needs assessment to vascular surgeons across the country in order to investigate the need for a structur ed curriculum for medical students participating in a vascular surgery rotation during their clinical clerkships. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 20, 2021 Category: Surgery Authors: Chelsea Dorsey, Nicholas McKenzie, Ross Milner, Jason Lee, Nancy Schindler Tags: Clinical Research, Basic Science Source Type: research

Outcomes of Endovascular Aneurysm Repair with Adjunctive Stenting
: Endovascular aneurysm repair is the standard of care for abdominal aortic aneurysm repair, however data regarding adjunctive stenting at the time of endovascular aneurysm repair (EVAR) are limited. The study aims to evaluate outcomes of patients undergoing EVAR with and without adjunctive stenting. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 20, 2021 Category: Surgery Authors: Timothy Foreman, Anthony Bitar, Jamie B. Smith, Todd R. Vogel, Jonathan Bath Tags: Clinical Research, Basic Science Source Type: research

Elevation transposition method for superficialization of the basilic vein achieves better patency rate than tunnel transposition
: To compare the tunnel transposition and elevation transposition methods used for superficialization of the basilic vein in terms of complication and patency rates. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 20, 2021 Category: Surgery Authors: Ying-Sheng Li, Po-Jen Ko, Hung-Chang Hsieh, Ta-Wei Su, Wen-Cheng Wei Tags: Clinical Research, Basic Science Source Type: research

Predictive factors of surgical complications in the first year following kidney transplantation.
In the recent years, an increased use of marginal donors and grafts and a growing prevalence of peripheral arterial disease in the recipients have been observed. Meanwhile, the open surgical technique for kidney transplantation has not changed. The aim of this study is to analyze all surgical complications occurring in the first year after kidney transplant and to determine potential predictive risk factors. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 20, 2021 Category: Surgery Authors: Pauline Salamin, C éline Deslarzes-Dubuis, Alban Longchamp, Séverine Petitprez, Jean-Pierre Venetz, Jean-Marc Corpataux, Sébastien Déglise Tags: Clinical Research, Basic Science Source Type: research

Anticoagulation Therapy is Associated with Increased Access-related Wound Infections after Hemodialysis Access Creation
The effect of anticoagulation therapy (AC) on hemodialysis access patency and related complications is not well defined. Patients on long-term or chronic AC due to their underlying comorbid conditions may be particularly susceptible to access-related bleeding and complications from repetitive cannulation. Our goal is to assess the effect of anticoagulation therapy on outcomes after access creation. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 20, 2021 Category: Surgery Authors: Andrew Kumpfbeck, Caron B. Rockman, Glenn R. Jacobowitz, Joanelle Z. Lugo, Michael E. Barfield, Larry A. Scher, Anjali A. Nigalaye, Karan Garg Source Type: research

Changes in Anesthesia Can Reduce Periprocedural Urinary Retention After EVAR
Enhanced recovery after surgery (ERAS) programs provide a streamlined approach for expedient post-operative care of high-volume procedures. Since the implementation of endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms (AAA), post-operative length of stay (LOS) has continued to decrease to the point where many patients now are discharged the day after the procedure.1-3 Patients that usually meet eligibility criteria for early discharge include those with low preoperative risk and amenable aortic anatomy. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 20, 2021 Category: Surgery Authors: Andres Guerra, Calvin Chao, Gabriel A Wallace, Heron E Rodriguez, Mark K Eskandari Tags: Clinical Research, Basic Science Source Type: research

Differences in Perioperative Outcomes after Carotid Revascularization between White and Non-white Patients
Racial disparities in carotid endarterectomy (CEA) and carotid artery stenting (CAS) continue to persist. We aimed to provide a large-scale analysis of racial disparities in perioperative outcomes of carotid revascularization in a nationally representative cohort of patients, with sub-analyses stratifying by procedure type and symptomatic status. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 20, 2021 Category: Surgery Authors: Christina Cui, Kevin Yei, Claire Janssen, Mokhshan Ramachandran, Jeffrey Siracuse, Mahmoud Malas Tags: Clinical Research, Basic Science Source Type: research

Gender, racial and ethnic disparities in index hospitalization operations for symptomatic carotid stenosis in texas hospitals
Recent literature and societal recommendations support early revascularization of symptomatic carotid patients over the traditional six-week period. Nonetheless, the timing of these interventions can vary widely among populations. The goal of this study is to identify any factors influencing carotid revascularization during the index hospitalization for patients with symptomatic disease. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 20, 2021 Category: Surgery Authors: Tony Lu, Harold Hsu, Natasha Hansraj, Andrew Russeau, Panagiotis Kougias, Neal R. Barshes Source Type: research

Modern Lower Extremity Bypass Outcomes by Anesthesia Type in the Veteran Population
: Lower extremity bypass (LEB) revascularization can be performed under general (GA) or neuraxial anesthesia (NA). Studies show that the use of NA may decrease morbidity, 30-day mortality, and hospital length-of-stay (LOS). The goal of our analysis is to examine the differences in postsurgical outcomes following LEB between patients who undergo GA compared to NA in the Veteran Affairs Surgical Quality Improvement Program (VASQIP) database. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 18, 2021 Category: Surgery Authors: Sally Boyd, James M. Dittman, Wayne Tse, Kedar Lavingia, Michael F. Amendola Tags: Clinical Research, Basic Science Source Type: research

Utility of a mechanical thrombectomy device in treating calcified instent restenosis post iliofemoral venous stenting
Instent restenosis (ISR) following iliofemoral venous stenting is quite common with up to three-quarters of patients developing some degree of ISR. However, only around 16% develop recurrent symptoms impairing their quality-of-life meriting reintervention. The first line of treatment for such ISR involves the use of angioplasty balloons to recreate an adequate flow channel. At times such angioplasty alone is inadequate particularly in the presence of calcified ISR. It is in this setting that the authors decided to explore the utility of a mechanical thrombectomy device to debulk the ISR and thereby help create an adequate ...
Source: Annals of Vascular Surgery - October 17, 2021 Category: Surgery Authors: Arjun Jayaraj, Seshadri Raju Tags: Case Report Source Type: research

Mid-Term Outcomes of Chimney Endovascular Aortic Aneurysm Repair: A Systematic Review and Meta-analysis
: To provide an overview of the literature on the mid-term outcomes of chimney EVAR (ChEVAR) for the treatment of juxtarenal abdominal aortic aneurysms (JAAA). (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 16, 2021 Category: Surgery Authors: Tossapol Prapassaro, Martin Teraa, Khamin Chinsakchai, Constantijn E.V.B. Hazenberg, Saowalak Hunnangkul, Frans L. Moll, Joost A. van Herwaarden Tags: General Review Source Type: research

Multiple aneurysms of the subclavian-axillary, abdominal aortoiliac, lower extremity, and coronary arteries in a pediatric patient of Takayasu arteritis
Takayasu arteritis is a chronic inflammatory vasculitis affecting mainly the aorta and its branches. Stenosis and occlusion of the involved vessels usually develop; however, their dilation and aneurysmal formation are extremely rare. Although aneurysmal disease has been reported in adults with Takayasu arteritis, it is a rare entity in children. The present report described an 11-year-old male found to have the subclavian-axillary, abdominal aortoiliac, lower extremity artery aneurysms with mural thrombi. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Jian Wang, Changde Li, Yi Zheng, Jianyong Liu, Shi Sheng, Zihui Yuan, Bi Jin, Yiqing Li Source Type: research

n “Decreasing Postamputation Pain with the Regenerative Peripheral Nerve Interface (RPNI)”
Over 185,000 limb amputations are performed in the United States annually, many of which are due to the sequelae of peripheral vascular disease. Symptomatic neuromas remain a significant source of postamputation morbidity and contribute to both phantom limb (PLP) and residual limb pain (RLP). While many interventions have been proposed for the treatment of symptomatic neuromas, conventional methods lead to a high incidence of neuroma recurrence. Furthermore, these existing methods do not facilitate an ability to properly interface with myoelectric prosthetic devices. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Carrie A. Kubiak, Widya Adidharma, Theodore A. Kung, Stephen W.P. Kemp, Paul S. Cederna, Chandu Vemuri Source Type: research

Analysis of traumatic axillo-subclavian vessel injuries: endovascular management is a viable option to open surgical reconstruction
In traumatic axillo-subclavian vessel injuries, endovascular repair has been increasingly described, despite ongoing questions regarding infection risk and long-term durability. We sought to compare the clinical and safety outcomes between endovascular and surgical treatment of traumatic axillo-subclavian vessel injuries. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Hans K. Boggs, Roger T. Tomihama, Ahmed M. Abou-Zamzam, Kaushik Mukherjee, David Turay, Theodore H. Teruya, Emelyn Magtanong, Andrew Pop, Sharon C. Kiang Source Type: research

Renal autotransplantation for the treatment of renal artery aneurysm
Objective: Renal artery aneurysms are a rare condition; however, the rate of diagnosis has been increasing, because of the increasing use of complementary diagnostic methods. The best treatment strategy for RAAs remains controversial. Data on ex-vivo surgery associated with kidney autotransplantation are scarce. As a result, the goal of this study was to describe this technique and to report our results.Methods: A retrospective monocentric study was undertaken using the clinical records and images of 35 patients diagnosed with renal artery aneurysm from 01/01/2010 to 31/12/2018. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Marta Machado, Rui Machado, Rui Almeida Source Type: research

Detection of early ultrasonographic markers of cardiovascular dysfunction in prediabetes patients
Background: Prediabetes individuals may present incipient signals of cardiovascular injury and evaluate with unfavorable outcome. The aim of this study was to identify early ultrasonographic markers of cardiac dysfunction and arterial stiffness among glucose intolerant patients compared to healthy individuals.Methods: Cross-sectional study with the composition of two groups: Prediabetes (PD) who met the criteria for pre-diabetes and Normoglycemic (NG): presented no criteria of pre-diabetes and diabetes mellitus in all applied tests. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Firmino SM, Wende KW, Gregorio JP, Yuamoto FY, Heubel AD, Kabbach EZ, Santos PB, Goulart CL, Pott-Junior H, Borghi-Silva A, Mendes RG, Leal AMO, Roscani MG Source Type: research

Clinical clues for the current diagnosis of acute lower limb ischemia: a contemporary case series
The objective of this study was to determine the clinical pattern associated with the main causes of ALI in a contemporary series of cases.Methods: We retrospectively reviewed all consecutive ALI cases admitted to a tertiary hospital between 2007 and 2019. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Carlos Ruiz-Carmona, Albert Clara, Eduard Casajuana, Lidia Marcos, Lorena Romero, Alina Velescu Source Type: research

Hybrid Revascularization for Aorto-Iliac Occlusive Disease with Common Femoral Artery Involvement: Early Outcomes of a Single Centre.
We report the initial experiences of a single centre and discuss issues that arose. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: O.I. Gudz, I.M. Gudz, V.R. Gintchitsky, N.V. Skrypnyk, Y.M. Dybyak, V.A. Orynchak, I.V. Dmytriv Source Type: research

Fenestrated endovascular repair with large device diameters (34- to 36-mm) is associated with type 1 and 3 endoleak and reintervention
Objectives:  Patients with abdominal aortic aneurysms undergoing EVAR with larger device diameters (34- to 36-mm) have worse outcomes due to proximal fixation failure and need for reintervention. We examine outcomes relating to standard fenestrated repair (FEVAR) with larger device diameters, and investigate w hether a similar relationship exists.Material and Methods: Retrospective review of a prospectively maintained, single institution database of patients treated with the Cook ZFEN device between 2012-2017. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Celine Deslarzes-Dubuis, Jordan R. Stern, Kenneth Tran, Benjamin Colvard, Jason T. Lee Source Type: research

The Association Between Socioeconomic Factors and Incident Peripheral Artery Disease in the Chronic Renal Insufficiency Cohort (CRIC)
Even with continued improvements in cardiovascular care in the US over the last several decades, substantial disparities remain in cardiovascular disease (CVD) incidence and outcomes, with many improvements in CVD care not experienced equally by all socioeconomic groups.1 Factors including patient income, educational level, race, and sex have consistently been demonstrated to be important contributors to overall health and CVD outcomes.2 Peripheral arterial disease (PAD) is a common disease in the US elderly population, with an estimated prevalence of approximately 8 million in the United States, and is a major source of m...
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Jordan B Stoecker, Jordana B Cohen, Nathan Belkin, Jing C Chen, Raymond R Townsend, Dawei Xie, Harold I Feldman, Grace J Wang, the CRIC Study Investigators Tags: Clinical Research, Basic Science Source Type: research

Early ABI Testing May Decrease Risk of Amputation for Patients with Lower Extremity Ulcers
Objectives: Patients with lower extremity wounds from diabetes mellitus or peripheral artery disease (PAD) have a risk of amputation as high as 25%. In patients with arterial disease, revascularization decreases the risk of amputation. We aimed to determine if the early assessment of arterial perfusion correlates with the risk of amputation.Methods: We retrospectively reviewed patients referred to the vascular clinic over 18 months with Rutherford Grade 5 and 6 chronic limb-threatening ischemia to determine if patients had a pulse exam done at the time the wound was identified and when ankle brachial index (ABI) testing to...
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Angela Aguirre, Kritika Sharma, Aman Arora, Misty D. Humphries Source Type: research

Obstructive jaundice caused by a large intact abdominal aortic aneurysm. Case report and literature review
We present an 85-year-old male with a large intact AAA causing obstructive jaundice and review the relevant literature. Methods and Results: The patient was referred to our hospital with jaundice and a palpable pulsatile abdominal mass. Computerized tomography (CT) angiogram and magnetic resonance cholangiopancreatography (MRCP) revealed an infrarenal AAA with maximal diameter of 8.5 cm compressing the pancreatic head and common bile duct, causing obstructive jaundice with elevated levels of total and direct bilirubin. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Manolis Abatzis-Papadopoulos, Dimitrios Karamanos, Ioakeim Papoutsis, Konstantinos Tigkiropoulos, Kyriakos Stavridis, Ioannis Lazaridis, Nikolaos Saratzis Source Type: research

Late Open Repair of a Massive Common Iliac Artery Aneurysm after Endovascular Failure
We present an unusual case of a patient presenting nine years after index endovascular CIAA exclusion with a painless abdominal mass found to be a 20+ cm CIAA secondary to type II endoleak from a recanalized coil embolized hypogastric artery. The patient underwent open aneurysmorrhaphy with ligation of the hypogastric artery. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Mason Vialonga, Anthony N Grieff, William E Beckerman Source Type: research

Post-traumatic arteriovenous fistula of left renal vessels: case report of a silent complication for 23 years.
Abdominal trauma leads rarely to severe renal injury such as acquired arterioveinous fistula. Here, we present the case of a 46-year-old man with a history of suicide attempt by a gunshot in the abdomen. At that time, explorative laparotomy was unremarkable. He consulted 23 years later for chronic left lumbar pain and was diagnosed with an arterioveinous fistula of left renal vessels with a-10-cm aneurysm of the left renal artery. We performed a left nephrectomy and endovascular clamping was the best option to manage this giant aneurysm in a hostile abdomen. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Coralie Defert, Camille Le Bihan, Gontran Bernard, Arthur Laudren, Karel Pfeuty, Christophe Robin Source Type: research

Physician-modified steerable endovascular catheter
We demonstrate a simple, intraoperative modification to a 65cm Beacon Tip Kumpe catheter (Cook Medical) using readily-available components in order to increase its functionality during endovascular procedures. The steerable endovascular catheter has near-spherical range, improving accessibility to challenging anatomy over conventional catheters as demonstrated by our qualitative modeling. In addition, the modification provides structural reinforcement at the catheter tip leading to precise wire advancement. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Melissa Jones, Mark Rockley, Prasad Jetty Tags: Selected Technique Source Type: research

Vascular and Endovascular Surgical Procedural Skills Training: Survey of Vascular Surgery Program directors about Extracurricular Vascular Surgical Educational Courses for Vascular Trainees
This analysis of the survey results from the vascular surgery PD/APDs across the country shows that 70% of PD/APDs felt that their trainees would benefit from additional educational courses. When asked about their wishes for these educational courses, 35% reported mock oral exams and 31% reported cadaver dissections as the highlights of these programs. The majority of the PD/APDs, 46% felt that regional meetings are the best place to hold educational courses and have these events sponsored by industry. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Faisal Aziz, Matthew Chia, Omid Jazaeri, Jonathan Cardella, Francis Caputo, Hernan Bazan, Raghu Motaganahalli, Lori Pounds Source Type: research

Standardizing Methods of Reading CT Maximum Aortic Diameters Amongst Experts Reduces Variations and Discordance, Improving Accuracy
This study compared the two most common methods based on orthogonal planes and centerline of flow to determine the discordances and accuracy amongst experiences readers. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: John W. Perry, Paul Schoenhagen, Steve Shih Lin Huang, Levester Kirksey, Jarrad W Rowse, Christopher J Smolock, Sean P Lyden, David M Hardy, Francis J Caputo Tags: Clinical Research, Basic Science Source Type: research

Reinterventions in Patients with Claudication and Chronic Limb Threatening Ischemia
Patients with peripheral artery disease (PAD) present with claudication or chronic limb threatening ischemia (CLTI). CLTI patients have a more advanced stage of atherosclerosis and increased comorbidities compared to claudicants, and are at an elevated risk of major amputation and mortality after lower extremity revascularization (LER). However, the frequency of reinterventions for claudication and CLTI have not been compared. Our hypothesis is that patients with CLTI undergo more frequent reinterventions to prevent major amputation. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Alaa Mohamedali, Gathe Kiwan, Tanner Kim, Yawei Zhang, Haoran Zhuo, Britt Tonnessen, Alan Dardik, Cassius Iyad Ochoa Chaar Tags: Clinical Research, Basic Science Source Type: research

The Effect of Intravenous and Oral Beta-Blocker Use in Patients with Type B Thoracic Aortic Dissection
: beta-blockers have become the cornerstone for medical management in patients with chronic type B aortic dissection (TBAD). However, the effect of being on and/or receiving intravenous beta-blockers during hospitalization on outcomes of surgical repair of TBAD is not fully described. We sought to investigate this association during open surgical repair (OSR) and endovascular (Endo) intervention for non-traumatic TBAD. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Besma Nejim, Asma Mathlouthi, Isaac Naazie, Mahmoud B. Malas Tags: Clinical Research, Basic Science Source Type: research

Efficacy of Fusion Imaging in Endovascular Revascularization of the Superficial Femoral Artery
:  The demand for endovascular revascularization (ER) to treat peripheral artery disease (PAD) has steadily increased. However, ER comes at the cost of increased contrast and radiation exposure, particularly in more complex cases. Fusion imaging is a new technology that may address these issues. The purpose of this study was to evaluate the efficacy of fusion imaging in ER of the superficial femoral artery (SFA). (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Makoto Haga, Kouhei Fujimura, Shunya Shindo, Ayako Nishiyama, Mitsuhiro Kimura, Shinya Motohashi, Hidenori Inoue, Junetsu Akasaka Tags: Clinical Research, Basic Science Source Type: research

Dabigatran use after argatroban for heparin-induced thrombocytopenia with thrombosis: A case series and literature review
: Heparin-induced thrombocytopenia (HIT) is immune-mediated thrombotic thrombocytopenia following the use of heparin, which contributes to a high limb-amputation rate and mortality if not appropriately handled. There is growing evidence suggesting that novel oral anticoagulants (NOACs) may be effective for treating HIT. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Yue Wang, Kaijie Zhang, Li Yin, Guosheng Fu, Zhenjie Liu Source Type: research

Stent-graft treatment of a giant asymptomatic extracranial vertebral artery aneurysm: Case Report and Literature Review
With the widespread appliance of endovascular techniques, a plethora of options is available in the treatment of extracranial vertebral artery aneurysms (EVAA). If the vertebral artery (VA) can be sacrificed, embolization with coiling, liquid injection, or parent artery exclusion can be done. We hereby present a case of a 74-year-old male patient presenting with an asymptomatic atherosclerotic giant EVAA in the V1 segment of the VA, successfully treated with balloon expandable stent-graft deployment. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Ákos Pataki, Dat T. Nguyen, Zsuzsa Nagy, Sándor Nardai, Balázs Nemes Source Type: research

Effect Of Stent-Graft Active Fixation And Oversizing On Aortic Neck Dilation After Endovascular Aneurysm Exclusion For Infrarenal Aortic Aneurysm
This study looked at percentage of graft oversizing as well as type of fixation on aortic neck dilation. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2021 Category: Surgery Authors: Lillian Malach, Nader Tehrani, Shilpa Kolachina, Karolina Krawczyk, Amy Wozniak, Michael Soult, Bernadette Aulivola, Carlos Fares Bechara Source Type: research

A Novel Approach for the Treatment of Nutcracker Syndrome: A Case Report
We describe a case of nutcracker syndrome in a 35 year-old male that was treated with a left renal vein transposition via an open retroperitoneal approach.  Our case highlights some of the advantages of the retroperitoneal approach, which may decrease the risk of postoperative complications when compared to the traditional midline abdominal transperitoneal approach. The patient agreed to publish the case details and images included below. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 13, 2021 Category: Surgery Authors: Jacob Greenspan, David Szczerepa, Kaspar Trocha, Ajit Rao, Gabriella Fluss, David Finlay Source Type: research

Feasibility and preliminary patency of prophylactic hypogastric artery stenting for prevention of spinal cord ischemia in complex endovascular aortic repair
To report early results of feasibility and patency of prophylactic hypogastric artery (HA) stenting during complex endovascular aortic repair. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 13, 2021 Category: Surgery Authors: C. Gronert, G. Panuccio, A. Eleshra, F. Rohlffs, E.S. Debus, N. Tsilimparis, T. K ölbel Tags: Clinical Research, Basic Science Source Type: research

A case report: ruptured popliteal aneurysm caused by Haemophilus influenzae infection
We report a case of an 81-year-old woman with a ruptured mycotic popliteal aneurysm from Haemophilus influenzae infection. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 13, 2021 Category: Surgery Authors: Sophia Bunde, Chinweoke C. Osigwe, Eric Hager MD Tags: Case Report Source Type: research

Percutaneous Transhepatic AngioJet-assisted Mechanical Thrombectomy for the Treatment of Post-transplant Portal Vein Thrombosis: A Case Report
Portal vein thrombosis (PVT) is an uncommon but serious complication after liver transplantation (LT). Treatments for PVT include thrombolysis, surgical treatment or percutaneous intervention. We here report a case of PVT after LT successfully treated by an AngioJet device using the percutaneous transhepatic approach. A 36-year-old male presented with substantial thrombosis of the portal vein/superior mesenteric vein two years after a liver transplant. He was managed with an Angiojet thrombectomy and subsequent stent placement. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 13, 2021 Category: Surgery Authors: Wenrui Li, Bin Liu, Renming Zhu, Wei Qu, Lin Wei, Hai Feng Tags: Case Report Source Type: research

The femoral venoarterial perfusion during open abdominal aortic aneurysm repair in patient with renal transplant
We report of a patient with abdominal aortic aneurysm and renal transplant who underwent aneurysm repair. These patients can be treated by eather open or endovascular approach, depending on several factors, including aneurysm morphologic suitability for endovascular tretament, age of patient, and comorbidities.The main challange with open repair approach is to maintain renal transplant perfusion during the aortic cross clamping. Several methods of renal transplant perfusion during aneurysm repair have been described. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 12, 2021 Category: Surgery Authors: Marko Ajduk, Maja Šljaka, Iva Đurić, Dražen Keserica, Željka Gagula, Nikola Glavinić, Branko Fila, Tomislav Šalamon, Andrej Šitum, Vladimir Zvonimir Pelegrin Tags: Case report Source Type: research

Intentional Bilateral Renal Artery Coverage During Ruptured Endovascular Paraanastomotic Pseudoaneurysm Repair
The development of a paraanastomotic pseudoaneurysm is a serious complication after open prosthetic reconstruction of the aorta for occlusive or aneurysmal disease. Open repair of these lesions has previously been associated with high rates of morbidity and mortality. Endovascular repair may provide suitable treatment for proximal paraanastomotic aortic bypass graft pseudoaneurysms in patients who are poor candidates for open surgery. Bilateral renal artery coverage may be necessary to achieve adequate fixation and seal during life-threatening emergency cases of pseudoaneurysm rupture. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 12, 2021 Category: Surgery Authors: Steven Tohmasi, Roy M. Fujitani, William Q. Duong, Carlos E. Donayre, Isabella J. Kuo, Anthony H. Chau, Nii-Kabu Kabutey Tags: Case Report Source Type: research

A hybrid approach in the management of a large pancreaticoduodenal artery aneurysm
We describe a case of a 79 year old male with an 82 mm PDAA in the setting of chronic celiac artery occlusion. The patient was treated with open repair. Due to the large size of the aneurysm and the dense adhesions to the surrounding tissue, vascular control of the superior mesenteric artery (SMA) was achieved by endovascular balloon occlusion and the aneurysm repaired with resection and primary aneurysmorrhaphy. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 12, 2021 Category: Surgery Authors: UlugbekM.D. Negmadjanov, John C. Motta, Eileen De Grandis, W. Anthony Lee Source Type: research

Viabahn-assisted extra-arterial bypass combined with surgical arterial endarterectomy as a salvage technique to treat critical limb ischemia
: To describe the use and 1-year outcome of Viabahn-assisted extra-arterial bypass combined with surgical arterial endarterectomy technique to treat a patient with critical limb ischemia. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 12, 2021 Category: Surgery Authors: Ren Wei, Hongpeng Zhang, Wei Guo Tags: Case report Source Type: research

Nutcracker Phenomenon as a Result of Celiomesenteric Trunk Aneurysm
We describe a patient with an aneurysm of the celiomesenteric trunk (CMT) resulting in nutcracker phenomenon of the left renal vein. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 12, 2021 Category: Surgery Authors: David Szczerepa, Margaret Gallagher, Gabriella Fluss, Kaspar Trocha, David Finlay Source Type: research

Use of the off-the-shelf pre-cannulated E-nside endograft to overcome anatomical challenges in urgent complex endovascular aortic repair
We report the urgent treatment of two large complex aortic aneurysms using this device and discuss the benefits of this new technology. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 12, 2021 Category: Surgery Authors: Vassilios Zymvragoudakis, Prakash Saha, Panos Gkoutzios, Hany Zayed, Said Abisi Tags: Case Report Source Type: research

Investigations into the Potential of using of Open Source CFD to analyze the Differences in Hemodynamic Parameters for Aortic Dissections (Healthy vs. Stanford Type A and B)
The objective of this study was to develop a method to evaluate the effects of an aortic dissection on hemodynamic parameters by conducting a comparison with that of a healthy (non-dissected) aorta. Opensource software will be implemented, no proprietary software/application will be used to ensure accessorily and repeatability, in all the data analysis and processing. CT images of aortic dissection are used for the model geometry segmentation. Boundary conditions from literature are implemented to CFD to analyze the hemodynamic parameters. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 11, 2021 Category: Surgery Authors: Ryo Takeda, Fumiya Sato, Hiroichi Yokoyama, Katsuhiko Sasaki, Nobuyuki Oshima, Akiyoshi Kuroda, Hideyoshi Takashima, Chenyu Li, Shinya Honda, Hiroyuki Kamiya Source Type: research