Thoracic endovascular aortic repair of highly tapered type B aortic dissection with proximal tapered stent grafts and distal restrictive stent grafts.
This study evaluated aortic remodeling in highly tapered type B aortic dissection (TBAD) patients who underwent thoracic endovascular aortic repair (TEVAR) with a proximal tapered stent graft plus a distal restrictive stent graft to maximize thoracic coverage while avoiding distal excessive oversizing. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 17, 2022 Category: Surgery Authors: Liyuan Niu, Xia Bao, Wenjuan Yu, Changfeng Li, Jiang Wu, Junwei Yan, Hai Xin, Haofu Wang, Yuewei Wang Tags: Clinical Research Source Type: research

Palliative Care Consultation is Associated with Decreased Rates of In-Hospital Mortality Among Patients Undergoing Major Amputation
Despite advancements in medical care and surgical techniques, major amputation continues to be associated with risks for morbidity and mortality. Palliative care programs may help alleviate symptoms and align patients ’ goals and the care they receive with their treatment plan. Access to specialty Palliative medicine among vascular surgery patients is limited . Here, we aim to describe utilization and impact of formal palliative care consultation for patients receiving major amputations. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 17, 2022 Category: Surgery Authors: Claire Morton, Hilary Hayssen, Qingwen Kawaji, Miriam Kaufman, David Blitzer, Takeshi Uemura, Raya Kheirbek, Khanjan Nagarsheth Tags: Clinical Research Source Type: research

Endovascular Repair in Patients with Marfan Syndrome: Concerns Amid Controversy
Endovascular aortic repair is widely used to treat patients with degenerative aneurysms or aortic dissection within the distal aorta. Thoracic endovascular aortic repair (TEVAR) is generally associated with fewer short-term complications than open surgical repair, which is particularly important for older patients with significant comorbid conditions. However, for patients with Marfan syndrome, a heritable thoracic aortic disease associated with aortic dilatation, dissection, and rupture, the utility of endovascular aortic repair remains questionable. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 17, 2022 Category: Surgery Authors: Leah M. Steinmetz, Joseph S. Coselli Tags: General Review Source Type: research

Predictors of amputation-free survival after endovascular intervention for chronic limb-threatening ischemia in the modern era
Chronic limb-threatening (CLTI) is associated with 25% limb loss and 25% mortality at 1-year. Its lethality increases to 45% in patients subjected to a major amputation. Percutaneous peripheral intervention (PPI) constitutes an attractive and less morbid treatment option for patients with CLTI. The purpose of this study was to assess amputation-free survival in a contemporary cohort treated with endovascular recanalization and assess its predictors. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 17, 2022 Category: Surgery Authors: Gaurang S. Joshi, Suyue M. Zhang, Kathy Wang, Rym El Khoury, Jose Cataneo, Chad E. Jacobs, John V. White, Lewis B. Schwartz Tags: Clinical Research Source Type: research

“Large Diameter” Aortic Endografts Are Associated With Aneurysm Sac Expansion
The purpose of this study was to evaluate the association between aortic endograft diameter and long-term outcomes following endovascular aneurysm repair (EVAR) performed in accordance with manufacturer instructions for use (IFU). (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 16, 2022 Category: Surgery Authors: Patricia G. Lu, Young Erben, William Sheaffer, Austin T. Pierce, Bernardo Mendes, Randall DeMartino, William Stone, Victor Davila, Ina Soh, Andrew J. Meltzer Tags: Clinical Research Source Type: research

The Use of Paclitaxel-Coated Devices in the Treatment of Peripheral Arterial Disease Is Not Associated with Increased Mortality or Amputations
Strategies for the most effective treatment for peripheral arterial disease (PAD) remain controversial among clinicians. Several trials have shown improved primary patency of femoropopliteal interventions with the utilization of paclitaxel-coated balloons or stents (DCBS) compared to conventional balloons or stents. However, a 2018 meta-analysis suggested an increased mortality risk for patients receiving DCBS, resulting in an international pause in the use of DCBS. A 2021 meta-analysis by the same group suggested an increased risk of major amputation following DCBS use in peripheral arterial revascularization procedures. ...
Source: Annals of Vascular Surgery - May 16, 2022 Category: Surgery Authors: Evan C. Bair, Beau C. McCarver, Neal T. Cooper, Benjamin A. Greif, Matthew Major, Shengxuan Wang, Anthony J. Lewis, Evan J. Ryer, James R. Elmore, Gregory G. Salzler Tags: Clinical Research Source Type: research

Impact of “Defensive Medicine” On the Costs of Diabetes and Associated Conditions
Geographic variation in healthcare spending is typically attributed to differences in patient health status and provider practice patterns. While medicolegal considerations (i.e., “defensive medicine”) anecdotally impact healthcare spending, this phenomenon is difficult to measure. The purpose of this study was to explore the association between the medicolegal environment and Medicare costs for diabetes and associated conditions of interest to vascular surgeons. Specific ally, we hypothesized that an adverse medicolegal environment is associated with higher per-capita Medicare costs for diabetic patients. (Source: Ann...
Source: Annals of Vascular Surgery - May 16, 2022 Category: Surgery Authors: Austin T. Pierce, William W. Sheaffer, Patricia G. Lu, Victor J. Davila, Ina Y. Soh, Ellen C. Meltzer, Francesco Aiello, Stephen J. Tarsa, William M. Stone, Andrew J. Meltzer Tags: Clinical Research Source Type: research

The VASQIP Calculator is a poor predictor of morbidity and mortality in octogenarian and nonagenarian veterans undergoing major lower extremity amputations
Morbidity and mortality for major (above the ankle) lower extremity amputation (LEA) is high in veteran patients and age is a predictor of mortality. The Veteran Affair Surgical Quality Improvement Program (VASQIP) risk assessment tool has been validated for several operations, but not for elderly patients undergoing LEA. The present study interrogated the accuracy for the VASQIP calculator for a medium/high-risk operation in a high-risk veteran population (octogenarians and nonagenarians). (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 16, 2022 Category: Surgery Authors: Sergio Huerta, Heather Lanier, Shirling Tsai, Thai Pham, Senthil Sambandam Tags: Clinical Research Source Type: research

Outcomes Following Urgent Fenestrated-Branched Endovascular Repair For Pararenal And Thoracoabdominal Aortic Aneurysms
To evaluate outcomes following urgent or emergent fenestrated-branched endovascular aortic repair (F-BEVAR) for pararenal (PRA) and thoracoabdominal aortic aneurysms (TAAA) in patients considered high-risk for open repair. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 16, 2022 Category: Surgery Authors: Joedd H. Biggs, Emanuel R. Tenorio, Randall R. DeMartino, Gustavo S. Oderich, Bernardo C. Mendes Tags: Clinical Research Source Type: research

Short-term outcomes of transfemoral carotid artery stenting and carotid endarterectomy in symptomatic patients: data from a multicentric prospective registry in Brazil
Transfemoral carotid artery stenting (TF-CAS) and carotid endarterectomy (CEA) are alternative strategies for stroke prevention in patients with atherosclerotic carotid disease. Since their main objective is to prevent future ischemic events, regular reassessment of the outcomes is mandatory for providing the best therapy. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 16, 2022 Category: Surgery Authors: Edwaldo Edner Joviliano, Maur ício Serra Ribeiro, Marcone Lima Sobreira, Regina Moura, Martin Andreas Geiger, Ana Terezinha Guillamon, Selma Regina de Oliveira Raymundo, Daniel Gustavo Miquelin, Ludvig Hafner, Marcelo Jose Almeida, Tércio Ferreira Olive Tags: Clinical Research Source Type: research

A meta-analysis of 37 studies on the effectiveness of microsurgical techniques for lymphedema
This study sought to collect clinical data from patients who underwent lymphovenous bypass and vascularized lymph node transplantation to explore whether surgical procedures can effectively treat lymphedema. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 16, 2022 Category: Surgery Authors: Xiangyi Kong, Jianshi Du, Xianlong Du, Xianling Cong, Qing Zhao Tags: General Review Source Type: research

Racial Disparities in the Risk for Thromboembolic Events in COVID-19 Patients during the Height of the SARS-CoV-2 Pandemic and Impact on Outcomes
The primary objective of this study is to assess the risk of thromboembolic events in hospitalized patients with COVID-19 and study the impact of thromboembolic events on hospital course and mortality risk during the initial height of the SARS-CoV-2 pandemic. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 16, 2022 Category: Surgery Authors: Janice Nam, Melissa D'Andrea, Alexander O ’Hara, Lindsey Staszewski, Jacob Pozin, Amy Wozniak, Lindsey Korepta, Pegge Halandras, Michael Soult, Bernadette Aulivola Tags: Clinical Research Source Type: research

Eligibility of Patients with Chronic Limb Threatening Ischemia for Deep Venous Arterialization
This study aims to provide a real-life estimate of patient eligibility for pDVA to reduce major amputations. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 16, 2022 Category: Surgery Authors: Keyuree Satam, Edouard Aboian, Joshua Huttler, Haoran Zhuo, Yawei Zhang, Britt Tonnessen, Jonathan Cardella, Raul J. Guzman, Cassius Iyad Ochoa Chaar Tags: Clinical Research Source Type: research

Influence of abdominal aortic calcification on the distal extent and branch blood supply of acute aortic dissection
This study aimed to investigate the influence of abdominal aortic calcification on the distal extent, blood supply, and mid-term outcomes of acute aortic dissection (AAD). (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 16, 2022 Category: Surgery Authors: Song Wu, Yinde Huang, Yu Lun, Han Jiang, Yuchen He, Shiyue Wang, Xin Li, Shikai Shen, Qingwei Gang, Xinyang Li, Wenbin Chen, Liwei Pang, Jian Zhang Tags: Clinical Research Source Type: research

Mechanisms and Interventions on Acute Lower Limb Ischemia/Reperfusion Injury: A Review and Insights from Cell to Clinical Investigations
This review aims to highlight mechanistic insights on skeletal muscle ischemia/reperfusion injury (IRI), a potentially life-threatening complication after acute lower limb ischemia. Lower limb IRI produces a wide spectrum of manifestations, ranging from local skeletal muscle necrosis to multi-organ failure. There is increasing evidence from both in vitro and in vivo reports to demonstrate several promising interventions that have successfully reduced IRI in skeletal muscle ischemic models. However, clinical studies to confirm their benefits are still lacking. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - May 15, 2022 Category: Surgery Authors: Poon Apichartpiyakul, Krekwit Shinlapawittayatorn, Kittipan Rerkasem, Siriporn C. Chattipakorn, Nipon Chattipakorn Tags: General Review Source Type: research