Staged combined endovascular and open surgical approach in a patient with Takayasu ’s arteritis
Takayasu ’s arteritis (TA) is a systemic large vessel vasculitis that affects the aorta and its branches. Most patients with TA respond to medical therapy with a minority of patients requiring surgical intervention. In our report we describe the case of a 59-year-old Caucasian female with TA who underwent revascularization due to cerebrovascular symptoms refractory to medical therapy. She initially presented with amaurosis fugax and developed episodes of syncope and slurred speech during corticosteroid tapering. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 17, 2019 Category: Surgery Authors: Alexander Varzari, Animesh Rathore, Rasesh M. Shah, Jean M. Panneton Tags: Case Report Source Type: research

Cyanacrylate glue caused extrinsic compression ofan infrapopliteal vein graft
Several surgical sealant devices are commercially available after their rigorous clinical testing with no apparent complications up-to-now reported in the current literature. Cyanoacrylate glue can be used to stabilize the anastomoses and to permit a better tensile strength in cardiovascular surgery. We first report the case of a 71-year old male patient presenting with symptoms of progressive limitation of walking distance, 13-month after a successful femoro-infrapopliteal bypass surgery, because of a calcified tissue extrinsically stenosizing the first segment of the previous bypass graft, caused by the use of cyanoacryl...
Source: Annals of Vascular Surgery - October 17, 2019 Category: Surgery Authors: Maria Vittoria Carati, Raffaele Grande, Antonio V. Sterpetti, Ciro Ferrer, Giuseppe D ’Ermo, Raffaele Serra, Francesco Pugliese, Andrea Mingoli, Paolo Sapienza Tags: Case Report Source Type: research

Cervical vagal schwannoma causing asymptomatic internal carotid artery compression
Schwannoma originating from the cervical vagus nerve is a rare neoplasm. Vagal nerve schwannoma (VNS) usually occurs between the third and fifth decades of life. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 17, 2019 Category: Surgery Authors: Grigol Keshelava, Zurab Robakidze Tags: Case Report Source Type: research

Robotic resection of a left brachiocephalic vein aneurysm mimicking thymoma
A 70-year old man was scheduled for the robotic resection of a 21x16x30 mm thymic nodule incidentally detected by a computed tomography scan (CT) for thoracic trauma after a domestic accident. Positron emission tomography (PET) scan confirmed a low [18F]-FDG uptake (SUVmax=1,9). During the surgery the mass showed to be a saccular aneurysm of the left brachiocephalic vein (LBCV). A complete tangential resection of the aneurysm, with the use of EndoGIA stapler (Covidien ® Endo GIA™) at its origin was performed. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 17, 2019 Category: Surgery Authors: Madalina Grigoroiu, Alessio Mariolo, Walid Abid, Cedric Foussier, Nina Weber, Alessandro Costanzo Tags: Case Report Source Type: research

Open Tacking of a Migrated Thoracic Endovascular Aortic Graft
Complications of thoracic endovascular aortic repair (TEVAR) are beginning to emerge as novel vascular issues. While endovascular solutions exist for most, some graft complications require a more traditional open solution. These operations are most commonly performed for endoleak or disease progression. Much less frequently observed is migration of the endograft requiring open re-intervention. Herein we present a case of a proximally migrated TEVAR graft which required open fixation under deep hypothermic circulatory arrest (DHCA). (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 17, 2019 Category: Surgery Authors: John M. Trahanas, Christopher J. Kwolek, George Tolis Tags: Case Report Source Type: research

Influence of On-Call Vascular Surgery Team and Off-Hour Effect on Survival after Ruptured Abdominal Aortic Aneurysm
Ruptured abdominal aortic aneurysms (rAAAs) represent a life-threatening emergency and carry a high community and in-hospital mortality, despite treatment and protocol advances. Identifying prognostic factors like the presence of on-call vascular surgery teams at first hospital admissions or times of hospital admissions can modify hospital protocols and mechanisms to ameliorate general outcomes. The aim of this study is to analyze the influence of on-call vascular surgery teams and off-hour admissions on survival after rAAAs in Catalonia, Spain. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 16, 2019 Category: Surgery Authors: Alejandro Fierro, Gaspar Mestres, Mar ía Alejandra Díaz, Paolo Tripodi, Xavier Yugueros, Vincent Riambau Tags: Clinical Research Source Type: research

Impact of video-assisted thoracoscopic sympathectomy and related complications on quality of life according to the level of sympathectomy
Primary hyperhidrosis is defined as excessive sweating of idiopathic aetiology, associated with sympathetic hyperactivity, which greatly impacts patients ’ quality of life (QoL). The definitive treatment for palmar and axillary hyperhidrosis (PAH) is video-assisted thoracic sympathectomy (VATS). (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 16, 2019 Category: Surgery Authors: T.J. Soares, P.G. Dias, S.M. Sampaio Tags: Clinical Research, Basic Science Source Type: research

Superior Clinical, Quality of Life, Functional, and Health Economic Outcomes with Pneumatic Compression Therapy for Lymphedema
Pneumatic compression therapy is one of several options for the management of lymphedema. The lack of clarity around clinical outcomes, quality of life, cost of care, and its proper application as a function of lymphedema complexity limit its use in clinical practice. This is compounded by difficulties associated with insurance approval and uncertainty about the role of this modality in the treatment algorithm. The purpose of this study is to elucidate the healthcare economics and value of pneumatic compression therapy for lymphedema. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 16, 2019 Category: Surgery Authors: Sapan S. Desai, Michael Shao, Vascular Outcomes Collaborative Tags: Clinical Research, Basic Science Source Type: research

Endovascular Aneurysm Sealing is Associated with Higher Medium-Term Survival than Traditional EVAR
Endovascular repair (EVAR) is the dominant treatment modality for abdominal aortic aneurysm (AAA). Periprocedural risks are low, and cardiovascular events are the principle determinants of long-term survival. Recently, the concept of endovascular aneurysm sealing (EVAS) has been introduced into clinical investigation. In previous cohort studies EVAS has been associated with a lower all-cause mortality than expected despite device issues. We used a propensity weighted approach to investigate whether EVAS was associated with lower all-cause mortality after aneurysm repair. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 16, 2019 Category: Surgery Authors: Thomas F.X. O ’Donnell, Jeffrey P. Carpenter, John S. Lane, Jose Trani, Sajjad Hussain, Christopher Healey, Mahmoud B. Malas, Marc L. Schermerhorn Tags: Clinical Research, Basic Science Source Type: research

Incidence of post-implantation syndrome with different endovascular aortic aneurysm repair modalities and devices and related etiopathogenetic implications
Postimplantation syndrome (PIS) is a systemic inflammatory response occurring in an early phase after abdominal aortic aneurysm (AAA) endovascular repair (EVAR). The pathophysiology underlying PIS is not yet well understood. It is speculated that the type of the stent graft or the mural thrombus within the AAA may play a role in determing this inflammatory response. At present, there is no consensus about the influence of PIS on clinical outcomes during follow-up. The endovascular aneurysm sealing (EVAS) with the Nellix sac-anchoring endoprosthesis (Nellix Endovascular, Palo Alto, Calif) is a novel modality for AAA repair ...
Source: Annals of Vascular Surgery - October 16, 2019 Category: Surgery Authors: Martinelli Ombretta, Di Girolamo Alessia, Belli Cristina, Gattuso Roberto, Baratta Francesco, Gossetti Bruno, Alunno Alessia, Irace Luigi Tags: Clinical Research, Basic Science Source Type: research

Morphologic and operative evolution of open ruptured abdominal aortic aneurysm repair
Increased use of endovascular repair for intact abdominal aortic aneurysms has fundamentally shifted the approach to ruptured aneurysms. Unfortunately, not all patients are anatomically suited for endovascular repair. It is hypothesized that, in the endovascular era, patients undergoing open repair are increasingly complex; with an unknown impact on post-operative morbidity and mortality. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 16, 2019 Category: Surgery Authors: Daniel J. Scott, Sean P. Steenberge, James F. Bena, Sean P. Lyden Tags: Clinical Research, Basic Science Source Type: research

Comparison of cryopreserved arterial allografts versus heparin-bonded vascular grafts in infragenicular bypass for chronic limb threatening ischemia
The purpose of this study was to compare cryopreserved arterial allograft (CAA) to heparin-bonded prostheses (HBP) in infragenicular bypasses for patients with chronic limb-threatening ischemia (CLTI). (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 16, 2019 Category: Surgery Authors: Audrey Voury-pons, Nicolas Massiot, Emmanuelle Giauffret, Charlotte Behets, Ambroise Duprey, R éda Hassen-khodja, Elixène Jean-baptiste, Nirvana Sadaghianloo Tags: Clinical Research, Basic Science Source Type: research

Influence of on call vascular surgery team and off-hour effect on survival after ruptured abdominal aortic aneurysm.
Ruptured abdominal aortic aneurysms (rAAAs) represent a life-threatening emergency and carry a high community and in-hospital mortality, despite treatment and protocol advances. Identifying prognostic factors like the presence of on call vascular surgery teams at first hospital admissions or times of hospital admissions can modify hospital protocols and mechanisms to ameliorate general outcomes. The aim of this study is to analyze the influence of on call vascular surgery teams and off-hour admissions on survival after rAAAs in Catalonia, Spain. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 16, 2019 Category: Surgery Authors: Alejandro Fierro, Gaspar Mestres, Mar ía Alejandra Díaz, Paolo Tripodi, Xavier Yugueros, Vincent Riambau Tags: Clinical Research, Basic Science Source Type: research

Prognostic value of initial aneurysmal sac regression after EVAR
To evaluate the impact of initial aneurysmal sac reduction after endovascular aneurysm repair (EVAR) on the evolution of aneurysmal sac over follow-up. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 16, 2019 Category: Surgery Authors: Ferran Pla Sanchez, Isaac Mart ínez López, Manuela M. Hernández Mateo, Pablo Marqués de Marino, Oscar Ucles Cabeza, Adriana Baturone Blanco, Francisco Javier Serrano Hernando Tags: Clinical Research, Basic Science Source Type: research

Gender-Based Utilization and Outcomes of Autogenous Fistulas and Prosthetic Grafts for Hemodialysis Access
To evaluate gender-based patterns of utilization and outcomes of arteriovenous fistulas (AVFs) and grafts (AVGs) in a population-based cohort of hemodialysis (HD) patients. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Isibor J. Arhuidese, Muhammad Faateh, Ryan S. Meshkin, Aurelia Calero, Murray Shames, Mahmoud B. Malas Tags: Clinical Research Source Type: research

Outcomes following Eversion versus Conventional Endarterectomy in the Vascular Quality Initiative Database
Although the majority of vascular surgeons perform conventional carotid endarterectomy (c-CEA), others prefer eversion CEA (e-CEA). Despite several randomized controlled trials and single center studies, the advantage of one technique over the other is still not clearly defined. The purpose of this study is to compare the postoperative outcomes and durability of c-CEA versus e-CEA in a nationally representative cohort. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Hanaa Dakour-Aridi, Michael Ou, Satinderjit Locham, Ali AbuRahma, Joseph R. Schneider, Mahmoud Malas Tags: Clinical Research Source Type: research

Association between critical limb ischemia, the Society for Vascular Surgery Wound, Ischemia and foot Infection (WIfI) classification system and arterial stiffness.
Arterial stiffness analysis has been done in order to classify cardiovascular risk. The aim of this study is to analyze whether the group of patients with chronic limb-threatening ischemia (CLTI) has higher arterial stiffness indices than controls. The secondary objectives are: to assess whether patients with advanced stages of Wound, Ischemia and foot Infection (WIfI) classification have high levels of arterial stiffness; through multiple linear regression to analyze whether the ankle-brachial index (ABI) and other variables are predictive of arterial stiffness. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Daniel Mendes-Pinto, Maria da Gl ória Rodrigues-Machado, Túlio Pinho Navarro, Alan Dardik Tags: Clinical Research, Basic Science Source Type: research

Repair of an Anastomotic Pseudoaneurysm with a Novel Hybrid Technique
Anastomotic false aneurysms are a late complication of aortic grafting. Treatment usually consists of d ébridement of the degenerated tissue and placement of a short interposition graft. In infectious situations, graft excision is required. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Abdallah Naddaf, Ravishankar Hasanadka, Douglas Hood, Kim Hodgson Tags: Selected Technique Source Type: research

Arteriovenous Access Graft Infection: Standards of Reporting and Implications for Comparative Data Analysis
There is presently a lack of organization and standardized reporting schema for arteriovenous graft (AVG) infections. The purpose of this paper is to evaluate the various types of treatment modalities for access site infections through an analysis of current publications on AVG. Key proposals are made to support standardization in a data-driven manner to make infection reporting more uniform and thereby facilitate more meaningful comparisons between various dialysis modalities and AVG technologies. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: D.B. Kingsmore, K.S. Stevenson, A. Jackson, S.S. Desai, P. Thompson, N. Karydis, M. Franchin, B. White, M. Tozzi, A. Isaak Tags: General Review Source Type: research

The role of animal models in elucidating the etiology and pathology of abdominal aortic aneurysms: Development of a novel rupture mechanism model
Existing animal models do not replicate all aspects of abdominal aortic aneurysms (AAAs), including the rupture mechanisms. From histopathological analyses conducted in humans, it has been found that the vasa vasorum (VV) of the AAA wall is the starting point of circulatory failure and that bulging and dilatation of the abdominal aorta occurs through inflammation and tissue degeneration. We created a new animal model (the hypoperfusion-induced model) of AAAs. In this paper, we describe the current animal models of AAAs and present the utility of our new model of AAAs. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Hiroki Tanaka, Nobuhiro Zaima, Hirona Kugo, Tatsuro Yata, Yasunori Iida, Keisuke Hashimoto, Chie Miyamoto, Takeshi Sasaki, Hideto Sano, Yuko Suzuki, Tatsuya Moriyama, Hideyuki Shimizu, Kazunori Inuzuka, Tetsumei Urano, Naoki Unno Tags: General Review Source Type: research

Gender Based Utilization and Outcomes of Autogenous Fistulas and Prosthetic Grafts for Hemodialysis Access
To evaluate gender-based patterns of utilization and outcomes of arteriovenous fistulas (AVF) and grafts (AVG) in a population based cohort of hemodialysis (HD) patients. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Isibor J. Arhuidese, Muhammad Faateh, Ryan S. Meshkin, Aurelia Calero, Murray Shames, Mahmoud Malas Tags: Clinical Research, Basic Science Source Type: research

Outcomes Following Lower Extremity Amputation in Patients with Diabetes Mellitus and Peripheral Arterial Disease
Lower extremity amputations (LEA) are projected to increase drastically in the United States. The potential effects of diabetes mellitus (DM) and peripheral arterial disease (PAD) on LEA outcomes have not been well-explored. We sought to investigate the clinical outcomes of LEA in patients with DM alone, PAD alone, and patients with concurrent DM and PAD (DM+PAD) from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Poya Pourghaderi, Kyle M. Yuquimpo, Camila R. Roginski Guetter, Lauren Mansfield, Henry Soo-Min Park Tags: Clinical Research, Basic Science Source Type: research

Carbon Dioxide Angiography in the Treatment of Transplant Renal Artery Stenosis
This study sought to evaluate the efficacy of the adjunctive use of carbon dioxide angiography in the treatment of TRAS. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Adham Elmously, Jordan R. Stern, Jacques Greenberg, Christopher J. Agrusa, Darren B. Schneider, Sharif H. Ellozy, Peter H. Connolly Tags: Clinical Research, Basic Science Source Type: research

Duplex ultrasound for diagnosis of failing stents placed for lower extremity arterial occlusive disease
Non-invasive diagnostic testing may be beneficial to identify stenotic (failing) stents placed for occlusive lower extremity peripheral arterial disease (LEPAD), especially if subsequent intervention proves useful in maintaining prolonged stent patency. We previously documented the benefit of surveillance duplex ultrasonography (DU) for peripheral covered stents (stent grafts). The purpose of this study was to evaluate whether DU can reliably diagnose failing bare metal stents placed in iliac, femoral and popliteal arteries for LEPAD. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Hong Zheng, Keith D. Calligaro, Jiah Jang, Samuel Tyagi, Nicholas Madden, Douglas A. Troutman, Matthew J. Dougherty Tags: Clinical Research, Basic Science Source Type: research

Minimally invasive open conversion for late evar failure
With the increasing use of endovascular aortic repair (EVAR), open repair after aortic stent grafting is of growing interest. The surgical conversion treatment may be a very challenging process with high mortality and in hospital complications rates. Aim of the study was to present our experience in patients with EVAR failure treated by minimally invasive open conversion (MOC) and its technical aspects. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Francesco Stilo, Nunzio Montelione, Vincenzo Catanese, Rossella C. Vigliotti, Francesco Spinelli Tags: Clinical Research, Basic Science Source Type: research

Outcome of surgical treatment for carotid body tumors in different Shambling type without preoperative embolization: A single-center retrospective study.
Carotid body tumor (CBT) is the most common head and neck paragangliomas. Surgical resection is the golden standard management for CBT. While preoperative embolization is still controversial, long-term outcomes and perioperative results are still deficient. We here presented the outcomes of surgical treatment for CBT without preoperative embolization in our institution. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Tonglei Han, Shiying Wang, Xiaolong Wei, Yongfu Xie, Yudong Sun, Huiying Sun, Jiang Zhu, Yani Wu, Jian Zhou, Zhiqing Zhao, Zaiping Jing Tags: Clinical Research, Basic Science Source Type: research

Paraoxonase-1 and symptomatic status in carotid artery disease
Paraoxonase-1 (PON-1) is a high-density-lipoprotein associated hydrolase that appears to have a protective action against atherosclerosis. The aim of our study is to identify whether PON-1 levels may be associated with the manifestation of symptoms in patients with carotid artery stenosis. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Stella Lioudaki, Christos Verikokos, Grigorios Kouraklis, Nikolaos Kontopodis, Georgios Markakis, Christos Ioannou, Aphrodite Daskalopoulou, Despina Perrea, Christos Klonaris Tags: Clinical Research, Basic Science Source Type: research

Outcomes following Eversion vs. Conventional Endarterectomy in the Vascular Quality Initiative Database
While the majority of vascular surgeons perform conventional CEA (c-CEA), others prefer eversion CEA (e-CEA). Despite several randomized controlled trials and single center studies, the advantage of one technique over the other is still not clearly defined. The purpose of this study is to compare the postoperative outcomes and durability of c-CEA vs. e-CEA in a nationally representative cohort. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Hanaa Dakour-Aridi, Michael Ou, Satinderjit Locham, Ali AbuRahma, Joseph R Schneider, Mahmoud Malas Tags: Clinical Research, Basic Science Source Type: research

Does endovascular abdominal aortic repair change psoas muscle volume?
This study was performed to assess the volume change in the psoas muscle after EVAR. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Yoshiro Hori, Tatsuya Nishii, Atsushi K. Kono, Yasutoshi Ohta, Yosuke Inoue, Atsushi Omura, Yoshimasa Seike, Kyokun Uehara, Hitoshi Matsuda, Tetsuya Fukuda Tags: Clinical Research, Basic Science Source Type: research

Midterm results of endovascular treatment for complete iliac axis occlusions using covered stents
This study reports mid-term results of endovascular therapy with covered stents for complete iliac axis occlusions (CIAO) (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Ahmad Amer Zanabili Al-Sibbai, Lino Antonio Camblor Santerv ás, Francisco Álvarez Marcos, Margarita Rivas Domínguez, José Antonio Del Castro Madrazo, José Manuel Llaneza Coto, Manuel Alonso Pérez Tags: Clinical Research, Basic Science Source Type: research

Early and late outcomes of surgery for neurogenic thoracic outlet syndrome in adolescents
Neurogenic thoracic outlet syndrome is a condition that is both complex to diagnose and to manage successfully. The aim of our study was to present our experience and outcomes of surgical management of thoracic outlet syndrome in adolescents. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: J. Al Shakarchi, A. Jaipersad, R. Morgan, A. Pherwani Tags: Clinical Research, Basic Science Source Type: research

Prevalence and risk factors of preoperative deep vein thrombosis in patients with end-stage knee osteoarthritis
The purpose of this study was to determine the prevalence and the risk factors of DVT in end-stage OA patients. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Tao Jiang, Yao Yao, Xingquan Xu, Kai Song, Pin Pan, Dongyang Chen, Zhihong Xu, Jin Dai, Jianghui Qin, Dongquan Shi, Qing Jiang Tags: Clinical Research, Basic Science Source Type: research

Transfusion Timing and Postoperative Myocardial Infarction and Death in Patients Undergoing Common Vascular Procedures
ObjectivesPerioperative allogenic blood transfusions, specifically packed red bloods cells (pRBC), after vascular surgery procedures is one modifiable risk factor that is associated with increased cardiovascular events and 30-day mortality. The aim of this study is to evaluate the effect of transfusion timing (intraoperative vs. postoperative) on the rate of postoperative myocardial infarction (POMI) and death. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: T. Heafner, K. Bews, M. Kalra, G. Oderich, J. Colglazier, F. Shuja, T. Bower, R. DeMartino Tags: Clinical Research, Basic Science Source Type: research

Optimal Treatment Strategy and Natural History of Isolated Superior Mesenteric Artery Dissection Based on Long-term Follow-up CT findings
Isolated superior mesenteric artery dissection (ISMAD) was previously considered a rare disorder; however, this condition has been increasingly diagnosed as time progressed. Although treatment regimen and treatment outcomes have become clearer, the optimal treatment strategy has not yet been well established. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Je Ho Jang, Byung Sun Cho, Hye Young Ahn, Seulgi Lee, Hyeyoung Kim, Chang Nam Kim Tags: Clinical Research, Basic Science Source Type: research

Angiotensin Converting Enzyme Inhibitors and Angiotensin II Receptor Blockers (ACEI/ARB) are Associated with Improved Limb Salvage After Infrapopliteal Interventions for Critical Limb Ischemia
The objective of this study is to assess the effect of ACEI/ARB on patency and limb salvage in patients undergoing interventions for critical limb ischemia (CLI). (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Sikandar Z. Khan, Brittany Montross, Mariel Rivero, Gregory S. Cherr, Linda M. Harris, Maciej L. Dryjski, Hasan H. Dosluoglu Tags: Clinical Research, Basic Science Source Type: research

Egg-shell like calcification as a protective factor for splenic artery aneurysm dilatation
The purpose of this study was to evaluate the factors associated with asymptomatic splenic artery aneurysm (SAA) dilatation. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 15, 2019 Category: Surgery Authors: Masaya Sano, Katsuyuki Hoshina, Takuya Kawahara, Masaru Kimura, Takafumi Akai, Toshihiko Isaji, Kota Yamamoto, Toshio Takayama Tags: Clinical Research, Basic Science Source Type: research

Giant Hypogastric Aneurysm Induced by Type-II Endoleak Presenting 4  Years after Endovascular Repair: A Case Report
Bilateral isolated hypogastric aneurysm (HA) is a rare type of abdominal aneurysm. Endovascular repair has become predominant compared with surgical repair because of its minimal invasiveness. However, type-II endoleak after procedure may lead to continuous enlargement of HA and rupture. Herein, we report a rare case involving a very large HA induced by type-II endoleak after endovascular repair. A 68-year-old male patient underwent endovascular repair of bilateral isolated HAs 4  years ago. Stent grafts were used to block the orifices of bilateral HAs, and main distal outflows were embolized with coils. (Source: Anna...
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Xiyang Chen, Jichun Zhao, Bin Huang, Ding Yuan, Yi Yang Tags: Case Report Source Type: research

Horseshoe Kidney Protection with Histidine-Tryptophan-Ketoglutarate Solution  during Surgical Abdominal Aortic Aneurysm Repair
We report an unusual case of a 65-year-old male patient with horseshoe kidney, who underwent a successful open repair for an abdominal aortic aneurysm (AAA). The accessory renal arteries were perfused with histidine-tryptophan-ketoglutarate (HTK) solution (Custodiol ®; Dr. Franz-Kohler Chemie GmbH, Bensheim, Germany) during the vascular reconstruction. There were no creatinine and estimated glomerular filtration rate (eGFR) modifications in the postoperative time. In the literature, only two cases of Custodiol solution for kidney protection during aortic surge ry are reported. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Giovanni Tinelli, Simona Sica, Fabrizio Minelli, Marco Natola, Francesca De Nigris, Yamume Tshomba Tags: Case Report Source Type: research

Hybrid Laparoscopic and Endovascular Treatment for Median Arcuate Ligament Syndrome: Case Report and Review of Literature
Median arcuate ligament syndrome is a rare cause of chronic gastrointestinal ischemia caused by compression of median arcuate ligament on the celiac trunk. A 38-year-old male presented at our institution with unspecific crampy abdominal pain. After several diagnostic examinations, he firstly underwent arcuate ligament resection by laparoscopic approach and 2 months later, he underwent percutaneous transluminal angioplasty with stenting of the stenotic vessel. Postoperatory and follow-up controls showed regular patency of the artery with complete relief of abdominal symptoms. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Luca Garriboli, Tommaso Miccoli, Isacco Damoli, Roberto Rossini, Carlo Alberto Sartori, Giacomo Ruffo, Antonio Maria Jannello Tags: Case Report Source Type: research

Two Cases of Popliteal Cystic Adventitial Disease Treated with Primary Stenting: Long-Term Results
We report 2 young claudicants treated with primary stenting with continuous 4- and 10-year symptomatic relief and arterial patency. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Renato A. Mertens, Michel Bergoeing, Leopoldo Marin é, Francisco Vargas, Ignacio Torrealba, Francisco Valdés Tags: Case Report Source Type: research

Primary Renal Vein Aneurysm Rupture: Case Report of a Catastrophic Entity
Renal vein aneurysms (RVAs) are uncommon entities, which are usually incidental findings or may cause mild nonspecific symptoms. Modern radiological imaging, mainly multislice computed tomography (CT), has substantially contributed to a prompt and accurate diagnosis. Treatment may range from watchful waiting to aneurysmorraphy, aneurysmectomy, and nephrectomy. Potential complications include thrombosis, pulmonary embolism, pressure to other structures, and rupture. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Konstantinos A. Paschos, Michalis Kirmanidis, Konstantinos Boulas, Athina Spanoudaki, Anestis Chatzigeorgiadis Tags: Case Report Source Type: research

Emergency Endovascular Treatment of Coral Reef Aorta with an Unconventional Technique
We present a case of a 70-year-old woman with acute presentation of bilateral limb ischemia and abdominal pain. An angio-computed tomography (CT) scan showed the subocclusion of the distal thoracic aorta due to a severe calcified coarctation with intraluminal thrombosis, a chronic occlusion of the superior mesenteric and celiac trunk arteries, a hypertrophic inferior mesenteric artery associated with signs of partial left kidney ischemia. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Emanuele Gatta, Paolo Berretta, Gabriele Pagliariccio, Sara Schiavon, Luciano Carbonari Tags: Case Report Source Type: research

Primary renal vein aneurysm rupture-case report of a catastrophic entity
Renal vein aneurysms (RVA)s are uncommon entities, which are usually incidental findings or may cause mild non specific symptoms. Modern radiological imaging, mainly multi slice computerized tomography (CT), has substantially contributed to a prompt and accurate diagnosis. Treatment may range from watchful waiting to aneurysmorraphy, aneurysmectomy and nephrectomy. Potential complications include thrombosis, pulmonary embolism, pressure to other structures and rupture.Case: A 58-year-old male patient was admitted at the Emergency Department with abdominal pain. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Konstantinos A. Paschos, Michalis Kirmanidis, Konstantinos Boulas, Athina Spanoudaki, Anestis Chatzigeorgiadis Tags: Case Report Source Type: research

Multiple Diffused Cavernous hemangiomas associated with venous calculi formation in the right upper limb and back: A case report
Cavernous hemangioma, a benign soft tissue and intramuscular tumor is commonly located in the head, neck and maxillofacial regions. They can sometime occur in the limbs and trunk, although rarely. Treatment of cavernous hemangiomas include surgical and non-surgical means. Cases of extensive diffused cavernous hemangiomas of an entire limb are rare. In this case presentation, we report the case of chronic diffused cavernous hemangioma associated with venous calculi of the right upper limb and back in a 31 year old Chinese man. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Abu Moro, Tiantian Wang, Jinlan Huang, Wenyu Feng, Haijun Tang, Yun Liu, Shijie Liao Tags: Case Report Source Type: research

Hybrid Laparoscopic and Endovascular Treatment for Median Arcuate Ligament Syndrome (MALS): Case Report and Review of Literature
Median Arcuate Ligament Syndrome (MALS) is a rare cause of chronic gastrointestinal ischemia caused by compression of median arcuate ligament (MAL) on celiac trunk (CT). A 38 year-old male presented at our Institution with unspecific crampy abdominal pain. After several diagnostic exams, he firstly underwent arcuate ligament resection by laparoscopic approach and two months later percutaneous transluminal angioplasty (PTA) with stenting of the stenotic vessel. Post-operatory and follow-up controls showed regular patency of the artery with fully relief of abdominal symptoms. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Luca Garriboli, Tommaso Miccoli, Isacco Damoli, Roberto Rossini, Carlo Alberto Sartori, Giacomo Ruffo, Antonio Maria Jannello Tags: Case Report Source Type: research

Use of multimodal interventional radiology with an intracerebral artery stent retriever for acute superior mesenteric artery thrombosis: a case report
Acute superior mesenteric artery thrombosis is usually fatal; however, early intravascular treatment using a mechanical thrombectomy device can be an effective intervention. A 70-year-old man with atrial fibrillation presented with sudden abdominal pain; superior mesenteric artery thrombosis was confirmed using contrast-enhanced computed tomography. Thrombolysis, mechanical fragmentation, aspiration, and thrombectomy were successfully performed using the Trevo ® XP ProVue stent retriever via a brachial approach, and intestinal necrosis was avoided. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Satoshi Tamura, Maruhashi Takaaki, Kashimi Fumie, Kurihara Yutaro, Oi Marina, Tasuku Hanajima, Yuichi Kataoka, Asari Yasushi Tags: Case Report Source Type: research

Emergency endovascular treatment of coral reef aorta with unconventional technique
We present a case of a 70-year-old woman with acute presentation of bilateral limb ischemia and abdominal pain. Angio-CT scan showed the sub-occlusion of the distal thoracic aorta due to a severe calcified coarctaction with intraluminal thrombosis, a chronic occlusion of the superior mesenteric and celiac trunk arteries, an hypertrophic inferior mesenteric artery associated with signs of partial left kidney ischemia. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Emanuele Gatta, Paolo Berretta, Gabriele Pagliariccio, Sara Schiavon, Luciano Carbonari Tags: Case Report Source Type: research

Total endovascular aortic arch replacement with chimney/sandwich techniques
Traditional open total zone 0 replacement of the aortic arch is one of the most complex, challenging and demanding operative procedures in cardiovascular surgery, with significant morbidity (30-40%) and mortality (8-20%) associated. Total endovascular zone 0 replacement of the aortic arch with the chimney/sandwich techniques as described by Lobato AC et al in 2011 is a feasible less invasive, less demanding and time-consuming option to hybrid and/or traditional open replacement of the aortic arch, particularly in the urgent/emergent settings. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Gabriela Teixeira, Arlindo Matos, Rui de Almeida, Armando C. Lobato Tags: Case Report Source Type: research

Emergent Endovascular Treatment in Primary Ilio-enteric Fistula
Aortoenteric fistula (AEF) is a rare cause of gastrointestinal (GI) bleeding. If not promptly diagnosed and treated the associated mortality is very high. The role of endovascular treatment is not yet defined. In this paper we report a clinical case of a 94-year-old male admitted in the emergency department with rectal bleeding. Due to detection of a pulsatile abdominal mass, a computed tomography angiography (CTA) scan was performed, which established the diagnosis of aorto-enteric fistula due to a left common iliac artery aneurysm (CIAA) ruptured to the sigmoid colon and also revealed an abdominal aortic aneurysm (AAA) a...
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: In ês Antunes, Carlos Pereira, Carlos Veterano, Ana Povo, Cláudio Silva, Gabriela Teixeira, Carlos Veiga, Daniel Mendes, Rui Almeida Tags: Case Report Source Type: research

Examination of Mechanism of Injury is Sine Qua Non In Combat Vascular Trauma
We recently read the article in press titled “Epidemiology of upper extremity vascular injury in contemporary combat” by Matthew Vuoncino, et al. with great interest. In the context of the wars in Iraq and Afghanistan, this article explores the characterization of combat upper extremity injury and addresses the surgical management and outc omes. Their analysis of 308 upper extremity vascular injuries resulted from a predominantly (74%) penetrating explosive fragments with 61% associated with fractures and a recorded 12% early limb loss rate and a overall mortality of 4.9%. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - October 14, 2019 Category: Surgery Authors: Amila S. Ratnayake, Achala U. Jayatilleke, Tamara J. Worlton Tags: Correspondence Source Type: research