Understanding the Scope of Acute Care Vascular Surgery at a Tertiary Academic Medical Center
Non-elective general surgery has been restructured into an acute care paradigm nationally. Although vascular surgery maintains one of the highest acuity rates among surgical specialties, the acute care vascular surgery (ACVS) practice model has not been widely adopted. In the present study, we investigated the scope and burden of ACVS in an academic medical system. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Elizabeth Hope Weissler, Zachary F. Williams, Kevin Southerland, Chandler Long, Adam Johnson, Dawn Coleman, Young Kim Source Type: research
Aortic Luminal Contrast Attenuation Varies With Dissection Morphology and Is Associated With Need for Intervention
Prognostication after acute Type B aortic dissection (aTBAD) may be limited when relying upon static computed tomographic angiography (CTA) images to evaluate a dynamic process. We performed an exploratory study to characterize variations in luminal contrast attenuation on CTA, as a surrogate for blood flow in dissection, and to determine whether the resulting parameters held prognostic value. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Zach M. Feldman, Brandon J. Sumpio, Sujin Lee, Marlena Sabatino, Charles S. DeCarlo, Thomas Fedrigoni, Sunita D. Srivastava, Matthew J. Eagleton, Jahan Mohebali Source Type: research
Assist: Validation of a Novel Hybrid Clinician-Patient Remote Outcome Measure for Diagnosis of Surgical Site Infection
This study evaluates the acceptability, reliability and validity of a novel hybrid clinician-patient remote outcome measure (ASSIST) for detecting SSI. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Ross Lathan, Louise Hitchman, Bharadhwaj Ravindhran, Misha Sidapra, Josephine Walshaw, Judith Long, Joshua Totty, Carradice Daniel, George Smith, Ian Chetter Source Type: research
Concomitant Pedal Interventions Improve Outcomes for Isolated Tibial Interventions in Chronic Limb-threatening Ischemia
Tibial interventions with poor pedal runoff is associated with worse outcomes. The aim of this study was to examine the impact of pedal interventions to improve poor pedal runoff on the outcomes following tibial Interventions. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Mark G. Davies, Joseph P. Hart Source Type: research
Upper Extremity Dorsal Venous Arterialization for No-Option Chronic Limb Threatening Ischemia
We present a case of successful hybrid upper extremity venous arterialization via axillary artery-cephalic vein bypass using a great saphenous vein (GSV) conduit for no-option CLTI. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Sarah A. Loh, Anand Brahmandam, David Colen, David S. Strosberg Source Type: research
Updated Carotid Stenosis Criteria may Support a Reduction in Healthcare Expenses
Current guidelines recommend screening for carotid artery stenosis (CAS) in patients with multiple risk factors and annual surveillance is recommended for those with>50% stenosis. Therefore, the duplex ultrasound (DUS) criteria defining the threshold for 50% stenosis carries great influence for lifelong healthcare expense. The IAC recently revised these criteria and we hypothesize that this elevated threshold will reduce healthcare costs. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Camila Villacreses, Christian Barksdale, Hollis Chillura, Rupak Mukherjee, Jean M. Ruddy Source Type: research
Elevated Hba1c Levels Induced Coagulopathy Identified by Viscoelastic Testing
This study aimed to determine the association between specific coagulation parameters and variations in HbA1c. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Ivy Lee, Shiv S. Patel, Katherine Morrow, Fanah Hagos, Tasya Rakasiwi, Aniket Agrawal, Sasha Suarez, Ryan Hall, Nikolaos Zacharias, Anahita Dua Source Type: research
Post Thrombotic Syndrome Morbidity in Mechanical Thrombectomy Versus Catheter-Directed Thrombolysis of Iliofemoral Deep Venous Thrombosis
Iliofemoral deep venous thrombosis (IFDVT) is strongly associated with post thrombotic syndrome (PTS). Treatment options include catheter-directed thrombolysis (CDT) and, more recently, the rapid development of large bore devices for mechanical thrombectomy (MT). Both treatments have been shown to be effective; however, the rates of PTS after MT are poorly characterized. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Jack K. Donohue, Rachel Kann, Lena Vodovotz, Adham N. Abou Ali, Rabih A. Chaer, Natalie D. Sridharan Source Type: research
Carotid Endarterectomy vs Transcarotid Stenting for Unstable Plaques
Previous studies have suggested similar outcomes between carotid endarterectomy (CEA) and trans-carotid artery revascularization (TCAR); however, less is known regarding outcome variability in symptomatic, unstable carotid lesions. We evaluated postoperative risk by carotid revascularization modality in patients presenting with an unstable carotid plaque. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Samuel D. Leonard, Nathaniel Debovever, Regina Husman, Kourosh Keyhani, Arash Keyhani, Raghu Motaganahalli, Andres Fajardo, Shihuan K. Wang Source Type: research
Polygenic Score Informed Models can Improve Screening for Abdominal Aortic Aneurysms
This study applied known SNPs for AAA and CAD to improve AAA risk stratification for screening and prognostication. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: David Jiang, Zhuqing Shi, Jun Wei, Huy Tran, Lilly S. Zheng, Jianfeng Xu, Cheong J. Lee Source Type: research
Association Between Regional Market Competition and Early Femoropopliteal Interventions for Claudication
Market competition has been shown to impact practice patterns in medicine. We aimed to investigate the association of regional market competition with the utilization of early peripheral vascular interventions(PVI) for the treatment of claudication, and the subsequent association with clinical outcomes. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Chen Dun, Sanuja Bose, David P. Stonko, Midori White, Katherine M. McDermott, James H. Black, Corey A. Kalbaugh, M Libby Weaver, Martin Makary, Caitlin W. Hicks Source Type: research
Early Opioid Use and Postoperative Delirium Following Open Abdominal Aortic Aneurysm Repair
This study assessed the impact of early postoperative opioid analgesia on delirium incidence and time to onset. We hypothesized that higher early postoperative opioid utilization would be associated with increased delirium incidence. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Richard D. Gutierrez, Lejla Pepic, Elizabeth Lancaster, Warren J. Gasper, Jade S. Hiramoto, Michael S. Conte, Tasce Bongiovanni, James Iannuzzi Source Type: research
The Future of Traumatic Vascular Injury Management: Contemporary Operative Experiences in Vascular Trauma Among Surgical Trainees
In this study, we examined disparities in operative experience in vascular trauma among surgical trainees across different surgical specialties. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Nicole Heidt, Christina Cui, Chandler Long, Dawn Coleman, Young Kim Source Type: research
Physician Modified Endografts Achieve Equivalent Patient Survival and Target Visceral Vessel Related Outcomes to Custom Factory Made Fenestrated Endografts in Treating Complex Aortic Pathology
The purpose of this study was to conduct a real-world comparison of visceral stent branch related outcomes and survival in physician modified endografts (PMEG) versus custom factory made fenestrated endografts (CMFE). (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Michael C. Soult, Nikita Ganeshan, Ruojia Li, Ashley Penton, Carlos F. Bechara, Matthew Blecha Source Type: research
Impact of Elective Open Abdominal Aortic Aneurysm Repair Volume Cutoffs on Patient Access to Surgical Care in New York State
Volume-outcome relationships have established improved outcomes for patients undergoing open AAA repair if performed by surgeons with a yearly volume of ≥7 open aortic procedures and at hospitals with a perioperative mortality rate of (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - February 15, 2024 Category: Surgery Authors: Joshua Geiger, Baqir Kedwai, Daniel Lehane, Michael Stoner, Karina Newhall, Adam Doyle Source Type: research
