Review of article: Obesity and Clotting:  BMI independently contributes to hypercoagulability after injury. J Trauma Acute Care Surgery. 2015 January;78(1):30-38
Trauma is a health issue of epidemic proportions and accounts for the majority of deaths in people aged 1 –44 years. Uncontrolled hemorrhage after injury is attributed to early death. Because of this, there is significant interest in understanding the postinjury spectrum of clotting dysfunction as a result of hypocoagulability or hypercoagulability. On presentation, one-third of severely injured and bleeding patients have acute traumatic coagulopathy with significant morbidity and a four-fold increase in mortality. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - October 26, 2018 Category: Nursing Authors: Karen R. Bruni-Fitzgerald Tags: Research Column Source Type: research

From the editor's perspective …
As the year is coming to an end, I would like to start the dialogue about the exciting initiative Nursing Now. As nurses we demonstrate our knowledge and skills to our patients, their families, and the public every day. We play a vital role in providing quality care, disease prevention, wellness teaching and health promotion. We work to advance care and lead change. Now we will have an even greater role to play in the future. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - October 25, 2018 Category: Nursing Tags: Perspectives Source Type: research

Impact of Patient Safety Indicators on readmission after abdominal aortic surgery
Patient safety is a critical component of health-care quality and measures created by the Agency for Healthcare Research and Quality (AHRQ) to identify hospitalizations with potentially preventable adverse events. This analysis evaluated whether Patient Safety Indicator (PSI) events after open surgical repair (OSR) or endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm (AAA) were associated with increased risk of readmission. Patients undergoing elective repair of nonruptured AAA from 2009 to 2012 were selected in the Medicare Provider Analysis and Review files using the International Classification of Disease...
Source: Journal of Vascular Nursing - October 1, 2018 Category: Nursing Authors: Jonathan Bath, Viktor Y. Dombrovskiy, Todd R. Vogel Source Type: research

Contemporary nursing care in transcatheter aortic valve replacement
The purpose of this article is to inform nurses of the latest trend in the care of patients with aortic stenosis using transcatheter aortic valve replacement and pertinent knowledge regarding the care of these patients. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - September 26, 2018 Category: Nursing Authors: Bailey Ann Estes, Ankur Kalra Source Type: research

Teaching module for improving oncology nurses' knowledge and self-confidence about central line catheters caring, complications, and application: A pretest-posttest quasi-experimental design
The aim of the present study was to assess the effectiveness of implementing an educational module based on the Centers for Disease Control and Prevention guidelines on the nurses' knowledge and self-confidence regarding central line catheters (CVCs) caring, complications, and application. A pretest-posttest quasi-experimental design was used. A sample of 100 oncology nurses from oncology units participated in two groups, experimental group (N  = 50) and control group (N = 50). The participants completed knowledge test and self-confidence scale before and after the educational program. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - August 22, 2018 Category: Nursing Authors: Loai Abu Sharour, Maha Subih, Dalal Yehia, Khaled Suleiman, Ayman Bani Salameh, Mahmoud Al Kaladeh Source Type: research

Review of article: R üsch, D., Florian Seel, T.K., Eberhart, L. Vapocoolant spray versus lidocaine infiltration for radial artery cannulation: A prospective, randomized, controlled clinical trial. J Cardiothoracic and Vascular anesthesia 2017;31:77-83
Accurate measurement of arterial blood pressure is an essential component of patient care management. Patients undergoing surgical and interventional procedures often require direct measurement of blood pressure via an arterial catheter. The indications and necessity for placement of an arterial line are based on the type of operation or interventional procedure, patient condition, comorbidities, anticipated treatment regimen, and/or frequency of blood draws. Placement of an arterial line can contribute to pain and discomfort during insertion. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - August 21, 2018 Category: Nursing Authors: Eileen Walsh, Scott Schade, Brittany K. Mitchell Tags: Research Column Source Type: research

Table of Contents
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - August 21, 2018 Category: Nursing Source Type: research

Information for Authors
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - August 21, 2018 Category: Nursing Source Type: research

Information for Readers
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - August 21, 2018 Category: Nursing Source Type: research

Editorial Board
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - August 21, 2018 Category: Nursing Source Type: research

Patient experiences of living with coronary stent
Cardiovascular disease is among the most important disorders in the developed world and the main cause of death and disability in all countries considered. Using coronary stent in cardiovascular patients, as an effective treatment, has greatly reduced the requirement for cardiac surgery. The study was carried out to explore lived experiences of patients living with coronary stents.The qualitative phenomenological study was performed to explore lived experiences of patient with coronary stent. The participants (11 patients) were selected purposively. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - August 13, 2018 Category: Nursing Authors: Arezoo Mehrpoya, Rostam Jalali, Amir Jalali, Mehrdad Namdari Source Type: research

Postoperative major surgery patients developing silent deep vein thrombosis: A prospective observational study
This study aimed to determine the incidence of sDVT. Secondary objective is to identify the associated factors for the use of DVT prophylaxis and Caprini risk scores among major surgery patients. This prospective observational study involved postoperative surgical patients who are at risk of developing sDVT. The Caprini risk-assessment scores were calculated, and each subject had a preoperative and postoperative compression ultrasound complemented by duplex venous ultrasonography of deep venous system. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - August 6, 2018 Category: Nursing Authors: Michael Pak-Kai Wong, Zalina Zahari, Mohd Shafie Abdullah, Rosnelifaizur Ramely, Mohd Nizam Md Hashim, Zaidi Zakaria, Andee Dzulkarnaen Zakaria Source Type: research

Improving outcomes in patients with peripheral arterial disease
The benefits of risk-factor reduction associated with peripheral arterial disease (PAD) is established and supported by the literature. The purpose of this quality-improvement project was to reduce modifiable risk factors such as diabetes mellitus (DM), hypertension (HTN), hyperlipidemia (HLD), and tobacco use in patients with PAD, as well as to demonstrate improvement in quality of life (QoL) and 6-minute-walk distances. For this quality-improvement project, 29 patients from three providers within a cardiology office were identified over a 6-week period. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - July 30, 2018 Category: Nursing Authors: Melissa Sutton, Kathryn Kreider, Julie Thompson, Samir Germanwala, Jonathan Greifenkamp Source Type: research

Practical experience implementing supervised exercise therapy for peripheral artery disease in urban and rural Minnesota
Although numerous studies have demonstrated the effectiveness of treadmill-based supervised exercise therapy (SET) in improving pain-free and total walking distance and quality of life in individuals with peripheral artery disease (PAD), historically this treatment has not been widely available outside of research settings. Last year's decision by the Centers for Medicare and Medicaid Services (CMS) to cover up to 36 sessions of SET over a 12-week period for beneficiaries with symptomatic PAD1 has enabled greater implementation of this effective treatment in clinical settings. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - July 28, 2018 Category: Nursing Authors: Mary O. Whipple, Rebecca J.L. Brown, Diane Treat-Jacobson Tags: Clinical Column Source Type: research

The effect of depression on adherence to antihypertensive medications in elderly individuals with hypertension
This study was carried out to find the effect of depression on adherence to antihypertensive medications in elderly individuals with hypertension. The descriptive study population consisted of hypertensive individuals aged 65 years and older, who presented to one of the three Family Health Centers located in the provincial center of Erzincan. No sampling was attempted, and 350 people who met the inclusion criteria were included in the study. The study data were collected between May and September 2014 by face-to-face interviews using a descriptive questionnaire, the Medication Adherence Self-Efficacy Scale-Short Form for h...
Source: Journal of Vascular Nursing - July 24, 2018 Category: Nursing Authors: Ezgi Demirt ürk, Rabia Hacıhasanoğlu Aşılar Source Type: research

Problems associated with performance of peripheral intravenous catheterization in relation to working experience
The aim of this study was to explore general registered nurses' (RNs) assessments of problems associated with difficult peripheral intravenous catheterization (PIVC) depending on their years of working experience, that is, those who had worked 3 years or less and those who had worked more than 3 years. The design was a quantitative, nonexperimental, descriptive, and analytic survey. The participating RNs (n  = 83) were divided into two groups according to the length of their working experience, and the analysis was performed using the SPSS, version 24, software. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - July 16, 2018 Category: Nursing Authors: Linda Sandstr öm, Angelica Forsberg Source Type: research

From the Editor's Perspective …
Aretha Franklin sang it all too well; “R-E-S-P-E-C-T, find out what it means to me”.1 Most often when people are asked what treatment they want the most from their leaders, peers, and coworkers at work, the answer is the desire to be treated with dignity and respect. We all work in stressful situations and know that if we work well together and demonstrate respect and kindness, we can enjoy our work environments. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - July 15, 2018 Category: Nursing Tags: Perspectives Source Type: research

Comparison of abdominal and arm areas in patients receiving subcutaneous heparin in terms of development of pain, hematoma, and ecchymosis
The purpose of this study was to compare the abdominal and arm areas in the patients using subcutaneous heparin in terms of pain, hematoma, and ecchymosis development. As a result of subcutaneous heparin injections, complications such as pain, ecchymosis, and hematoma may develop in the injection site. The injection site chosen for injection is one of the factors that are effective on complications. This quasi-experimental study was conducted with 54 patients at orthopedics –traumatology and cardiothoracic surgery clinics of a university hospital. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - July 10, 2018 Category: Nursing Authors: Zeliha Cengiz, Meral Özkan Source Type: research

A study of the use of peripherally inserted central catheters in cancer patients: A single-center experience
This study was conducted in a prospective observational study design and collected data of patients with a diagnosis of any cancer, at a tertiary care oncology hospital in Ahmadabad, Gujarat, India, during a 2-year period. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - July 4, 2018 Category: Nursing Authors: Irappa Madabhavi, Apurva Patel, Malay Sarkar, Pritam Kataria, Nagaveni Kadakol, Asha Anand Source Type: research

In the shadow of perceived threat: The live experience of Iranian patients candidate for undergoing coronary angiography
This article aimed to explore the Iranian patients' experiences of undergoing CAG. In this qualitative study that is a substudy of a larger study, 15 patients (seven men and eight women) with a mean age of 49.8  ± 11.6 years were recruited from three hospitals in Shiraz, southwest Iran. Data were collected using semistructured, face-to-face interview before undergoing CAG. Interviews were audiotaped and transcribed. Data were analyzed using qualitative content analysis. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - June 7, 2018 Category: Nursing Authors: Farkhondeh Sharif, Majid Najafi Kalyani, Fazlollah Ahmadi, Mohammad Taghi Iman Source Type: research

Hospitalization for Critical Limb Ischemia: Creating an Environment for Care and Communication
Patients with critical limb ischemia are aged and frail, and have comorbid conditions which increase their risk for geriatric syndromes. Extended lengths of stay, deconditioning and institutionalization is common. Understanding what happens to these patients when they are hospitalized will contribute to providing patient-centered care and may improve outcomes. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Sue Monaro, Jane Pinkova, Janice Gullick, Sandra West Source Type: research

LIMFLOW - A Percutaneous Approach to Deep Vein Arterialization: Site Update
Deep vein arterialization is a technique used to treat critical limb ischemia with non-healing wound/gangrene to the foot when no other revascularization option is available. This technique has previously been an open procedure. Deep vein arterialization is meant to be limb salvaging technique along with wound healing. Open deep vein arterialization can be complicated, and at times, considered controversial. LIMFLOW is a new procedure that utilizes a percutaneous approach to deep vein arterialization. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Jeri L. Long Source Type: research

Acute Limb Ischemia: A Case Study
Thrombosis of a limb artery or bypass graft can result in acute limb ischemia (ALI). ALI is an abrupt cessation in blood supply to an extremity that threatens limb viability and often requires urgent revascularization. Catheter-directed thrombolysis (CPT) is the preferred treatment for patient presents with ALI category I or IIa. Postoperative bleeding, delirium, and alcohol withdrawal are potential complications for patients undergoing CPT which can significantly increase lengths of stay, particularly ICU stays, and add significantly to the individual and institutional cost of hospitalization while also negatively impacti...
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Ellen Malone, Nga Nguyen Source Type: research

Fenestrated Endovascular Aneurysm Repair for Juxtarenal Aortic Aneurysm
Abdominal aortic aneurysms (AAAs) most commonly occur in the infrarenal location; only approximately 5 percent of AAAs involve the renal or visceral arteries. This review will focus on the endovascular repair of juxtarenal aortic aneurysms (JRA) using fenestrated stent grafts. JRA have only recently succumbed to endovascular procedures; previously, open surgical repair (OSR) was required due to anatomical limitations for landing and sealing a stent graft. Indications for repair of JRA are the same as for infrarenal AAA: symptomatic AAA, sac diameter greater than or equal to 5.5 cm, or rapid growth, defined as 0.5cm in 6 mo...
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Dana M. Murray Source Type: research

Spinal Protection following Aortic Aneurysm Repair
Diagnostic modalities and treatment options for patients with aortic aneurysm continue to improve, but the risk of spinal cord ischemia leading to paraplegia, either immediately or delayed onset, remains high. What can/should we be doing to reduce the risk? This presentation will look at the use of the lumbar drain in the management of the aortic aneurysm patient; including indications, management, and possible complications. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Karen Prenger Source Type: research

Balancing Blood Pressure after Carotid Revascularization
Cardiovascular instability is more common in patients with cardiovascular disease, those receiving vasoactive medications and in those undergoing cardiovascular procedures such as carotid endarterectomy (CEA) or carotid artery stenting (CAS). The aim of carotid revascularization is to decrease the subsequent risk of fatal or disabling stroke in patients with significant carotid stenosis, but the benefits are apparent only if perioperative morbidity and mortality are low. Hypertension is common in patients undergoing carotid revascularization, with a prevalence of about 65%. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Debra Kohlman-Trigoboff Source Type: research

Best Practice for Concomitant CABG/CEA: A Case Study/Literature Review
More than 200,000 coronary artery bypasses and over 100,000 carotid endarterectomies are performed annually in the United States. Few combined coronary and carotid procedures have been reported in the literature. Protocols and procedures are in place for the surgical management of each operative procedure yet the surgical management of concomitant coronary artery and carotid artery disease is still evolving. Some literature shows that combined coronary and carotid procedures can be done safely with good patient outcomes. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Colleen Taylor, M. Eileen Walsh Source Type: research

Effective Pre-Screening Questions for Early Detection of Peripheral Artery Disease
Though prevalence of peripheral artery disease (PAD) is on the rise, screening techniques have not been adapted to accommodate this increased prevalence. Effective pre-screening tools are needed to quickly identify those who require diagnostic testing, such as an ankle brachial index (ABI). With early detection of PAD, disease progression can be slowed, and patients can begin therapeutic treatments in a timely manner. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Alanna Gerard, Rebecca Brown, Laurissa Stigen, Kristin Erickson, Diane Treat-Jacobson, Lois Gildea Source Type: research

Changing Practice to Improve Care of Vascular Amputated Patients
In 2010 the Vascular Team at the Peter Lougheed Centre in Calgary, Alberta, developed clinical care pathways for 4 major surgeries and revised patient education materials to meet industry standards. The patient care plans are meant to empower the patient in directing their recovery process with targeted goals by specific post-op days to use as a self-monitoring guide in their daily progress for recovery. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Tamara Kreptul Source Type: research

Surviving PE: A Story of Right Place at the Right Time
This is a case study of a 55 yo male that had not seen a provider for many years. He had taken his wife to her PCP. The wife mentioned that the patient had experienced chest pain and SOB earlier that morning while taking out the trash. The PCP completed an ECG on the patient and identifies ECG changes; so has the patient admitted for NSTEMI. On the day after admission, as the patient is returning to his room from a CTPE, he experiences PEA arrest, in transported to the cath lab with CPR is in progress, and is placed on ECMO. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Karen Prenger Source Type: research

Management of Venous Thoracic Outlet Syndrome
Thoracic Outlet Syndrome (TOS) is a common syndrome seen in vascular surgery, with an incidence of 0.3-2%, the majority of patients being female (4:1) and aged 25-40. There are three main forms of TOS, neurogenic, venous, and arterial, all of which are discussed with the primary focus on venous TOS. Anatomy of the thoracic outlet, including the subclavian vein, artery and brachial plexus as well as compression sites including the scalene triangle, costoclavicular space, retro-pectoralis minor and a cervical rib are variables to consider in this patient population. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Dana M. Murray, Jeremy Walter Source Type: research

Popliteal Artery Entrapment Syndrome (PAES)
Often under diagnosed, and untreated Popliteal Artery Entrapment Syndrome (PAES) can lead to significant damage to the popliteal artery, critical limb ischemia and embolization (Williams, Kennedy, Bastian-Jordan, Hislop, Cramp and Dhupelia, 2015). (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Karen A. Hanrahan, Anabelen Contreras, Denise M. Fay, Kathleen L. Mullane Source Type: research

Connecting the Gap between Nephrology and Surgery: A Systems Change Intervention
Hemodialysis ( “dialysis”) is a life-saving treatment for patients diagnosed with End Stage Renal Disease (ESRD). In the last decade, dialysis patients are considerably older, diabetic with complex co-morbidities. Many ESRD patients begin dialysis treatments with a permacath, followed by an arteriovenous fistu la or graft. Vascular access placement is of high importance to begin dialysis treatments. Evaluation requires extensive knowledge, expertise, proficiency and skill. The ultimate goal of determining which type of dialysis access is best for the patient is based on the quality of their vasculature as sessm...
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Cheryl M. Lombardi Source Type: research

Changes in PAD Awareness from an Outreach and Education Initiative – The PAD PRAIRIE Initiative: Promoting Health Aging and Mobility in Rural Minnesota
The purpose of this session is to report change in community PAD awareness from year 1 to 3 from the PAD PRAIRIE Initiative, which is a three-year grant funded by the Margaret A. Cargill Foundation. One of the three arms of the initiative is specifically to raise awareness as well as increase PAD detection and implementation of supervised exercise therapy in rural Minnesota. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Rebecca Brown, Kristin Erickson, Alanna Gerard, Laurissa Stigen, Mary O. Whipple, Diane Treat-Jacobson Source Type: research

Do the Right Thing: Writing for Publication
Writing for publication in nursing is essential to disseminate evidence, share initiatives and innovations with others, provide new information to keep nurses up-to-date, communicate the findings of research studies, and develop the science base of the profession. Writing manuscripts takes effort, but the process can be simplified by understanding how to develop a manuscript and submit it for publication. This session is prepared for beginning and experienced authors, for nurses who want to learn how to write for publication, how to write research articles, reports, clinical articles, systematic reviews, and other types of...
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Cindy Lewis Source Type: research

Measuring Quality of Life of Patients with PAD who have Undergone Toe Amputations using the Vascular Quality of Life Questionnaire-6 (VascuQol-6) Tool
Studies have shown that limb loss has a profound impact on physical, mental, and emotional health. However, the impact of having a toe(s) amputated is unknown1. The purpose of this study is to describe health related quality of life using the VascuQol-6 for those with PAD who have toe amputations. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Catherine R. Ratliff Source Type: research

The Road Less Traveled: Evolution of a Peer Visitation Support Program for Limb Amputees
A wealth of information exists detailing the physiological care and healing of persons requiring limb amputation. However, scant attention has been paid to their psychological rehabilitation. Evidence supports peer visitation programs which allow patients to speak directly with another amputee possessing lived experience. In 2005, vascular nurses at a 1,200 bed academic Magnet ® institution noted a gap between evidence and practice spurring the creation of an Amputee Support Group (ASG). Initial goals were to provide education, therapeutic connections, peer visitation, and resources for amputees. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Kimberly Bartman Source Type: research

Health Literacy and Abdominal Aortic Aneurysms
This study assessed the level of AAA literacy among respondents who participated in a free AAA screening event. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Donald Zimmerman, Malachi Sheahan, Dong-Jun Min Source Type: research

Translation of a Vascular-Specific Cardiac Risk Stratification Tool into Practice for Patients Undergoing Open Abdominal Aortic Aneurysm Repair
Postoperative myocardial infarction (POMI) is a common complication after open aortic abdominal aneurysm (OAAA) repair. Perioperative cardiac risk stratification informs clinicians and patients of individualized risks of surgery. The Vascular Quality Initiative Cardiac Risk Index (VQI CRI) is a validated, vascular procedure-specific risk stratification tool to calculate the probability of in-hospital POMI. This project implemented and evaluated the tool ’s usability as well as its effect on provider clinical decision-making at an academic medical center in the Mid-Atlantic region. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Kelly Allen, Sarah Rosenberger Source Type: research

Lower Extremity Lymphedema: A Retrospective Analysis of Risk Factors
The notion that cancer (CA) is responsible for causing more than 90% of all cases of secondary lower extremity (LE) lymphedema continues remain dominant, while its relationship to obesity, chronic venous insufficiency (CVI) and other etiologies remains grossly overlooked. The purpose of this study is to demonstrate that secondary LE lymphedema a) has the highest prevalence amongst patients with obesity and CVI versus those affected by CA, and b) is often the product of several etiologies. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Elizabeth A. Valenti Source Type: research

Nursing Implications for Gene Therapy to Treat Peripheral Arterial Disease
Current trends in gene therapy affect nursing practice. As treatments with gene therapy progress, nurses are required to have advanced knowledge and techniques to provide nursing care for patients who undergo gene therapy. Gene therapy using Sendai virus (SeV) vectors for peripheral artery disease (PAD) has been progressing in Japan. The key challenging of nursing for this new gene therapy are examined by reflection analysis from the first-in-human phase I and II clinical trials. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Michiko Tanaka, Yoshikazu Yonemitsu Source Type: research

Brachial Artery Aneurysm in a 2 Year Old
We report a 18 month old healthy female who presented with painless, pulsatile swelling on the medial aspect of the left arm, 4 cm above the elbow joint. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Mini George Source Type: research

Real-life Clinical Implementation of PAD Rehabilitation in Rural Minnesota vs. the Clinical Research Setting: Sicker, Slower, and More Symptomatic
Centers for Medicare and Medicaid Services (CMS) has expanded national coverage determination to include supervised exercise therapy for beneficiaries with symptomatic peripheral artery disease (PAD). Despite this opportunity, many questions remain surrounding implementation an evidence-based supervised exercise program for PAD patients. A nurse-led team from Minneapolis, MN have worked for several years implementing this program in a real life clinical setting in the twin cities metro and rural Minnesota. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Rebecca Brown, Laurissa Stigen, Alanna Gerard, Kristin Erickson, Diane Treat-Jacobson, Lois Gildea Source Type: research

Implementation of Supervised Exercise Therapy for Peripheral Artery Disease: Practical Strategies from Clinical Experience
In the wake of a new coverage determination from the Centers for Medicare and Medicaid Services for reimbursement for supervised exercise therapy for patients with symptomatic peripheral artery disease (PAD), there is a need to develop best practices for development and implementation of supervised exercise therapy programs for this patient population. In order to be successful, it will be necessary to translate the knowledge gained from 25 years of rigorous research into the' real world' of clinical practice. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Diane Treat-Jacobson Source Type: research

Patterns of Physical Activity Attitudes and Engagement in Physical Activity among Older Adults with Peripheral Artery Disease and Diabetes: A Mixed Methods Study
There are no studies that integrate simultaneous assessment of perceived barriers to physical activity and engagement in physical activity in older adults with peripheral artery disease and diabetes (PAD+DM), yet this integration is key to understanding barriers to physical activity and developing strategies to address those barriers. The purpose of this study was to investigate the unique physical activity experiences of older adults with PAD+DM. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Mary O. Whipple, Kristine M.C. Talley, Erica Schorr, Ulf G. Bronas, Diane Treat-Jacobson Source Type: research

Emergency Department Weight Accuracy in Treatment of Deep Vein Thrombosis and Pulmonary Embolism with Intravenous Heparin
Intravenous heparin is a high-alert weight-based medication used in the treatment of deep vein thrombosis and/or pulmonary embolism. Inaccurate weight can lead to under or over dosing errors and potentiate negative patient outcomes. Emergency department (ED) weight measurement is obtained by nurse visual weight estimation or patient self-report. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: M. Eileen Walsh Source Type: research

Overview of Mallory-Weiss syndrome
Mallory-Weiss syndrome (MWS), also known as Mallory-Weiss tear(s), is defined as longitudinal, nonperforating mucosal lacerations in the gastroesophageal junction resulting in upper gastrointestinal (GI) bleeding.1 It is estimated that WMS is the cause of 8% –15% of nonvariceal upper GI bleeding.2 This column will provide an overview of MWS including demographics, pathogenesis, associated risk factors, presenting symptoms, treatment, and nursing considerations. (Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Authors: Kathleen Rich Tags: Clinical Column Source Type: research

Table of Contents
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Source Type: research

Information for Authors
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Source Type: research

Information for Readers
(Source: Journal of Vascular Nursing)
Source: Journal of Vascular Nursing - May 9, 2018 Category: Nursing Source Type: research