Existing prediction models underestimate mortality for major limb amputations
A multitude of risk calculators have become available during the last decade to facilitate discussions regarding the likelihood of adverse outcomes, including mortality, and to help better guide physicians, patients, and families regarding whether to proceed with surgery or consider medical palliation. Surgeons and the medical physicians “clearing” patients for surgery might not appreciate the actual risk of adverse outcomes, including mortality. This can lead to additional costs, both emotional to the patient, family, and surgeon, and actual costs to the insurance company, institution, and the country in gener...
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: Linda M. Harris Tags: Invited commentary Source Type: research

Individual results may vary
In June of 1986, I arrived at the University of Cincinnati, eager to begin my vascular fellowship with Dick Kempczinski, a rising star in the academic vascular community. My arrival coincided with the publication of a groundbreaking, and somewhat sobering, review of the outcomes of carotid endarterectomy in the Cincinnati community, authored by Dick and Tom Brott.1 They found a disturbing stroke rate of 5.1% and mortality of 2.3%, with no statistically significant difference based on the specialty of the operating surgeon —by implication, all specialties were performing the procedure equally poorly. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: Robert B. Patterson Tags: Invited commentary Source Type: research

Preservation of infected bypass grafts
Management of graft infections remains one of the ongoing significant challenges of vascular surgery. Occurrence of an early graft infection is relatively uncommon. When they do arise, graft infections are critical events that place the patients at risk. Their occurrence is devastating. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: Hugh A. Gelabert Tags: Invited commentary Source Type: research

Failure to rescue is not the entire answer to improving open aortic aneurysm repair results but it is an important start
The rapid adoption of endovascular abdominal aortic aneurysm (AAA) repair, with a 1% to 3% mortality rate has reduced hospital mortality rates to levels rarely achieved in open AAA repair publications. Open repair volumes have declined dramatically in favor of endovascular aortic repair; however, open repair remains a durable option with excellent long-term outcomes but higher early mortality rates. Mortality rates for AAA repair and other major surgical interventions are well known to vary with hospital volumes; however, the factors responsible are not clearly identified. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: Thomas F. Lindsay Tags: Invited commentary Source Type: research

Vascular surgeons and the opioid epidemic
I suspect that many of us have had our hearts broken by learning that a friend, a relative, or just a favorite famous personality had succumbed to the life-destroying effects of opioids. We may also despair that this scourge is taking away some of our finest and brightest young people. We may meet patients whose addiction to these painkillers is killing not only their pain but the patients themselves. Yet, do we ever acknowledge that we may be partly responsible for this new epidemic? That despite well-intentioned desire to reduce pain, we may be prescribing death? (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: Russell H. Samson Tags: Invited commentary Source Type: research

A model platform for studies of the microbiome on vascular injury response
The physiologic process of the vascular response to injury is enormously variable. When the response includes substantial intimal proliferation, it poses the severe practical problem of flow-limiting obstruction as a consequence of manipulation of vessels during surgical and percutaneous interventional vascular procedures. Finding solutions to this problem requires the development of a thorough understanding of the mechanisms of the injury response that result in pathologic intimal thickening. This has proved to be challenging, and our current clinical methods for managing neointimal hyperplasia (NIH) are crude at best. (S...
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: John A. Curci Tags: Invited commentary Source Type: research

Therapeutic vibration in claudicants
Query a vascular surgeon regarding the effects of vibration on the human body and one thing will likely come to mind: the deleterious effect on the digital circulation, the circulatory component of the hand-arm vibration syndrome. Surprisingly, therapeutic vibration was first (as far a history can tell us) used by the ancient Greeks to facilitate wound healing. The scientific application of vibration therapy was first investigated in Russia during the space race in the 1960s. Subsequently, the putative beneficial effects of vibration have become seemingly innumerable. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: Spencer Galt Tags: Invited commentary Source Type: research

Delivering the promise of a minimally invasive thoracoabdominal aneurysm repair: The road less travelled
Rocha et  al1 present the most comprehensive—to date—comparative analysis on outcomes after open vs endovascular repair for thoracoabdominal aortic aneurysms (TAAAs). Their analysis is as thorough as it is thoughtful and candid. An important finding of this study relates to the realization that the risk of postoperative complications is high regardless of treatment strategy. Mortality was similar for both treatment modalities, and although one could argue that sicker patients were preferentially treated with endovascular means, clearly the three- to five-fold improvement in early postoperative mor tality t...
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: Panos Kougias Tags: Invited Commentary Source Type: research

Do the instructions for use matter?
Almost since inception, endovascular aneurysm repair (EVAR) was felt to be a less invasive way to treat abdominal aortic aneurysm in higher risk patients, many of whom would not be candidates for open repair. Graft manufacturers are required to submit instructions for use (IFU) as part of the approval process. Physicians are not required to follow the IFU, but it makes sense to adhere to it as much as feasible to allow maximal benefit to the patient. The meta-analysis by Antoniou et  al1 looks at 4500 patients treated with EVAR between 2006 and 2015. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: Luke S. Erdoes Tags: Invited commentary Source Type: research

Reply
We thank Salih et  al for the contribution of their data to this important topic. We did recently compare activated clotting time (ACT) and anti-activated factor X (anti-Xa) activity for monitoring of unfractionated heparin (UFH) therapy in 104 patients with aortic aneurysm undergoing an endovascular procedure at ou r vascular medical center.1 We found a poor agreement between the two methods, and increased peak anti-Xa activity was an independent predictor of periprocedural bleeding but not of increased peak ACT. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: Benjamin Dieplinger, Margot Egger, Thomas Mueller, Christian Luft, Franz Hinterreiter, Thomas Pernerstorfer Tags: Letter to the Editor Source Type: research

Monitoring of heparin anticoagulation during complex aortic endovascular surgery
The paper by Dieplinger and colleagues1 in the Journal of Vascular Surgery describes the association between activated clotting time (ACT) and anti-activated factor X (anti-Xa) activity for managing anticoagulation during complex vascular surgery. The authors concluded that anti-Xa activity should be used instead of ACT. We have discussed similar concerns in our high-volume tertiary vascular surgical unit and would like to contribute our data. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: Tom Salih, Louisa Shovel, Christine Sathananthan, Aayushi Gupta, Anne Riddell, Ciara Donohue, Nick Schofield Tags: Letter to the Editor Source Type: research

Reversal of Lower Extremity Intermittent Claudication and Rest Pain by Hydration
Prospective observational multicenter study (time period not reported). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: S. Fernandez, J.C. Parodi, F. Moscovitch, C. Pulmari Tags: Vascular vantage point Source Type: research

Screening for Abdominal Aortic Aneurysm: US Preventive Services Task Force Recommendation Statement
Review commissioned by the US Preventive Services Task Force Recommendation Statement to update its 2014 recommendation regarding men and women aged 65 to 75  years. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: US preventive Services Task Force, D.K. Owens, K.W. Davidson, A.H. Krist Tags: Vascular vantage point Source Type: research

Screening Chest Computed Tomography Is Indicated in All Patients with Abdominal Aortic Aneurysm
Retrospective single-center review between January 2007 and December 2017. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: D. Dombrowski, G.W. Long, J. Chan, O.W. Brown Tags: Vascular vantage point Source Type: research

Association of High Mortality with Postoperative Myocardial Infarction after Major Vascular Surgery Despite Use of Evidence-Based Therapies
Retrospective cohort study within a Michigan statewide quality improvement collaborative database between January 2012 and December 2017. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: R.J. Beaulieu, D.C. Sutzko, J. Albright Tags: Vascular vantage point Source Type: research

Vascular vantage point
Review of MEDLINE (PubMed), EMBASE, and the Cochrane Library between January 1, 1990, and December 31, 2018. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: D. Bissacco, I. Barbetta, M. Carmo Tags: Vascular vantage point Source Type: research

Tibiopedal Arterial Minimally Invasive Retrograde Revascularization I Patients with Peripheral Arterial Disease and Critical Limb Ischemia. On behalf of the Peripheral Registry of Endovascular Clinical Outcomes (PRIME)
Retrospective multicenter study between January 2013 and April 2018. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: J.A. Mustapha, F. Saab, T.N. McGoff Tags: Vascular vantage point Source Type: research

Percutaneous arteriovenous dialysis fistula
A 56-year-old woman with end-stage renal disease had creation of a percutaneous arteriovenous fistula (pAVF) at the level of the proximal forearm between the proximal radial artery (PRA) and the deep communicating vein. The Ellipsys Vascular Access System (Avenu Medical, San Juan Capistrano, Calif), Food and Drug Administration approved for pAVF creation, uses thermal energy and pressure to fuse a permanent arteriovenous anastomosis between sufficiently adjacent vessels.1 The anatomic location is similar to the one described by Jennings et  al2 for surgical AVF with PRA inflow. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: Alexandros Mallios, Hortence Fonkoua, Mahmoud Allouache, Benoit Boura Tags: Vascular images Source Type: research

Endovascular vs. Open Repair for Abdominal Aortic Aneurysm: Systematic Review and Meta-analysis of Updated Peri-operative and Long Term Data of Randomised Controlled Trials
The objective was to investigate whether endovascular aneurysm repair (EVAR) has better peri-operative and late clinical outcomes than open repair for non-ruptured abdominal aortic aneurysm. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: G.A. Antoniou, S.A. Antoniou, F. Torella Tags: Selected abstracts from the march issue of the european journal of vascular and endovascular surgery Source Type: research

Meta-Analysis and Meta-Regression Analysis of Outcomes of Endovascular and Open Repair for Ruptured Abdominal Aortic Aneurysm
The aim was to assess peri-operative mortality of endovascular aneurysm repair (EVAR) vs. open repair for ruptured abdominal aortic aneurysm (AAA) and to investigate whether outcomes have improved over the years and whether there is an association between institutional caseload and peri-operative mortality. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: N. Kontopodis, N. Galanakis, S.A. Antoniou, D. Tsetis, C.V. Ioannou, F.J. Veith, J.T. Powell, G.A. Antoniou Tags: Selected abstracts from the march issue of the european journal of vascular and endovascular surgery Source Type: research

The Impact of Proximal Clamp Location on Peri-Operative Outcomes Following Open Surgical Repair of Juxtarenal Abdominal Aortic Aneurysms
This study investigated the impact of clamp location on peri-operative outcomes using a United States based nationwide clinical registry. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: R.R.B. Varkevisser, L.E.M.V. de Guerre, N.J. Swerdlow, K. Dansey, C.A. Latz, P. Liang, C. Li, H.J.M. Verhagen, M.L. Schermerhorn Tags: Selected abstracts from the march issue of the european journal of vascular and endovascular surgery Source Type: research

Multiple Peri-Operative Complications are Associated with Reduced Long Term Amputation Free Survival Following Revascularisation for Lower Limb Peripheral Artery Disease: A Population Based Linked Data Study
To determine, in a population based linked data study, the relationship between peri-operative multiple complications and longer term outcomes, specifically the combined outcome of two year amputation or death, after lower limb revascularisation for peripheral artery disease (PAD). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: S.J. Aitken, D.A. Randall, N. Noguchi, F.M. Blyth, V. Naganathan Tags: Selected abstracts from the march issue of the european journal of vascular and endovascular surgery Source Type: research

Lower Limb Amputations and Revascularisation Procedures in the Hungarian Population: A 14  Year Retrospective Cohort Study
The aim of this study was to assess the long term trends of lower limb amputation and revascularisation in Hungary over 14 years. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: E. Kolossv áry, T. Ferenci, T. Kováts, L. Kovács, Z. Szeberin, P. Sótonyi, E. Dósa, Z. Járai, K. Farkas Tags: Selected abstracts from the march issue of the european journal of vascular and endovascular surgery Source Type: research

Editorial Board
(Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Source Type: research

Contents
(Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Source Type: research

Information for Readers
Communications regarding original articles and editorial management should be addressed to Peter Gloviczki, MD, and Peter F. Lawrence, MD, Editors, Journal of Vascular Surgery, 9400 W. Higgins Road, Suite 315, Rosemont IL 60018; telephone: 312-334-2355; fax: 312-334-2320; e-mail: JVASCSURG@vascularsociety.org. Information for authors appears in the January and July issues, at www.jvascsurg.org, and at jvs.editorialmanager.com. Authors should consult this document before submitting manuscripts to this Journal. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Source Type: research

Events of Interest
News items of interest to the vascular surgeon must be received at least 8 weeks before the desired month of publication. Announcements published at no charge include those received from a sponsoring society of this Journal, those courses and conferences sponsored by state, regional, national, or international vascular surgical organizations, and university-sponsored continuing medical education courses. Send applicable events to Andrew O ’Brien, Journal Manager, at a.obrien@elsevier.com. All other news items selected for publication carry a charge of $60.00 US for each insertion, and the fee must accompany the reque...
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Source Type: research

Journal of Vascular Surgery – April 2020 Audiovisual Summary
Hello! My name is Peter Lawrence and I am pleased to introduce the April issue of the Journal of Vascular Surgery and highlight four outstanding papers, which are freely available for the next 2  months. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 20, 2020 Category: Surgery Authors: Peter F. Lawrence Tags: Journal of vascular surgery – april 2020 audiovisual summary Source Type: research

The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms
These Society for Vascular Surgery Clinical Practice Guidelines describe the care of patients with aneurysms of the visceral arteries. They include evidence-based size thresholds for repair of aneurysms of the renal arteries, splenic artery, celiac artery, and hepatic artery, among others. Specific open surgical and endovascular repair strategies are also discussed. They also describe specific circumstances in which aneurysms may be repaired at smaller sizes than these size thresholds, including in women of childbearing age and false aneurysms. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 19, 2020 Category: Surgery Authors: Rabih A. Chaer, Christopher J. Abularrage, Dawn M. Coleman, Mohammad H. Eslami, Vikram S. Kashyap, Caron Rockman, M. Hassan Murad Source Type: research

Triumph, tragedy and the pursuit of happiness: A journey of self-awareness
This is not going to be your typical presidential address. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 18, 2020 Category: Surgery Authors: W. Charles Sternbergh Tags: Presidential address Source Type: research

The evolution of open abdominal aortic aneurysm repair at a tertiary care center
The characteristics of and indications for open abdominal aortic aneurysm (AAA) repair have evolved over time. We evaluated these trends through the experience at a tertiary care academic center. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 13, 2020 Category: Surgery Authors: Alexander S. Fairman, Amanda L. Chin, Benjamin M. Jackson, Paul J. Foley, Scott M. Damrauer, Venkat Kalapatapu, Michael A. Golden, Ronald M. Fairman, Grace J. Wang Source Type: research

Re-evaluating the safety and effectiveness of the 0.9 ankle-brachial index threshold in penetrating lower extremity trauma
Current guidelines recommend additional imaging when the ankle-brachial index (ABI) is ≤0.9 after extremity trauma; however, the accuracy of this 0.9 threshold compared with other values has not been evaluated. The primary aim of this study was to compare the safety and effectiveness of various ABI thresholds in predicting lower extremity vascular injuries after penetrating trauma. We hypothesized that a lower ABI threshold can be used safely to avoid unnecessary imaging. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 13, 2020 Category: Surgery Authors: Jake Hemingway, Enock Adjei, Sarasijhaa Desikan, Joel Gross, Nam Tran, Niten Singh, Benjamin Starnes, Elina Quiroga Source Type: research

Racial differences in utilization and outcomes of hemodialysis access in the Unites States
To evaluate patterns of use and outcomes of arteriovenous fistulas and prosthetic grafts within racial categories in a large population based cohort of hemodialysis (HD) patients in the United States. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 12, 2020 Category: Surgery Authors: Isibor J. Arhuidese, Eunice A. AJi, Rizwan Muhammad, Jasnider Dhaliwal, Ankur J. Shukla, Mahmoud B. Malas Source Type: research

Incidence and management of iliac artery aneurysms associated with endovascular treatment of juxtarenal and thoracoabdominal aortic aneurysms
This study reports the clinical impact of iliac artery aneurysms (IAAs) in a population of patients with juxtarenal and thoracoabdominal aortic aneurysms being treated with fenestrated or branched aortic endografts. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 12, 2020 Category: Surgery Authors: Jessica Zhang, Corey Brier, F. Ezequiel Parodi, Yuki Kuramochi, Sean P. Lyden, Matthew J. Eagleton Source Type: research

Geometric and hemodynamic analysis of fenestrated and multibranched aortic endografts
The objective of this study was to determine the influence of hemodynamic force on the development of type III endoleak and branch thrombosis after complex endovascular thoracoabdominal aortic aneurysm repair. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 12, 2020 Category: Surgery Authors: Liliana Fidalgo-Domingos, Enrique M. San Norberto, David Fidalgo-Domingos, Miguel Mart ín-Pedrosa, Noelia Cenizo, Isabel Estévez, Álvaro Revilla, Carlos Vaquero Source Type: research

Disparities in mortality after abdominal aortic aneurysm repair are linked to insurance status
The objective of this study was to determine differences in mortality after abdominal aortic aneurysm (AAA) repair based on insurance type. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 12, 2020 Category: Surgery Authors: Olga Rozental, Xiaoyue Ma, Roniel Weinberg, Farida Gadalla, Utibe R. Essien, Robert S. White Source Type: research

Meta-analysis of direct surgical versus endovascular revascularization for aortoiliac occlusive disease
There is a paucity of good-quality evidence comparing direct surgical (DS) with endovascular/hybrid (EVH) revascularization for aortoiliac occlusive disease (AIOD). We aimed to perform a meta-analysis of studies comparing DS and EVH revascularization for AIOD. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 11, 2020 Category: Surgery Authors: Sobath Premaratne, Jeremy Newman, Simon Hobbs, Andrew Garnham, Mike Wall Source Type: research

Frailty as measured by the Risk Analysis Index is associated with long-term death after carotid endarterectomy
The role of carotid endarterectomy (CEA) continues to be debated in the age of optimal medical therapy, particularly for patients with limited life expectancy. The Risk Analysis Index (RAI) measures frailty, a syndrome of decreased physiologic reserve, which increases vulnerability to adverse outcomes. The RAI better predicts surgical complications, nonhome discharge, and death than age or comorbidities alone. We sought to measure the association of frailty, as measured by the RAI, with postoperative in-hospital stroke, long-term stroke, and long-term survival after CEA. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 10, 2020 Category: Surgery Authors: Kara A. Rothenberg, Elizabeth L. George, Nicolas Barreto, Rui Chen, Kaeli Samson, Jason M. Johanning, Amber W. Trickey, Shipra Arya Source Type: research

Frailty index predicts long-term mortality and postoperative complications in patients undergoing endovascular aortic aneurysm repair
The Risk Analysis Index (RAI) has been used to evaluate preoperative frailty, which is associated with poor short- and long-term outcomes. We assessed this tool's ability to predict postoperative outcomes after endovascular aortic aneurysm repair. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 10, 2020 Category: Surgery Authors: Wayne Tse, Daniel Newton, Michael Amendola, Matthew George, John Pfeifer Source Type: research

Trends in vascular complications and associated treatment strategies following transfemoral transcatheter aortic valve replacement
We examined the incidence, predictors, treatment strategies, and outcomes of VCs in a multicenter cohort of patients undergoing TF-TAVR. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 10, 2020 Category: Surgery Authors: Brant W. Ullery, Ruyun Jin, Eric B. Kirker, Greg Hayes, Leland Siwek, James Brevig, Robert W. Hodson, Kateri J. Spinelli Source Type: research

Antegrade common femoral artery closure device use is associated with decreased complications
Antegrade femoral artery access is often used for ipsilateral infrainguinal peripheral vascular intervention. However, the use of closure devices (CD) for antegrade access (AA) is still considered outside the instructions for use for most devices. We hypothesized that CD use for antegrade femoral access would not be associated with an increased odds of access site complications. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 9, 2020 Category: Surgery Authors: Joel L. Ramirez, Devin S. Zarkowsky, Thomas A. Sorrentino, Caitlin W. Hicks, Shant M. Vartanian, Warren J. Gasper, Michael S. Conte, James C. Iannuzzi Source Type: research

Off-the-shelf multibranched endograft for total endovascular repair of the aortic arch
The goal of this study was to select branched endograft designs that could fit most aortic arch anatomies. Such off-the-shelf endografts, once available, would be an endovascular therapeutic option to consider in the acute setting and would shorten the design and manufacturing process. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 6, 2020 Category: Surgery Authors: C ôme Bosse, Tilo Kölbel, Justine Mougin, Jarin Kratzberg, Dominique Fabre, Stéphan Haulon Source Type: research

Anatomic criteria in the selection of treatment modality for atherosclerotic carotid artery disease
Three procedures are currently available to treat atherosclerotic carotid artery stenosis: carotid endarterectomy (CEA), transfemoral carotid artery stenting (TF-CAS), and transcarotid artery revascularization (TCAR). Although there is considerable debate evaluating each of these in a head-to-head comparison to determine superiority, little has been mentioned concerning the specific anatomic criteria that make one more appropriate. We conducted a study to define anatomic criteria in relation to inclusion and exclusion criteria and relative contraindications. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 4, 2020 Category: Surgery Authors: Norman H. Kumins, Alexander H. King, Ravi N. Ambani, Jones P. Thomas, Ann H. Kim, Gener Augustin, Virginia L. Wong, Karem C. Harth, Jae S. Cho, Benjamin Colvard, Vikram S. Kashyap Source Type: research

Results of fenestrated and branched endovascular aortic aneurysm repair after failed infrarenal endovascular aortic aneurysm repair
Failure of infrarenal endovascular aneurysm repair (EVAR) due to loss of proximal seal is increasingly common. Open surgical conversion can be challenging and has been associated with significant morbidity and mortality. The aim of this study was to evaluate the use of fenestrated-branched EVAR (F/BEVAR) for the treatment of patients with prior EVAR failure. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 3, 2020 Category: Surgery Authors: Andres Schanzer, Adam W. Beck, Matthew Eagleton, Mark A. Farber, Gustavo Oderich, Darren Schneider, Matthew P. Sweet, Allison Crawford, Carlos Timaran, U.S. Multicenter Fenestrated/Branched Aortic Research Consortium Source Type: research

Treatment choice and survival after ruptured abdominal aortic aneurysm: A population-based study
The objective of this study was to clarify whether the findings of the randomized studies of repair method (open aortic repair [OAR] vs endovascular aneurysm repair [EVAR]) concerning short-term and midterm survival for ruptured abdominal aortic aneurysms (RAAAs) could be confirmed in a contemporary, nationwide, and unselected population. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 3, 2020 Category: Surgery Authors: Fredrik Lundgren, Thomas Tro ëng Source Type: research

Overall outcome after endovascular aneurysm repair with a first-generation stent graft (Vanguard): A 20-year single-center experience
The problems with first-generation stent grafts for endovascular aneurysm repair are well known, but their long-term outcome remains to be established. The purpose of the study was to characterize the outcome of patients treated for abdominal aortic aneurysm (AAA) with a first-generation stent graft, Vanguard (Boston Scientific, Natick, Mass), in a single academic center with a follow-up of up to 20  years. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 2, 2020 Category: Surgery Authors: Suvi V äärämäki, Juha Salenius, Georg Pimenoff, Ilkka Uurto, Velipekka Suominen Source Type: research

Early and long-term results of open repair of inflammatory abdominal aortic aneurysms: Comparison with a propensity score-matched cohort
The aim of our study was to compare early and long-term results of open repair of patients with inflammatory abdominal aortic aneurysm (IAAA) with matched cohort of patients with abdominal aortic aneurysm (AAA). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 2, 2020 Category: Surgery Authors: Slobodan Cvetkovic, Igor Koncar, Stefan Ducic, Petar Zlatanovic, Perica Mutavdzic, Dejan Maksimovic, Biljana Kukic, Dragan Markovic, Lazar Davidovic Source Type: research

A systematic review and meta-analysis of predilation and postdilation in transfemoral carotid artery stenting
In this review, we evaluate the short-term impact of different ballooning combinations on hemodynamic instability neurologic events, and mortality associated with carotid artery stenting. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 2, 2020 Category: Surgery Authors: Behrad Ziapour, Marc L. Schermerhorn, Mark D. Iafrati, Luis B. Suarez, Shahab TourSavadkohi, Payam Salehi Source Type: research

Poor glycemic control is associated with significant increase in major limb amputation and adverse events in the 30-day postoperative period after infrainguinal bypass
Understanding modifiable risk factors to improve surgical outcomes is increasingly important in value-based health care. There is an established association between peripheral artery disease (PAD), diabetes, and limb loss, but less is known about expected outcomes after revascularization relative to the degree of glycemic control. The purpose of this study was to determine the association between hemoglobin A1c (HbA1c) management in diabetics and surgical outcomes after open infrainguinal bypass. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 2, 2020 Category: Surgery Authors: Katharine L. McGinigle, Daniel G. Kindell, Paula D. Strassle, Jason R. Crowner, Luigi Pascarella, Mark A. Farber, William A. Marston, Shipra Arya, Corey A. Kalbaugh Source Type: research

A systematic review and meta-analysis of complication rates after carotid procedures performed by different specialties
Different competencies and skills are required and obtained during medical specialization. However, whether these have an impact on procedural outcomes of carotid endarterectomy (CEA) or carotid artery stenting (CAS) is unclear. We assessed the reported association between operator specialization and procedural outcomes after CEA or CAS to determine whether CEA and CAS should be performed by specific specialties. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 2, 2020 Category: Surgery Authors: Michiel H.F. Poorthuis, Eelco C. Brand, Alison Halliday, Richard Bulbulia, Marc L. Schermerhorn, Michiel L. Bots, Gert J. de Borst Source Type: research