Short and Long-term Outcomes Following Concurrent Splenectomy for Thoracoabdominal Aortic Aneurysm Repair
Splenectomies are often performed during open Thoracoabdominal Aortic Aneurysm (TAAA) repair, as capsular tears are common and can be associated with significant bleeding. It is unknown whether splenectomies affect short or long-term outcomes after TAAA repair. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 18, 2021 Category: Surgery Authors: Christopher A. Latz, Srihari Lella, Laura T. Boitano, Charles DeCarlo, Zach Feldman, C. Y. Maximilian Png, Jahan Mohebali, Anahita Dua, Mark Conrad Source Type: research

Understanding Value and Patient Complexity Among Common Inpatient Vascular Surgery Procedures
This study assesses the correlation of patient complexity with wRVUs for the most commonly performed inpatient vascular surgery procedures. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 18, 2021 Category: Surgery Authors: Joel L. Ramirez, Jose Lopez, Katherine Sanders, Peter A. Schneider, Warren J. Gasper, Michael S. Conte, Julie Ann Sosa, James C. Iannuzzi Source Type: research

Multicenter global early feasibility study to evaluate total endovascular arch repair using three-vessel inner branch stent-grafts for aneurysms and dissections
To evaluate the outcomes of total endovascular aortic arch repair using three-vessel inner branch stent-grafts for aneurysms and chronic dissections. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 15, 2021 Category: Surgery Authors: Emanuel R. Tenorio, Gustavo S. Oderich, Tilo K ölbel, Nuno V. Dias, Björn Sonesson, Angelos Karelis, Mark A. Farber, F. Ezequiel Parodi, Carlos H. Timaran, Carla K. Scott, Nikolaos Tsilimparis, Carlota Fernandez, Tomasz Jakimowicz, Katarzyna Jama, Jarin Source Type: research

In-hospital Outcomes and Long-term Survival of Women of Childbearing Age with Aortic Dissection: Results from a Single-Center Database
To define the outcomes and impact of pregnancy in a cohort of women of childbearing age with acute aortic dissection (AAD). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 14, 2021 Category: Surgery Authors: Kenton L. Rommens, Harleen K. Sandhu, Charles C. Miller, Alana C. Cecchi, Siddharth K. Prakash, Naveed U. Saqib, Kristofer M. Charlton-Ouw, Dianna M. Milewicz, Anthony L. Estrera, Hazim J. Safi, Rana O. Afifi Source Type: research

Similarities and differences in peripheral artery disease between China and Western countries
Peripheral artery disease (PAD) affects more than 200 million people worldwide, among whom more than two-thirds reside in low- and middle-income countries (LMIC). China, as the largest LMIC, faces a challenge from the burden of PAD as the country undergoes economic expansion. We compared the patterns of PAD between China and Western countries to determine if there are differences in risk factors, awareness or treatment of PAD. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 14, 2021 Category: Surgery Authors: Xixiang Gao, Zhu Tong, Yingfeng Wu, Lianrui Guo, Yongquan Gu, Alan Dardik Source Type: research

Transcervical Carotid Artery Revascularization: a Systematic Review and Meta-analysis of Outcomes
Carotid artery stenosis is a determinant factor accused for cerebrovascular events, estimated to be the cause of 10-20% of all ischemic strokes. Trans-cervical carotid artery revascularization (TCAR) has been offered as an alternative to transfemoral carotid artery stenting and carotid endarterectomy. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 14, 2021 Category: Surgery Authors: Marios Sagris, Stefanos Giannopoulos, Spyridon Giannopoulos, Andreas Tzoumas, Pavlos Texakalidis, Nektarios Charisis, Damianos G. Kokkinidis, Rafael D. Malgor, Nicolas J. Mouawad, Christos Bakoyiannis Source Type: research

Geographical Socioeconomic Disadvantage is Associated with Adverse Outcomes Following Major Amputation in Diabetic Patients
Socioeconomic disadvantage is a known predictor of adverse outcomes and amputation in patients with diabetes. However, its association with outcomes following major amputation has not been described. Here, we aimed to determine the association of geographic socioeconomic disadvantage with 30-day readmission and 1-year reamputation among diabetic patients undergoing major amputation. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 14, 2021 Category: Surgery Authors: George Q. Zhang, Joseph K. Canner, Ahmed Kayssi, Christopher J. Abularrage, Caitlin W. Hicks Source Type: research

A morphovolumetric analysis of aneurysm sac evolution after elective endovascular abdominal aortic repair
Abdominal aortic aneurysm (AAA) sac shrinkage after endovascular repair (EVAR) has been regarded as positive marker of EVAR success durability. The purpose of this study was to describe the morphovolumetric changes of the AAA sac during follow-up after elective EVAR, and to analyze sac shrinkage related variables. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 14, 2021 Category: Surgery Authors: Marco Franchin, Maddalena Serafini, Marco Tadiello, Federico Fontana, Nicola Rivolta, Massimo Venturini, Marco Curti, Ruth L. Bush, Walter Dorigo, Filippo Piacentino, Matteo Tozzi, Gabriele Piffaretti Source Type: research

Intraoperative EEG Changes During TCAR are more Frequent than Previously Reported
We report our experience with intraoperative EEG monitoring during TCAR. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 13, 2021 Category: Surgery Authors: Laura C. Lamb, Edward Gifford, Parth Shah, Ilene Staff, Akhilesh Jain, James Gallagher, Thomas Divinagracia Source Type: research

Literature Review of Primary versus Patching versus Eversion as Carotid Endarterectomy Closure
This article compares the results of randomized controlled trials (RCT) and systematic/meta-analysis of the various types of closure. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 13, 2021 Category: Surgery Authors: Ali F. AbuRahma, R. Clement Darling Source Type: research

Outcomes of chimney/snorkel endovascular repair for symptomatic and ruptured abdominal aortic aneurysms
Symptomatic and ruptured abdominal aortic aneurysms (AAA) are increasingly managed with endovascular aneurysm repair (EVAR). We aimed to identify the outcomes of symptomatic and ruptured AAAs that underwent EVAR with chimney or snorkel techniques (ChEVAR). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 10, 2021 Category: Surgery Authors: Eric Galloway Jernigan, Nhan Nguyen Tran, Khalil Qato, Gary Giangola, Alfio Carroccio, Allan Marc Conway Source Type: research

Impact of infrainguinal bypass tunneling technique on patency and amputation in patients with limb ischemia
To investigate the association of tunneling technique on patency and amputation in patients undergoing lower extremity bypass for limb ischemia. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 9, 2021 Category: Surgery Authors: Nallely Saldana-Ruiz, Josefina Dominguez, Sung Wan Ham, Vincent L. Rowe, Gregory A. Magee, Fred A. Weaver, Sukgu M. Han, Kenneth R. Ziegler Source Type: research

Discussion
Moderator. Dr Carlos Timaran from Dallas will lead the discussion. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 1, 2021 Category: Surgery Source Type: research

Evaluation of Revascularization Benefit Quartiles using the WIfI Classification System for Diabetic Patients with Chronic Limb-Threatening Ischemia
The Society for Vascular Surgery Wound, Ischemia, and foot Infection (WIfI) classification system was developed to stratify the risk of one-year major amputation. Recently, WIfI scores were used to define estimated revascularization benefit quartiles ranging from high benefit (Q1) to questionable benefit (Q4). The aim of our study was to evaluate the revascularization benefit quartiles in a cohort of diabetic patients presenting with chronic limb-threatening ischemia. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 1, 2021 Category: Surgery Authors: Caitlin W. Hicks, Joseph K. Canner, Ronald L. Sherman, James H. Black, Ying Wei Lum, Christopher J. Abularrage Source Type: research

Computational Methods to Automate the Initial Interpretation of Lower Extremity Arterial Doppler and Duplex Carotid Ultrasound
Lower extremity arterial Doppler (LEAD) and duplex carotid ultrasound studies are used for the initial evaluation of peripheral arterial disease (PAD) and carotid stenosis. Intra and inter lab variability may exist between interpreters and other interpreter responsibilities may delay the timeliness of the report. In order to address the current deficits, we examined whether machine learning algorithms could be used to classify these Doppler studies. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 1, 2021 Category: Surgery Authors: X. Luo, Ara L, H. Ding, D. Rollins, R. Motaganahalli, A. Sawchuk Source Type: research

Time-to-event data meta-analysis of late outcomes of endovascular versus open repair for ruptured abdominal aortic aneurysm
To investigate whether the well documented perioperative survival advantage of emergency endovascular aneurysm repair (EVAR) over open repair is sustained in follow-up. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 1, 2021 Category: Surgery Authors: Nikolaos Kontopodis, Nikolaos Galanakis, Christos V. Ioannou, Dimitrios Tsetis, Jean-Pierre Becquemin, George A. Antoniou Source Type: research

Effect of Limb Oversizing on the Risk of Type Ib Endoleak in Patients after Endovascular Aortic Repair
To assess the association between the degree of limb oversizing and risk of type Ib endoleak (T1BEL) in different types of iliac landing zones after endovascular aortic aneurysm repair (EVAR). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 1, 2021 Category: Surgery Authors: Jiarong Wang, Tiehao Wang, Jichun Zhao, Yukui Ma, Bin Huang, Yi Yang, Ding Yuan Source Type: research

Endotension; What Do We and Don ’t We Know about This Enigmatic Complication of EVAR
As the endovascular treatment of aneurysm repair continues to surge, more and more patients are being identified with endoleaks. There are five types of endoleaks. Endotension, or type V endoleak, remains controversial due to its variable definition across studies and range of proposed treatments. What do we know and not know about this rare form of endoleak? (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 31, 2021 Category: Surgery Authors: Pouria Parsa, Jaideep Das Gupta, Michael McNally, Venita Chandra Source Type: research

Trends in Use of Cerebrospinal Drains and Outcomes Related to Spinal Cord Ischemia after TEVAR and complex EVAR in the Vascular Quality Initiative
Spinal cord ischemia (SCI) is a dreaded complication of thoracic and complex endovascular aortic repair (TEVAR/cEVAR). Controversy exists surrounding cerebrospinal fluid drain (CSFD) use, especially preoperative prophylactic placement, due to concerns regarding catheter-related complications. However, these risks are balanced by widely accepted benefits of CSFDs in open repairs to either prevent and/or rescue patients with SCI. The importance of this issue is underscored by the paucity of data on CSFD practice patterns which limits ability to develop practice guidelines. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 31, 2021 Category: Surgery Authors: Victoria J. Aucoin, Bolanle Bolaji, Zdenek Novak, Emily L. Spangler, Danielle C. Sutzko, Graeme E. McFarland, Benjamin J. Pearce, Marc A. Passman, Salvatore T. Scali, Adam W. Beck Source Type: research

Quantification and mapping of cerebral hemodynamics before and after carotid endarterectomy, using 4D flow MRI
Carotid stenosis can profoundly impact cerebral hemodynamics that cannot simply be inferred from the degree of stenosis. We quantified and mapped the distribution of blood flow rate in cerebral arteries before and after carotid endarterectomy using four-dimensional phase-contrast magnetic resonance imaging (4D flow MRI). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 30, 2021 Category: Surgery Authors: Laleh Zarrinkoob, Anders W åhlin, Khalid Ambarki, Anders Eklund, Jan Malm Source Type: research

Sex-related Outcomes after Fenestrated-Branched Endovascular Aneurysm Repair for Thoracoabdominal Aortic Aneurysms in the U.S. Aortic Research Consortium
Fenestrated-branched endovascular aneurysm repair (FBEVAR) has expanded the treatment of patients with thoracoabdominal aortic aneurysms (TAAA). Prior studies have demonstrated that women are less likely to be treated with standard infrarenal endovascular aneurysm repair due to anatomic ineligibility and have higher mortality following both infrarenal and thoracic aortic aneurysm repair. The purpose of this study was to describe sex-related outcomes after FBEVAR for treatment of TAAA. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 25, 2021 Category: Surgery Authors: Natasha I. Edman, Andres Schanzer, Allison Crawford, Gustavo S. Oderich, Mark A. Farber, Darren B. Schneider, Carlos H. Timaran, Adam W. Beck, Matthew Eagleton, Matthew P. Sweet, U.S. Fenestrated and Branched Aortic Research Consortium Source Type: research

Revascularization of Intermittent Claudicants Leads to More Chronic Limb Threatening Ischemia and Higher Amputation Rates*
There is an increasing incidence of peripheral arterial disease (PAD). The most common symptomatic presentation of PAD is intermittent claudication (IC), reproducible leg pain with ambulation. The progression of symptoms beyond IC is rare, and a non-procedural approach of smoking cessation, supervised exercise therapy and best medical therapy can mitigate progression of IC. Despite the lack of limb or life-threatening sequelae of IC, invasive treatment strategies of IC have experienced rapid growth. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 24, 2021 Category: Surgery Authors: Vashisht Madabhushi, Daniel Davenport, Stuart Jones, Sami Abul Khoudoud, Nathan Orr, David Minion, Eric Endean, Sam Tyagi Source Type: research

The Association Between Hospital Volume and Failure-to-rescue for Open Repairs of Juxtarenal Aneurysms
This study assessed whether rates of postoperative complications or failure-to-rescue (defined as death after a major postoperative complication) better explain lower mortality rates among higher-volume hospitals. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 24, 2021 Category: Surgery Authors: Ambar Mehta, Thomas F.X. O ’Donnell, Karan Garg, Jeffrey Siracuse, Jahan Mohebali, Marc L. Schermerhorn, Hiroo Takayama, Virendra I. Patel Source Type: research

Long-term survival after descending thoracic and thoracoabdominal aortic aneurysm repair
Patients with descending thoracic or thoracoabdominal aortic aneurysms (dTAA or TAAA) often have a variety of medical comorbidities. Those that are deemed acceptable for intervention undergo complicated repairs with good early outcomes. The purpose of this study was to identify variables that were associated with mortality over time. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 24, 2021 Category: Surgery Authors: Mitri K. Khoury, Charles Acher, Martha M. Wynn, Charles W. Acher Source Type: research

The elusive goal of informed consent
So, did Dr XYZ talk to you about your carotid surgery? Did (s)he discuss death, heart attack, or stroke? Well, never mind, they are rare. How about cranial nerve injury? Well, cranial nerves are not like the brain, Oh never mind. Late restenosis? Don't worry, we have stents for that. Why are you having surgery? I see, your family doctor said you need it or you're going to have a stroke. Oh, the operating room nurse says that the room is ready —can you sign this pad? It is linked to the consent form on the computer over there, which means you understand and consent to surgery. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: Robert B. Patterson Tags: Invited commentary Source Type: research

Evolution of fenestrated/branched endovascular aortic aneurysm repair complexity and outcomes at an organized center for the treatment of complex aortic disease
Fenestrated/branched endovascular aneurysm repair (F/BEVAR) volume has increased rapidly, with favorable outcomes at centers of excellence. We evaluated changes over time in F/BEVAR complexity and associated outcomes at a single-center complex aortic disease program. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: Jessica P. Simons, Allison S. Crawford, Colleen P. Flanagan, Francesco A. Aiello, Edward J. Arous, Dejah R. Judelson, Louis M. Messina, Devon I. Robichaud, Shauneen A. Valliere, Andres Schanzer Tags: Clinical research study Source Type: research

Endovascular therapy for large iatrogenic inferior epigastric pseudoaneurysm
A 31-year-old man presented with worsening left lower quadrant pain. Four months prior, he had undergone total proctocolectomy for obstructing rectal cancer complicated by hemoperitoneum secondary to injury to the left inferior epigastric artery (IEA) from drain placement. Fascial defect and area of bleeding was surgically over sewn using multiple sutures. His past medical history was significant for ulcerative colitis. He is a former smoker. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: Meghan L. Davis, John E. Campbell, Albeir Mousa Tags: Vascular images Source Type: research

Do men die and women suffer?
When I was a medical student, one of my professors shared an opinion on gender differences in disease outcomes that I still remember today. He said that the diseases men typically develop —which at the time were lung cancer, heart disease, and prostate cancer—resulted in death more often and that the diseases most often affecting women (breast cancer, lupus, and rheumatoid arthritis) did not result in death, but suffering. His theory was simple, but it certainly is not always tru e, because men and women can both acquire many of these diseases with different outcomes. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: Julie Ann Freischlag Tags: Invited commentary Source Type: research

Reply
We appreciate your comments regarding our study evaluating outcomes after open abdominal aortic aneurysm (AAA) repair using a retroperitoneal vs transabdominal approach.1 In our study of Medicare beneficiaries, patients who underwent transabdominal AAA repair had higher rates of repair-related readmissions and reinterventions compared with patients who underwent a retroperitoneal approach at 5  years (42% vs 34%), and this was driven primarily by higher rates of hernia repairs (13% vs 6.1%; P  (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: Sarah E. Deery, Marc L. Schermerhorn Tags: Letter to the Editor Source Type: research

There is no more wound complications with transabdominal open abdominal aortic aneurysm repair compared with the retroperitoneal approach
We read with a great interest the article from Derry et  al.1 In their study, the 5-year rate of laparotomy-related reinterventions was greater after the transabdominal approach than after the retroperitoneal approach (13% vs 6.1%). These results would, therefore, encourage favoring the retroperitoneal approach. We believe that the study design did not allow such conclusions to be drawn. First, their study seemed to use only the clinical examination findings as the method of hernia recognition. This is in contrast to much of the contemporary literature, which recommends radiographic evaluation with ultrasonography or ...
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: Nellie Della Schiava, Patrick Lermusiaux Tags: Letter to the Editor Source Type: research

A balanced approach is warranted for patients with asymptomatic carotid stenosis
We thank Dr Abbott for her interest in our work.1 We do not agree with the claim that the nine clinical and imaging markers of high future stroke risk despite medical intervention proposed by the European Society for Vascular Surgery (ESVS) guidelines2 can be used to justify an invasive procedure for “just about all individuals with 60-99% asymptomatic carotid stenosis (ACS)”.3 These markers define specific ACS patient subgroups. Furthermore, the ESVS guidelines only provided a Class IIa, Level of Evidence B, a careful recommendation with a mention that “CEA should be considered” (not “ CEA is...
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: Kosmas I. Paraskevas, Jean-Baptiste Ricco, Richard P. Cambria, Enrico Ascher, Frank J. Veith, Ali F. AbuRahma Tags: Letter to the Editor Source Type: research

Procedural benefit for asymptomatic carotid stenosis is wishful thinking
Recently, Paraskevas et  al1 published an editorial encouraging us to follow the guideline recommendations from the Society for Vascular Surgery (SVS)2 and European Society for Vascular Surgery (ESVS)3 for the management of asymptomatic carotid stenosis (ACS). The 2011 SVS guidelines have recommended that carotid endarter ectomy (CEA) should, or can, be considered, respectively, for patients with average and high surgical risk with ≥60% ACS if the perioperative stroke or death rate is  (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: Anne L. Abbott Tags: Letter to the Editor Source Type: research

Reply
We are pleased to read a letter from one of the expert researchers in the field, which once again demonstrated the validity of our experimental study.1 (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: Shuji Setozaki, Kenji Minakata Tags: Letter to the Editor Source Type: research

Epigallocatechin gallate for medical management of the abdominal aortic aneurysm
Setozake et  al1 reported in the Journal that the administration of epigallocatechin gallate (EGCG), extracted from green tea, prevents the progression of abdominal aortic aneurysms in a rat model.1 We are pleased to see this confirmation of the experiments we reported in 2004 to 2007. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: M. David Tilson Tags: Letter to the Editor Source Type: research

Zen and the art of bandsaw maintenance: An inquiry into values
Thank you to the Western Vascular Society membership, and others, for the privilege of your time today. I disclose that I have much to be thankful for. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: Benjamin W. Starnes Tags: Presidential address Source Type: research

Instructions for use do, and should, matter
Acute aortic dissection remains a formidable acute aortic pathology to treat. thoracic endovascular aneurysm repair has revolutionized our management of aortic dissection and the Zenith Dissection System is a major step forward in our ability to mitigate long term false lumen related sequelae. In this issue of the Journal of Vascular Surgery, Lombardi et  al1 present a post hoc analysis of data from the STABLE I and II clinical trials with attention paid to the relationship between the length of proximal seal and adverse events with the Zenith Endovascular Dissection System. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: Randall R. DeMartino Tags: Invited commentary Source Type: research

Comparison of Patient Outcomes Among Integrated Residency Versus Fellowship-Trained Vascular Surgeons.
A retrospective review of the American Board of Surgeons database from 2013 to 2017, which was linked to the Vascular Quality Initiative registry from 2013 to 2019. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: B.K. Smith, S.R.G. Finlayson, B.A. Perler, A.P. Presson, C.M. Allen, B.S. Brooke Tags: Surgical outcomes in practice are the same for vascular surgeons who graduated from vascular residencies as vascular fellowships Source Type: research

Outpatient Percutaneous Endovascular Abdominal Aortic Aneurysm Repair: A Single-Center Experience
A retrospective, single-center review from January 2012 to June 2019. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: T.C. Lo, C.H. Hsin, R.F. Shie, S.Y. Yu, S.Y. Chu, P.J. Ko Tags: Is it time for outpatient endovascular aortic aneurysm repairs Source Type: research

Dedicated Plug-Based Closure for Large Bore Access —The MARVEL Prospective Registry
A prospective, observational, multicenter review of 10 hospitals in Canada, Denmark, Netherlands, Finland, and Switzerland using the MANTA vascular closure device (Teleflex, Wayne, Pa) from February 2018 to July 2019. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: H.G. Kroon, P.A.L. Toninio, M. Savontaus, G. Amoroso, M. Laine, E.H. Christiansen Tags: The MANTA device: a possible alternative to ProGlide or Prostar for large-bore arterial access closure Source Type: research

Selective Non-Operative and Delayed Management of Severe Asymptomatic Carotid Artery Stenosis
A retrospective, single-center review from 2010 to 2018. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: D. Dominguez, S.R. Levin, T.W. Cheng, J.A. Kalish, M.H. Eslami, J.J. Siracuse Tags: Nothing new: we should be selective recommending carotid endarterectomy for patients with severe asymptomatic carotid stenosis Source Type: research

Readmission and Utilization After Repair of Ruptured Abdominal Aortic Aneurysms in the United States
A retrospective review of the National Readmissions Database from 2014 to 2016. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: D.J. Braet, J.P. Taaffe, P. Singh, J. Bath, R.L. Kruse, T.R. Vogel Tags: Endovascular aortic aneurysm repair is associated with lower mortality and length of stay compared to open repair for ruptured abdominal aortic aneurysms, but also with increased readmissions Source Type: research

Management of Acute Central Retinal Artery Occlusion, a “Retinal Stroke”: An Institutional Series and Literature Review
A retrospective, single-center review from January 2017 to August 2020. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: K.E. Lee, C. Tschoe, S.A. Coffman, C. Kittel, P.A. Brown, Q. Vu Tags: Nonarteritic central retinal artery occlusion is associated with ipsilateral carotid stenosis in more than 25% of cases Source Type: research

Correction
In the July 2020 issue of the Journal of Vascular Surgery, abstract PC106 ( “Reassessing Mortality After Lower Extremity Amputation With a Multidisciplinary Approach Focused on Function”) had the incorrect author order. The correct author order for this abstract is as follows: (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Tags: Correction Source Type: research

Percutaneous Access Does Not Confer Superior Clinical Outcomes Over Cutdown Access for Endovascular Aneurysm Repair: Meta-Analysis and Trial Sequential Analysis of Randomised Controlled Trials
To investigate whether a percutaneous approach has better clinical outcomes than surgical access for standard endovascular repair of abdominal aortic aneurysms. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: G.A. Antoniou, S.A. Antoniou Source Type: research

Comparison of Clinical Outcomes Following One versus Two Stage Hybrid Repair of Thoraco-Abdominal Aortic Aneurysms: A Comprehensive Meta-Analysis
This study aimed to compare the clinical outcomes of single vs. staged hybrid repair of TAAA. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: J. Wang, T. Wang, J. Zhao, Y. Ma, B. Huang, Y. Yang, D. Yuan Source Type: research

Regional Versus General Anaesthesia in Peripheral Vascular Surgery: a Propensity Score Matched Nationwide Cohort Study of 17  359 Procedures in Denmark
Cardiopulmonary comorbidity is common in vascular surgery. General anaesthesia (GA) may impair perfusion and induce respiratory depression. Regional anaesthesia (RA), including neuraxial or peripheral nerve blocks, may therefore be associated with a better outcome. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: J. Bisgaard, C. Torp-Pedersen, B.S. Rasmussen, K.C. Houlind, S.J. Riddersholm Source Type: research

A Cost Effectiveness Analysis of Outpatient versus Inpatient Hospitalisation for Lower Extremity Arterial Disease Endovascular Revascularisation in France: A Randomised Controlled Trial
The AMBUVASC trial evaluated the cost effectiveness of outpatient vs. inpatient hospitalisation for endovascular repair of lower extremity arterial disease (LEAD). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: Y. Gou ëffic, J.L. Pin, J. Sabatier, Y. Alimi, E. Steinmetz, P.-E. Magnan, O. Marret, A. Kaladji, B. Chavent, B. Kretz, A. Jobert, S. Schirr-Bonnans, B. Guyomarc'h, V.P. Riche, L.S. du Mont, P. Tessier Source Type: research

Intermittent Administration of Nitroglycerin Sublingual Powder Compared with Placebo in Outpatients with Peripheral Artery Disease: Results of a Randomised Proof of Concept Study
Treatment of peripheral artery disease (PAD), Fontaine Stage IIb with vasoactive substances is of limited efficacy and does not last beyond the active treatment. Glyceryl trinitrate (GTN) is a vasodilating agent that relaxes vascular smooth muscle cells. The aim was to prove the concept that GTN sublingual powder has sustained clinical efficacy and adequate safety in these patients. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: H. Lawall, P. Bramlage, M. Gorath, T. Wittig Source Type: research

Patient Reported Outcome Measures for Major Lower Limb Amputation Caused by Peripheral Artery Disease or Diabetes: A Systematic Review
Most major lower limb amputations are related to peripheral artery disease (PAD) or diabetes. Just 40% of patients who undergo major lower limb amputation will use a prosthesis yet measures of surgical success commonly focus on prosthesis use. Patient reported outcome measures (PROMs) are valuable to comprehensively evaluate health related quality of life (HRQL) after surgery. This systematic review aimed to identify and describe PROMs available to assess HRQL in patients after amputation for PAD or diabetes. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Authors: R. Miller, G.K. Ambler, J. Ramirez, J. Rees, R. Hinchliffe, C. Twine, S. Rudd, J. Blazeby, K. Avery Source Type: research

Editorial Board
(Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 22, 2021 Category: Surgery Source Type: research