Occurrence, Predictors, and Management of Late Vascular Complications following Extracorporeal Membrane Oxygenation
Vascular complications (VC) associated with Extracorporeal Membrane Oxygenation (ECMO) during index hospitalization are prevalent and associated with increased mortality. Few studies have evaluated late VC following ECMO; this study aims to assess occurrence and management practices of late VC following discharge. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 22, 2024 Category: Surgery Authors: C Adam Banks, Juliet Blakeslee-Carter, Veronica Nkie, Emily L. Spangler, Shasha A. Still, Kyle W. Eudailey, Samuel K. McElwee, Margaret S. Blood, Zdenek Novak, Adam W. Beck Source Type: research
Influence of Inframalleolar Modifier P0/P1 on Wound Healing in Bypass Surgery versus Endovascular Therapy in Patients with Chronic Limb-Threatening Ischemia
This study aimed to compare the influence of inframalleolar (IM) P0/P1 on wound healing in bypass surgery versus endovascular therapy (EVT) in patients with chronic limb-threatening ischemia (CLTI). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 20, 2024 Category: Surgery Authors: Koichi Morisaki, Daisuke Matsuda, Atsushi Guntani, Go Kinoshita, Shinichiro Yoshino, Kentaro Inoue, Kenichi Honma, Terutoshi Yamaoka, Shinsuke Mii, Tomoharu Yoshizumi Source Type: research
Carotid Endarterectomy and Transcarotid Artery Revascularization can be Performed with Acceptable Morbidity and Mortality in Patients with Chronic Kidney Disease
Patients with chronic kidney disease (CKD) are considered a high-risk population, and the optimal approach to the treatment of carotid disease remains unclear. Thus, we compared outcomes following carotid revascularization for patients with CKD by operative approach of carotid endarterectomy (CEA), transfemoral carotid artery stenting (TFCAS), and transcarotid arterial revascularization (TCAR). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 20, 2024 Category: Surgery Authors: Norma Elizaga, Rahul Ghosh, Nallely Saldana-Ruiz, Marc Schermerhorn, Peter Soden, Kirsten Dansey, Sara L. Zettervall Source Type: research
Pedal medial arterial calcification influences the outcomes of isolated infra-malleolar interventions for chronic limb-threatening ischemia
This study aimed to examine the impact of pMAC on the outcomes after isolated infra-malleolar (pedal artery) interventions. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 19, 2024 Category: Surgery Authors: Tracy J. Cheun, Joseph P. Hart, Mark G. Davies Source Type: research
Prior authorization must make patient care the priority!
Prior authorization (PA) was designed and promoted as a cost-containment measure to ensure appropriate and cost-effective medical services. Sadly, it has become a tedious and time-consuming bureaucratic process that delays or impedes health care delivery. Although Medicare has relatively few PA requirements, Medicare Advantage (MA) programs and private carriers have their own process, and with more of our patients enrolling into these programs, we must be cognizant of this impact. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 18, 2024 Category: Surgery Authors: Francesco Aiello Tags: Invited commentary Source Type: research
Reply
James and Sehgal presented an interesting case for the exploration of hydrogen inhalation therapy (HIT) as a potential adjunctive treatment for spinal cord ischemia (SCI) after complex aortic repair (CAR).1 HIT has yet to be studied in humans in the context of SCI after CAR. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 18, 2024 Category: Surgery Authors: Angela Lee, Thomas Lindsay Tags: Letter to the Editor Source Type: research
The synergistic potential of hydrogen inhalation and hyperbaric oxygen therapy
We read with great interest the review by Lee and colleagues, in which the authors describe the use of hyperbaric oxygen therapy (HBOT) as a novel adjunctive treatment to standard treatment for spinal cord injury (SCI) after complex aortic repair (CAR).1 HBOT is a revolutionary therapy for many postsurgical complications such as SCI after CAR. We are curious to know if the authors considered hydrogen inhalation therapy (HIT) in combination with HBOT. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 18, 2024 Category: Surgery Authors: Michael G. James, Viren S. Sehgal Tags: Letter to the Editor Source Type: research
Is it time to expand screening criteria for abdominal aortic aneurysms?
Summers and colleagues have completed an elegant analysis using data from people in the United States who participated in ultrasound-based abdominal aortic aneurysm (AAA) screening outreach.1 Various vascular societal guidelines support ultrasound-based AAA screening in the general population. The Society for Vascular Surgery recommends screening all men and women 65 to 75 years old with a history of tobacco use.2 The European Society for Vascular Surgery recommends screening all men at age 65 but not women. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 18, 2024 Category: Surgery Authors: Charles de Mestral Tags: Invited commentary Source Type: research
The steerable sheath revolution
The authors are to be congratulated for a well-conducted study1 reporting prospectively monitored data, confirming that transfemoral (TF) access is associated with better outcomes compared to upper extremity (UE) access during fenestrated and branched endovascular repair (FBEVAR). The authors acquired a high number of cases with UE access as there was the initial general belief that access from above (possibly facilitated by using preloaded catheters) could decrease number of failed catheterizations, especially for downward-facing target vessels (TVs), and improve technical success. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 18, 2024 Category: Surgery Authors: St éphan Haulon, Ming Guo, Dominique Fabre Tags: Invited commentary Source Type: research
Racial and Gender Disparities in the Management of Acute Pulmonary Embolism
The aim of this study is to assess race and sex disparities in utilization and outcomes of various interventions in acute PE patients. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 18, 2024 Category: Surgery Authors: S. Sathianathan, Z. Meili, C.M. Romero, J.J. Juarez, R. Bashir Source Type: research
Effect of junctional reflux on the venous clinical severity score in patients with insufficiency of the great saphenous vein (JURY study)
Effective treatment options are available for chronic venous insufficiency associated with superficial venous reflux. Although many patients with C2 and C3 disease based on the CEAP (Clinical-Etiological-Anatomical-Pathophysiological) classification have combined great saphenous vein (GSV) and saphenofemoral junction (SFJ) reflux, some may not have concomitant SFJ reflux. Several payors have determined that symptom severity in patients without SFJ reflux does not warrant treatment. In patients planned for venous ablation, we tested whether Venous Clinical Severity Scores (VCSS) are equivalent in those with GSV reflux alone...
Source: Journal of Vascular Surgery - April 18, 2024 Category: Surgery Authors: C. Vemuri, K.D. Gibson, P.J. Pappas, M. Sadek, W. Ting, A.T. Obi, N.J. Mouawad, Y. Etkin, A.P. Gasparis, T. McDonald, S. Sahoo, J.D. Sorkin, B.K. Lal Source Type: research
Transcatheter electrosurgical septotomy technique for chronic postdissection aortic aneurysms
Aortic dissection often results in chronic aneurysmal degeneration due to progressive false lumen expansion. Thoracic endovascular aortic repair and other techniques of vessel incorporation such as fenestrated-branched or parallel grafts have been increasingly used to treat chronic postdissection aneurysms. True lumen compression or a vessel origin from the false lumen can present considerable technical challenges. In these cases, the limited true lumen space can result in inadequate stent graft expansion or restrict the ability to reposition the device or manipulate catheters. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 18, 2024 Category: Surgery Authors: A. Baghbani-Oskouei, S. Savadi, T. Mesnard, T. Sulzer, A.K. Mirza, S. Baig, C.H. Timaran, G.S. Oderich Source Type: research
Midterm outcomes of endoscopic-assisted brachial-basilic arteriovenous fistula creation
Endoscopic vein harvest remains underused in single-stage brachial-basilic arteriovenous fistula creation. We analyzed our results with the use of this technique in a cohort of predominantly obese (body mass index ≥30 kg/m2) patients. Demographics, intraoperative details, and outcomes for all consecutive patients who underwent single-stage endoscopic-assisted brachial-basilic arteriovenous fistula creation between 2020 and 2022 at a single institute were analyzed retrospectively. The primary outcomes were t echnical success, fistula maturation, and primary assisted and secondary patency rates. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 18, 2024 Category: Surgery Authors: G. Almhanni, I. Sen, S. Vang, S. Marczak, K. Herzog, M. Twesme, M. Ryba, G. Krueger, R. Jack, J. Beckermann, T. Carmody, T. Tallarita Source Type: research
In vitro analysis of carotid lesions using a preliminary microwave sensor to detect vulnerable plaques: Correlation with histology, Duplex ultrasound examination, and computed tomography scanner: The Imaging and Microwave Phenotyping Assessment of Carotid stenosis Threat (IMPACT) study
Progress in best medical treatment have made identification of best candidates for carotid surgery more difficult. New diagnostic modalities could be helpful in this perspective. Microwaves (MWs) can quantify dielectric properties (complex relative permittivity) of biological tissues and MW technology has emerged as a promising field of research for distinguishing abnormal tissues from healthy ones. We here evaluated the ability of a dedicated MW sensor developed in our laboratory to identify vulnerable carotid lesions. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 18, 2024 Category: Surgery Authors: R. Shahbaz, E. Charpentier, M. Ponnaiah, F. Deshours, H. Kokabi, I. Brocheriou, G. Le Naour, A. Redheuil, F. Koskas, J.M. Davaine Source Type: research
Submitting a successful NIH career development award for the vascular surgeon scientist
This article, authored completely by vascular surgeons with active K awards, is intended for potential applicants and personnel at their institution and reviews relevant information including strategies for a successful application. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 18, 2024 Category: Surgery Authors: S. Minc, J.M. Ruddy, C.W. Hicks, T.T. Nguyen, A.T. Obi, N.H. Osborne, T.-W. Tan, A.A. Ucuzian, S.K. Shah Source Type: research
