Disparities in 5-year outcomes and imaging surveillance following elective endovascular repair of abdominal aortic aneurysm by sex, race, and ethnicity
Sex, racial, and ethnic disparities in post-operative outcomes following abdominal aortic aneurysm (AAA) repair have been described, but differences in long-term outcomes are poorly understood. Our aim was to identify differences in 5-year outcomes and imaging surveillance after elective endovascular aortic aneurysm repair (EVAR) by sex, race, and ethnicity and to explore potential mechanisms underlying these differences. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 12, 2022 Category: Surgery Authors: Christina L. Marcaccio, Priya B. Patel, Livia E.V.M. de Guerre, Jacqueline E. Wade, Vinamr Rastogi, Aderike Anjorin, Peter A. Soden, Kakra Hughes, Salvatore T. Scali, Art Sedrakyan, Marc L. Schermerhorn Source Type: research

Comparison of long occlusive femoro-popliteal de novo vs. previous endovascularly treated lesions managed with in situ saphenous bypass
The aim of this study was to compare two-year outcomes of de novo vs. post-endovascular lesion treatment of femoro-popliteal occlusions included in a national, multicenter, observational, prospective registry based on the treatment of critical Limb-threatening IschaeMia with infragenicular Bypass adopting in situ SAphenous VEin technique (LIMBSAVE). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 10, 2022 Category: Surgery Authors: Nicola Troisi, Stefano Michelagnoli, Daniele Adami, Raffaella Berchiolli, LIMBSAVE registry Collaborative Group Source Type: research

Reliability and Validity of the Standardized Elevated Arm Stress Test in the diagnosis of Neurogenic Thoracic Outlet Syndrome
This study aims to determine the reliability and validity of the standardized EAST (sEAST) in the diagnosis of neurogenic thoracic outlet syndrome (NTOS). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 10, 2022 Category: Surgery Authors: Niels Pesser, Britt I. de Bruijn, Jens Goeteyn, Nicole Verhofstad, Saskia Houterman, Marc R.H.M. van Sambeek, Robert W. Thompson, Bart F.L. van Nuenen, Joep A.W. Teijink Source Type: research

Evaluation of a Standardized Protocol for Medical Management of Uncomplicated Acute Type B Aortic Dissection
The goals of medical management for uncomplicated acute type B aortic dissection are to prevent expansion of the false lumen and malperfusion syndrome. This is accomplished with antihypertensive agents, but medication selection and titration are typically provider dependent. Given the paucity of data on evidence-based management of this population, we hypothesized that a standardized type B aortic dissection medical management protocol would reduce resource utilization and costs, without compromising patient outcomes. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 9, 2022 Category: Surgery Authors: Antony Aziz, Hannah O ’Donnell, Donald G. Harris, Hee Soo Jung, Paul DiMusto Source Type: research

Reliability and Validity of the Elevated Arm Stress Test in the Diagnosis of Neurogenic Thoracic Outlet Syndrome
To assess the test-retest reliability and validity of the elevated arm stress test (EAST) as measured by the duration in a cohort of patients with suspected neurogenic thoracic outlet syndrome (NTOS). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 9, 2022 Category: Surgery Authors: N. Pesser, Britt I. de Bruijn, Jens Goeteyn, Saskia Houterman, Marc R.H.M. van Sambeek, Robert W. Thompson, Joep A.W. Teijink, Bart F.L. van Nuenen Source Type: research

Evaluation of aortic tortuosity as a negative predictor of abdominal aortic aneurysm rupture
This study compared the degree of aortic tortuosity in ruptured aneurysms with those who underwent elective repair using CT imaging. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 27, 2022 Category: Surgery Authors: Masoud Hejazi, Sally H. Choi, A. Srikantha Phani, York N. Hsiang Source Type: research

Bilateral subclavian artery aneurysms in a patient with Marfan syndrome
A 57-year-old man with Marfan syndrome presents with bilateral neck pressure and discomfort shortly after performing bilateral arm curls with 5-pound weights for an upcoming trip, despite previously being compliant with advice against weightlifting. He has a history of valve-sparing aortic root replacement with reimplantation of the coronary arteries at age 54, with imaging showing no definitive aneurysms at that time. Computed tomography angiography at the time of presentation revealed 5.5-cm bilateral subclavian aneurysms (A/Cover and B). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 26, 2022 Category: Surgery Authors: Elijah Yap, Sheela T. Patel Tags: Vascular Images Source Type: research

Watch your back
We would like to congratulate Dr Shearkhani et  al on their new findings that vertebral compression fractures cause significant steepening of the proximal aortic neck angulation in patients after endovascular aneurysm repair (EVAR).1 (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 26, 2022 Category: Surgery Authors: Akiko Tanaka, Keith D. Calligaro Tags: Invited commentary Source Type: research

Not an awkward high school dance! Highlighting the growing importance of patient-reported outcome measures (PROMs) in chronic limb-threatening ischemia
Patient-reported outcome measures (PROMs) are validated tools used to collect patient-reported outcomes for a given therapeutic or intervention for a given disease state. In particular, PROMs measure comparative effectiveness, cost comparisons, and the use of shared decision-making.1,2 PROMs have become increasingly important for a variety of disease states to improve patient-centered care and control costs.1,2 Currently, value-based reimbursement models do not include PROMs. However, there is increasing discussion as to how to create statistical analysis plans and measurement scales to reliably tie PROM measurements to va...
Source: Journal of Vascular Surgery - April 26, 2022 Category: Surgery Authors: Jayer Chung Tags: Invited commentary Source Type: research

Asymptomatic carotid atherosclerosis stenosis, inflammation, and cognitive impairment
It is well-established that atherosclerosis is a systemic inflammatory process involving the vessel wall intima media complex.1 Systemic inflammation is also thought to be involved in aging related cognitive decline.2 In addition, numerous studies have demonstrated a strong association between subclinical arteriosclerosis as measured by carotid artery intimal media thickness and cognitive impairment.3 (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 26, 2022 Category: Surgery Authors: Lakshmikumar Pillai Tags: Invited commentary Source Type: research

Outcomes of axillofemoral and aortofemoral bypass for intermittent claudication may be similar
Despite almost 40  years of experience with axillofemoral grafts, there remains an absence of clear guidelines for their use, especially in treating intermittent claudication (IC). This motivated Levin et al1 to examine the Vascular Quality Initiative (VQI) database to evaluate the appropriateness of axillofemoral bypass for IC. Although apparently their aim was not to compare axillofemoral bypass data with aortofemoral bypass grafts, much of their paper is devoted to such a comparison. On the basis of this evaluation, they first conclude that axillofemoral bypass is associated with significant perioperative morbidity, m...
Source: Journal of Vascular Surgery - April 26, 2022 Category: Surgery Authors: Russell H. Samson Tags: Invited commentary Source Type: research

Retrograde type A dissection is a near-never event during thoracic stent grafting for aortic dissection
The management of type B aortic dissection has continued to evolve over the last two decades. This progression  has largely been driven by two realizations. First, the understanding that “acute” dissection is a misnomer; the acute process of aortic dissection has long-term chronic implications. Late aneurysmal degeneration leads to aorta-specific mortality. Secondly, improvements in stent graft design and procedure-specific advancements have made thoracic endovascular aortic repair (TEVAR) more and more safe since the operation was first described. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 26, 2022 Category: Surgery Authors: Ravi R. Rajani Tags: Invited commentary Source Type: research

A beginner ’s guide to diversity, equity, and inclusion typecasting
This was it. I had finally earned my seat at the proverbial table. I will admit, it was a bit smaller than I had anticipated —a modest coffee table in my Chair’s oversized office. This was my first departmental leadership meeting after my appointment as Vice Chair of Diversity, Equity, and Inclusion (DEI), and I was admittedly a bit nervous. Suddenly, my well-styled dress and cardigan seemed incongruous with the slate gray power suits donned by my White male counterparts. I looked over at the other vascular surgeon in the room, and I could tell he knew what I was thinking—“Where are the cigars and glasses of scotch...
Source: Journal of Vascular Surgery - April 26, 2022 Category: Surgery Authors: Chelsea Dorsey Tags: Editorial Source Type: research

Reply
We thank the author for commenting on our manuscript entitled “A meta-analysis of randomized controlled trials evaluating the efficacy of smoking cessation interventions in people with peripheral artery disease.”1 (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 26, 2022 Category: Surgery Authors: Shivshankar Thanigaimani, Aaron Drovandi, Jonathan Golledge Tags: Letter to the Editor Source Type: research

No need to shift course on smoking cessation treatments for patients with peripheral artery disease
The article by Thanigaimani et  al1 provides an analysis of the evidence of smoking cessation treatments for those specifically with peripheral artery disease, an area that has been little studied. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 26, 2022 Category: Surgery Authors: Adam Edward Lang Tags: Letter to the Editor Source Type: research