Safety of Early Carotid Artery Stenting for Symptomatic Stenosis in Daily Practice
In 2006, the American Heart Association recommended that for preference carotid endarterectomy (CEA) or, alternatively, carotid angioplasty and stenting (CAS) for symptomatic carotid artery stenosis should ideally occur within 14 days of an ischaemic event. The aim was to determine the safety of CAS according to those recommendations in daily practice. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 19, 2018 Category: Surgery Authors: J. Alcalde-L ópez, E. Zapata-Arriaza, A. Cayuela, F. Moniche, I. Escudero-Martínez, J. Ortega-Quintanilla, R. de Torres-Chacón, J. Montaner, A. Mayol, A. González Tags: Selected Abstract from the December Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research

Systematic Review and Meta-Analysis of the Outcome of Treatment for Type II Endoleak Following Endovascular Aneurysm Repair
The efficacy and need for secondary interventions for type II endoleaks following endovascular abdominal aortic aneurysm repair (EVAR) remain controversial. This systematic review aimed at investigating the clinical outcomes of different type II endoleak treatments in patients with a persistent type II endoleak after EVAR. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 19, 2018 Category: Surgery Authors: K.H.J. Ultee, S. B üttner, R. Huurman, F. Bastos Gonçalves, S.E. Hoeks, W.M. Bramer, M.L. Schermerhorn, H.J.M. Verhagen Tags: Selected Abstract from the December Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research

Plasma Cystatin B Association With Abdominal Aortic Aneurysms and Need for Later Surgical Repair: A Sub-study of the VIVA Trial
This study tested whether plasma cystatin B levels in patients with AAA differed from those of healthy controls. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 19, 2018 Category: Surgery Authors: Y. Wang, C.-L. Liu, J.S. Lindholt, G.-P. Shi, J. Zhang Tags: Selected Abstract from the December Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research

Direct vs. Indirect Angiosomal Revascularisation of Infrapopliteal Arteries, an Updated Systematic Review and Meta-analysis
The importance of the angiosome concept in tibial artery revascularisation remains controversial. The aim of this review was to assess the outcomes of direct revascularisation (revascularisation to the angiosome of tissue loss; DR) versus indirect revascularisation (IR) in infrapopliteal arteries. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 19, 2018 Category: Surgery Authors: N. Dilaver, C.P. Twine, D.C. Bosanquet Tags: Selected Abstract from the December Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research

Validation of a Gravitational Model to Study Local Endogenous Biomarkers in Chronic Venous Insufficiency
Unlike most systemic chronic diseases, chronic venous insufficiency (CVI) is ideal to study using endogenous biomarkers. The stimulus causing damage can be turned on and off with gravitational positioning and venous blood samples can be taken locally. Annexin V (apoptosis) and microparticles (cell membrane debris) were used as markers of cell destruction, with matrix metalloproteinases (MMPs) as markers of tissue remodelling. The aim of this proof of concept study was to validate a gravitational model by investigating whether standing induced biochemical stress and whether recovery occurs on lying and after compression. (S...
Source: Journal of Vascular Surgery - December 19, 2018 Category: Surgery Authors: C.R. Lattimer, J. Fareed, D. Hoppensteadt, P. Maia, D. Ligi, F. Mannello, E. Kalodiki Tags: Selected Abstract from the December Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research

Post-operative Infection of Prosthetic Materials or Stents Involving the Supra-aortic Trunks: A Comprehensive Review
The aim of this paper was to provide recommendations for diagnosis and management in the setting of infection following open or endovascular reconstructions of the supra-aortic trunks. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 19, 2018 Category: Surgery Authors: A. Lejay, I. Koncar, H. Diener, M.V. de Ceniga, N. Chakf é Tags: Selected Abstract from the December Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research

Reporting sex as a biologic variable in research published in the Journal of Vascular Surgery Publications
Recent studies have shown that most basic science and translational research is conducted on male animals and male cells, even when studying diseases more prevalent in women.1 Clinical research studies also frequently lack sex-based reporting and sex-based analysis of outcomes.2,3 The National Institutes of Health (NIH) now requires that sex be considered as a variable in all NIH-funded research.4 Given these developments, the Surgery Journals Editors Group published a statement that addresses the importance of conducting sex-inclusive biomedical and clinical research to improve health outcomes of men and women. (Source: J...
Source: Journal of Vascular Surgery - December 19, 2018 Category: Surgery Authors: Peter Gloviczki, Peter F. Lawrence Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 19, 2018 Category: Surgery Source Type: research

Contents
(Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 19, 2018 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, 633 N. St. Clair, 22nd Floor, Chicago, IL 60611; telephone: 603-523-2222; 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 - December 19, 2018 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 - December 19, 2018 Category: Surgery Source Type: research

Journal of Vascular Surgery – January 2019 Audiovisual Summary
Hi, I am Peter Gloviczki from Mayo Clinic, Editor-in-Chief of the Journal of Vascular Surgery. On behalf of the editors and staff of the JVS Publications, let me wish you first a happy and healthy new year of 2019. I am pleased to introduce the best papers of the January issue of the Journal of Vascular Surgery. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 19, 2018 Category: Surgery Authors: Peter Gloviczki Tags: Journal of Vascular Surgery – January 2019 Audiovisual Summary Source Type: research

Meta-analysis of randomized controlled trials on safety and efficacy of exercise training in patients with abdominal aortic aneurysm
Low exercise capacity preoperatively leads to increased postoperative complications, perioperative mortality, length of stay, and inpatient costs among patients going through elective abdominal aortic aneurysm (AAA) surgery. Therefore, exercise training may be extremely important for reducing perioperative adverse events in AAA patients. This paper aimed to perform a meta-analysis of randomized controlled trials to evaluate the safety of exercise training and its effects on exercise capacity in AAA patients. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 18, 2018 Category: Surgery Authors: Michitaka Kato, Akira Kubo, Fumi Nihei Green, Hisato Takagi Tags: Review article Source Type: research

Safety and efficacy of exercise training in patients with abdominal aortic aneurysm: A meta-analysis of randomized controlled trials
Low exercise capacity preoperatively leads to increased postoperative complications, perioperative mortality, length of stay, and inpatient costs among patients going through elective abdominal aortic aneurysm (AAA) surgery. Therefore, exercise training may be extremely important for reducing perioperative adverse events in AAA patients. This paper aimed to perform a meta-analysis of randomized controlled trials to evaluate the safety of exercise training and its effects on exercise capacity in AAA patients. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 18, 2018 Category: Surgery Authors: Michitaka Kato, Akira Kubo, Fumi Nihei Green, Hisato Takagi Source Type: research

A systematic review on the quality of life and functional status after abdominal aortic aneurysm repair in elderly patients with an average age older than 75  years
Endovascular aneurysm repair (EVAR) and open repair (OR) of abdominal aortic aneurysms (AAAs) are increasingly performed in elderly patients (>75  years of age) with satisfactory results. Quality of life (QOL) is increasingly considered a primary goal of intervention after AAA repair. However, there is currently no consensus on QOL after these procedures in elderly patients. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 18, 2018 Category: Surgery Authors: Leonard Shan, Akshat Saxena, David Goh, Domenic Robinson Source Type: research

Results of simultaneous bilateral carotid artery stenting: A systematic review and meta-analysis
Although staged procedures to treat bilateral carotid artery stenosis are mainstream, a growing number of articles on simultaneous bilateral carotid artery stenting (SBCAS) have been published. Thus, this meta-analysis was performed to evaluate the efficacy and safety of SBCAS. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 18, 2018 Category: Surgery Authors: Zhichao Lai, Zhiwei Guo, Jiang Shao, Yu Chen, Xiu Liu, Bao Liu, Chenyang Qiu Source Type: research

Analysis of the position of EndoAnchor implants in therapeutic use during endovascular aneurysm repair
The aim of this study was to analyze the penetration depth, angles, distribution, and location of deployment of individual EndoAnchor (Medtronic Vascular, Santa Rosa, Calif) implants. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 18, 2018 Category: Surgery Authors: Seline R. Goudeketting, Kim van Noort, Jenske J.M. Vermeulen, Kenneth Ouriel, William D. Jordan, Jean M. Panneton, Cornelis H. Slump, Jean-Paul P.M. de Vries Source Type: research

A systematic review and meta-analysis of results of simultaneous bilateral carotid artery stenting
Although staged procedures to treat bilateral carotid artery stenosis are mainstream, a growing number of articles on simultaneous bilateral carotid artery stenting (SBCAS) have been published. Thus, this meta-analysis was performed to evaluate the efficacy and safety of SBCAS. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 18, 2018 Category: Surgery Authors: Zhichao Lai, Zhiwei Guo, Jiang Shao, Yu Chen, Xiu Liu, Bao Liu, Chenyang Qiu Tags: Review article Source Type: research

Addition of proximal intervention to carotid endarterectomy increases risk of stroke and death
Adding ipsilateral, proximal endovascular (IPE) intervention to carotid endarterectomy (CEA) for the treatment of tandem bifurcation and supra-aortic trunk disease is controversial. Some suggest that this combined strategy (CEA  + IPE) confers no risk over isolated CEA (ICEA). Others disagree, reserving CEA + IPE for symptomatic patients. Using the Vascular Quality Initiative (VQI), this study assessed the effect of adding IPE to CEA on stroke and death risk. We further weighed CEA + IPE outcomes in the context of sympt omatic status and Society for Vascular Surgery guidelines. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 13, 2018 Category: Surgery Authors: Linda J. Wang, Emel A. Ergul, Mark F. Conrad, Mahmoud B. Malas, Vikram S. Kashyap, Philip P. Goodney, Virendra I. Patel, W. Darrin Clouse Tags: Clinical paper Source Type: research

Endograft migration after thoracic endovascular aortic repair
The objective of this study was to evaluate the incidence, timing, and potential risk factors of late endograft migration after thoracic endovascular aortic repair (TEVAR). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 13, 2018 Category: Surgery Authors: Philipp Geisb üsch, Denis Skrypnik, Marius Ante, Michael Trojan, Tom Bruckner, Fabian Rengier, Dittmar Böckler Source Type: research

Implications of secondary aortic intervention after thoracic endovascular aortic repair for acute and chronic type B dissection
Thoracic endovascular aortic repair (TEVAR) has become a mainstay of therapy for acute and chronic type B aortic dissection (TBAD). Dynamic aortic morphologic changes, untreated dissected aorta, and persistent false lumen perfusion have significant consequences for reintervention after TEVAR for TBAD. However, few reports contrast differences in secondary aortic intervention (SAI) after TEVAR for TBAD or describe their influence on mortality. This analysis examined incidence, timing, and types of SAI after TEVAR for acute and chronic TBAD and determined their impact on survival. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 13, 2018 Category: Surgery Authors: Kristina A. Giles, Adam W. Beck, Salim Lala, Suzannah Patterson, Martin Back, Javairiah Fatima, Dean J. Arnaoutakis, George J. Arnaoutakis, Thomas M. Beaver, Scott A. Berceli, Gilbert R. Upchurch, Thomas S. Huber, Salvatore T. Scali Tags: Clinical paper Source Type: research

Discussion
Dr Nathan Orr (Lexington, Ky). I would like to congratulate the authors on an excellent presentation and manuscript as they begin to sort through the incidence and characteristics of secondary aortic interventions after thoracic endovascular aortic repair (TEVAR) for type B aortic dissections. As you have just heard, secondary aortic interventions are commonly required in this cohort, with an overall incidence of 27%. Further, this is fairly consistent for all comers, with relatively few predictors of increased incidence. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 13, 2018 Category: Surgery Source Type: research

Using bifurcated endoprosthesis after iliac artery recanalization for concomitant abdominal aortic aneurysm and chronic total occlusions of access routes
Concurrent abdominal aortic aneurysm (AAA) and unilateral iliac occlusion is a challenge in the implantation of bifurcated stent grafts (BFGs). The endovascular approach is less invasive than open surgery; the aortouni-iliac (AUI) graft with crossover femorofemoral bypass (CFFB) has many problems associated with extra-anatomic reconstruction. We attempted endovascular aneurysm repair (EVAR) using BFGs in such cases and evaluated the outcomes. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 13, 2018 Category: Surgery Authors: Yuriko Takeuchi, Noriyasu Morikage, Takahiro Mizoguchi, Takashi Nagase, Makoto Samura, Koshiro Ueda, Kotaro Suehiro, Kimikazu Hamano Source Type: research

Fenestrated endovascular aneurysm repair is associated with lower perioperative morbidity and mortality compared with open repair for complex abdominal aortic aneurysms
The Zenith Fenestrated Endovascular Graft (ZFEN; Cook Medical, Bloomington, Ind) has expanded the anatomic eligibility of endovascular aneurysm repair (EVAR) for complex abdominal aortic aneurysms (AAAs). Current data on ZFEN mainly consist of single-institution experiences and show conflicting results. Therefore, we compared perioperative outcomes after repair using ZFEN with open complex AAA repair and infrarenal EVAR in a nationwide multicenter registry. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 13, 2018 Category: Surgery Authors: Rens R.B. Varkevisser, Thomas F.X. O'Donnell, Nicholas J. Swerdlow, Patric Liang, Chun Li, Klaas H.J. Ultee, Alexander B. Pothof, Livia E.V.M. De Guerre, Hence J.M. Verhagen, Marc. L. Schermerhorn Tags: Clinical paper Source Type: research

Survival after abdominal aortic aneurysm repair is affected by socioeconomic status
This study aimed to determine the influence of SES on postoperative survival after AAA repair. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 11, 2018 Category: Surgery Authors: Ziad Al Adas, Timothy J. Nypaver, Alexander D. Shepard, Mitchell R. Weaver, Jason T. Ryan, Jordan Huang, Rob Harriz, Loay S. Kabbani Tags: Clinical paper Source Type: research

The incidence of carotid in-stent stenosis is underestimated ≥50% or ≥80% and its clinical implications
This study analyzed the incidence of ≥50% and ≥80% in-stent stenosis using validated duplex ultrasound criteria and its clinical implications. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 11, 2018 Category: Surgery Authors: Ali F. AbuRahma, Zachary T. AbuRahma, Grant Scott, Elliot Adams, Abe Mata, Matthew Beasley, L. Scott Dean, Elaine Davis Tags: Clinical paper Source Type: research

Left ventricular hypertrophy is a possible biomarker for early mortality after type B aortic dissection
We describe the prevalence of cardiac abnormalities in patients with TBAD as detected by echocardiography. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 11, 2018 Category: Surgery Authors: Alexander P. Taylor, Rosario V. Freeman, Matthew A. Bartek, Sherene Shalhub Tags: Clinical paper Source Type: research

Coexisting hypogastric aneurysms worsen the outcomes of endovascular treatment by the iliac branch devices within the pELVIS Registry
Hypogastric aneurysms (HAs) frequently coexist with aortoiliac aneurysms (AIAs). However, the presence of an HA is a contraindication to endovascular aneurysm treatment by iliac branch devices (IBDs) because of the risk of distal sealing-related endoleaks. No robust evidence exists in the published literature, and therefore we sought to evaluate the performance of IBDs in the presence of HAs within a multicenter registry of nine vascular centers. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 10, 2018 Category: Surgery Authors: Konstantinos P. Donas, Gergana T. Taneva, Georgios A. Pitoulias, Giovanni Torsello, Frank J. Veith, pELVIS Registry collaborators Source Type: research

Influence of multiple stents on periprocedural stroke after carotid artery stenting in the Carotid Revascularization Endarterectomy versus Stent Trial (CREST)
In the Carotid Revascularization Endarterectomy versus Stent Trial (CREST), carotid artery atherosclerotic lesion length and nature of the lesions were important factors that predicted the observed difference in stroke rates between carotid endarterectomy and carotid artery stenting (CAS). Additional patient-related factors influencing CAS outcomes in CREST included age and symptomatic status. The importance of the operator's proficiency and its influence on periprocedural complications have not been well defined. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 4, 2018 Category: Surgery Authors: Brajesh K. Lal, Gary S. Roubin, Michael Jones, Wayne Clark, Ariane Mackey, Michael D. Hill, Jenifer H. Voeks, George Howard, Robert W. Hobson, Thomas G. Brott Source Type: research

Impact of onlay fusion and cone beam computed tomography on radiation exposure and technical assessment of fenestrated-branched endovascular aortic repair
The objective of this study was to analyze the impact of advanced imaging applications and cone beam computed tomography (CBCT) on radiation exposure of the patient and operator and detection of technical problems during fenestrated-branched endovascular aortic repair (F-BEVAR) for treatment of pararenal aneurysms and thoracoabdominal aortic aneurysms (TAAAs). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 4, 2018 Category: Surgery Authors: Emanuel R. Tenorio, Gustavo S. Oderich, Giuliano A. Sandri, Pinar Ozbek, Jussi M. K ärkkäinen, Thanila A. Macedo, Terri Vrtiska, Stephen Cha Source Type: research

The use of video motion analysis to determine the impact of anatomic complexity on endovascular performance in carotid artery stenting
The objective of this study was to evaluate the effect of anatomic complexity on the efficiency of completion of defined stages of simulated carotid artery stenting as measured by VMA. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 4, 2018 Category: Surgery Authors: Alexander E. Rolls, Celia V. Riga, Sybghat U. Rahim, Willem Willaert, Isabelle Van Herzeele, Danail V. Stoyanov, Mohamad S. Hamady, Nick J. Cheshire, Colin D. Bicknell Source Type: research

Common femoral artery antegrade and retrograde approaches have similar access site complications
Ipsilateral antegrade access (AA) is an alternative access option for contralateral retrograde access (RA) in treating infrainguinal occlusive disease. Our goal was to assess whether AA is associated with higher access site complications. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - December 4, 2018 Category: Surgery Authors: Jeffrey J. Siracuse, Alik Farber, Thomas W. Cheng, Stephen J. Raulli, Douglas W. Jones, Jeffrey A. Kalish, Matthew R. Smeds, Denis Rybin, Marc L. Schermerhorn, Vascular Quality Initiative Tags: Clinical paper Source Type: research

Sex as an independent risk factor for long-term survival after endovascular aneurysm repair
Several vascular surgical procedures, including repair of abdominal aortic aneurysms (AAAs), show poorer outcomes for women than for men. We evaluated the impact of sex-based demographic differences on survival after endovascular aneurysm repair (EVAR). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 26, 2018 Category: Surgery Authors: William P. Shutze, Ryan Shutze, Paul Dhot, Moses Forge, Alejandro Salazar, Gerald O. Ogola Tags: Clinical paper Source Type: research

Discussion
Dr Melissa L. Kirkwood (Dallas, Tex). I would like to commend the authors on an excellent paper evaluating sex-based differences in survival in patients undergoing endovascular aneurysm repair. I would like to thank Dr  Shutze for sending me the manuscript well in advance of the meeting and to thank the Southern Association for Vascular Surgery program committee for allowing me to comment. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 26, 2018 Category: Surgery Source Type: research

Impact of time to repair on outcomes in patients with lower extremity arterial injuries
Six hours has long been considered the threshold of ischemia after peripheral artery injury. However, there is a paucity of evidence regarding the impact of operative delays on morbidity and mortality in patients with lower extremity arterial injuries. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 26, 2018 Category: Surgery Authors: Abdul Q. Alarhayem, Stephen M. Cohn, Oliver Cantu-Nunez, Brian J. Eastridge, Todd E. Rasmussen Source Type: research

Survival prediction in patients with chronic limb-threatening ischemia who undergo infrainguinal revascularization
Accurate survival prediction critically influences decision-making in caring for patients with chronic limb-threatening ischemia (CLTI). The Bypass versus Angioplasty in Severe Ischaemia of the Leg (BASIL) trial demonstrated that in patients who survived>2  years, there was a significant advantage to infrainguinal bypass compared with endovascular intervention, which increased with time. Validated survival models for patients with CLTI are lacking. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 26, 2018 Category: Surgery Authors: Jessica P. Simons, Andres Schanzer, Julie M. Flahive, Nicholas H. Osborne, Joseph L. Mills, Andrew W. Bradbury, Michael S. Conte Source Type: research

Extending endovascular aneurysm repair to more patients without better outcomes
This study quantifies the survival and outcomes associated with endovascular aneurysm repair (EVAR) patients treated in two eras. We hypothesized that both end points will improve over time. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 26, 2018 Category: Surgery Authors: Devin S. Zarkowsky, Caitlin W. Hicks, Ian C. Bostock, Mahmoud B. Malas, Philip P. Goodney Tags: Clinical paper Source Type: research

Response of the popliteal artery to treadmill exercise and stress positioning in patients with and without exertional lower extremity symptoms
Functionally limiting exertional lower extremity pain and neurologic symptoms are commonly encountered in military and civilian settings. Exertional muscle compression of the popliteal artery (PA) and tibial nerve in the proximal calf (the “popliteal outlet”) can be associated with these symptoms but is rarely investigated as a cause. Exertional ankle-brachial index (EABI) and dynamic PA ultrasound imaging may be suitable to screen for this syndrome of “functional” popliteal entrapment, but neither has been rigorously studied. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 26, 2018 Category: Surgery Authors: Colin D. Brown, Madelyn Muniz, David S. Kauvar Tags: Clinical paper Source Type: research

Simulation training streamlines the real-life performance in endovascular repair of ruptured abdominal aortic aneurysms
Difficulties in distributing endovascular experience among all operating room (OR) personnel prevented full-scale use of endovascular aneurysm repair (EVAR) in emergencies. To streamline the procedure of EVAR for ruptured aneurysm (rEVAR) and to provide this method even to unstable patients, we initiated regular simulation training sessions. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 26, 2018 Category: Surgery Authors: Pekka Aho, Leena Vikatmaa, Leila Niemi-Murola, Maarit Venermo Source Type: research

Drug-eluting stents are associated with improved outcomes for the treatment of infrainguinal bypass graft stenoses
The objective of this study was to describe and to compare clinical outcomes of eDESs vs percutaneous cutting balloons (PCBs) vs percutaneous transluminal angioplasty (PTA) for the treatment of infrainguinal bypass graft stenoses. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 26, 2018 Category: Surgery Authors: Caitlin W. Hicks, Joseph K. Canner, Ying W. Lum, Bruce A. Perler, James H. Black, Christopher J. Abularrage Tags: Clinical paper Source Type: research

The “bare branch” for safe spinal cord ischemia prevention after total endovascular repair of thoracoabdominal aneurysms
Staged endovascular treatment of thoracoabdominal aortic aneurysms (TAAAs) with temporary perfusion of the sac through a branch left unstented or a dedicated branch is a strategy intended to reduce the risk of postoperative spinal cord ischemia (SCI). However, potential complications of this approach are aneurysm sac progression between stages, visceral embolism, and occlusion or displacement of components. We here present the “bare branch” technique, a safe adjunct to TAAA repair in terms of interstage complications. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 26, 2018 Category: Surgery Authors: Matteo Orrico, Sonia Ronchey, Carlo Setacci, Alessio Vona, Mario Marino, Fabrizio Nesi, Alessia Giaquinta, Nicola Mangialardi Tags: Clinical paper Source Type: research

Nellix Endobag rupture associated with a fatal outcome
Endovascular treatment of a type IA endoleak was conducted using a Nellix chimney graft technique for an expanding abdominal aortic aneurysm in an 84-year-old man. During the procedure, a polymer leak occurred from one of the endobags. Postoperatively, the patient developed hemodynamic instability and a swollen leg on the side of the leaking endobag, resulting in a fatal outcome. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 26, 2018 Category: Surgery Authors: Stuart R. Walker, Emma Sim, Jens J. Froelich Source Type: research

Risk factors for early and late mortality after fenestrated and branched endovascular repair of complex aneurysms
The objective of this study was to evaluate outcomes after fenestrated and branched endovascular aneurysm repair (F-BEVAR) performed in high-risk patients to treat pararenal (PR) aneurysms and thoracoabdominal aortic aneurysms (TAAAs) and to identify those patients likely to benefit from this treatment. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 23, 2018 Category: Surgery Authors: Katrien Van Calster, Aur élia Bianchini, Fadi Elias, Adrien Hertault, Richard Azzaoui, Dominique Fabre, Jonathan Sobocinski, Stéphan Haulon Tags: Clinical paper Source Type: research

Predictors of perioperative and late survival in octogenarians undergoing elective endovascular abdominal aortic repair
The appropriateness of endovascular aneurysm repair (EVAR) of uncomplicated abdominal aortic aneurysm depends on the risk-benefit ratio, particularly in elderly patients with short life expectancy. The aim of this study was to assess the efficacy of EVAR in>80-year-old patients by evaluating their postoperative survival and analyzing the possible predictors of late mortality. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 23, 2018 Category: Surgery Authors: Rodolfo Pini, Enrico Gallitto, Gianluca Faggioli, Chiara Mascoli, Andrea Vacirca, Cecilia Fenelli, Mauro Gargiulo, Andrea Stella Tags: Clinical paper Source Type: research

Factors associated with postoperative renal dysfunction and the subsequent impact on survival after open juxtarenal abdominal aortic aneurysm repair
Renal dysfunction is a well-described complication of open juxtarenal abdominal aortic aneurysm repair, but the associated risk factors and corresponding impact on survival are not well described. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 23, 2018 Category: Surgery Authors: Thomas F.X. O'Donnell, Laura T. Boitano, Sarah E. Deery, William D. Clouse, Jeffrey J. Siracuse, Marc L. Schermerhorn, Richard Green, Hiroo Takayama, Virendra I. Patel Tags: Clinical paper Source Type: research

Single-center experience with an inner branched arch endograft
Whereas open repair is the “gold standard” for most aortic arch diseases, a subgroup of patients might benefit from an endovascular approach. The introduction of branched stent grafts with dedicated design to address the challenges of the ascending aorta and the aortic arch has opened an entirely new area of treatment for these patients. We investigated the early outcomes of branched thoracic endovascular aortic repair (b-TEVAR) in various types of disease of the aortic arch. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 23, 2018 Category: Surgery Authors: Nikolaos Tsilimparis, Christian Detter, Yuk Law, Fiona Rohlffs, Franziska Heidemann, Jens Brickwedel, Yskert von Kodolitsch, E. Sebastian Debus, Tito K ölbel Source Type: research

Anatomic predictors for late mortality after standard endovascular aneurysm repair
Abdominal aortic aneurysm (AAA) management involves a decision process that takes into account anatomic characteristics, surgical risks, patients' preferences, and expected survival. Whereas larger AAA diameter has been associated with increased mortality after both standard endovascular aneurysm repair (EVAR) and open repair, it is unclear whether survival after EVAR is influenced by other anatomic characteristics. The purpose of this study was to determine the importance of baseline anatomic features on survival after EVAR. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 23, 2018 Category: Surgery Authors: Nelson F.G. Oliveira, Klaas Ultee, Marie Josee van Rijn, Jos é Pedro Pinto, Sander Ten Raa, Frederico Bastos Gonçalves, Sanne E. Hoeks, Hence J.M. Verhagen Tags: Clinical paper Source Type: research

Invited commentary
The goal of developing a small-caliber, prosthetic vascular graft comparable to autologous vein conduit remains elusive. More than 30  years ago, Dr Alexander Clowes and his group observed that excessive intimal hyperplasia associated with exuberant smooth muscle cell and endothelial cell proliferation occurred in anastomotic stenosis of polytetrafluoroethylene bypass grafts. Over time, this phenomenon has been attributed to fact ors such as compliance mismatch between the prosthetic graft and the native artery, vascular wall sheer stress, and response to injury. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - November 20, 2018 Category: Surgery Authors: Shirling Tsai Tags: From bench to bedside Source Type: research

Invited commentary
Abdominal aortic aneurysm (AAA) accounts for>20 million deaths worldwide.1 Extrapolating from the National Inpatient Sample data set capturing 20% of inpatients in the United States, approximately 500,000 operations for AAA were performed from 2000 to 2010.2 The number of aneurysms fixed by endovascular aneurysm repair increased from 5% to approximately 75% during that period, with concomitant improvements in mortality and morbidity within 2 to 3  years of surgery.2,3 Similar to the advancements offered by endovascular aneurysm repair, medical treatments that could reduce the growth rate of AAA even modestly would ...
Source: Journal of Vascular Surgery - November 20, 2018 Category: Surgery Authors: Ulka Sachdev Tags: From bench to bedside Source Type: research

Invited commentary
In addition to managing patients who present with solid organ ischemia due to acute arterial insufficiency, vascular surgeons also inflict more short-term end-organ ischemia than most other specialists because we control vessels for open reconstructions. With restoration of nutritive blood flow, various forms of reperfusion injury can substantially impair the recovery of patients with prolonged end-organ ischemia. Long clamp times, especially involving large bulk of tissues (eg, the pelvis and both legs) and susceptible organs (such as the brain, nerves, and viscera), remain a significant risk for the ischemia-reperfusion ...
Source: Journal of Vascular Surgery - November 20, 2018 Category: Surgery Authors: C. Keith Ozaki Tags: From bench to bedside Source Type: research