AA4. Endovascular Aneurysm Repair With Cordis Incraft in Extremely Narrow ( < 16 mm) Aortic Bifurcation Outside of Instructions for Use: A  Multicenter Experience
The percentage of patients with abdominal aortic aneurysm (AAA) considered fit for standard endovascular aneurysm repair (EVAR) has expanded tremendously in the last years. Among the patients who can now be considered fit for standard EVAR, there are those with AAA and associated aortoiliac occlusive disease involving external or common iliac arteries, thus potentially jeopardizing the result of the procedure with the standard-profile endografts; those patients are now addressed to EVAR with low-profile grafts. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Matteo Orrico, Sonia Ronchey, Vittorio Alberti, Arnaldo Ippoliti, Giovanni Pratesi, Stefano Bartoli, Giulia Ianni, Yamume Tshomba, Francesco Codispoti, Nicola Mangialardi Source Type: research

AA5. Endovascular Treatment of Thoracoabdominal Aortic Aneurysms Using Physician-Modified Fenestrated and Branched Stent Grafts
The aim was to determine whether physician-modified stent grafts (PMSGs) are safe and effective for the treatment of high-risk patients with thoracoabdominal aortic aneurysms (TAAAs). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Min Zhou Source Type: research

AA6. Late Open Interventions After Endovascular Aneurysm Repair
Endovascular aneurysm repair (EVAR) is associated with high risk of reintervention. Endovascular reinterventions are not always successful. We aimed to assess the rate, indications, and outcomes of late open surgical intervention after EVAR. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Ramy Elkady, Wael Tawfick, Niamh Hynes, Sherif Sultan Source Type: research

AA7. Comparison Between Aortobifemoral Bypass and Covered Endovascular Reconstruction of Aortic Bifurcation for Aortoiliac Obstructive Disease: Short-term and Midterm Results
The good results with the covered endovascular reconstruction of aortic bifurcation (CERAB) technique have led to questions of whether the aortobifemoral (ABF) bypass still remains the “gold standard” for TransAtlantic Inter-Society Consensus II class C and D aortoiliac disease. We sought to compare the short-term and midterm results of the ABF bypass vs CERAB for these patients. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Ryan Gouveia e Melo, Ruy Fernandes e Fernandes, Pedro Garrido, S ónia Ribeiro, Tânia Rafael, Gonçalo Sobrinho, Pedro Amorim, Augusto Ministro, Luís Silvestre, Carlos Martins, João Leitão, José Fernandes e Fernandes, Luís Mendes Pedro Source Type: research

AA8. TrackCath System: New Approach to Cannulation
Cannulation, for either contralateral gating of a modular stent graft or targeting artery, is a challenging step in almost every endovascular procedure. A quick, effective, and safe cannulating maneuver may reduce irradiation and contrast medium volume used, contributing to the success of this challenging step within the procedure. To this day, cannulation remains an important challenge and in some cases may limit the use of advanced endovascular techniques (parallel grafts, fenestrated or branched endovascular aneurysm repair). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Zoran Rancic, Mauro M. Sette Source Type: research

AA9. Macrophage-Derived Netrin 1 Promotes Abdominal Aortic Aneurysms by Activating Matrix Metalloproteinase 3 in Vascular Smooth Muscle Cells
Aberrant extracellular matrix (ECM) fragmentation and sustained inflammation are hallmarks of abdominal aortic aneurysms (AAAs). However, the mechanisms by which these events are coupled, thereby fueling focal vascular damage, are undefined. We have previously demonstrated critical immunoregulatory functions of the neuronal guidance cue netrin 1 in regulating macrophage accumulation in the vasculature. Here, we investigate the novel role of netrin 1 in the pathogenesis of AAA and test the hypothesis that netrin 1 mediates crosstalk between infiltrating macrophages and vascular smooth muscle cells (VSMCs), thereby promoting...
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Michele Silvestro, Tarik Hadi, Ludovic Boytard, Dornaszadat Alebrahim, Glenn R. Jacobowitz, Bhama Ramkhelawon Source Type: research

AA10. Safety, Feasibility, and Efficacy of the Gore Excluder Side Branch Endoprosthesis in the Treatment of Aortobi-Iliac Aneurysms With Preservation of the Internal Iliac Artery in 23 Consecutive Patients
The objective of our study was to evaluate the safety, feasibility, and efficacy of the Gore Excluder IBE in the treatment of iliac artery aneurysms. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Johannes N. Hoffmann, Ahmed Soliman, Johannes Bernheim, Benjamin Juntermanns, Konstantinos Karaindros, Theresia Knop, Susanne B. Kiewitz, Mikolaj Walensi Source Type: research

AA11. Laparoscopic Retroperitoneal Washout of an Infected Aortobifemoral Graft: A Novel Technique
We report a successful image-guided, minimally invasive retroperitoneal washout of an infected aortobifemoral graft with 11 × 13-cm collection in a 71-year-old patient. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Jingwen Lee, Zhiwen Joseph Lo, Qiantai Hong, Glenn Wei Leong Tan, Sadhana Chandrasekar Source Type: research

AA12. Acute Kidney Injury in Pararenal Abdominal Aortic Aneurysm Repair
Pararenal abdominal aortic aneurysms (AAAs) are defined by an insufficient aortic neck between the aneurysm and the renal arteries; 16% of patients with AAA have pararenal aneurysms. Because of an insufficient sealing zone, open surgical repair (OSR) of pararenal AAAs is the “gold standard,” whereas endovascular repair is reserved for those unfit for surgery. Renal outcomes in this cohort may provide insight into potential utility of endovascular techniques in certain cohorts. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Niall O ’Reilly, Wael Tawfick, Patrick Canning, Edel Kavanagh, Sherif Sultan Source Type: research

AA13. Postoperative Imaging Follow-up at Two Years Predicts Long-Term Outcome After Endovascular Aneurysm Repair
Lifelong imaging follow-up is still the “gold standard” after endovascular aneurysm repair (EVAR). As the number of EVARs is growing, the individually optimized follow-up protocol is desired. The aim of this study was to investigate the possibility of creating a more individualized follow-up protocol by evaluating patients’ follow-u p images and comparing reintervention-free survival and rupture rate according to the findings. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Suvi V äärämäki, Ilkka Uurto, Velipekka Suominen Source Type: research

AA14. Combined Urgent Transcatheter Aortic Valve Implantation and Endovascular Aneurysm Repair for Symptomatic Abdominal Aortic Aneurysm
Transcatheter aortic valve implantation (TAVI) and endovascular aneurysm repair (EVAR) have both been proved to be safe and increasingly attractive options for treating elderly patients with severe aortic stenosis and abdominal aortic aneurysm (AAA). In cases of imminent rupture of AAA in patients with severe aortic stenosis, valvular repair should be considered to perform an aneurysm repair safely. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Mohammed Natour, Asaf Rabin, Eyal Avraham, Chaim Dannenberg, Ronen Jaffe, Ron Karmeli Source Type: research

AA15. Early Outcomes of Endovascular Aortic Aneurysm Repair in Difficult Anatomy in Thai Patients: Multicenter Study
The objective of this study was to prospectively compare early postoperative outcomes of endovascular aneurysm repair between favorable and difficult anatomy (hostile neck or difficult access) in abdominal aortic aneurysm (AAA) patients (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Jiraporn Tanpornchai, Piyanut Pootracool, Tawatchai Klinsukon, Kwanchai Lawanwong, Korawee Thepsumritporn, Pitchaya Prajunphanit, Arkom Suesawatthe Source Type: research

TAA1. The Role of Intravascular Ultrasound for Endovascular Management of Stanford Type B Aortic Dissection: Systematic Review of the Literature
Thoracic endovascular aortic repair (TEVAR) is the first-line treatment of complicated acute type B aortic dissection (ATBAD). Transesophageal echocardiography (TEE) is fundamental in diagnostic and intraprocedural phases; otherwise, its role seems to be limited in case of abdominal aortic extension. Intravascular ultrasound (IVUS) with established diagnostic features may be useful in guiding endovascular procedures. A systematic literature search on the use of imaging tools was aimed at verifying the contribution of IVUS, TEE, angiography, and intraluminal phased-array imaging in the management of ATBAD. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Alberto Dav ì, Alessia Giaquinta, Fausto Carbone, Giulia Bernardini, Adalberto Sanzone, Pierfrancesco Veroux Source Type: research

TAA2. Different Zones (0-2) of Hybrid Debranching Endovascular Aortic Repair: Outcome and Stroke Analysis
The aim of this study was to summarize our single-center experience of hybrid debranching endovascular repair of arch and proximal descending thoracic aorta (DTA) as regards the midterm outcome with highlight of the rate and risk factors of stroke associated with these procedures. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Ahmed Sameh Eleshra, Woon Heo, Kwang-Hun Lee, Suk-Won Song Source Type: research

TAA3. Quick-Fenestrater in Retrograde In Situ Fenestration of Complicated Thoracic Endovascular Aortic Repair
Endovascular treatment of complex thoracic aorta is difficult, especially in situ fenestration of the aortic arch. We developed a new type of endovascular reconstructive device for the superior branch of the aorta. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Lefeng Qu, Jun Bai Source Type: research

TAA4. Endovascular Treatment of Thoracoabdominal Aortic Aneurysms Using Multibranched Stent Grafts
The endovascular treatment of thoracoabdominal aortic aneurysms (TAAAs) has become the “gold standard” procedure in most vascular centers. The purpose of this study was to present our single-center experience using multibranched stent grafts to treat TAAA. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Enrique M. San Norberto, Cintia Flota, Liliana Fidalgo-Domingos, Irene Garc ía-Sáiz, Carlos Vaquero Source Type: research

TAA5. Technical Feasibility and Early Results of a Custom-Made Iliac Fenestrated Device
The objective of this study was to present a case series and to report immediate technical and clinical results for patients treated with custom-made Anaconda iliac fenestrated devices (Vascutek/Terumo, Inchinnan, Scotland, United Kingdom). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Fadi Taher, Juergen Falkensammer, Miriam Uhlmann, Markus Plimon, Afshin Assadian Source Type: research

TAA6. Transradial Left Subclavian Artery Embolization Through 4F Sheath
The objective of this study was to present our experience with transradial left subclavian artery (LSA) embolization after thoracic endovascular aortic repair (TEVAR). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Halim Yammine, Charles S. Briggs, Jocelyn K. Ballast, Tzvi Nussbaum, Frank R. Arko Source Type: research

TAA7. Coverage of Left Subclavian Artery in Blunt Traumatic Aortic Injury Repair Is Rarely Indicated
Endovascular repair is the standard treatment of blunt traumatic aortic injury (BTAI). Occlusion of the left subclavian artery (LSA) is sometimes encountered for an adequate landing zone. We propose that coverage of the LSA is not necessary for BTAI with an inadequate landing zone. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Jakraphan Yu, Apinan Uthaipaisanwong, Nattawat Narueponjirakul, Kritaya Kritayakirana Source Type: research

TAA8. Aortic Epithelioid Angiosarcoma After Endovascular Treatment of Descending Aortic Ulcer
We report a case of epithelioid angiosarcoma of the abdominal aortic wall after endovascular treatment of descending aortic ulcer. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: You Zhou, Lei Kou, Yaoguo Yang, Zhong Chen Source Type: research

TAA9. Type B Acute Aortic Dissections: Best Medical Treatment Versus Endovascular Approach
In a period of 8 years, we retrospectively analyzed 155 patients with aortic thoracic disease, identifying 79 type B dissections. Forty-three cases had arrived to our institution as acute aortic syndrome. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Ignacio De Luca, Guillermo Pfund, Mariano Castelli, Julian Balestrini, Alejandro Alamo, Delfina Auza, Patricio Zaefferer Source Type: research

TAA10. Total Supra-Aortic Trunk Coverage With New-Generation Multilayer Stents for Complex Aortic Diseases
We present the results of up to 36-month follow-up after complete coverage of supra-aortic trunks with new-generation multilayer stents for complex aortic diseases. A total of 29 patients with complex aortic diseases underwent thoracic endovascular aortic repair with multilayer flow modulator (MFM) stents (type A and B aortic dissection and thoracoabdominal aneurysms). All patients had the aortic arch entirely covered with the MFM stent. The primary objective was to assess whether total coverage of all cerebral vessels may lead to a neurologic event in the first 30 days after intervention. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Tatiana Melnic, Crina Solomon, Andreea Costache, Mihai Sandu, Cristian Bucurenciu, Gabriela Candea, Alexandru Slavu, Victor Costache Source Type: research

TAA11. Pushing the Limits of Proximal Sealing Zone for Emergency Thoracic Endovascular Aortic Repair by Periprocedural Combined Embolization for Acute Thoracic Aortic Aneurysm Rupture: In the Middle of the Night
We present a completely new technique of tackling this issue during emergency TEVAR for a ruptured aneurysm of the descending thoracic aorta encroaching on the lesser curvature of the arch. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Arindam Bharadwaz Source Type: research

TAA12. Distal Pseudoaneurysm due to Late Stent Graft-Induced New Entry After Thoracic Endovascular Aortic Repair With Bolton Endograft: A Single-Center Analysis
Distal pseudoaneurysm (DPA), due to late stent graft-induced new entry, has a negative impact on long-term aortic remodeling and could be an under-recognized but potentially life-threatening complication after thoracic endovascular aortic repair (TEVAR). We retrospectively analyzed 100 consecutive patients who underwent TEVAR using Bolton Relay Plus or Relay NBS endograft (Terumo Aortic, Somerset, NJ) at our institute from January 2013 to May 2018 to evaluate risk factors of aortic DPA expansion. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Ilaria Franzese, Giuseppe Petrilli, Vincenzo Giambruno, Giovanni Puppini, Giuseppe Faggian Source Type: research

TAA13. Treatment of Aortic Arch Diseases With Three Fenestrated Stent Grafts of In Situ Fenestration and Prefenestration
The objective of this study was to summarize the recent experience and outcomes of total endovascular repair of complex aortic arch diseases with three fenestrated stent grafts of in situ fenestration and prefenestration. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Zhao Liu, Tong Yu, Min Zhou, Tong Qiao, Wei Wang, Chen Liu, Xiaoqiang Li, Changjian Li Source Type: research

TAA14. A Computational Analysis of Different Methodologies for Revascularization of the Left Subclavian Artery
Overstenting of the left subclavian artery (LSA) in zone 2 thoracic endovascular aortic repair (TEVAR) may cause left arm ischemia and impede cerebral blood flow. To overcome this issue, two surgical options are available: (1) left common carotid artery (LCCA) to LSA bypass and (2) branched endovascular repair with LSA branched stent graft. This work studies the hemodynamic outcomes of both surgical approaches and the role of the circle of Willis anatomy using patient-specific computational fluid dynamics (CFD) analyses. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Ignas B. Houben, Theodorus M.J. van Bakel, Christopher J. Arthurs, Joost A. van Herwaarden, Frans L. Moll, Himanshu J. Patel, C. Alberto Figueroa Source Type: research

TAA15. Aortic Multilayer Stenting in Extreme Vascular Emergencies
Multilayer stent for aortic aneurysm and dissection repair is still under debate. Nevertheless, in some extreme cases, it may serve at least as a default when other endovascular solutions as well as open surgical repair are not feasible. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Asaf Rabin, Mohammed Natour, Eyal Avraham, Jonathan Lorber, Ralf Kolvenbach, Ron Karmeli Source Type: research

TAA16. In Vitro Evaluation of Balloon-Expandable Chimney Grafts in a Silicone Model With Pulsatile Pumping System and Use of Computed Tomography Angiography
The objective of this study was to test and to compare the in vitro performance of balloon-expandable covered stents having the indication for use in renal arteries as chimney grafts. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Gergana T. Taneva, Konstantinos P. Donas, Giovanni B. Torsello, Frank F. Criado, Giovanni F. Torsello Source Type: research

TAA17. Double-Barreled and Branched Endografting for Thoracoabdominal Aortic Aneurysm: The Hexapus Technique
To treat thoracoabdominal aortic aneurysm, we introduced a novel hexapus technique by double-barreled cannon stenting with two abdominal bifurcated stent grafts landing at the descending thoracic aorta, following two pairs of parallel stent grafts through bilateral axillary arteries from each of the contralateral limbs to visceral arteries and extension of ipsilateral limbs to iliac arteries (Fig 1). The creation of six branches resembles a hexapus. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Hsu-Ting Yen, Chun-Che Shih, I-Ming Chen Source Type: research

TOI 1. Effect of Normobaric Oxygen Therapy on Wound Healing in Patients With Minor Tissue Loss from Critical Limb Ischemia: A Randomized Clinical Trial
The objective of this study was to evaluate the effect of normobaric oxygen therapy on wound healing in patients who presented with minor tissue loss from critical limb ischemia. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Piyaporn Prasartritha, Suthas Horsirimanont, Sopon Jirasiritham, Wiwat Tirapanich, Piyanut Pootracool, Panuwat Lertsittichai, Sakda Art-Ong Vallipakorn Source Type: research

TOI 2. Underutilization of Artificial Intelligence by Vascular Specialists
Despite ever-increasing levels of evidence from hypothesis-driven clinical trial research and consensus-driven intersocietal publications to help guide decision-making among vascular specialists, a large number of vascular disease states have wide-ranging and sometimes disparate therapeutic approaches. Setting aside open surgical, endovascular, hybrid, and medical management therapies, a number of complex vascular disease states would be well served by improved predictions for probability of successful management. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Hiranya A. Rajasinghe, Larry E. Miller, Santiago H. Chahwan, Alvaro J. Zamora Source Type: research

TOI 3. Brachial Artery Open Access for Endovascular Interventions
As endovascular therapy becomes increasingly complex, adjunct techniques such as upper extremity arterial access facilitate visceral branch interventions. The purpose of this study was to assess the usefulness of brachial artery surgical access in endovascular intervention. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Seung-Jae Byun, Ho Jong Chun Source Type: research

TOI 4. Endovascular Treatment of Tracheoinnominate Artery Fistula
The tracheoinnominate artery fistula (TIAF) is a critical complication of tracheostomy with a reported incidence of 0.1% to 1%. It is highly lethal even in the presence of initially successful management. The intimate relationship of the innominate artery and the trachea explains the fistula formation. A high index of clinical suspicion is needed to make the diagnosis in a patient with peristomal bleeding or hemoptysis. The traditional treatment has been open surgery, but the new results of endovascular surgery and the patient ’s critical condition support endovascular treatment. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Leonardo Ferber, Matheus Ferber, Raquel Reis Soares, Leonardo Marcius de Carvalho Valle, Pedro Caetano Miranda, Daniel Soares da Mata, Marcelo Ferreira Source Type: research

TOI 5. Use of a Next-Generation Decellularized Dermal Allograft as a Cost-Effective Treatment of Acute and Chronic Wounds
The number of individuals with chronic wounds in the United States continues to grow, with millions of people affected yearly, placing a huge financial burden on our health care system. In addition, acute wounds in patients with multiple comorbidities threaten patients ’ quality of life and ability to perform activities of daily living. The use of a next-generation decellularized dermal allograft (DDA) can significantly decrease healing times, therefore improving patients’ quality of life as well as reducing the overall economic cost. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: David Naar Source Type: research

TOI 6. Heart in Abdomen: Challenge to Deal With Pseudoaneurysm of Superior Mesenteric Artery With Tetralogy of Fallot
A 28-year-old man underwent total correction of tetralogy of Fallot in 2003. He was diagnosed with infective endocarditis 2 months before and received treatment in a cardiac unit. After discharge, he developed periumbilical pain associated with early satiety and decreased appetite. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Farhina Salahuddin, Fahad Tariq Berlas, Asma Mumtaz Source Type: research

TOI 7. Case Report: Endovascular Management of Ruptured Superior Mesenteric Artery Aneurysm
We report the case of a 54-year-old man with ruptured superior mesenteric artery (SMA) aneurysm treated by an endovascular technique. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Joaquim Pl ácido de Freitas Alves, Caroline Vilela Marin, Nayara Gimenes Melo Vieira, Nasser Hussein Mahfouz, Paulo Issao Sassaki Neto Source Type: research

TOI 8. Takayasu Arteritis: Panarterial Involvement: A  Challenge to Offer Cure as a Vascular Surgeon
We report a case of Takayasu arteritis in a patient who was being treated for a long time for uncontrolled hypertension without proper investigation, which resulted in a cerebrovascular accident twice. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Asma Mumtaz, Fahad Tariq Berlas, Farhina Salahuddin Source Type: research

TOI 9. A Rare Case of Bilateral External Iliac Artery Thrombosis due to Endofibrosis in a 33-Year-Old Female Triathlete
External iliac artery endofibrosis is a rare disease predominantly affecting young, male elite performance athletes. The disease is characterized by fibrosis and hypertrophy of the intimal layer of the arterial wall and is likely due to multiple factors, including “kinking” during repetitive hip flexion, psoas muscle hypertrophy compressing the artery, excessive and tortuous vessel length, and increased cardiac output with adaptive hypertension. These high-performance athletes typically present with unilateral lower extremity claudication at peak exercise . (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Jillian Sullivan, Nicholas Bellas, Jonathan Thoens, James Gallagher, Thomas Divinagracia Source Type: research

TOI 10. An Audit of “Vascular Trauma” Cases in a Tertiary-Level Hospital in Pakistan
Experience with vascular trauma from developing parts of the world is limited. In Pakistan, the incidence of automobile accidents and civilian violence has followed a rising trend. A 2-year audit was carried out to determine the etiology, pattern of injury, treatment, and associated morbidity of vascular trauma in our population. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Fahad Tariq Berlas, Farhina Salahuddin, Asma Mumtaz, Rabbiya Ali, Najam Rajpar Source Type: research

TOI 11. Hybrid Repair for Dysphagia Lusoria
Aberrant origin of the right subclavian artery (RSA) is a rare cause of dysphagia, and in some cases, the aberrant artery can become aneurysmatic (Kommerell diverticulum). Open surgical repair is the standard approach but is a major operation. As an alternative, hybrid repair has emerged as a less invasive treatment. Our objective was to describe two different options for hybrid repair of this condition. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Guilherme Napp, Carolina Stapenhorst, Antonio Gruber, Luiz Francisco Costa, Renan Onzi Source Type: research

AAN 1. Early and Midterm Outcomes of a Custom-Made Occluding Device Based on the Najuta Endograft in Chronic Aortic Dissection
Persistent flow through a false lumen in chronic aortic dissection leads to extensive dilation of the lumen with aging. To prevent aneurysm rupture, step-by-step graft replacement of the dilated aortic aneurysm segment is the most reliable procedure. However, multistage invasive surgery is limited to younger patients. A less invasive method of closing proximal entry tears using transcatheter stent graft implantation has recently been attempted. However, this procedure does not shrink dilated false lumens to expected levels. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Takashi Azuma, Yoshihiko Yokoi Source Type: research

AAN 2. Early Experience With a Novel Thoracic Stent Design for the Prevention of Distal Stent Graft-Induced New Entry Tears (d-SINE)
We report our early outcomes with a disease-specific, factory-modified Zenith Alpha thoracic stent graft (Cook Medical, Bloomington, Ind). Dissection-specific features include no proximal barbs;>20 cm in length and substantially tapered (custom-made, but usually by 10 mm); reduced radial force in the second and third distal stents and removal of the final stent, leaving 30 mm of unsupported graft; and an “endovascular elephant trunk.” (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Anne Burdess, Kevin Mani, Gustaf Tegler, Anders Wanhainen Source Type: research

AAN 3. Fenestrated and Branched Endovascular Repair of Aortic Arch Pathology
Operative management of aortic arch disease remains a complex challenge and an area that poses significant obstacles to a totally endovascular approach. The aim of this study was to report the outcomes of custom-made fenestrated and branched endovascular aortic repair involving the arch (fEVARA and bEVARA) in our aortic center. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: A. Burdess, A. Wanhainen, G. Tegler, K. Mani Source Type: research

AAN 4. A 14-Year Single-Center Review of Inflammatory Abdominal Aortic Aneurysm Repair
The objective of this study was to review our experience with the contemporary management of inflammatory abdominal aortic aneurysms (IAAAs) involving either open surgery (OS) or endovascular aneurysm repair (EVAR). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Emiliano Chisci, Clara Pigozzi, Nicola Troisi, Stefano Michelagnoli Source Type: research

AAN 5. Internal Iliac Artery Sacrifice During Endovascular Aneurysm Repair
We aimed to assess the safety of internal iliac artery (IIA) coverage during endovascular aneurysm repair (EVAR). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Baker Ghoneim, Patrick Canning, Niamh Hynes, Wael Tawfick, Sherif Sultan Source Type: research

AAN 6. Transcaval Embolization of Type II Endoleak After Infrarenal and Fenestrated/Branched Endovascular Aneurysm Repair
Type II endoleaks are frequent after endovascular aneurysm repair (EVAR). Although mostly dissolving during follow-up, secondary rupture can occur as a persistent type II endoleak may lead to aneurysm sac growth. We aimed to investigate the outcomes of transcaval embolization (TCE) after infrarenal and fenestrated/branched EVAR. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Franziska Heidemann, Nikolaos Tsilimparis, Fiona Rohlffs, E. Sebastian Debus, Tilo K ölbel Source Type: research

AAN 7. Internal Iliac Artery Flow Preservation With Iliac Branch Device During Endovascular Repair of Aortoiliac Aneurysms: Single Center Experience
This study aimed to assess the outcomes with the use of this device in a single-center setting. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Pablo Marques de Marino, Eric L. Verhoeven, Athanasios Katsargyris Source Type: research

AAN 8. Open Repair of Proximal Abdominal Aneurysms Analyzed According to the Anatomy, Clamping Site, and Theoretical Fenestrated Endovascular Design
The objective of this study was to report our experience with open repair of hostile-necked juxtarenal, pararenal, and suprarenal aortic aneurysms (proximal abdominal aortic aneurysms) and to stratify the results according to the equivalent endovascular repair. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Daniele Mascia, Luca Bertoglio, Andrea Luitz Kahlberg, Alessandro Grandi, Germano Melissano, Roberto Chiesa Source Type: research

AAN 9. Influence of Earthquakes on the Occurrence of Aortic Aneurysm Ruptures
Catastrophic events have been correlated with an increased incidence of cardiovascular events, but no correlation between ruptured aortic aneurysm (RAA) and seismic activities has ever been investigated. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Edoardo Pasqui, Gianmarco de Donato, Emiliano Chisci, Stefano Michelagnoli, Luciano Carbonari, Gabriele Pagliariccio, Leonardo Ercolini, Giorgio Ventoruzzo, Marco Ventura, Marco Leopardi, Giovanni Credi, Massimo Vigan ó, Antonio Antico, Luigi Di Matteo, Source Type: research

AAN 10. Factors Associated With Spinal Cord Ischemia After Treatment of Complex Aortic Aneurysms With Fenestrated or Branched Devices
The aim of our study was to analyze the incidence of spinal cord ischemia (SCI) in patients treated with fenestrated (F-EVAR) and branched endovascular aneurysm repair (B-EVAR) and to identify risk factors associated with this complication. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Konstantinos Spanos, Tilo K ölbel, Jens C. Kubitz, Sabine Wipper, Nikolaos Konstantinou, Franziska Heidemann, Fiona Rohlffs, Sebastian E. Debus, Nikolaos Tsilimparis Source Type: research