Development and Validation of a Major Adverse Limb Events Prediction Model for Peripheral Arterial Disease with Frailty
To investigate the risk factors for major limb adverse events (MALE) in peripheral arterial disease (PAD) combined with frailty and to develop and validate a risk prediction model of MALE. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 6, 2024 Category: Surgery Authors: Huarong Xiong, Dan Wang, Pan Song, Xiaoyan Quan, Minfeng Zhang, Siyuan Huang, Xiaoyu Liu, Xiuying Hu, Xi Yang, Meihong Shi Source Type: research
Patient decision-making in the era of transcarotid artery revascularization
The National Coverage Determination on carotid stenting by Medicare in October 2023 stipulates that patients participate in a shared decision-making (SDM) conversation with their proceduralist before an intervention. However, to date, there is no validated SDM tool that incorporates transcarotid artery revascularization (TCAR) into its decision platform. Our objective was to elicit patient and surgeon experiences and preferences through a qualitative approach to better inform the SDM process surrounding carotid revascularization. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 4, 2024 Category: Surgery Authors: Brianna M. Krafcik, David H. Stone, Salvatore T. Scali, Ming Cai, Isabel A. Jarmel, Caitlin W. Hicks, Philip P. Goodney, Jesse A. Columbo Source Type: research
Patient Decision Making in the Era of Transcarotid Artery Revascularization
The National Coverage Determination (NCD) on carotid stenting by Medicare in October 2023 stipulates that patients undergo a shared decision-making (SDM) conversation with their proceduralist prior to an intervention. However, to date, there is no validated SDM tool that incorporates transcarotid artery revascularization (TCAR) into its decision platform. Our objective was to elicit patient and surgeon experiences and preferences through a qualitative approach to better inform the SDM process surrounding carotid revascularization. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 4, 2024 Category: Surgery Authors: Brianna M. Krafcik, David H. Stone, Salvatore T. Scali, Ming Cai, Isabel A. Jarmel, Caitlin W. Hicks, Philip P. Goodney, Jesse A. Columbo Source Type: research
Long-Term Outcomes in the Smoking Claudicant after Peripheral Vascular Interventions
Emphasis on tobacco cessation given the urgent and emergent nature of vascular surgery is less prevalent than standard elective cases such as hernia repairs, cosmetic surgery, and bariatric procedures. The goal of this study is to determine the effect of active smoking on claudicating individuals undergoing peripheral vascular interventions (PVI). Our goal is to determine if a greater emphasis on education should be placed on smoking cessation in non-urgent cases scheduled through clinic visits and not the Emergency Department. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 1, 2024 Category: Surgery Authors: Rohini J. Patel, Sina Zarrintan, Nishita R. Vootukuru, Shatha H. Allah, Ann Gaffey, Mahmoud B. Malas Source Type: research
Intraoperative Transit Time Flow Measurement Predicts Maturation of Radiocephalic Arteriovenous Fistulas
The arteriovenous fistula (AVF) is the first choice for gaining vascular access for hemodialysis. However, 20-50% of AVFs fail within 4 months after creation. Although demographic risk factors have been described, there is little evidence on the intraoperative predictors of AVF maturation failure.The aim of this study was to assess the predictive value of intraoperative transit time flow measurements (TTFM) on AVF maturation failure. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - March 1, 2024 Category: Surgery Authors: E.P. de Winter, E.D. Wilschut, K. Plasmans, D.E. Eefting, T.J. van der Steenhoven, H. Putter, J.I. Rotmans, K.E.A. van der Bogt Source Type: research
Adoption and clinical outcomes of fenestrated endovascular aneurysm repair in a regional, multistate community hospital system
Complex endovascular abdominal aortic aneurysm (AAA) repair techniques have evolved over the last decade, yet patterns of physician and hospital system adoption of fenestrated endovascular aneurysm repair (FEVAR) remain poorly defined. We investigated clinical outcomes, use trends, and surgeon and hospital experience for FEVAR in a large community hospital system. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - February 29, 2024 Category: Surgery Authors: Brant W. Ullery, Douglas Hanes, Eric B. Kirker, Kateri J. Spinelli Source Type: research
Comparative evaluation of transcutaneous oxygen tension vs ankle-brachial index as predictors of reoperation following below-knee amputation
Decision-making regarding level of lower extremity amputation is sometimes challenging. Selecting an appropriate anatomic level for major amputation requires consideration of tradeoffs between postoperative function and risk of wound complications that may require additional operations, including debridement and/or conversion to above-knee amputation (AKA). We evaluated the utility of common, non-invasive diagnostic tests used in clinical practice to predict the need for reoperations among patients undergoing primary, elective below knee-amputations (BKAs) by vascular surgeons. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - February 29, 2024 Category: Surgery Authors: Drew J. Braet, Kian Pourak, Luciano Delbono, Chloe Powell, Margaret E. Smith, David Schechtman, Andrea T. Obi, Dawn M. Coleman, Matthew A. Corriere Source Type: research
Adoption and Clinical Outcomes of Fenestrated Endovascular Aneurysm Repair in a Regional, Multi-state Community Hospital System
Complex endovascular abdominal aortic aneurysm (AAA) repair techniques have evolved over the last decade, yet patterns of physician and hospital system adoption of fenestrated endovascular aneurysm repair (FEVAR) remain poorly defined. We investigated clinical outcomes, utilization trends, and surgeon and hospital experience for FEVAR in a large community hospital system. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - February 29, 2024 Category: Surgery Authors: Brant W. Ullery, Douglas Hanes, Eric B. Kirker, Kateri J. Spinelli Source Type: research
Surgeon volume and outcomes following thoracic endovascular aortic repair for blunt thoracic aortic injury
Thoracic endovascular aortic repair (TEVAR) for blunt thoracic aortic injury (BTAI) at high-volume hospitals has previously been associated with lower perioperative mortality, but the impact of annual surgeon volume on outcomes following TEVAR for BTAI remains unknown. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - February 29, 2024 Category: Surgery Authors: Tim J. Mandigers, Sai Divya Yadavalli, Vinamr Rastogi, Christina L. Marcaccio, Sophie X. Wang, Sara L. Zettervall, Benjamin W. Starnes, Hence J.M. Verhagen, Joost A. van Herwaarden, Santi Trimarchi, Marc L. Schermerhorn Source Type: research
Comparative evaluation of transcutaneous oxygen tension versus ankle brachial index as predictors of reoperation following below-knee amputation
Decision making regarding level of lower extremity amputation is sometimes challenging. Selecting an appropriate anatomic level for major amputation requires consideration of tradeoffs between postoperative function and risk of wound complications that may require additional operations, including debridement and/or conversion to above-knee amputation (AKA). We evaluated the utility of common, non-invasive diagnostic tests used in clinical practice to predict need for reoperations among patients undergoing primary, elective below knee-amputations (BKA) by vascular surgeons. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - February 29, 2024 Category: Surgery Authors: Drew J. Braet, Kian Pourak, Luciano Delbono, Chloe Powell, Margaret E. Smith, David Schechtman, Andrea T. Obi, Dawn M. Coleman, Matthew A. Corriere Source Type: research
Racial and sex disparities in inpatient outcomes of patients with ruptured abdominal aortic aneurysms in the United States
Ruptured abdominal aortic aneurysm (AAA) is a medical emergency that requires immediate surgical intervention. The aim of this analysis was to identify the sex and race specific disparities that exist in outcomes of patients hospitalized with this condition in the United States using the National Inpatient Sample (NIS) in order to identify targets for improvement and support of specific patient populations. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - February 28, 2024 Category: Surgery Authors: Katarina Leyba, Hamza Hanif, Alexandra C. Millhuff, Mohammad A. Quazi, Amir H. Sohail, Abu Baker Sheikh, Muhammad A. Rana Source Type: research
Learning curve of Transfemoral Carotid Artery Stenting in the Vascular Quality Initiative Registry
With the recent expansion of the Centers for Medicare and Medicaid Services (CMS) coverage, transfemoral carotid artery stenting (tfCAS) is expected to play a larger role in the management of carotid disease. Existing research on the tfCAS learning curve, primarily conducted over a decade ago, may not adequately describe the current effect of physician experience on outcomes. Since about 30% of perioperative stroke/death post-CAS occur after discharge, appropriate thresholds for in-hospital event rates have been suggested to be (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - February 28, 2024 Category: Surgery Authors: Gabriel Jabbour, Sai Divya Yadavalli, Sabrina Straus, Andrew P. Sanders, Vinamr Rastogi, Jens Eldrup-Jorgensen, Richard J. Powell, Roger B. Davis, Marc L. Schermerhorn Source Type: research
Artificial intelligence of arterial Doppler waveforms to predict major adverse outcomes among patients with diabetes mellitus.
Patients with diabetes mellitus (DM) are at increased risk for peripheral artery disease (PAD) and its complications. Arterial calcification and non-compressibility may limit test interpretation in this population. Developing tools capable of identifying PAD and predicting major adverse cardiac (MACE) and limb (MALE) outcomes among diabetic patients would be clinically useful. Deep neural network analysis of resting Doppler arterial waveforms was used to detect PAD among diabetic patients and to identify those at greatest risk for major adverse outcome events. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - February 26, 2024 Category: Surgery Authors: Robert D. McBane, Dennis H. Murphree, David Liedl, Francisco Lopez-Jimenez, Adelaide Arruda-Olson, Christopher G. Scott, Naresh Prodduturi, Steve E. Nowakowski, Thom W. Rooke, Ana I. Casanegra, Waldemar E. Wysokinski, Damon E. Houghton, Kalpana Muthusamy, Source Type: research
Changes in Global Mortality from Aortic Aneurysm
Globally, there has been a marked increase in aortic aneurysm related deaths between 1990 and 2019. We sought to understand the underlying etiologies for this mortality trend by examining secular changes in both demographics and the prevalence of risk factors, and how these changes may vary across sociodemographic index (SDI) regions. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - February 24, 2024 Category: Surgery Authors: Brianna M. Krafcik, David H. Stone, Ming Cai, Isabel A. Jarmel, Mark Eid, Philip P. Goodney, Jesse A. Columbo, Michael F. Mayo Smith Source Type: research
Arteriovenous malformation of upper and lower mesenteric arteries
We report such a case treated using a staged strategy. The patient has consented to the publication of his case details and images. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - February 23, 2024 Category: Surgery Authors: Qiang-Qiang Nie, Kai Zheng, Yu-Guang Yang, Peng Liu, Xue-Qiang Fan, Zhi-Dong Ye Source Type: research
