LEA 17. Better Results Are Obtained With the New C-Guard Stent
Recently, InspireMD (Tel Aviv, Israel) presented the new InspireMD CGuard, a bare-metal stent covered by a micron-level mesh (MicroNet). The aim of this study was to evaluate the immediate and midterm outcomes of this new device compared with the results obtained with the first CGuard type (smaller diameter, higher flexibility, smoother tip) in terms of operative complications. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Barbara Praquin, Matteo Orrico, Vittorio Alberti, Stefano Fazzini, Arduino Farina, Sonia Ronchey Source Type: research

LEA 18. Safety of Outpatient Lower Extremity Endovascular Intervention in Diabetic Peripheral Vascular Disease: A Single-Center Experience
Atherosclerotic peripheral arterial disease involving the lower limbs is a common disease associated with a high probability of morbidity and mortality, with two to six times higher incidence of both cardiovascular and cerebrovascular disease. After percutaneous intervention, patients have traditionally been kept for overnight observation. Time to ambulation and hospital stay have decreased by virtue of dramatic improvement of endovascular equipment with low-profile devices as well as arterial closure devices. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Tauqir A. Rana, Amr Elsaadeny, Mohammed Altawalah, Shagran Binkhamis, Mohammed Badran Source Type: research

LEA 19. Long-Term Follow-up in Extreme Endovascular Revascularization of Native Artery After Bypass Failure in Patients With Critical Limb Ischemia
Lower extremity bypass (graft) failure in patients with limb-threatening ischemia carries an amputation rate of>50%. Redo bypass grafting is associated with an inferior outcome compared with primary bypass and is often not feasible because of the patient ’s medical risk factors and lack of adequate bypass conduit or target. Considerable advances in interventional skills and the new devices available allow an endovascular approach to arterial lesions previously confined to bypass surgery. The aim of this study was to evaluate the role of endovascul ar recanalization of severely diseased native arteries after bypass...
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Claudia Riera, Marc Sirvent, Joan Sancho, Pere Alt és, Carlos Esteban, Secundino Llagostera Source Type: research

LEA 20. Aneurysm of Persistent Sciatic Artery With Acute Lower Limb Ischemia —Hybrid Approach in Management
This article reports the hybrid approach in management of a rare case of partially thrombosed persistent sciatic artery (PSA) aneurysm in a patient who presented with acute left lower limb ischemia due to embolization. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Roshan Rodney S., K.N. Nagabhushan Source Type: research

LEA 21. Emergency Implantation of Bentley ’s BeGraft Stent Graft System in the Management of Vessels Injuries: Preliminary Results
Endovascular treatment of vessel injuries with stent graft is the treatment of choice in patients not suitable for embolization or at high-risk for surgery. The aim of our study was to evaluate the efficacy and the safety of Bentley ’s BeGraft Peripheral Stent Graft System (Bentley Innomed GmbH, Hechingen, Germany) for emergency endovascular treatment of vessels injuries. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Maria Antonella Ruffino, Marco Fronda, Andrea Discalzi, Andrea Mancini, Pierluigi Muratore, Denis Rossato, Dorico Righi, Paolo Fonio Source Type: research

LEA 22. Totally Percutaneous Femoral-Popliteal Bypass: The Best of Both Worlds
We describe an innovative technique of femoral-popliteal bypass realized through a totally percutaneous approach and the early results of the initial study. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Pierre Sarradon Source Type: research

LEA 23. The 12-Month Results of the EffPac Trial
The aim of the investigator-initiated Effectiveness of Paclitaxel-coated Luminor Balloon Catheter vs Uncoated Balloon Catheter in the Superficial Femoral and Popliteal Arteries to Prevent Vessel Restenosis or Reocclusion (Effpac) trial was to evaluate the safety and efficacy of the Luminor paclitaxel-coated drug-eluting balloon (DEB; iVascular, Barcelona, Spain) in inhibiting restenosis and in ensuring long-term patency. A homogeneous distribution of paclitaxel 3 μg/cm2 on the balloon’s surface is applied by a proprietary TransferTech coating technology. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Marcus Thieme Source Type: research

LEA 24. Toe Pressure in Predicting Diabetic Foot Ulcer Healing: A Systematic Review and Meta-Analysis
There is a significant body of evidence supporting the clinical utility of toe systolic blood pressure (TBP) as an indicator of peripheral blood flow in diabetic foot ulcers (DFUs) and consequently in predicting healing capacity. However, there is still little consensus in the literature on the relevant cutoff values. This systematic review seeks to evaluate the sensitivity and specificity of toe pressure measurements in prediction of DFU wound healing and to investigate for a cutoff value to predict healing as supported by current evidence. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Tay Wei Ling, Zhiwen Joseph Lo, Qiantai Hong, Sadhana Chandrasekar, Glenn Wei Leong Tan Source Type: research

LEA 25. Outcomes in Limb Preservation After Revascularization and Minor Amputations in 876 Patients With Peripheral Arterial Disease During a 9-Year Period
The objective of this study was to review limb preservation outcomes after revascularization and minor amputations in patients with peripheral arterial disease in an Asian population. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Li Zhang, Zhiwen Joseph Lo, Qiantai Hong, Glenn Wei Leong Tan, Sadhana Chandrasekar Source Type: research

LEA26. Use of Thrombolysis in Acute Lower Extremity Ischemia With Known Distal Target Vessel for Revascularization Stenting
We report our 5-year experience in managing patients with acute lower extremity ischemia with a known distal arterial target vessel without thrombolytic therapy. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Nicholas J. Gargiulo, Maya Chandramoulli, Frank J. Veith, Evan C. Lipsitz, Gregg S. Landis, Lucio Flores, Paul Haser, Anthony J. Tortolani, Neal S. Cayne Source Type: research

AVA 1. Salvage of Failing Native Arteriovenous Fistula by Interwoven Nitinol Stenting: A  Review of Early Experience
Percutaneous angioplasty remains the most commonly employed method for treatment of native arteriovenous access stenosis. There is growing evidence that demonstrates benefit with covered stenting of recalcitrant stenosis in patients with an arteriovenous graft. Currently, the use of either bare-metal stents or covered stents in patients with native arteriovenous fistulas (AVFs) is not considered a first-line intervention. This case series aimed to examine the clinical effectiveness and feasibility of interwoven nitinol stenting in the salvage of failing AVFs. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Rhan C. Chong, Zhiwen Joseph Lo, Sadhana Chandrasekar, Glenn Wei Leong Tan Source Type: research

AVA 2. Neuromuscular Electrostimulation: A New Therapeutic Option to Improve Radiocephalic Arteriovenous Fistula Maturation in End-Stage Chronic Kidney Disease Patients
Radiocephalic arteriovenous fistula (RCAVF) is the “gold standard” vascular access for end-stage chronic kidney disease patients. Exercises after AVF creation improve maturation. No articles regarding neuromuscular electrostimulation (NMES) in AVF maturation have been published. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Lucia Martinez, Vicent Esteve, Ezequiel Paredes, Montserrat Yeste, Secundino Llagostera Source Type: research

AVA 3. Efficacy of Staged Brachial Artery-Basilic/Brachial Vein Elevation Arteriovenous Fistula (Axillary Vein Saved)
Brachial artery-basilic/brachial vein (Br-Ba/Br) transposition arteriovenous fistula (AVF) has emerged as an autologous AVF, but there have been few reports on the outcomes of Br-Ba/Br elevation AVF instead of conventional transposition. We evaluated efficacy of staged Br-Ba/Br elevation AVF and compared clinical outcomes of Br-Ba and Br-Br elevation AVF. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Min-seob Kim, Sanghyun Ahn, Hyejin Mo, Ahram Han, Chanjoong Choi, Jongwon Ha, Seung-Kee Min Source Type: research

VCI 1. Is the Nutcracker Syndrome the Most Important Actor in the Presence and Presentation of the Pelvic Congestion Syndrome?
The objective of this study was to show a discrepancy in the real causes of the pelvic congestion syndrome. In our experience obtained in the Central Military Hospital, Mexico City, a hospital of the highest level in the Mexican armed forces with>700 hundred beds, we have found a great discrepancy in what has been published around the world concerning the nutcracker syndrome as the main cause of the pelvic congestion syndrome. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Lt Col Leopoldo Alvarado, Maj Rigoberto Roman, Maj David Olivares Source Type: research

VCI 2. A Single-Center Experience Using Intravascular Ultrasound as an Adjunct in Nutcracker Syndrome
The nutcracker syndrome is an uncommon condition but with high morbidity, leading even to chronic renal failure when it is not treated. Endovascular treatment is now the most popular approach, but some related complications, such as stent migration, have been described. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Maria P. Lamarca Mendoza, Angel Flores Herrero, F. Javier Peinado Cebri án, Benito Méndez Feria, Diego Soto Valdés, Maite Arriola Hernández, Belén Marcos Llergo, Santiago Estébanez Seco, Alberto Martín Álvarez, Antonio Orgaz Pérez-Grueso Source Type: research

LEV 1. Transilluminated Powered Phlebectomy Using Second-Generation Trivex Technology Under Tumescent Anesthesia Only: Are the Patients Satisfied With the Procedure and Its Outcome?
The purpose of the study was to assess the Venous Clinical Severity Score (VCSS) and patients ’ satisfaction after use of the second-generation Trivex (LeMaitre Vascular, Burlington, Mass), a device used for transilluminated powered phlebectomy. The group of patients selected for the procedure in our department had legs with a large number of varices, some with previous vein surgery or a p revious episode of superficial thrombophlebitis. The majority of the patients were overweight. Alternative treatments for these selected patients have suboptimal results at best. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Alexander Kantarovsky, Evgenia Mankowitsch, Dmitriy Vinogradsky Source Type: research

LEV 2. Preliminary First in Human Ultrasound-Guided High-Intensity Focused Ultrasound Treatment in Superficial Lower Limb Veins
High-intensity focused ultrasound (HIFU) is an alternative to surgery or other thermal methods widely used in the treatment of thyroid, breast fibroadenoma, and uterine fibroma. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Alfred Obermayer Source Type: research

LEV 3. Outcomes of Ultrasound-Guided Catheter-Directed Foam Sclerotherapy With or Without Perivenous Tumescent Enhancement in the Treatment of Great Saphenous Vein Reflux
Great saphenous vein reflux is widely managed by endovenous methods as first-line treatment. Sclerotherapy is a recommendation when other endovenous treatments are not suitable. Tumescent anesthesia is used in other endovenous thermal treatments to help with vein compression around the catheter for better contact and  to prevent heat damage. In developing countries like Thailand, the costs of the standardized instruments, such as radiofrequency ablation and endovenous laser, are high. Not many patients can afford such treatments. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Pharawee Prayoonhong, Suthas Horsirimanont, Wiwat Tirapanich, Sopon Jirasiritum, Surasak Leela-Udomlipi, Piyanut Pootracool, Nutsiri Kittitirapong, Nipapan Chounu Source Type: research

LEV 4. Adherence to Medical Treatment in Chronic Venous Disease in a Public Hospital in Mexico
The objective of this study was to determine the percentage of patients who adhere to medical treatment for chronic venous disease in a first-time visit to the vascular surgery and angiology department of the Hospital General de M éxico “Dr Eduardo Liceaga” and to determine the principal causes of treatment abandonment. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Nora E. Lecuona Huet, Aldo Betanco Pe ña Source Type: research

LEV 5. A Comparison of 1470-nm Endovenous Laser Ablation and Radiofrequency Ablation in the Treatment of Great and Small Saphenous Vein Insufficiency
The objective of this study was to compare 1470-nm EVLA and RAF (VNUS ClosureFast; Covidien, Mansfield, Mass) in the treatment of patients with great and small saphenous vein insufficiency. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Norbert Torma, Vladim ír Sihotsky, Ivan Kopolovets Source Type: research

LEV 6. Klippel-Tr énaunay Syndrome: A Case Report and Literature Review
We present a case of Klippel-Tr énaunay syndrome (KTS), a rare, sporadic vascular malformation characterized by its clinical triad of port-wine stains, varicosities, and limb hypertrophy. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Wei Zhi Mak, Sadhana Chandrasekar, Glenn Wei Leong Tan, Zhiwen Joseph Lo Source Type: research

LEV 7. Location of Venous Leg Ulcer as a Predictor of Poor Healing
The objective of this study was to identify whether the locations of venous leg ulcers (VLUs) can be an independent risk factor for determining a poor healing rate compared with other common risk factors. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Alejandro Gonzalez Ochoa Source Type: research

LEV 8. Inframalleolar Access for Endovascular Treatment of Venous Insufficiency Ulcers
We present our experience using inframalleolar access. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Michael Tal, Galit Sivek, Ram Avrahami Source Type: research

LEV 9. Causes of Recurrent Varicose Vein After Endovenous Laser Ablation Therapy Confirmed by Three-Dimensional Computed Tomography Venography and Duplex Ultrasound
The objective of this study was to determine the cause and anatomic patterns of recurrent varices after endovenous laser ablation (EVLA). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Seung-Kee Min, Ahram Han, Hyejin Mo, Chanjoong Choi, Sanghyun Ahn, Jongwon Ha Source Type: research

LEV 10. Single-Session Femoral-Popliteal Venoplasty for Infrainguinal Obstruction
Obstruction of the femoral-popliteal (FP) axis can be the underlying disease alone or occur in combination with iliac veins. Currently, there are limited options for such patients. This pilot study evaluated the safety and efficacy of a single-session FP venoplasty (SSFPV) with local infusion of tissue plasminogen activator (tPA) using a novel percutaneous transluminal angioplasty balloon. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Angela A. Kokkosis, Raudel Garcia, Paul J. Gagne, Steve Elias, Antonios P. Gasparis, Nicos Labropoulos Source Type: research

CAR 1. Carotid Endarterectomy for Asymptomatic Carotid Artery Stenosis: Can We Predict Who Will Need Intensive Care Unit Postoperative Care?
All asymptomatic patients benefit from 3 to 6 hours of neurologic and intra-arterial blood pressure (BP) monitoring after carotid endarterectomy (CEA). However, only a minority of patients will require routine postoperative monitoring in a high-dependency unit or intensive care unit (HDU/ICU). The aim of this paper was to identify preoperative and intraoperative predictors of HDU/ICU postoperative monitoring need. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Andreia Coelho, Miguel Lobo, Ricardo Gouveia, Clara Nogueira, Jacinta Campos, Rita Augusto, Nuno Coelho, Alexandra Canedo Source Type: research

CAR 2. Results of Carotid Artery Stenting in a Belgian “Real-World” Practice
Carotid artery stenting (CAS) is a valuable solution for the treatment of carotid artery stenosis in a population of patients at high risk for carotid endarterectomy (CEA). This high-risk population includes patients with recurrent stenosis after CEA, high/low lesion, contralateral laryngeal nerve palsy, previous radical neck surgery, cervical radiation therapy, and tracheostomy. In the European Society for Vascular Surgery guidelines, however, the authors were concerned about the death and stroke rates of CAS in “real-world” practice. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Laura Kerselaers, Sarah Gallala, Dimitri Aerden, Karl Von Kemp, Erik Debing Source Type: research

CAR 3. Comparative Analysis of Transfemoral and Transradial Approaches in Endovascular Treatment of Carotid Artery Stenosis
The objective of this study was to estimate the safety, effectiveness, and economic importance of the transradial approach in comparison with the transfemoral one. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Timur Khafizov, Irina Nikolaeva, Radik Khafizov, Evgeni Kretov, Ilyas Idrisov, Vitali Baystrukov, Sergey Pustovoytov Source Type: research

CAR 4. Transcranial Cerebral Oximetry as Neuromonitoring During Carotid Endarterectomy
Cross-clamp ischemia during carotid endarterectomy can be prevented with carotid shunts in vulnerable patients identified by cerebral monitoring. We evaluated transcranial cerebral oximetry for selective shunt use in 654 patients. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Vladim ír Sihotský, Mária Frankovičova, Mária Kubiková, Ivan Kopolovets, František Sabol Source Type: research

CAR 5. Factors Affecting Baroreceptor Function and Blood Pressure Control During Carotid Endarterectomy
The objective of this study was to assess the impact of carotid endarterectomy on blood pressure homeostasis and baroreflex function, with reference to the presence or absence of significant contralateral carotid artery disease. We conducted a 2-year prospective study of 80 patients undergoing carotid endarterectomy for>70% symptomatic stenoses. Results were combined with anatomic and physiologic studies of carotid baroreceptors performed at the same center. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Charles West, Reza Nouraei, Cecilia Brassett, Michael Gaunt Source Type: research

CAR 6. Dual Antiplatelet Therapy and Clopidogrel “Resistance” in Carotid Stenting: Preliminary Results
Dual antiplatelet therapy (DAPT) using acetylsalicylic acid (ASA, 75-325 mg daily) associated with a thienopyridine (either clopidogrel 75 mg daily or ticlopidine 250 mg twice a day) is strongly recommended by the international guidelines for patients undergoing carotid artery stenting (CAS) to reduce perioperative neurologic events. The phenomenon of pharmacologic "resistance ” to the effect of clopidogrel, however, may occur in up to 30%. The aim of the study was to describe the prevalence of clopidogrel resistance in a case series of patients submitted to CAS and undergoing DAPT and to analyze the effectivene...
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Daniela Mazzaccaro, Alfredo Modafferi, Massimiliano Sciarrini, Paolo Righini, Giovanni Malacrida, Giovanni Nano Source Type: research

CAR 7. American Society of Anesthesiologists Classification Is a Highly Significant Predictor of Ipsilateral Stroke-Free Survival in Asymptomatic Octogenarians With Elective Internal Carotid Endarterectomy
Internal carotid endarterectomy in asymptomatic patients is being discussed controversially, in particular in octogenarians. The goal of this investigation was to determine, whether recently operated on patients met the 2017 guidelines of the European Society for Vascular Surgery (ESVS) in hindsight. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Gregor Siegl, Klaudia Suppan, Georg Schramayer, Peter Konstantiniuk, Tina Cohnert Source Type: research

CAR 8. International Call at VEITH Symposium for Randomized PREvention of CArotid REstenosis (PRECARE) Study by Implementation of Restenosis Risk Rate Calculator and Inflammatory Markers Analysis
We have recently published that three main predictors for carotid restenosis (CR) within 1 year after carotid endarterectomy (CEA) are increased high-sensitivity C-reactive protein before CEA (6 hours), increased fibrinogen 48 hours after surgery, and not taking aspirin after CEA. A Fisher equation incorporating these predictors was created to predict CR after CEA implemented in a computer program, the carotid restenosis risk rate (3R) calculator. This program calculates whether the patient is at low or high risk for CR and displays recommended therapeutic algorithms consisting of aspirin, clopidogrel, cilostazol, and stat...
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Slobodan Tanaskovic, Djordje Radak, Dragoslav Nenezic, Nenad Ilijevski, Dragan Vasic, Predrag Matic, Predrag Gajin, Srdjan Babic, Zoran Rancic Source Type: research

CAR 9. Impact of Carotid Artery Stenting on Visual Functions in Patients With Different Severity of Ocular Ischemic Syndrome
The objective of this study was to investigate the effects of carotid artery stenting (CAS) on ocular functions in patients with ocular ischemic syndrome (OIS). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Hanfei Tang, Xiao Tang, Weiguo Fu, Zhenyu Shi, Lixin Wang, Daqiao Guo Source Type: research

CAR 10. Endarterectomy for Acute Symptomatic Thrombotic Occlusion of the Entire Extracranial Internal Carotid Artery: A Case Report
We report the case of a 60-year-old woman who was admitted with a sudden onset of numbness of the left upper extremity. Two weeks before admission, the patient presented with a right hemispheric transient ischemic attack and temporary right facial paresis. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Ahmed Soliman, Mikolaj Walensi, Johannes Bernheim, Theresia Knop, Susanne B. Kiewitz, Johannes N. Hoffmann Source Type: research

CAR 11. Concentration of Specific Markers in Patients With the Subclinical Form of Atherosclerosis
Stroke is the third most common cause of death and the most common reason for premature permanent invalidism. About 10% to 15% of strokes occur as the result of severe atherosclerotic malfunction of the internal carotid artery (ICA). Atherosclerosis is the main cause of carotid artery stenosis formation. However, the risk of stroke is higher in patients with soft atherosclerotic plaque. One of the options of stroke prevention, then, is a surgical treatment —carotid endarterectomy. However, the surgical benefit is not so significant in asymptomatic patients, in whom the risk of recurrent stroke in the first year after...
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Peter Štefanič, Vladimír Sihotský, František Sabol, Marián Tomečko, Martina Závacká, Ivan Kopolovets, Mária Frankovičová, Ján Luczy, Zdenka Hertelyová Source Type: research

CAR 12. Trends and Outcomes of Carotid Revascularization in the Chinese Population: Analysis of > 1000 Cases in a Single Institution from 2002 to 2017
In this study, we investigated the outcomes after carotid revascularization for Chinese patients in a single institution. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: JinYun Tan, Lei Zhu, WenCheng Guo, Kun Liang, Qing He, WeiHao Shi, Bo Yu Source Type: research

CAR 13. Carotid Artery Stenting in Elderly Patients
We postulated that carotid artery stenting could be safely performed in elderly patients if certain anatomic and clinical markers, such as excessive vascular tortuosity, heavy concentric calcification of the lesion, and decreased cerebral reserve, were avoided. We tried to determine the influence of age on complication rates of carotid artery stenting. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Simon Papoyan, Alexandr Schegolev, Alexandr Mitichkin, Dmitriy Gromov, Alexey Krasnikov, Alexandr Radchenko, Maxim Sazonov Source Type: research

AA1. Contrast Medium-Free Approach to Patients With Abdominal Aortic Disease and Renal Insufficiency
We report a specific contrast medium-free approach to patients with abdominal aortic disease and moderate to severe renal insufficiency. The protocol includes accurate assessment of chronic kidney disease (CKD), preoperative ultrasound evaluation, intravascular ultrasound, and AFX2 endoprosthesis (Endologix, Irvine, Calif). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Ester De Marco, Alessia Giaquinta, Adalberto Sanzone, Anna Carbonaro, Andrea Zappal à, Pierfrancesco Veroux Source Type: research

AA2. 64% Reduction in Readmission After Endovascular Aneurysm Repair Using Machine Learning and Big Data
Readmission rates after endovascular aneurysm repair (EVAR) are an average of 15% ± 6% at 30 days. The principal reasons for readmission include wound complications, pneumonia, renal complications, sepsis, bowel obstruction, and bleeding. With increased emphasis on pay for performance and lowering of overall readmission rates by the Centers for Medicare and Medicaid Services, th ere is significant financial pressure to improve the quality of health care delivery and to reduce costs. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Sapan S. Desai Source Type: research

AA3. Endovascular Treatment of Isolated Common Iliac Artery Aneurysms Using Iliac Branch Stent Grafts Without Aortic Component: A  National Multicenter Registry
Endovascular therapy for common iliac artery aneurysms (CIAAs) using iliac branch devices (IBDs) has become an increasingly popular means of preserving antegrade flow to the internal iliac artery. According to instruction for use, the iliac branch stent graft is to be used in conjunction with an aortobi-iliac stent graft. Our aim was to assess early and midterm outcomes of IBD implantation without an aortic stent graft for the treatment of isolated CIAA. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - October 22, 2018 Category: Surgery Authors: Alessia Giaquinta, Nicola Mangialardi, Piergiorgio Cao, Fabio Verzini, Carlo Pratesi, Arnaldo Ippoliti, Gianmarco de Donato, Pierfrancesco Veroux Source Type: research

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