Assessment of changes in stent graft geometry after chimney endovascular aneurysm sealing
Chimney endovascular aneurysm sealing (ch-EVAS) could potentially minimize gutter-associated endoleaks in patients with juxtarenal abdominal aortic aneurysms resulting from the use of the conformable endobags surrounding the chimney stent grafts (ch-SGs). The aim of the present study was to quantify the (non)apposition of the endobags in the proximal aortic neck, migration of the endograft stent frames, and changes in geometry of the ch-SGs during the follow-up period. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 29, 2019 Category: Surgery Authors: Simon P. Overeem, Seline R. Goudeketting, Richte C.L. Schuurmann, Jan M. Heyligers, Hence J.M. Verhagen, Michel Versluis, Jean-Paul P.M. de Vries Source Type: research

A systematic review of distal revascularization and interval ligation for the treatment of vascular access-induced ischemia
Vascular access-induced ischemia remains a rare but significant complication of arteriovenous fistulas. Distal revascularization and interval ligation (DRIL) is one form of treatment. However, its collated efficacy through a systematic review is yet to be established. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 29, 2019 Category: Surgery Authors: Ali Kordzadeh, Ali Davod Parsa Source Type: research

The association between liver fat and systemic calcified atherosclerosis
The association of nonalcoholic fatty liver disease (NAFLD) with systemic calcified atherosclerosis, other than the coronary arteries, has not been clearly elucidated. We investigated the association between NAFLD and calcification in eight different vascular beds. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 29, 2019 Category: Surgery Authors: Bo Kyung Koo, Matthew A. Allison, Michael H. Criqui, Julie O. Denenberg, C. Michael Wright Source Type: research

Computational analysis of renal artery flow characteristics by modeling aortoplasty and aortic bypass interventions for abdominal aortic coarctation
This study, using retrospective data from a patient with SAAC subjected to a TAB, undertook computational modeling to analyze aortorenal blood flow preoperatively as well as postoperatively after a variety of TAB and PA interventions. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 29, 2019 Category: Surgery Authors: Christopher Tossas-Betancourt, Theodorus M.J. van Bakel, Christopher J. Arthurs, Dawn M. Coleman, Jonathan L. Eliason, C. Alberto Figueroa, James C. Stanley Source Type: research

Global vascular guidelines on the management of chronic limb-threatening ischemia
Chronic limb-threatening ischemia (CLTI) is associated with mortality, amputation, and impaired quality of life. These Global Vascular Guidelines (GVG) are focused on definition, evaluation, and management of CLTI with the goals of improving evidence-based care and highlighting critical research needs. The term CLTI is preferred over critical limb ischemia, as the latter implies threshold values of impaired perfusion rather than a continuum. CLTI is a clinical syndrome defined by the presence of peripheral artery disease (PAD) in combination with rest pain, gangrene, or a lower limb ulceration>2 weeks duration. (Source:...
Source: Journal of Vascular Surgery - May 28, 2019 Category: Surgery Authors: Michael S. Conte, Andrew W. Bradbury, Philippe Kolh, John V. White, Florian Dick, Robert Fitridge, Joseph L. Mills, Jean-Baptiste Ricco, Kalkunte R. Suresh, M. Hassan Murad, GVG Writing Group Joint guidelines of the Society for Vascular Surgery, European Tags: Clinical practice guideline document Source Type: research

A systematic review and meta-analysis of revascularization outcomes of infrainguinal chronic limb-threatening ischemia
The optimal strategy for revascularization in infrainguinal chronic limb-threatening ischemia (CLTI) remains debatable. Comparative trials are scarce, and daily decisions are often made using anecdotal or low-quality evidence. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 28, 2019 Category: Surgery Authors: Jehad Almasri, Jayanth Adusumalli, Noor Asi, Sumaya Lakis, Mouaz Alsawas, Larry J. Prokop, Andrew Bradbury, Philippe Kolh, Michael S. Conte, M. Hassan Murad Tags: Supporting review article Source Type: research

Global Vascular Guidelines for patients with critical limb-threatening ischemia
The Global Vascular Guidelines (GVGs) published in this month ’s supplement of the Journal of Vascular Surgery1 are the most comprehensive clinical practice guidelines ever published on the management of patients with critical limb-threatening ischemia (CLTI). Combined with a new systematic review and meta-analysis,2 these documents represent 5 years of work by an international team of vascular specialists, each with recognized expertise in peripheral arterial disease (PAD). The guidelines considered evidence on all therapies currently available throughout the world to treat this important global problem and the end ...
Source: Journal of Vascular Surgery - May 28, 2019 Category: Surgery Authors: Peter F. Lawrence, Peter Gloviczki Tags: Editorial Source Type: research

Editorial Board
(Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 28, 2019 Category: Surgery Source Type: research

Contents
(Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 28, 2019 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, 9400 W. Higgins Road, Suite 315, Rosemont IL 60018; telephone: 312-334-2355; 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 - May 28, 2019 Category: Surgery Source Type: research

Endovascular treatment of hypogastric artery aneurysms
Internal iliac artery aneurysm (IIAA) is a rare entity. Its treatment can be technically challenging. The aim of this study was to evaluate the treatment possibilities in an era of advanced endovascular techniques and their potential to preserve iliac blood flow while reliably excluding the aneurysm. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Miriam Kliewer, Markus Plimon, Fadi Taher, Corinna Walter, Kornelia Hirsch, J ürgen Falkensammer, Afshin Assadian Source Type: research

Variation in center-level frailty burden and the impact of frailty on long-term survival in patients undergoing elective repair for abdominal aortic aneurysms
Frailty is increasingly recognized as a key determinant in predicting postoperative outcomes. Centers that see more frail patients may not be captured in risk adjustment, potentially accounting for poorer outcomes in hospital comparisons. We aimed to (1) determine the effect of frailty on long-term mortality in patients undergoing elective abdominal aortic aneurysm (AAA) repair and (2) evaluate the variability in frailty burden among centers in the Vascular Quality Initiative (VQI) database. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Elizabeth L. George, Rui Chen, Amber W. Trickey, Benjamin S. Brooke, Larry Kraiss, Matthew W. Mell, Philip P. Goodney, Jason Johanning, Jason Hockenberry, Shipra Arya Source Type: research

A systematic review and meta-analysis of the long-term outcomes of endovascular versus open repair of abdominal aortic aneurysm
This study synthesized the literature comparing the long-term (5-9  years) and very long-term (≥10 years) all-cause mortality, reintervention, and secondary rupture rates between endovascular aneurysm repair (EVAR) and open surgical repair (OSR) of abdominal aortic aneurysm (AAA). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Ben Li, Shawn Khan, Konrad Salata, Mohamad A. Hussain, Charles de Mestral, Elisa Greco, Badr A. Aljabri, Thomas L. Forbes, Subodh Verma, Mohammed Al-Omran Source Type: research

Two-dimensional-three-dimensional registration for fusion imaging is noninferior to three-dimensional- three-dimensional registration in infrarenal endovascular aneurysm repair
Fusion imaging is a tool for intraoperative three-dimensional (3D) guidance in endovascular aneurysm repair (EVAR). In many aortic centers, the registration for location is based on an intraoperative 3D dataset acquired by means of cone-beam computed tomography (3D-3D registration). Another registration method is based on two two-dimensional (2D) images (lateral and posteroanterior) acquired with the use of intraoperative fluoroscopy for registration with a computed tomographic angiogram (2D-3D registration). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Christof Johannes Schulz, Dittmar B öckler, Johannes Krisam, Philipp Geisbüsch Source Type: research

The effect of the duration of preoperative smoking cessation timing on outcomes after elective open abdominal aortic aneurysm repair and lower extremity bypass
Smoking has been associated with poor postoperative outcomes across various surgical procedures. However, the effect of quitting smoking preoperatively for elective operations is unclear. Our goal was to assess the temporal effect of smoking cessation before elective lower extremity bypass (LEB) and open abdominal aortic aneurysm (AAA) repair on perioperative outcomes. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Nkiruka Arinze, Alik Farber, Scott R. Levin, Thomas W. Cheng, Douglas W. Jones, Carrie G. Siracuse, Virendra I. Patel, Denis Rybin, Gheorghe Doros, Jeffrey J. Siracuse Source Type: research

Intraoperative contrast-enhanced ultrasound for early diagnosis of endoleaks during endovascular abdominal aortic aneurysm repair
The aim of this study was to evaluate the feasibility and utility of intraoperative contrast-enhanced ultrasound (CEUS) for early detection of endoleaks (ELs) during endovascular abdominal aortic aneurysm repair (EVAR) compared with completion digital subtraction angiography. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Claudio Bianchini Massoni, Paolo Perini, Mara Fanelli, Alessandro Ucci, Giulia Rossi, Matteo Azzarone, Tiziano Tecchio, Antonio Freyrie Source Type: research

Survival and patient-centered outcome in a disease-based observational cohort study of patients with thoracoabdominal aortic aneurysm
In this study, we address these gaps by reporting two primary end points: 1-year survival and a “good” outcome (defined as successful aneurysm exclusion, freedom from permanent loss of organ system function, and return to preoperative functional status after surgery) in a cohort of TAAA patients, including all nonoperative and operative patients, irrespective of treatment modality. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: P. Chulhi Kang, Matthew A. Bartek, Sherene Shalhub, Derek P. Nathan, Matthew P. Sweet Source Type: research

Unplanned 30-day readmissions after endovascular aneurysm repair: An analysis using the Nationwide Readmissions Database
Endovascular aneurysm repair (EVAR) is the preferred method for addressing abdominal aortic aneurysms (AAAs), with proven reduction in perioperative morbidity and mortality. There are, however limited data examining the readmissions after EVAR that are associated with increased patient morbidity and cost. As EVAR use continues its dominance in the management of AAAs, it becomes imperative to identify and mitigate risk factors associated with unplanned hospital readmissions. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Anahita Dua, Kara A. Rothenberg, Max Wohlaer, Peter J. Rossi, Brian D. Lewis, Kellie R. Brown, Gary R. Seabrook, Cheong J. Lee Source Type: research

Outcomes of initial hemodialysis vascular access in patients initiating dialysis with a tunneled catheter
Our aim was to determine factors that influence time to removal of tunneled hemodialysis catheter (THC), probability of repeat vascular access creation, and time to repeat vascular access. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Timothy Copeland, Peter Lawrence, Karen Woo Source Type: research

Cost-effectiveness of repeated interventions on failing arteriovenous fistulas
Arteriovenous fistulas (AVFs) used for hemodialysis commonly undergo multiple percutaneous and open interventions to maintain functional patency, but it is unclear whether this strategy is cost-effective. The aim of this study was to evaluate the clinical effectiveness and cost-effectiveness of performing repeated interventions vs starting a new AVF. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Benjamin S. Brooke, Claire L. Griffin, Larry W. Kraiss, Jaewhan Kim, Richard Nelson Source Type: research

Interaction between frailty and sex on mortality after elective abdominal aortic aneurysm repair
Controversy exists surrounding gender outcome disparity and abdominal aortic aneurysm (AAA) repair. Previous reports have demonstrated worse outcomes for women undergoing open aneurysm repair (OAR); however, these differences are less evident with endovascular aneurysm repair (EVAR). Epidemiologic studies have documented that women score higher on most frailty assessment scales but paradoxically have longer life expectancy compared to men. The interaction of gender/frailty and the influence on outcomes and practice patterns surrounding EVAR and OAR is poorly described. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Sarah M. Barbey, Salvatore T. Scali, Paul Kubilis, Adam W. Beck, Philip Goodney, Kristina A. Giles, Scott A. Berceli, Thomas S. Huber, Gilbert R. Upchurch, Lusine Yaghjyan Source Type: research

Using maximal systolic acceleration to diagnose and assess the severity of peripheral artery disease in a flow model study
Because of the presence of medial calcific sclerosis, both ankle-branchial index and toe pressure measures can yield misleading results when attempting to diagnose peripheral artery disease (PAD). A new ultrasound parameter, maximal systolic acceleration (ACCmax), can be an accurate tool for diagnosing PAD, including in diabetic patients. However, it has not been evaluated thoroughly. The aim of this study was to assess the feasibility of using ACCmax to diagnose and assess the severity of PAD. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Jeroen J.W.M. Brouwers, Louk P. van Doorn, Rob C. van Wissen, Hein Putter, Jaap F. Hamming Source Type: research

Five-year results from the Study of Thoracic Aortic Type B Dissection Using Endoluminal Repair (STABLE I) study of endovascular treatment of complicated type B aortic dissection using a composite device design
We report the final 5-year results from the Study of Thoracic Aortic Type B Dissection Using Endoluminal Repair (STABLE I) study, a prospective, single-arm, multicenter study of the Zenith Dissection Endovascular System (William Cook Europe, Aps, Bjaeverskov, Denmark), a pathology-specific device comprising a proximal stent graft with barbs and a distal bare stainless steel stent for the treatment of patients with complicated type B aortic dissection. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Joseph V. Lombardi, Richard P. Cambria, Christoph A. Nienaber, Roberto Chiesa, Peter Mossop, St éphan Haulon, Qing Zhou, STABLE I Investigators Source Type: research

Open aortic surgery volume experience at a regionalized referral center and impact on Accreditation Council for Graduate Medical Education trainees
The objective of this study was to review our institute's open aortic surgery volume experience and its impact on Accreditation Council for Graduate Medical Education trainees. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Hazem El-Arousy, Sungho Lim, Nayara Cioffi Batagini, Anas Abdel Azim, James Bena, Daniel G. Clair, Lee Kirksey Source Type: research

Broad variation in prosthetic conduit use for femoral-popliteal bypass is not justified on the basis of contemporary outcomes favoring autologous great saphenous vein
Single-segment great saphenous vein (GSV) has been the preferred conduit for femoral-popliteal (FP) bypass, particularly for a popliteal artery target below the knee. Yet, controversy persists surrounding whether prosthetic conduit can yield comparable outcomes to GSV for FP bypass to either the above-knee (AK) or below-knee (BK) popliteal artery. We sought to analyze national variation in conduit use and to compare contemporary outcomes in FP bypass. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Olivia Humbarger, Jeffrey J. Siracuse, Denis Rybin, David H. Stone, Philip P. Goodney, Marc L. Schermerhorn, Alik Farber, Douglas W. Jones, Vascular Quality Initiative Source Type: research

Variability in aneurysm sac regression after endovascular aneurysm repair based on a comprehensive registry of patients in Eastern Ontario
The objective of this study is to determine the rate of overall long-term sac regression after EVAR and the influence of nonanatomic factors, and endograft devices used at our center. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Prasad Jetty, Don Husereau, Vinay Kansal, Tinghua Zhang, Sudhir Nagpal Source Type: research

Weekend effect among patients undergoing elective vascular surgery
Several studies have described a higher mortality among patients admitted or operated during the weekend for various diseases. However, pooled data on patients undergoing elective vascular surgery procedures are sparse. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: George Galyfos, Fragiska Sigala, Gerasimos Bazigos, Konstantinos Filis Source Type: research

Translational applications of glucose metabolism in abdominal aortic aneurysm
Even though diabetes mellitus is a major risk for cardiovascular events and atherosclerosis-related diseases, it is negatively associated with abdominal aortic aneurysm. The understanding of the mechanisms underlying this negative association could bring new insights to identify prognostic and therapeutic targets. Here we summarize current knowledge of the relationship between glycemic parameters and clinical outcomes of patients with abdominal aortic aneurysm. Translational applications of glucose-targeted approaches as well as their potential interest for clinical practice are discussed in this context. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Fabien Lareyre, R éda Hassen-Khodja, Juliette Raffort Source Type: research

Late graft failure is rare after endovascular aneurysm repair using the Zenith stent graft in a cohort of high-risk patients
Device-specific data on the long-term efficacy of endovascular aneurysm repair (EVAR) are limited by the constant evolution of stent graft design. Whereas some modifications, such as barb-mediated fixation, probably enhance durability, others, such as thin-walled fabric, are of less certain benefit. The purpose of this study was to examine 15  years of a single-center experience of EVAR using the Zenith stent graft (Cook Medical, Bloomington, Ind). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Joel L. Ramirez, Melinda S. Schaller, Bian Wu, Linda M. Reilly, Timothy A.M. Chuter, Jade S. Hiramoto Source Type: research

Current issues and future directions for vascular surgery training from the results of the 2016-2017 and 2017-2018 Association of Program Directors in Vascular Surgery annual training survey
Surgical training is constantly adapting to better prepare trainees for an evolving landscape of surgical practice. Training in vascular surgery additionally underwent a paradigm shift with the introduction of the integrated training pathway now more than a decade ago. With this study, we sought to characterize the needs and goals of our current vascular surgery trainee population. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Katherine Elizabeth Hekman, Max V. Wohlauer, Gregory A. Magee, Christine L. Shokrzadeh, Kellie R. Brown, Christopher G. Carsten, Rabih Chaer, Omid Jazaeri, Andy M. Lee, Niten Singh, Dawn M. Coleman Source Type: research

State of the art and meta-analysis of secondary open aortic procedure after abdominal endovascular aortic repair
Secondary open aortic procedures (SOAP) treat complications of endovascular aneurysm repair, when further endovascular options are exhausted. We aimed at depicting the state of the art of SOAP with high-level evidence. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Ivancarmine Gambardella, George A. Antoniou, Mario Gaudino, Marcus D'Ayala, Leonard N. Girardi, Francesco Torella Source Type: research

Comparison of forearm versus upper arm basilic transposition arteriovenous fistulas demonstrates equivalent satisfactory patency
In accordance with the Kidney Disease Outcomes Quality Initiative recommendations, attaining autogenous hemodialysis access, specifically via creation of radiocephalic arteriovenous fistulas (AVF), brachial-basilic (BB)-AVF, or brachial-cephalic AVFs, is preferred for mortality and morbidity benefits over catheter access in patients with end-stage renal disease. The aim of this study is to determine the suitability of forearm basilic vein transposition (FBVT) fistulas as an alternative access option by comparing outcomes with those of BB-AVFs. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: M. Libby Weaver, Courtenay M. Holscher, Rebecca Sorber, Margaret W. Arnold, Ying Wei Lum, Thomas Reifsnyder Source Type: research

Differences in patient selection and outcomes based on abdominal aortic aneurysm diameter thresholds in the Vascular Quality Initiative
Randomized trials have shown no benefit for repair of small abdominal aortic aneurysms (AAAs), although repair of small AAAs is widely practiced. It has also been suggested that repair of large-diameter AAAs may incur worse outcomes. We sought to examine differences in patient selection, operative outcomes, and survival after elective endovascular aneurysm repair (EVAR) based on AAA diameter thresholds. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Douglas W. Jones, Sarah E. Deery, Darren B. Schneider, Denis V. Rybin, Jeffrey J. Siracuse, Alik Farber, Marc L. Schermerhorn, Vascular Quality Initiative Source Type: research

Prevalence and risk factors for heparin-bonded expanded polytetrafluoroethylene vascular graft infection after infrainguinal femoropopliteal bypasses
To analyze the prevalence and predictors of prosthetic vascular graft infection (PVGI) in a multicenter registry. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Gabriele Piffaretti, Walter Dorigo, Paolo Ottavi, Raffaele Pulli, Ruth L. Bush, Patrizio Castelli, Carlo Pratesi, PROPATEN Italian Registry Group Source Type: research

Test-retest reliability, agreement, and minimal detectable change in the 6-minute walk test in patients with intermittent claudication
Standardized walk tests are important for objective assessment of walking distance in patients with intermittent claudication (IC). The 6-minute walk test (6MWT) has been suggested to correlate more closely than testing on a treadmill with everyday ambulatory function, but its measurement properties have hardly been studied in IC. The aim of this study was to determine the test-retest reliability, agreement, standard error of measurement (SEM), and minimal detectable change of the 6MWT in patients with IC. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Anna Sandberg, Åsa Cider, Lennart Jivegård, Joakim Nordanstig, Susanna Wittboldt, Maria Bäck Source Type: research

Risk prediction of 30-day mortality after lower extremity major amputation
Universal risk calculators may underestimate mortality risk, whereas purely observational administrative data may lack appropriate granularity to individualize risk. The purpose of this study was to create a simple risk prediction model to identify the factors associated with 30-day morality after lower extremity major amputation for ischemic vascular disease. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Joshua S. Jolissaint, Samir K. Shah, Michelle C. Martin, Joseph D. Raffetto, James T. McPhee Source Type: research

Patients with lower extremity dialysis access have poor primary patency and survival
Lower extremity arteriovenous (AV) access is an alternative when upper extremity access options have been exhausted. Our goal was to assess short- and medium-term outcomes of lower extremity hemodialysis access. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Steven L. Pike, Alik Farber, Nkiruka Arinze, Scott Levin, Thomas W. Cheng, Douglas W. Jones, Tze-Woei Tan, Mahmoud Malas, Denis Rybin, Jeffrey J. Siracuse Source Type: research

Single-session catheter-directed lysis using adjunctive power-pulse spray with AngioJet for the treatment of acute massive and submassive pulmonary embolism
An alternative single-session catheter-directed thrombolysis (CDT) method using adjunctive power-pulse spray (PPS) technique (with the AngioJet system; Boston Scientific, Fremont, Calif) was investigated to evaluate its safety and effectiveness in the treatment of acute massive and submassive high-risk pulmonary embolism (PE). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Laurencia Villalba, Tam Nguyen, Rui L. Feitosa, Prashanth Gunanayagam, Naomi Anning, Kate Dwight Source Type: research

Long-term results after standard endovascular aneurysm repair with the Endurant and Excluder stent grafts
Many endografts are currently available for standard endovascular repair of infrarenal abdominal aortic aneurysms. Comparison of long-term outcomes between devices might aid in this decision process, but comparative data are scarce. The purpose of this study was to report long-term clinical outcomes of two commercially available endoprosthesis, the Endurant (Medtronic Vascular, Inc, Minneapolis, Minn) and the Excluder (W. L. Gore& Associates, Flagstaff, Ariz) stent grafts. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Jos é Oliveira-Pinto, Nelson F.G. Oliveira, Frederico M. Bastos-Gonçalves, Sanne Hoeks, Marie Josee Van Rijn, Sander Ten Raa, Armando Mansilha, Hence J.M. Verhagen Source Type: research

Predictors of bleeding or anemia requiring transfusion in complex endovascular aortic repair and its impact on outcomes in health insurance claims
This study aimed to determine predictors and outcomes associated with bleeding or anemia requiring transfusion (BAT) after fenestrated or branched endovascular aneurysm repair (FB-EVAR). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 27, 2019 Category: Surgery Authors: Christian-Alexander Behrendt, E. Sebastian Debus, Thea Schwaneberg, Henrik C. Rie ß, Mark Dankhoff, Vladimir Makaloski, Art Sedrakyan, Tilo Kölbel Source Type: research

Pivotal results for the Valiant Navion stent graft system in the Valiant EVO global clinical trial
The Valiant Navion stent graft system (Medtronic, Santa Rosa, Calif) is a new iteration of a thoracic endograft for the treatment of descending thoracic aortic aneurysms. Herein, the 30-day primary safety and efficacy outcomes and secondary end points are presented. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 21, 2019 Category: Surgery Authors: Ali Azizzadeh, Nimesh Desai, Frank R. Arko, Jean M. Panneton, Fabien Thaveau, Paul Hayes, Francois Dagenais, Lanyu Lei, Fabio Verzini Source Type: research

A multi-institutional experience in the aortic and arterial pathology in individuals with genetically confirmed vascular Ehlers-Danlos syndrome
Vascular Ehlers-Danlos syndrome (vEDS) is a rare connective tissue disorder owing to pathogenic variants in COL3A1 that lead to impaired type III collagen production. We aim to describe the contemporary multi-institutional experience of aortic and arterial pathology in individuals with vEDS, to evaluate disease patterns and refine management recommendations. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 21, 2019 Category: Surgery Authors: Sherene Shalhub, Peter H. Byers, Kelli L. Hicks, Kristofer Charlton-Ouw, Devin Zarkowsky, Dawn M. Coleman, Frank M. Davis, Ellen S. Regalado, Giovanni De Caridi, K. Nicole Weaver, Erin M. Miller, Marc L. Schermerhorn, Katie Shean, Gustavo Oderich, Maurici Source Type: research

Assessing carotid plaque neovascularity and calcifications in patients prior to endarterectomy
The objective was to use two ultrasound image and signal processing techniques (MicroPure and superb microvascular imaging [SMI]; Toshiba Medical, Tokyo, Japan) to investigate carotid plaque calcification and intraplaque neovascularity flow as biomarkers for plaque vulnerability in patients before endarterectomy. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 21, 2019 Category: Surgery Authors: Flemming Forsberg, Priscilla Machado, Maria Stanczak, John Farber, Paul DiMuzio, Laurece Needleman Source Type: research

Upper extremity arterial endovascular interventions for symptomatic vascular access-induced steal syndrome
Critical hand ischemia owing to vascular access-induced steal syndrome (VASS) continues to be a significant problem. The aim of this study was to examine the outcomes of arterial endovascular interventions in the upper extremity of patients presenting with VASS. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 21, 2019 Category: Surgery Authors: Tracy J. Cheun, Lalithapriya Jayakumar, Matthew J. Sideman, Lori L. Pounds, Mark G. Davies Source Type: research

Thoracic endovascular stent graft repair for ascending aortic diseases
We describe the preliminary results of thoracic endovascular aortic repair (TEVAR) in a group of patients with ascending aortic disease from the Global Registry for Endovascular Aortic Treatment (GREAT). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 21, 2019 Category: Surgery Authors: Gabriele Piffaretti, Viviana Grassi, Chiara Lomazzi, William T. Brinkman, Tulio P. Navarro, Michael P. Jenkins, Santi Trimarchi, GREAT participants Source Type: research

Locoregional anesthesia is associated with lower 30-day mortality than general anesthesia in patients undergoing endovascular repair of ruptured abdominal aortic aneurysm
The objective of this study was to compare 30-day postoperative mortality for patients undergoing endovascular repair of ruptured abdominal aortic aneurysm (rAAA) using locoregional vs general anesthesia. Unlike the open approach, endovascular repair of rAAA can be performed using either locoregional or general anesthesia. We hypothesize that mortality after endovascular repair of rAAA is lower when locoregional rather than general anesthesia is used. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 21, 2019 Category: Surgery Authors: Kyla M. Bennett, Christopher M. McAninch, John E. Scarborough Source Type: research

Systematic review and updated meta-analysis of the use of drug-coated balloon angioplasty versus plain old balloon angioplasty for femoropopliteal arterial disease
An endovascular-first approach is usually recommended in femoropopliteal occlusive disease. However, despite high technical success, plain old balloon angioplasty (POBA) is burdened with high restenosis rates. To reduce this phenomenon, local delivery of drugs has been proposed by way of drug-coated balloons (DCBs). Our goal was to review the evidence for the use of DCBs in the management of femoropopliteal disease and to determine whether it is associated with improved outcomes compared with POBA. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 21, 2019 Category: Surgery Authors: Caroline Caradu, Emilie Lakhlifi, Elda Chiara Colacchio, Dominique Midy, Xavier B érard, Mathieu Poirier, Eric Ducasse Source Type: research

Long-term survival after endovascular and open repair in patients with anatomy outside instructions for use criteria for endovascular aneurysm repair
Randomized controlled trials of long-term survival for infrarenal abdominal aortic aneurysms have compared open surgical repair (OSR) with endovascular aneurysm repair (EVAR) in patients with suitable aortic anatomy for EVAR. However, in clinical practice, patients who do not meet instructions for use (IFU) criteria are often still treated by EVAR despite that some studies show higher graft-related adverse events. The goal of this study was to compare the long-term survival of EVAR and OSR in patients with anatomy outside IFU criteria for EVAR. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 21, 2019 Category: Surgery Authors: Philippe Charbonneau, Kiattisak Hongku, Christine R. Herman, Mohammed Habib, Elie Girsowicz, Robert J. Doonan, Luc Dubois, Sajjid Hossain, Heather L. Gill, Kent S. Mackenzie, Jason P. Bayne, Daniel Obrand, Oren K. Steinmetz Source Type: research

Meta-analysis and trial sequential analysis of prophylactic negative pressure therapy for groin wounds in vascular surgery
Negative pressure therapy has been proposed as a prophylactic measure to promote surgical wound healing and reduce surgical site complications. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 21, 2019 Category: Surgery Authors: George A. Antoniou, Collins C. Onwuka, Stavros A. Antoniou, David Russell Source Type: research

Creating arteriovenous fistulas for children in Guatemala
The Guatemalan Foundation for Children with Kidney Diseases was established in 2003 as the first and only comprehensive pediatric nephrology program and hemodialysis unit in Guatemala. Bridge of Life (BOL) is a not-for-profit charitable organization focused on chronic kidney disease and supplied equipment, training and support during formation of the hemodialysis unit. Pediatric permanent vascular access (VA) expertise had not been established and noncuffed dialysis catheters provided almost all VA, many through subclavian vein access sites. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 21, 2019 Category: Surgery Authors: William C. Jennings, Randall Lou-Meda, Nasir Mushtaq, Alexandros Mallios, Sindy M éndez-Soveranis, Raúl Ernesto Sosa Tejada, John F. Lucas, Wayne S. Gradman Source Type: research