One-stage or two-stage elective coronary artery bypass graft surgery and abdominal aortic aneurysm open repair in low and moderate cardiac surgical risk patients
CONCLUSION: Patients with CAD and AAA that need a concomitant surgical correction with CABG and an AAOR are uncommon in contemporary practice, given the advances in endovascular therapy. When indicated, one-stage surgery can be performed in patients with low cardiac surgical risk, proper patient selection plays a fundamental role and might be performed in experienced centers. However, two-staged surgeries at the same or different inpatient stay may be considered for asymptomatic AAA with close monitoring during the postoperative period. These findings can hold significance for addressing sociodemographic barriers in low an...
Source: Vascular - April 17, 2024 Category: Surgery Authors: Sebasti án Gómez-Galán Alejandro Velandia-S ánchez Juli án M Corso-Ramírez Camilo A Polan ía-Sandoval Paula C Florez-Amaya Sergio A Ortigoza-Espitia Sof ía N Suarez-Vásquez Lina M Sanabria-Ar évalo Juan G Barrera-Carvajal Jaime Camacho-Mackenzie Source Type: research
Long-term limb salvage and functional outcomes for patients undergoing partial calcanectomy
CONCLUSION: Non-invasive vascular testing should be obtained in all patients undergoing PC, in order to stratify risk of amputation and identify candidates for revascularization. Over the long-term, patients undergoing PC face significant risk of prolonged wound healing, decline in ambulatory status, and major limb amputation.PMID:38631330 | DOI:10.1177/17085381241247627 (Source: Vascular)
Source: Vascular - April 17, 2024 Category: Surgery Authors: Valentyna Kostiuk Michael Gazes Soraya Fereydooni Cassius Iyad Ochoa Chaar Raul J Guzman Britt Hansen Tonnessen Source Type: research
Long-term outcomes of endovascular therapy for right subclavian artery occlusive lesions: A multi-center experience
CONCLUSIONS: Endovascular treatment of right subclavian artery lesions is safe, effective, and technically achievable. The reasonable use of balloon-expandable stents can achieve satisfactory outcomes with accurate orientation and promising patency.PMID:38631687 | DOI:10.1177/17085381241247613 (Source: Vascular)
Source: Vascular - April 17, 2024 Category: Surgery Authors: Yulong Huang Xinsheng Xie Guoqiang Huang Weifeng Lu Shichai Hong Yihui Chen Yue Lin Weiguo Fu Xiang Hong Lixin Wang Source Type: research
The natural history of celiac artery aneurysms
CONCLUSIONS: In this institutional review of patients with CAAs, the majority of aneurysms remained stable in size, with no patients developing symptoms or rupture over clinical follow-up. Given the observed benign behavior of these aneurysms, guidelines that suggest conservative management of CAAs less than 2 cm seems appropriate.PMID:38623819 | DOI:10.1177/17085381241245142 (Source: Vascular)
Source: Vascular - April 16, 2024 Category: Surgery Authors: Molly Ratner C Austen Hartwell Jason Zhang William Johnson Chukwuma Nwachukwu Karan Garg Danny Kim Caron Rockman Source Type: research
Six-year progression of medically treated infective aortitis
CONCLUSIONS: Infective aortitis with mycotic aneurysms is usually treated surgically due to the significant risk of rupture in the acute period. This case suggests that if the acute infective period is passed, the aneurysmal disease stabilises and does not progress.PMID:38626935 | DOI:10.1177/17085381241248724 (Source: Vascular)
Source: Vascular - April 16, 2024 Category: Surgery Authors: Daniel Zhang Arvind Dhas Lee Source Type: research
The natural history of celiac artery aneurysms
CONCLUSIONS: In this institutional review of patients with CAAs, the majority of aneurysms remained stable in size, with no patients developing symptoms or rupture over clinical follow-up. Given the observed benign behavior of these aneurysms, guidelines that suggest conservative management of CAAs less than 2 cm seems appropriate.PMID:38623819 | DOI:10.1177/17085381241245142 (Source: Vascular)
Source: Vascular - April 16, 2024 Category: Surgery Authors: Molly Ratner C Austen Hartwell Jason Zhang William Johnson Chukwuma Nwachukwu Karan Garg Danny Kim Caron Rockman Source Type: research
Six-year progression of medically treated infective aortitis
CONCLUSIONS: Infective aortitis with mycotic aneurysms is usually treated surgically due to the significant risk of rupture in the acute period. This case suggests that if the acute infective period is passed, the aneurysmal disease stabilises and does not progress.PMID:38626935 | DOI:10.1177/17085381241248724 (Source: Vascular)
Source: Vascular - April 16, 2024 Category: Surgery Authors: Daniel Zhang Arvind Dhas Lee Source Type: research
Mid-term results of "off-label" use of the Endurant stentgraft in patients with infrarenal abdominal aortic aneurysms
CONCLUSION: In this study, real-life experience with the Endurant II and IIS stentgraft is described. Non-adherence with instructions for use was associated with a higher risk of endoleak type IA (p = .06). In the early postoperative period, there were more patients with limb occlusion; this finding was not observed anymore at the end of the follow-up period.PMID:38606774 | DOI:10.1177/17085381241247265 (Source: Vascular)
Source: Vascular - April 12, 2024 Category: Surgery Authors: Denise Michelle Danielle Özdemir-van Brunschot David Holzhey Spiridon Botsios Source Type: research
Managing incisional wounds with Prevena VAC therapy in lower-extremity vascular surgery: A comparative study
CONCLUSION: The results of our study suggest there should be a significant consideration for the use of NPWT as a prophylactic measure to reduce the risk of wound complications of primarily closed infra-inguinal incisions in vascular surgery patients following common vascular procedures. Its use is particularly effective for patients at enhanced risk of infection, especially those with poor vascularization from BMI, smoking, and diabetes. This leads to decreased trends in antibiotic use, ED visits, readmissions, and surgical revisions, which translates to decreased utilization of hospital resources and economic burden.PMID...
Source: Vascular - April 12, 2024 Category: Surgery Authors: Kody Kasten Andrew Yang Lynn Shaffer Samuel Kociola Conor Holland Faith Anne Roche Calvin Pilbeam Source Type: research
Can HALP score predict post-contrast acute kidney injury and 6-year mortality in patients undergoing endovascular abdominal aneurysm repair?
CONCLUSIONS: The HALP score, which can be calculated with a simple formula, can be used to predict PC-AKI and medium-long-term mortality in EVAR patients.PMID:38607832 | DOI:10.1177/17085381241246905 (Source: Vascular)
Source: Vascular - April 12, 2024 Category: Surgery Authors: Ahmet Özderya Sinan Şahin Tolga Ko şmaz Mehmet Ali Maz Murat G ökhan Yerlikaya Ali R ıza Akyüz Muhammet Ra şit Sayın Hakan Erkan Source Type: research
A novel troubleshooting technique for below-the-knee artery occlusions with proximal cap ambiguity: Transpedal Retrograde Wire Just Marker Technique
CONCLUSION: Transpedal Retrograde Wire Just Marker Technique is a novel and practical technique which can be used in chronic total occlusions of below-the-knee arteries with ambiguous proximal caps.PMID:38609872 | DOI:10.1177/17085381241247101 (Source: Vascular)
Source: Vascular - April 12, 2024 Category: Surgery Authors: Ali Buturak Ersan Tatli Alper Erkin Source Type: research
Mid-term results of "off-label" use of the Endurant stentgraft in patients with infrarenal abdominal aortic aneurysms
CONCLUSION: In this study, real-life experience with the Endurant II and IIS stentgraft is described. Non-adherence with instructions for use was associated with a higher risk of endoleak type IA (p = .06). In the early postoperative period, there were more patients with limb occlusion; this finding was not observed anymore at the end of the follow-up period.PMID:38606774 | DOI:10.1177/17085381241247265 (Source: Vascular)
Source: Vascular - April 12, 2024 Category: Surgery Authors: Denise Michelle Danielle Özdemir-van Brunschot David Holzhey Spiridon Botsios Source Type: research
Managing incisional wounds with Prevena VAC therapy in lower-extremity vascular surgery: A comparative study
CONCLUSION: The results of our study suggest there should be a significant consideration for the use of NPWT as a prophylactic measure to reduce the risk of wound complications of primarily closed infra-inguinal incisions in vascular surgery patients following common vascular procedures. Its use is particularly effective for patients at enhanced risk of infection, especially those with poor vascularization from BMI, smoking, and diabetes. This leads to decreased trends in antibiotic use, ED visits, readmissions, and surgical revisions, which translates to decreased utilization of hospital resources and economic burden.PMID...
Source: Vascular - April 12, 2024 Category: Surgery Authors: Kody Kasten Andrew Yang Lynn Shaffer Samuel Kociola Conor Holland Faith Anne Roche Calvin Pilbeam Source Type: research
Can HALP score predict post-contrast acute kidney injury and 6-year mortality in patients undergoing endovascular abdominal aneurysm repair?
CONCLUSIONS: The HALP score, which can be calculated with a simple formula, can be used to predict PC-AKI and medium-long-term mortality in EVAR patients.PMID:38607832 | DOI:10.1177/17085381241246905 (Source: Vascular)
Source: Vascular - April 12, 2024 Category: Surgery Authors: Ahmet Özderya Sinan Şahin Tolga Ko şmaz Mehmet Ali Maz Murat G ökhan Yerlikaya Ali R ıza Akyüz Muhammet Ra şit Sayın Hakan Erkan Source Type: research
A novel troubleshooting technique for below-the-knee artery occlusions with proximal cap ambiguity: Transpedal Retrograde Wire Just Marker Technique
CONCLUSION: Transpedal Retrograde Wire Just Marker Technique is a novel and practical technique which can be used in chronic total occlusions of below-the-knee arteries with ambiguous proximal caps.PMID:38609872 | DOI:10.1177/17085381241247101 (Source: Vascular)
Source: Vascular - April 12, 2024 Category: Surgery Authors: Ali Buturak Ersan Tatli Alper Erkin Source Type: research
