Intra-operative staff radiation exposure during aortic endovascular procedures.
The risk of radiation exposure in the surgical operating room (OR) and/or cathlab is now well established. Complex endovascular procedures often require multiple approaches and different positioning of the staff members around the patient, potentially increasing the levels of radiations exposure.Our goal was to evaluate the levels of radiation exposure of the members of the staff during endovascular aortic procedures in order to propose radioprotection optimization. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 16, 2024 Category: Surgery Authors: Nicolas Clauss, Salom é Kuntz, Benjamin Colvard, Mickael Ohana, Luc Mertz, Anne Lejay, Nabil Chakfe Tags: Clinical Research Source Type: research
Towards uniform case-identification criteria in observational studies on peripheral arterial disease: A scoping review.
The objective of this scoping review is to inventory the identification strategies used in studies on PAD that rely on administrative databases, to map the pros and cons of the ICD codes applied, and propose a first outline for a consensus framework for case identification in administrative databases. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 12, 2024 Category: Surgery Authors: Niels Keekstra, Mathijs Biemond, Jan van Schaik, Abbey Schepers, Jaap F. Hamming, Joost R. van der Vorst, Jan H.N. Lindeman Tags: General Review Source Type: research
Open repair for Sac Expansion after EVAR
This study aimed to examine the outcomes of open surgery techniques involving sacotomy and suturing of the feeding vessels in patients with aneurysm sac expansion after endovascular aneurysm repair (EVAR). (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 12, 2024 Category: Surgery Authors: Yepeng Zhang, Ye Ji, Guangyan Wu, Ming Zhang, Xiaoqiang Li, Min Zhou Tags: Clinical Research Source Type: research
Creation of a shared medical decision support tool for the management of abdominal aortic aneurysms
Patients with an unruptured abdominal aortic aneurysm (AAA) at the surgical threshold may benefit from aneurysmal exclusion either by open surgery or endovascular repair. A patient decision aid (PtDA) could be useful to help patients and their surgeons choose between the two techniques. The aim of this study was to develop a shared medical decision support tool, in french language, for the surgical treatment of AAA. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 11, 2024 Category: Surgery Authors: Marie Dumaus é, Marie Mouillard, Quentin Balézeaux, Eric Ducasse, Caroline Caradu, Yves-Marie Vincent Tags: Clinical Research Source Type: research
Social Determinants of Health Factors and Loss-To-Follow-Up in the Field of Vascular Surgery Characteristics and Vascular Follow-Up
It is estimated that 22 – 57% of vascular patients are lost to follow-up which is of concern as the Society of Vascular Surgery recommends annual patient follow-up. The purpose of this report was to identify social determinants of health factors (SDoH) and their relationship to loss to follow-up in vascular patients. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 10, 2024 Category: Surgery Authors: Jonathon Schutt, Nicole L. Bohr, Kathleen Cao, Luka Pocivavsek, Ross Milner Tags: Clinical Research Source Type: research
Matrix metalloproteinase and aortic aneurysm: a two-sample Mendelian randomization study
This study used a two-sample Mendelian randomization (MR) analysis to look into the causal relationship between MMPs and the risk of AA.MMP and aortic aneurysm (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 10, 2024 Category: Surgery Authors: Tao Qin, Jiankai Zhong, Pinglan Li, Jianlin Liang, Meijun Li, Guangjun Zhang Tags: Basic Science Research Source Type: research
Medium-term outcomes of treatment with a VIABAHN VBX covered stent for aortoiliac occlusive lesions in patients with peripheral artery disease
Endovascular treatment (EVT) for aortoiliac (AI) occlusive lesions is now conducted worldwide, but there are challenges in EVT for complex AI lesions. The VIABAHN VBX (W.L. Gore& Associates, Flagstaff, AZ) is a next-generation balloon-expandable covered stent designed for use with complex AI lesions. The purpose of this study is to evaluate the medium-term outcomes of VIABAHN VBX for such lesions. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 9, 2024 Category: Surgery Authors: Maeda Kazuki, Taira Kobayashi, Shogo Emura, Takanobu Okazaki, Shingo Mochizuki, Tomoyasu Sato, Masato Taniguchi, Daisuke Futagami, Risa Inoue, Mayu Tomota, Toshifumi Hiraoka, Takashi Shimonaga, Hitoshi Tachibana, Haruna Shimizu, Shinya Takahashi Tags: Clinical Research Source Type: research
Preoperative sizing to lower in-stent restenosis in peripheral arterial occlusive disease
The primary treatment for lower extremity peripheral arterial occlusive disease (PAOD) is angioplasty-stenting. Its main complication is in-stent restenosis. Poor selection of stent dimensions has been identified as a factor contributing to early in-stent restenosis. The aim of this study is to determine whether the implantation of stents, selected based on arterial morphological reconstruction using sizing software, reduces the occurrence of in-stent restenosis. The study also aims to evaluate the potential benefits of routine preoperative sizing. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 9, 2024 Category: Surgery Authors: Shaghayegh JESHARI Source Type: research
Using Multidisciplinary Teams to Improve Outcomes for Treating Chronic Limb Threatening Ischemia
Multidisciplinary teams are necessary to treat complex patients with Chronic LimbThreatening Ischemia (CLTI). The need for adequate wound care and control ofcomorbid conditions cannot be accomplished by the vascular specialist alone.Numerous specialties have a role in this group to include surgical podiatrists, orthopedic surgery, plastic and reconstructive surgery endocrinology, and wound care.However, the vascular specialist must drive this team as the patients are usuallyreferred to them and numerous studies have shown a direct correlation between majoramputations and the lack of vascular involvement. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 9, 2024 Category: Surgery Authors: Hannah Wolf, Niten Singh Source Type: research
Midfoot Amputations as Adjuncts to Limb Preservation
Midfoot amputations may be required for limb preservation in the setting of severe forefoot infection, diabetic neuropathic ulcers, vascular disease, severe foot trauma, or malignancy. The level of foot amputation is determined by variable factors including but not limited to: the volume of tissue loss, degree of bone infection or trauma, the ability to preserve as much function as possible, and vascular status. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 9, 2024 Category: Surgery Authors: Elizabeth A. Sanders Source Type: research
Treatment of aorto-iliac and infra-inguinal vascular infections with a prefabricated bovine pericardial graft
In this study, we report our preliminary experience utilizing Biointegral Surgical graft in case of native and or prosthetic aorto-iliac and infra-inguinal infection. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 8, 2024 Category: Surgery Authors: Federica Donato, Tommaso Donati, Fabrizio Minelli, Alberto Borghetti, Marta Minucci, Antonio Luparelli, Giovanni Tinelli, Yamume Tshomba Tags: Clinical Research Source Type: research
"The Double Burden: Deciphering Chronic Limb-Threatening Ischemia in End-Stage Renal Disease"
Chronic Limb-Threatening Ischemia (CLTI) in patients with End-Stage Renal Disease (ESRD) poses significant challenges in clinical management due to its unique pathology and poor treatment outcomes. This review calls for a tailored classification and risk assessment for these patients to guide better revascularization choices with early minor amputation as a first-line strategy in advanced stages. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 8, 2024 Category: Surgery Authors: Pooria Nakhaei, Mohammed Hamouda, Mahmoud B. Malas Source Type: research
Moderate and severe chronic kidney disease predict greater 5-year mortality following major lower extremity amputation
Severe Chronic Kidney Disease (CKD) predicts greater mortality after major lower extremity amputation (LEA), but it remains poorly understood whether patients with earlier stages of CKD share similar risk. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 8, 2024 Category: Surgery Authors: Luke T. Pitsenbarger, Maria N. Som, Natalie T. Chao, Eyerusalem N. Workneh, Allison S. Karwoski, Nora Dunlap, Suzanna Simmonds Fitzpatrick, Khanjan H. Nagarsheth Tags: Clinical Research Source Type: research
Prophylactic Transversely Hemisected Sartorius (THT) flap for high-risk groin dissections in vascular surgery - a case series
Groin wound dehiscence and infection are a common complication of femoral artery exposure. In patients with prosthetic conduits placed in the groin, these complications can lead to graft infection or anastomotic dehiscence with hemorrhage. Sartorius flaps can be useful in preventing graft infections or anastomotic breakdown in the setting of wound infections. Prophylactic sartorius flaps have been suggested to be a useful adjunct in patients who are at high risk for groin complications. Standard sartorius flaps can be difficult to perform and increase the operative time. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - April 8, 2024 Category: Surgery Authors: Alexander M. Schurman, Janine Myint, Maksim Gusev, Mannoia Kristyn, Theodore H. Teruya Source Type: research
Mobility rates after lower limp amputation for patients treated with physician-led collaborative care model
Clinical outcomes after major lower limb amputation have been historically poor. The current care provided to most amputees is often disorganized and without physician supervision. The primary purpose of this study is to examine rates of post-amputation mobility achieved with a prosthesis by patients with chronic limb-threatening ischemia (CLTI) and/or diabetes who required major lower limb amputation and were treated under an established physician-led collaborative care pathway. The secondary purpose is to describe the structure and utilization of the care pathway by multiple independent vascular surgery practices in the ...
Source: Annals of Vascular Surgery - April 8, 2024 Category: Surgery Authors: Allison McGinnis, Zach Weber, Bara Zuhaili, H. Edward Garrett Tags: Clinical Research Source Type: research
