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Long-term outcomes of endovascular therapy for right subclavian artery occlusive lesions: A multi-center experience Vascular (IF 1.1) Pub Date : 2024-04-17 Yulong Huang, Xinsheng Xie, Guoqiang Huang, Weifeng Lu, Shichai Hong, Yihui Chen, Yue Lin, Weiguo Fu, Xiang Hong, Lixin Wang
ObjectiveTo review our multi-institutional experience with endovascular therapy for right subclavian artery occlusive disease and to evaluate the long-term outcomes.MethodsWe retrospectively evaluated all patients with right subclavian artery stenosis and occlusive disease who underwent endovascular therapy between March 2014 and September 2022 at two institutions. Patient baseline demographics, lesion
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Long-term limb salvage and functional outcomes for patients undergoing partial calcanectomy Vascular (IF 1.1) Pub Date : 2024-04-17 Valentyna Kostiuk, Michael Gazes, Soraya Fereydooni, Cassius Iyad Ochoa Chaar, Raul J Guzman, Britt Hansen Tonnessen
IntroductionPartial calcanectomy (PC) can be performed to treat chronic heel ulcers in patients with calcaneal osteomyelitis. Patients undergoing PC often have multiple comorbidities, limited mobility, and face high risk of major limb amputation. This study examined the extent of vascular diagnostic testing and interventions as well as long-term outcomes in patients undergoing PC.MethodsA retrospective
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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. Vascular (IF 1.1) Pub Date : 2024-04-17 Sebastián Gómez-Galán, Alejandro Velandia-Sánchez, Julián M Corso-Ramírez, Camilo A Polanía-Sandoval, Paula C Florez-Amaya, Sergio A Ortigoza-Espitia, Sofía N Suarez-Vásquez, Lina M Sanabria-Arévalo, Juan G Barrera-Carvajal, Jaime Camacho-Mackenzie
ObjectivesCoronary artery disease (CAD) and abdominal aortic aneurysm (AAA) are common arterial pathologies that might occur simultaneously; however, there is not enough evidence about the optimal strategy for patients with concomitant indications of coronary artery bypass grafting (CABG) and open repair of the AAA (AAOR). This study aims to present the outcomes in low and moderate cardiac surgical
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Six-year progression of medically treated infective aortitis Vascular (IF 1.1) Pub Date : 2024-04-17 Daniel Zhang, Arvind Dhas Lee
ObjectiveTo report a medically treated case of infective aortitis with mycotic aneurysms that went on to have many years of surveillance imaging. This has not yet been documented as current recommendations for infective aortitis strongly suggest operative intervention combined with aggressive antibiotics, with very high reported mortality for non-operative management. Thus, the natural progression
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The natural history of celiac artery aneurysms Vascular (IF 1.1) Pub Date : 2024-04-16 Molly Ratner, C Austen Hartwell, Jason Zhang, William Johnson, Chukwuma Nwachukwu, Karan Garg, Danny Kim, Caron Rockman
ObjectivesThe goal of this study was to document the natural history of celiac artery aneurysms (CAAs).BackgroundCeliac artery aneurysms are rare. Existing literature is skewed towards outcomes after intervention of large, symptomatic aneurysms but the behavior of untreated CAAs is poorly understood.MethodsThis is a single institution, retrospective analysis of patients with CAA diagnosed by CT imaging
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A novel troubleshooting technique for below-the-knee artery occlusions with proximal cap ambiguity: Transpedal Retrograde Wire Just Marker Technique Vascular (IF 1.1) Pub Date : 2024-04-13 Ali Buturak, Ersan Tatli, Alper Erkin
BackgroundChronic total occlusions with ambiguous proximal caps pose a challenging problem in below-the-knee artery endovascular interventions.Case ReportWe defined a new technique for antegrade puncture and penetration of an ambiguous proximal cap in a 52-year old male patient with a non-healing wound on his right forefoot. Anterior tibial artery (ATA) was determined as the target vessel; however
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Can HALP score predict post-contrast acute kidney injury and 6-year mortality in patients undergoing endovascular abdominal aneurysm repair? Vascular (IF 1.1) Pub Date : 2024-04-12 Ahmet Özderya, Sinan Şahin, Tolga Koşmaz, Mehmet Ali Maz, Murat Gökhan Yerlikaya, Ali Rıza Akyüz, Muhammet Raşit Sayın, Hakan Erkan
BackgroundThe aim of this study is to investigate the relationship between HALP score and post-contrast acute kidney injury (PC-AKI) and average 6-year mortality in patients undergoing endovascular abdominal aortic aneurysm repair (EVAR).Methods125 patients who underwent EVAR between January 2015 and December 2020 were included in our study. HALP score was calculated with the formula “hemoglobin ×
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Managing incisional wounds with Prevena VAC therapy in lower-extremity vascular surgery: A comparative study Vascular (IF 1.1) Pub Date : 2024-04-12 Kody Kasten, Andrew Yang, Lynn Shaffer, Samuel Kociola, Conor Holland, Faith Anne Roche, Calvin Pilbeam
BackgroundVascular surgical site infections have been reported with an overall incidence of 5–10% for patients undergoing arterial interventions and as high as 10–20% for lower-limb bypass grafting procedures. Given that vascular surgery patients are known to be at a higher risk of postoperative wound infections and other complications, our objective was to evaluate a potential method to reduce such
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Mid-term results of “off-label” use of the Endurant stentgraft in patients with infrarenal abdominal aortic aneurysms Vascular (IF 1.1) Pub Date : 2024-04-12 Denise Michelle Danielle Özdemir-van Brunschot, David Holzhey, Spiridon Botsios
ObjectivesEVAR is the preferred treatment modality for patients with an infrarenal abdominal aortic aneurysm with suitable anatomy. Each manufacturer of aortic stentgrafts has specific anatomic requirements. In some patients, it is not possible to adhere to the instructions for use, but alternative treatment is also not possible. In these patients, EVAR can be performed outside instructions for use
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Robot-assisted endovascular treatment of hepatic artery aneurysm: A case report Vascular (IF 1.1) Pub Date : 2024-04-10 Nelson Wolosker, Felipe Soares Oliveira Portela, Andressa Cristina Sposato Louzada, Francisco Leonardo Galastri, Breno Boueri Affonso, Felipe Nasser
ObjectiveRobot-assisted endovascular surgery has emerged as a new alternative to interventional procedures, with its application expanding to peripheral and visceral approaches. The objective of this paper is to describe a robot-assisted endovascular treatment in splanchnic arteries.MethodsA case report of an asymptomatic male patient with an incidental finding of a saccular aneurysm of the proper
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Mortality and morbidity risk factors in patients with critical limb ischemia Vascular (IF 1.1) Pub Date : 2024-04-10 M Engin, AK As, U Aydın, Y Ata
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Comprehensive management of challenging recurrent aortoiliac and lower extremity occlusive disease with simultaneous modified-covered endovascular reconstruction of the aortic bifurcation, inferior mesenteric artery snorkel, and lower extremity bypass Vascular (IF 1.1) Pub Date : 2024-04-10 Wei Li, Dixon Santana, Cooper Phillips
ObjectivesDespite recent advancements in endovascular technology and proven durability of open surgeries, managing extensive aortoiliac occlusive disease (AIOD) with concurrent severe lower extremity (LE) arterial occlusion remains a formidable challenge. This paper introduces a comprehensive approach to addressing recurrent AIOD and LE occlusive diseases by employing modified-CERAB, inferior mesenteric
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Perioperative complications of minor and major reinterventions for peripheral arterial disease Vascular (IF 1.1) Pub Date : 2024-04-10 Joshua J Huttler, Keyuree K Satam, Tanner I Kim, Haoran Zhuo, Yawei Zhang, Edouard Aboian, Raul J Guzman, Cassius Iyad Ochoa Chaar
IntroductionPatients with peripheral arterial disease (PAD) frequently require reinterventions after lower-extremity revascularization (LER) to maintain perfusion. Current Society for Vascular Surgery guidelines define reinterventions as major or minor based on the magnitude of the procedure. While prior studies have compared primary LER procedures of different magnitudes, similar studies for reinterventions
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Management of claudicants with low toe-brachial index in a Veteran population Vascular (IF 1.1) Pub Date : 2024-04-08 Drew Bromenshenkel, Clay Quint
IntroductionIntermittent claudication includes a wide spectrum of peripheral artery disease ranging from asymptomatic with reduced perfusion to lifestyle-limiting atherosclerotic disease. The purpose of this study was to evaluate the management of claudicants with a low toe-brachial index (TBI).MethodsThis study was a retrospective review of consecutive patients that presented in 2015 with claudication
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Navigating complexity: The Supera’s triumph in femoropopliteal lesions Vascular (IF 1.1) Pub Date : 2024-04-08 Luis Loureiro, Andreia Pinelo, Carlos Veterano, Henrique Rocha, João Castro, Rui Machado
IntroductionThe femoropopliteal sector endovascular treatment is particularly challenging due to its high tortuosity and torsional forces. Better results are still needed to ensure the long-term patency of stenting in this area. The Supera stent appears to change this paradigm.MethodsThis single-center retrospective cohort study aims to evaluate the efficacy and safety of femoropopliteal stenting with
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Internal valvuloplasty combined with sleeve wrapping in the treatment of severe great saphenous vein insufficiency: A report of two cases Vascular (IF 1.1) Pub Date : 2024-04-06 Sheng Wang, Jianfeng Chen, Chun Sun, Wei Zheng, Yingfeng Wu
BackgroundGreat saphenous vein (GSV) valve incompetence is one of the most common manifestations of chronic venous insufficiency (CVI) in the lower limbs. There have been no reported attempts to repair the valve prior to the appearance of varicose morphology.MethodWe describe two cases. Before surgery, the male patient had obvious pigmentation in the ankle area, and the female patient had obvious pain
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One-staged brachial-basilic vein transposition versus arm straight arteriovenous graft for hemodialysis Vascular (IF 1.1) Pub Date : 2024-04-05 Kanoklada Srikuea, Kesanan Prajumsukh, Saritphat Orrapin, Thoetphum Benyakorn, Pei Ho, Kittipan Rerkasem, Boonying Siribumrungwong
ObjectivesAfter forearm and arm cephalic veins are no longer available as options, the choices of arm vascular access between one-staged brachial-basilic vein transposition (BBAVF) and arm straight arteriovenous graft (AS-AVG) for hemodialysis are controversial. This study aims to compare outcomes between groups.MethodsAll one-staged BBAVF and AS-AVG from August 2014 to December 2019 were reviewed
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Comment on “Generative artificial intelligence chatbots may provide appropriate informational responses to common vascular surgery questions by patients” Vascular (IF 1.1) Pub Date : 2024-04-03 Hinpetch Daungsupawong, Viroj Wiwanitkit
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Vascular access route venture of the chronic hemodialysis patient: A prospective cohort study Vascular (IF 1.1) Pub Date : 2024-04-03 Dilek Gibyeli Genek, Alper Alp, Okşan Uyar Gazezoğlu, Bülent Huddam
ObjectivesThis study aimed to collect evidence to improve the arteriovenous fistula practice by investigating vascular access routes and by identifying the factors influencing the preferred types of vascular access routes for the first-time hemodialysis in our center.MethodsWe performed an epidemiological, prospective, cohort study. The study included 308 patients, who underwent hemodialysis for the
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Effect of gait speed on clinical outcomes after crural and pedal bypass in patients with chronic limb-threatening ischemia Vascular (IF 1.1) Pub Date : 2024-04-03 Taira Kobayashi, Masaki Hamamoto, Takanobu Okazaki, Ryo Okusako, Misa Hasegawa, Tomoaki Honma, Kazutoshi Iba, Yoshiko Nishitani, Shinya Takahashi
ObjectivesMany factors affect long-term outcomes after open bypass in patients with chronic limb-threatening ischemia (CLTI). Ambulatory status has been suggested to be associated with clinical outcomes, but there is limited knowledge on the effect of gait speed on outcomes. The purpose of this study is to evaluate the effect of gait speed assessed in a 6-min walk test (6MWT) on outcomes after crural
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Efficacy and safety of mechanochemical ablation versus laser ablation in the treatment of primary great saphenous vein reflux: A randomized, open, parallel controlled clinical trial Vascular (IF 1.1) Pub Date : 2024-04-02 Jie Chen, Jianbin Zhang, Qian Wang, Shu Chen, Mingsheng Sun, Peng Liu, Zhidong Ye
ObjectiveTo evaluate the efficacy of a new mechanochemical ablation (MOCA) device versus endovenous laser ablation (EVLA) for primary great saphenous vein (GSV) reflux.Materials and methodsProspectively analyze the demographics, treatment detail and outcomes data of 57 primary GSV reflux patients. Patients were randomly assigned to MOCA or EVLA group with random envelope method. Primary endpoint was
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Outcomes of standard EVAR for juxtarenal abdominal aortic aneurysm in patients unsuitable for fenestrated EVAR and open repair Vascular (IF 1.1) Pub Date : 2024-03-30 Mingshan Wang, Zhen Liu, Huoying Cai, Jinsong Wang, Yu Zhou, Zuojun Hu
ObjectiveTo evaluate the long-term outcomes of standard endovascular aneurysm repair (S-EVAR) of juxtarenal abdominal aortic aneurysms (JAAAs).MethodsData of patients with JAAAs who were unsuitable for fenestrated endovascular aneurysm repair (F-EVAR) and open repair (OR) and underwent treatment from January 2015 to December 2021 were retrospectively reviewed. Computed tomography angiography and ultrasonography
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Covered endovascular reconstruction of the aortic bifurcation: A versatile technique with many potential applications Vascular (IF 1.1) Pub Date : 2024-03-28 Christos Lioupis, Luc Francoeur, Vikash Prasad
We present our experience with using the bifurcated covered endovascular reconstruction technique in two unusual conditions. One patient with a traumatic “seat belt” aortic injury and a second patient with a bleeding aorto-enteric fistula were successfully treated with the CERAB technique. We discuss potential benefits of the technique outside the usual pattern of chronic atherosclerotic aortoiliac
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Risk factors for repeated percutaneous transluminal angioplasty of hemodialysis vascular access after initial intervention Vascular (IF 1.1) Pub Date : 2024-03-28 Bin Tang, Yuwan Xiong, Yingxue Zhong, Guojun Hao, Yuanhao Liu, Wei He, Tak-sui Wong, Zongchao Yu, Bo Hu
Background/AimsPercutaneous transluminal angioplasty (PTA) is a significant intervention to deal with occlusion and stenosis of vascular access. The study aimed to explore the risk factors of repeated PTA (re-PTA) after the initial intervention in patients undergoing hemodialysis.MethodsThis retrospective study included 180 patients who underwent successful PTA for the first time between March 2016
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Selective assisted intravascular lithotripsy for complex aorto-iliac calcific lesions Vascular (IF 1.1) Pub Date : 2024-03-28 Gladiol Zenunaj, Maddalena Bressan, Pierfilippo Acciarri, Alessio Mario Cosacco, Giulia Baldazzi, Luca Traina
BackgroundIntravascular lithotripsy has proven to be safe, less invasive, and effective for coronary and peripheral arteries, and the indication has been extended to the aortic district but there is still little evidence in the literature as only a few cases have been described so far.MethodWe report a case of intravascular lithotripsy of the infrarenal aorta due to coral reef, chronic occlusion using
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Syringe-assisted test-aspiration with mechanical aspiration thrombectomy results in good safety and short-term outcomes in the treatment of patients with deep venous thrombosis Vascular (IF 1.1) Pub Date : 2024-03-26 Wanglong Li, Yichen Lin, Kunfeng Su, Fanggang Cai, Jinchi Zhang, Xiaoling Lai, Xiaoqi Zheng, Pingfan Guo, Xinhuang Hou, Yiquan Dai
ObjectiveTo evaluate the short-term outcomes and safety of syringe-assisted test-aspiration with mechanical aspiration thrombectomy in the treatment of deep venous thrombosis.MethodsThis was a single-center, retrospective study of hospitalized patients with iliofemoral and/or inferior vena caval deep venous thrombosis, excluding those with pulmonary embolism. We collected the following patient data
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Modified upside-down technique with Gore tapered iliac limbs for isolated iliac artery aneurysms Vascular (IF 1.1) Pub Date : 2024-03-25 Federico Francisco Pennetta, Francesco De Santis, Massimiliano Millarelli, Nicolò Diotallevi, Roberto Chiappa
PurposeTo describe the off-label use of tapered iliac limbs for the treatment of isolated iliac aneurysms with proximal landing zone significantly larger than distal landing zone.TechniqueInversion of a Gore Excluder tapered leg (W. L. Gore & Associates Inc, Flagstaff, Arizona) with a modified upside-down technique is described. The endoprosthesis, with the olive at the tip of the releasing system
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Sirolimus experience in adult patients with vascular malformations Vascular (IF 1.1) Pub Date : 2024-03-25 Arif Akyildiz, Rashad Ismayilov, Deniz Can Guven, Hasan Cagri Yildirim, Omer Denizhan Tatar, Fatih Kus, Elvin Chalabiyev, Fatma Alev Turker, Omer Dizdar, Suayib Yalcin, Halil Ibrahim Gullu
AimSirolimus, a mammalian target of rapamycin inhibitor, inhibits cell growth and proliferation by controlling ribosome biogenesis and protein synthesis in vascular anomalies and cancers. However, most sirolimus studies on vascular anomalies were conducted in the pediatric population, with limited data in adults. In this study, we assessed the effectiveness and safety of sirolimus in adult patients
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Impact of COVID-19 on patients undergoing scheduled procedures for chronic venous disease Vascular (IF 1.1) Pub Date : 2024-03-23 Ethan Moore, Max V Wohlauer, James Dorosh, Mahmood Kabeil, Rafael D Malgor, Leigh A O’Banion, Gabriel Lopez-Pena, Riley Gillette, Kathryn Colborn, Robert F Cuff, Leah Lucero, Amna Ali, Issam Koleilat, Paola Batarseh, Sonia Talathi, Aksim Rivera, Misty D Humphries, Kevin Ly, Nikolai Harroun, Brigitte K Smith, Anna M Darelli-Anderson, Asad Choudhry, Eric Hammond, Michael Costanza, Vipul Khetarpaul, Ashley
ObjectiveThe COVID-19 pandemic has drastically altered the medical landscape. Various strategies have been employed to preserve hospital beds, personal protective equipment, and other resources to accommodate the surges of COVID-19 positive patients, hospital overcapacities, and staffing shortages. This has had a dramatic effect on vascular surgical practice. The objective of this study is to analyze
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Recurrent deep venous thrombosis and systemic immune-inflammation index: The tip of the iceberg Vascular (IF 1.1) Pub Date : 2024-03-22 Mesut Engin, Umut S Sanrı, Ahmet K AS
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Plethysmography: A game changer for chronic venous insufficiency diagnosis, treatment, and follow-up Vascular (IF 1.1) Pub Date : 2024-03-21 Hakan Guven
ObjectiveChronic Venous Insufficiency (CVI) presents a various clinical symptoms and treatment options. Although it is generally known which treatment option is more appropriate in which situations in CVI, it is even more difficult to find the right option in some uncertain situations. In this study, we aimed to evaluate the potential contribution of Digital Photoplethysmography (D-PPG) in the diagnosis
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Passive leg raising modulates low-frequency oscillation propagation in peripheral atherosclerosis: A pilot study Vascular (IF 1.1) Pub Date : 2024-03-21 Yunfei Ma, Kexin Luo, Zhengxuan Zhou, Xiaoli Li, Shimin Yin, Yingwei Li
ObjectiveLow-frequency oscillations (LFOs) observed in the periphery may reflect physiological processes. The aim of this study was to investigate these processes’ effects on LFOs and the differences between healthy subjects and those with peripheral arteriosclerosis disease (PAD).Methods14 PAD patients and 25 healthy controls were studied in resting (RS) and passive leg raising (PLR) states. We simultaneously
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The role of the vascular surgeon in transcatheter aortic valve implantation Vascular (IF 1.1) Pub Date : 2024-03-20 Enrico Gallitto, Gianluca Faggioli, Francesco Saia, Tullio Palmerini, Rodolfo Pini, Antonio Giulio Bruno, Francesca Maria Feroldi, Moad Alaidros, Gabriele Ghetti, Nevio Taglieri, Stefania Caputo, Francesco Donati, Cinzia Marrozzini, Mauro Gargiulo
BackgroundTranscatheter aortic valve implantation (TAVI) has become the standard treatment for severe aortic valve stenosis in patients at increased surgical risk. Percutaneous transfemoral (TF) is the access of choice due to its reduced invasiveness and perioperative morbidity/mortality compared with the trans-axillary, aortic, and apical routes. On the other hand, vascular access complications (VACs)
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Efficacy and safety analysis of AcoStream thrombus aspiration device in the treatment of acute superior mesenteric artery embolism Vascular (IF 1.1) Pub Date : 2024-03-20 Qiyang Xu, Yi Wang, Bin Xu, Dehai Lang, Zuodong Lin
ObjectiveAcute superior mesenteric artery embolism is a life-threatening disease caused by the abrupt interruption of mesenteric blood circulation, and the prognosis is very poor. Several studies have confirmed the efficacy and safety of percutaneous mechanical thrombectomy in acute superior mesenteric artery embolism, however, there are currently no literature reports on the latest percutaneous mechanical
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Generative artificial intelligence chatbots may provide appropriate informational responses to common vascular surgery questions by patients Vascular (IF 1.1) Pub Date : 2024-03-19 Ethan Chervonski, Keerthi B. Harish, Caron B. Rockman, Mikel Sadek, Katherine A. Teter, Glenn R. Jacobowitz, Todd L. Berland, Joann Lohr, Colleen Moore, Thomas S. Maldonado
ObjectivesGenerative artificial intelligence (AI) has emerged as a promising tool to engage with patients. The objective of this study was to assess the quality of AI responses to common patient questions regarding vascular surgery disease processes.MethodsOpenAI’s ChatGPT-3.5 and Google Bard were queried with 24 mock patient questions spanning seven vascular surgery disease domains. Six experienced
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Laparoscopic-assisted retrieval of inferior vena cava filter: A case report and literature review Vascular (IF 1.1) Pub Date : 2024-03-18 Chenghao Wang, Qingquan Liu, Dalei Xiao, Xiaohua Chen, Rong Liu, Shikai Wang
BackgroundThe retrieval of inferior vena cava filters beyond the retrieval window poses challenges, requiring alternative techniques.ObjectivesTo discuss the laparoscopy-assisted retrieval approach for difficult inferior vena cava filters.Research DesignCase report.SubjectsA 57-year-old male with a retrievable inferior vena cava filter placed 8 months prior.MeasuresLaparoscopy-assisted retrieval technique
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Diagnosis and treatment of venous thromboembolism during pregnancy relate to genetic polymorphism Vascular (IF 1.1) Pub Date : 2024-03-16 Qingcheng Yang, Xuechang Wang, Rui Wang, Aihua Li
ObjectivesPrevious research had shown that age, a positive family history, comorbidities, major surgical operations, gestation, and use of several medications could increase the incidence of venous thromboembolism (VTE). With the development of medical and clinical individualized treatment, many people exposed to above risk factors did not develop VTE, suggested that genetic factors are also involved
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Comparison between covered-stents grafting and ligation in the treatment of infected femoral pseudoaneurysm due to intravenous drug abuse Vascular (IF 1.1) Pub Date : 2024-03-16 Yanzhang Zeng, Ping Yuan, Qiang He
ObjectivesThe study compared the outcomes between covered-stents grafting (CSG) and ligation of femoral artery (LFA) in the treatment of infected femoral pseudoaneurysm (IFP) caused by intravenous drug injection.MethodsFrom 1st January 2016 to 30th November 2021, the clinical data of patients with IFP caused by intravenous drug injection who underwent CSG ( n = 31, 55.4%) and LFA ( n = 25, 45.4%) are
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Hostile neck anatomy contributes to higher rates of reintervention following endovascular aortic repair for ruptured infrarenal abdominal aortic aneurysm Vascular (IF 1.1) Pub Date : 2024-03-13 Ryan Gedney, Christian Barksdale, Antwana Sharee Wright, Elizabeth A Genovese, Jean Marie Ruddy
IntroductionRuptured abdominal aortic aneurysms (AAA) presenting with hostile neck anatomy can represent a challenge in surgical decision-making. We hypothesized that, patients who require reinterventions have higher rates of compromised neck anatomy at initial presentation and may indicate a need for altered surveillance paradigm.MethodsPatients presenting with ruptured AAA to a single tertiary care
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Explant of an infected, endo-trashed IVC filter in an immunosuppressed patient with chronically occluded iliocaval stents Vascular (IF 1.1) Pub Date : 2024-03-13 Alice Alexander, Andrew H Smith, Matthew Krantz, Robert Simon, Francis J Caputo, Jon G Quatromoni
BackgroundIn the absence of a contiguous bowel perforation or intraabdominal source, infection of a retained vena cava filter in an occluded IVC has never been described.ObjectiveTo describe a case of an infected IVC filter in a chronically occluded iliocaval segment.MethodsHere we present a case of an immunosuppressed 35-year-old female with chronically occluded iliocaval stents and an extensive staphylococcus
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Subcutaneous injection of lidocaine around ischemic ankle provides safe and effective foot analgesia in patients with critical limb ischemia Vascular (IF 1.1) Pub Date : 2024-03-07 Akifumi Kanai, Masatomo Ara, Ryusei Saito, Toshiaki Mishima, Yuichiro Takahashi
ObjectiveIt is often difficult to alleviate foot pain associated with critical limb ischemia (CLI) using common analgesics. Neuraxial block is contraindicated in anticoagulant therapy. This study was designed to determine the response to subcutaneous injection of lidocaine around the network of peripheral nerves around the ankle in patients with CLI pain on anticoagulants and antiplatelets.MethodsSixteen
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Thoracic endovascular repair of descending thoracic aorta aneurysm using thoracic stent graft in a challenging complex patient: An innovative access technique during an emergency using a mini-thoracotomy approach Vascular (IF 1.1) Pub Date : 2024-03-07 Abdulmajeed Altoijry
ObjectivesRepairing thoracic aortic aneurysms with endovascular aortic repair (TEVAR) is a safe and minimally invasive method with low morbidity and short postoperative recovery. We developed a novel method to treat descending thoracic aortic aneurysms using a mini-thoracotomy approach in complex patients with difficult access.MethodsA 56-year-old male patient presented with a 3-day history of chest
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Delayed ulnar artery pseudoaneurysm presentation after percutaneous cardiac intervention: A case report and review of the literature Vascular (IF 1.1) Pub Date : 2024-03-06 Eshiemomoh Osilama, Emma K Satchell, Umashankar K Ballehaninna
PurposeHere we present a case of a 62-year-old female with a delayed ulnar artery pseudoaneurysm presentation after cardiac catheterization.Case ReportA 62-year-old woman with multiple medical comorbidities including end-stage renal disease (ESRD) on hemodialysis (HD) and atrial fibrillation on tablet apixaban who presented 8 weeks after cardiac catheterization through right ulnar artery access with
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“Unveiling the invisible: Harnessing AI for carotid web diagnosis—A futuristic approach to enhance vascular healthcare” Vascular (IF 1.1) Pub Date : 2024-03-05 Michael James, Viren S Sehgal, Rooshi Parikh
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Short-term patency of iliofemoral to tibial bypass with vascular allografts in a minority population: A retrospective analysis of a single center acute care facility Vascular (IF 1.1) Pub Date : 2024-03-05 Max Murray-Ramcharan, Brian Donaldson, Syed Ali Raza Rizvi
ObjectiveThe aim of this study was to examine the short-term patency rates and associated factors of open lower limb, iliofemoral to tibial bypass using cryopreserved saphenous vein (CSV) in a minority population at an acute care hospital in New York City.MethodsA retrospective analysis of patients undergoing infra-inguinal bypass from iliofemoral vessels to tibial arteries with CSV between March 2020–April
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Optimizing platelet inhibition in peripheral artery disease: A comparison of mono-antiplatelet therapy and dual-antiplatelet therapy using thromboelastography Vascular (IF 1.1) Pub Date : 2024-03-05 Ivy Lee, Sasha Suarez, Ryan Hall, Monica Majumdar, Tiffany Bellomo, Samuel Jessula, Kathryn Nuzzolo, Douglas M. Jefferson, Nikolaos Zacharias, Anahita Dua
BackgroundAntiplatelet therapy is used to prevent thrombosis in patients with peripheral artery disease (PAD) following revascularization. However, the current standard of care for these patients remains at the physician’s discretion, varying from mono-antiplatelet therapy (MAPT) to dual-antiplatelet therapy (DAPT). Viscoelastic assays such as Thromboelastography with Platelet Mapping (TEG-PM) provide
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Systemic immune-inflammation index as a novel hematological marker for predicting the recurrence of deep venous thrombosis Vascular (IF 1.1) Pub Date : 2024-03-04 Ibrahim Donmez, Ayhan Muduroglu
ObjectiveTo determine whether there was a possible predictive relationship between systemic immune-inflammation index (SII) and recurrence of deep venous thrombosis (DVT).MethodsA total of 231 patients with DVT who met the study criteria and whose data could be accessed were enrolled to this retrospective single-centered cross-sectional study. Of them 26 patients with DVT recurrence consisted of the
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Pharmacomechanical thrombectomy with Angiojet in acute arterial occlusions: A prospective study among the results and outcomes Vascular (IF 1.1) Pub Date : 2024-03-02 Rafael de Athayde Soares, Ana Beatriz Campelo Campos, Matheus Veras Viana Portela, Carolina Sabadoto Brienze, Giovana Quarentei Barros Brancher, Roberto Sacilotto
ObjectiveThe main objective of this present paper was to evaluate the results and outcomes of patients with acute limb ischemia (ALI) submitted to pharmacomechanical thrombectomy (PMT) endovascular surgery with Angiojet, regarding the number of cycles/pumps.MethodsProspective, consecutive cohort study of ALI patients submitted to PMT endovascular intervention subdivided into two groups according to
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Conservative versus stent treatment for spontaneous isolated superior mesenteric artery dissection after the failure of initial 3 days’ conservative treatment: A 10-year follow-up study Vascular (IF 1.1) Pub Date : 2024-03-01 Lei Wang, Miao Xu, Zhaolei Chen, Guoqing Jiang
ObjectivesTo compare the safety and effectiveness of conservative and stent treatment for spontaneous isolated superior mesenteric artery dissection (SISMAD) patients after the failure of initial 3 days’ conservative treatment.MethodsAll newly diagnosed SISMAD patients between 2013 and 2017 were retrospectively reviewed. After the failure of 3 days’ conservative treatment, all patients were recommended
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Clinical value of foot thermometry in patients with acute limb ischemia Vascular (IF 1.1) Pub Date : 2024-03-01 Dumitru Casian, Alexandru Predenciuc, Vasile Culiuc
ObjectiveWe hypothesized that the severity of foot poikilothermy can be used for better differentiation of grades of acute limb ischemia. Thus, the study aim was evaluation of the value of non-contact foot thermometry, performed using a low-cost infrared medical thermometer, as an adjunct for clinical diagnosis of immediately threatened acute limb ischemia.MethodsIt was a single-center observational
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A novel risk assessment tool for postoperative delirium in vascular surgery: The stress model (Siena posTopeRative dElirium in vaScular Surgery) Vascular (IF 1.1) Pub Date : 2024-02-29 Edoardo Pasqui, Gianmarco de Donato, Brenda Brancaccio, Giulia Casilli, Giulia Ferrante, Giancarlo Palasciano
ObjectivePostoperative delirium (POD) is a common complication with a high health-related impact. The creation of a model (Siena posTopeRative dElirium in vaScular Surgery) to identify high-risk patients with consecutive prompt diagnosis and correct management.MethodsThis is an observational retrospective study to evaluate POD incidence in patients who underwent elective vascular surgery procedures
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Short-term outcomes of endovascular management of acute limb ischemia using aspiration mechanical thrombectomy Vascular (IF 1.1) Pub Date : 2024-02-28 Matthew E Auda, Molly Ratner, Michael Pezold, Caron Rockman, Mikel Sadek, Glenn Jacobowitz, Todd Berland, Jeffrey J Siracuse, Katherine Teter, William Johnson, Karan Garg
ObjectiveManagement of acute limb ischemia (ALI) has seen greater utilization of catheter-based interventions over the last two decades. Data on their efficacy is largely based on comparisons of catheter-directed thrombolysis (CDT) and open thrombectomy. During this time, many adjuncts to CDT have emerged with different mechanisms of action, including pharmacomechanical thrombolysis (PMT) and aspiration
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Endovenous glue ablation for chronic venous insufficiency: A comprehensive 5-year assessment of clinical and hemodynamic outcomes Vascular (IF 1.1) Pub Date : 2024-02-28 Hakan Guven
ObjectivesChronic venous insufficiency is mainly caused by reflux, obstruction, or both. Endovenous glue ablation has become one of the widely used methods for treating reflux in recent years. Duplex ultrasonography is the most commonly used method for diagnosing and evaluating treatment. However, there is important information that plethysmographic venous hemodynamics provides, which Duplex USG cannot
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Long-pulsed 1064nm Nd:YAG laser in the treatment of leg veins: Systematic review Vascular (IF 1.1) Pub Date : 2024-02-28 Leonor Baldaia, Marina Dias-Neto, João Almeida Pinto
ObjectiveLong-pulsed 1064 nm Nd:YAG laser can damage vessels with higher diameters and penetrate to a deeper level than other laser therapies. We aim to analyze outcomes of the treatment of leg veins with long-pulsed 1064 nm Nd:YAG laser regarding intervention protocol, technical success, clinical success, and side effects.MethodsA research of the published literature was conducted, using PubMed and
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Endovascular treatment with interwoven nitinol stent for common femoral artery lesions: 2-year outcomes of a single center experience Vascular (IF 1.1) Pub Date : 2024-02-27 Veera Suwanruangsri, Surakiat Bokerd, Virapat Chanchitsopon, Sirakarn Jowcharoen
ObjectiveThe study aimed was to report 2-year outcomes of endovascular treatment with interwoven nitinol (Supera™) stent for common femoral artery (CFA) lesions.MethodsWe reviewed the clinical data of 20 patients who presented with CFA stenosis or occlusion and underwent balloon angioplasty followed by Supera™ stenting in CFA between February 2016 and January 2022. The outcomes were evaluated in these
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Physician-modified inner-branched endovascular repair with re-intervention Vascular (IF 1.1) Pub Date : 2024-02-27 Shingo Tsushima, Tsuyoshi Shibata, Nobuyoshi Kawaharada
ObjectivesTreatment of thoracoabdominal aortic aneurysms in high surgical risk patients can be challenging. Reports of physician-modified inner-branched endovascular repair (PMiBEVAR) are increasing. Despite low morbidity and mortality rates, re-interventions for endoleaks with these grafts are serious. There are no reports of additional treatment for PMiBEVAR failure.Methods/ResultsA 75-year-old man
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A retrospective assessment of venous recanalization outcomes for oral anticoagulant treatment in deep vein thrombosis Vascular (IF 1.1) Pub Date : 2024-02-27 Anil Guzel, Suat Canbaz
ObjectiveThis study aims to provide effective treatment by comparing the venous recanalization responses of oral anticoagulants in deep vein thrombosis therapy.MethodsFrom January 2013 to March 2019, a retrospective analysis was conducted on 109 patients who had been diagnosed with deep vein thrombosis and received treatment with apixaban, rivaroxaban, or warfarin within 1 week of symptom onset. Demographic
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The prevalent causes of death in patients with peripheral artery disease undergoing revascularisation or amputation Vascular (IF 1.1) Pub Date : 2024-02-27 Stacey Telianidis, Sarah Joy Aitken
ObjectivePreventing untimely death in patients with peripheral artery disease (PAD) requires a detailed understanding of the predominant causes of death (COD). This literature review aims to describe how short- and long-term COD are reported in patients who had surgery for PAD.MethodsA literature review was conducted according to Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA)
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Classification of anatomic patterns of peripheral artery disease with automated machine learning (AutoML) Vascular (IF 1.1) Pub Date : 2024-02-26 Yury Rusinovich, Volha Rusinovich, Aliaksei Buhayenka, Vitalii Liashko, Arsen Sabanov, David J.F. Holstein, Samer Aldmour, Markus Doss, Daniela Branzan
AimThe aim of this study was to investigate the potential of novel automated machine learning (AutoML) in vascular medicine by developing a discriminative artificial intelligence (AI) model for the classification of anatomical patterns of peripheral artery disease (PAD).Material and methodsRandom open-source angiograms of lower limbs were collected using a web-indexed search. An experienced researcher
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Extra-anatomic bypass procedures for severe aortoiliac occlusive disease—A cohort study Vascular (IF 1.1) Pub Date : 2024-02-26 George Galyfos, Georgios Charalampopoulos, Alexandros Chamzin, Alexandra Triantafillou, Victoria Michalopoulou, Nikolaos Intzes, Despina Kimpizi, Konstantinos Zarmakoupis, Frangiska Sigala, Konstantinos Filis
ObjectivesExtra-anatomic bypass (ExAB) grafting has been questioned due its inferior durability compared to anatomic bypass for aortoiliac occlusive disease (AIOD). This study aims to present early and late outcomes of patients treated with ExAB as well as to evaluate potential prognostic factors.MethodsThis is a retrospective cohort study presenting a series of patients treated with ExAB for AIOD