Journal of Vascular Surgery
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Journal of Vascular Surgery provides vascular, cardiothoracic, and general surgeons with the most recent information in
vascular surgery. Original, peer-reviewed articles cover clinical and experimental studies, noninvasive diagnostic techniques, processes
and vascular substitutes, microvascular surgical techniques, angiography, and endovascular management. Special issues publish papers
presented at the annual meeting of the Society for Vascular Surgery. Journal of Vascular Surgery ranks 14th of 166 journals
in Surgery and 14th of 60 journals in the Peripheral Vascular Disease categories on the 2009 Journal Citation Reports®, published
by Thomson Reuters, and has an Impact Factor of 3.517.
Updated: 5 hours 56 min ago
Smoking Cessation has no Influence on Quality of Life in Patients with Peripheral Arterial Disease 5 Years Post-vascular Surgery
Objectives: Smoking is an important modifiable risk factor in patients with peripheral arterial disease (PAD). We investigated differences in quality of life (QoL) between patients who quitted smoking during follow-up and persistent smokers.
Clopidogrel Is Not Associated With Major Bleeding Complications During Peripheral Arterial Surgery
Persistent variation in practice surrounds preoperative clopidogrel (Plavix) management at the time of vascular surgery. Although some surgeons preferentially discontinue clopidogrel, citing a perceived risk of perioperative bleeding, others will proceed with surgery in patients taking clopidogrel. The purpose of this study was to determine whether preoperative clopidogrel use was associated with significant bleeding complications during peripheral arterial surgery.
Standardized Angioplasty and Stenting Techniques for SFA-Popliteal TASC C and D Lesions Improve Outcomes: A Prospective Evaluation
This study evaluated whether standardization of superficial femoral-above knee popliteal artery (SFA-AK-PA) percutaneous angioplasty and stenting (PTAS) improves outcomes when treating TASC C and D lesions
Lower Extremity Revascularization (LER) in Young Patients: Have Endovascular Options Impacted Practice and Outcomes?
This study assessed outcomes and utilization of revascularization options in young patients with premature vascular disease. A retrospective comparison of LER outcomes from 2000-2008 was performed between consecutive patients aged <50 years (group A) at the time of revascularization and control groups B (51-60 years) and C (>60 years) of selected patients with comparable indications and procedures. Kaplan-Meier curves and logistic regression analyses were applied to patency, limb salvage, and survival on limb level or patient level, as indicated.
Comparison of Ultrasound Accelerated Thrombolysis Versus Simple Infusion Catheter Directed Thrombolysis for Acute Arterial Thrombosis
Catheter-directed intra-arterial thrombolysis for acute peripheral arterial ischemia has become a standard practice for acute arterial thrombosis. There has been significant amount of literature published as far as the choice of the thrombolytic agent and injection techniques. One technique used to accelerate thrombolysis is with the use of ultrasound imaging (EKOS). We looked at our experience to compare the outcomes with a simple side-hole infusion catheter (Unifuse) vs EKOS catheters.
Cryoplasty Offers No Advantage Over Standard Balloon Angioplasty for the Treatment of In-Stent Restenosis
In-stent restenosis is the primary failure mode of endovascular treatment of occlusive disease in the femoropopliteal segment. Cryoplasty has been proposed to reduce intimal hyperplasia through induction of apoptosis. We sought to evaluate the efficacy of cryoplasty for treatment of in-stent restenosis compared with conventional balloon angioplasty (CBA).
Anatomic Patterns of Failure After Infrainguinal Percutaneous Revascularization
Percutaneous revascularization (PTA) of infrainguinal occlusive disease is associated with a significant recurrence rate, with a 15% to 25% reintervention rate to maintain secondary patency. Other studies have focused on clinical predictors of such failure, but little is known of the anatomy of such failures, which is the goal of this study.
Role of IVUS Versus Venograms in Assessment of Iliac-Femoral Vein Stenosis
Lower extremity venous stasis disease could be related to outflow obstruction in the iliac-femoral vein segments due to stenosis or extrinsic compression. Conventional methods to assess these vein segments include transcutaneous ultrasonography and ascending venography. The transcutaneous approach has a low sensitivity, and venography can miss significant lesions as the assessment is undertaken in a single view. We assessed the role of intravenous ultrasound (IVUS) imaging in detecting the location as well as the degree of stenosis in the iliac-femoral vein segments.
Venous Ablation Can Be Performed Safely on High-Risk Patients
Patients with a previous history of deep vein thrombosis (DVT) or a family history of DVT are considered at high risk for thrombotic complications (DVT) after endovenous ablation (EVA). In this study, we examine our outcomes on patients presenting for “high-risk” EVA.
Clinical Outcomes With Covered Stent Placement for Central Venous Occlusive Disease in Hemodialysis Patients
The use of covered stents (CSs) has been proposed as a new treatment option for central venous occlusive disease (CVOD) in hemodialysis patients. Among its advantages include the mechanical support of bare-metal stents while providing an inert and stable intravascular matrix for endothelialization. The aim of this study is to evaluate the efficacy and durability of CSs in treating central venous stenosis while preserving hemodialysis access patency.
Placement Issues for Hemodialysis Catheters With Pre-existing Central Lines and Catheters
It has been a widely accepted practice that a previously placed pacemaker was a contraindication to placing a hemodialysis catheter in the ipsilateral internal jugular vein. Fear of dislodging pacing wires, tunneling close to the battery site, or causing venous obstruction has been a concern for surgeons and interventionalists alike. We suggest that this phobia is unfounded.
Cervical Ribs—A Rare Entity but Clinically Significant
Owing to their unique presentation, we reviewed our operative experience in patients with large, clinically significant cervical ribs. This was a retrospective review of a prospectively acquired database.
Clinical Outcomes for Hostile Versus Favorable Aortic Neck Anatomy in Endovascular Aortic Aneurysm Repair Using Modular Devices
This study analyzed the clinical implications of various clinical features of proximal aortic neck anatomy in EVAR using modular devices. A total of 258 EVAR patients were divided into favorable (FNA) or hostile neck anatomy (HNA). HNA was defined as having one or more of the following features: length of <10 mm, angle of >60°, diameter of >28 mm, ≥50% circumferential thrombus, ≥50% calcified neck, and reverse taper.
Long-term Survival After Endovascular and Open Repair of Ruptured Abdominal Aortic Aneurysms
This study compared the late outcomes in patients who survived 30 days after endovascular aneurysm repair (EVAR) and open repair (OR) for ruptured abdominal aortic aneurysms (RAAA).
Total Sac Retraction After Endovascular Aneurysm Repair: 4 Years' Follow-Up, Correlation to Treatment Success and Predictive Factors
The principal aim of this study was to demonstrate that the total sac retraction (TSR) was a predictive marker of durable success after endovascular aneurysm repair (EVAR). If verified, surveillance of patients with TSR may become unnecessary. We also tested patients and aneurysm-related factors that may predict the occurrence of TSR.
Synchronous and Metachronous Thoracic Aneurysms (TAA) in Patients With Abdominal Aortic Aneurysms (AAA)
Although the association of TAA with AAA is known, the exact incidence has not been described. Our goal was to quantify the incidence of TAA in patients with an AAA and assess predictive factors for its diagnosis.
Type I Endoleak: Impact of Graft Selection and Anatomic Factors
This study aimed to assess the impact of anatomic and aortic endovascular graft characteristics on the occurrence of type 1 endoleak after endovascular abdominal aortic aneurysm repair (EVAR).
Outcome of Elective Endovascular Abdominal Aortic Aneurysm Repair in Nonagenarians
Compared with open repair of abdominal aortic aneurysms (AAA), endovascular repair (EVAR) is associated with decreased perioperative morbidity and mortality in a standard patient population. This study sought to determine if the advantage of EVAR extends to patients aged ≥90 years.
Outcome of Carotid Artery Interventions Among Female Patients in the United States, 2004-2005
The benefit of carotid endarterectomy (CEA) in women has been questioned, particularly in asymptomatic cases, and an increased in perioperative stroke in women after CEA has been noted. The outcome of carotid artery angioplasty and stenting (CAS) has not been extensively evaluated in women. Our objective was to examine the national outcome of CEA and CAS in female patients.
Impact of Elevated Fasting Blood Glucose on the Outcomes of Carotid Artery Stenting
Carotid artery stenting (CAS) for high-risk individuals is accepted practice. An elevated fasting blood sugar (FBS) is often associated with poor procedural outcomes after other percutaneous procedures. The clinical outcomes of CAS for patients with elevated FBS is not well defined.