Journal of Vascular Surgery
Journal of Vascular Surgery RSS feed: Current Issue.
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: 28 min 39 sec ago
Impact of Simulation in Physician Training During Initial Performance of Thoracic Endovascular Aneurysm Repair (TEVAR)
Objectives: The use of simulated environments for the interactive education and training of physicians is being embraced. This study was undertaken to evaluate the first use of medical simulation in TEVAR physician training to determine its impact on initial procedure performance.
A Comparison Between Single- and Two-Stage Brachiobasilic Arteriovenous Fistulas
Objectives: Controversy exists as to whether the brachiobasilic arteriovenous fistula (BBAVF) should be performed in one or two stages. We compare primary failure rates, as well as primary and secondary patency rates, of one- and two-stage BBAVF.
Efficiency of the KDOQI Guidelines for Vascular Access in an Academic Setting
Background: The National Kidney Foundation-Kidney Disease Outcomes Quality Initiative (KDOQI) for Vascular Access guidelines state that late-stage chronic kidney disease (CKD) patients should undergo native arteriovenous fistula (AVF) creation at least 6 months before the anticipated start of hemodialysis (HD) treatments to obviate the need for other vascular access types. The objective was to determine the incidence of HD, the functional patency, and associated morbidity of AVFs in late-stage CKD patients placed according to KDOQI.
Serum Metalloproteinases MMP-2, MMP-9, and Metalloproteinase Tissue Inhibitors (TIMP) in Patients Are Associated with Arteriovenous Fistula Maturation
Objective: Many vascular surgeons construct arteriovenous fistula (AVF) for hemodialysis access as the primary choice access. However, a significant number of AVF fail to mature, leading to patient frustration and repeated operations. MMP activity, particularly MMP-2 and MMP-9, are considered important for AVF maturation. We therefore sought to identify whether serum MMPs could serve as a biomarker for predicting future successful AVF maturation.
Blunt Abdominal Aortic Injury
Objective: Blunt abdominal aortic injury (BAAI) is rare, with fewer than 200 cases in the current reported world literature. It is most often seen in high-speed motor vehicle collisions, and is associated with major blunt intra-abdominal injury and thoracolumbar fractures. We report our institutional experience over the past decade.
Failure to Rescue: Physician Specialty and Mortality After Reoperation for Abdominal Aortic Aneurysm (AAA) Repair
Objectives: Complications after AAA repair resulting in reoperation contribute to mortality, but have not been well studied. Mortality after reoperation is termed failure to rescue, and may reflect differences in outcome directly related to management of the complication. This study describes the relationship between reoperation and mortality and demonstrates the effect of physician specialty on reoperation rates and failure to rescue after AAA repair.
Clinical Outcomes and Volumetric Analysis of Endoluminal Exclusion of Acute Complicated Type B Descending Thoracic Aortic Dissections
Objective: Late clinical outcomes and structural changes within the aorta after thoracic endovascular aortic repair (TEVAR) for acute complicated type B descending thoracic aortic dissections (ADTD) remain unknown. The goal of the study is to review and analyze the clinical outcomes and the volumetric data of patients with ADTD.
Gender-based Outcomes Following Endovascular Repair of Degenerative Thoracic Aneurysms
Objective: The extent to which patient gender influences endograft treatment of TA has not been reported. The current study analyzed the influence of gender on the endovascular management of thoracic aneurysms.
Translumbar Embolization for Type II Endoleaks After EVAR: A Multicenter Retrospective Review
Objective: Translumbar embolization (TLE) of type II endoleaks has been described for the treatment of enlarging aneurysms following EVAR. This technique is reported to have a very high rate of technical success and durability. The purpose of this study is to review our experience with TLE in controlling type II endoleaks, in arresting the increase in aneurysm growth, and limiting the need for subsequent intervention.
The Transition from Custom-Made to Standardized Multi-Branched Thoracoabdominal Aortic Stent Grafts
Objective: To compare the branch morphology and short-term outcome of endovascular aneurysm repair using custom-made vs standardized multi-branched thoracoabdominal stent grafts.
The Hybrid Procedure: Arch and Visceral/Renal Debranching Combined with Endovascular Repair for Thoracic/Thoracoabdominal Aortic Aneurysms
Objective: To report a single-center experience using a hybrid procedure (open debranching, followed by endovascular aortic repair) for treatment of thoracic/thoracoabdominal aortic aneurysms.
Does Anticoagulation and/or Antiplatelet Treatment Influence the Incidence Early Type II Endoleaks and Increase the Need for Post-EVAR Reintervention?
Objective: The most common complication after endovascular aneurysm repair (EVAR) is a type II endoleak. The purpose of this study is to determine the incidence of early endoleak and the rate of post-EVAR reinterventions in the setting of chronic anticoagulation (Coumadin) and antiplatelet (AP) therapy.
Candidate Compounds for Drug-Device Hybrid Therapies in the Management of Abdominal Aortic Aneurysm (AAA) Disease
Objective: AAA is a common and potentially lethal condition. Endovascular aneurysm repair (EVAR) reduces morbidity but is less durable than open repair secondary to continued remodeling of the diseased aorta. Local delivery of compounds inhibiting degeneration of the neck and promoting sac regression may stabilize endografts and improve durability. Our objective was to determine if HMG-CoA reductase inhibitors (statins) and angiotensin receptor blockers (ARBs) are appropriate candidates for drug-device hybrid therapies based on their efficacy in experimental AAA attenuation.
Techniques and Results of Portal Vein/Superior Mesenteric Vein Reconstruction Using Femoral and Saphenous Vein During Pancreaticoduodenectomy
Objectives: Patients with pancreatic tumors may have portal vein (PV) and/or superior mesenteric vein (SMV) invasion. In such cases, lower extremity veins can provide an autogenous conduit for PV/SMV reconstruction. Little data exist, however, describing the technique of PV/SMV reconstruction, the patency of such reconstructions, and the morbidity of using lower extremity veins for PV/SMV reconstruction during pancreaticoduodenectomy.
Pancreatic Mass Resection and Revascularization
Objective: Resection of the pancreatic mass is the only curative option for pancreatic cancer. Tumors that invade the nearby vasculature are deemed unresectable. By utilizing revascularization and bypass techniques, we resected pancreatic lesions with vascular invasion to improve survival in this patient population.
Transcranial Doppler Assessment of Embolic Events During Thoracic Endovascular Aortic Repair
Objective: Embolic stroke remains a devastating outcome for patients undergoing thoracic endovascular aortic repair (TEVAR). Transcranial Doppler (TCD) is a sensitive method to monitor high-intensity transient signals (HITS). We evaluated the relationship between catheter manipulation and device deployment in the thoracic arch and the quantity of microemboli in patients undergoing TEVAR.
Comparison of BNP to Traditional Preoperative Risk Factors
Objectives: We evaluated the significance and value of preoperative brain natriuretic peptide (BNP) level and its relationship to postoperative cardiac complications vs traditional risk factors in patients undergoing vascular procedures.
Reduction in Rupture Rate of Abdominal Aortic Aneurysm Is Not Due to Increase in Endovascular Repairs
Objective: Endovascular aneurysm repair (EVAR) is replacing open aneurysm repair (OAR) for most abdominal aortic aneurysms (AAA). EVAR also allows treatment of more elderly and potentially high-risk patients. We sought to determine if this shift in therapy has affected the incidence of aneurysm rupture (rAAA).
Mortality and Limb Loss in Isolated Lower Extremity Vascular Trauma: Analysis of the National Trauma Data Bank
Objective: Lower extremity injury is common; however, the influence of arterial injury on devastating patient and limb outcomes can be confounded by associated injuries. We analyzed isolated lower extremity injuries with a vascular component.
Regarding “Endovascular management of iliac rupture during endovascular aneurysm repair”
We were interested in the article by Fernandez et al on the endovascular management of iliac rupture during endovascular aneurysm repair (J Vasc Surg 2009;50:1293-9). We had noted a number of cases of acute occlusion in the first few weeks after endovascular abdominal aneurysm repair and retrospectively recognized that it was on the side that had been ballooned first with a Reliant or Coda balloon after graft deployment. We believed aortic bifurcation stenosis was causing compression of the limbs of the graft, and subsequently, whenever we thought that this might be a problem, used kissing angioplasty balloons to try and avoid these occlusions.