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Journal J Vasc Surg

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Comparison of Contemporary and Historical Outcomes of Elective and Ruptured Open Abdominal Aortic Aneurysm Repair.

Benjamin J Pomy, Joseph Devlin, Salim Lala, Richard L Amdur, John J Ricotta, Anton N Sidawy, Bao-Ngoc Nguyen, Robyn A Macsata,

Recently, open AAA repair (OSR) has become less common and is often reserved for more complex aortic anatomy. Despite improvement in patient management, reduced surgical volume raises concern for potentially worsened outcomes in the contemporary era (2014-2019) compared to an earlier era where open repair was more widely practiced (2005-2010). ... Read more >>

J Vasc Surg (Journal of vascular surgery)
[2021, :]

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Survival and Durability After Endovascular Aneurysm Repair Reflect Era-Related Surgical Judgement.

Miranda Witheford, Amarins Brandsma, Rene Lane, Anna Prent, Tara Mastracci,

Abdominal aortic aneurysm (AAA) management guidelines from the National Institute for Clinical Excellence (NICE UK) in 2020, based heavily upon randomized controlled trials in an early era of infrarenal endovascular aneurysm repair (EVAR), suggested that the long-term outcomes post EVAR jeopardize its use in elective AAA repair. We hypothesized that ... Read more >>

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[2021, :]

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Reliability of Hospital-Level Mortality in Abdominal Aortic Aneurysm Repair.

Craig S Brown, John R Montgomery, Gloria Y Kim, Michael T Kemp, Nicholas H Osborne,

<h4>Objective</h4>The relationship between volume and surgical outcome has been shown for a variety of surgical procedures. The effect in abdominal aortic aneurysm repair continues to be debated. Reliability adjustment has been used as a method to remove statistical noise from hospital level outcomes but its impact on aortic aneurysm repair ... Read more >>

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[2021, :]

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EndoNaut 2D Fusion-imaging with a Mobile C-Arm for endovascular treatment of occlusive peripheral arterial disease.

Caroline Caradu, Katherine Stenson, Hassan Houmaïda, Julie Le Ny, Florent Lalys, Eric Ducasse, Benoit Gheysens,

<h4>Introduction</h4>Endovascular treatment has become the first-line strategy for peripheral arterial disease (PAD). Given the number of procedures, any technology associated with a reduction in radiation exposure and contrast volume is highly relevant. This study aimed to evaluate whether 2D fusion imaging (FI) could reduce the radiation exposure and contrast volume ... Read more >>

J Vasc Surg (Journal of vascular surgery)
[2021, :]

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Long-term Implications of Elective EVAR That is Non-compliant with Clinical Practice Guideline Diameter Thresholds.

Livia E V M de Guerre, Kirsten D Dansey, Priya B Patel, Christina L Marcaccio, David H Stone, Salvatore T Scali, Marc L Schermerhorn,

<h4>Objective</h4>Compliance with SVS AAA clinical practice guideline (CPG) diameter thresholds is variable for EVAR. In order to evaluate the implications and appropriateness of repairs that are non-compliant with current guidelines, we investigated the long-term outcomes, adherence to imaging follow-up, and associated healthcare costs in patients undergoing EVAR for AAA who ... Read more >>

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[2021, :]

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Intraoperative Blood Pressure Lability Carries a Higher Risk of Headache after Carotid Endarterectomy.

Daniel Lee, Philip M Batista, Katherine K McMackin, Albert Ha, Jose Trani, Jeffrey P Carpenter, Joseph V Lombardi,

<h4>Objectives</h4>Cerebral hyper-perfusion (CH) is a rare but potentially devastating complication following carotid endarterectomies (CEA). Its symptoms range from new-onset unilateral headache (HA) to intracranial hemorrhage (ICH). Risk factors of CH in the literature to date have not yet yielded a consensus. This study examines intraoperative and postoperative blood pressure variation ... Read more >>

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[2021, :]

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Four-Year Patient-Level Pooled Mortality Analysis of the ILLUMENATE US Pivotal and EU Randomized Controlled Trials.

Sean P Lyden, Marianne Brodmann, Sahil A Parikh, Prakash Krishnan, Henrik Schroeder, Martin Werner, Andrew Holden, Kenneth Ouriel, Trisha Tarra, William Gray,

<h4>Objective</h4>To perform a meta-analysis of two concordant randomized controlled trials (RCTs) examining the long-term, four-year safety profile of the Stellarex drug-coated balloon (DCB) versus percutaneous transluminal angioplasty (PTA) for the treatment of peripheral artery disease.<h4>Methods</h4>An independent, third-party, meta-analysis of homogenous, patient-level data from the ILLUMENATE Pivotal and ILLUMENATE EU RCTs ... Read more >>

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Effect of Intravascular Ultrasound on Clinical Outcomes after TEVAR for Blunt Thoracic Aortic Injury.

Justin A Smith, Saideep Bose, Anuja Sarode, Jae S Cho, Benjamin Colvard,

<h4>Objective</h4>TEVAR for blunt traumatic aortic injuries (BTAI) can be complicated by inaccurate aortic measurements at the time of initial CTA secondary to hypovolemic shock. IVUS use has been proposed for more accurate aortic sizing, with prior data demonstrating larger aortic sizes as measured by IVUS, potentially altering the vast majority ... Read more >>

J Vasc Surg (Journal of vascular surgery)
[2021, :]

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IMPACT OF THORACIC ENDOVASCULAR AORTIC REPAIR TIMING ON AORTIC REMODELING IN ACUTE TYPE B AORTIC INTRAMURAL HEMATOMA.

Tomaz Mesar, Fanny S Alie-Cusson, Maggie J Lin, David J Dexter, Animesh Rathore, Gordon K Stokes, Jean M Panneton,

<h4>Introduction</h4>Thoracic endovascular aortic repair (TEVAR) is increasingly utilized in the management of acute type B aortic intramural hematoma (TBIMH). Optimal timing for intervention has not been described. The aim of this study was to evaluate TEVAR timing on post-operative aortic remodeling.<h4>Methods</h4>A retrospective chart review was performed on patients who underwent ... Read more >>

J Vasc Surg (Journal of vascular surgery)
[2021, :]

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Prediction of Thirty-Day Mortality Risk After Thoracic Endovascular Aortic Repair for Intact Descending Thoracic Aortic Aneurysms: Derivation of Risk Calculator in The Vascular Quality Initiative.

Isaac N Naazie, Jaideep Das Gupta, Ali Azizzadeh, Cassra Arbabi, Devin Zarkowsky, Mahmoud Malas,

<h4>Objective</h4>Thoracic endovascular aortic repair (TEVAR) for descending thoracic aortic aneurysm (DTAA) is associated with high peri-operative survival though mortality is a possible outcome. However, no risk score has been developed to predict mortality after TEVAR for intact DTAA to aid in risk discussion and preoperative patient selection. Our objective is ... Read more >>

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[2021, :]

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Ethnic differences in incidence and outcomes of acute aortic syndromes in the Midland-region of New Zealand.

William Xu, Kevin Mani, Manar Khashram,

<h4>Background</h4>Disparities in cardiovascular disease based on socio-economic factors and ethnicity are a global issue. The indigenous Māori population of New Zealand is not exempt. The aims of this study were to assess if ethnic disparities exist in the presentation and outcomes of acute aortic syndrome (AAS: aortic dissection, intramural hematoma ... Read more >>

J Vasc Surg (Journal of vascular surgery)
[2021, :]

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Sarcopenia Predicts Long Term Survival in Patients with Thoracoabdominal Aortic Aneurysms Undergoing Operative and Non-Operative Management.

Amir A Ghaffarian, Jaryd Unangst, Matthew A Bartek, Karina Newhall, P Chuhli Kang, Sherene Shalhub, Matthew P Sweet,

<h4>Objectives</h4>Sarcopenia, defined as a loss of muscle mass or poor muscle quality, is a syndrome associated with poor surgical outcomes. The prognostic value of sarcopenia in patients with thoracoabdominal aortic aneurysms (TAAA) is unknown. This study was designed to define sarcopenia in this patient population and assess its impact on ... Read more >>

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[2021, :]

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Systematic review and narrative synthesis of surveillance practices following endovascular intervention for lower limb peripheral arterial disease.

Kitty Hf Wong, Benjamin E Zucker, Bethany G Wardle, Patrick A Coughlin, Katherine Chaplin, Hung-Yuan Cheng, Robert J Hinchliffe, Christopher P Twine, Graeme K Ambler,

<h4>Objectives</h4>The optimal timing and modality of surveillance after endovascular intervention for peripheral arterial disease is controversial, and no randomised trial to assess the value of peripheral endovascular intervention has ever been performed. The aim of this systematic review was to examine the practice of surveillance following peripheral endovascular intervention in ... Read more >>

J Vasc Surg (Journal of vascular surgery)
[2021, :]

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Towards Endovascular Treatment of Type A Aortic Dissection with Smaller Landing Zones and More Patient Eligibility.

Andrew D Wisneski, Vishal Kumar, Shant M Vartanian, Adam Z Oskowitz,

<h4>Objective</h4>Type A or ascending aortic dissection is an acute life-threatening condition with high morbidity and mortality. Open surgery remains standard-of-care. Development of minimally invasive endografts for Type A aortic dissection (TAAD) will require detailed understanding of dissection and aortic root anatomy to determine patient eligibility and optimal device specifications.<h4>Methods</h4>Computed tomography ... Read more >>

J Vasc Surg (Journal of vascular surgery)
[2021, :]

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Propensity Score-Matched Analysis of 1-Year Outcomes of Transcarotid Revascularization with Dynamic Flow Reversal, Carotid Endarterectomy, and Transfemoral Carotid Artery Stenting.

Mahmoud B Malas, Nadin Elsayed, Isaac Naazie, Hanaa Dakour-Aridi, Kevin S Yei, Marc L Schermerhorn,

<h4>Objectives</h4>Initial studies showed no significant differences in perioperative stroke or death between transcarotid artery revascularization (TCAR) and carotid endarterectomy (CEA) and lower stroke/death rates after TCAR compared with transfemoral carotid artery stenting (TFCAS). This study focuses on the one-year outcomes of ipsilateral stroke or death after TCAR, CEA, and TFCAS.<h4>Methods</h4>All ... Read more >>

J Vasc Surg (Journal of vascular surgery)
[2021, :]

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Association of Body Mass Index with Outcomes After Thoracic Endovascular Aortic Repair in The Vascular Quality Initiative.

Isaac N Naazie, Kevin Yei, Ikponmwosa Osaghae, Ganesh Ramakrishnan, Kakra Hughes, Mahmoud B Malas,

<h4>Objective</h4>While several studies have evaluated the impact of obesity on outcomes following abdominal aortic aneurysm repair, literature examining this association in thoracic endovascular aortic repair (TEVAR) is sparse. Here, we use a multi-institutional, international database to assess the role of body mass index (BMI) on adverse outcomes in patients undergoing ... Read more >>

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[2021, :]

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Bridging stent-grafts fracture after branched endovascular aortic repair in a dual-center retrospective cohort study.

Stefano Gennai, Gioele Simonte, Mattia Migliari, Giacomo Isernia, Nicola Leone, Francesco Casali, Luca Farchioni, Massimo Lenti, Roberto Silingardi,

<h4>Purpose</h4>Target vessel instability is a relevant complication after thoracoabdominal aortic aneurysms (TAAAs) branched endovascular aortic repair (BEVAR). Long-term bridging stent-grafts (BSGs) durability has already been established, but the incidence of long-term complications as component fractures was not deeply investigated. This paper aims to assess BSGs fracture incidence and risk factors ... Read more >>

J Vasc Surg (Journal of vascular surgery)
[2021, :]

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Outcomes and Role of Peripheral Revascularization in Type A Aortic Dissection (TAAD) Presenting with Acute Lower Extremity Ischemia.

Cassandra J Beck, Emidio Germano, Amanda S Artis, Lee Kirksey, Christopher J Smolock, Sean P Lyden, Faisal G Bakaeen, Venugopal Menon, Eric E Roselli, Behzad S Farivar,

<h4>Objective</h4>Limited data exists on management and outcomes of patients presenting with TAAD and acute lower extremity ischemia (ALI). The role of limb-related revascularization and optimal treatment strategy remains undefined. The objective of this study was to analyze dissection characteristics, treatment modalities, and outcomes of patients undergoing proximal aortic repair for ... Read more >>

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[2021, :]

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Sex Specific Criteria for Repair Should be Utilized in Patients Undergoing Aortic Aneurysm Repair.

Priya B Patel, Livia E V M De Guerre, Christina L Marcaccio, Kirsten D Dansey, Chun Li, Ruby Lo, Virendra I Patel, Marc L Schermerhorn,

<h4>Objective</h4>Female patients are more likely to undergo repair of intact and ruptured abdominal aortic aneurysm (AAA) at smaller aortic diameter compared with male patients. By adjusting for inherent anatomic differences between sexes, aortic size index (ASI) and aortic height index (AHI) may provide an additional method for guiding treatment. We ... Read more >>

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[2021, :]

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Arteriovenous Fistula Formation with Adjuvant Endovascular Maturation.

Shannon D Thomas, Anders Sideris, Harry Narroway, Rohan McLachlan, Cameron Robertson, Phillip Crowe, Ramon L Varcoe,

<h4>Introduction</h4>The clinical utility of the native arteriovenous fistula (AVF) is limited by a prolonged time to maturation, low overall maturation rate, and subsequent abandonment. Endovascular intervention is increasingly accepted as first line therapy to treat AVF stenosis. The objective of this study was to evaluate AVF formation outcomes when early ... Read more >>

J Vasc Surg (Journal of vascular surgery)
[2021, :]

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Impact of a Multidisciplinary Acute Aortic Dissection Program: Improved Outcomes with a Comprehensive Initial Surgical Repair Strategy.

Jesse Manunga, Jenna Smith, Christian W Schmidt, Jessica Titus, Karol Mudy, Matthew P Pavlovec, Benjamin Sun, Xiaoyi Teng, Aleem Mirza, Nedaa Skeik, Amit Sharma, Kevin M Harris,

<h4>Background</h4>As part of a multidisciplinary aortic dissection (AD) program, a more comprehensive repair strategy for acute type A aortic dissection (ATAAD) and frequent endografting for suitable type B aortic dissection (ATBAD) patients was adopted in 2015. The aim of this study was to evaluate the impact of these changes.<h4>Methods</h4>This study ... Read more >>

J Vasc Surg (Journal of vascular surgery)
[2021, :]

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Recurrent infection is more common after endovascular versus open repair of infected abdominal aortic aneurysm: Systematic review and meta-analysis.

Takuro Shirasu, Toshiki Kuno, Jun Yasuhara, Yujiro Yokoyama, Hisato Takagi, Michael J Cullen, K Craig Kent, W Darrin Clouse,

<h4>Objective</h4>There remains a controversy regarding the use of endovascular aneurysm repair (EVAR) versus open aneurysm repair (OAR) for infected abdominal aortic aneurysms (AAA). This study aimed to investigate the comparative outcomes of EVAR and OAR for the treatment of infected AAAs.<h4>Methods</h4>We conducted a systematic review and meta-analysis using MEDLINE and ... Read more >>

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[2021, :]

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Outcomes of intramural hematoma involving the ascending aorta and extending into the descending thoracic aorta.

Jiangtao Li, Liangtao Xia, Mingjia Ma, Xin Feng, Xiang Wei,

<h4>Objective</h4>The optimal treatment of intramural hematoma (IMH) involving the ascending aorta remains controversial. This study aimed to analyze the results of the management of patients with acute IMH involving the ascending aorta and extending into the descending thoracic aorta, to compare outcomes of descending thoracic endovascular aortic repair (TEVAR) with ... Read more >>

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[2021, :]

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Outcomes of Transfemoral Carotid Artery Stenting and Transcarotid Artery Revascularization for Restenosis after Prior Ipsilateral Carotid Endarterectomy.

Heepeel Chang, Caron B Rockman, Frank J Veith, Vikram S Kashyap, Glenn R Jacobowitz, Mikel Sadek, Karan Garg, Thomas S Maldonado,

<h4>Objective</h4>Restenosis after carotid endarterectomy (CEA) poses unique therapeutic challenges, with no specific guidelines on operative approach. Traditionally, transfemoral carotid artery stenting (TfCAS) has been regarded as the preferred approach to treating restenosis after CEA. Recently, transcarotid artery revascularization with a flow-reversal neuroprotection system (TCAR) has gained popularity as an effective ... Read more >>

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[2021, :]

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The Influence of Socioeconomic Status on Outcomes of Lower Extremity Arterial Reconstruction.

Kakra Hughes, Olubode A Olufajo, Kellee Wright, Dylan H Roby, Craig S Fryer, Joseph L Wright, Neil J Sehgal,

<h4>Objective</h4>While it has been shown that patient socioeconomic status (SES) is associated with the surgical treatments chosen for severe peripheral arterial disease (PAD), the association between SES and outcomes of arterial reconstruction have not been well studied. The objective of this study was to determine if SES is associated with ... Read more >>

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