Journal of Vascular Surgery

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Weekend Effect in Carotid Endarterectomy

31 March 2019 - 11:00pm
A review was conducted of the Vascular Quality Initiative between 2003 and 2018.

Strategy for the Treatment of Spontaneous Isolated Visceral Artery Dissection

31 March 2019 - 11:00pm
This was a single-center retrospective review from 2005 to 2016.

Management of Common Femoral Artery Occlusive Disease: A Review of Endovascular Treatment Strategies and Outcomes

31 March 2019 - 11:00pm
A review of 21 studies from 1987 to 2018 was performed.

Antiplatelet Therapy for Peripheral Artery Disease

31 March 2019 - 11:00pm
A review was conducted of registries, randomized trials, and meta-analysis publications from PubMed between 1994 and 2018 and on-line clinical trials in 2018.

Hospital Volume Matters: The Volume-Outcome Relationship in Open Juxtarenal AAA Repair

31 March 2019 - 11:00pm
A review was conducted of the Vascular Quality Initiative between 2003 and 2016.

A Systematic Literature Review of Patients with Carotid Web and Acute Ischemic Stroke

31 March 2019 - 11:00pm
A search was conducted of MEDLINE through PubMed (1946-December 15, 2017), Embase through Ovid (1947-week 50, 2017), and the Cochrane Library through Wiley (ending December 15, 2017).

Reply

31 March 2019 - 11:00pm
We appreciate the excellent comment by Botes et al. The highlighted improvements in abdominal aortic aneurysm (AAA) repair in the United Kingdom give evidence of the value of real-world data use, and the authors should be congratulated for being a part of this outstanding success of ongoing changes in vascular services in Great Britain. Widespread adoption of endovascular aneurysm repair (EVAR)1,2 and the ongoing centralization of AAA repairs3,4 can be seen as the cause of improvements in both intact and ruptured AAA repairs.

Regarding “Impact of weekend treatment on short-term and long-term survival after urgent repair of ruptured aortic aneurysms in Germany”

31 March 2019 - 11:00pm
Behrendt et al1 should be congratulated on their work identifying worse in-hospital survival rates for patients treated for ruptured abdominal aortic aneurysm (rAAA) at the weekend in Germany. The “weekend effect” has received much attention since 2001, when it was first described in a population of Canadian patients undergoing repair of rAAA.

A systematic review and meta-analysis of the comparison of performance among step-tip, split-tip, and symmetrical-tip hemodialysis catheters

31 March 2019 - 11:00pm
Patients with end-stage renal disease need vascular access to ensure sufficient blood flow during hemodialysis (HD). Patients who are poor candidates for arteriovenous access creation require long-term catheter placement. Problems such as dialysate recirculation, thrombosis, catheter-related infections, and malfunction can occur with HD catheters. Different tip designs (step, split, and symmetrical) have been developed to ameliorate the catheter-related problems. The aim of the study was to compare the efficacy and safety of split-tip, step-tip, and symmetrical-tip HD catheters.

Transcaval embolization as the preferred approach

31 March 2019 - 11:00pm
The management of type II endoleaks that develop after endovascular repair of aortic aneurysms now includes the transcaval approach. We reviewed the safety and efficacy of this technique in 10 consecutive patients (82 ± 7 years old; 80% male) who presented with a mean sac enlargement of 1.2 ± 0.7 cm and documented flow within the aortic sac. Patients presented a mean of 5.5 ± 3.1 years after endovascular aneurysm repair, and five (50%) patients had prior attempts at endovascular repair of the documented endoleak.

Invited commentary

31 March 2019 - 11:00pm
In this issue of the Journal, Tsilimparis et al report on the largest clinical experience with endovascular aortic arch repair using branched endografts in the Western world. The study highlights the evolution of stent graft design, its patient selection, and the use of a multidisciplinary approach towards open and endovascular techniques in a single center. Overall, endovascular treatment was selected in 30% of 430 patients with aortic pathology, including inner branched devices in 54 patients (13%), fenestrated devices in 46 (10%), and parallel stent grafts in 30 (7%).

The rise and fall of beta-blockers?

31 March 2019 - 11:00pm
The study reported by Shannon and coworkers identified that preprocedure beta-blocker therapy was associated with an increased risk of major adverse cardiovascular events (MACEs) in patients undergoing either open surgery or endovascular therapy for chronic limb-threatening ischemia. The authors reviewed 11,785 revascularization procedures using the National Surgical Quality Improvement Program. There are several limitations to the study acknowledged by the authors, such as the absence of knowledge regarding the type, dosage, and duration of the beta-blocker therapy as well as follow-up limited to 30 days.

Endovascular treatment results and risk factors for complications of body and extremity arteriovenous malformations

31 March 2019 - 11:00pm
The objective of this study was to investigate the factors associated with the complication rate and treatment outcomes of arteriovenous malformations (AVMs) during a 20-year period.

Age but not sex is associated with higher risk of in-hospital stroke or death after carotid artery stenting in symptomatic and asymptomatic carotid stenosis

31 March 2019 - 11:00pm
The aim of this study was to analyze the correlation of age and sex with the outcome after carotid artery stenting (CAS). We used the statutory nationwide quality assurance database in Germany, in which, among others, all endovascular procedures on the extracranial carotid artery are filed.

The myristoylated alanine-rich C kinase substrate differentially regulates kinase interacting with stathmin in vascular smooth muscle and endothelial cells and potentiates intimal hyperplasia formation

27 March 2019 - 11:00pm
Restenosis limits the durability of all cardiovascular reconstructions. Vascular smooth muscle cell (VSMC) proliferation drives this process, but an intact, functional endothelium is necessary for vessel patency. Current strategies to prevent restenosis employ antiproliferative agents that affect both VSMCs and endothelial cells (ECs). Knockdown of the myristoylated alanine-rich C kinase substrate (MARCKS) arrests VSMC proliferation and paradoxically potentiates EC proliferation. MARCKS knockdown decreases expression of the kinase interacting with stathmin (KIS), increasing p27kip1 expression, arresting VSMC proliferation.

Impact of fenestrated stent graft misalignment on patient outcomes

26 March 2019 - 11:00pm
During fenestrated endovascular aneurysm repair (FEVAR), accurate alignment of the fenestration and the target artery is necessary to prevent complications. This study's objective is to determine the incidence of clinical outcomes following fenestration misalignment during FEVAR.

The presence of long and heavily calcified lesions predisposes for fracture in patients undergoing stenting of the first part of the subclavian artery

25 March 2019 - 11:00pm
To determine the prevalence and risk factors of subclavian artery stent fractures and to investigate their impact on in-stent restenosis development.

A prospective, single-blind, randomized, phase III study to evaluate the safety and efficacy of Fibrin Sealant Grifols as an adjunct to hemostasis compared with manual compression in vascular surgery

25 March 2019 - 11:00pm
New formulations and applications of hemostatic adjuncts such as fibrin sealant (FS) to support local hemostasis and sutures continue to be developed. In a pivotal, confirmatory, controlled, prospective, single-blinded, randomized, multicenter phase III clinical trial, the efficacy and safety of FS Grifols during vascular surgeries were evaluated.

Late complications after hybrid aortic arch repair

24 March 2019 - 11:00pm
Although hybrid arch repair has gained widespread application as an alternative option for high-risk patients, concerns about its long-term durability remain an important issue. The aim of this study was to investigate late complications after hybrid arch repair.

Changes in vascular and inflammatory biomarkers after exercise rehabilitation in patients with symptomatic peripheral artery disease

24 March 2019 - 11:00pm
Home-based exercise is an alternative exercise mode to a structured supervised program to improve symptoms in patients with peripheral artery disease (PAD), but little is known about whether the slow-paced and less intense home program also elicits changes in vascular and inflammatory biomarkers. In an exploratory analysis from a randomized controlled trial, we compared changes in vascular and inflammatory biomarkers in patients with symptomatic PAD (typical and atypical of claudication) after home-based exercise and supervised exercise programs and in an attention-control group.