01 febrero 2015

JOURNAL OF VASCULAR SURGERY. Three-dimensional fusion computed tomography decreases radiation exposure, procedure time, and contrast use during fenestrated endovascular aortic repair

Michael M. McNally, MD, Salvatore T. Scali, MD, Robert J. Feezor, MD, Daniel Neal, MS, Thomas S. Huber, MD, PhD, Adam W. Beck, MD

Objective: Endovascular surgery has revolutionized the treatment of aortic aneurysms; however, these improvements have come at the cost of increased radiation and contrast exposure, particularly for more complex procedures. Three-dimensional (3D) fusion computed tomography (CT) imaging is a new technology that may facilitate these repairs. The purpose of this analysis was to determine the effect of using intraoperative 3D fusion CT on the performance of fenestrated endovascular aortic repair (FEVAR).

01 febrero 2015

JOURNAL OF VASCULAR SURGERY. Examination of factors in type I endoleak development after thoracic endovascular repair

Mourad Boufi, MD, Fatma Aouini, MD, Carine Guivier-Curien, PhD, Bianca Dona, MD, Anderson D. Loundou, PhD, Valerie Deplano, PhD, Yves S. Alimi, PhD

Objective: The objective of this study was to assess the effects of operative indication, anatomy, and stent graft on type I endoleak occurrence after thoracic endovascular aortic repair.

01 febrero 2015

JOURNAL OF VASCULAR SURGERY. Contemporary comparison of aortic arch repair by endovascular and open surgical reconstructions

Paola De Rango, MD, PhD, Ciro Ferrer, MD, Carlo Coscarella, MD, Francesco Musumeci, MD, Fabio Verzini, MD, PhD, FEBVS, Gabriele Pogany, MD, Andrea Montalto, MD, Piergiorgio Cao, MD, FRCS

Objective: This study analyzed total aortic arch reconstruction in a contemporary comparison of current open and endovascular repair.

01 febrero 2015

JOURNAL OF VASCULAR SURGERY. Staged endovascular repair of thoracoabdominal aortic aneurysms limits incidence and severity of spinal cord ischemia

Adrian O´Callaghan, MD, Tara M. Mastracci, MD, Matthew J. Eagleton, MD

Objective: Neurologic dysfunction remains a persistent complication of extensive aortic repair owing to disruption of the spinal collateral network. We hypothesized that staged repair might mitigate the incidence and severity of this spinal cord ischemia (SCI).

01 febrero 2015

JOURNAL OF VASCULAR SURGERY. Twelve-year results of fenestrated endografts for juxtarenal and group IV thoracoabdominal aneurysms

Tara M. Mastracci, MD, Matthew J. Eagleton, MD, Yuki Kuramochi, BScN, Shona Bathurst, Katherine Wolski, MPH

Objective: The practice of using fenestrated endografts to treat juxtarenal and group IV thoracoabdominal aortic aneurysms (TAAAs) has become more accepted, but long-term outcomes are still unknown. We report long-term survival, complications, and branch-related outcomes from a single-center experience.

01 febrero 2015

JOURNAL OF VASCULAR SURGERY. Drug-eluting balloons for femoropopliteal lesions show better performance in de novo stenosis or occlusion than in restenosis

Monika Herten, PhD, Giovanni B. Torsello, PhD, Eva Schönefeld, MD, Britta Imm, Nani Osada, PhD, Stefan Stahlhoff, MD

Objective: Although drug-eluting balloons (DEBs) have shown promising results treating de novo (DN) atherosclerotic lesions and appear to have been widely adopted in Europe, their long-term efficacy in the broad spectrum of femoropopliteal restenosis (RE) remains to be proven. The purpose of the study was to assess the efficacy of paclitaxel-DEBs in restenotic (stented and nonstented) vs DN stenotic femoropopliteal arteries.

01 febrero 2015

JOURNAL OF VASCULAR SURGERY. Routine use of ultrasound-guided access reduces access site-related complications after lower extremity percutaneous revascularization

Ruby C. Lo, MD, Margriet T.M. Fokkema, MD, Thomas Curran, MD, Jeremy Darling, BA, Allen D. Hamdan, MD, Mark Wyers, MD, Michelle Martin, MD, Marc L. Schermerhorn, MD

Objective: We sought to elucidate the risks for access site-related complications (ASCs) after percutaneous lower extremity revascularization and to evaluate the benefit of routine ultrasound-guided access (RUS) in decreasing ASCs.

01 febrero 2015

JOURNAL OF VASCULAR SURGERY. Age does not predict need for reintervention in patients with critical limb ischemia

Daniel J. Torrent, MD, MPH, Jill N. Zink, MD, William M. Bogey, MD, C. Steven Powell, MD, Frank M. Parker, MD, Dean J. Yamaguchi, MD, Michael Clinton Stoner, MD, RVT

Objective: Conventional wisdom holds that patients with a need for intervention for femoropopliteal occlusive disease at a younger age have more aggressive disease, although there is a paucity of support in the literature. The purpose of this study was to evaluate this assumption.

01 febrero 2015

JOURNAL OF VASCULAR SURGERY. Percutaneous radial access for peripheral transluminal angioplasty

Raphaël Coscas, MD, Romain de Blic, MD, Clément Capdevila, MD, Isabelle Javerliat, MD, Olivier Goëau-Brissonniere, MD, PhD, Marc Coggia, MD

Objective: The radial approach is currently gaining popularity in the setting of coronary percutaneous transluminal angioplasty (PTA) because it decreases the incidence of vascular complications. This study reports our initial results with radial access for peripheral PTA.

01 febrero 2015

JOURNAL OF VASCULAR SURGERY. Real chimney technique for total debranching of supra-aortic trunks

Masaaki Kato, MDcorrespondenceemail, Hideo Kagaya, MD, Yoji Kubo, MD, Hiroshi Banno, MD, Nobukazu Ohkubo, MD

Side-clamping of the ascending aorta is an indispensable technique for proximal anastomosis in total debranching of supra-aortic trunks and in endovascular aneurysm repair for arch aneurysm. However, this procedure may lead to the dislodging of multiple plaques and to clamp injury of the ascending aorta. We developed a clampless technique to achieve proximal anastomosis between the ascending aorta and an artificial graft used for total debranching of supra-aortic trunks. We applied this method in six patients with arch aneurysm and a plaque-rich ascending aorta and were able to achieve total debranching of the supra-aortic trunks in all of the patients without side-clamping the ascending aorta and no procedurally related complications. This clampless anastomosis technique (“real chimney technique”) in the ascending aorta is a valuable option for total debranching of supra-aortic trunks in the hybrid repair of arch aneurysms.

01 febrero 2015

JOURNAL OF VASCULAR SURGERY. Mortality variability after endovascular versus open abdominal aortic aneurysm repair in a large tertiary vascular center using a Medicare-derived risk prediction model

Caitlin W. Hicks, MD, MS, James H. Black III, MD, Isibor Arhuidese, MD, MPH, Luda Asanova, MD, Umair Qazi, MD, MPH, Bruce A. Perler, MD, Julie A. Freischlag, MD, Mahmoud B. Malas, MD, MHS

Objective: Previous reports have documented better outcomes after open abdominal aortic aneurysm (AAA) repair in tertiary centers compared with lower-volume hospitals, but outcome variability for endovascular AAA repair (EVAR) vs open AAA repairs in a large tertiary center using a Medicare-derived mortality risk prediction model has not been previously reported. In the current study, we compared the observed vs predicted mortality after EVAR and open AAA repair in a single large tertiary vascular center.

01 marzo 2015

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY. Midterm Results of Endovascular Treatment of Superficial Femoral Artery Disease with Biodegradable Stents: Single-Center Experience

Roberto Silingardi, MD , Antonio Lauricella, MD , Giovanni Coppi, MD , Emanuele Nicolosi, MD , Stefano Gennai, MD , Gioacchino Coppi, MD

Purpose: To assess the midterm efficacy of a biodegradable poly-l-lactic acid (PLLA) stent in the treatment of superficial femoral artery (SFA) occlusive disease.

01 febrero 2015

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Perfusion Angiography of the Foot in Patients with Critical Limb Ischemia: Description of the Technique

Sjoerd Jens, Henk A. Marquering, Mark J. W. Koelemay, Jim A. Reekers

Objective: To study the feasibility of 2D perfusion imaging in critical limb ischemia (CLI).

01 febrero 2015

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Sustained Benefit at 2 Years for Covered Stents Versus Bare-Metal Stents in Long SFA Lesions: The VIASTAR Trial

Johannes Lammer, Thomas Zeller, Klaus A. Hausegger, Philipp J. Schaefer, Manfred Gschwendtner, Stefan Mueller-Huelsbeck, Thomas Rand, Martin Funovics, Florian Wolf, Aljoscha Rastan, Michael Gschwandtner, Stefan Puchner, Ulrich Beschorner, Robin Ristl, Maria Schoder

Purpose: The hypothesis that covered stents are superior to bare-metal stents (BMS) in long femoropopliteal artery disease was tested. The one-year results of the VIASTAR trial revealed a patency benefit of covered stents in the treatment-per-protocol (TPP) analysis only.

01 febrero 2015

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Endovascular Aneurysm Repair: Is Imaging Surveillance Robust, and Does It Influence Long-term Mortality?

Mohammed Abdul Waduud, Wen Ling Choong, Moira Ritchie, Claire Williams, Reddi Yadavali, Shueh Lim, Fraser Buchanan, Raj Bhat, Krishnappan Ramanathan, Susan Ingram, Laura Cormack, Jonathan G. Moss

Purpose: Endovascular aneurysm repair (EVAR) is the dominant treatment strategy for abdominal aortic aneurysms. However, as a result of uncertainty regarding long-term durability, an ongoing imaging surveillance program is required. The aim of the study was to assess EVAR surveillance in Scotland and its effect on all-cause and aneurysm-related mortality.