01 mayo 2015

JOURNAL OF VASCULAR SURGERY. Results of combined vascular reconstruction and free flap transfer for limb salvage in patients with critical limb ischemia

Alexander Meyer, MD, Katja Goller, Raymund E. Horch, MD, Justus P. Beier, MD, Christian D. Taeger, MD, Andreas Arkudas, MD, Werner Lang, MD, FEBVS

Objective: Combined vascular reconstruction and free flap transfer has been established in centers as a feasible therapeutic option in cases with critical limb ischemia (CLI) and large tissue defects otherwise destined for major amputation. However, the number of patients treated with this combined approach is limited, and data regarding long-term follow-up and functional outcome are scarce. We therefore report our 10-year experience in free flap transplantation after vascular reconstruction as a last attempt for limb salvage, with special emphasis of complication rate, limb salvage, and postoperative mobility.

01 mayo 2015

JOURNAL OF VASCULAR SURGERY. Incidence, outcomes, and effect on quality of life of cranial nerve injury in the Carotid Revascularization Endarterectomy versus Stenting Trial

Robert J. Hye, MD, Ariane Mackey, MD, Michael D. Hill, MD, MSc, Jenifer H. Voeks, PhD, David J. Cohen, MD, Kaijun Wang, PhD, MeeLee Tom, MS, Thomas G. Brott, MD

Objective: Cranial nerve injury (CNI) is the most common neurologic complication of carotid endarterectomy (CEA) and can cause significant chronic disability. Data from prior randomized trials are limited and provide no health-related quality of life (HRQOL) outcomes specific to CNI. Incidence of CNIs and their outcomes for patients in the Carotid Revascularization Endarterectomy vs Stenting Trial (CREST) were examined to identify factors predictive of CNI and their impact on HRQOL.

01 mayo 2015

JOURNAL OF VASCULAR SURGERY. Outcomes after stent graft therapy for dissection-related aneurysmal degeneration in the descending thoracic aorta

Derek P. Nathan, MD, Sherene Shalhub, MD, MPH, Gale L. Tang, MD, Matthew P. Sweet, MD, Edward D. Verrier, MD, Nam T. Tran, MD, Gabriel S. Aldea, MD, Benjamin W. Starnes, MD

Objective: Stent graft therapy has emerged as an alternative to open surgery in the management of chronic dissection-related aneurysmal degeneration (DRAD) in the descending thoracic aorta (DTA). The incidence of perioperative complications, need for secondary aortic intervention (SAI), and rate of aneurysmal false-lumen thrombosis have not been thoroughly described.

01 mayo 2015

JOURNAL OF VASCULAR SURGERY. Outcomes of persistent intraoperative type Ia endoleak after standard endovascular aneurysm repair

Alistair M. Millen, MBChB, BSc, MRCS, Khabab Osman, MBBS, MSc, MRCS, George A. Antoniou, PhD, FEBVS, Richard G. McWilliams, MD, FRCR, John A. Brennan, MD, FRCS, Robert K. Fisher, MD, FRCS

Objective: This study analyzed outcomes for patients with persistent intraoperative type Ia endoleaks after standard endovascular aneurysm repair (EVAR).

01 mayo 2015

JOURNAL OF VASCULAR SURGERY. Adherence to endovascular aortic aneurysm repair device instructions for use guidelines has no impact on outcomes

Joy Walker, MD, Lue-Yen Tucker, BA, Philip Goodney, MD, Leah Candell, MD, Hong Hua, MD, Steven Okuhn, MD, Bradley Hill, MD, Robert W. Chang, MD

Objective: Prior reports have suggested unfavorable outcomes after endovascular aortic aneurysm repair (EVAR) performed outside of the recommended instructions for use (IFU) guidelines. We report our long-term EVAR experience in a large multicenter registry with regard to adherence to IFU guidelines.

01 abril 2015

JOURNAL OF VASCULAR SURGERY. Prognosis of critical limb ischemia patients with tissue loss after achievement of complete wound healing by endovascular therapy

Norihiro Kobayashi, MD, Keisuke Hirano, MD, Masatsugu Nakano, MD, PhD, Yoshiaki Ito, MD, Hiroshi Ishimori, MD, PhD, Masahiro Yamawaki, MD, PhD, Reiko Tsukahara, MD, PhD, Toshiya Muramatsu, MD

Objective: Critical limb ischemia (CLI) patients with tissue loss have been recognized to have a poor survival rate. In this study, we aimed to determine whether the prognosis of CLI patients with tissue loss improves after complete wound healing is achieved by endovascular therapy.

01 abril 2015

JOURNAL OF VASCULAR SURGERY. Experience matters more than specialty for carotid stenting outcomes

Michael D. Sgroi, MD, Geoffrey C. Darby, BS, Nii-Kabu Kabutey, MD, Andrew R. Barleben, MD, John S. Lane III, MD, Roy M. Fujitani, MD

Objective: The introduction of carotid stenting has led to a rapid rise in the number of vascular specialists performing this procedure. The Carotid Revascularization Endarterectomy vs Stenting Trial (CREST) has shown that carotid stenting can be performed with an equivalent major event rate compared with carotid endarterectomy. However, there is still controversy about the appropriate training and experience required to safely perform this procedure. This observational study examined the performance of carotid stenting with regard to specialty and case volume.

01 abril 2015

JOURNAL OF VASCULAR SURGERY. Type Ia endoleaks after fenestrated and branched endografts may lead to component instability and increased aortic mortality

Adrian OCallaghan, MB, Roy K. Greenberg, MD, Matthew J. Eagleton, MD, James Bena, MS, Tara Marie Mastracci, MD

Objectives: Fenestrated and branched endografts allow for proximal sealing zone extension into or above the visceral aorta to optimize landing in healthy aorta. We describe the incidence, causes, and implications of proximal endoleak development in patients undergoing complex endovascular aortic aneurysm repair.

01 abril 2015

JOURNAL OF VASCULAR SURGERY. Deterministic effects after fenestrated endovascular aortic aneurysm repair

Melissa L. Kirkwood, MD, Gary M. Arbique, PhD, Jeffrey B. Guild, PhD, Carlos Timaran, MD, Jon A. Anderson, PhD, R. James Valentine, MD

Background: Endovascular aortic aneurysm repairs (EVARs) with fenestrated (FEVAR) stent grafts are high radiation dose cases, yet no skin injuries were found retrospectively in our 61 cases with a mean peak skin dose (PSD) of 6.8 Gy. We hypothesize that skin injury is under-reported. This study examined deterministic effects in FEVARs after procedural changes implemented to detect skin injury.

01 abril 2015

JOURNAL OF VASCULAR SURGERY. Early versus late experience in fenestrated endovascular repair for abdominal aortic aneurysm

Magnus Sveinsson, MD, Jonathan Sobocinski, MD, PhD, Timothy Resch, MD, PhD, Björn Sonesson, MD, PhD, Nuno Dias, MD, PhD, Stéphan Haulon, MD, PhD, Thorarinn Kristmundsson, MD, PhD

Objective: The objective of this study was to evaluate operative results and 1-year outcomes in early vs late experience after fenestrated endovascular aortic repair.

01 abril 2015

JOURNAL OF VASCULAR SURGERY. Efficacy and durability of the chimney graft technique in urgent and complex thoracic endovascular aortic repair

Adel Bin Jabr, MD, Bengt Lindblad, MD, PhD, Nuno Dias, MD, PhD, Timothy Resch, MD, PhD, Martin Malina, MD, PhD

Objective: This study reports the early and midterm to long-term experience of chimney grafts (CGs) in urgent endovascular repair of complex lesions in the thoracic aorta.

01 abril 2015

JOURNAL OF VASCULAR SURGERY. Geometry and respiratory-induced deformation of abdominal branch vessels and stents after complex endovascular aneurysm repair

Brant W. Ullery, MD, Ga-Young Suh, PhD, Jason T. Lee, MD, Brian Liu, BS, Robert Stineman, BS, Ronald L. Dalman, MD, Christopher P. Cheng, PhD

Objective: This study quantified the geometry and respiration-induced deformation of abdominal branch vessels and stents after fenestrated (F-) and snorkel (Sn-) endovascular aneurysm repair (EVAR).

01 abril 2015

JOURNAL OF VASCULAR SURGERY. Role of type II endoleak in sac regression after endovascular repair of infrarenal abdominal aortic aneurysms

Jared Kray, DO, Spencer Kirk, DO, Jan Franko, MD, PhD, David K. Chew, MD

Objective: Endovascular repair (EVAR) of infrarenal aortic aneurysms (AAA) is increasingly used in patients with suitable aortic morphology conforming to device-specific instructions for use. Despite improvements in graft design, type II endoleak (EL-2) from the inferior mesenteric artery (EL-IMA) or the lumbar artery (EL-LA) remains the Achilles heel of EVAR. The objective of this study was to evaluate the natural history of the AAA sac after EVAR. We hypothesized that persistent EL-2 would be associated with inferior AAA sac volume regression.

01 abril 2015

JOURNAL OF VASCULAR SURGERY. Outcomes of endovascular abdominal aortic aneurysm repair in high-risk patients

Sungho Lim, MD, Pegge M. Halandras, MD, Taeyoung Park, PhD, Youngeun Lee, BA, Paul Crisostomo, MD, Richard Hershberger, MD, Bernadette Aulivola, MD, Jae S. Cho, MD

Objective: Although the endovascular aneurysm repair trial 2 (EVAR-2) demonstrated no benefit of EVAR in high-risk (HR) patients, EVAR is still performed widely in this patient cohort. This study compares the midterm outcomes after EVAR in HR patients with those in normal-risk (NR) patients. In turn, these data are compared with the EVAR-2 data.

01 abril 2015

EUROPEAN JOURNAL OF VASCULAR & ENDOVASCULAR SURGERY. Short-term Outcome of Spinal Cord Ischemia after Endovascular Repair of Thoracoabdominal Aortic Aneurysms

N.V. Dias, B. Sonesson, T. Kristmundsson, H. Holm, T. Resch

Objective: To analyze the incidence and short-term outcome of SCI after endovascular repair of thoracoabdominal aneurysms (eTAAA).