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ESTUDIOS


01 enero 2014

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY. Percutaneous Manual Aspiration Thrombectomy Followed by Stenting for Iliac Vein Compression Syndrome with Secondary Acute Isolated Iliofemoral Deep Vein Thrombosis: A Prospective Study of Single-session Endovascular Protocol

Q.H. Zhu , C.Y. Zhou , Y. Chen , J. Wang , H.Y. Mo , M.H. Luo , W. Huang , X.F. Yu

Objective: To evaluate the feasibility, safety, and effectiveness of single-session endovascular treatment with manual aspiration thrombectomy (MAT) as the first-line method of thrombus removal for iliac vein compression syndrome (IVCS) with secondary acute isolated iliofemoral deep vein thrombosis (DVT).

01 enero 2014

JOURNAL OF VASCULAR SURGERY. Sources of error in the measurement of aortic diameter in computed tomography scans

Juan Parodi, MD , Ramon Berguer, MD, PhD , Patricia Carrascosa, MD, PhD , Khalil Khanafer, PhD , Carlos Capunay, MD , Eric Wizauer

Objective: This study was conducted to determine the differences in the diameter of the thoracic aorta when measured from electrocardiographic (ECG)-gated and nongated computed tomography (CT) angiography. Another aim was to define the difference in the aortic diameter when it is measured at peak systole and end diastole in ECG-gated scans.

01 enero 2014

JOURNAL OF VASCULAR SURGERY. The impact of bird-beak configuration on aortic remodeling of distal arch pathology after thoracic endovascular aortic repair with the Zenith Pro-Form TX2 thoracic endograft

Hung-Lung Hsu, MD , Chun-Ku Chen, MD , Po-Lin Chen, MD , I-Min Chen, MD , Chiao-Po Hsu, MD, PhD , Chih-Wen Chen, MD , Chun-Che Shih, MD, PhD

Objective: Structural changes and incomplete endograft apposition to the aortic arch (bird-beak configuration) after thoracic endovascular aortic repair are poorly understood. The aim of this study was to analyze the morphologic changes, conformability, and angulation factors in patients who underwent stainless steel-based stent graft repair of thoracic aortic pathology.

01 enero 2014

JOURNAL OF VASCULAR SURGERY. Hypogastric and subclavian artery patency affects onset and recovery of spinal cord ischemia associated with aortic endografting

Matthew J. Eagleton, MD , Samir Shah, MD , Dan Petkosevek, BS , Tara M. Mastracci, MD , Roy K. Greenberg, MD

Objective: Spinal cord ischemia (SCI) is a devastating complication associated with aortic aneurysm repair. The aim of the current study was to evaluate factors affecting outcomes from SCI associated with endovascular aortic aneurysm repair.

01 enero 2014

JOURNAL OF VASCULAR SURGERY. Five-year results for endovascular repair of acute complicated type B aortic dissection

Jennifer M. Hanna, MD, MBA , Nicholas D. Andersen, MD , Asvin M. Ganapathi, MD , Richard L. McCann, MD , G. Chad Hughes, MDemail address

Introduction: Despite a current lack of U.S. Food and Drug Administration approval for the indication, thoracic endovascular aortic repair (TEVAR) has replaced open surgical management for acute complicated type B aortic dissection due to promising short- and midterm data. However, long-term results, with a view toward durability and need for secondary procedures, are limited. As such, the objective of the present study is to report long-term outcomes of TEVAR for acute (≤2 weeks from symptom onset) complicated type B dissection.

01 enero 2014

JOURNAL OF VASCULAR SURGERY. Aortic arch debranching and thoracic endovascular repair

Paola De Rango, MD, PhD , Piergiorgio Cao, MD, FRCS , Ciro Ferrer, MD , Gioele Simonte, MD , Carlo Coscarella, MD , Enrico Cieri, MD, PhD , Gabriele Pogany, MD , Fabio Verzini, MD, PhD

Objective: Currently, the best approach to the aortic arch remains unsupported by robust evidence. Most of the available data rely on small sample numbers, heterogeneous settings, and limited follow-up. The objective of this study was to evaluate early and midterm results of arch debranching and endovascular procedures.

01 enero 2014

JOURNAL OF VASCULAR SURGERY. Utility of direct angiosome revascularization and runoff scores in predicting outcomes in patients undergoing revascularization for critical limb ischemia

Marcus R. Kret, MD , David Cheng, MD , Amir F. Azarbal, MD , Erica L. Mitchell, MD , Timothy K. Liem, MD , Gregory L. Moneta, MD , Gregory J. Landry, MD

Objective: Both runoff scores and direct (DR) vs indirect revascularization (IR) according to pedal angiosomes have unclear impact on outcome for patients with critical limb ischemia (CLI). We compared DR vs IR and runoff scores in CLI patients undergoing infrapopliteal bypass for foot wounds.

01 enero 2014

JOURNAL OF VASCULAR SURGERY. Comparison of surgical bypass with angioplasty and stenting of superficial femoral artery disease

Mahmoud B. Malas, MD, MHS , Ngozi Enwerem, MBBS , Umair Qazi, MD, MPH , Brendan Brown, MPH , Eric B. Schneider, PhD , Thomas Reifsnyder, MD , Julie A. Freischlag, MD , Bruce A. Perler, MD

Objective: To evaluate the contemporary outcome of femoral-popliteal bypass compared with angioplasty and stenting in patients with symptomatic peripheral arterial disease (PAD) in terms of patency and reintervention rates.

01 enero 2014

JOURNAL OF VASCULAR SURGERY. Comparison of open and endovascular treatment of acute mesenteric ischemia

Robert J. Beaulieu, MD , K. Dean Arnaoutakis, MD , Christopher J. Abularrage, MD, FACS , David T. Efron, MD, FACS , Eric Schneider, PhD , James H. Black III, MD, FACS

Introduction: Acute mesenteric ischemia (AMI) is a commonly fatal result of inadequate bowel perfusion that requires immediate evaluation by both vascular and general surgeons. Treatment often involves vascular repair as well as bowel resection and the possible need for parenteral nutrition. Little data exist regarding the rates of bowel resection following endovascular vs open repair of AMI.

01 enero 2014

JOURNAL OF VASCULAR SURGERY. Agreement between site-reported and ultrasound core laboratory results for duplex ultrasound velocity measurements in the Carotid Revascularization Endarterectomy versus Stenting Trial

R. Eugene Zierler, MD , Kirk W. Beach, PhD, MD , Robert O. Bergelin, MS , Brajesh K. Lal, MD , Wesley S. Moore, MD , Gary S. Roubin, MD , Jenifer H. Voeks, PhD , Thomas G. Brott, MD , CREST Investigators

Objective: Patients in the Carotid Revascularization Endarterectomy vs Stenting Trial (CREST) had duplex ultrasound (DU) scans prior to treatment and during follow-up to document the severity of carotid disease and the anatomic outcome of carotid endarterectomy (CEA) or carotid artery stenting (CAS). An ultrasound core laboratory (UCL) reviewed DU data from the clinical sites. This analysis was done to determine the agreement between site-reported and UCL-verified DU velocity measurements.

01 enero 2014

JOURNAL OF VASCULAR SURGERY. Carotid stenting versus endarterectomy in patients undergoing reintervention after prior carotid endarterectomy

Margriet Fokkema, MD , Gert Jan de Borst, MD, PhD , Brian W. Nolan, MD , Ruby C. Lo, MD , Robert A. Cambria, MD , Richard J. Powell, MD , Frans L. Moll, MD, PhD , Marc L. Schermerhorn, MD , Vascular Study Group of New England

Background: Outcomes for patients undergoing intervention for restenosis after prior ipsilateral carotid endarterectomy (CEA) in the era of carotid angioplasty and stenting (CAS) are unclear. We compared perioperative results and durability of CAS vs CEA in patients with symptomatic or asymptomatic restenosis after prior CEA and investigated the risk of reintervention compared with primary procedures.

01 enero 2014

JOURNAL OF VASCULAR SURGERY. The impact of the present on admission indicator on the accuracy of administrative data for carotid endarterectomy and stenting

Margriet Fokkema, MD , Rob Hurks, PhD, MD , Thomas Curran, MD , Rodney P. Bensley, MD , Allen D. Hamdan, MD , Mark C. Wyers, MD , Frans L. Moll, MD , Marc L. Schermerhorn, MD

Background: Administrative data are often hampered by coding errors, absent data, and the difficulty of distinguishing pre-existing conditions from perioperative complications. We evaluated whether the introduction of the present on admission (POA) indicator improved outcome analysis of carotid endarterectomy (CEA) and carotid angioplasty and stenting (CAS) using administrative data.

01 enero 2014

JOURNAL OF VASCULAR SURGERY. Statin therapy is associated with improved survival after endovascular and open aneurysm repair

Jorg L. de Bruin, MD , Annette F. Baas, MD, PhD , Martijn W. Heymans, PhD , Mathijs G. Buimer, MD , Monique Prinssen, MD, PhD , Diederick E. Grobbee, MD, PhD , Jan D. Blankensteijn, MD, PhD , DREAM Study Group

Background: The relationship between numerous risk factors and perioperative mortality after cardiovascular surgery has been studied extensively. While improved perioperative survival and fewer cardiovascular events have been related to statin therapy, its effect on long-term survival after aneurysm repair remains to be elucidated. The aim of this study is to determine the effect of statin therapy on long-term survival after open and endovascular aneurysm repair and to identify other cardiovascular and patient-related risk factors in this respect.

01 enero 2014

JOURNAL OF VASCULAR SURGERY. Influence of gender on outcomes after thoracic endovascular aneurysm repair

George J. Arnaoutakis, MD , Eric B. Schneider, PhD , Dean J. Arnaoutakis, MD, MBA , James H. Black III, MD , Ying Wei Lum, MD , Bruce A. Perler, MD, MBA , Julie A. Freischlag, MD , Christopher J. Abularrage, MD

Objective: Previous studies have shown that female gender is associated with increased morbidity and mortality after endovascular abdominal aortic aneurysm repair. The goal of this study was to assess the effect of gender on 30-day outcomes after thoracic endovascular aortic aneurysm repair (TEVAR) using the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database.

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