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ABSTRACT


01 mayo 2015

EUROPEAN JOURNAL OF VASCULAR & ENDOVASCULAR SURGERY. Incidence of Acute Kidney Injury (AKI) after Endovascular Abdominal Aortic Aneurysm Repair (EVAR) and Impact on Outcome

A. Saratzis, N. Melas, A. Mahmood, P. Sarafidis

Background: Acute kidney injury (AKI) is an important post-operative complication that may impact on mortality, morbidity, and cost. The incidence after endovascular aneurysm repair (EVAR) remains unknown, as the current literature has not employed consistent definitions. The aim of this study is to assess the incidence of AKI after elective EVAR and examine the impact of AKI on mortality and cardiovascular morbidity using the current universally accepted definitions.

01 mayo 2015

EUROPEAN JOURNAL OF VASCULAR & ENDOVASCULAR SURGERY. Benefits of Completion 3D Angiography Associated with Contrast Enhanced Ultrasound to Assess Technical Success after EVAR

A. Hertault, B. Maurel, F. Pontana, T. Martin-Gonzalez, R. Spear, J. Sobocinski, I. Sediri, C. Gautier, R. Azzaoui, M. Rémy-Jardin, S. Haulon

Objectives: This study evaluated a new strategy to assess technical success after standard and complex endovascular aortic repair (EVAR), combining completion contrast enhanced cone beam computed tomography (ceCBCT) and post-operative contrast enhanced ultrasound (CEUS).

01 mayo 2015

EUROPEAN JOURNAL OF VASCULAR & ENDOVASCULAR SURGERY. Predictors of Delayed Wound Healing after Endovascular Therapy of Isolated Infrapopliteal Lesions Underlying Critical Limb Ischemia in Patients with High Prevalence of Diabetes Mellitus and Hemodialysis

T. Shiraki, O. Iida, M. Takahara, Y. Soga, Y. Yamauchi, K. Hirano, D. Kawasaki, M. Fujihara, M. Utsunomiya, J. Tazaki, T. Yamaoka, Y. Shintani, N. Suematsu, K. Suzuki, Y. Miyashita, T. Tsuchiya, M. Uematsu

Objectives: Acceptable limb salvage rates underlie the widespread use of endovascular therapy (EVT) for patients with critical limb ischemia (CLI) secondary to isolated infrapopliteal lesions; however, post-EVT delayed wound healing remains a challenge. Predictors of delayed wound healing and their use in risk stratification of EVT in patients with CLI due to isolated infrapopliteal lesions are explored.

01 abril 2015

EUROPEAN JOURNAL OF RADIOLOGY. The blood flow channel index as novel predictor of abdominal aortic aneurysm impending rupture based on the intraluminal thrombus angio-CT study

Ireneusz Wiernicki, Pawel Szumilowicz, Arkadiusz Kazimierczak, Aleksander Falkowski, Donald Rutkowski, Piotr Gutowski

Objective: In this study the hypothesis that the thickness of the thinnest part of the thrombus, combined with bleeding into the intraluminal thrombus (ILT), is associated with a possible higher risk of abdominal aortic aneurysm (AAA) rupture was investigated, independently of aneurysm diameter, by using angio-CT. This article describes blood flow channel index based on the CT imaging findings that may help identify impending rupture prior to complete rupture.

01 mayo 2015

JOURNAL OF VASCULAR SURGERY. Suprarenal versus infrarenal stent graft fixation on renal complications after endovascular aneurysm repair

Larry E. Miller, PhD, Mahmood K. Razavi, MD, Brajesh K. Lal, MD

Objective: The effect of stent graft fixation type on renal function after endovascular aneurysm repair (EVAR) remains controversial. This systematic review and meta-analysis was conducted to determine whether suprarenal (SR) or infrarenal (IR) fixation influences the risk of renal complications after EVAR.

01 mayo 2015

JOURNAL OF VASCULAR SURGERY. Geometrical consequences of kissing stents and the Covered Endovascular Reconstruction of the Aortic Bifurcation configuration in an in vitro model for endovascular reconstruction of aortic bifurcation

Erik Groot Jebbink, MSc, Frederike A.B. Grimme, MD, Peter C.J.M. Goverde, MD, Jacques A. van Oostayen, MD, Cornelis H. Slump, PhD, Michel M.P.J. Reijnen, MD, PhD

Objective: Kissing stents (KS) are commonly used to treat aortoiliac occlusive disease, but patency results are often lower than those of isolated stents. The Covered Endovascular Reconstruction of the Aortic Bifurcation (CERAB) technique was recently introduced to reconstruct the aortic bifurcation in a more anatomical and physiological fashion. The aim of this study is to compare the geometrical consequences of various stent configurations in vitro.

01 mayo 2015

JOURNAL OF VASCULAR SURGERY. Assessment of abdominal branch vessel patency after bare-metal stenting of the thoracoabdominal aorta in a human ex vivo model of acute type B aortic dissection

Elsa Madeleine Faure, MD, Ludovic Canaud, MD, PhD, Philippe Cathala, MD, Isabelle Serres, MD, Charles Marty-Ané, MD, PhD, Pierre Alric, MD, PhD

Objective: The purpose of this study was to assess the efficiency of bare-metal stenting of the thoracoabdominal aorta in a human ex vivo model of acute type B aortic dissection and the impact of this approach on the patency of the visceral and renal arteries.

01 mayo 2015

JOURNAL OF VASCULAR SURGERY. Effect of perioperative complications after endovascular therapy in patients with peripheral artery disease due to femoropopliteal lesions

Kei Sato, MD, Osamu Iida, MD, Mitsuyoshi Takahara, MD, PhD, Yoshimitsu Soga, MD, Kenji Suzuki, MD, Takashi Tanigawa, MD, PhD, Masaaki Ito, MD, PhD, Masaaki Uematsu, MD, PhD

Objective: Despite wide use, high initial success, and acceptable durability of endovascular therapy (EVT) for femoropopliteal (FP) lesions, the frequency of 30-day perioperative complications (POCs) and their effect on clinical outcomes have not been systematically evaluated, which is the subject of this study.

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. 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.

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