01 abril 2015

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY. Source of Errors and Accuracy of a Two-Dimensional/Three-Dimensional Fusion Road Map for Endovascular Aneurysm Repair of Abdominal Aortic Aneurysm

Claude Kauffmann, PhD , Frédéric Douane, MD , Eric Therasse, MD , Simon Lessard, PhD , Stephane Elkouri, MD , Patrick Gilbert, MD , Nathalie Beaudoin, MD , Marcus Pfister, PhD , Jean François Blair, MD , Gilles Soulez, MD, MSc

Purpose: To evaluate the accuracy and source of errors using a two-dimensional (2D)/three-dimensional (3D) fusion road map for endovascular aneurysm repair (EVAR) of abdominal aortic aneurysm.

01 abril 2015

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY. Femoral Artery Access Using the US-Determined Inguinal Ligament and Femoral Head as Reliable Landmarks: Prospective Study of Usefulness and Safety

Seong Jong Yun, MD , Deok Ho Nam, MD, Jung Kyu Ryu, MD

Purpose: To evaluate ultrasound (US)-guided femoral artery access using the US-determined inguinal ligament (IL; US-IL) and femoral head as anatomic landmarks to prevent “high stick” (ie, cannulation above the IL) of the common femoral artery (CFA).

01 marzo 2015

JOURNAL OF VASCULAR SURGERY. A systematic review of treatment of intermittent claudication in the lower extremities

Rafael D. Malgor, MD, Fares Alalahdab, MD, Tarig A. Elraiyah, MBBS, Adnan Z. Rizvi, MD, Melanie A. Lane, BA, Larry J. Prokop, MLS, Olivia J. Phung, PharmD, Wigdan Farah, MBBS, Victor M. Montori, MD, MSc, Michael S. Conte, MD, Mohammad Hassan Murad, MD, MPH

Background: Peripheral arterial disease is common and is associated with significant morbidity and mortality.

01 marzo 2015

JOURNAL OF VASCULAR SURGERY. Transradial approach for percutaneous intervention of malfunctioning arteriovenous accesses

Linda Le, MD, Ashton Brooks, MBBS, Melissa Donovan, MD, Taylor A. Smith, MD, W. Charles Sternbergh III, MD, Hernan A. Bazan, MD

Objective: Interventions on arteriovenous (AV) access are typically performed with a direct puncture into the fistula. An alternative is the transradial approach (TRA), which offers the advantage of visualizing both the arterial and venous limbs as well as any juxta-anastomotic stenosis, all through one access.

01 marzo 2015

JOURNAL OF VASCULAR SURGERY. A randomized clinical trial of endovenous laser ablation versus conventional surgery for small saphenous varicose veins

Sandip Nandhra, MBBS, MRCS, Joseph El-sheikha, MBBS, MRCS, Daniel Carradice, MBChB, MD, MRCS, Tom Wallace, MBChB, MRCS, Panos Souroullas, MBBS, MRCS, Nehemiah Samuel, MBChB, MD, MRCS, George Smith, MBBS, MD, MRCS, Ian C. Chetter, MBChB, MD, FRCS

Background: This randomized clinical trial compared endovenous laser ablation (EVLA) and surgical ligation with attempted stripping in the treatment of small saphenous vein (SSV) insufficiency. The early results demonstrated that EVLA was more likely to eradicate axial reflux and was also associated with a faster recovery, lower periprocedural pain, and fewer sensory complications. The aim of this 2-year follow-up was to establish whether these benefits remained stable over time and whether these improved technical outcomes were associated with less clinical recurrence.

01 marzo 2015

JOURNAL OF VASCULAR SURGERY. Open repair of asymptomatic popliteal artery aneurysm is associated with better outcomes than endovascular repair

Mohammad H. Eslami, MD, Denis Rybin, MS, Gheorghe Doros, PhD, Alik Farber, MD

Objective: Open (OPAR) and endovascular (EPAR) repair are both used to treat popliteal artery aneurysm (PAA). We assessed outcomes of both modalities in the treatment of asymptomatic PAAs.

01 marzo 2015

JOURNAL OF VASCULAR SURGERY. Comparison of popliteal artery aneurysm therapies

Francisco Javier Serrano Hernando, MD, PhD, Isaac Martínez López, MD, Manuela María Hernández Mateo, MD, Manuel Hernando Rydings, MD, Luis Sánchez Hervás, MD, Rodrigo Rial Horcajo, MD, Guillermo Moñux Ducajú, MD, PhD, Antonio Martín Conejero, MD

Objective: Surgical treatment of popliteal artery aneurysms (PAAs) has advanced over time. Constant development of new endovascular techniques has converted these into the most attractive methods available today. However, results for each endovascular procedure are still limited, and available data have emerged from studies examining only a small number of cases. The present retrospective review was designed to examine early and late results for PAA treatment and to identify possible factors associated with graft patency.

01 marzo 2015

JOURNAL OF VASCULAR SURGERY. Abdominal compartment syndrome associated with endovascular and open repair of ruptured abdominal aortic aneurysms

Chen Rubenstein, MD, Gabriel Bietz, MBChB, Daniel L. Davenport, PhD, Michael Winkler, MD, Eric D. Endean, MD

Background: Abdominal compartment syndrome (ACS) is a known complication of ruptured abdominal aortic aneurysm (rAAA) repair and can occur with either endovascular (EVAR) or open repair. We hypothesize that the underlying mechanism for the development of ACS may differ for patients treated with EVAR or open operation.

01 marzo 2015

JOURNAL OF VASCULAR SURGERY. Durability and survival are similar after elective endovascular and open repair of abdominal aortic aneurysms in younger patients

Kevin Lee, MD, Elaine Tang, Luc Dubois, MD, MSc, Adam H. Power, MPhil (Cantab), Guy DeRose, MD, Thomas L. Forbes

Objective: The role of endovascular repair (EVAR) of aortic aneurysms in young patients is controversial. The purpose of this study was to determine the long-term outcomes and reintervention rates in patients 60 years of age or younger who underwent elective open or endovascular repair of an abdominal aortic aneurysm.

01 marzo 2015

JOURNAL OF VASCULAR SURGERY. Intravascular ultrasound is a critical tool for accurate endograft sizing in the management of blunt thoracic aortic injury

Gabriel A. Wallace, MD, Benjamin W. Starnes, MD, Thomas S. Hatsukami, MD, Michael Sobel, MD, Niten Singh, MD, Nam T. Tran, MD

Background: Accurate measurement of true aortic luminal diameter (ALD) is critical for endograft sizing in endovascular treatment of blunt thoracic aortic injury (BTAI), but ALD is dynamic and changes with respect to patients´ hemodynamic status. This study aimed to characterize how ALD at the time of diagnosis of BTAI compares with ALD at the time of endovascular repair and later at follow-up.

01 marzo 2015

JOURNAL OF VASCULAR SURGERY. Lower extremity weakness after endovascular aneurysm repair with multibranched thoracoabdominal stent grafts

Julia D. Sobel, BS, Shant M. Vartanian, MD, Warren J. Gasper, MD, Jade S. Hiramoto, MD, Timothy A.M. Chuter, DM, Linda M. Reilly, MD

Objective: We conducted our study to describe the incidence, presentation, management, risk factors, and outcomes of lower extremity weakness (LEW) after elective endovascular aneurysm repair with multibranched thoracoabdominal stent grafts.

01 marzo 2015

JOURNAL OF VASCULAR SURGERY. Fenestrated endovascular repair of abdominal aortic aneurysms is associated with increased morbidity but comparable mortality with infrarenal endovascular aneurysm repair

Natalia O. Glebova, MD, PhD, Shalini Selvarajah, MD, MPH, Kristine C. Orion, MD, James H. Black III, MD, Mahmoud B. Malas, MD, MHS, Bruce A. Perler, MD, MBA, Christopher J. Abularrage, MD

Objective: A recent prospective study found that fenestrated endovascular abdominal aortic aneurysm (AAA) repair (FEVAR) was safe and effective in appropriately selected patients at experienced centers. As this new technology is disseminated to the community, it will be important to understand how this technology compares with standard endovascular AAA repair (EVAR). The goal of this study was to compare the outcomes of FEVAR vs EVAR of AAAs.

01 marzo 2015

JOURNAL OF VASCULAR SURGERY. Cost analysis of endovascular versus open repair in the treatment of thoracic aortic aneurysms

Jacob R. Gillen, MD, Basil W. Schaheen, MD, Kenan W. Yount, MD, MBA, Kenneth J. Cherry, MD, John A. Kern, MD, Irving L. Kron, MD, Gilbert R. Upchurch Jr., MD, Christine L. Lau, MD, MBA

Objective: For descending thoracic aortic aneurysms (TAAs), it is generally considered that thoracic endovascular aortic repairs (TEVARs) reduce operative morbidity and mortality compared with open surgical repair. However, long-term differences in survival of patients have not been demonstrated, and an increased need for aortic reintervention has been observed. Many assume that TEVAR becomes less cost-effective through time because of higher rates of reintervention and surveillance imaging. This study investigated midterm outcomes and hospital costs of TEVAR compared with open TAA repair.

01 febrero 2015

JOURNAL OF VASCULAR SURGERY. Carbon dioxide digital subtraction angiography as an option for detection of endoleaks in endovascular abdominal aortic aneurysm repair procedure

Eijun Sueyoshi, MD, Hiroki Nagayama, MD, Ichiro Sakamoto, MD, Masataka Uetani, MD

Objective: The purpose of this study was to evaluate carbon dioxide digital subtraction angiography (CO2-DSA) as an option for the detection of endoleaks (ELs) in the endovascular abdominal aortic aneurysm repair (EVAR) procedure.

01 febrero 2015

JOURNAL OF VASCULAR SURGERY. Endovascular balloon occlusion is associated with reduced intraoperative mortality of unstable patients with ruptured abdominal aortic aneurysm but fails to improve other outcomes

Maxime Raux, MDcorrespondenceemail, Jean Marzelle, MD, Hicham Kobeiter, MD, PhD, Gilles Dhonneur, MD, Eric Allaire, MD, PhD, Frédéric Cochennec, MD, Jean-Pierre Becquemin, MD, PhD, Pascal Desgranges, MD, PhD

Background: Proximal aortic control by endovascular balloon occlusion (EBO) is an alternative to conventional aortic cross-clamping (CAC) in hemodynamically unstable patients presenting with a ruptured abdominal aortic aneurysm (rAAA). The aim of this study was to evaluate the potential clinical benefit of EBO over CAC.