01 febrero 2013

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY. Cost-Effectiveness Analysis of Infrapopliteal Drug-Eluting Stents

Konstantinos Katsanos, Dimitris Karnabatidis, Athanasios Diamantopoulos, Stavros Spiliopoulos, Dimitris Siablis

Introduction: There are no cost-utility data about below-the-knee placement of drug-eluting stents. The authors determined the cost-effectiveness of infrapopliteal drug-eluting stents for critical limb ischemia (CLI) treatment.

01 febrero 2013

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY. Angioplasty and Provisional Stent Treatment of Common Femoral Artery Lesions

Robert F. Bonvini, MD , Aljoscha Rastan, MD , Sebastian Sixt, MD , Ulrich Beschorner, MD , Elias Noory, MD , Thomas Schwarz, MD , Marco Roffi, MD , Pierre-André Dorsaz, PhD , Uwe Schwarzwälder, MD , Karlheinz Bürgelin, MD , Roland Macharzina, MD , Thomas Zeller, MD

Purpose: Isolated atherosclerotic common femoral artery (CFA) disease is a rare cause of symptomatic peripheral arterial disease. Although surgical endarterectomy is considered the therapy of choice, little is known about outcomes of percutaneous treatment.

01 febrero 2013

JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY. Subintimal Recanalization of Peripheral Chronic Occlusive Arterial Disease with Modified Transseptal Needle

Fernando Gastaldo, MD , Prasanna Tirukonda, FRCR , Gordon Yip, MD, FRCPC , Michael Patlas, MD

Purpose: To report an alternative technique of subintimal recanalization of chronically occluded lower-extremity arteries using a modified transseptal needle (MTSN) to reenter the true lumen.

01 febrero 2013

JOURNAL OF ENDOVASCULAR THERAPY. Endovascular Treatment for Extensive Aortoiliac Artery Reconstruction: A Single-Center Experience Based on 1712 Interventions

Sebastian Sixt, MD; Hans Krankenberg, MD; Charlotte Möhrle, MD; Mathias Kaspar, MD; Thilo Tübler, MD; Aljoscha Rastan, MD; Klaus Brechtel, MD; Roland Macharzina, MD; Franz-Josef Neumann, MD; and Thomas Zeller, MD

Purpose: To determine the clinical and technical outcomes following endovascular therapy for aortoiliac occlusive disease, including complex reconstruction of the aortic bifurcation.

01 febrero 2013

JOURNAL OF ENDOVASCULAR THERAPY. Direct Percutaneous Puncture Embolization of Type II Endoleaks Using a Coaxial Technique

Yoshiaki Katada, MD, PhD; Shunichi Kondo, MD, PhD; Shoichi Takahashi, MD, PhD; Yohei Okita, MD; Akihito Kagoshima, MD; Kyu Rokkaku, MD, PhD and Miwako Nozaki, MD, PhD

Purpose: To demonstrate a coaxial needle technique for direct percutaneous puncture embolization of type II endoleaks.

01 febrero 2013

JOURNAL OF VASCULAR SURGERY. Outcomes of an abdominal aortic aneurysm screening program

Kevin C. Chun, BS, Kai Y. Teng, BS, Elyse N. Van Spyk, BS, John G. Carson, MD, Eugene S. Lee, MD, PhD

Objective: In 2007, Medicare guidelines were established to identify persons at risk for the presence of an abdominal aortic aneurysm (AAA). The purpose of this study is to evaluate the 5-year outcomes of an AAA screening program in a regional Veterans Affairs (VA) health care system.

01 febrero 2013

JOURNAL OF VASCULAR SURGERY. Chimney grafts preserve visceral flow and allow safe stenting of juxtarenal aortic occlusion

Adel Bin Jabr, MD, Björn Sonesson, MD, PhD, Bengt Lindblad, MD, PhD, Nuno Dias, MD, PhD, Tim Resch, MD, PhD, Martin Malina, MD, PhD

Objective: Chimney grafts have proven useful for urgent endovascular repair of juxtarenal aortic aneurysms. Stenting of juxtarenal aortic occlusive disease is not routinely advocated due to the risk of visceral artery obstruction. We report on the potential applicability of chimney grafts in 10 patients with juxtarenal aortic stenosis or occlusion. To our best knowledge, chimney grafts have not been applied previously in this challenging setting.

01 febrero 2013

JOURNAL OF ENDOVASCULAR THERAPY. Evaluation of Below-the-Knee Drug-Eluting Stents With Frequency-Domain Optical Coherence Tomography: Neointimal Hyperplasia and Neoatherosclerosis

Ioannis Paraskevopoulos, MD; Stavros Spiliopoulos, MD, PhD, EBIR; Periklis Davlouros, MD, PhD; Dimitrios Karnabatidis, MD, PhD, EBIR; Konstantinos Katsanos, MSc, MD, PhD, EBIR; Dimitrios Alexopoulos, MD, PhD and Dimitrios Siablis, MD, PhD, EBIR

Purpose: To report the use of intravascular frequency-domain optical coherence tomography (FD-OCT) to detect and characterize in-stent neointimal tissue following infrapopliteal drug-eluting stent (DES) placement in patients suffering from critical limb ischemia.

01 febrero 2013

JOURNAL OF ENDOVASCULAR THERAPY. Endovascular Repair of Ascending Aortic Aneurysm by Transapical Approach and Periscope Technique

Hans Krankenberg, MD1 ; Ralf Bader, MD 2 ; Sebastian Sixt, MD; Thilo Tübler, MD; Carsten Schwencke, MD; Dietmar Kivelitz, MD; Ashrat Rad, MD; Michael Caspary, MD and Thomas Zeller, MD

Purpose: To demonstrate transapical stent-graft implantation for the treatment of an ascending aortic aneurysm simultaneously using the periscope technique for all supra-aortic branches.

01 enero 2013

JOURNAL OF VASCULAR SURGERY. Patterns of femoropopliteal recurrence after routine and selective stenting endoluminal therapy

Misaki M. Kiguchi, MD, MBA, Luke K. Marone, MD, Rabih A. Chaer, MD, Daniel G. Winger, MS, Zhen Yu Shi, MD, Rolando I. Celis, MD, Michel S. Makaroun, MD, Robert Y. Rhee, MD

Objective: This study determined the incidence and characteristics of recurrent disease after femoropopliteal angioplasty, following either selective or routine stenting of diseased site(s).

01 febrero 2013

JOURNAL OF VASCULAR SURGERY. Comparison of fenestrated endovascular and open repair of abdominal aortic aneurysms not suitable for standard endovascular repair

Rana Canavati, MBBS, MRCS , Alistair Millen, MBBS, MRCS , John Brennan, MD, FRCS , Robert K. Fisher, MD, FRCS , Richard G. McWilliams, EBIR, FRCR , Jagjeeth B. Naik, MD, FRCS , Srinivasa R. Vallabhaneni, MD, FRCS, EBSQ-Vasc

Background: Abdominal aortic aneurysms that are unsuitable for a standard endovascular repair (EVAR) could be considered for fenestrated endovascular repair (f-EVAR). The aim of this study was to conduct a risk-adjusted retrospective concurrent cohort comparison of f-EVAR and open repair for such aneurysms.

01 febrero 2013

JOURNAL OF ENDOVASCULAR THERAPY. Neck Remodeling Using the Amplatzer Vascular Plug to Facilitate Endovascular Repair of a Contained Abdominal Aortic Rupture

Roberto Gandini, MD; Enrico Pampana, MD; Matteo Stefanini, MD; Sergio Spano, MD; Fabio Martinelli, MD; Daniele Citraro, MD; and Giovanni Simonetti, MD

Purpose: To describe the use of an Amplatzer Vascular Plug to facilitate endovascular aneurysm repair (EVAR) in a renal transplantation recipient with contained rupture of an abdominal aortic aneurysm (AAA).

01 enero 2013

JOURNAL OF VASCULAR SURGERY. A meta-analysis of endovascular versus surgical reconstruction of femoropopliteal arterial disease

George A. Antoniou, MD, PhD, Nicholas Chalmers, FRCR, George S. Georgiadis, MD, Miltos K. Lazarides, MD, EBSQvasc, Stavros A. Antoniou, MD, Ferdinand Serracino-Inglott, MD, MSc, FRCS, J. Vincent Smyth, ChM, FCRS, David Murray, MD, FRCS

Background: Controversy exists as to the relative merits of surgical and endovascular treatment of femoropoliteal arterial disease.

01 enero 2013

JOURNAL OF VASCULAR SURGERY. An outcome analysis of endovascular versus open repair of blunt traumatic aortic injuries

Ali Azizzadeh, MD, Kristofer M. Charlton-Ouw, MD, Zhongxue Chen, PhD, Mohammad H. Rahbar, PhD, Anthony L. Estrera, MD, Hammad Amer, MD, Sheila M. Coogan, MD, Hazim J. Safi, MD

Background: Aortic injury is the second most common cause of death after blunt trauma. Thoracic endovascular aortic repair (TEVAR) has been rapidly adopted as an alternative to the traditional open repair (OR) for treatment of traumatic aortic injury (TAI). This paradigm shift has improved the outcomes in these patients. This study evaluated the outcomes of TEVAR compared with OR for patients with TAI.

01 febrero 2013

JOURNAL OF VASCULAR SURGERY. Differential outcomes of carotid stenting and endarterectomy performed exclusively by vascular surgeons in the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST)

Carlos H. Timaran, MD , Vito A. Mantese, MD , Mahmoud Malas, MD , O. William Brown, MD , Brajesh K. Lal, MD , Wesley S. Moore, MD , Jenifer H. Voeks, PhD , Thomas G. Brott, MD , CREST Investigators

Objective: Outcomes in the Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) did not differ between carotid artery stenting (CAS) and carotid endarterectomy (CEA) for the composite primary end point of stroke, myocardial infarction (MI), or death during the periprocedural period or ipsilateral stroke within 4 years. Rigorous credentialing and training of interventionists, including vascular surgeons, were required for the randomization phase of CREST. Because the lead-in phase of CREST had suggested higher perioperative risks after CAS performed by vascular surgeons, the purpose of this analysis was to examine differences in outcomes after randomization between CAS and CEA performed by vascular surgeons.