Cognitive impairment in asymptomatic carotid artery stenosis is associated with abnormal segments in the Circle of Willis
Our group has previously demonstrated that patients with asymptomatic carotid artery stenosis (ACAS) demonstrate cognitive impairment. One proposed mechanism for cognitive impairment in patients with ACAS is cerebral hypoperfusion due to flow-restriction. We tested whether the combination of a high-grade carotid stenosis and inadequate cross-collateralization in the Circle of Willis (CoW) resulted in worsened cognitive impairment. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 4, 2024 Category: Surgery Authors: S.K. Desikan, B. Brahmbhatt, J. Patel, A. Kankaria, J. Anagnostakos, M. Dux, K. Beach, V.L. Gray, T. McDonald, C. Crone, S. Sikdar, J.D. Sorkin, B.K. Lal Source Type: research
Infrarenal Aortic Aneurysm in a Patient with Remote History of Liver Transplant with Aorto-Hepatic Conduit
A 72-year-old male with a past medical history of hypertension, peripheral artery disease, and cadaveric liver transplant twenty-seven years prior for hepatitis C induced liver failure was found to have an asymptomatic ten cm infrarenal abdominal aortic aneurysm (AAA) during a CT scan for evaluation of genitourinary symptoms (Image A, Video 1). Notably, the Dacron aorto-hepatic conduit used for the transplant came off mid-aneurysm, making any method of repair especially challenging (Image B/Cover). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 3, 2024 Category: Surgery Authors: Moira A. McGevna, Anne Pierce, James Y. Lu, Aryan Borole, Kristen Lee, William E. Beckerman Source Type: research
Five-year follow-up of randomized clinical trial for pre-emptive inferior mesenteric artery embolization during endovascular aneurysm repair
This study aimed to prove the validity of IMA embolization during EVAR in selective cases by analyzing the mid-term outcomes of a randomized clinical trial (RCT). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - May 2, 2024 Category: Surgery Authors: Yuriko Takeuchi, Noriyasu Morikage, Makoto Samura, Ryunosuke Sakamoto, Soichi Ike, Takahiro Mizoguchi, Takasuke Harada, Hiroshi Kurazumi, Ryo Suzuki, Kotaro Suehiro, Kimikazu Hamano Source Type: research
Earned Outcomes Correlate with Reliability-Adjusted Surgical Mortality after Abdominal Aortic Aneurysm Repair and Predict Future Performance
Cumulative, probability-based metrics are regularly used to measure quality in professional sports, but these methods have not been applied to health care delivery. These techniques have the potential to be particularly useful in describing surgical quality, where case volume is variable and outcomes tend to be dominated by statistical “noise”. The established statistical technique used to adjust for differences in case volume is reliability-adjustment which emphasizes statistical “signal”but has several limitations. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 30, 2024 Category: Surgery Authors: Douglas W. Jones, Jessica P. Simons, Nicholas H. Osborne, Marc Schermerhorn, Justin B. Dimick, Andres Schanzer Source Type: research
Mid-aortic syndrome with major mesenteric collaterals
A 91-year-old woman was presented to our emergency room with left rib fractures because of a fall. Plain computed tomography incidentally revealed abdominal vascular abnormalities; hence, the patient was referred to our department. At the age of 77 years, she was diagnosed with mid-aortic syndrome (MAS) with intermittent claudication. During that period, enhanced computed tomography angiography showed infrarenal discontinuity of the abdominal aorta and major collateral arteries from the superior to inferior mesenteric artery (A, B). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 29, 2024 Category: Surgery Authors: Kensuke Kobayashi, Yusuke Mizuno Source Type: research
The effect of the collateral cerebrovascular circulation on tolerance to carotid artery cross-clamping and on early outcome after carotid endarterectomy
The Circle of Willis (CoW) serves as the primary source of contralateral blood supply in patients who undergo carotid artery cross-clamping (CC) for carotid endarterectomy (CEA). It has been suggested that CoW ’s anatomy influences CEA outcomes. The aim of this study was to evaluate associations between the cerebral collateral circulation, a positive awake test for intraoperative neurologic deficit after carotid CC and postoperative adverse neurologic events. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 26, 2024 Category: Surgery Authors: Piotr Myrcha, Filipe Pinheiro, Jo ão Rocha-Neves, Jakub Myrcha, Peter Gloviczki Source Type: research
Early survival benefit of a low-profile endograft in blunt traumatic aortic injury
To demonstrate the safety and effectiveness of a low-profile thoracic endograft (19-23 French) in subjects with blunt traumatic aortic injury. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 25, 2024 Category: Surgery Authors: Benjamin W. Starnes, Ravi R. Rajani, Peter Rossi, Niten Singh, Jaime Benarroch-Gampel, Jae S. Cho, Naiem Nassiri, Matthew R. Smeds, Venkat Kalapatapu, Jordan R. Stern, Nii-Kabu Kabutey, Joel Corvera, RelayPro Investigators Source Type: research
The Role of Number of Affected Vessels on Radiologic and Clinical Outcomes of Patients with Blunt Cerebrovascular Injury
There is a lack of data on the role of characteristics of injured vessels on the outcomes of patients with blunt cerebrovascular injuries (BCVIs). The aim of this study was to assess the effect of the number (single vs multiple) of injured vessels on outcomes. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 25, 2024 Category: Surgery Authors: Hamidreza Hosseinpour, Louis J. Magnotti, Dih-Dih Huang, Jordan A. Weinberg, Andrew Tang, Omar Hejazi, Collin Stewart, Sai Krishna Bhogadi, Tanya Anand, Bellal Joseph Source Type: research
Prosthetic Outcomes after Amputation and the Impact of Mobility Level on Survival
Lower extremity amputation continues to be necessary in a significant number of patients with peripheral vascular disease. The 5 year survival following lower limb loss is markedly reduced. Many of these patients are never fitted with a prosthesis and there is a dearth of knowledge regarding the barriers to prosthetic attainment. The goal of this study was to identify the risk factors for not receiving a prosthesis and the effect of mobility level on survival following major amputation. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 23, 2024 Category: Surgery Authors: William Shutze, Dennis Gable, Gerald Ogola, John Eidt Source Type: research
Implications and Late Outcomes of Type II Endoleaks After Endovascular Aneurysm Repair
Type II endoleaks (T2EL) are the most common cause of reintervention after endovascular aneurysm repair (EVAR). While most resolve spontaneously, the long-term implications of T2EL remain elusive. We aim to evaluate the impact of persistent and late T2EL on clinical outcomes after EVAR. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 22, 2024 Category: Surgery Authors: Sebastian Cifuentes, Armin Tabiei, Bernardo C. Mendes, Nolan C. Cirillo-Penn, Diego V.S. Rodrigues, Jill J. Colglazier, Todd E. Rasmussen, Fahad Shuja, Manju Kalra, Melinda S. Schaller, Jonathan J. Morrison, Robert A. Vierkant, Randall R. DeMartino Source Type: research
Occurrence, Predictors, and Management of Late Vascular Complications following Extracorporeal Membrane Oxygenation
Vascular complications (VC) associated with Extracorporeal Membrane Oxygenation (ECMO) during index hospitalization are prevalent and associated with increased mortality. Few studies have evaluated late VC following ECMO; this study aims to assess occurrence and management practices of late VC following discharge. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 22, 2024 Category: Surgery Authors: C Adam Banks, Juliet Blakeslee-Carter, Veronica Nkie, Emily L. Spangler, Shasha A. Still, Kyle W. Eudailey, Samuel K. McElwee, Margaret S. Blood, Zdenek Novak, Adam W. Beck Source Type: research
Influence of Inframalleolar Modifier P0/P1 on Wound Healing in Bypass Surgery versus Endovascular Therapy in Patients with Chronic Limb-Threatening Ischemia
This study aimed to compare the influence of inframalleolar (IM) P0/P1 on wound healing in bypass surgery versus endovascular therapy (EVT) in patients with chronic limb-threatening ischemia (CLTI). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 20, 2024 Category: Surgery Authors: Koichi Morisaki, Daisuke Matsuda, Atsushi Guntani, Go Kinoshita, Shinichiro Yoshino, Kentaro Inoue, Kenichi Honma, Terutoshi Yamaoka, Shinsuke Mii, Tomoharu Yoshizumi Source Type: research
Carotid Endarterectomy and Transcarotid Artery Revascularization can be Performed with Acceptable Morbidity and Mortality in Patients with Chronic Kidney Disease
Patients with chronic kidney disease (CKD) are considered a high-risk population, and the optimal approach to the treatment of carotid disease remains unclear. Thus, we compared outcomes following carotid revascularization for patients with CKD by operative approach of carotid endarterectomy (CEA), transfemoral carotid artery stenting (TFCAS), and transcarotid arterial revascularization (TCAR). (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 20, 2024 Category: Surgery Authors: Norma Elizaga, Rahul Ghosh, Nallely Saldana-Ruiz, Marc Schermerhorn, Peter Soden, Kirsten Dansey, Sara L. Zettervall Source Type: research
Pedal medial arterial calcification influences the outcomes of isolated infra-malleolar interventions for chronic limb-threatening ischemia
This study aimed to examine the impact of pMAC on the outcomes after isolated infra-malleolar (pedal artery) interventions. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 19, 2024 Category: Surgery Authors: Tracy J. Cheun, Joseph P. Hart, Mark G. Davies Source Type: research
Prior authorization must make patient care the priority!
Prior authorization (PA) was designed and promoted as a cost-containment measure to ensure appropriate and cost-effective medical services. Sadly, it has become a tedious and time-consuming bureaucratic process that delays or impedes health care delivery. Although Medicare has relatively few PA requirements, Medicare Advantage (MA) programs and private carriers have their own process, and with more of our patients enrolling into these programs, we must be cognizant of this impact. (Source: Journal of Vascular Surgery)
Source: Journal of Vascular Surgery - April 18, 2024 Category: Surgery Authors: Francesco Aiello Tags: Invited commentary Source Type: research
