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Arteriovenous Fistula Outcomes After Local Vascular Delivery of a Sirolimus Formulation
In the United States, 39% of arteriovenous fistulas (AVFs) fail to mature; for the remaining 61%, the median time to “first use” of the AVF is 108 days (United States Renal Data System, 2018). In the United States, on average, 25% of AVFs are functional by day 90, and approximately 50% of AVFs are functionally durable at later time points (range, 38%-65%; United States Renal Data System, 2018). Uncontrolled c ell proliferation at and around the anastomosis (juxta-anastomotic segment) of an AVF causing a flow-limiting stenosis is an important cause of maturation failure.
Source: Journal of Vascular Surgery - July 22, 2019 Category: Surgery Authors: Daniel Clair, Michael Moritz, Jason Burgess, Karl Illig, Stefan Moldovan, Justin Parden, John Ross, Sri Iyer Tags: Abstract from the 2019 Eastern Vascular Society Annual Meeting Source Type: research
Looking forward through the past and changing me to we in the evolution of team-based vascular care
Being president of the Society for Vascular Surgery (SVS) is the highlight of my career, not only professionally but personally for me, for my family, and for my partners in Albany. I would like to thank Michel Makaroun for his wonderful introduction, although most of it may not be true. I attended my first SVS meeting when I was 6 years old with my parents, and at that point, it was mostly a scientific spectacle; but for my father, the SVS meeting was much more important than being president of the United States.
Source: Journal of Vascular Surgery - July 22, 2019 Category: Surgery Authors: R. Clement Darling Tags: Presidential address Source Type: research
Gender Composition and Trends of Journal of Cardiothoracic and Vascular Anesthesia Editorial Board Membership: A 33-Year Analysis, 1987-2019
Gender disparities in editorial board composition exist in the vast majority of specialties including anesthesiology. If a similar lack of gender parity exists in cardiothoracic anesthesiology is unknown. The authors examined the gender composition and trends of the Journal of Cardiothoracic and Vascular Anesthesia (JCVA) editorial board from the initial year of its publication (1987) to 2019. The authors tested the hypothesis that the proportion of women serving on the JCVA editorial board has steadily increased over the journal's history, but women are underrepresented compared with the percentage of those currently prac...
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 11, 2019 Category: Anesthesiology Authors: Paul S. Pagel, Julie K. Freed, Cynthia A. Lien Tags: Special Article Source Type: research
A similar view from either side of the pond - vascular medicine in the United States.
A similar view from either side of the pond - vascular medicine in the United States.
Vasa. 2019 Nov;48(6):457-459
Authors: Gornik HL, Gray BH
PMID: 31621544 [PubMed - in process]
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - October 19, 2019 Category: Surgery Authors: Gornik HL, Gray BH Tags: Vasa Source Type: research
Race and socioeconomic differences associated with endovascular peripheral vascular interventions for newly diagnosed claudication
Despite guidelines cautioning against the use of endovascular peripheral vascular interventions (PVI) for claudication, more than 1.3 million PVI procedures are performed annually in the United States. We aimed to describe national rates of PVI for claudication, and identify patient and county-level risk factors associated with a high rate of PVI.
Source: Journal of Vascular Surgery - January 1, 2020 Category: Surgery Authors: Caitlin W. Hicks, Peiqi Wang, William E. Bruhn, Christopher J. Abularrage, Ying W. Lum, Bruce A. Perler, James H. Black, Martin A. Makary Source Type: research
Abstract No. 462 Scholarly activities and indices among academic endovascular specialists: a comparative analysis between interventional radiologists and vascular surgeons
To report the author-level scholarly metrics rank among academic endovascular specialists, including interventional radiologists and vascular surgeons, in the United States.
Source: Journal of Vascular and Interventional Radiology : JVIR - February 20, 2020 Category: Radiology Authors: A. Jiao, V. Wadhwa, J. Bundy, A. Hage, R. Srinivasa, J. Gemmete, E. Lee, J. Chick Tags: Scientific e-Poster Source Type: research
The Vascular Surgery Integrated Match: Too Early to Tell?
We read McMackin et al ’s analysis of the ten-year match data for the vascular integrated (0+5) residency program with great interest.1 In 2008, the first nine residents were accepted in 0+5 programs, growing to 60 spots across the United States (US) in 2017. While we agree with the authors’ conclusion to find solutio ns to the growing number of applicants per program, we question the critical note stemming from their analysis.
Source: Journal of Vascular Surgery - April 2, 2020 Category: Surgery Authors: Dominique Vervoort, Elizabeth Miranda Source Type: research
Perspectives on vascular surgical practice change due to COVID-19 at a non-academic tertiary care center
The 2019-novel coronavirus (COVID-19) has overwhelmed healthcare systems across the world, and has also affected specialized practices such as vascular surgery. The first case in the United States was diagnosed on January 19th, 2020. This prompted many healthcare systems including our institution to initiate preemptive measures in preparation for the anticipated surge of patients. The first case in Minnesota was diagnosed on March 4th, first death on March 21st, and the projected daily death-peak is April 26th.
Source: Journal of Vascular Surgery - April 15, 2020 Category: Surgery Authors: Aleem K. Mirza Source Type: research
Perspectives on vascular surgical practice change due to COVID-19 at a nonacademic tertiary care center
The 2019-novel coronavirus (COVID-19) has overwhelmed healthcare systems across the world, and has also affected specialized practices such as vascular surgery. The first case in the United States was diagnosed on January 19, 2020. This prompted many healthcare systems, including our institution, to initiate preemptive measures in preparation for the anticipated surge of patients. The first case in Minnesota was diagnosed on March 4, first death on March 21, and the projected daily death peak is April 26.
Source: Journal of Vascular Surgery - April 15, 2020 Category: Surgery Authors: Aleem K. Mirza Source Type: research
Early Vascular Surgery Response to the COVID-19 Pandemic: Results of a Nationwide Survey
The COVID-19 pandemic has had major implications for the United States healthcare system. This survey study sought to identify practice changes, understand current personal protection equipment (PPE) use, and determine how caring for patients with COVID-19 differs for vascular surgeons practicing in states with high COVID-19 case numbers versus low case numbers.
Source: Journal of Vascular Surgery - May 22, 2020 Category: Surgery Authors: Christopher A. Latz, Laura T. Boitano, C. Y. Maximilian Png, Adam Tanious, Pavel Kibrik, Mark Conrad, Matthew Eagleton, Anahita Dua Source Type: research
COVID (Co-Operative Vascular Intervention Disease) Team of Greater Philadelphia
We established the COVID (Co-Operative Vascular Intervention Disease) Team of Greater Philadelphia because national guidelines may not apply to different geographic areas of the United States due to varying penetrance of the virus.On April 10, 2020, a ten-question survey regarding issues and strategies dealing with COVID-19 was e-mailed to 58 VSs in the Greater Philadelphia area. Fifty-four VSs in 18 surgical groups covering 28 hospitals responded. All groups accepted transfers due to continued ICU bed availability.
Source: Journal of Vascular Surgery - June 15, 2020 Category: Surgery Authors: Keith D. Calligaro, Matthew J. Dougherty, Krystal Maloni, Kunal Vani, Douglas A. Troutman Source Type: research
Society for vascular surgery clinical practice guidelines for thoracic endovascular aneurysm repair (tevar)
Thoracic aortic diseases, including disease of the descending thoracic aorta (DTA), are significant causes of death in the United States. Open repair of DTA is a physiologically impactful operation with relatively high rates of mortality, paraplegia, and renal failure. Thoracic endovascular aneurysm repair (TEVAR) has revolutionized the treatment of DTA, and has largely supplanted open repair due to lower morbidity and mortality. These Society for Vascular Surgery (SVS) Practice Guidelines are applicable to the use of TEVAR for descending thoracic aortic aneurysm (TAA) as well as other rarer pathologies of the DTA.
Source: Journal of Vascular Surgery - July 2, 2020 Category: Surgery Authors: Gilbert R. Upchurch, Guillermo C. Escobar, Ali Azizzdeh, Adam W. Beck, Mark F. Conrad, Jon S. Matsumura, Mohammad H. Murad, R Jason Perry, Michael J. Singh, Ravi K. Veeraswamy, Grace J. Wang Source Type: research
Aortic disease in the time of COVID-19 and repercussions on patient care at an academic aortic center
The novel coronavirus disease 2019 (COVID-19) has imposed a severe strain on healthcare systems worldwide and is now affecting all hospitals in the United States.1 As of this writing in early April 2020, most large medical centers in the United States have either restricted or completely cancelled elective surgical procedures, including cardiovascular procedures. A recent survey of vascular surgery practices around the world found that most have significantly scaled back elective surgery in the face of the pandemic.
Source: Journal of Vascular Surgery - April 29, 2020 Category: Surgery Authors: Claire L. Griffin, Vikas Sharma, Mark R. Sarfati, Brigitte K. Smith, Larry W. Kraiss, Stephen H. McKellar, Antigone Koliopoulou, Benjamin S. Brooke, Craig H. Selzman, Jason P. Glotzbach Tags: COVID-19 pandemic and vascular disease Source Type: research
A Significant Proportion of Current U.S Endovascular Aneurysm Repair Practice Fails to Meet Society for Vascular Surgery Clinical Practice Guideline-Recommended Abdominal Aortic Aneurysm Diameter Treatment Thresholds
There is mounting controversy surrounding the appropriate use of endovascular aneurysm repair (EVAR) in contemporary practice. Persistent debate hinges on durability, cost, and survival. Accordingly, guidelines have attempted to clarify appropriate EVAR indications. The purpose of this analysis was to examine trends in EVAR practice throughout the United States and to measure compliance with Society for Vascular Surgery (SVS) clinical practice guideline (CPG) diameter.
Source: Journal of Vascular Surgery - August 20, 2020 Category: Surgery Authors: Salvatore T. Scali, Bjoern D. Suckow, Philip P. Goodney, Thomas S. Huber, Gilbert R. Upchurch, Dan Neal, Jesse A. Columbo, Jeanwan Kang, Marc L. Schermerhorn, Richard J. Powell, David H. Stone Source Type: research
Society for Vascular Surgery clinical practice guidelines of thoracic endovascular aortic repair for descending thoracic aortic aneurysms
Thoracic aortic diseases, including disease of the descending thoracic aorta (DTA), are significant causes of death in the United States. Open repair of the DTA is a physiologically impactful operation with relatively high rates of mortality, paraplegia, and renal failure. Thoracic endovascular aortic repair (TEVAR) has revolutionized treatment of the DTA and has largely supplanted open repair because of lower morbidity and mortality. These Society for Vascular Surgery Practice Guidelines are applicable to the use of TEVAR for descending thoracic aortic aneurysm (TAA) as well as for other rarer pathologic processes of the DTA.
Source: Journal of Vascular Surgery - July 3, 2020 Category: Surgery Authors: Gilbert R. Upchurch, Guillermo A. Escobar, Ali Azizzadeh, Adam W. Beck, Mark F. Conrad, Jon S. Matsumura, Mohammad H. Murad, R. Jason Perry, Michael J. Singh, Ravi K. Veeraswamy, Grace J. Wang Source Type: research
