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United States National Survey of Vascular Surgery Consent
The objective of this survey was to catalog current peer practice and collate consensus relating to vascular surgery patient consent.
Source: Journal of Vascular Surgery - January 24, 2014 Category: Surgery Authors: Mark E. O'Donnell, MMedSc, Grant T. Fankhauser, William M. Stone, Richard J. Fowl, Carolyn Pence-Smith, Samuel R. Money Tags: Abstracts from the 2014 Society for Clinical Vascular Surgery Annual Symposium Source Type: research
Electrofusion for Femoral Approach in Vascular Surgery: A Randomized Prospective Study
Local complications are frequent after femoral approach in vascular surgery and are often at the cause of a healing delay. Electrofusion showed its effectiveness to decrease the incidence of complications in general surgery but was never tested in vascular surgery. The aim of our study was to evaluate if the use of the electrofusion for the approach to the femoral vessels improved the one month healing by decreasing the local complications, in particular lymphatic.
Source: Annals of Vascular Surgery - July 25, 2014 Category: Surgery Authors: Flora Gouaillier-Vulcain, Etienne Marchand, Jean Picquet, Robert Martinez, Bernard Enon Tags: 29th Annual Meeting, French Society for Vascular Surgery (SCV) Source Type: research
Concomitant Vascular Compressive Syndromes: Median Arcuate Ligament Syndrome With Nutcracker Syndrome
This article describes the presentation and management of two vascular compressive syndromes occurring within the same patient. Median arcuate ligament syndrome (MALS) presents as chronic mesenteric ischemia secondary to compression of the celiac trunk by the median arcuate ligament. Treatment by surgical decompression can provide relief. Nutcracker syndrome presents as vague flank or pelvic pain along with hematuria. It occurs secondary to compression of the left renal vein (LRV) by the superior mesenteric artery (SMA).
Source: Journal of Vascular Surgery - August 22, 2014 Category: Surgery Authors: Sina Iranmanesh, Brittny W. Howell, John J. Ricotta Tags: Abstracts from the 2014 New England Society for Vascular Surgery/Eastern Vascular Society Joint Annual Meeting Source Type: research
Who Treats Vascular Access Thrombosis and When? A Comprehensive Survey of All French Hemodialysis Centers
Vascular access thrombosis (VAT) is a severe complication that needs a timely treatment. The annual incidence of VAT and the timeliness of its treatment are not currently known.
Source: Journal of Vascular Surgery - August 22, 2014 Category: Surgery Authors: Nirvana Sadaghianloo, Elixène Jean-Baptiste, Serge Declemy, Hacène Gaïd, Christophe Robino, Alan Dardik, Réda Hassen-Khodja Tags: Abstracts from the 2014 New England Society for Vascular Surgery/Eastern Vascular Society Joint Annual Meeting Source Type: research
Accuracy of the NSQIP Universal Risk Calculator Using a Vascular Surgery Cohort in a Community Teaching Hospital
The National Surgical Quality Improvement Program (NSQIP) universal risk calculator tool was designed using 1.4 million cases and>1500 unique Current Procedural Terminology (CPT) codes to estimate perioperative risk across multiple surgical subspecialties to guide informed consent. We aimed to test whether perioperative risk was accurately estimated for a vascular surgery cohort in a community teaching hospital setting.
Source: Journal of Vascular Surgery - August 22, 2014 Category: Surgery Authors: Madian T. Yahya, Stuart Blackwood, Foula Kontonicolas, Andrew McGregor, Royd Fukumoto, Alan M. Dietzek Tags: Abstracts from the 2014 New England Society for Vascular Surgery/Eastern Vascular Society Joint Annual Meeting Source Type: research
Routine Use of Ultrasound Guidance in Femoral Arterial Access for Peripheral Vascular Intervention Decreases Groin Hematoma Rates
Use of fluoroscopy and bony landmarks to guide percutaneous common femoral artery (CFA) access has decreased access site complications compared with palpation alone. However, only limited case series have examined the benefits of ultrasound imaging to guide CFA access during peripheral vascular intervention (PVI). We evaluated the effect of routine vs selective use of UG on groin hematoma rates after PVI.
Source: Journal of Vascular Surgery - August 22, 2014 Category: Surgery Authors: Jeffrey Kalish, Mohammad Eslami, David Gillespie, Marc Schermerhorn, Denis Rybin, Gheorghe Doros, Alik Farber Tags: Abstracts from the 2014 New England Society for Vascular Surgery/Eastern Vascular Society Joint Annual Meeting Source Type: research
Differential Effect of Atherosclerotic Risk Factors on Vascular Disease Phenotypes Between the Sexes
Most reported studies on atherosclerosis involve a predominance of men. There is a lack of information into the specific role of atherosclerotic risk factors and their effects on the development of peripheral vascular diseases in women. The goal of this study was to analyze the association of known risk factors and the prevalence peripheral arterial disease (PAD), carotid stenosis (CS), and abdominal aortic aneurysm (AAA) in men and women.
Source: Journal of Vascular Surgery - August 22, 2014 Category: Surgery Authors: Caron B. Rockman, Yu Guo, Glenn R. Jacobowitz, Thomas Maldonado, Neal Cayne, Firas Mussa, Mark Adelman, Jeffrey Berger Tags: Abstracts from the 2014 New England Society for Vascular Surgery/Eastern Vascular Society Joint Annual Meeting Source Type: research
Impact of Gender on Outcomes of Peripheral Vascular Interventions
This study evaluated the impact of gender on early and late outcomes of peripheral vascular interventions (PVIs) for intermittent claudication (IC) and critical limb ischemia (CLI).
Source: Journal of Vascular Surgery - August 22, 2014 Category: Surgery Authors: Katelynn Ferranti, Turner M. Osler, Reshma Duffy, Andy C. Stanley, Daniel J. Bertges Tags: Abstracts from the 2014 New England Society for Vascular Surgery/Eastern Vascular Society Joint Annual Meeting Source Type: research
Prospective Cost Analysis and Implications of Wound Complications in Lower Extremity Vascular Surgery Procedures
Wound complications (WCs), such as surgical site infection, wound dehiscence, hematoma, and seroma after surgery cause significant morbidity and require additional resources to treat. We sought to quantify the marginal cost of WCs in patients undergoing open lower extremity vascular procedures.
Source: Journal of Vascular Surgery - August 22, 2014 Category: Surgery Authors: Louis L. Nguyen, Gregory A. Leya, Nathanael D. Hevelone, Neal R. Barshes, Mark C. Myers, Allen D. Hamdan, Michael Belkin, Charles K. Ozaki Tags: Abstracts from the 2014 New England Society for Vascular Surgery/Eastern Vascular Society Joint Annual Meeting Source Type: research
MARCKS Signaling Differentially Regulates Vascular Smooth Muscle and Endothelial Cell Proliferation Through a p27-Dependent Mechanism
Intimal hyperplasia is the result of pathologic vascular smooth muscle cell (VSMC) dedifferentiation to a migratory and proliferative phenotype. Myristoleated alanine-rich C kinase substrate (MARCKS) is overexpressed in animal models of intimal hyperplasia. MARCKS knockdown has been demonstrated to arrest VSMC proliferation, with little effect on endothelial cell (EC) proliferation in vitro. We sought to identify the mechanism of MARCKS-mediated differential regulation of proliferation.
Source: Journal of Vascular Surgery - August 22, 2014 Category: Surgery Authors: Dan Yu, George Makkar, Tuo Dong, Dudley Strickland, Rajabrata Sarkar, Thomas S. Monahan Tags: Abstracts from the 2014 New England Society for Vascular Surgery/Eastern Vascular Society Joint Annual Meeting Source Type: research
The in vivo characterization of electrospun heparin-bonded polycaprolactone in small-diameter vascular reconstruction.
CONCLUSION: This preliminary study demonstrates that heparin-bonded polycaprolactone is a suitable graft for small artery reconstruction. However, heparin-bonded polycaprolactone degrades more rapidly than polycaprolactone in vivo.
PMID: 25208900 [PubMed - as supplied by publisher]
Source: Vascular - September 10, 2014 Category: Surgery Authors: Duan HY, Ye L, Wu X, Guan Q, Yang XF, Han F, Liang N, Wang ZF, Wang ZG Tags: Vascular Source Type: research
Future Demands for Vascular Care: A Census-Based Analysis
Changing population size and distribution, incidence of disease and risk factors, and the likelihood of need for care partly determines the demands for health care in the future. The introduction of advanced technology, patient and society's expectations, the growing at-risk population, and increased recognition of risk factors have impacted on vascular disease management. Studies in many countries predict a dramatic increase in the need for care for vascular issues. A “business as usual” model predicts a large increase in the medical manpower requirements to meet this.
Source: Journal of Vascular Surgery - October 24, 2014 Category: Surgery Authors: Douglas Wooster, Elizabeth Wooster Tags: Abstract from the 2014 Canadian Society for Vascular Surgery Annual Meeting Source Type: research
Exploring Patient Involvement in Decision Making for Vascular Procedures
Initiatives to develop patient-centered approaches to health care are a priority that may have profound effects on health care, particularly within value-based purchasing and risk-sharing models. Patient-centered care requires more direct engagement of patients in their own care, including treatment decisions. Patient participation in treatment selection for vascular procedures has not been characterized, and the potential effects of greater patient involvement are unknown. We conducted a prospective study among patients undergoing vascular procedures to identify important sources of information and characterize experience...
Source: Journal of Vascular Surgery - November 21, 2014 Category: Surgery Authors: Jennifer A. Avise, Laura A. Peterson, Jeanette M. Stafford, Derrick S. Boone, Douglas Easterling, Gregory L. Burke, Matthew A. Corriere Tags: Abstract from the Thirty-Ninth Annual Meeting of the Southern Association for Vascular Surgery Source Type: research
Antiplatelet and Statin Treatment Is Not Associated With Reduced Myocardial Infarction After High-Risk Vascular Procedures
Medical management (MM) with antiplatelet (AP) and statin therapy is recommended for most patients undergoing vascular surgery. We evaluated the preoperative use of these on postoperative myocardial infarction (MI) in patients undergoing high-risk procedures within the Vascular Quality Initiative (VQI).
Source: Journal of Vascular Surgery - November 21, 2014 Category: Surgery Authors: Randall R. DeMartino, Andrew W. Hoel, Adam W. Beck, John W. Hallett, Shipra Arya, Gilbert H. Upchurch, Jack L. Cronenwett, Philip P. Goodney Tags: Abstract from the Thirty-Ninth Annual Meeting of the Southern Association for Vascular Surgery Source Type: research
Pretreatment of synthetic vascular grafts with heparin before implantation, a simple technique to reduce the risk of thrombosis.
We examined whether pretreatment of the graft with heparin reduces the risk of early thrombosis. A circuit was assembled to compare two pairs of shunts simultaneously in the same animal. The study shunts were pretreated with heparin. After 2 hours of circulation, clot formation was evaluated by image analysis techniques. The pretreated grafts had fewer blood clots adhered to the surface by direct visual inspection. The image analysis showed 5 vs. 39 clots, 0.01% vs. 1.8% clotted area, and 62 vs. 5630 clot pixel area between the treated and non-treated grafts respectively, p < 0.05. Pretreatment of the synthetic graf...
Source: Vascular - November 18, 2014 Category: Surgery Authors: Gerrah R, Sunstrom Pa-C RE, Hohimer AR Tags: Vascular Source Type: research
