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Outcomes Reported by the Vascular Quality Initiative and the National Surgical Quality Improvement Program Are not Comparable
The Vascular Quality Initiative (VQI) and the National Surgical Quality Improvement Program (NSQIP) are databases of vascular surgery outcomes. VQI uses self-reporting to capture all vascular procedures during the inpatient period. NSQIP employs nurse abstractors to capture a sample of procedures and covers 30-day events. We hypothesize that patients undergoing lower extremity bypass (LEB) exhibit high concordance for preoperative variables and low concordance for postoperative variable.
Source: Journal of Vascular Surgery - August 28, 2013 Category: Surgery Authors: Francesco Aiello, Bing Shue, Nisha Kini, William Robinson, Louis Messina, Andres Schanzer Tags: Abstracts from the 2013 New England Society for Vascular Surgery Annual Meeting Source Type: research

Patient and Clinical Characteristics Associated with Readmission Among Patients Undergoing Vascular Surgery
Readmission following vascular surgery intervention is frequent, costly, and often considered preventable. Vascular surgery outcomes have recently been scrutinized by Medicare, given high rates of readmission. We determine patient and clinical characteristics that predict readmission in a cohort of vascular surgery patients.
Source: Journal of Vascular Surgery - October 28, 2013 Category: Surgery Authors: Travis L. Engelbert, Sara Fernandes-Taylor, Prateek K. Gupta, K. Craig Kent, Jon Matsumura Tags: Abstracts from the 2013 Midwestern Vascular Surgical Society Annual Meeting Source Type: research

Use of Vascular Shunts in Unstable Lower Extremity Trauma Patients
We present a case of a 25-year-old male with gunshot to both lower extremities who was unstable at the time of admission. Bilateral superficial femoral arter and femoral vein injuries were found on exploration. Since the patient was unstable due to massive bleeding, vascular continuity was restored using argyle shunts in all vessels. Shunts were secured using vessel loops. After control of bleeding, the patient was started on heparin. Patient was taken to the intensive care unit for resuscitation. The patient was brought back to the operating room 24 hours later, and bilateral superficial femoral arteries and femoral veins...
Source: Journal of Vascular Surgery - October 28, 2013 Category: Surgery Authors: Shoaib Shafique Tags: Abstracts from the 2013 Midwestern Vascular Surgical Society Annual Meeting Source Type: research

Early endovascular grafts at Montefiore Hospital and their effect on vascular surgery
This article will review the history of this early endovascular graft program and how it influenced the specialty.
Source: Journal of Vascular Surgery - December 20, 2013 Category: Surgery Authors: Frank J. Veith, Jacob Cynamon, Claudio J. Schonholz, Juan C. Parodi Tags: Historical vignettes in vascular surgery Source Type: research

Remembrances of 5 Leaders and Contributors in Vascular Surgery
In September 2011, the Society for Vascular Surgery (SVS) sponsored a series of audiovisual interviews with leaders and contributors in vascular surgery to preserve the archives of SVS and chronicle vascular surgery as a distinct surgical specialty. A committee called the History Project Work Group was formed with James Yao as Chair. The members are Norman Rich, Roger Gregory, Peter Lawrence, Mark Eskandari, Melina Kibbe, Walter McCarthy, William Pearce, Ken Cherry, and Bill Baker, with Calvin Ernst as a Consultant. The committee formulated the selection criteria of candidates as reported recently. Based on the selection c...
Source: Annals of Vascular Surgery - February 7, 2014 Category: Surgery Authors: James S.T. Yao, Roger T. Gregory, Mark K. Eskandari, History Project Work Group of the Society for Vascular Surgery Tags: Invited Commentary Source Type: research

Therapeutic efficacy of vacuum-assisted-closure therapy in the treatment of lymphatic complications following peripheral vascular interventions and surgeries.
ConclusionIn addition to its safety and good clinical outcomes, VAC therapy also has economic advantages and should be the primary method for the treatment of lymphatic complications. PMID: 24676535 [PubMed - as supplied by publisher]
Source: Vascular - March 27, 2014 Category: Surgery Authors: Aydin U, Gorur A, Findik O, Yildirim A, Kocogullari CU Tags: Vascular Source Type: research

Canadian vascular surgery residents' perceptions regarding future job opportunities.
The objective was to determine the employment environment for graduates of Canadian vascular surgery training programs. A cross-sectional survey of residents and graduates (2011-2012) was used. Thirty-seven residents were invited with a response rate of 57%, and 14 graduates with a response rate of 71%; 70% of graduates felt the job market played an important role in their decision to pursue vascular surgery as a career compared to 43% of trainees. The top three concerns were the lack of surgeons retiring, the overproduction of trainees, and saturation of the job market. The majority (62%) of trainees see themselves extend...
Source: Vascular - June 25, 2014 Category: Surgery Authors: Cooper JA, Dubois L, Power AH, DeRose G, MacKenzie KS, Forbes TL Tags: Vascular Source Type: research

A Vascular Surgeon Plays a Critical Role in the Development of a Successful TAVR Program
Transcatheter aortic valve replacement (TAVR) is a Food and Drug Administration-approved means of treating symptomatic aortic stenosis in high-risk patients. A number of techniques to deliver valve prostheses are currently in practice, including transfemoral (TF), transapical, and transaortic approaches. Various disciplines are involved throughout this complex process. Our team includes a vascular surgeon, bringing greater experience in aortoiliac imaging, vascular access, and repair. We analyzed the role of a vascular surgeon during the selection process and throughout safe device delivery.
Source: Journal of Vascular Surgery - August 22, 2014 Category: Surgery Authors: Jeffrey Ranaudo, Ossama Reslan, Marc Cohen, Bruce Haik, Mark Russo, Paul Burns, Bruce J. Brener, Cindy Sturt Tags: Abstracts from the 2014 New England Society for Vascular Surgery/Eastern Vascular Society Joint Annual Meeting Source Type: research

Early Returns: Operative Logs for Traditional Vascular Fellowship Track Versus Integrated Vascular Training Programs
In this study we assessed the initial operative experience of those graduating from the new “0-5” integrated programs compared with those from the traditional “5-2” model.
Source: Journal of Vascular Surgery - August 22, 2014 Category: Surgery Authors: Philip Batista, Babak Abai, Dawn Salvatore, Paul DiMuzio Tags: Abstracts from the 2014 New England Society for Vascular Surgery/Eastern Vascular Society Joint Annual Meeting Source Type: research

Exploring the Training Experiences of a Direct-Entry Vascular Surgery Resident Cohort Using Focus Groups
Training in vascular surgery is currently undergoing a transition in paradigm from a 5+2 fellowship pathway to a 0+5 direct-entry pathway after medical school. Given the unique positions of the first postgraduate year 1 to 3 (PGY 1-3) vascular surgery trainees in Canada, they are ideal candidates for soliciting insight and first impressions of this new training paradigm. Very few studies have explored or evaluated resident satisfaction and experiences during surgical training, and, to our knowledge, none have specifically looked at the Canadian vascular surgery training programs.
Source: Journal of Vascular Surgery - October 24, 2014 Category: Surgery Authors: Faysal Naji, Mina Guirgis, David A. Szalay, Theodore Rapanos, John Harlock Tags: Abstract from the 2014 Canadian Society for Vascular Surgery Annual Meeting Source Type: research

Resident Views on Vascular Ultrasonography Education: A Canadian Perspective
With the requirement to obtain RPVI certification as of 2014 in American vascular surgery programs, formal vascular ultrasound (VUS) training is expected in vascular surgery training. Canadian programs, however, do not have the same credentialing requirements, and not all programs have formal VUS training. We sought to determine whether Canadian trainees desire additional VUS training, how this training should be delivered, and what role they see VUS playing in their future practice.
Source: Journal of Vascular Surgery - October 24, 2014 Category: Surgery Authors: Michael D. Clemente, Douglas Wooster, Elizabeth Wooster Tags: Abstract from the 2014 Canadian Society for Vascular Surgery Annual Meeting Source Type: research

Vascular Mock Oral Exams: A Review of the 8-Year Experience of the SAVS Mock Oral Program
This report examines the 8-year experience with that program.
Source: Journal of Vascular Surgery - November 21, 2014 Category: Surgery Authors: Matthew P. Goldman, Jeanette Stafford, Thomas S. Huber, John F. Eidt, Kimberly J. Hansen, Thomas C. Naslund, Spence M. Taylor, Eric D. Endean, Matthew S. Edwards Tags: Abstract from the Thirty-Ninth Annual Meeting of the Southern Association for Vascular Surgery Source Type: research

Heart Rate Is Not a Reliable Predictor of Adverse Cardiac Outcomes or Mortality After Major Elective Vascular Surgery
Arrival heart rate (AHR) and heart rate control (HRC) are known indicators of cardiovascular complications after cardiac surgery, but there is little evidence of their role in predicting outcome after major vascular surgery. The purpose of this study was to determine whether AHR and HRC are predictive of mortality or major adverse cardiac events (MACE) after elective vascular surgery in the Vascular Quality Initiative (VQI).
Source: Journal of Vascular Surgery - November 21, 2014 Category: Surgery Authors: Salvatore T. Scali, Daniel Neal, Daniel J. Bertges, Jens Eldrup-Jorgensen, Jack L. Cronenwett, Adam W. Beck Tags: Abstract from the Thirty-Ninth Annual Meeting of the Southern Association for Vascular Surgery Source Type: research

Electron microscopy study of a vascular prosthesis destructed in vivo reveals fractures in Dacron fibers.
We report a case of a 64-year-old male who had his 12-year-old femoropopliteal synthetic graft explanted due to two large pseudoaneurysms in the middle section of the graft. Microscopic evaluation demonstrated the areas of focal thinning along the entire prosthesis wall, with "foreign body" type reaction in the adjacent connective tissue. Transmission electron microscopy showed longitudinal fractures of Dacron fibers interposed with cellular structures, suggesting that destruction must have taken place significantly earlier. The problems of limited graft durability and graft surveillance are discussed. PMID: 25957345 ...
Source: Vascular - May 7, 2015 Category: Surgery Authors: Woźniak W, Olszewski W, Górski G Tags: Vascular Source Type: research