Showing papers in "Journal of Vascular Surgery in 2009"

TL;DR: Recommendations for evaluating the patient, including risk of aneurysm rupture and associated medical co-morbidities, guidelines for selecting surgical or endovascular intervention, intraoperative strategies, perioperative care, long-term follow-up, and treatment of late complications are provided.

TL;DR: Endovascular interventions are now performed much more commonly than bypass surgery in the treatment of lower extremity PAD, as more than three additional endov vascular interventions were performed for every one procedure declined in lower extremities bypass surgery.

TL;DR: A systematic review of Medline, Cochrane Library, and Cinahl was performed to identify studies on the effectiveness of the four minimally invasive techniques up to February 2007 as discussed by the authors.

TL;DR: For new catheter-based therapies in CLI, OPGs offer a feasible approach for pre-market evaluation using non-randomized trial designs and should incorporate risk stratification in design and reporting as the CLI population is heterogeneous with respect to baseline variables and expected outcomes.

TL;DR: PTA of venous strictures in patients with CCSVI is safe, and especially in patients in the RR group, the clinical course positively influenced clinical and QOL parameters of the associated MS compared with the preoperative assessment.

TL;DR: Recommendations for evaluating the patient, including risk of aneurysm rupture and associated medical co-morbidities, and guidelines for selecting surgical or endovascular intervention, intraoperative strategies, perioperative care, longterm follow-up, and treatment of late complications are provided.

TL;DR: The Society for Vascular Surgery pursued development of clinical practice guidelines for the management of the left subclavian artery with thoracic endovascular aortic repair by selecting a panel of experts and conducting a systematic review and meta-analysis of the literature.

TL;DR: The intermediate-term (24-month) results of the 30 patients in this multicenter study are concordant with previous single-center studies and support the concept that placement of fenestrated endovascular grafts is safe and effective at centers with experience in endov vascular repair and renal/mesenteric stent placement.

TL;DR: The VEIN-TERM consensus document is intended to augment previous transatlantic/international interdisciplinary efforts in standardizing venous nomenclature which are referenced in this article.

TL;DR: In this initial experience, the results of TEVAR did not differ from OR, and long-term follow-up is required to determine the effectiveness of this treatment strategy.

TL;DR: There was great variation in the current literature regarding the diagnostic value of SWME as a result of different methodologies, and current literature suggests that nerve conduction study (NCS) is the gold standard for diagnosing DPN.

TL;DR: The lower in-hospital mortality rate for patients, as they are currently being selected, shows that PTA/S is appropriate therapy for selected patients with CMI, and is being used with increasing frequency for revascularization of CMI and AMI.

TL;DR: In this series of 158 patients undergoing initial hemodialysis access creation, native AVF creation was performed in 95%.

TL;DR: Very low quality evidence suggests that LSA coverage increases the risk of arm ischemia, vertebrobasilar ischemies, and possibly spinal cord ischemian stroke and anterior circulation stroke.

TL;DR: Elective EVAR has replaced OAR as the more common method of repair in the United States and has been rapidly adopted, particularly for the oldest-old surgical patients, aged >or=85 years, who previously may not have been offered surgical intervention for asymptomatic AAA.

TL;DR: The literature is reviewed, intending to make a synthesis of all new data concerning the clinical manifestations of hyperperfusion syndrome, the pathophysiologic pathways involved in its development, the prediction, and the appropriate management.

TL;DR: Since the introduction of EVAR, the annual number of deaths from intact and ruptured AAA has significantly decreased, which coincided with an increase in intact AAA repair after the introductionof EVAR and a decrease in rupturedAAA diagnosis and repair volume.

TL;DR: Underweight patients have poorer outcomes and class III obesity is associated with increased morbidity, while Mildly obese patients have reduced co-morbid illness, surprisingly even less than normal-class patients, with correspondingly reduced mortality.

TL;DR: Recognizing a new disease entity of IgG4-related IAAA seems important because this was clinically and pathologically different from conventional aAAA and non-Ig4- related IAAA.

TL;DR: Findings suggest an association between increased application of endovascular technology and reduced rates of amputation in patients with PAD.

TL;DR: The risk of neurologic complications is increased after coverage of the LSA during TEVAR and preemptive revascularization offers no protection against CVA, perhaps indicating a heterogeneous etiology.

TL;DR: CVI ulcer healing is associated with a pro-inflammatory environment prior to treatment that reflects metabolically active peri-wound tissue that has the potential to heal.

TL;DR: EVAR can be used for patients with a short aortic neck; however, it was associated with a significantly higher rate of early and late type I endoleaks, resulting in an increased use of proximal aortIC cuffs for sealing the endoleak.

TL;DR: In this paper, the authors determined the incidence of Blunt thoracic aortic injury (BAI) and analyzed both functional and survival outcomes at discharge compared with matched controls.

TL;DR: Autologous in vitro endothelialization was shown to be a feasible routine procedure at a nontertiary hospital while the primary patency in the particularly challenging subgroup of patients without a suitable saphenous vein resembles that of vein grafts.

TL;DR: In the United States, for RAAA, EVAR had a lower postoperative mortality than open repair and higher elective open repair as well as RAAA volume increased this mortality advantage for EVAR, which supports regionalization of RAAA repair to high volume centers whenever possible and a wider adoption of endovascular repair of R AAA nationwide.

TL;DR: Endovascular treatment of iliac aneurysm with hypogastric revascularization through side branched endografts is feasible and safe in the mid-term and may be considered a primary choice in younger, active patients with suitable anatomy, but larger studies and longer postoperative observation periods are needed.