Showing papers in "Journal of Vascular Surgery in 2010"

TL;DR: This work has sought to estimate the radiation dose associated with common CT studies in clinical practice and quantify the potential cancer risk associated with these examinations.

TL;DR: A predictive scoring system was created that identifies aneurysms more efficiently than current criteria and includes women, nonsmokers, and individuals aged <65 years, which expands the target population for screening by including at-risk individuals not identified with existing screening criteria.

TL;DR: Thoracic endovascular aortic repair (TEVAR) incorporates some unique aspects, ranging from specific anatomic issues to the differing etiologies of diseases affecting the thoracic aorta, such as dissection, traumatic injury, penetrating ulcer, and pseudoaneurysm.

TL;DR: Overall, there was no significant difference in AFS or OS between the two strategies, however, for those patients who survived for at least 2 years after randomization, a BSX-first revascularization strategy was associated with a significant increase in subsequent OS and a trend towards improved AFS.

TL;DR: It is essential to direct efforts in patient-caregiver education to allow early recognition and management of all diabetic foot problems and to build integrated pathways of care that facilitate timely access to limb salvage procedures.

TL;DR: This revision of the VCSS is focused on clarifying ambiguities, updating terminology, and simplifying application to better address the issues of patients at the lower end of the venous disease spectrum.

TL;DR: Although there is consensus based on experience, it may be necessary to step back and rigorously explore several aspects of this entity and point out controversies that still exist and research directions, both clinical and basic, that need to be pursued.

TL;DR: Cerebrovascular risk stratification is possible using a combination of clinical and ultrasonic plaque features in patients with asymptomatic internal carotid artery stenosis, and these findings need to be validated in additional prospective studies of patients receiving optimal medical intervention alone.

TL;DR: An algorithm is provided to help guide the practicing physician on how to approach the critically ischemic limb with regard to the complicated issues surrounding these patients.

TL;DR: BSX with vein offers the best long term AFS and OS and, overall, BAP appears superior to prosthetic BSX, which is associated with a significantly higher early failure rate than BSX.

TL;DR: The combination of clopidogrel plus ASA did not improve limb or systemic outcomes in the overall population of PAD patients requiring below-knee bypass grafting, and subgroup analysis suggests that clopIDogrelplus ASA confers benefit in patients receiving prosthetic grafts without significantly increasing major bleeding risk.

TL;DR: Endovascular treatment of extensive AIOD can be performed successfully by experienced interventionists in selected patients, and primary patency rates are lower than those reported for surgical revascularization, reinterventions can often be performed percutaneously, with secondary patency comparable to surgical repair.

TL;DR: SINE appears not to be rare after TEVAR for type B dissection and is associated with substantial mortality, but the stress yielded by the endograft seems to play a predominant role in its occurrence.

TL;DR: Early treatment with endovascular repair and rigorous surveillance with selective aneurysm treatment as indicated both appear to be safe alternatives for patients with small AAAs, protecting the patient from rupture or aneurYSm-related death for at least 3 years.

TL;DR: It may be possible to define the clinical and anatomic characteristics of SLI patients who are likely-and not likely-to live for >2 years after intervention as an aid to clinical decision making.

TL;DR: A new, vascular surgery-specific model developed from patients within the Vascular Study Group of New England (VSGNE) more accurately predicted the actual risk of cardiac complications across the four procedures for low- and higher-risk patients than the RCRI.

TL;DR: Small-diameter fibroin-based vascular grafts have excellent long-term patency and Bone marrow-derived cells contribute to vascular remodeling after graft implantation, and Fibroin might be a promising material to engineer vascular prostheses for small arteries.

TL;DR: Iliac venous stenting alone is sufficient to control symptoms in the majority of patients with combined outflow obstruction and deep reflux, and partial correction of the pathophysiology in limbs with multisystem or multilevel disease can provide substantial symptom relief.

TL;DR: Patients with HNA can be treated with EVAR, but with higher rates of early (intraoperative) type I endoleak and intervention, and the midterm outcomes are similar to FNA.

TL;DR: Endovascular repair of rDTAA is associated with a significantly lower 30-day mortality rate compared with open surgical repair, and TEVAR wasassociated with a considerable number of aneurysm-related deaths during follow-up.

TL;DR: The evidence that relieving areas of elevated plantar pressure (off-loading) can prevent and heal plantar ulceration is reviewed and a number of strategies are proposed to address this situation.

TL;DR: Open repair of non-ruptured JAA using suprarenal cross-clamping can be performed with acceptable perioperative mortality and postoperative renal dysfunction after open repair, however, postoperative deterioration of renal function is a common complication.

TL;DR: The rationale behind animal models used in the assessment of small-diameter vascular conduits encompassing the commonly used species: baboons, sheep, pigs, dogs, rabbits, and rodents is examined.

TL;DR: MIM for visceral artery aneurysms can be used alone or in combination to effectively treat VAAs in elective or emergent conditions.

TL;DR: A larger thrombus in AAA was associated with a higher AAA growth rate, but also with a lower wall stress, suggesting weakening of the AAA wall, under the influence ofThrombus, may play a more imminent role in the process of AAA growth than the stress acting on the wall.

TL;DR: These results show that patients taking ACE inhibitors have faster aneurysm growth and are in conflict with the observation from a large Canadian data-base that aneurism patients takingACE inhibitors are less likely to present with aneurYSm rupture.

TL;DR: Abolition of GSV reflux and improvement in quality of life was similar after HL/S and EVLT, and no differences compared with 1-year results were observed.