Journal of Vascular Surgery最新文献

{"title":"Abdominal aortic dissection with associated aneurysm and severe stenosis of bilateral renal arteries.","authors":"Shiyue Wang, Liwei Pang, Jianghe Bian, Guangwen Xu, Jian Zhang","doi":"10.1016/j.jvs.2025.10.020","DOIUrl":"https://doi.org/10.1016/j.jvs.2025.10.020","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145368312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occipital Artery Origin from the Internal Carotid Artery.","authors":"Heseetha Thananchayan, Vinojan Satchithanantham, Andrew Nishanthan, Anton Jenil, Lavanya Sanmugathas","doi":"10.1016/j.jvs.2025.10.022","DOIUrl":"https://doi.org/10.1016/j.jvs.2025.10.022","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145368322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Surgical Site Infection Following Infra-Inguinal Bypass Surgery: An Analysis of the Vascular Quality Initiative Data.","authors":"Shima Rahgozar, Mohammed Hamouda, Alik Farber, Mathew T Menard, Sadia Ilyas, Mahmoud B Malas","doi":"10.1016/j.jvs.2025.10.023","DOIUrl":"https://doi.org/10.1016/j.jvs.2025.10.023","url":null,"abstract":"<p><strong>Objective: </strong>Surgical site infection (SSI) is a common complication following infra-inguinal bypass (IIB) in patients with peripheral artery disease (PAD), leading to significant morbidity, including prolonged hospital stays, increased readmission rates, graft failure, and mortality. Despite advances in aseptic techniques, SSI continues to impact patient outcomes, driven by a complex interplay of patient-specific and procedural factors. This study aims to identify predictors of postoperative SSI in patients undergoing IIB providing insights into potentially modifiable risk factors.</p><p><strong>Methods: </strong>We performed a retrospective analysis of all patients undergoing IIB for PAD in the Vascular Quality Initiative (VQI) database from 2010-2024. Patients with concomitant ipsilateral major amputation, supra-inguinal bypass, acute limb ischemia, or aneurysmal disease were excluded. Multivariable logistic regression was used to identify risk factors associated with postoperative SSI.</p><p><strong>Results: </strong>Of 59,221 patients undergoing IIB, 1,857 (3.1%) developed SSI. Patients with SSI were more likely to be female, obese, have CKD or CHF. Urgent procedures, longer operative times, intraoperative blood transfusions, autogenous grafts, and below-knee bypasses were also more common in the SSI group. Multivariable analysis identified several significant predictors of SSI. Among patient factors, non-U.S. insurance (OR:2.84,95%CI:1.43-5.65,P=0.003) and obesity (Body Mass Index (BMI) 25-29.9:OR:1.43,95%CI:1.09-1.88,P=0.01; BMI 30-40:OR:1.64,95%CI:1.21-2.21,P<0.001; BMI ≥40:OR:2.22,95%CI:1.57-3.13,P<0.001) were associated with an increased risk of SSI. Rest pain (OR:1.23,95%CI:1.01-1.49,P=0.04) and tissue loss (OR:1.67,95%CI:1.38-2.03,P<0.001) were also associated with increased risks of SSI. Comorbidities, including untreated COPD (OR:1.21,95%CI:1.01-1.44,P=0.04), severe CHF (OR:1.89,95%CI:1.13-3.14,P=0.01), untreated diabetes mellitus (DM) (OR:1.32,95%CI:1.02-1.70,P=0.03), and ESRD (OR:1.83,95%CI:1.01-3.33,P=0.046) were significantly associated with SSI. Perioperative factors such as intraoperative blood transfusion (OR:2.28,95%CI:2.00-2.59,P<0.001), prolonged operative time ≥150 minutes (OR:1.51,95%CI:1.20-1.89,P<0.001) and ≥300 minutes (OR:1.95,95%CI:1.50-2.54,P<0.001) increased the risk of SSI. Protective factors included medication controlled DM (OR:0.75,95%CI:0.58-0.97,P<0.03), preoperative antibiotics (OR:0.74,95%CI:0.64-0.85,P<0.001), prosthetic grafts (OR:0.85,95%CI:0.74-0.99,P=0.03), and using chlorhexidine(CHG) or iodine alone vs CHG-iodine combined for skin prep (CHG:OR:0.49,95%CI:0.34-0.69,P<0.001; iodine:OR:0.52,95%CI:0.33-0.84,P=0.007).</p><p><strong>Conclusion: </strong>This study confirms several risk factors for SSI including increased SSI risk with higher BMI, COPD, CHF, untreated DM, rest pain or tissue loss presentation, intraoperative blood transfusion and prolonged operative time. Protective factor","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145368347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence for Transcatheter Arterialization of Deep Veins in Poor Option Chronic Limb-Threatening Ischemia: A Systematic Review and Meta-analysis.","authors":"Mounika Naidu Boya, Isabella Ferlini Cieri, Adriana A Rodriguez Alvarez, Shiv Patel, Peter A Schneider, Daniel Clair, Mehdi H Shishehbor, Anahita Dua","doi":"10.1016/j.jvs.2025.08.055","DOIUrl":"https://doi.org/10.1016/j.jvs.2025.08.055","url":null,"abstract":"<p><strong>Introduction: </strong>Patients with chronic limb-threatening ischemia (CLTI) who are ineligible for conventional revascularization (\"no-option\") face a 1-year major amputation rate of up to 67%. Transcatheter arterialization of the deep veins (TADV) has shown promising outcomes, but comparative data with standard-of-care (SoC) treatments is lacking.</p><p><strong>Methods: </strong>This evidence summary reviews current data for the only FDA-approved, CE-marked TADV procedure versus SoC treatments. The TADV cohort consisted of studies of FDA-approved TADV procedures, yielded from a systematic search of PUBMED and EMBASE (2015-2025) in no-option CLTI patients with Rutherford class 5 or 6 disease and inadequate conventional revascularization options. SoC cohort consisted of the CLariTI natural history study of 180 no-option CLTI patients treated with conventional strategies.</p><p><strong>Results: </strong>Four TADV studies (n=197) were compared to CLariTI registry (n=180). The primary endpoint of limb salvage rates was significantly higher in the TADV cohort: 79.6% [67.6%, 93.9%] versus 55.1% in the SoC cohort (p<0.001) at 12 months. Amputation-free survival was superior in TADV patients: 71.0% [56.9, 88.6] versus 37.3% in SoC (p<0.001). Technical success rate was 97.6% [93.8, 99.1] across TADV studies.</p><p><strong>Conclusions: </strong>TADV demonstrates substantially superior limb salvage, amputation-free survival, and wound healing compared to standard of care in no-option CLTI patients, representing a transformative advancement for this challenging population.</p>","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":" ","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145368298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter regarding “Vascular Procedures Are Increasingly Performed By Women”","authors":"Afsheen Nasir MBBS,&nbsp;Sarah A. Loh MD,&nbsp;Britt H. Tonnessen MD","doi":"10.1016/j.jvs.2025.07.039","DOIUrl":"10.1016/j.jvs.2025.07.039","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 5","pages":"Pages 1917-1918"},"PeriodicalIF":3.6,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145326616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter regarding \"Localized treatment to stabilize small AAA\"","authors":"Fanru Shen MD,&nbsp;Victor F.A. Almeida MD,&nbsp;Berk B. Ozmen MD,&nbsp;Eliana F.R. Duraes MD, PhD","doi":"10.1016/j.jvs.2025.07.049","DOIUrl":"10.1016/j.jvs.2025.07.049","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 5","pages":"Pages 1920-1921"},"PeriodicalIF":3.6,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145326619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter regarding “AAA risk factors among patients with diabetes”","authors":"Antonio V. Sterpetti MD","doi":"10.1016/j.jvs.2025.06.115","DOIUrl":"10.1016/j.jvs.2025.06.115","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 5","pages":"Pages 1915-1916"},"PeriodicalIF":3.6,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145326612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intraoperative cryo nerve block during lower extremity amputation prevents the development of phantom limb pain","authors":"L.A. O’Connor,&nbsp;C.C. Quinn,&nbsp;B. Houseman","doi":"10.1016/j.jvs.2025.08.040","DOIUrl":"10.1016/j.jvs.2025.08.040","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 5","pages":"Page A17"},"PeriodicalIF":3.6,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145327194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Information for Readers","authors":"","doi":"10.1016/S0741-5214(25)01710-0","DOIUrl":"10.1016/S0741-5214(25)01710-0","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 5","pages":"Page A14"},"PeriodicalIF":3.6,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145327242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preliminary results of carbon dioxide computed tomography angiogram for the technical assessment of aorto-iliac endovascular procedures","authors":"M. Antonello,&nbsp;G. De Conti,&nbsp;M.J. Bilato,&nbsp;E.C. Colacchio,&nbsp;F. Grego,&nbsp;M. Piazza,&nbsp;F. Squizzato","doi":"10.1016/j.jvs.2025.08.043","DOIUrl":"10.1016/j.jvs.2025.08.043","url":null,"abstract":"","PeriodicalId":17475,"journal":{"name":"Journal of Vascular Surgery","volume":"82 5","pages":"Page A18"},"PeriodicalIF":3.6,"publicationDate":"2025-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145327362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}