Annals of vascular surgery最新文献

{"title":"Fenestrated Endovascular Aortic Aneurysm Repair Is Associated with Increased Sac Regression on Postoperative Volumetric Analysis Compared to Endovascular Aortic Aneurysm Repair","authors":"Jason Zhang ,&nbsp;Katherine Teter ,&nbsp;Bhama Ramkhelawon ,&nbsp;Neal Cayne ,&nbsp;Karan Garg ,&nbsp;Caron Rockman ,&nbsp;Luis Ferreira ,&nbsp;Miguel Ferrer ,&nbsp;Chong Li ,&nbsp;Glenn Jacobowitz ,&nbsp;Thomas Maldonado","doi":"10.1016/j.avsg.2025.01.034","DOIUrl":"10.1016/j.avsg.2025.01.034","url":null,"abstract":"<div><h3>Background</h3><div>Endovascular aortic aneurysm repair (EVAR) is utilized to treat abdominal aortic aneurysms, while patients with short infrarenal necks can undergo fenestrated EVAR (FEVAR). Previous studies have demonstrated decreased aortic neck dilation for FEVAR compared to EVAR. Sac regression is a marker of success after EVAR; however, little is known regarding changes in sac volumetrics. This study compares aortic sac regression after EVAR versus FEVAR using volumetric analysis.</div></div><div><h3>Methods</h3><div>A retrospective review of prospectively collected data from 120 patients who underwent EVAR was performed. Thirty patients underwent FEVAR (Cook Medical Inc, Bloomington, IN) and 90 patients underwent EVAR (30 each with Endurant [Medtronic, Dublin, Ireland], Excluder [Gore, Flagstaff, AZ], and Zenith [Cook]). Demographic data were analyzed. Using 3-dimensional reconstruction software, preoperative and postoperative aneurysm sac volumes were measured, in addition to aneurysm characteristics.</div></div><div><h3>Results</h3><div>There were no differences in demographic or preoperative comorbidities. Preoperatively, FEVAR had greater percentage of thrombus within the sac by volume compared to EVAR (51.5% vs. 39.1%, <em>P</em> = 0.0002), and greater overall sac volume (240.8 ± 100.4 vs. 188.2 ± 82.4 cm³, <em>P</em> = 0.005). EVAR patients had greater number of lumbar arteries (7.26 ± 1.68 vs. 5.31 ± 1.93, <em>P</em> &lt; 0.000001). On postoperative follow-up, FEVAR cases had greater sac regression compared to standard EVAR (−22.75 ± 25.7% vs. −5.98 ± 19.66%, <em>P</em> = 0.00031). The percentage of sac regression was greater when measured by volume compared to maximum diameter for FEVAR (−22.75 ± 25.7% vs. −13.90 ± 15.4%, <em>P</em> = 0.01) but not EVAR (−5.98 ± 19.7% vs. −4.51 ± 15.2%, <em>P</em> = 0.246). Those in the top tertile of percent volume of thrombus (&gt;48.5%) were more likely to experience greater than 10% sac regression by volume (55% vs. 33.3%, <em>P</em> = 0.015). On multivariate analysis, FEVAR was associated with sac regression greater than 10% by volume (odds ratio [OR] 4.325, 95% confidence interval [CI] 1.346–13.901, <em>P</em> = 0.014), while endoleak (OR 0.162, 95% CI 0.055–0.479, <em>P</em> &lt; 0.001) and 2 patent hypogastric arteries (OR 0.066, 95% CI 0.005–0.904, <em>P</em> = 0.042) were predictive against.</div></div><div><h3>Conclusions</h3><div>Fenestrated EVAR is associated with greater sac regression compared to EVAR on volumetric analysis. This difference may be attributable to decreased endotension within the aneurysm resulting from less aortic neck dilatation, while the greater proportion of thrombus may be a protective factor from growth. Patients being evaluated for EVAR with borderline neck anatomy should be considered for FEVAR given increased sac regression.</div></div>","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"115 ","pages":"Pages 74-82"},"PeriodicalIF":1.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143571862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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 Utilizing Cine Angiography As An Alternative Modality During Visceral Vessel Cannulation To Reduce Radiation Exposure During F/BEVAR's","authors":"Nikunj N. Donde,&nbsp;Bret R. Akins,&nbsp;Misty Humphries,&nbsp;Steven Maximus","doi":"10.1016/j.avsg.2024.11.038","DOIUrl":"10.1016/j.avsg.2024.11.038","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"112 ","pages":"Pages 415-416"},"PeriodicalIF":1.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive Patient Factors Impacting Lower Extremity Dialysis Patency: A Tool To Guide Decision Making For Creation Of New Av Access","authors":"David P. Ebertz ,&nbsp;Gavin Christy ,&nbsp;Saideep Bose ,&nbsp;Jeffrey Siracuse ,&nbsp;Matthew R. Smeds","doi":"10.1016/j.avsg.2024.11.045","DOIUrl":"10.1016/j.avsg.2024.11.045","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"112 ","pages":"Pages 419-420"},"PeriodicalIF":1.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Performance Of Clinician And Computational Approaches In Forecasting Adverse Outcomes In Intermittent Claudication","authors":"Bharadhwaj Ravindhran,&nbsp;Joseph Cutteridge,&nbsp;Sean Pymer,&nbsp;Jonathon Prosser,&nbsp;Arthur Lim,&nbsp;Murad Hemadneh,&nbsp;Shahani Nazir,&nbsp;Abduraheem Mohamed,&nbsp;Ross Lathan,&nbsp;Brian Frederick Johnson,&nbsp;George Smith,&nbsp;Daniel Carradice,&nbsp;Ian C. Chetter","doi":"10.1016/j.avsg.2024.11.089","DOIUrl":"10.1016/j.avsg.2024.11.089","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"112 ","pages":"Pages 449-450"},"PeriodicalIF":1.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Access To Care And The Impact On Outcomes In Acute Limb Ischemia Patients","authors":"Micaella R. Zubkov,&nbsp;Zhixin Lun,&nbsp;Donald L. Jacobs,&nbsp;Mark Nehler,&nbsp;Jeniann Yi","doi":"10.1016/j.avsg.2024.11.063","DOIUrl":"10.1016/j.avsg.2024.11.063","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"112 ","pages":"Pages 430-431"},"PeriodicalIF":1.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Smoking Cessation Adjuncts Are Cost Effective Prior To Elective Revascularization","authors":"Hasan Nassereldine,&nbsp;Katherine M. Reitz,&nbsp;Mikayla N. Lowenkamp,&nbsp;Michael C. Madigan,&nbsp;Rabih A. Chaer,&nbsp;Edith Tzeng,&nbsp;Kenneth J. Smith,&nbsp;Natalie D. Sridharan","doi":"10.1016/j.avsg.2024.11.035","DOIUrl":"10.1016/j.avsg.2024.11.035","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"112 ","pages":"Page 414"},"PeriodicalIF":1.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"5-year Outcomes After Fenestrated Evar In Octogenarians","authors":"Rohan Basu,&nbsp;Joshua Davis,&nbsp;Mackenzie Madison,&nbsp;Hanaa Dakour-Aridi,&nbsp;Ashley Gutwein,&nbsp;John Maijub,&nbsp;Andres Fajardo","doi":"10.1016/j.avsg.2024.11.031","DOIUrl":"10.1016/j.avsg.2024.11.031","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"112 ","pages":"Pages 411-412"},"PeriodicalIF":1.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Idiopathic Aortorenal Junction To Renal Vein Arteriovenous Fistula Managed With Fenestrated Endograft And Renal Artery Stenting","authors":"Max Murray-Ramcharan,&nbsp;Amarseen Mikael,&nbsp;Aaron Dank,&nbsp;Nakul Rao,&nbsp;S. Christopher Frontario,&nbsp;Thomas Bernik","doi":"10.1016/j.avsg.2024.11.080","DOIUrl":"10.1016/j.avsg.2024.11.080","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"112 ","pages":"Pages 443-444"},"PeriodicalIF":1.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expression Of The Peroxisome Proliferators-activated Receptors (ppars) In Ex Vivo Aortic Aneurysm Tissue And Its Association With Arterial Remodeling And Inflammatory Gene Expression","authors":"Carlos A. Hinojosa,&nbsp;Javier E. Anaya-Ayala,&nbsp;Ivan Torre-Villalvazo,&nbsp;Gabriela Aleman,&nbsp;Brenda J. Galicia-Vega,&nbsp;Jacqueline Mejia-Cervantes,&nbsp;Ingrid A. Landero-Aguilar,&nbsp;Brenda Marquina-Castillo","doi":"10.1016/j.avsg.2024.11.024","DOIUrl":"10.1016/j.avsg.2024.11.024","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"112 ","pages":"Page 407"},"PeriodicalIF":1.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recanalization In Large Diameter Saphenous Veins After Thermal Ablation: A Restrospective Review Of Vascular Quality Initiative Data","authors":"Vivek Anand Pisharody,&nbsp;Jonathan Gunasti,&nbsp;Ines Garcia,&nbsp;Ravi R. Rajani,&nbsp;Christopher R. Ramos,&nbsp;Manuel Garcia-Toca,&nbsp;Jaime Benarroch-Gampel","doi":"10.1016/j.avsg.2024.11.056","DOIUrl":"10.1016/j.avsg.2024.11.056","url":null,"abstract":"","PeriodicalId":8061,"journal":{"name":"Annals of vascular surgery","volume":"112 ","pages":"Pages 426-427"},"PeriodicalIF":1.4,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143464368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}