Annals of vascular surgery
-
The objective of this study is to compare intraoperative endoleak detection by carbon dioxide digital subtraction angiography (CO(2)-DSA) during endovascular aortic aneurysm repair (EVAR) with standard iodinated contrast angiography (ICA). ⋯ Interobserver agreement for the detection of endoleaks is superior with ICA compared to CO(2)-DSA. However, the sensitivity for detecting any endoleak and both the sensitivity and specificity for detecting type I endoleaks using CO(2)-DSA are acceptable. For detecting type II endoleaks using CO(2)-DSA, the sensitivity and positive predictive value are poor. Compared to ICA, CO(2)-DSA provides adequate images for endoleak detection during EVAR and is an acceptable alternative to ICA in patients at risk for contrast-related nephrotoxicity.
-
The use of antiplatelet and antithrombotic agents after peripheral vascular interventions is a common clinical practice despite a lack of clear convincing evidence or accepted practice guidelines. The goal of this study was to assess surgeons' prescribing practices after endovascular procedures for lower extremity arterial occlusive disease. ⋯ The antiplatelet/antithrombotic prescribing practices of vascular surgeons after lower extremity endovascular procedures are highly variable. Multicenter randomized controlled trials are needed to define optimal treatment efficacy and define the much-needed practice guidelines.
-
Retracted: "Eversion carotid endarterectomy is associated with impaired postoperative hemodynamic stability compared with the conventional technique" Ann Vasc Surg 2012;26:755e65. This article has been retracted: please see Elsevier Policy on Article Withdrawal (http://www.elsevier.com/locate/withdrawalpolicy). ⋯ This article is being retracted because it is a duplicate submission. Similar versions, each with a slightly different focus, were both submitted to and published in European Journal of Vascular and Endovascular Surgery and Journal of Vascular Surgery.
-
The management of traumatic injury of the common carotid artery has traditionally required a conventional surgical intervention, which is associated with a high mortality rate. Endovascular procedures might offer a less invasive alternative to treat these injuries, with a lower rate of mortality and morbidity. ⋯ A self-expanding covered stent was placed across the injured portion of the artery, resulting in thrombosis of the aneurysm and preservation of the parent artery, without any significant complication. Covered stent placement is an alternative approach to treating carotid artery pseudoaneurysms associated with a jugular-carotid fistula.
-
In France, in the next 10 years, a large number of vascular surgeons will retire, and the risk of them not being replaced has raised the question of our capability to predict future activity in this discipline. Otherwise, the French population is expanding and aging. It will increase by 2.7% in 2020, and the number of individuals aged >65 years is expected to increase by 3.3 million, which represents a 33% rise between 2005 and 2020. As the number of vascular surgery procedures is closely associated with aging population, we can expect a significant increase in vascular surgery workload. We present a model to predict changes in vascular surgery activity according to population aging, including other parameters that could affect workload evolution. ⋯ In addition to the replacement of numerous retired surgeons, aging population and other factors could result in a significant increase in the demand for vascular surgical services.