Tagged: Annals of Vascular Surgery

Polyvascular disease influences long-term cardiovascular morbidity in carotid endarterectomy.

Carotid stenosis (CS) is an important cause of ischemic stroke. Secondary prevention lies in performing a carotid endarterectomy (CEA) procedure, the recommended treatment in most cases. When two or more vascular regions are simultaneously affected by atherosclerosis, mainly the carotid arteries, coronary arteries, or limb arteries, a multivessel disease polyvascular disease (PVD) is present. This study aims to assess the potential role of PVD as a long-term predictor of major adverse cardiovascular events (MACE) and all-cause mortality in patients submitted to CEA. Go to Source This article was first shared by INDoximity

Two-Stage Endovascular Aneurysm Repair With Preemptive Embolization; A Retrospective Study

Type II endoleak is the most common complication of endovascular aneurysm repair. Retrograde perfusion from the aneurysmal sac side branch to the aneurysmal sac, including the inferior mesenteric artery and lumbar arteries, is associated with adverse events after endovascular aneurysm repair, such as aneurysm sac enlargement, reintervention, rupture, and abdominal aortic aneurysm-related death. Preemptive embolization of the aneurysmal sac side branch before endovascular aneurysm repair is an effective and safe procedure for preventing type II endoleak and reducing the size of the aneurysmal sac. Go to Source This article was first shared by INDoximity

Spontaneous ilio-iliac arteriovenous fistula from rupture of an iliac aneurysm: a systematic review

Spontaneous arteriovenous iliac fistulas (AVF) caused by iliac aneurysms are a rare condition with possible dramatic complications due to secondary haemodynamic changes. Diagnosis can be challenging since patients may present with progressive cardiac failure or even haemodynamic shock as primary symptom. Due to the rarity of the condition, data is scarce and treatment decisions are challenging. The aim of this systematic review is to give an overview of the symptoms, treatment possibilities and patient outcomes. Go to Source This article was first shared by INDoximity

Small Arteriovenous Anastomosis In Fistula Creation: Establishing A Functional Vascular Access While Minimizing Steal Syndrome

The size selection of the arteriovenous (AV) anastomosis in dialysis access creation requires a careful balance: the diameter must be large enough to accommodate sufficient flow for hemodialysis, but small enough to minimize the complication of steal syndrome. Steal syndrome affects up to 10% of patients after creation of dialysis access with sometimes devastating consequences. Conventional teaching recommends an 7-10 mm anastomosis. We sought to assess the efficacy of using a smaller (5-6 mm) anastomosis in new arteriovenous fistula (AVF) creation. Go to Source This article was first shared by INDoximity