Annals of Vascular Surgery

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Conservative Management of Non-Infected Diabetic Foot Ulcers Achieves Reliable Wound Healing and Limb Salvage in the Setting of Mild-Moderate Ischemia

The Society for Vascular Surgery (SVS) Wound, Ischemia, and foot Infection (WIfI) classification system has been validated to predict wound healing among patients with critical limb threatening ischemia (CLTI). Our goal was to analyze the use of a previously reported conservative wound care approach to non-infected (foot infection score of zero), diabetic foot ulcers (DFU) with mild-moderate peripheral arterial disease (PAD) enrolled in a conservative tier of a multidisciplinary limb preservation program.

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https://www.annalsofvascularsurgery.com/article/S0890-5096(21)00938-9/fulltext?rss=yes

Early Results and Technical Tips of Combining Iliac Branch Endoprostheses with Fenestrated Aortic Stent Grafts during Endovascular Repair of Complex Abdominal and Thoracoabdominal Aortic Aneurysms

Concomitant iliac aneurysms can occur up to 15% to 40% of patients with abdominal aortic aneurysms.1,2 While “plug-and-cover” technique, involving embolization of the internal iliac artery (IIA) and the iliac limb extension into the external iliac artery during endovascular aortic aneurysm repair (EVAR) was an approach taken by many in the past, sacrificing one or both internal iliac arteries has been associated with complications ranging from buttock claudication, sexual dysfunction, colonic and pelvic necrosis, to spinal cord ischemia.

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https://www.annalsofvascularsurgery.com/article/S0890-5096(21)00937-7/fulltext?rss=yes

Carotid Endarterectomy versus Carotid Artery Stenting With Double-Layer Micromesh Carotid Stent: Contemporary Results of a Single-Center Retrospective Study

Severe carotid stenosis (CS) is a major risk factor for stroke. Carotid Endarterectomy (CEA) is the gold standard revascularization technique of CS while carotid artery stenting (CAS) is considered an alternative treatment option, especially in high-risk patients or those with relative contraindications to CEA. The aim of this study was to evaluate the results of CEA and CAS with Roadsaver® stent device.

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https://www.annalsofvascularsurgery.com/article/S0890-5096(21)00923-7/fulltext?rss=yes

Outcomes of Infrainguinal Bypass in Patients with Cannabis vs Opioid Use Disorder

Marijuana and opioids are among the most commonly used drugs in the United States.1–4 The degree of marijuana and opioid use has increased dramatically in recent years, driven by marijuana legalization and rising opioid prescriptions.1–4

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https://www.annalsofvascularsurgery.com/article/S0890-5096(21)00922-5/fulltext?rss=yes

Rates of Intervention for Claudication versus Chronic Limb-Threatening Ischemia in Canada and United States

Previous studies have demonstrated important geographic variations in peripheral artery disease (PAD) management despite existing guidelines. We assessed differences in patient characteristics, procedural technique, and outcomes for PAD interventions in Canada versus United States.

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https://www.annalsofvascularsurgery.com/article/S0890-5096(21)00921-3/fulltext?rss=yes

Diagnosis and Treatment of Lymphatic Complications of the Groin Following Open Lower Extremity Revascularization with Plastic Surgery Closure

Lymphatic complications following vascular procedures involving the groin require prompt treatment to limit morbidity. Several treatments have been described, including conservative management, aspiration, sclerotherapy, and direct lymphatic ligation with or without a muscle flap have been described. To date, there is no data indicating which treatment results in the shortest time to recovery. We sought to address this gap by conducting a retrospective cohort study.

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https://www.annalsofvascularsurgery.com/article/S0890-5096(21)00920-1/fulltext?rss=yes

Inadequacies of Physical Examination in Patients with Acute Lower Limb Ischemia Are Associated with Dreadful Consequences

The 6 “Ps” are signs of acute lower limb ischemia (ALI) and comprises pain, pallor, pulselessness, perishing cold (poikilothermia), paraesthesia and paralysis. They are good diagnostic tools for physicians in the emergency department (ED) to conduct a primary evaluation of suspected ALI. The evaluation of vascular leg status is further enhanced by measuring the ankle brachial pressure index (ABI).1 The European Society of Vascular Surgery (ESVS) clinical practice guidelines on the management of ALI1 recommends using the 6 “Ps” and ABI in the clinical diagnostic work up.

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https://www.annalsofvascularsurgery.com/article/S0890-5096(21)00918-3/fulltext?rss=yes

Drug-Coated Balloon Angioplasty Versus Standard Uncoated Balloon Angioplasty for Long Femoropopliteal Lesions: Post Hoc Analysis of the 24-Month Results of the AcoArt I Study

Restenosis is a common complication after endovascular treatment of peripheral artery disease. Drug-coated balloon (DCB) treatment has been proven safe and effective in reducing the rate of restenosis for simple and short lesions. However, the clinical results of DCBs for long lesions are still very limited. This study aimed to evaluate the efficacy and safety of DCBs in the treatment of long femoropopliteal artery disease. And the results of this study will also complement the existing evidence of DCB treatment of long lesions.

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https://www.annalsofvascularsurgery.com/article/S0890-5096(21)00917-1/fulltext?rss=yes

Prognostic Significance of Preoperative Functional Independence Measure (FIM) on Long-Term Outcomes in Patients with Chronic Limb-Threatening Ischemia (CLTI)

The purpose of this study was to evaluate the effect of preoperative motor and cognitive activities of daily living (ADL) on long-term outcomes of patients with chronic limb-threatening ischemia (CLTI) after distal bypass.

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https://www.annalsofvascularsurgery.com/article/S0890-5096(21)00915-8/fulltext?rss=yes

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