Journal of Vascular Surgery – May 2020 Audiovisual Summary

Abstract

Hello! My name is Peter Gloviczki from Mayo Clinic, Editor-In-Chief of the Journal of Vascular Surgery. I am pleased to introduce the May issue of the JVS and highlight four outstanding papers, which are freely available for the next 2 months. The Editors’ Choice article is on “Economic burden and clinical impact of preoperative opioid dependence for patients undergoing lower extremity bypass surgery,” written by Aizpuru and colleagues from Emory University School of Medicine in Atlanta, Georgia.1Aizpuru M. Gallo L.K. Farley K.X. Wagner E.R. Benarroch-Gampel J. Jordan Jr., W.D. et al.Economic burden and clinical impact of preoperative opioid dependence for patients undergoing lower extremity bypass surgery.J Vasc Surg. 2020; 71: 1613-1619Abstract Full Text Full Text PDF PubMed Scopus (7) Google Scholar This is a retrospective review of the National Inpatient Sample data that included over 1 million admissions for lower extremity bypass, including 3190 opioid-dependent patients who were analyzed with a matched cohort. During the years from 2002 to 2015, opioid dependency increased 485%. Opioid dependency was associated with increased complications, costs, and length of stay. The CME article for this issue is entitled “Risk factors associated with microembolization after carotid intervention,” by Sabat and coauthors from Tucson, Arizona.2Sabat J. Bock D. Hsu C.H. Tan T.W. Weinkauf C. Trouard T. et al.Risk factors associated with microembolization after carotid intervention.J Vasc Surg. 2020; 71: 1572-1578Abstract Full Text Full Text PDF Scopus (3) Google Scholar This article is important since microembolization during and after carotid interventions may confer risk for neurocognitive impairment. This prospective cohort study compared microembolization rates of 107 patients undergoing carotid stenting with those of 95 patients who had carotid endarterectomy. Patients underwent magnetic resonance imaging before and within 24 hours after interventions. Seventy-eight percent of the patient had microinfarctions after carotid stenting and 27% had microinfarctions after carotid endarterectomy and this difference was statistically highly significant. Patency of the external carotid artery and short, calcified lesions were risk factors for microinfarctions with carotid stenting but not with carotid endarterectomy. Our next highlighted article is an international multicenter study by Swerdlow and coauthors entitled “Five-year results of endovascular abdominal aortic aneurysm repair with the Ovation abdominal stent graft.”3Swerdlow N.J. Lyden S.P. Verhagen H.J.M. Schermerhorn M.L. Five-year results of endovascular abdominal aortic aneurysm repair with the Ovation abdominal stent graft.J Vasc Surg. 2020; 71: 1528-1537Abstract Full Text Full Text PDF PubMed Scopus (7) Google Scholar This is a retrospective analysis of prospectively collected multicenter data of 1296 patients who underwent abdominal aortic aneurysm repair with the Ovation stent graft. Fifty percent of patients had complex aortic anatomy that among others included a neck length <10 mm, neck diameter >28 mm, and neck angle >60 degrees. The 5-year freedom from type IA endoleak was 95.8% and freedom from type I or III endoleak was 94.0%. Five-year freedom from aneurysm-related mortality was 99.3% and overall survival at 5 years was 78.9%. The take home message from this paper is that this analysis supported the safety and durability of the Ovation endograft. The final article, titled “Fenestrated endovascular repair for diseases involving the aortic arch,” was authored by Tsilimparis and colleagues from Hamburg and Munich in Germany.4Tsilimparis N. Law Y. Rohlffs F. Spanos K. Debus E.S. Kölbel T. Fenestrated endovascular repair for diseases involving the aortic arch.J Vasc Surg. 2020; 71: 1464-1471Abstract Full Text Full Text PDF PubMed Scopus (16) Google Scholar In this retrospective study, 44 patients underwent aortic arch repair using custom-made fenestrated stent grafts. The proximal landing zone was zone 0 in 27%, zone 1 in 62%, and zone 2 in 11%. Debranching of the innominate artery was needed in 9% of the carotid and 30% of the subclavian arteries. Technical success was 95%, 30-day mortality was 9%, and major stroke occurred in 7%. The take home message of this paper is that fenestrated endograft repair of aortic arch disease has a high technical success rate and it can be performed with acceptable morbidity and mortality. Thank you for watching! I hope you enjoy these and the other excellent papers published in the May issue of the JVS. For more information, please follow us on social media and remember to like, comment, and share! See you next time for the highlights of the June issue of the Journal of Vascular Surgery. The video accompanying this article may be found online at www.jvascsurg.org. eyJraWQiOiI4ZjUxYWNhY2IzYjhiNjNlNzFlYmIzYWFmYTU5NmZmYyIsImFsZyI6IlJTMjU2In0.eyJzdWIiOiIyYjcyMmI5OTY5MTNiMTRiOGExZmI5MWRiYzA2NzRmMSIsImtpZCI6IjhmNTFhY2FjYjNiOGI2M2U3MWViYjNhYWZhNTk2ZmZjIiwiZXhwIjoxNjMxNDgwOTQ5fQ.fIWHNd5prMFkPYWod6abi6ijZcIkm44znNsq2DpWQbrZCKjAEJxa9wJdMsxpyoHWIUEkePpYAB0Tm9Y2Utg3rbjdtc4x1Q_k-XLTI19NDlSU9LWbFQDKwCEiBpGCxSXYJuR-K3qMpj7KUxSrlivQl4Mp7kBhTPAGMLkZgkl0c9wDfH68IkZFyakNvmC3k0Dvyw5OdWSNTjOzY_Nm5FUG0SlML_KS4ZA-z8EFDqURZ31nBVIwJOkBpEGupVBhvqJ9qkEAp0Vy8bNhiML1MSNhhj8WRBchhkTo2cfoqFZXyIMJfP_weASq5XCpvXwDAqXNoqTuCkql-jnoY8zGqKuaxw Download .mp4 (99.71 MB) Help with .mp4 files Video