Perspectives in Vascular Surgery and Endovascular Therapy RSS feed -- OnlineFirst Articles

Commentary on "Endovascular Repair of a Ruptured Popliteal Artery"

Belkin, M. — Mon, 16 Nov 2009 22:46:29 PST

Leukoaraiosis Predicts the Need for Intraoperative Shunt Placement During Carotid Endarterectomy

Arshad, A., Altaf, N., Goode, S., Auer, D. P., MacSweeney, S. T. — Fri, 09 Oct 2009 02:01:52 PDT

Objectives: White matter hyperintense lesions (WMHLs) are related to age, hypertension, and ischemia. They increase the risk of stroke in natural history and perioperatively during carotid endarterectomy. This may reflect an association with impaired cerebral hemodynamics. Hence, the authors studied whether ipsilateral WMHLs predict shunt requirement on clamping as an indicator of hemodynamic compromise. Design and Methods: A retrospective analysis was done in patients with symptomatic and severe carotid stenosis (>60%). Ipsilateral WMHL volumes were calculated from magnetic resonance imaging scans and association studied with the requirement of an intraoperative shunt. Results: Seventy patients were included. Twelve (17%) patients required shunting and 2 developed perioperative strokes. Patients requiring shunting had a larger WMHL volume (adjusted means = 16.2 ± 2.9 mL compared with 8.7 ± 1.2 mL for the nonshunt group; P = .020). Conclusions: Ipsilateral WMHL volume is a significant predictive factor for shunt requirement during carotid endarterectomy. This may reflect cerebral hemodynamic compromise.

Commentary on Carotid Endarterectomy Within 2 Weeks of Minor Ischemic Stroke: A Prospective Study

Rockman, C. B. — Fri, 17 Jul 2009 01:14:33 PDT

Commentary on Optimal Duplex Velocity Criteria for Defining the Severity of Carotid In-Stent Restenosis

Lal, B. K. — Fri, 17 Jul 2009 01:14:32 PDT

Commentary on Endovascular Management of Atherosclerotic Renovascular Disease : Early Results Following Primary Intervention

Modrall, J. G. — Tue, 14 Jul 2009 00:21:23 PDT

Commentary on Setting up an Outpatient Imaging Center: Adding Computed Tomographic Angiography, Magnetic Resonance Angiography, and an Outpatient Angiography Suite to Surgeon-Run Vascular Laboratories

Darling, R. C. — Wed, 19 Nov 2008 22:28:05 PST