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Trans-axillary thoracic outlet decompression Semin. Vasc. Surg. (IF 2.5) Pub Date : 2024-03-04 Jens Goeteyn, Stijn B.J. Teijink, Niels Pesser, Marc R.H.M. van Sambeek, Bart F.L van Nuenen, Joep A.W. Teijink
Thoracic Outlet Syndrome (TOS) is a group of conditions thought to be caused by the compression of neurovascular structures going to the upper extremity. TOS is a difficult disease to diagnose, and surgical treatment remains challenging. Many different surgical techniques for the treatment of TOS have been described in literature and many report reasonable to good outcomes, which makes it hard for
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Neurogenic Thoracic Outlet Syndrome and Controversies in Diagnosis/Management Semin. Vasc. Surg. (IF 2.5) Pub Date : 2024-02-19 Erin McIntosh, Ramesh K Tripathi, J Westley Ohman
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VATS and Robotic-Assisted First Rib Excision and TOS Decompression Semin. Vasc. Surg. (IF 2.5) Pub Date : 2024-02-16 Whitney Sutton, John O'Neill, Eric Strother, Danielle A. Grossman, Ann E. Hwalek, Marc Margolis
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Upper-limb Neurovascular Compression, Pectoralis Minor and Quadrilateral Space Syndrome: A Narrative Review of Current Literature Semin. Vasc. Surg. (IF 2.5) Pub Date : 2024-02-16 Peter N Drossopoulos, Colby Ruiz, Jonathan Mengistu, Charlotte B Smith, Luigi Pascarella
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A Review of Arterial Thoracic Outlet Syndrome Semin. Vasc. Surg. (IF 2.5) Pub Date : 2024-02-13 Vamsi K. Potluri, Ruojia D. Li, Paul Crisostomo, Carlos F. Bechara
Arterial thoracic outlet syndrome (TOS) is a condition where anatomical abnormalities in the thoracic outlet cause compression of the subclavian, or less commonly, the axillary artery. Patients are usually younger and typically have an anatomic abnormality causing the compression. The condition is usually undiagnosed until patients present with signs of acute or chronic hand/arm ischemia. Work up of
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Thoracic outlet syndrome in women Semin. Vasc. Surg. (IF 2.5) Pub Date : 2024-02-02 Grace Carvajal Mulatti, Marcelo Bellini Dalio, Tayrine Mazotti de Moraes, Gabriela Araújo Attie, André Brito-Queiroz, Edwaldo Edner Joviliano
Thoracic outlet syndrome (TOS) is observed more frequently in women, although the exact causes of this sex disparity remain unclear. By investigating the three types of TOS—arterial, neurogenic, and venous—regarding symptoms, diagnosis, and treatment, this article aims to shed light on the current understanding of TOS, focusing on its variations in women.
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Diagnosis and management of thoracic outlet syndrome in athletes Semin. Vasc. Surg. (IF 2.5) Pub Date : 2024-02-01 Andrea T. Fisher, Jason T. Lee
The physical demands of sports can place patients at elevated risk for use-related pathologies, including thoracic outlet syndrome (TOS). Overhead athletes in particular (baseball and football players, swimmers, divers, weightlifters, etc.) often subject their subclavian vessels and brachial plexuses to repetitive trauma, resulting in venous effort thrombosis, arterial occlusions, brachial plexopathy
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The infraclavicular approach for venous thoracic outlet syndrome Semin. Vasc. Surg. (IF 2.5) Pub Date : 2024-01-28 Sarah A. Loh, Britt H. Tonnessen
Venous thoracic outlet syndrome (vTOS) is an esoteric condition that presents in young, healthy adults. Treatment includes catheter-directed thrombolysis, followed by first-rib resection for decompression of the thoracic outlet. Various techniques for first-rib resection have been described with successful outcomes. The infraclavicular approach is well-suited to treat the most medial structures that
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The Supraclavicular Approach to Decompression of Thoracic Outlet Semin. Vasc. Surg. (IF 2.5) Pub Date : 2024-01-26 Prem Chand Gupta, Prajna B Kota, Vamsikrishna Yerramsetty, Velladuraichi Boologapandian, Viswanath Atreyapurapu, Pritee Sharma, Ajay Savlania
Surgical decompression of the thoracic outlet along with treatment of the involved nerve or vessel is the accepted treatment modality when indicated. While neurogenic thoracic outlet syndrome (nTOS) is often operated via the axillary approach and venous TOS (vTOS) via the paraclavicular approach, arterial thoracic syndrome is almost always operated via the supraclavicular approach. The supraclavicular
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Current Concepts in Clinical Features and Diagnosis of Thoracic Outlet Syndrome Semin. Vasc. Surg. (IF 2.5) Pub Date : 2024-01-23 Alexis Betancourt, Ehsan Benrashid, Prem Chand Gupta, Katharine L. McGinigle
The diagnosis and clinical features of the thoracic outlet syndrome (TOS) have long confounded clinicians, owing to heterogeneity in symptom presentation and many overlapping competing diagnoses which are “more common.” Despite the advent and prevalence of high-resolution imaging, along with the increasing awareness of the syndrome itself, mis- and untimely diagnoses can result in significant patient
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Systematic review of intermediate and long-term results of thoracic outlet decompression Semin. Vasc. Surg. (IF 2.5) Pub Date : 2024-01-23 Mitri K. Khoury, Micah A. Thornton, Anahita Dua
Thoracic outlet syndrome (TOS) consists of a group of disorders resulting from compression of the neurovascular bundle exiting through the thoracic outlet. TOS can be classified as follows based on the etiology of the pathophysiology: neurogenic TOS, venous TOS, arterial TOS, and mixed TOS. The constellation of symptoms a patient may experience varies, depending on the structures involved. Due to the
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Management of thoracic outlet syndrome in patient with hemodialysis access Semin. Vasc. Surg. (IF 2.5) Pub Date : 2024-01-22 Arash Fereydooni, Michael David Sgroi
Patients with threatened arteriovenous access are often found to have central venous stenoses at the ipsilateral costoclavicular junction, which may be resistant to endovascular intervention. Stenoses in this location may not resolve unless surgical decompression of thoracic outlet is performed to relieve the extrinsic compression on the subclavian vein. The authors reviewed the management of dialysis
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Bridging the Divide: Addressing Sex Disparities in Vascular Surgery Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-11-10 Yana Etkin, Linda M. Harris, Caitlin W. Hicks
Abstract not available
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Comprehensive framework of factors accounting for worse aortic aneurysm outcomes in females: A scoping review Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-10-29 Simon De Freitas, Garietta Falls, Tahlia Weis, Kirran Bakhshi, Lindsey M. Korepta, Carlos F. Bechara, Young Erben, Shipra Arya, Javairiah Fatima
Sex-based outcome studies have consistently documented worse results for females undergoing care for abdominal aortic aneurysms. This review explores the underlying factors that account for worse outcomes in the females sex. A scoping review of studies reporting sex-based disparities on abdominal aortic aneurysms was performed. The review was conducted in accordance with the Preferred Reporting Items
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Sex disparities in hemodialysis access outcomes: A systematic review Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-10-29 Jeffrey Silpe, Issam Koleilat, Justin Yu, Young Hun Kim, Ella Taubenfeld, Sonia Talathi, Maria Coluccio, Karissa Wang, Karen Woo, Yana Etkin
The goal of this systematic review was to collate and summarize the current literature on hemodialysis access outcomes in females, identify differences between females and men, and provide a foundation for future research. A systematic review of the English-language literature was conducted by searching PubMed and Google Scholar for the following terms: “sex,” “hemodialysis access,” “arteriovenous
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Venous compression syndromes in females: A descriptive review Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-10-20 Kathleen Ozsvath, Joseph D. Raffetto, Eva Lindner, Erin H. Murphy
Venous compression syndromes have been described, yet the role of sex is poorly understood. Although iliac vein compression has been discussed more often with the advent of newer technologies, research has fallen short on defining epidemiology, best practices for evaluation and treatment, and differences in responses to treatment between men and females. The authors report on iliac vein compression
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A systematic review of disparities in the medical management of atherosclerotic cardiovascular disease in females Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-10-15 Andrea Simioni, Jeniann A. Yi, Rabbia Imran, Anahita Dua
Atherosclerotic cardiovascular disease (ASCVD) is the leading cause of death in the United States and worldwide. Medical management of known modifiable risk factors, such as dyslipidemia, hypertension, and diabetes, is a key aspect to its treatment. Unfortunately, there are substantial sex-based differences in the treatment of ASCVD that result in poor medical management and worse clinical outcomes
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A scoping review of female sex–related outcomes after endovascular intervention for lifestyle-limiting claudication and chronic limb-threatening ischemia Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-10-14 Pallavi Manvar-Singh, Alicia Folk, Elizabeth A. Genovese
Peripheral arterial disease (PAD) is on the rise, with a growing prevalence in an aging population and increasing rates of diabetes. Chronic limb-threatening ischemia poses a significant risk of limb loss. PAD is common in females, particularly after menopause, with a 35% prevalence rate in females older than 65 years. Studies have suggested that females have inferior outcomes compared with men after
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Corrigendum to “Acute venous problems: Integrating medical, surgical, and interventional treatments” [Seminars in Vascular Surgery Volume 36, Issue 2, June (2023) Pages 307–318] Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-10-10 Daniele Bissacco, Tim J. Mandigers, Silvia Romagnoli, Tiziana Aprea, Chiara Lomazzi, Ilenia D'Alessio, Velio Ascenti, Anna Maria Ierardi, Maurizio Domanin, Valerio Stefano Tolva, Gianpaolo Carrafiello, Santi Trimarchi
Abstract not available
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Presentation and outcomes of thoracic and thoracoabdominal aortic aneurysms in females, existing gaps, and future directions: A descriptive review Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-10-10 Sharon C. Kiang, Mary M. Lee, Hanaa Dakour-Aridi, Madiha Hassan, Rana O. Afifi
Thoracic and thoracoabdominal aortic aneurysms are more common in men. Yet, females often have worse outcomes, fewer interventions, and lower treatment rates. Females have also benefited less from the research and treatment of those diseases than men. Understanding sex- and sex-specific differences in thoracic and thoracoabdominal aortic aneurysms can improve care delivery, reduce disparities, and
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Prevalence and outcomes of select rare vascular conditions in females: A descriptive review Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-10-07 Rebecca Sorber, Caitlin J. Bowen, Shannon N. Radomski, Sherene Shalhub
Rare vascular conditions frequently pose a diagnostic and therapeutic dilemma for health care providers. Several of these conditions have distinct relevance to females populations but, due to their infrequency, there has been little reported on the outcomes of rare vascular conditions specifically in females populations. We performed a literature review of a selection of three rare vascular conditions
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Sex disparities in outcomes after carotid artery interventions: A systematic review Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-10-05 Yana Etkin, Lisa Iyeke, Grace Yu, Isra Ahmed, Pasquale Matera, Jonathan Aminov, Angela Kokkosis, Laurel Hastings, Karan Garg, Caron Rockman
This systematic review aimed to identify sex-specific outcomes in men and women after carotid endarterectomy (CEA) and carotid artery stenting (CAS), including transfemoral and transcarotid. A search of literature published from January 2000 through December 2022 was conducted using key terms attributed to carotid interventions on PubMed. Studies comparing outcome metrics post intervention (ie, myocardial
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Thoracic outlet syndrome in females: A systematic review Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-09-23 Lauren E. Cralle, Linda M. Harris, Ying Wei Lum, Sarah E. Deery, Misty D. Humphries
Thoracic outlet syndrome (TOS) is a rare anatomic condition caused by compression of neurovascular structures as they traverse the thoracic outlet. Depending on the primary structure affected by this spatial narrowing, patients present with one of three types of TOS—venous TOS, arterial TOS, or neurogenic TOS. Compression of the subclavian vein, subclavian artery, or brachial plexus leads to a constellation
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Sex disparities in patients with acute aortic dissection: A scoping review Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-09-09 Amanda C. Filiberto, Omar I. Ramadan, Grace J. Wang, Michol A. Cooper
Disparities in outcomes for patients with cardiovascular disease and those undergoing cardiac or vascular operations are well-established. These disparities often span several dimensions and persist despite advancements in medical and surgical care; sex is among the most pervasive. Specifically, females sex has been implicated as a predictor of poor outcomes in both patients with acute type A aortic
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Sex differences in outcomes of exercise therapy for patients with intermittent claudication: A scoping review Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-08-25 M. Libby Weaver, Laura T. Boitano, Brian J. Fazzone, Jonathan R. Krebs, Andrea H. Denton, Pranav Kapoor, Corey A. Kalbaugh, Jessica P. Simons
Exercise therapy is first-line treatment for intermittent claudication due to peripheral artery disease. We sought to synthesize the literature on sex differences in response to exercise therapy for the treatment of intermittent claudication due to peripheral artery disease. A scoping review was performed (1997 to 2023) using Ovid MEDLINE, CINAHL (Cumulative Index to Nursing and Allied Health Literature)
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Considerations for the application of artificial intelligence in vascular surgical education Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-08-15 David A. Rigberg, Jeffrey Jim
The rapid adoption of artificial intelligence (AI) into everyday use has presented multiple issues for surgical educators to consider. In this article, the authors discuss some of the ethical aspects of academic integrity and the use of AI. These issues include the importance of understanding the current limits of AI and the inherent biases of the technology. The authors further discuss the ethical
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Bias in artificial intelligence in vascular surgery Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-08-01 Zachary Tran, Julianne Byun, Ha Yeon Lee, Hans Boggs, Emma Y. Tomihama, Sharon C. Kiang
Application of artificial intelligence (AI) has revolutionized the utilization of big data, especially in patient care. The potential of deep learning models to learn without a priori assumption, or without prior learning, to connect seemingly unrelated information mixes excitement alongside hesitation to fully understand AI's limitations. Bias, ranging from data collection and input to algorithm development
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Artificial intelligence in clinical workflow processes in vascular surgery and beyond Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-07-22 Shernaz S. Dossabhoy, Vy T. Ho, Elsie G. Ross, Fatima Rodriguez, Shipra Arya
In the past decade, artificial intelligence (AI)-based applications have exploded in health care. In cardiovascular disease, and vascular surgery specifically, AI tools such as machine learning, natural language processing, and deep neural networks have been applied to automatically detect underdiagnosed diseases, such as peripheral artery disease, abdominal aortic aneurysms, and atherosclerotic cardiovascular
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Machine learning and image analysis in vascular surgery Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-07-07 Roger T. Tomihama, Saharsh Dass, Sally Chen, Sharon C. Kiang
Deep learning, a subset of machine learning within artificial intelligence, has been successful in medical image analysis in vascular surgery. Unlike traditional computer-based segmentation methods that manually extract features from input images, deep learning methods learn image features and classify data without making prior assumptions. Convolutional neural networks, the main type of deep learning
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Mature artificial intelligence– and machine learning–enabled medical tools impacting vascular surgical care: A scoping review of late-stage, US Food and Drug Administration–approved or cleared technologies relevant to vascular surgeons Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-06-26 David P. Stonko, Caitlin W. Hicks
Artificial intelligence and machine learning (AI/ML)-enabled tools are shifting from theoretical or research-only applications to mature, clinically useful tools. The goal of this article was to provide a scoping review of the most mature AI/ML-enabled technologies reviewed and cleared by the US Food and Drug Administration relevant to the field of vascular surgery. Despite decades of slow progress
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Protecting patient safety and privacy in the era of artificial intelligence Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-06-24 Andrea Alonso, Jeffrey J. Siracuse
The promise of artificial intelligence (AI) in health care has propelled a significant uptrend in the number of clinical trials in AI and global market spending in this novel technology. In vascular surgery, this technology has the ability to diagnose disease, predict disease outcomes, and assist with image-guided surgery. As we enter an era of rapid change, it is critical to evaluate the ethical concerns
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Potential applications of artificial intelligence and machine learning on diagnosis, treatment, and outcome prediction to address health care disparities of chronic limb-threatening ischemia Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-06-24 Amir Behzad Bagheri, Mohammad Dehghan Rouzi, Navid Alemi Koohbanani, Mohammad H. Mahoor, M.G. Finco, Myeounggon Lee, Bijan Najafi, Jayer Chung
Chronic limb-threatening ischemia (CLTI) is the most advanced form of peripheral artery disease. CLTI has an extremely poor prognosis and is associated with considerable risk of major amputation, cardiac morbidity, mortality, and poor quality of life. Early diagnosis and targeted treatment of CLTI is critical for improving patient's prognosis. However, this objective has proven elusive, time-consuming
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Artificial intelligence for the vascular surgeon Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-05-27 Sina Asaadi, Kevin N. Martins, Mary M. Lee, Joe Luis Pantoja
In recent years, artificial intelligence (AI) has permeated different aspects of vascular surgery to solve challenges in clinical practice. Although AI in vascular surgery is still in its early stages, there have been promising developments in its applications to vascular diagnosis, risk stratification, and outcome prediction. By establishing a baseline knowledge of AI, vascular surgeons are better
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Artificial intelligence in vascular surgical decision making Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-05-27 Fabien Lareyre, Kak Khee Yeung, Lisa Guzzi, Gilles Di Lorenzo, Arindam Chaudhuri, Christian-Alexander Behrendt, Konstantinos Spanos, Juliette Raffort
Despite advances in prevention, detection, and treatment, cardiovascular disease is a leading cause of mortality and represents a major health problem worldwide. Artificial intelligence and machine learning have brought new insights to the management of vascular diseases by allowing analysis of huge and complex datasets and by offering new techniques to develop advanced imaging analysis. Artificial
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Computer Science meets Vascular Surgery: Keeping a pulse on artificial intelligence Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-05-27 Carly Thaxton, Alan Dardik
Artificial intelligence (AI)–based technologies have garnered interest across a range of disciplines in the past several years, with an even more recent interest in various health care fields, including Vascular Surgery. AI offers a unique ability to analyze health data more quickly and efficiently than could be done by humans alone and can be used for clinical applications such as diagnosis, risk
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The regulatory environment for artificial intelligence–enabled devices in the United States Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-05-27 Nathan L. Liang, Timothy K. Chung, David A. Vorp
The regulatory environment in the United States has not kept pace with the rapidly developing market for artificial intelligence (AI)–enabled devices. The number of AI-enabled devices has increased year after year. All of these devices are registered or cleared by the US Food and Drug Administration through exempt or 510(k) premarket notification pathways, and the majority are related to the radiology
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Artificial intelligence–based predictive models in vascular diseases Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-05-27 Fabien Lareyre, Arindam Chaudhuri, Christian-Alexander Behrendt, Alexandre Pouhin, Martin Teraa, Jonathan R. Boyle, Riikka Tulamo, Juliette Raffort
Cardiovascular disease represents a source of major health problems worldwide, and although medical and technical advances have been achieved, they are still associated with high morbidity and mortality rates. Personalized medicine would benefit from novel tools to better predict individual prognosis and outcomes after intervention. Artificial intelligence (AI) has brought new insights to cardiovascular
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Infective native arterial aneurysms and inflammatory abdominal aortic aneurysms: an overview with a focus on emergency settings Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-05-01 Mohamad A. Chahrour, Mel J Sharafuddin
Infective native arterial aneurysms and inflammatory aortic aneurysms are rare but morbid pathologies seen by vascular surgeons in the emergency setting. Presentation is not always clear, and a full workup must be obtained before adopting a management strategy. Treatment is multidisciplinary and is tailored to every case based on workup findings. Imaging with computed tomography, magnetic resonance
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Emergent vessel embolization for major traumatic and non-traumatic hemorrhage: Indications, tools and outcomes Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-05-01 Tal M. Hörer, Anna Maria Ierardi, Serena Carriero, Carolina Lanza, Gianpaolo Carrafiello, David T. McGreevy
Endovascular embolization of bleeding vessels in trauma and non-trauma patients is frequently used and is an important tool for bleeding control. It is included in the EVTM (endovascular resuscitation and trauma management) concept and its use in patients with hemodynamic instability is increasing. When the correct embolization tool is chosen, a dedicated multidisciplinary team can rapidly and effectively
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Descending thoracic aortic emergencies: Past, present, and future Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-30 Mohammed Habib, David Lindström, Jacob Budtz Lilly, Mario D'Oria, Anders Wanhainen, Manar Khashram, Anastasia Dean, Kevin Mani
The most important descending thoracic aortic (DTA) pathologies are aneurysms, dissections, and traumatic injuries. In acute settings, these conditions can constitute a significant risk of bleeding or ischemia of vital organs, resulting in a fatal outcome. Morbidity and mortality associated with aortic pathologies remain significant, despite improvements in medical therapy and endovascular techniques
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Emergency vascular surgical care in populations with unique physiologic characteristics: Pediatric, pregnant, and frail populations Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-30 David Warner, Kathryn W. Holmes, Rana Afifi, Melissa L. Russo, Sherene Shalhub
Vascular surgical emergencies are common in vascular surgical care and require complex decision making and multidisciplinary care. They are especially challenging when they occur in patients with unique physiological characteristics, such as pediatric, pregnant, and frail patients. Among the pediatric and pregnant population, vascular emergencies are rare. This rarity challenges accurate and timely
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Thoracic aortic emergencies involving the aortic arch: An integrated cardiovascular surgical treatment approach Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-30 Tim Walter, Tim Berger, Stoyan Kondov, Roman Gottardi, Julia Benk, Phillip Discher, Bartosz Rylski, Martin Czerny, Maximilian Kreibich
Thoracic aortic emergencies involving the aortic arch are potentially fatal conditions that require the entire surgical repertoire of conventional surgery, such as complete aortic arch replacement using the frozen-elephant-trunk technique, through hybrid procedures, to full surgical endovascular options with conventional or delivered/fenestrated stent-grafts. An interdisciplinary aortic team should
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Emergencies during oncovascular surgery: Strategies and pitfalls Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-29 Pirkka Vikatmaa
In a growing number of pathologies, vascular invasion is no longer considered a contraindication for surgery with a curative intention. This has led vascular surgeons to be more involved in the treatment of pathologies that they are not used to. These patients should be managed in a multidisciplinary manner. New types of emergencies and complications have emerged. Emergencies in oncovascular surgery
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Severe local wound infections after vascular exposure in the groin and other body areas: Prevention, treatment and prognosis Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-29 Marta Minucci, Tommaso Donati, Antonio Luparelli, Lucia Scurto, Julia Paolini, Simona Sica, Marco Natola, Fabrizio Minelli, Yamume Tshomba, Giovanni Tinelli
Severe surgical site infections (SSIs) are a frequent nosocomial complication after vascular interventions, an important cause of postoperative morbidity, and a substantial burden to the health care system. Patients undergoing arterial interventions are at elevated risk of SSIs, possibly because of the presence of several risk factors in this patient population. In this review, we examined the available
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The anesthesiologist's perspective on emergency aortic surgery: Preoperative optimization, intraoperative management, and postoperative surveillance Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-29 Fulvio Nisi, Luca Carenzo, Nadia Ruggieri, Antonio Reda, Maria Giulia Pascucci, Arianna Pignataro, Efrem Civilini, Federico Piccioni, Enrico Giustiniano
The management of emergencies related to the aorta requires a multidisciplinary approach involving various health care professionals. Despite technological advancements in treatment methods, the risks and mortality rates associated with surgery remain high. In the emergency department, definitive diagnosis is usually obtained through computed tomography angiography, and management focuses on controlling
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Acute venous problems: Integrating medical, surgical, and interventional treatments Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-29 Daniele Bissacco, Tim J. Mandigers, Silvia Romagnoli, Tiziana Aprea, Chiara Lomazzi, Ilenia D'Alessio, Velio Ascenti, Anna Maria Ierardi, Maurizio Domanin, Valerio Stefano Tolva, Gianpaolo Carrafiello, Santi Trimarchi
“Acute venous problems” refers to a group of disorders that affect the veins and result in sudden and severe symptoms. They can be classified based on the pathological triggering mechanisms, such as thrombosis and/or mechanical compression, and their consequences, including symptoms, signs, and complications. The management and therapeutic approach depend on the severity of the disease, the location
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Acute ischemia of the upper and lower limbs: Tailoring the treatment to the underlying etiology Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-29 Ciro Ferrer, Giulia Antonietta Cannizzaro, Adelaide Borlizzi, Cataldo Caruso, Rocco Giudice
Acute limb ischemia (ALI) can be a devastating clinical emergency with potentially limb- or life-threatening consequences. It is defined as a quickly developing or sudden decrease in limb perfusion producing new or worsening symptoms and signs, often threatening limb viability. ALI is commonly related to an acute arterial occlusion. Rarely, extensive venous occlusion can lead to upper and lower extremities
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Acute problems of hemodialysis access: Thrombosis, aneurysms, symptomatic high-flow fistulas, and complications related to central lines Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-29 Marco Franchin, Marco Tadiello, Luca Guzzetti, Andrea Gattuso, Francesca Mauri, Maria Cristina Cervarolo, Mario Giovanni Gerardo D'Oria, Matteo Tozzi
Hemodynamic complications frequently affect vascular access and are important causes of morbidity and mortality. We present a review of acute complications affecting vascular accesses, focusing on classical and new treatments. Acute complications in hemodialysis vascular access are often underestimated and undertreated, and can present a challenge for both vascular surgeons and anesthesiologists. Accordingly
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Emergent management of diabetic foot problems in the modern era: Improving outcomes Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-27 Nicola Troisi, Giulia Bertagna, Maciej Juszczak, Francesco Canovaro, Lorenzo Torri, Daniele Adami, Raffaella Berchiolli
Limb amputation is a consequence, and the leading complication, of diabetic foot ulcers. Prevention depends on prompt diagnosis and management. Patients should be managed by multidisciplinary teams and efforts should be focused on limb salvage (“time is tissue”). The diabetic foot service should be organized in a way to meet the patient's clinical needs, with the diabetic foot centers at the highest
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Acute management of mesenteric emergencies: Tailoring the solution to the problem Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-25 Rebecca N. Treffalls, David P. Stonko, Randall R. DeMartino, Jonathan J. Morrison
Acute mesenteric ischemia (AMI) constitutes a life-threatening problem that can result in death, multiorgan failure, and severe nutritional disability. Although AMI is a rare cause of acute abdominal emergencies, ranging between 1 and 2 individuals per 10,000, the morbidity and mortality rates are high. Arterial embolic etiology composes nearly one-half of AMIs, with a sudden onset of severe abdominal
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Major vascular traumas to the neck, upper limbs, and chest: Clinical presentation, diagnostic approach, and management strategies Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-24 Giovanni Badalamenti, Ciro Ferrer, Cristiano Calvagna, Marco Franchin, Gabriele Piffaretti, Jacopo Taglialavoro, Silvia Bassini, Filippo Griselli, Beatrice Grando, Sandro Lepidi, Mario D'Oria
Major vascular traumas to the neck, upper limbs, and chest may arise from penetrating and/or blunt mechanisms, resulting in a range of clinical scenarios. Lesions to the carotid arteries may also lead to neurologic complications, such as stroke. The increasing use of invasive arterial access for diagnostic and/or interventional purposes has increased the rate of iatrogenic injuries, which usually occur
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Diagnosis and management of acute conditions of the extracranial carotid artery Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-20 Rodolfo Pini, Enrico Gallitto, Sara Fronterrè, Cristina Rocchi, Marcello Lodato, Betti Shyti, Gianluca Faggioli, Mauro Gargiulo
Symptomatic carotid stenosis and carotid dissection are acute conditions of extracranial cerebrovascular vessels determining transient ischemic attack or stroke. Medical, surgical, or endovascular management are different options to treat these pathologies. This narrative review focused on the management, from symptoms to treatment, of the acute conditions of extracranial cerebrovascular vessels, including
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Resuscitative balloon occlusion of the aorta in the modern era: Expanding indications, optimal techniques, unresolved issues, and current results Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-15 Joanna Shaw, Megan Brenner
Resuscitative endovascular balloon occlusion of the aorta has been used by trauma surgeons at the bedside for more than a decade in civilian and military settings. Translational and clinical research suggests it is superior to resuscitative thoracotomy for select patients. Clinical research suggests outcomes are superior in patients who received resuscitative balloon occlusion of the aorta compared
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Emergent endovascular treatment options for thoracoabdominal aortic aneurysm Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-13 Alessandro Grandi, Andrea Melloni, Mario D'Oria, Sandro Lepidi, Stefano Bonardelli, Tilo Kölbel, Luca Bertoglio
For a long time, parallel grafting, physician-modified endografts, and, more recently, in situ fenestration were the only go-to endovascular options for ruptured thoracoabdominal aortic aneurysm, offered mixed results, and depended mainly on the operator's and center's experience. As custom-made devices have become an established endovascular treatment option for elective thoracoabdominal aortic aneurysm
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Intraoperative complications during standard and complex endovascular aortic repair Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-09 Titia Sulzer, Emanuel R. Tenorio, Thomas Mesnard, Andrea Vacirca, Aidin Baghbani-Oskouei, Jorg L. de Bruin, Hence J.M. Verhagen, Gustavo S. Oderich
This study aimed to provide a comprehensive overview of the most common intraoperative adverse events that occur during standard endovascular repair and fenestrated-branched endovascular repair to treat abdominal aortic aneurysms, thoracoabdominal aortic aneurysms, and aortic arch aneurysms. Despite advancements in endovascular techniques, sophisticated imaging and improved graft designs, intraoperative
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The role of multimodal imaging in emergency vascular conditions: The journey from diagnosis to hybrid operating rooms Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-08 Elda Chiara Colacchio, Mariagiovanna Berton, Francesco Squizzato, Mirko Menegolo, Michele Piazza, Franco Grego, Michele Antonello
Multimodal imaging is the incorporation of two or more imaging modalities during the same examination, and it has both diagnostic and treatment applications. The use of image fusion for intraoperative guidance in endovascular interventions is being extended increasingly to the field of vascular surgery, especially in the context of hybrid operating rooms. The aim of this work was to perform a review
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Recent advances and the future of abdominopelvic and lower extremity vascular injury management Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-07 Mahmood Kabeil, David S. Kauvar, Lisa Bennett, Max V. Wohlauer
Despite advances in open and endovascular management of trauma, vascular injuries remain a source of devastating outcomes. This narrative review of the literature between 2018 and 2023 explored recent advances in abdominopelvic and lower extremity vascular injury management. New conduit choices, use of temporary intravascular shunts, and advances in endovascular management of vascular trauma were reviewed
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Contemporary multimodal approach to diagnosis and treatment of vascular graft and endograft infections Semin. Vasc. Surg. (IF 2.5) Pub Date : 2023-04-05 Lau Røge Jepsen, Karl Sörelius, Reshaabi Srinanthalogen, Jacob Budtz-Lilly
Vascular graft and endograft infections (VGEIs) are a feared complication because of their morbidity, cost, and mortality. Despite broad and varying strategies, as well as limited evidence, societal guidelines do exist. The objective of this review was to supplement current guidelines with emerging and multimodal techniques for treatment. An electronic search was performed using PubMed with specific
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