Seminars in Vascular Surgery (SEMIN VASC SURG )

Description

Each issue of Seminars in Vascular Surgery examines the latest thinking on a particular clinical problem and features new diagnostic and operative techniques. The journal allows practitioners to expand their capabilities and to keep pace with the most rapidly evolving areas of surgery.

  • Impact factor
    1.02
  • 5-year impact
    1.28
  • Cited half-life
    6.90
  • Immediacy index
    0.05
  • Eigenfactor
    0.00
  • Article influence
    0.53
  • Website
    Seminars in Vascular Surgery website
  • Other titles
    Seminars in vascular surgery (Online), Seminars in vascular surgery
  • ISSN
    1558-4518
  • OCLC
    60626665
  • Material type
    Document, Periodical, Internet resource
  • Document type
    Internet Resource, Computer File, Journal / Magazine / Newspaper

Publications in this journal

  • [Show abstract] [Hide abstract]
    ABSTRACT: The angiosome hypothesis states that the surface of the lower extremity is supplied by arteries consistently corresponding to regions of the foot. There is limited and conflicting evidence suggesting that angiosome directed interventions improve would healing and limb salvage. As peripheral arterial disease progresses, collaterals may develop that confound a predetermined angiosome map. In selecting a revascularization target vessel for patients with tissue loss, good surgical judgment should prevail including consideration of the angiosome concept to optimize tissue healing.
    Seminars in Vascular Surgery 11/2014;
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    ABSTRACT: The application of gene and cell-based therapies to promote angiogenesis is a novel concept to treat lower limb critical limb ischemia (CLI) and may provide an unmet need for patients with no options for revascularization. Proof of concept was demonstrated in animal models resulting in clinical trials which have confirmed the feasibility and short-term efficacy of intramuscular injection of angiogenetic tissue growth factors or bone marrow stem cells. The safety of these biologic therapies has been demonstrated in randomized clinical trials (RCT) with no “off-target” angiogenesis, growth of occult tumors, or progression of diabetic retinopathy. Current Phase III RCTs using a DNA plasmid with the hepatocyte growth factor gene or bone marrow aspirate concentrate of mesenchymal cells are designed to address several crucial issues, including proper patient selection criteria, relevant clinical endpoints, and long-term efficacy. Since effectiveness of these novel therapies remains to be established, ongoing and future RCTs should be placebo-controlled, investigator blinded, and have amputation-free survival as the primary end-point. Further development of efficient gene transfer techniques and keeping transplanted stem cells healthy have the potential to make biologic therapies more robust in promoting angiogenesis, tissue regeneration, and resolution of CLI symptoms. If sustained efficacy can be demonstrated, new therapeutic strategies for patients with CLI will be available for clinicians, i.e. limb revascularization using angiogenic gene or stem cell therapy alone, or in conjunction with endovascular intervention.
    Seminars in Vascular Surgery 10/2014;
  • Seminars in Vascular Surgery 01/2014; 26(2-3):57-8.
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    ABSTRACT: Renal trauma is predominantly secondary to blunt trauma and is predominately managed nonoperatively. Endovascular interventions are reserved for patients recognized early with a significant vascular injury. Renal injuries and uncommon among intra-abdominal injuries and account for a minority of injuries treated by the vascular specialist.
    Seminars in Vascular Surgery 01/2014;
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    ABSTRACT: Nutcracker syndrome is a rare condition of left renal vein entrapment manifesting with hematuria, flank pain and occasionally pelvic congestion in females or varicocele in males. Diagnosis requires a high index of suspicion upon careful history delineation. The gold standard for definite confirmation remains venography with reno-caval pressure gradient. Treatment is mainly guided by the severity of symptoms. For the majority of centers, it appears that surgery remains the first-line therapy; however endovascular alternatives are rapidly evolving into the field with favorable outcomes. This article reviews current concepts on NCS with particular focus on contemporary surgical and endovascular techniques and their outcomes.
    Seminars in Vascular Surgery 01/2014;
  • Seminars in Vascular Surgery 01/2014;
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    ABSTRACT: Ex-vivo renal artery repair combined with cold perfusion protection is an operative technique for managing complex renal artery lesions. Most disease of the renal artery is proximal, and is typically treated either medically, by endovascular means, or surgically. When surgery of the main renal artery is required, it can typically be performed with warm renal ischemia times of less than 30 min. However, in more distal disease that may involve the segmental branches a much more complicated surgical reconstruction can be anticipated. This often will necessitate warm ischemia times of >45 minutes, and can thus lead to direct renal nephron damage. In this setting the ex-vivo technique with cold perfusion can allow for lengthy reconstructive times of several hours without any measurable harm to renal function. The technique can be performed with a low morbidity and mortality, with an excellent rate of renal salvage, and with preservation of renal function.
    Seminars in Vascular Surgery 01/2014;
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    ABSTRACT: As the numbers of interventional procedures are rising exponentially, identification of those patients at risk for renal complications has become important. Renal complications have been associated with increased morbidity and mortality following interventions. Risk factors have been studied to help identify those patients at increased risk of developing contrast induced nephropathy (CIN). Hydration and medications have been studied as a protective measure to decrease the risk of renal complications. Preconditioning patients with intravenous hydration has been found to be the most helpful in circumventing post procedural CIN.
    Seminars in Vascular Surgery 01/2014;
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    ABSTRACT: Renal insufficiency is a risk factor for mortality and morbidity during endovascular aneurysm repair. Multiple changes in practice have occurred to mitigate renal injury and renal dysfunction. Transrenal fixation does carry an increased risk of a decline in renal function in the medium term. Renal stenting for athero-occlusive disease during endovascular aneurysm repair needs careful consideration, as indications have changed and there are unexpected consequences with early vessel occlusion. The growing number of renal interventions during complex endovascular aneurysm repair with the advent of chimney snorkel/periscope techniques and the introduction of fenestrated grafts has shown the resilience of the intervention with relatively low renal issues (approximately 10%), but has also illustrated the need for additional device development.
    Seminars in Vascular Surgery 12/2013; 26(4):189-192.
  • Seminars in Vascular Surgery 12/2013; 26(4):133.
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    ABSTRACT: Among the most important factors driving morbidity and mortality after aortic surgery is post operative renal insufficiency. The attendant metabolic derangements greatly complicate surgical care, expedite arrhythmias, and can significantly prolong hospital stay and cost. This article seeds to define factors contributory to renal complications after aortic surgery and offers a review of techniques to protect renal mass from post operative declines.
    Seminars in Vascular Surgery 12/2013; 26(4):193-198.
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    ABSTRACT: Renal artery stenosis (RAS) is one of the most common causes of severe hypertension (approximately 1-5% of all patients with hypertension). Presently, there is no universally accepted screening test for RAS. However, most clinicians use renal duplex ultrasound (RDU) imaging; while others use magnetic resonance angiography (MRA) or contrast computed tomography angiography in selected patients. This review will highlight various imaging modalities and discuss the pros and cons of each.
    Seminars in Vascular Surgery 12/2013; 26(4):134-143.
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    ABSTRACT: Vascular laboratory testing of patients with arterial and venous disease requires a thorough understanding of the diagnostic instrumentation, anatomy, and blood flow hemodynamics. Diagnostic testing typically uses both Doppler ultrasound, especially duplex ultrasonography, alone or in combination with air plethysmography, to identify and classify vascular disease. In patients with symptomatic peripheral vascular disease, clinical evaluation is enhanced by noninvasive testing, and for many patients can provide sufficient information to proceed with medical treatment or intervention without additional confirmatory imaging studies. The diagnostic accuracy of vascular testing depends on the precision and reproducibility of the measurement (eg, pressure, pulse contour, blood flow velocity, or volume flow rate). For example, the measurement of ankle systolic blood pressure cannot always be assumed to be accurate because the test result can be affected by a number of factors, including biological variability, cuff size and placement, examiner skill, or the presence of tibial artery calcification preventing cuff occlusion. Interpretation of all vascular diagnostic testing requires an appreciation of the limitations, pitfalls, and artifacts of the testing modality. Interpretation errors can result in an incorrect diagnosis and subsequent decision making.
    Seminars in Vascular Surgery 06/2013; 26(2-3):67-71.
  • Seminars in Vascular Surgery 06/2013;
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    ABSTRACT: Chronic occlusion of the Inferior Vena Cava (IVC) can go unnoticed because of the remarkable compensatory mechanism of the human body. On the other hand, IVC occlusion can have a significant and debilitating effect on an individual's ability to live a normal lifestyle and be an active and productive member of society. With the introduction of endovascular technology, new treatment options have opened for patients with this condition. This article describes the technical aspects of IVC recanalization and briefly discusses follow-up care and limited reports on outcomes from the procedure.
    Seminars in Vascular Surgery 03/2013; 26(1):29-34.
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    ABSTRACT: Nutcracker syndrome is one of the abdominal venous entrapments, caused by compression of the left renal vein between the superior mesenteric artery and the abdominal aorta. Occasionally a retro-aortic left renal vein is compressed between the aorta and the vertebral body (posterior nutcracker syndrome). The renal vein distal to the compression is dilated and renal venous flow can be diverted toward the pelvis through an incompetent, refluxing, left ovarian or spermatic vein, in addition to drainage through retroperitoneal venous collaterals. In this article, we describe the different surgical and endovascular techniques that are used to treat this syndrome.
    Seminars in Vascular Surgery 03/2013; 26(1):35-42.
  • Seminars in Vascular Surgery 03/2013; 26(1):1.
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    ABSTRACT: With the introduction of retrievable inferior vena cava filters, the number being placed for protection from pulmonary embolism is steadily increasing. Despite this increased usage, the true incidence of complications associated with inferior vena cava filters is unknown. This article reviews the known complications associated with these filters and suggests recommendations and techniques for inferior vena cava filter removal.
    Seminars in Vascular Surgery 03/2013; 26(1):23-8.