Aneurysms
From the Journals
Medicaid expansion meant earlier presentation, better surgical outcomes
ACA and Medicaid expansion changed the profile of presentation and care for thousands of surgical patients.
From the Journals
Gastrointestinal complications are a key risk factor for death after AEF repair
The presence of gastrointestinal complications increased the risk of mortality for AEF repair more than threefold.
Point/Counterpoint
Point/Counterpoint: Should FEVAR be used for a short neck?
Dr. Mouawad and Dr. Weaver debate the benefits and risks of using fenestrated EVAR for aneurysms with short necks.
News from the FDA/CDC
FDA warns of endoleaks associated with endovascular grafts for AAA
Report device-related adverse events associated with EVAR as well as those that result from treating Type III endoleaks to MedWatch.
From the Journals
Elective open conversion after failed EVAR safer than emergent
Failed EVAR best served by elective rather than emergent open conversion.
From the Journals
Very-low-volume vascular surgery practice linked to worse outcomes
Patients treated by very-low-volume surgeons had a twofold higher risk of death for open AAA repair.
Conference Coverage
Observation works for most smaller splanchnic artery aneurysms
Most small splanchnic artery aneurysms of less than 25 mm did not grow or rupture over time.
Commentary
Point/Counterpoint: Is endograft PAA repair durable?
Should endovascular repair be the preferred approach over traditional surgery for popliteal artery aneurysm?
From the Journals
Vascular surgeons underutilize palliative care planning
Almost three-quarters of patients were transitioned to palliative care; of those, 14% presented with an advanced directive and 28% received a...
Conference Coverage
Hydrogel coils improve outcomes in medium-sized intracranial aneurysms
HOUSTON – Use of hydrogel coils for medium-sized intracranial aneurysms cut the rate of adverse outcomes by about 9% vs. bare platinum coils.
Conference Coverage
New data signal paradigm shift in FMD and arterial disease
CHICAGO – Emerging recommendations call for routine imaging early on in the diagnosis of FMD to monitor for serious vascular events.