%0 Journal Article
%T Journal of Vascular Surgery ¨C January 2018 Audiovisual Summary - Journal of Vascular Surgery
%A Peter Gloviczki
%J Journal of Vascular Surgery Home Page
%D 2018
%R https://doi.org/10.1016/j.jvs.2017.11.040
%X Hi, I am Peter Gloviczki from Mayo Clinic, Editor in Chief of the Journal of Vascular Surgery. I am very pleased to share with you the highlights of the best papers we have in the 2018 January issue of the Journal of Vascular Surgery. The Editors' Choice article is the Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm (AAA). This 76-page-long comprehensive document includes 776 references, and it represents an update and, in many areas, a complete revision of the previous update published in 2009. The document includes 111 evidence-based recommendations on: screening; evaluation; medical, open surgical, and endovascular treatment; as well as anesthetic considerations and perioperative, early- and long-term postoperative management of patients with AAAs. The 14-member Guideline Committee was chaired by Dr Elliot Chaikof from Harvard Medical School, Beth Israel Deaconess Medical Center, in Boston, Massachusetts. This document includes 28 1A guidelines that stand for a strong recommendation and a high quality of evidence. The most important are a one-time ultrasound screening for AAA in men or women 65 to 75 years of age with a history of tobacco use, elective repair for patients at low or acceptable surgical risk with a fusiform AAA that is ˇÝ5.5 cm, and immediate repair for patients who present with a ruptured aneurysm. Additional 1A recommendations include preservation of flow to at least one internal iliac artery during both endovascular and open surgical repair and recommending FDA-approved branched endograft devices in anatomically suitable patients to maintain perfusion to at least one internal iliac artery. If it is anatomically feasible, the guidelines recommend endovascular aneurysm repair (EVAR) over open repair for treatment of a ruptured AAA. An additional suggestion is that elective EVAR be performed at centers with a volume of at least 10 EVAR cases per year, with a documented perioperative mortality and conversion rate to open surgical repair of 2% or less (Level of recommendation: 2 = Weak; Quality of Evidence: C = Low) and that elective open repair be performed at centers with an annual case volume of aortic operations of at least 10 per year, with a perioperative mortality rate of 5% or less (Level of recommendation; 2 = Weak; Quality of evidence: C = Low). This new update of the SVS AAA guidelines is strongly recommended to all physicians. The next paper I would like to introduce to you is our CME paper for January, titled ˇ°Predictors of late aortic intervention in patients with
%U https://www.jvascsurg.org/article/S0741-5214(17)32517-X/fulltext