A multidisciplinary approach for abdominal venous involvement in oncologic resections.


BACKGROUND:An aggressive surgical approach to locally advanced malignancy is being increasingly used in the absence of distant metastatic disease. This includes resection and reconstruction of major venous structures. We investigated the results of using a multidisciplinary surgical approach in these instances. METHODS:The study data were obtained from a university-affiliated hospital from January 1, 2006, to December 31, 2012. All patients who underwent an oncologic resection using a multidisciplinary approach with vascular surgery consultation were included in the analysis. Primary outcomes analyzed included rate of margin positivity, postoperative venous patency, and survival. Secondary outcome measures included operative time, estimated blood loss, and length of hospital stay. RESULTS:A total of 23 patients met criteria for study. Venous involvement included the portal and/or superior mesenteric vein and inferior vena cava in 14 and 9 patients, respectively. Nine patients had clear vascular involvement before surgery and received preoperative consultation. Overall margins were positive in 56.5%, whereas the rate of vascular margin positivity was 30.4%. The postoperative venous patency rate was 65.0%. There were no perioperative mortalities, and median survival was 10 months (range, 4-80). CONCLUSIONS:Major venous resections and reconstructions in oncologic surgery are safe but associated with a high rate of positive margins. Future efforts should focus on identifying patients in the preoperative phase to provide opportunity for optimal multidisciplinary planning.


Ann Vasc Surg


Wright GP,Onesti JK,Chung MH,Mansour MA




Has Abstract


2015-07-01 00:00:00














  • Antiplatelet therapy in endovascular surgery: the RENDOVASC study.

    abstract:BACKGROUND:Antiplatelet treatment prevents cardiovascular events and thrombosis during the endovascular surgery procedure. The aim of this study is to analyze the different antiplatelet treatment used in endovascular procedures in Spain. METHODS:In this investigation we included observational, retrospective, and multi...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,多中心研究


    authors: Matas M,Domínguez González JM,Montull E

    更新日期:2013-02-01 00:00:00

  • Endovascular Treatment of Atherosclerotic Iliac Stenosis: Local and Systemic Complications of the Open Brachial Access.

    abstract:BACKGROUND:The femoral access is the approach of reference for iliac angioplasty. In the current context of an early ambulation and a minimization of in-hospital stay period, the brachial access seems to be an appropriate approach, especially that long and small diameter equipments are available. Furthermore, it is ext...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Nasr B,Albert B,David CH,Khalifa A,El Aridi L,Badra A,Braesco J,Gouny P

    更新日期:2016-05-01 00:00:00

  • Results of surgical management of internal carotid artery aneurysm by the cervical approach.

    abstract::From 1981 to 1995 a total of 14 patients with a mean age of 52 years (range: 23-71) underwent surgery for 15 aneurysms of the extracranial internal carotid artery. Fusiform aneurysms of the carotid bifurcation were not included in this study. Aneurysm led to brain ischemia in 10 cases and rupture in one case. In the r...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Coffin O,Maïza D,Galateau-Sallé F,Martel B,Vignon C,Neri E,Derlon JM

    更新日期:1997-09-01 00:00:00

  • Does Creatine Supplementation Affect Renal Function in Patients with Peripheral Artery Disease? A Randomized, Double Blind, Placebo-controlled, Clinical Trial.

    abstract:BACKGROUND:Case studies and reviews have shown that creatine supplementation can affect kidney function. The objective of this study is to verify the effects of 8 weeks of creatine supplementation on renal function (creatinine clearance: primary outcome) in patients with symptomatic peripheral arterial disease. METHOD...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,随机对照试验


    authors: Domingues WJR,Ritti-Dias RM,Cucato GG,Wolosker N,Zerati AE,Puech-Leão P,Nunhes PM,Moliterno AA,Avelar A

    更新日期:2020-02-01 00:00:00

  • Early vascular complications after endovascular repair of aortoiliac aneurysms.

    abstract::The purpose of this study was to estimate the frequency of and review the treatment options for intraoperative endograft access-related vascular complications and early postoperative vascular complications of endovascular repair for aortoiliac aneuryms (EVAR). Between February 1998 and April 2000, 53 patients (46 male...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,评审


    authors: Aljabri B,Obrand DI,Montreuil B,MacKenzie KS,Steinmetz OK

    更新日期:2001-11-01 00:00:00

  • Rex Shunt as a Treatment of Type II Abernethy Malformation with Severe Dysplasia of Portal Vein.

    abstract:BACKGROUND:Ligation of abnormal portosystemic shunt has been used to treat type II Abernethy malformation, but it may not be suitable for all patients. In this study, Rex shunt was carried out to manage type II Abernethy malformation with portal venous dysplasia. The outcomes are evaluated retrospectively. METHODS:Bet...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Zhang JS,Li L,Cheng W,Hou WY

    更新日期:2018-11-01 00:00:00

  • Comparative evaluation of the elasticity and flexibility of bioimpregnated knitted grafts.

    abstract::Longitudinal elasticities of whole human blood clot, whole canine blood clot, Factor XIII cross-linked fibrin, glutaraldehyde-fixed human albumin, and formaldehyde-fixed collagen, gelatin and collagen/gelatin were determined and normalized to human whole blood clot. Matrices of a knitted Dacron graft were then impregn...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Patel M,Kaplan A,Sauvage LR,Wu HD,Kaplan S,Usui Y,Walker MW

    更新日期:1992-03-01 00:00:00

  • Vena cava replacement for malignant disease: is there a role?

    abstract::Resection and graft replacement of the vena cava for malignant disease is rarely performed, often because of the advanced tumor stage. Since August 1987 we have selectively performed caval replacement in conjunction with tumor resection in 11 patients. Three patients had superior vena cava reconstruction (SVCR) and ei...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Bower TC,Nagorney DM,Toomey BJ,Gloviczki P,Pairolero PC,Hallett JW Jr,Cherry KJ Jr

    更新日期:1993-01-01 00:00:00

  • Contemporary Outcomes of Peripheral Bypass Compared with Amputation in Octogenarians.

    abstract:BACKGROUND:Chronic limb threatening ischemia in octogenarians presents unique treatment challenges in patients with multiple comorbidities and variable functional status. Endovascular interventions offer a better risk profile; however, this is not always a feasible option for anatomic or disease-specific reasons. This ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Madabhushi V,Richie C,Bettis A,Davenport D,Orr N

    更新日期:2021-01-01 00:00:00

  • Systematic Review of Results of Kissing Stents in the Treatment of Aortoiliac Occlusive Disease.

    abstract:BACKGROUND:Endovascular treatment of aortoiliac occlusive disease (AIOD) involving the aortic bifurcation is challenging. The gold standard is open surgery with patency rates up to 90% at 5 years, but has considerable morbidity and mortality. The kissing stent (KS) technique was introduced as an alternative. The goal o...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,评审


    authors: Groot Jebbink E,Holewijn S,Slump CH,Lardenoije JW,Reijnen MMPJ

    更新日期:2017-07-01 00:00:00

  • Transverse versus Longitudinal Incisions for Femoral Artery Exposure in Treating Patients with Peripheral Vascular Disease.

    abstract:BACKGROUND:This study evaluates differences in wound complication rate when transverse versus longitudinal incision is utilized to expose femoral vessels in managing patients with peripheral vascular disease. METHODS:A retrospective review from 2013 to 2015 was conducted of 150 patients undergoing 156 lower extremity ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Parikh PP,Rubio GA,Patel K,Gupta K,Jones K,Rey J,Robinson H

    更新日期:2018-02-01 00:00:00

  • Superiority of thoracoscopic sympathectomy over medical management for the palmoplantar subset of severe hyperhidrosis.

    abstract::Severe hyperhidrosis is a disabling disorder whose management is controversial. Medical treatment consists of topical aluminum chloride, oral anticholinergics, ionotophoresis, and botulinum toxin A (Botox) injections. Despite the minimally invasive nature of thoracoscopic sympathectomy, there is a common perception th...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Baumgartner FJ,Bertin S,Konecny J

    更新日期:2009-01-01 00:00:00

  • Infected Iliac Pseudoaneurysm after Cardiac Catheterization Complicated by Girdlestone Pseudoarthroplasty for Recurrent Infection of Hip Prosthesis.

    abstract::We report a massive infected pseudoaneurysm of the right external iliac artery in the setting of Girdlestone pseudoarthroplasty (GSA) for chronic infection. Around the time of her GSA, the patient underwent cardiac catheterization with resultant pseudoaneurysm formation. Infection was likely due to spread from her pre...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Horn C,Wang V,Williams M,Jacobs D

    更新日期:2017-04-01 00:00:00

  • Single Asian Centre Experience Using the Flixene™ Early Cannulation Graft for Haemodialysis Access Creation.

    abstract:BACKGROUND:The aim of this study was to review the efficacy of the Flixene™ (Atrium™, Hudson, NH, USA) hemodialysis arterio-venous graft (AVG) in a multiethnic Asian cohort of patients with end-stage renal failure (ESRF). Primary outcome was graft primary patency rate and secondary end points included graft usability, ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Chang J,Yap HY,Chan SL,Lee QWS,Tan RY,Pang SC,Tan CS,Chong TT,Tang TY

    更新日期:2020-12-26 00:00:00

  • Results of staged carotid endarterectomy and coronary artery bypass graft in patients with severe carotid and coronary disease.

    abstract:BACKGROUND:To evaluate our experience with staged carotid endarterectomy (CEA) followed by coronary artery bypass grafting (CABG) within the perioperative period for patients with severe carotid and coronary artery disease. METHODS:From 1998 to August of 2010, 40 patients who were referred for isolated coronary surger...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Santos A,Washington C,Rahbar R,Benckart D,Muluk S

    更新日期:2012-01-01 00:00:00

  • Isolated dissecting aneurysms of the abdominal aorta and the superior mesenteric artery. A case report and literature review.

    abstract::Supracoeliac abdominal aortic dissections are rare and require complex interventions for repair. Superior mesenteric artery (SMA) dissections are also rare and even less frequently reported to involve aneurysmal change. We present the case of a 65-year-old man with a dissecting supracoeliac aortoiliac aneurysm and a s...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,评审


    authors: Wall ML,Newman JE,Slaney PL,Vijayaragahavan S,Downing R

    更新日期:2014-11-01 00:00:00

  • A Hybrid Technique to Treat Iliofemoral Lesions Using a Covered Stent Associated with Open Femoral Repair.

    abstract:BACKGROUND:To describe a hybrid approach for complex iliofemoral lesions and report short-term and mid-term results. METHODS:In this single-center retrospective study, all consecutive patients (n = 32, 36 limbs) who underwent hybrid repair of complex iliofemoral lesions between 2012 and 2017 using a conformable self-e...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Bosse C,Becquemin JP,Touma J,Desgranges P,Cochennec F

    更新日期:2020-07-01 00:00:00

  • Shredding embolectomy thrombectomy catheter for treatment of acute lower-limb ischemia.

    abstract::We undertook a prospective evaluation to prove a new mechanical thrombectomy device, the shredding embolectomy thrombectomy catheter (S.E.T. catheter), for the treatment of patients with acute lower-limb ischemia. The study evaluated the success, patency, mortality, limb salvage, and complication rates for 51 patients...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Höpfner W,Vicol C,Bohndorf K,Loeprecht H

    更新日期:1999-07-01 00:00:00

  • Active Ankle Movement May Prevent Deep Vein Thrombosis in Patients Undergoing Lower Limb Surgery.

    abstract:BACKGROUND:Our aim is to investigate the effect of active ankle movement to prevent deep vein thrombosis (DVT) in patients who received lower limb surgery, and to provide a theory of evidence for rehabilitation nursing of patients after orthopedic surgery. METHODS:Between January 2012 and December 2013, a total of 174...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,随机对照试验


    authors: Wang Z,Chen Q,Ye M,Shi GH,Zhang B

    更新日期:2016-04-01 00:00:00

  • Planning, Execution, and Follow-up for Endovascular Aortic Aneurysm Repair Using a Highly Restrictive Iodinated Contrast Protocol in Patients with Severe Renal Disease.

    abstract:BACKGROUND:The cumulative amount of iodinated contrast medium necessary for endovascular repair (EVAR) planning, operative procedure, and subsequent follow-up is a threat for the onset of end-stage renal disease in patients with preoperative impaired kidney function. The purpose of this study was to describe a mini-inv...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Gallitto E,Faggioli G,Gargiulo M,Freyrie A,Pini R,Mascoli C,Ancetti S,Vento V,Stella A

    更新日期:2018-02-01 00:00:00

  • Right sided upper extremity access for patients undergoing parallel graft placement during endovascular aortic repair is not associated with increased neurologic events when compared to left upper extremity access.

    abstract:OBJECTIVE:The safety and efficacy of right axillary cannulation during complex aortic aneurysm repair for the deployment of chimney grafts is controversial, however there are few studies that compare right and left upper extremity access . We favor the right axillary approach because of the relative ease of access to t...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Maximus S,Long K,Babrowski T,Park J,Milner R

    更新日期:2020-11-26 00:00:00

  • Early results with infrainguinal cutting balloon angioplasty limits distal dissection.

    abstract::Infrainguinal angioplasty has less initial and long-term success compared with more proximal sites. These suboptimal initial technical results may be related to the heavy calcific burden in the femoral and popliteal arteries and, subsequently, higher incidence of distal dissection. Cutting balloon angioplasty (CBA) is...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Rabbi JF,Kiran RP,Gersten G,Dudrick SJ,Dardik A

    更新日期:2004-11-01 00:00:00

  • Can ulnar artery velocity changes be used as a preoperative screening tool for radial artery grafting in coronary artery bypass?

    abstract::Radial artery harvesting for coronary revascularization may result in digit ischemia if collateral circulation is inadequate. The purpose of this study was to compare changes in ulnar artery flow velocity during radial artery compression (RAC) with changes in first- and second-digit pressures during RAC, a previously ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Sullivan VV,Higgenbotham C,Shanley CJ,Fowler J,Lampman RM,Whitehouse WM Jr,Wolk SW

    更新日期:2003-05-01 00:00:00

  • Hybrid Revascularization Combining Iliofemoral Endarterectomy and Iliac Stent Grafting for TransAtlantic Inter-Society Consensus C and D Aortoiliac Occlusive Disease.

    abstract:BACKGROUND:This study examines the outcome of hybrid revascularization combining iliofemoral endarterectomy and iliac artery stenting using covered stents in TransAtlantic Inter-Society Consensus (TASC) C and D aortoiliac occlusive disease (AIOD) involving the common femoral artery (CFA). METHODS:A retrospective revie...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Ray JJ,Eidelson SA,Karcutskie CA,Meizoso JP,DeAmorim H,Goldstein LJ,Karwowski J,Bornak A

    更新日期:2018-07-01 00:00:00

  • Endovascular Treatment of Juxtarenal Abdominal Aortic Aneurysms Recurring to the "Vent Technique".

    abstract:BACKGROUND:Juxtarenal abdominal aortic aneurysms represent 15-20% of all abdominal aortic aneurysms (AAAs). The gold standard of treatment is represented by open surgical repair (OSR). Patients judged unfit for OSR could be submitted to fenestrated endovascular aortic repair (FEVAR) or the chimney technique. FEVAR requ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Volpe P,Alberti A,Massara M

    更新日期:2020-10-01 00:00:00

  • A deceitful case of spinal cord malperfusion presented as an acute limb ischemia.

    abstract::We present an interesting case of a patient with spinal cord ischemia presented with physical and angiographic findings of acute right leg ischemia 6 days after abdominal aortic aneurysm open repair. After unsuccessful transpopliteal thrombectomy, patient was treated with spinal cord drainage. Cause of this complicati...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Banzic I,Ilić N,Dragaš M,Končar I,Sladojevic M,Tomic I,Davidovic L

    更新日期:2014-07-01 00:00:00

  • Subintimal angioplasty as the first-choice revascularization technique for infrainguinal arterial occlusions in patients with critical limb ischemia.

    abstract::Our aim was to appraise the feasibility and outcomes of subintimal angioplasty (SA) for the percutaneous revascularization of infrainguinal arterial occlusions in patients with critical limb ischemia (CLI). We retrospectively assessed 117 SA procedures in 109 limbs with complete infrainguinal occlusions from 105 patie...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Tartari S,Zattoni L,Rizzati R,Aliberti C,Capello K,Sacco A,Mollo F,Benea G

    更新日期:2007-11-01 00:00:00

  • Carotid body tumor associated with hyperparathyroidism.

    abstract::Hyperparathyroidism in association with carotid body tumor is a rare combination. A common embryologic cellular origin was postulated previously to explain this unusual occurrence. We report a case of left carotid body tumor and left inferior parathyroid adenoma. We believe this to be the sixth reported case in the li...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,评审


    authors: Ali IM,Graham C,Sanalla B,Bell D

    更新日期:1994-11-01 00:00:00

  • Lymphangiography with or without Embolization for the Treatment of Postoperative Chylous Ascites.

    abstract:BACKGROUND:Lymphatic interventions have recently been increasingly used for treating lymphatic leak of the abdomen and pelvis. This retrospective case study series and systematic review evaluated the efficacy and safety of lymphatic interventions for the treatment of postoperative lymphatic leak of the abdomen and pelv...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Kim PH,Tsauo J,Shin JH

    更新日期:2020-10-01 00:00:00

  • High coincidence of inguinal hernias and abdominal aortic aneurysms.

    abstract::Weakness in the musculotendinous barrier of the abdominal wall leads to inguinal herniation. Fiber degeneration by increased metabolism has been described recently as a causative factor. In previous investigations heightened elastase was detected in abdominal aneurysms. In order to investigate a possible relationship ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Lehnert B,Wadouh F

    更新日期:1992-03-01 00:00:00