Relationship of Adhesive Drapes on Groin Surgical Site Infection Prevention in Vascular Surgery.

Introduction: Iodine impregnated adhesive drapes have been shown to reduce incidence of surgical site infection (SSI) in cardiothoracic surgery. A Cochrane review of its use in multiple specialties found significantly more SSIs in the adhesive group versus control. No studies have evaluated their use in vascular surgery and infrainguinal SSIs which this study sought to evaluate.

Thinking outside the box: Axillary to superior mesenteric artery bypass for chronic mesenteric ischemia.

Endovascular and open approaches are available for patients with chronic mesenteric ischemia. Axillary to superior mesenteric artery bypass has been described sparsely in the vascular literature. We describe a successful axillary to superior mesenteric artery bypass in an 84-year-old female patient with extensive aortoiliac disease precluding traditional approaches and performed in a community vascular surgery setting.

In-Hospital Risk Factors for Reintervention and Amputation in Femoral Arterial Trauma.

Introduction: Known risk factors for surgical reintervention of traumatic femoral artery injuries include thrombosis of vascular reconstruction, kinking of anastomosis, and iatrogenic injury. The literature regarding possible in-hospital risk factors is sparse. We sought to identify risk factors associated with increased reintervention and amputation in this civilian population.

Endoscopic vein harvest and its effect on lower extremity arterial bypass patency.

Objective: The use of endoscopic vein harvest (EVH) vs open vein harvest (OVH) for lower extremity arterial bypass has been an area of continued interest. Previous studies have suggested wound complication rates are improved with EVH, but there has been concern for decreased patency of these grafts long term from possible damage with EVH techniques. This study aims to evaluate the effect of EVH and patency rates.

Expansion of WallStents® after Initial Deployment in Nonthrombotic Iliac Vein Lesions.

Background: To determine the structural changes of Wallstents (Boston Scientific, Natick, MA) in vivo following deployment in iliac veins.

Methods: This retrospective single-center study was performed from September 2012 to April 2013 and included 100 office-based patients who underwent initial stent placement for nonthrombotic iliac vein lesions with Wallstent as well as a second procedure for stenting of the contralateral iliac vein. Measurements were obtained with marker balloons and the diameters of the stents were compared at the time of the index procedure to the secondary procedure.

In-Hospital Risk Factors for Reintervention and Amputation in Brachial Arterial Trauma.

Introduction: Brachial artery trauma is a rare but potentially devastating injury. There is little data regarding risk factors for reintervention and amputation prevention in this population, as well as anticoagulant (AC) and antiplatelet (AP) regimens and outcomes after discharge in trauma patients with vascular injuries requiring repair. This study aims to identify in-hospital risk factors for reintervention and amputation and stratify outcomes of follow-up by discharge AC or AP regimen.

Traumatic Endograft Fracture With Subsequent Type IIIb Endoleak.

Abdominal aortic aneurysm (AAA) repair is commonly treated via endovascular aneurysm repair (EVAR). A known complication of EVAR is an endoleak: types I to IV. Type III endoleaks have been shown to have a relative risk of 8.

Systematic review of groin incision surgical site infection preventative measures in vascular surgery.

Objective: Groin surgical site infections (SSIs) after open revascularization can lead to devastating consequences in patients. As a result, prevention has been crucial in minimizing the rate of SSIs. This review aims to evaluate the current body of literature regarding prevention ,techniques including prophylactic flaps, incision technique, topical antibiotic use, closed-incision negative pressure wound therapy, and adhesive drapes.

Effect of Post-splenectomy Booster Vaccine Program on Vaccination Compliance in Trauma Patients.

Objective: In 2012, the Centers for Disease Control and Prevention (CDC) Advisory Council on Immunization Practice recommended an additional post-splenectomy booster vaccine at 8 weeks following the initial vaccine. The objective of this study was to evaluate our vaccination compliance rate and what sociodemographic factors were associated with noncompliance following this recommendation.

Materials And Methods: A retrospective review of a performance improvement database of trauma patients eligible for post-splenectomy vaccination (PSV) at a level I trauma center was carried out between 2009 and 2018.

Removal of retrievable inferior vena cava filters before discharge: Is it associated with increased incidence of pulmonary embolism?

Background: Severely injured trauma patients are at high risk of developing deep venous thrombosis and pulmonary emboli (PE), and may have contraindications to prophylactic or therapeutic anticoagulation. Retrievable inferior vena cava filters (rIVCFs) are used to act as a mechanical obstruction to prevent PE in high risk populations and those with deep venous thrombosis who cannot be anticoagulated. The removal rate of rIVCFs is variable in trauma centers, including our previous published rate of 50% to 89%/year.

A Connectomic Atlas of the Human Cerebrum-Chapter 5: The Insula and Opercular Cortex.

In this supplement, we build on work previously published under the Human Connectome Project. Specifically, we show a comprehensive anatomic atlas of the human cerebrum demonstrating all 180 distinct regions comprising the cerebral cortex. The location, functional connectivity, and structural connectivity of these regions are outlined, and where possible a discussion is included of the functional significance of these areas.