In this issue: 2G uest editorial Jonathan Cardella and Jean Bismuth on: Who harmed who? 6C omment & Analysis The not-for-profit hospital clash between mission and revenue
OCTOBER 2024 Volume 20 Number 10
THE OFFICIAL NEWSPAPER OF THE
12 R egional round-up Female patients at increased risk from adverse outcomes after ALI 23 Venous disease VenoValve impact assessed by CEAP grade
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STUDY DETAILS ASPECTS OF EARLY CARE IMPROVEMENTS AFTER PUBLICATION OF SVS APPROPRIATE USE CRITERIA FOR CLAUDICATION
MVSS 2024
Endoscopic vein harvest under the microscope
AN OBSERVATIONAL STUDY of intermittent claudication (IC) practice patterns before and after publication of the Society for Vascular Surgery (SVS) appropriate use criteria (AUC) for IC management points to a series of areas where care has improved, alongside aspects still in need of attention, according to the authors. The researchers noted improvements in optimal medical therapy (OMT), particularly in the postoperative setting, and patient selection, as well as a decrease in complex aortoiliac and infrapopliteal peripheral vascular interventions (PVIs). However, they reported no changes in medical optimization or bypass practices, and an increase in endovascular common femoral artery (CFA) and infrapopliteal disease interventions, “suggesting that there may be further improvement in this area.” The data, drawn from the Vascular Quality Initiative (VQI), were presented during the 2024 Eastern Vascular Society annual meeting in Charleston, South Carolina (Sept. 19–22) by Andrea Alonso, MD, a general surgery resident at Boston Medical Center, on behalf of a research team led by Jeffrey
Conflicting results open fresh debate around effect of vein harvesting technique on long-term patency of lower extremity bypass grafts. By Bryan Kay
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