101
|
Naylor AR, Forbes TL. Trans-Atlantic Debate: Are Branched/Fenestrated EVAR Procedures Better than Snorkels, Chimneys, or Periscopes in the Treatment of Most Thoracoabdominal and Juxtarenal Aneurysms? Eur J Vasc Endovasc Surg 2016; 50:561-2. [PMID: 26933711 DOI: 10.1016/j.ejvs.2015.09.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
102
|
Naylor AR, Forbes TL. Trans-Atlantic Debate: Are Branched/Fenestrated EVAR Procedures Better than Snorkels, Chinmneys, or Periscopes in the Treatment of Most Thoracoabdominal and Juxtarenal Aneurysms? Eur J Vasc Endovasc Surg 2016; 50:551. [PMID: 26933727 DOI: 10.1016/j.ejvs.2015.07.023] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
103
|
Kayssi A, de Mestral C, Forbes TL, Roche-Nagle G. Predictors of hospital readmissions after lower extremity amputations in Canada. J Vasc Surg 2016; 63:688-95. [DOI: 10.1016/j.jvs.2015.09.017] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2015] [Accepted: 09/04/2015] [Indexed: 10/22/2022]
|
104
|
Forbes TL. The path to personalized vascular therapy - We are closer than we think. Vascular 2016; 24:552-5. [PMID: 26767607 DOI: 10.1177/1708538115624810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The terms "personalized" or "precision" medicine are being used commonly in some branches of medicine but have yet to be widely adopted in vascular surgery. Despite this, personalized vascular therapy occurs on a daily basis in every vascular specialist's office as we strive to make informed recommendations at the individual patient level. The following is a description of several of the areas where advances in personalized vascular care have been achieved, including custom devices, personalized predictions, pharmacogenetics and surgicogenetics.
Collapse
|
105
|
Ouzounian M, Lindsay TF, Forbes TL. Remote ischemic preconditioning and thoracoabdominal aneurysm repair: Can an arm save a cord (or legs)? J Thorac Cardiovasc Surg 2015; 151:616-617. [PMID: 26707723 DOI: 10.1016/j.jtcvs.2015.11.036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/20/2015] [Accepted: 11/20/2015] [Indexed: 11/18/2022]
|
106
|
Forbes TL, Naylor AR. Editors' commentary. J Vasc Surg 2015; 62:1365. [PMID: 26506276 DOI: 10.1016/j.jvs.2015.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
107
|
Lee K, Istl A, Dubois L, DeRose G, Forbes TL, Wiseman D, Mujoomdar A, Kribs S, Power AH. Fibrinogen Level and Bleeding Risk During Catheter-Directed Thrombolysis Using Tissue Plasminogen Activator. Vasc Endovascular Surg 2015; 49:175-9. [PMID: 26462979 DOI: 10.1177/1538574415611234] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this study was to determine whether low fibrinogen levels (fibrinogen level <1.5 g/L) during catheter-directed thrombolysis are associated with an increased bleeding risk. METHODS A retrospective review was performed on patients undergoing extremity arterial or venous thrombolysis between 2005 and 2013. RESULTS Patients in the low fibrinogen group were younger (P = .006) and had a higher number of venous occlusive events (P = .004). The low fibrinogen group received a larger dose of tissue plasminogen activator (tPA; P = .009) and had a longer duration of thrombolysis (P = .010). The rates of major bleeding were not significantly different (P = .139). Univariate analysis showed that larger total dose and longer duration of tPA infusion were associated with increased bleeding complications (P < .01 and P = .03). CONCLUSION A fibrinogen level <1.5 g/L during thrombolysis was not associated with an increased bleeding risk. However, larger dose and longer duration of thrombolysis were associated with increased bleeding risk.
Collapse
|
108
|
Kayssi A, Dance DL, De Mestral C, Forbes TL, Roche-Nagle G. Rehabilitation Outcomes after Lower-Extremity Amputations in Canada. J Am Coll Surg 2015. [DOI: 10.1016/j.jamcollsurg.2015.07.435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
109
|
Forbes TL, Naylor AR. Editors' commentary. J Vasc Surg 2015; 62:772-3. [PMID: 26304486 DOI: 10.1016/j.jvs.2015.04.432] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
110
|
Forbes TL. Trans-Atlantic Debate: Whether Carotid Endarterectomy is Safer than Stenting in the Hyperacute Period After Onset of Symptoms. Eur J Vasc Endovasc Surg 2015. [PMID: 26203469 DOI: 10.1016/j.ejvs.2015.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
111
|
Kayssi A, de Mestral C, Forbes TL, Roche-Nagle G. PC54. Predictors of Hospital Readmissions after Lower Extremity Amputations in Canada. J Vasc Surg 2015. [DOI: 10.1016/j.jvs.2015.04.252] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
112
|
Kidane B, Plourde M, Chadi SA, Iansavitchene A, Meade MO, Parry NG, Forbes TL. The effect of loss to follow-up on treatment of blunt traumatic thoracic aortic injury. J Vasc Surg 2015; 61:1624-34. [DOI: 10.1016/j.jvs.2015.02.017] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2014] [Accepted: 02/09/2015] [Indexed: 10/23/2022]
|
113
|
Forbes TL. Editor's commentary. J Vasc Surg 2015; 61:1651. [PMID: 26004335 DOI: 10.1016/j.jvs.2015.03.044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
114
|
Elliott CG, Forbes TL, Leask A, Hamilton DW. Inflammatory microenvironment and tumor necrosis factor alpha as modulators of periostin and CCN2 expression in human non-healing skin wounds and dermal fibroblasts. Matrix Biol 2015; 43:71-84. [PMID: 25779637 DOI: 10.1016/j.matbio.2015.03.003] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2014] [Revised: 03/07/2015] [Accepted: 03/08/2015] [Indexed: 12/18/2022]
Abstract
Non-healing skin wounds remain a significant clinical burden, and in recent years, the regulatory role of matricellular proteins in skin healing has received significant attention. Periostin and CCN2 are both upregulated at day 3 post-wounding in murine skin, where they regulate aspects of the proliferative phase of repair including mesenchymal cell infiltration and myofibroblast differentiation. In this study, we examined 1) the wound phenotype and expression patterns of periostin and CCN2 in non-healing skin wounds in humans and 2) the regulation of their expression in wound fibroblasts by tumor necrosis factor α (TNFα) and transforming growth factor-β1 (TGF-β1). Chronic skin wounds had a pro-inflammatory phenotype, characterized by macrophage infiltration, TNFα immunoreactivity, and neutrophil infiltration. Periostin, but not CCN2, was significantly suppressed in non-healing wound edge tissue at the mRNA and protein level compared with non-involved skin. In vitro, human wound edge fibroblasts populations were still able to proliferate and contract collagen gels. Compared to cells from non-involved skin, periostin and α-SMA mRNA levels increased significantly in the presence of TGF-β1 in wound cells and were significantly decreased by TNFα, but not those of Col1A2 or CCN2. In the presence of both TGF-β1 and TNFα, periostin and α-SMA mRNA levels were significantly reduced compared to TGF-β1 treated wound cells. Effects of TGF-β1 and TNFα on gene expression were also more pronounced in wound edge cells compared to non-involved fibroblasts. We conclude that variations in the expression of periostin and CCN2, are related to an inflammatory microenvironment and the presence of TNFα in human chronic wounds.
Collapse
|
115
|
Lee K, Tang E, Dubois L, Power AH, DeRose G, Forbes TL. Durability and survival are similar after elective endovascular and open repair of abdominal aortic aneurysms in younger patients. J Vasc Surg 2015; 61:636-41. [DOI: 10.1016/j.jvs.2014.10.012] [Citation(s) in RCA: 35] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2014] [Accepted: 10/08/2014] [Indexed: 11/17/2022]
|
116
|
Ruz R, Lee K, Power AH, DeRose G, Forbes TL, Dubois L. Anatomic and procedural determinants of fluoroscopy time during elective endovascular aortic aneurysm repair. Vascular 2015; 24:19-24. [DOI: 10.1177/1708538115573395] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective To identify both the procedural and anatomic factors which determine duration of fluoroscopy during elective endovascular aortic aneurysm repair (EVAR). Methods We retrospectively analyzed our prospectively maintained EVAR database for the relationship between fluoroscopy time and both procedural (type of graft, configuration, number of components, surgeon) and anatomic factors reflective of aneurysm complexity (15 variables). Results A total of 128 patients underwent elective EVAR with a mean fluoroscopy time of 5.7 ± 3.4 min. The type of grafts used consisted of 41 (32%) Zenith, 85 (66.4%) Endurant and 2 (1.6%) Anaconda, with 105 (82%) being bifurcated and 23 (18%) being aorto-uni-iliac (AUI) in configuration. Both the surgeon performing the procedure ( p = 0.001) and graft configuration (bifurcated vs. AUI, p = 0.03) were found to be predictive of fluoroscopy time; while procedural and anatomic variables were not. Conclusions The surgeon’s efficiency in the use of fluoroscopy during EVAR is the most important determinant of total fluoroscopy time. Anatomic complexity, make of device, and number of components inserted have minimal impact on duration of fluoroscopy. An endovascular surgeon’s ability to curtail fluoroscopy duration is the key component in minimizing radiation exposure to both the surgical team and the patient.
Collapse
|
117
|
Fitridge RA, Boult M, Mackillop C, De Loryn T, Barnes M, Cowled P, Thompson MM, Holt PJ, Karthikesalingam A, Sayers RD, Choke E, Boyle JR, Forbes TL, Novick TV. International Trends in Patient Selection for Elective Endovascular Aneurysm Repair: Sicker Patients with Safer Anatomy Leading to Improved 1-Year Survival. Ann Vasc Surg 2015; 29:197-205. [DOI: 10.1016/j.avsg.2014.09.015] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2014] [Revised: 08/25/2014] [Accepted: 09/16/2014] [Indexed: 10/24/2022]
|
118
|
Naylor AR, Forbes TL. Trans-Atlantic debate: Does evidence support reducing the threshold diameter to 5 cm for elective interventions in women with abdominal aortic aneurysms? Eur J Vasc Endovasc Surg 2015; 48:618-9. [PMID: 25621355 DOI: 10.1016/j.ejvs.2014.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
119
|
Naylor AR, Forbes TL. Trans-Atlantic debate: Whether evidence supports reducing the threshold diameter to 5 cm for elective interventions in women with abdominal aortic aneurysms. Eur J Vasc Endovasc Surg 2015; 48:611. [PMID: 25621354 DOI: 10.1016/j.ejvs.2014.08.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
120
|
|
121
|
Forbes TL, Naylor AR. Editors' commentary. J Vasc Surg 2014; 60:1701-2. [PMID: 25454112 DOI: 10.1016/j.jvs.2014.07.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
122
|
Lee K, Tang E, Dubois L, Power AH, DeRose G, Forbes TL. Long-Term Outcomes Following Repair of Ruptured Abdominal Aortic Aneurysms in Younger Patients. J Vasc Surg 2014. [DOI: 10.1016/j.jvs.2014.08.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
123
|
Ingves MV, Power AH, DeRose G, Forbes TL, Dubois L. Penetrating Aortic Ulcers: The Fate of the Untreated Aorta. J Vasc Surg 2014. [DOI: 10.1016/j.jvs.2014.08.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
124
|
Dubois L, Power AH, DeRose G, Forbes TL. Identification of Patient-Derived Outcomes Following Aortic Aneurysm Repair. J Vasc Surg 2014. [DOI: 10.1016/j.jvs.2014.08.032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
125
|
Lee K, Istl A, Dubois L, DeRose G, Forbes TL, Kribs S, Mujoomdar A, Wiseman D, Power AH. Fibrinogen Level and Bleeding Risk During Catheter-Directed Thrombolysis Using Tissue Plasminogen Activator. J Vasc Surg 2014. [DOI: 10.1016/j.jvs.2014.08.050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|