Publications by authors named "J C Quatromoni"
Objective: Superior vena cava syndrome (SVC) is a debilitating disease, and surgical reconstruction has been described with some of the best results using spiral great saphenous vein (SGSV) grafts. SGSV grafts can be difficult to construct, and a long segment of saphenous vein is needed. Femoral vein has been an excellent conduit for infected aortic and peripheral reconstructions in our hands, and we sought to review outcomes using this conduit for SVC reconstruction.
View Article and Find Full Text PDFFor end-stage renal disease (ESRD) patients requiring hemodialysis, reliable vascular access is crucial, especially when conventional supradiaphragmatic options are exhausted. This study reviews the technical aspects, clinical outcomes, and complications of translumbar and transhepatic tunneled dialysis catheter (TDC) placements. These alternative infradiaphragmatic approaches provide essential hemodialysis access for patients with central venous occlusions.
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- * The study looked at 40 CTD patients who had TEVAR for thoracoabdominal aortic aneurysms or aortic dissections between February 2014 and April 2021, revealing most had previous aortic interventions and a significant number faced complications post-surgery.
- * Results showed a high reintervention rate (62.5%), with reinterventions typically occurring within the first year, and indicated ongoing risks for aortic-related issues, highlighting challenges in treating CTD patients
Article Synopsis
- The study investigates alternative graft options for infrainguinal bypass surgery in patients with chronic limb-threatening ischemia, as the ideal graft (great saphenous vein) is often unavailable.
- Data from the Vascular Quality Initiative database was analyzed, categorizing patients into three graft groups: arm vein grafts (AVs), prosthetic grafts (PGs), and biologic grafts (BGs), while excluding saphenous vein grafts.
- Results show that patients with PGs had a higher risk of infections and 1-year mortality than those with AVs, while BGs were associated with increased risks of graft occlusion, infection, and higher chances of both mortality and amputation compared to both AVs and PG
Article Synopsis
- - The study investigates whether using an endovascular approach, with or without common femoral endarterectomy (CFE), is safe and effective for treating patients with intermittent claudication due to complex aortoiliac occlusive disease (AIOD).
- - A review of 245 limbs from 180 patients treated from 2010 to 2020 showed low complication rates, with most patients showing improved Rutherford classification and favorable patency rates at 1, 2, and 5 years.
- - While patients undergoing CFE had more health issues and complex disease, the study found no significant differences in outcomes between those receiving only endovascular treatment and those who had combined procedures, indicating both approaches could be effective.