Trends in management and outcomes of vascular emergencies in the nationwide inpatient sample.

Trends in management and outcomes of vascular emergencies in the nationwide inpatient sample. Vasa. 2019 Apr 25;:1-7 Authors: Bath J, Hartwig J, Dombrovskiy VY, Vogel TR Abstract Background: To evaluate trends in frequency, mortality and treatment for non-traumatic vascular emergencies (VE) in the US. Methods: VE in the Nationwide Inpatient Sample (2005-2014) were identified. ICD-9 CM diagnosis and procedures codes captured six common VE. Results: 228,210,504 emergency admissions with 317,396 procedures for VE were estimated. Mean age was 67.8 years and were primarily men (56.1 %; p
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - Category: Surgery Authors: Tags: Vasa Source Type: research

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In this case, a 79-year-old male presented with new anteroseptal Q waves and T-wave inversions across the precordial leads following an otherwise uneventful endovascular repair of his thoracoabdominal aortic aneurysm. The patient had no history of cardiac disease and had undergone a dobutamine stress echocardiogram within the preceding 6 months that showed no evidence of inducible ischemia. Nevertheless, routine postoperative electrocardiogram (EKG) revealed new Q waves and T-wave inversions and transthoracic echocardiogram that demonstrated akinesis of the left ventricle (LV) apex with chronic-appearing apical thrombus. W...
Source: A&A Case Reports - Category: Anesthesiology Tags: Case Reports Source Type: research
The neutrophil-lymphocyte ratio (NLR) is an inexpensive and useful inflammatory marker that incorporates the balance of the innate (neutrophil) and adaptive (lymphocyte) immune responses. Data exist on the association between NLR and mortality in various coronary diseases and in cancer surgery, but there is a paucity of data on the impact of preoperative NLR on vascular surgical outcomes. The aim of this study was to evaluate the relationship between preoperative NLR and elective endovascular aortic aneurysm repair (EVAR) outcome.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Source Type: research
Condition:   Juxtarenal Aortic Aneurysm Intervention:   Procedure: Endovascular Repair of Juxtarenal Aortic Aneurysm Sponsor:   Assiut University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Some studies suggest celiac artery coverage during elective endovascular thoracoabdominal aortic aneurysm (TAAA) repair is safe given sufficient collateralization of visceral organ perfusion from the superior mesenteric artery. However, there is concern that celiac artery coverage may lead to increased risk of foregut or spinal cord ischemia with an attendant increased risk of mortality. We sought to investigate rates of bowel ischemia, spinal cord ischemia and 30-day mortality associated with celiac artery coverage during TEVAR and complex EVAR.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Tags: Clinical Research, Basic Science Source Type: research
Condition:   Juxtarenal Aortic Aneurysm Intervention:   Procedure: Endovascular Repair of Juxtarenal Aortic Aneurysm Sponsor:   Assiut University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
ConclusionsAlthough endovascular procedures for repairing juxtarenal AAAs, such as fenestrated EVAR, have been developed, surgical repair is the standard treatment for juxtarenal AAAs. Morbidity and mortality due to open surgery were not higher in the juxtarenal AAA group than in the infrarenal AAA group. Therefore, need for suprarenal clamp should not preclude OSR and also there is continued need for training in surgical exposure of juxtarenal AAA and OSR.
Source: World Journal of Surgery - Category: Surgery Source Type: research
Local market competition has been previously associated with more aggressive surgical decision making. For example, more local competition for organs is associated with acceptance of lower quality kidney offers in transplant surgery. We hypothesized that market competition would be associated with size of abdominal aortic aneurysm (AAA) at time of elective endovascular aneurysm repair (EVAR).
Source: Annals of Vascular Surgery - Category: Surgery Authors: Source Type: research
Sótonyi P Abstract Treatment of thoracoabdominal aortic aneurysms is one of the most difficult challenges of vascular surgery. Endovascular options for complex aneurysms in urgent situation are limited. Thoracoabdominal giant aortic aneurysms are especially rare phenomena, each of them requires patient-specific treatment. Staged-fashion reconstructions may offer lower rate, especially for spinal cord injury. In our case report, we present a male patient, who had a 19.2 cm maximum diameter modified Crawford type V thoracoabdominal aortic aneurysm with contained rupture. The patient underwent an acute open r...
Source: Orvosi Hetilap - Category: General Medicine Authors: Tags: Orv Hetil Source Type: research
We read with interest Mr Armon's letter and we agree with his notion that the pendulum may have already swung too far in some instances in favour of endovascular aneurysm repair (EVAR). We're all witnessing irrational use of EVAR and subsequent bad outcomes related to poor patient/anatomy selection. However, this cannot justify abandonment of EVAR. This is a good reason to initiate measures for the appropriateness of care, and to monitor and inform users of their poor anatomy selection or outcomes (outliers amongst their peers) through the existing quality initiatives (e.g.
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Correspondence Source Type: research
In their editorial on the (unpublished) National Institute of Clinical Excellence (NICE) abdominal aortic aneurysm (AAA) guidelines, Liapis et  al. argue that these swing the pendulum too far in favour of open surgery,1 but in doing so fail to acknowledge that the balance may already have swung too far in favour of endovascular aneurysm repair (EVAR).
Source: European Journal of Vascular and Endovascular Surgery - Category: Surgery Authors: Tags: Correspondence Source Type: research
More News: Abdominal Aneurysm Repair | Aortic Aneurysm | Cardiovascular & Thoracic Surgery | Emergency Medicine | Endovascular Repair (EVAR) | Gastroschisis Repair | Surgery