Regaining the student mindset of patient care
“The good physician treats the disease; the great physician treats the patient who has the disease.” William Osler (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 18, 2023 Category: Surgery Authors: April A. Grant Tags: General Review Source Type: research
Impact of Care Fragmentation after Major Lower Extremity Amputation
Care fragmentation (CF) is a known risk factor for unplanned readmission, morbidity, and mortality after surgery. The goal of this study was to evaluate the impact of CF on outcomes of major lower extremity amputation for peripheral vascular disease. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 18, 2023 Category: Surgery Authors: Braedon R. Urie, Taylor Laskowski, Michele Richard, Nikita Tihonov, Daniel Katz, M.D. Alexandre d ’Audiffret, Sungho Lim Tags: Clinical Research Source Type: research
The Order of Operative Repair Does Not Influence Outcomes in Patients with Concomitant Popliteal Artery And Orthopedic Injuries
The most challenging lower extremity traumatic injuries involve concomitant vascular and orthopedic injuries with amputation rates approaching 50%. Controversy exists as to how to prioritize the vascular and orthopedic repairs. We reviewed patients with popliteal artery and lower extremity orthopedic injuries to analyze the sequence of the vascular and orthopedic repairs on outcomes. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 18, 2023 Category: Surgery Authors: Shauna Y. Trinh, Hans K. Boggs, Sharon C. Kiang, Zachary Tran, Ahmed M. Abou-Zamzam, Roger T. Tomihama Source Type: research
A systematic review of the quality of clinical practice guidelines for chronic limb threatening ischaemia
To assess the quality of clinical practice guidelines (CPGs) ∗ for Chronic Limb-Threatening Ischaemia (CLTI)† using the Appraisal of Guidelines for Research and Evaluation (AGREE)‡ II instrument. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 18, 2023 Category: Surgery Authors: Adele Hwee Hong Lee, Adele Philippa Wright, Mark Westcott, Leonard Shan, Peter Choong, Alun Davies Tags: General Review Source Type: research
Open Versus Zone 0/1 Endovascular Aortic Repair for Arch Aneurysm: A Propensity Score-Matched Study from the National Clinical Database in Japan
In this study, we compared the perioperative outcomes of both procedures for arch aneurysms using a nationwide surgical database. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 17, 2023 Category: Surgery Authors: Yasuhisa Oishi, Hiraku Kumamaru, Masaaki Kato, Takao Ohki, Akira Shiose, Noboru Motomura, Hideyuki Shimizu Tags: Clinical Research Source Type: research
REBOA Improves Outcomes in Hybrid Surgery for Ruptured Abdominal Aortic Aneurysms
Despite advancements in diagnostic methods and emergency interventions, mortality rates of Ruptured Abdominal Aortic Aneurysm (rAAA) continue to remain high. To address this issue, the Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) technique has been designed to provide temporary control of bleeding. We aimed to compare the impact of REBOA technique during open aortic surgery for rAAA. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 17, 2023 Category: Surgery Authors: Serkan Burc Deser, Berk Arapi, Cigdem Tel Ustunisik, Macit Bitargil, Ahmet Yuksel Tags: Clinical Research Source Type: research
Open versus zone 0/1 endovascular aortic repair for arch aneurysm: A propensity score matched study from the National Clinical Database in Japan
In this study, we compared the perioperative outcomes of both procedures for arch aneurysms using a nationwide surgical database. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 17, 2023 Category: Surgery Authors: Yasuhisa Oishi, Hiraku Kumamaru, Masaaki Kato, Takao Ohki, Akira Shiose, Noboru Motomura, Hideyuki Shimizu Tags: Clinical Research Source Type: research
Concerning trends in vascular surgery trainee operative experience in venous disease
Comprehensive vascular care includes both arterial and venous disease management. However, operative training in venous disease is often significantly overshadowed by arterial procedures, despite the public health burden of acute and chronic venous disease. The purpose of this study is to evaluate the case-mix and volume of venous procedures performed by graduating integrated vascular surgery residents and fellows in the United States. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 17, 2023 Category: Surgery Authors: Christina L. Cui, Lauren N. West-Livingston, Roberto S. Loanzon, Christopher A. Latz, Dawn M. Coleman, Chandler A. Long, Young Kim Tags: Clinical Research Source Type: research
Revascularization Outcomes Stratified by Glycemic Control in Patients with Diabetes Mellitus and Chronic Limb-Threatening Ischemia
The prevalence of chronic limb-threatening ischemia (CLTI) has increased alongside rising rates of diabetes mellitus (DM). While diabetic patients with CLTI have worse outcomes compared to patients without diabetes, conflicting data exist on the relationship between the severity of DM and CLTI outcomes. Close inspection of the relationship between DM severity and outcomes in CLTI may benefit surgical decision-making and patient education. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 17, 2023 Category: Surgery Authors: Drayson B. Campbell, Carly G. Sobol, Mitchel R. Stacy, Said Atway, Xiaoyi Teng, Mounir J. Haurani, Michael R. Go Tags: Basic Science Research Source Type: research
Refining Vascular Care Through Science Without Losing the Art
The science of medicine involves the incorporation of data from evidence-based medicine (collecting, analyzing, conducting clinical trials), medical knowledge (learned patterns of health and disease), diagnostic testing (objective evidence), treatment protocols (guidelines based on scientific evidence and/or expert consensus), and pharmacology (prescribing safely and effectively). The art of medicine involves clinical judgment (learn to interpret clinical signs, symptoms and histories often relying on intuition and gut feelings), bedside manner (understanding patient needs), customization of care (artistic touch to meet ea...
Source: Annals of Vascular Surgery - December 16, 2023 Category: Surgery Authors: Matthew Low, Bruce H. Gray Tags: General Review Source Type: research
High Prevalence of Adverse Social Determinants of Health in Dialysis Access Creation Patients in a Safety-Net Setting
Patients receiving dialysis access surgery are often exposed to adverse social determinants of health (SDH) that negatively impact their care. Our goal was to characterize these factors experienced by our arteriovenous dialysis access patients and identify differences in health outcomes based on their SDH. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 16, 2023 Category: Surgery Authors: Max Zhu, Nkiruka Arinze, Pablo Buitron de la Vega, Andrea Alonso, Scott Levin, Alik Farber, Elizabeth King, Anna Kobzeva-Herzog, Vipul C. Chitalia, Jeffrey J. Siracuse Tags: Clinical Research Source Type: research
The Importance of Team Alignment and Retention in Vascular Center Development: A Clinician ’s Perspective
The healthcare landscape is in a state of constant evolution, presenting both challenges and opportunities. Recent trends, including the departure or retirement of medical professionals, the rise in travel and per diem positions, and the expansive growth of healthcare networks, have resulted in a palpable divide within the field. This divide often manifests as a shift from prioritizing patient care and staff well-being towards financial security and operational efficiency and productivity. Amidst these ongoing changes, vascular centers possess the potential for a positive distinction that extends beyond their specializatio...
Source: Annals of Vascular Surgery - December 16, 2023 Category: Surgery Authors: Allyson L. Hale, Weston S. Gray, Bruce H. Gray Tags: General Review Source Type: research
Morphology of Abdominal Aortic Aneurysms and correlation with biomechanical tests of aneurysmal wall fragments
This study analyzed the correlation of geometric measurements (one-dimensional, two-dimensional, and three-dimensional) of preoperative tomographic images of AAA with uniaxial biomechanical tests of the arterial wall fragments of these AAA obtained in open surgical repair of aneurysms. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 16, 2023 Category: Surgery Authors: Bruno Doneg á Constantin, Erasmo Simão da Silva, Simon Lessard, Claude Kauffman, Gilles Soulez Tags: Basic Science Research Source Type: research
The utilization of protamine during peripheral vascular interventions in the VQI
This study evaluates the trend and outcomes of protamine use in the VQI. Our hypothesis is that the use of protamine is associated with decreased bleeding after PVI. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 16, 2023 Category: Surgery Authors: Sahar Ali, Fatma M. Shebl, Edouard Aboian, David Strosberg, Uwe Fischer, Jonathan Cardella, Raul J. Guzman, Cassius Iyad Ochoa Chaar Tags: Clinical Research Source Type: research
Analysis of Extracranial Cerebrovascular Injuries: Clinical Predictors of Management and Outcomes
Optimal management of traumatic extracranial cerebrovascular injuries (ECVI) remains undefined. We sought to evaluate the factors that influence management, and neurologic outcomes (stroke and brain death) following traumatic ECVI. (Source: Annals of Vascular Surgery)
Source: Annals of Vascular Surgery - December 16, 2023 Category: Surgery Authors: Hans K. Boggs, Sharon C. Kiang, Zachary Tran, Kaushik Mukherjee, Roger T. Tomihama Source Type: research
