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Outcomes after surgery in patients with previous stroke
ConclusionPatients with previous stroke had a higher risk of adverse postoperative outcomes; their 30‐day in‐hospital mortality rate was nearly twice that of patients without previous stroke.
Source: British Journal of Surgery - September 16, 2014 Category: Surgery Authors: C. C. Liao, P. Y. Chang, C. C. Yeh, C. J. Hu, C. H. Wu, T. L. Chen Tags: Original article Source Type: research

In-hospital versus postdischarge adverse events following carotid endarterectomy
Conclusions: With 38% of perioperative adverse events after CEA happening posthospitalization, regardless of symptoms status, we need to be alert to the ongoing risks after discharge particularly in women, patients with renal failure, or chronic obstructive pulmonary disease. This emphasizes the need for reporting and comparing 30-day adverse event rates when evaluating outcomes for CEA, or comparing carotid stenting to CEA.
Source: Journal of Vascular Surgery - February 5, 2013 Category: Surgery Authors: Margriet Fokkema, Rodney P. Bensley, Ruby C. Lo, Allan D. Hamden, Mark C. Wyers, Frans L. Moll, Gert Jan de Borst, Marc L. Schermerhorn Tags: Clinical research studies Source Type: research

A contemporary evaluation of carotid endarterectomy outcomes in patients with chronic kidney disease in the United States.
Conclusions Patients with ESRD undergoing CEA had an increased risk of respiratory and septic complications, but not a higher risk of stroke compared to patients with normal renal function. The greatest risks of postoperative stroke, respiratory, and cardiac complications were found in patients with CKD. A diagnosis of ESRD and CKD were both found to significantly increase hospital mortality, length of stay and cost. Where clinicians typically consider ESRD patients the highest risk for CEA, further consideration should be given to patients with CKD not yet on dialysis as they had the higher risk of cardiac complications a...
Source: Vascular - December 31, 2016 Category: Surgery Authors: Patel AR, Dombrovskiy VY, Vogel TR Tags: Vascular Source Type: research

Nationwide Comparative Impact of Thoracic Endovascular Aortic Repair of Acute Uncomplicated Type B Aortic Dissections
Conclusions: Thoracic endovascular aortic repair for acute uncomplicated TBAD was associated with similar in-hospital mortality, MI, and renal failure as compared to medical management. The TEVAR had higher rate of stroke up to the age 70 years and longer LOS. Because extending TEVAR to less complicated patients could only decrease TEVAR mortality rates, these findings support the more widespread use of TEVAR to treat patients with uncomplicated TBAD.
Source: Vascular and Endovascular Surgery - March 5, 2014 Category: Surgery Authors: Shah, T. R., Rockman, C. B., Adelman, M. A., Maldonado, T. S., Veith, F. J., Mussa, F. F. Tags: Articles Source Type: research

Outcome After Endovascular Repair of Ruptured Descending Thoracic Aortic Aneurysm: A National Multicentre Study.
CONCLUSIONS: This nationwide multicentre study of patients with rDTAA undergoing TEVAR showed acceptable short- but poor long-term survival. Adequate proximal and distal aortic sealing zones are important for technical success. High risk patients and post-operative complications need to be further addressed in an effort to improve outcome. PMID: 30910493 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - March 21, 2019 Category: Surgery Authors: Sari H, Thomas L, Rebecka H, Anders W, Kevin M, Timothy R, Mårten F, Claes F, Björn S, Artai P, Håkan R, Tina H, Shazhad K, Jonas H, Carl-Magnus W Tags: Eur J Vasc Endovasc Surg Source Type: research

A 14-year experience with blunt thoracic aortic injury
Conclusions: The incidence of BTAT is low but the mortality associated with it is significant. During the 14-year period studied, there was a clear change in management preference from open repair to endovascular repair at our level 1 trauma center. Outcomes, including stroke, MI, renal failure, paralysis, length of stay, and death, appear to be reduced in the endovascular group.
Source: Journal of Vascular Surgery - June 10, 2013 Category: Surgery Authors: Jennifer Watson, Jeffrey Slaiby, Manuel Garcia Toca, Edward J. Marcaccio, Tze Tec Chong Tags: Clinical research studies Source Type: research

Delphi Study to Reach International Consensus Among Vascular Surgeons on Major Arterial Vascular Surgical Complications
ConclusionVascular surgeons reached international consensus on major and minor complications following AAA, CAD and PAD treatment. This consensus may be helpful in harmonizing the information patients receive and improving standardization of the informed consent procedure. Since major complications differed between diseases, consensus on disease-specific complications to be discussed with patients is necessary.
Source: World Journal of Surgery - July 30, 2019 Category: Surgery Source Type: research

Does Endovascular Repair for Blunt Traumatic Aortic Injuries Provide Better Outcomes Compared to Its Open Technique? A Systematic Review and Meta-analysis
CONCLUSION: This meta-analysis found that ER was associated with a reduced paraplegia rate compared to OR for the management of traumatic aortic injury.PMID:34736285 | DOI:10.52198/21.STI.39.CV1489
Source: Surgical Technology International - November 4, 2021 Category: Surgery Authors: Shekhar Gogna Mahir Gachabayov Priya Goyal Rifat Latifi Source Type: research

Metabolic syndrome as a predictor of perioperative outcomes in primary bariatric surgery, a MBSAQIP survey
ConclusionPatients with metabolic syndrome are at increased odds of peri-operative complications after bariatric surgery.
Source: Surgical Endoscopy - February 3, 2022 Category: Surgery Source Type: research

Gastrointestinal complications after cardiac surgery: 10‐year experience of a single Australian centre
ConclusionsGI complications after cardiac surgery remain an uncommon but dreadful complication associated with high mortality. Our findings should prompt a high degree of clinical vigilance in order to make an early diagnosis especially in high risk patients. Further studies aiming to identify independent predictors for GI complications after cardiac surgery are warranted.
Source: ANZ Journal of Surgery - March 26, 2013 Category: Surgery Authors: Fabiano F. Viana, Yi Chen, Aubrey A. Almeida, Heather D. Baxter, Andrew D. Cochrane, Julian A. Smith Tags: Original Article Source Type: research

Adverse Outcomes Associated With Elective Knee Arthroscopy: A Population-Based Cohort Study
Conclusions: Our study found 6.4 adverse outcomes per 1,000 elective knee arthroscopy procedures (0.64%), with the 3 most common complications being DVT, effusion and synovitis, and PE. We have also identified risk factors for adverse outcomes, particularly chronic kidney disease, myocardial infarction, cerebrovascular accident, and cancer.Level of Evidence: Level III, retrospective cohort study.
Source: Arthroscopy - February 8, 2013 Category: Surgery Authors: Megan A. Bohensky, Richard deSteiger, Chris Kondogiannis, Vijaya Sundararajan, Nick Andrianopoulos, Andrew Bucknill, Geoffrey McColl, Caroline A. Brand Tags: Original Articles Source Type: research

Treatment of acute visceral aortic pathology with fenestrated/branched endovascular repair in high-surgical-risk patients
Conclusions: Urgent or emergent treatment of acute pathology involving the visceral aortic segment with fenestrated/branched endograft repair is feasible and safe in selected high-risk patients; however, the durability of these repairs is yet to be determined.
Source: Journal of Vascular Surgery - May 23, 2013 Category: Surgery Authors: Salvatore T. Scali, Alyson Waterman, Robert J. Feezor, Tomas D. Martin, Philip J. Hess, Thomas S. Huber, Adam W. Beck Tags: Clinical research studies Source Type: research

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