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Total 143 results found since Jan 2013.

Endovascular Repair of Blunt Thoracic Aortic Trauma: Is Postimplant Hypertension an Incidental Finding?
Blunt thoracic aortic injury (BTAI) is the second most common cause of death in trauma patients. Nowadays, thoracic endovascular aortic repair (TEVAR) has become the treatment of choice because of lower rates of mortality, paraplegia, and stroke. However, concerns have been raised whether graft implantation is related to the development of hypertension in the postoperative period. The aim of this study was to report short- and long-term outcomes of patients undergoing TEVAR for BTAIs at a tertiary hospital and to investigate postimplant hypertension.
Source: Annals of Vascular Surgery - March 7, 2018 Category: Surgery Authors: Konstantinos Tigkiropoulos, Fragiska Sigala, Diamantis I. Tsilimigras, Demetrios Moris, Konstantinos Filis, Nikolaos Melas, Dimitrios Karamanos, Christos Kontogiannis, Ioannis Lazaridis, Nikolaos Saratzis Tags: Clinical Research Source Type: research

Commentary on “Post-carotid Endarterectomy Hypertension. Part 2: Association with Peri-operative Clinical, Anaesthetic, and Transcranial Doppler Derived Parameters”
Guidance on peri-operative haemodynamics is crucial to prevent procedural stroke in carotid endarterectomy (CEA) by preserving cerebral perfusion.1,2 Newman et  al. suggest a one size fits all post-operative systolic blood pressure (BP) policy treating > 170 mmHg or > 160 mmHg in patients with symptoms.3 This policy causes significant overtreatment, as two in five CEA patients will undergo in hospital BP lowering treatment for several days, leading to a high workload, increased in hospital costs, and bed occupancy.
Source: European Journal of Vascular and Endovascular Surgery - February 28, 2018 Category: Surgery Authors: Leonie M.M. Fassaert, Gert J. de Borst Tags: Correspondence Source Type: research

Low carotid stump pressure as a predictor for ischemic symptoms and as a marker for compromised cerebral reserve in octogenarians undergoing carotid endarterectomy
Carotid artery occlusive disease can cause stroke by embolization, thrombosis, and hypoperfusion. The majority of strokes secondary to cervical carotid atherosclerosis are believed to be of embolic etiology. However, cerebral hypoperfusion could be an important factor in perioperative stroke. We retrospectively reviewed the stump pressure (SP) of carotid endarterectomy (CEA) of patients at Pennsylvania Hospital to identify whether physiologic perfusion differences account for differences in perioperative stroke rates, particularly in octogenarians.
Source: Journal of Vascular Surgery - February 23, 2018 Category: Surgery Authors: Sam C. Tyagi, Matthew J. Dougherty, Shinichi Fukuhara, Douglas A. Troutman, Danielle M. Pineda, Hong Zheng, Keith D. Calligaro Tags: Clinical paper Source Type: research

Patient characteristics and in-hospital outcomes of emergency carotid endarterectomy and carotid stenting after stroke in evolution
The objective of this study was to describe characteristics and in-hospital outcomes of patients treated with carotid endarterectomy (CEA) and carotid artery stenting (CAS) for stroke in evolution (SIE) under routine conditions in Germany.
Source: Journal of Vascular Surgery - February 3, 2018 Category: Surgery Authors: Christoph Knappich, Andreas Kuehnl, Pavlos Tsantilas, Sofie Schmid, Thorben Breitkreuz, Michael Kallmayer, Alexander Zimmermann, Hans-Henning Eckstein Source Type: research

Timing of Hospital-Acquired Venous Thromboembolism (VTE) and its Relationship With VTE Prevention Measures in Immobile Patients
This study describes the timing of venous thromboembolism (VTE) diagnosis in patients with cerebral or spinal trauma and stroke and the relationships between VTE prevention and timing of VTE diagnosis at a community hospital.
Source: Journal of Vascular Surgery - July 20, 2017 Category: Surgery Authors: Hao Pham, Todd Russell, Andrew Seiwert, Gregory Kasper, Fedor Lurie Tags: Abstract from the 2017 Midwestern Vascular Surgical Society Annual Meeting Source Type: research

PC164 Fast-Track Thrombolysis for Acute Lower Extremity In-Stent Occlusions: A Novel Approach to Minimize Complications of Standard Thrombolytic Therapy
The role of catheter-directed thrombolysis (CDT) in the treatment of acute lower extremity ischemia may require prolonged periods of time to achieve successful lysis. Prolonged thrombolysis infusion has demonstrated increased incidence of intracranial bleeding, stroke, and local complications. It is expensive and increases hospital length of stay. To minimize these potentially negative outcomes, we developed a fast track approach (FTA) that included the use of aggressive balloon angioplasty and stenting before the thrombus was completely lysed.
Source: Journal of Vascular Surgery - May 17, 2017 Category: Surgery Authors: Syed Ali Rizvi, Anil Hingorani, Enrico Ascher, Natalie Marks Tags: C10: Poster Competition Source Type: research

Use of idarucizumab for dabigatran reversal in patients with non-valvular atrial fibrillation undergoing emergency surgical repair of strangulated femoral hernia
We report a case of a 61-year-old woman with history of NVAF on dabigatran, presented to the emergency department with a strangulated right femoral hernia causing small bowel obstruction, where idarucizumab was administered before surgery. The patient had received her last dose of dabigatran 4 hours before presenting to the emergency department and her activated partial thromboplastin time was over the upper limit of reference. Surgery followed about one hour after the administration of idarucizumab and surgeon reported normal perioperative haemostasis. The patient had a normal recovery, received parenteral anticoagulation...
Source: Hellenic Journal of Surgery - April 1, 2017 Category: Surgery Source Type: research

Short Time Interval Between Neurologic Event and Carotid Surgery Is Not Associated With an Increased Procedural Risk
The time interval between index event and carotid endarterectomy is not associated with risk of in-hospital stroke or death in patients with symptomatic carotid stenosis.
Source: Journal of Vascular Surgery - December 20, 2016 Category: Surgery Authors: P. Tsantilas, A. Kuehnl, T. Konig Tags: Abstract Source Type: research

Inclusion of Pulmonary Embolism Response in a Level I Vascular Emergency Program: A Good Fit in a Collaborative, Multidisciplinary System
The value of a systematic approach for assessment and management of life and limb threatening emergencies has been demonstrated by the success of organized trauma centers, stroke centers, and STEMI programs throughout the United States. Recognizing the applicability of a standardized care process to vascular emergencies, Dr. Michael Dalsing of Indiana University –Methodist Hospital led his academic faculty and hospital in the development of a statewide referral and rapid response system for vascular emergencies in 2009.
Source: Annals of Vascular Surgery - December 14, 2016 Category: Surgery Authors: Charles B. Ross, M. Allene Harrison, Michael P. Lunney, Chad E. Miller, Eyal Ben Arie, Chad Case, William L. Ballard, David A. Dean, W. Morris Brown Tags: Abstracts accepted for presentation during the Florida Vascular Society ’s 29th Annual Scientific Sessions Meeting Source Type: research

Endovascular treatment of ischaemic stroke patients - new evidence and old challenges.
Abstract An overwhelming benefit from endovascular treatment of ischaemic stroke could be shown in recent clinical trials, making it the new evidence-based standard of care for ischaemic stroke due to large vessel occlusion. To provide all eligible stroke patients with this therapy at any time, stroke networks and hospitals should streamline their workflow to rapidly image, select, and treat stroke patients. Interdisciplinary cooperation is vital for effective emergency endovascular stroke treatment, which is one of the most complex multidisciplinary functions a hospital can undertake. PMID: 27428494 [PubMed - in process]
Source: VASA. Zeitschrift fur Gefasskrankheiten. Journal for Vascular Diseases - June 30, 2016 Category: Surgery Authors: Gerber J, Puetz V, Bodechtel U, Kitzler H, von Kummer R, Linn J Tags: Vasa Source Type: research

Correction
In the March 2013 issue of the Journal of Vascular Surgery, the article by Yuo et al (Yuo TH, Degenholtz HS, Chaer RA, Kraemer KL, Makaroun MS. Effect of hospital-level variation in the use of carotid artery stenting versus carotid endarterectomy on perioperative stroke and death in asymptomatic patients. J Vasc Surg 2013;57:627-34) listed the incorrect middle initial for Dr Howard B. Degenholtz. The correct middle initial for Dr Degenholtz is B., not S. as published.
Source: Journal of Vascular Surgery - June 24, 2016 Category: Surgery Tags: Correction Source Type: research