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Specialty: Surgery
Procedure: Gastroschisis Repair

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Total 340 results found since Jan 2013.

Cerebral embolization, silent cerebral infarction and neurocognitive decline after thoracic endovascular aortic repair
ConclusionThis study demonstrates a high rate of cerebral embolization and neurocognitive decline affecting patients following TEVAR. Brain injury after TEVAR is more common than previously recognized, with cerebral infarction in more than 80 per cent of patients.
Source: British Journal of Surgery - February 1, 2018 Category: Surgery Authors: A. H. Perera, N. Rudarakanchana, L. Monzon, C. D. Bicknell, B. Modarai, O. Kirmi, T. Athanasiou, M. Hamady, R. G. Gibbs Tags: Original article Source Type: research

Morphology and Outcomes of Total Endovascular Treatment of Type B Aortic Dissection with Aberrant Right Subclavian Artery.
CONCLUSIONS: Type B aortic dissection with ARSA was associated with a steep aortic arch. Total endovascular treatment for these patients was feasible and safe. Stent grafts with better flexibility and appropriate extension of the proximal landing zone with a parallel graft technique are suggested based on the observed outcomes. PMID: 29089284 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - October 28, 2017 Category: Surgery Authors: Zhou M, Bai X, Ding Y, Wang Y, Lin C, Yan D, Shi Z, Fu W Tags: Eur J Vasc Endovasc Surg Source Type: research

Open Thoracic and Thoraco-abdominal Aortic Repair in Patients with Connective Tissue Disease.
CONCLUSION: Open TAA(A) repair is a durable therapy for patients with CTD. Often being performed as revision surgery, it can be associated with relevant risks and should therefore be reserved for specialised centres. Staged procedures and thus reducing operating time, if applicable, should be preferred. PMID: 28916127 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - September 12, 2017 Category: Surgery Authors: Keschenau PR, Kotelis D, Bisschop J, Barbati ME, Grommes J, Mees B, Gombert A, Peppelenbosch AG, Schurink GWH, Kalder J, Jacobs MJ Tags: Eur J Vasc Endovasc Surg Source Type: research

Hypertension, Acute Stent Thrombosis, and Paraplegia 6  Months after Thoracic Endovascular Aortic Repair for Blunt Thoracic Aortic Injury in a 22-Year-Old Patient
Thoracic endovascular aortic repair (TEVAR) is a less invasive option for managing traumatic injuries of the descending aorta in polytraumatized patients. Concerns arise when treating young patients with TEVAR. A 22-year-old male was admitted to the emergency department following a high-impact road traffic collision. Whole-body computed tomography (CT) scan documented multiple injuries, including rupture of descending thoracic aorta just below the isthmus. There was no evidence of paraplegia or stroke.
Source: Annals of Vascular Surgery - September 8, 2017 Category: Surgery Authors: Ombretta Martinelli, Federico Faccenna, Alban Malaj, Jihad Jabbour, Salvatore Venosi, Roberto Gattuso, Bruno Gossetti, Luigi Irace Tags: Case Report Source Type: research

Air Bubbles Released From Thoracic Aortic Endograft Deployment: Analysis and Quantification
Although the prevalence of stroke after thoracic endovascular aortic repair is well documented, the proportion of both clinically significant and silent air emboli during thoracic endovascular aortic repair remains undetermined. Although widely suspected, the presence and amount of retained air bubbles released on deployment of fully flushed and prepared thoracic endografts have never been independently verified. The goal of this study was to determine the volume of air and the size of any macrobubbles released (diameter>1 mm) during standard thoracic aortic endograft deployment in an in vitro model.
Source: Journal of Vascular Surgery - August 22, 2017 Category: Surgery Authors: Joel Gagnon, Jacques Tittley, Jonathan Misskey Source Type: research

Intraoperative ventilation during thoracoscopic repair of neonatal congenital diaphragmatic hernia
ConclusionsHFOV seems to prevent deterioration of hypercapnia and acidosis to a greater extent than CMV during TR in neonatal cases of CDH, although patients can also be ventilated with CMV.
Source: Pediatric Surgery International - August 12, 2017 Category: Surgery Source Type: research

Late Dacron Patch Inflammatory Reaction after Carotid Endarterectomy.
CONCLUSION: Late wound complications after CEA may be related to inflammatory reaction of the Dacron patch rather than infection. Infection should be excluded first. Reconstruction with vein is effective. However, debridement with sternomastoid and omohyoid muscle covering of the patch may be considered in high risk patients after exclusion of infection with regular follow-up. PMID: 28757054 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - July 27, 2017 Category: Surgery Authors: Alawy M, Tawfick W, ElKassaby M, Shalaby A, Zaki M, Hynes N, Sultan S Tags: Eur J Vasc Endovasc Surg Source Type: research

Contemporary evaluation of mortality and stroke risk after thoracic endovascular aortic repair
During the past decade, thoracic endovascular aortic repair (TEVAR) has increased as a treatment option for a variety of aortic pathologic processes. Despite this rise in the use of thoracic stent grafts, real-world outcomes from a robust, adjudicated, contemporary data set have yet to be reported. Previous studies have shown periprocedural mortality rates between 1.5% and 9.5% and procedure-related stroke rates of 2.3% to 8.2%. With advances in device engineering and increased experience of physicians, we hypothesized that the rates of these complications would be reduced in a more recent sample set.
Source: Journal of Vascular Surgery - May 11, 2017 Category: Surgery Authors: Frances Y. Hu, Zachary B. Fang, Bradley G. Leshnower, Yazan Duwayri, William D. Jordan, Theresa W. Gillespie, Ravi K. Veeraswamy Tags: Clinical paper 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

Robotic Arch Catheter Placement Reduces Cerebral Embolization During Thoracic Endovascular Aortic Repair (TEVAR)
This study investigates the incidence of cerebral embolization during catheter placement in the aortic arch, and compares robotic and manual techniques.
Source: Journal of Vascular Surgery - March 23, 2017 Category: Surgery Authors: A.H. Perera, C.V. Riga, L. Monzon, R.G. Gibbs, C.D. Bicknell, M. Hamady Tags: Selected Abstracts from the March Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research

Right brachial access is safe for branched endovascular aneurysm repair in complex aortic disease
The risk of perioperative cerebrovascular events in endovascular repair of thoracic and thoracoabdominal aneurysms is reported from 2% to 15%. The unavoidable use of an upper extremity access during branched endovascular aneurysm repair (b-EVAR) may play a role in embolic brain injuries. For this reason, some advocate the use of a left-sided upper access to avoid crossing the origin of supra-aortic vessels. However, the assumption that right brachial access has a higher risk for stroke during b-EVAR has not been confirmed in the literature.
Source: Journal of Vascular Surgery - March 3, 2017 Category: Surgery Authors: Beatrice Fiorucci, Tilo K ölbel, Fiona Rohlffs, Franziska Heidemann, Sebastian Eike Debus, Nikolaos Tsilimparis Source Type: research

Outcomes for cervicomediastinal vascular trauma managed by a vascular subspecialistled vascular trauma service.
CONCLUSION: The development of endovascular techniques would allow for noninvasive management of a significant number of patients. Open surgery is still necessary, and associated with significant morbidity. Comparable results were reported in our newly established vascular trauma service unit to those obtained in our parent vascular surgery department in Durban. PMID: 28240499 [PubMed - in process]
Source: South African Journal of Surgery - March 1, 2017 Category: Surgery Tags: S Afr J Surg Source Type: research

Incidence of Stroke Following Thoracic Endovascular Aortic Repair for Descending Aortic Aneurysm: A Systematic Review of the Literature with Meta-analysis
Stroke is an increasingly recognised complication following thoracic endovascular aortic repair (TEVAR). The aim of this study was to systematically synthesise the published data on perioperative stroke incidence during TEVAR for patients with descending thoracic aneurysmal disease and to assess the impact of left subclavian artery (LSA) coverage on stroke incidence.
Source: Journal of Vascular Surgery - February 22, 2017 Category: Surgery Authors: R.S. von Allmen, B. Gahl, J.T. Powell Tags: Selected Abstract from the February Issue of the European Journal of Vascular and Endovascular Surgery Source Type: research

Left subclavian artery revascularization in zone 2 thoracic endovascular aortic repair is associated with lower stroke risk across all aortic diseases
The best management strategy for the left subclavian artery (LSA) in pathologic processes of the aorta requiring zone 2 thoracic endovascular aortic repair (TEVAR) remains controversial. We compared LSA coverage with or without revascularization as well as the different means of LSA revascularization.
Source: Journal of Vascular Surgery - February 15, 2017 Category: Surgery Authors: Rhiannon J. Bradshaw, S. Sadie Ahanchi, Obie Powell, Sebastian Larion, Colin Brandt, Michael C. Soult, Jean M. Panneton Tags: Clinical paper Source Type: research

Robotic Arch Catheter Placement Reduces Cerebral Embolization During Thoracic Endovascular Aortic Repair (TEVAR)
This study investigates the incidence of cerebral embolization during catheter placement in the aortic arch, and compares robotic and manual techniques.
Source: European Journal of Vascular and Endovascular Surgery - February 13, 2017 Category: Surgery Authors: A.H. Perera, C.V. Riga, L. Monzon, R.G. Gibbs, C.D. Bicknell, M. Hamady Source Type: research