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Aspirin responsiveness safely lowers perioperative cardiovascular risk
Conclusions: The degree of aspirin effect on platelet aggregability maybe important in the management of perioperative CV morbidity, without increment in the bleeding toll.
Source: Journal of Vascular Surgery - November 28, 2013 Category: Surgery Authors: Daniela Calderaro, Adriana Feio Pastana, Tania Rubia Flores da Rocha, Pai Ching Yu, Danielle Menosi Gualandro, Nelson DeLuccia, Élbio Antônio D`Amico, Bruno Caramelli Tags: Clinical research studies Source Type: research

Shared quality data are associated with increased protamine use and reduced bleeding complications after carotid endarterectomy in the Vascular Study Group of New England
Objective: The goal of this study was to evaluate whether protamine usage after carotid endarterectomy (CEA) increased within the Vascular Study Group of New England (VSGNE) in response to studies indicating that protamine reduces bleeding complications associated with CEA without increasing the risk of stroke.Methods: We reviewed 10,059 CEAs, excluding concomitant coronary bypass, performed within the VSGNE from January 2003 to July 2012. Protamine use and reoperation for bleeding were evaluated monthly using statistical process control. Twelve centers and 77 surgeons entering the VSGNE between 2003 and 2008 were classifi...
Source: Journal of Vascular Surgery - September 9, 2013 Category: Surgery Authors: Reshma B. Patel, Peter Beaulieu, Karen Homa, Philip P. Goodney, Andrew C. Stanley, Jack L. Cronenwett, David H. Stone, Daniel J. Bertges, Vascular Study Group of New England Tags: Clinical research studies Source Type: research

Vorapaxar in Patients With Peripheral Artery Disease: Results from TRA2°P-TIMI 50
Vorapaxar does not decrease the risk of cardiovascular death, stroke, or myocardial infarction in patients with peripheral artery disease (PAD). It does result in reduced limb ischemia and reduced peripheral revascularization. The benefits on limb vascular events were accompanied by an increased risk of bleeding.
Source: Journal of Vascular Surgery - September 1, 2013 Category: Surgery Authors: M.P. Bonaca, B.M. Scirica, M.A. Craeger Tags: Abstracts Source Type: research

Contemporary outcomes after distal vertebral reconstruction
Conclusions: Distal VA reconstruction for flow-limiting or embolic lesions provides excellent stroke protection and symptomatic relief with acceptable perioperative risk in selected patients.
Source: Journal of Vascular Surgery - March 13, 2013 Category: Surgery Authors: Dawn M. Coleman, Andrea Obi, Enrique Criado, Shipra Arya, Ramon Berguer Tags: Clinical research studies Source Type: research

Race as a predictor of morbidity, mortality, and neurologic events after carotid endarterectomy
Objective: Racial disparities in the outcomes of patients undergoing carotid endarterectomy (CEA) have been reported. We sought to examine the contemporary relationship between race and outcomes and to report postdischarge events after CEA.Methods: The American College of Surgeons National Surgical Quality Improvement Program Participant Use Data Files were reviewed to identify all CEAs performed from 2005 to 2010 by vascular surgeons. The influence of race on outcomes was examined. Multivariate analysis was performed using variables found to be significant on bivariate analysis. The primary outcomes were stroke and mortal...
Source: Journal of Vascular Surgery - February 1, 2013 Category: Surgery Authors: Hilary A. Brown, Michael C. Sullivan, Richard G. Gusberg, Alan Dardik, Julie Ann Sosa, Jeffrey E. Indes Tags: Clinical research studies Source Type: research

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