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Specialty: Surgery
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Total 143 results found since Jan 2013.
Guideline Compliant Minimum Asymptomatic Carotid Endarterectomy Surgeon and Hospital Volume Cutoffs
The objective here is to identify a lower optimal cutpoint for surgeon and hospital volume for asymptomatic CEA.
Source: Annals of Vascular Surgery - July 13, 2023 Category: Surgery Authors: Joshua T. Geiger, Fergal Fleming, James C. Iannuzzi, Michael Stoner, Adam Doyle Tags: Clinical Research Source Type: research
Epidemiology, repair technique, and predictors of stroke and mortality in penetrating carotid artery injuries
This retrospective review of the NTDB found that carotid repair was associated with improved mortality outcomes compared to ligation; however, there was no difference in stroke outcome. The factors predictive of stroke were low GCS, high ISS, and a history of neurological deficit prior to injury and those predictive of in-hospital mortality were carotid ligation, low GCS, high ISS, and cardiac arrest.
Source: Journal of Vascular Surgery - June 26, 2023 Category: Surgery Authors: Anastasia Plotkin, Fred A. Weaver, Natthida Owattanapanich, Saskya Byerly, Morgan Schellenberg, Kenji Inaba, Gregory A. Magee Source Type: research
Early Thoracic Endografting is Safe in Patients with Uncomplicated Type B Aortic Dissection
Zentralbl Chir. 2023 May 30. doi: 10.1055/a-2060-9864. Online ahead of print.ABSTRACTThere are many publications dealing with treatment options for uncomplicated type B aortic dissection (TBAD). Early TEVAR (Thoracic Endovascular Aortic Repair) may improve aortic-specific survival and delay disease progression in the long-term. Especially in patients with uncomplicated TBAD and additional high-risk features, preemptive TEVAR may improve late outcomes.We conducted a retrospective analysis of all patients treated for TBAD in our hospital between February 2017 and September 2021. Comorbidities, intraoperative data, 30-day mor...
Source: Zentralblatt fur Chirurgie - May 30, 2023 Category: Surgery Authors: Thomas Betz Karin Pfister Wilma Schierling Georgios Sachsamanis Piotr Kasprzak Kyriakos Oikonomou Source Type: research
Effect of the Pre-Operative Systemic Inflammatory Response on Outcomes Following Carotid Endarterectomy for Symptomatic Carotid Stenosis
Objective: Stroke accounts for over 100 000 acute hospital presentations per year in the UK, and approximately 4 500 carotid endarterectomies are performed annually in the UK.1 This is despite a relative paucity of cases performed for asymptomatic carotid stenosis, in comparison with other countries.1 Periprocedural stroke and death rates have fallen in recent years,2 although these remain notable risks necessitating careful patient selection and counselling. Chronic activation of the systemic inflammatory response (SIR) is prevalent in patients with atherosclerotic disease and influences both the pathogenesis and prognosis.
Source: European Journal of Vascular and Endovascular Surgery - May 1, 2023 Category: Surgery Authors: K. Dosanj, N. Bradley, C. Roxburgh, D. Mcmillan, G. Guthrie Source Type: research
Distal embolic protection use during transfemoral carotid artery stenting is associated with improved in-hospital outcomes
Despite current guidelines recommending the use of distal embolic protection during transfemoral carotid stenting (tfCAS) to prevent periprocedural stroke, there remains significant variation in the routine use of distal filters. We sought to assess in-hospital outcomes in patients undergoing tfCAS with and without embolic protection using a distal filter.
Source: Journal of Vascular Surgery - February 13, 2023 Category: Surgery Authors: Sophie X. Wang, Christina L. Marcaccio, Priya B. Patel, Kristina A. Giles, Peter A. Soden, Marc L. Schermerhorn, Patric Liang Source Type: research
Minimum Asymptomatic Carotid Endarterectomy Surgeon and Hospital Volume Cutoffs
The objective here is to identify a lower optimal cutpoint for surgeon and hospital volume for asymptomatic CEA.
Source: Annals of Vascular Surgery - January 20, 2023 Category: Surgery Authors: Joshua Geiger, James Iannuzzi, Michael Stoner, Adam Doyle Source Type: research
Effect of Postoperative Stroke Timing on Perioperative Mortality after Carotid Revascularization
In-hospital stroke (IHS) has been associated with worse outcomes than out-of-hospital stroke (OHS) due to delays in diagnosis and treatment. A paucity of studies exist comparing the timing of postoperative stroke after carotid revascularization. We aimed to study the effect of IHS vs. OHS on postoperative mortality in carotid revascularization patients in a large-scale national database.
Source: Annals of Vascular Surgery - December 26, 2022 Category: Surgery Authors: Kevin S. Yei, Christina L. Cui, Mokhshan Ramachandran, Mahmoud B. Malas, Omar Al-Nouri Tags: Clinical Research Source Type: research
Qualitative Analysis of Length of Stay and Readmission After Carotid Endarterectomy
The objective of this study was to evaluate factors related to hospital length of stay (LOS) and readmission within 90 days following carotid endarterectomy (CEA) in patients who have not had a stroke.
Source: Annals of Vascular Surgery - November 24, 2022 Category: Surgery Authors: Swetha Duraiswamy, Thomas W. Cheng, Denise Garofalo, Scott R. Levin, Alik Farber, Elizabeth G. King, Jeffrey J. Siracuse Tags: Clinical Research Source Type: research
Which Patients Receive Diagnostic Angiography? An EAST Multicenter Study Analysis of Internal Carotid Artery Blunt Cerebrovascular Injury
DISCUSSION: DSA is frequently used in ICA BCVI, primarily early in the hospital course for injury diagnosis and grade determination. DSA appears primarily driven by hospital type, BCVI grade, and luminal stenosis.PMID:36417771 | DOI:10.1177/00031348221138083
Source: The American Surgeon - November 23, 2022 Category: Surgery Authors: Sohil Ardeshna Emily Esposito Chance Spalding Julie Dunn Jeffry Nahmias Areg Grigorian Laura Harmon Anna Gergen Andrew Young Jose Pascual Jason Murry Adrian Ong Rachel Appelbaum Nikolay Bugaev Antony Tatar Khaled Zreik Thomas M Scalea Deborah Stein Margar Source Type: research
Does Bariatric Surgery Change the Risk of Acute Ischemic Stroke in Patients with History of Transient Ischemic Attack? A Nationwide Analysis
Academic Hospital, United States.
Source: Surgery for Obesity and Related Diseases - November 22, 2022 Category: Surgery Authors: Roberto J. Valera, Cristina Botero-Fonnegra, Vicente J. Cogollo, Mauricio Sarmiento-Cobos, Lisandro Montorfano, Carlos Rivera, Liang Hong, Emanuele Lo Menzo, Samuel Szomstein, Raul J. Rosenthal Tags: Original articles Source Type: research
In-hospital outcomes after carotid endarterectomy for stroke stratified by modified Rankin scale score and time of intervention
Although the benefits of carotid endarterectomy (CEA) for treating symptomatic carotid stenosis are well known, the optimal timing of intervention after acute stroke and whether the optimal timing will vary with preoperative stroke severity has remained unclear. Therefore, we assessed the effect of stroke severity and timing of the intervention on the postoperative outcomes for patients who had undergone CEA for stroke.
Source: Journal of Vascular Surgery - November 14, 2022 Category: Surgery Authors: Yoel Solomon, Christina L. Marcaccio, Vinamr Rastogi, Jinny J. Lu, Mahmoud B. Malas, Grace J. Wang, Peter A. Schneider, Gert J. de Borst, Marc L. Schermerhorn Source Type: research
In-hospital Outcomes Following Carotid Endarterectomy for Stroke Stratified by Modified Rankin Scale and Time of Intervention
While benefits of carotid endarterectomy (CEA) in treating symptomatic carotid stenosis are well known, optimal timing of intervention after acute stroke and whether optimal timing varies with preoperative stroke severity remains unclear. Therefore, we assessed the impact of stroke severity and timing of intervention on post-operative outcomes in patients undergoing CEA for stroke.
Source: Journal of Vascular Surgery - November 14, 2022 Category: Surgery Authors: Yoel Solomon, Christina L. Marcaccio, Vinamr Rastogi, Jinny J. Lu, Mahmoud B. Malas, Grace J. Wang, Peter A. Schneider, Gert J. de Borst, Marc L. Schermerhorn Source Type: research
Locoregional anaesthesia and intraoperative angiography in carotid endarterectomy - 16-year results of a consecutive single-centre series
This study analyses the associations between patient characteristics, LA and intraoperative imaging strategies and the in-hospital stroke and death rates in elective CEA over a 16-years period.
Source: European Journal of Vascular and Endovascular Surgery - October 10, 2022 Category: Surgery Authors: Felix Kirchhoff, Hans-Henning Eckstein, Munich carotid investigation group Source Type: research
