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Establishing minimally invasive cardiac surgery in a low-volume mitral surgery centre
DISCUSSION: It is possible for low-volume cardiac surgical centres to undertake minimally invasive surgical programmes with good outcomes and short learning curves. Despite technical complexities, with a team approach, the learning curve can be navigated safely.PMID:34058117 | DOI:10.1308/rcsann.2020.7092
Source: Annals of the Royal College of Surgeons of England - May 31, 2021 Category: Surgery Authors: B H Kirmani A Knowles P Saravanan J Zacharias Source Type: research

Carotid endarterectomy should be performed first rather than combined with coronary bypass
I read with interest the article addressing timing of carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG)1 since I had just been referred a patient from a cardiac surgeon with the need for both CEA and CABG. I was gratified to learn that in patients with stable angina, performing CEA first compared equally to combined CEA and CABG (CCAB) with regard to both stroke rate and myocardial infarction (MI). From a strictly scheduling standpoint, performing a staged procedure is easier on surgeons and staff.
Source: Journal of Vascular Surgery - November 19, 2020 Category: Surgery Authors: Joseph J. Piotrowski Tags: Letter to the Editor Source Type: research

Learning Curve for Surgeons Adopting Transcarotid Artery Revascularization Based on the Vascular Quality Initiative-Transcarotid Artery Revascularization Surveillance Project
This study addresses the short learning curve associated with this new procedure. Importantly, patients in the early stages of the learning curve are not at increased risk of stroke, death, or myocardial infarction.
Source: Journal of the American College of Surgeons - October 27, 2019 Category: Surgery Authors: Vikram S. Kashyap, Alexander H. King, Patric Liang, Jens Eldrup-Jorgensen, Grace J. Wang, Mahmoud B. Malas, Brian W. Nolan, Jack L. Cronenwett, Marc L. Schermerhorn Tags: Original Scientific Article Source Type: research

Use of Machine Learning for Prediction of Patient Risk of Postoperative Complications After Liver, Pancreatic, and Colorectal Surgery
ConclusionMachine learning was used to develop an algorithm that accurately predicted patient risk of developing complications following liver, pancreatic, or colorectal surgery. The algorithm had very  good predictive ability to predict specific complications and demonstrated superiority over other established methods.
Source: Journal of Gastrointestinal Surgery - August 4, 2019 Category: Surgery Source Type: research

Haematomas after carotid endarterectomy can be reduced by direct pressure to the neck postoperatively.
Conclusion During recovery from CEA, focused and prolonged pressure by the operating surgeon is a highly effective method of reducing haematoma. PMID: 29909667 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - June 18, 2018 Category: Surgery Authors: Saghir R, Humm G, Rix T Tags: Ann R Coll Surg Engl Source Type: research

The effect of increasing operator experience on procedure-related characteristics in patients undergoing carotid artery stenting.
Conclusions Endovascular treatment of carotid artery stenosis performed in a single center with the use of a cerebral protection device seems to consist a safe therapeutic choice with acceptable results, within the referenced benchmarks proposed in the latest guidelines. Certain perioperative parameters such as the amount of contrast media used, the fluoroscopy and operation time, seem to decline overtime indicating increasing operator's experience. A number of performed cases above 40 was related to the significant decrease of those parameters and may represent the learning curve of the procedure. PMID: 28142887 [Pub...
Source: Vascular - December 31, 2016 Category: Surgery Authors: Kouvelos G, Koutsoumpelis A, Arnaoutoglou E, Nassis C, Bouris V, Peroulis M, Papadopoulos G, Matsagkas M Tags: Vascular Source Type: research

Carotid endarterectomy versus stenting for stroke prevention: what we have and will learn from Carotid Revascularization Endarterectomy versus Stenting Trial
Abstract: The Carotid Revascularization Endarterectomy versus Stenting Trial (CREST) has major implications for the future of carotid revascularization and stroke prevention. The purpose of The William Hinter Harridge Lecture was to discuss the history of carotid revascularization before CREST, to delineate the emergence of carotid artery stenting as an alternative to carotid endarterectomy, analyze the key findings in CREST, and describe the next phase of investigation, CREST-2.
Source: American Journal of Surgery - March 28, 2014 Category: Surgery Authors: Fred A. Weaver Tags: Historian's Lecture Source Type: research

Safety of Carotid Stenting (CAS) is Based on Institutional Training More than Individual Experience in Large-volume Centres
Background: Operator training is a key factor for the safety of carotid stenting (CAS). Whether institutional practice is associated with improved individual operator outcomes is debated.Objective: To evaluate the effect of the institutional experience on outcomes of new trainees with CAS, a retrospective analysis of a prospectively held database was performed.Methods: The overall study period, 2004–2012, was divided into two sequential time frames: 2004–April 2006 (leaders-team phase) and May 2006–2012 (expanded team phase). In the first frame, a single leader-operators team that first approached CAS and passed the ...
Source: European Journal of Vascular and Endovascular Surgery - March 7, 2013 Category: Surgery Authors: G. Parlani, P. De Rango, F. Verzini, E. Cieri, G. Simonte, A. Casalino, A. Manzone, P. Cao Tags: Carotid Disease Source Type: research

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