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Total 3117 results found since Jan 2013.
Impact of prior bariatric surgery on outcomes of hospitalized patients with systemic lupus erythematosus: a propensity score-matched analysis of the U.S. nationwide inpatient sample
CONCLUSIONS: Prior bariatric surgery is associated with favorable in-hospital outcomes in hospitalized patients with SLE and decreased likelihood for several SLE-related complications.PMID:37735043 | DOI:10.1016/j.soard.2023.06.006
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - September 21, 2023 Category: Surgery Authors: Po-Chun Wang Kung-Chan Ho Wen-Ching Ko Wei-Ning Lin Source Type: research
Result of 48-Hour Approach to Symptomatic Carotid Lesions in Patients With Stable Neurologic Examinations
Timing of treatment for symptomatic carotid disease has a controversial history with current guidelines recommending carotid surgery within 48 hours up to 2 weeks. Advocating for earlier carotid endarterectomy (CEA) after stroke (cerebrovascular accident [CVA]) or while a patient is having transient ischemic attacks (TIA) can potentially provide additional benefit to acute stroke patients resulting in improved stroke and death outcomes.
Source: Journal of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Tigran Divanyan, Jeffrey Hnath, Amanda Kistler, Misak Harutyunyan, W John Byrne, Julia Kleene Tags: Carotid Artery Interventions Source Type: research
Impact of Race on Perioperative Outcomes Following Carotid Endarterectomy, Transfemoral Carotid Artery Stenting, and Transcarotid Artery Revascularization
Carotid artery revascularization is performed less frequently among Black and minority populations despite a higher incidence of stroke and greater cardiovascular and stroke risk profile. Limited data exists on what impact race has on outcomes following carotid interventions. We assessed racial differences in perioperative outcomes following carotid endarterectomy (CEA), transfemoral carotid artery stenting (tfCAS), and transcarotid artery revascularization (TCAR) using the Vascular Quality Initiative database.
Source: Journal of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Pavel Kibrik, Ajit Rao, Jerry Zhu, Halbert Bai, Jason Storch, Daniel Han, Windsor Ting, Michael Marin, Peter Faries Tags: Carotid Artery Interventions Source Type: research
Optimal management of carotid artery disease in patients undergoing coronary artery bypass
It is well-known that patients undergoing coronary artery bypass grafting (CABG) with coexisting carotid artery disease are at increased risk for perioperative stroke and death. The prevalence of carotid disease among patients undergoing CABG is 6% to 14%,1 and the risk of stroke following CABG increases from 3% for unilateral 50% to 99% stenosis to 5% for bilateral 50% to 99% stenoses and 10% for carotid occlusion.2 The risk of stroke and death are notably higher in patients with a history of transient ischemic attack (TIA)/stroke.
Source: Journal of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Christopher K. Zarins Tags: Invited commentary Source Type: research
Fibromuscular dysplasia incidentally identified with computed tomography angiography
A 78-year-old woman had presented to the emergency room with altered mental status after the inadvertent consumption of a cannabis product. A stroke workup was initiated, including computed tomography angiography, which demonstrated severe tortuosity and a beaded appearance of her bilateral internal carotid arteries (A/Cover and B). The radiographic imaging findings, including alternating areas of bulging and narrowing, were consistent with fibromuscular dysplasia (FMD; C). The patient denied any history of transient ischemic attack, cerebrovascular accident, amaurosis fugax, or chronic kidney issues.
Source: Journal of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Henry Lee, Bethany Lueck, Kevin M. Casey Tags: Vascular Image Source Type: research
How to improve the description of superior mesenteric artery occlusions in acute mesenteric ischemia: A new computed tomography anatomic segmentation
Acute mesenteric ischemia (AMI) is an intestinal vascular emergency and one of the most severe ischemic syndromes. For stroke or myocardial infarction, arterial segmentations were proposed as early as 1938 and 1975, respectively. These segmentations - used on a daily basis - made it possible to harmonize practices and standardize neurovascular and coronary studies. There is no such standardization in AMI, but the vital and functional prognostic challenge is of the same order. In addition, the lack of a standardized description of superior mesenteric artery (SMA) lesions limits the interpretation and comparability of the studies.
Source: Annals of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Lorenzo Garzelli, Iannis Ben Abdallah, Arnaud Tual, Alexandre Nuzzo, Jonathan Cortese Yves Panis, Olivier Corcos, Val érie Vilgrain, Yves Castier, Maxime Ronot Source Type: research
Do the technical features of carotid eversion affect early restenosis? Design of a prospective multicenter study
Myointimal hyperplasia restenosis remains a concern following carotid endarterectomy. It occurs in about 6% of people. The 3-year rate of stroke after restenosis is 5.2%. Several risk factors for restenosis have been identified, such as smoking, hypertension, female gender, diabetes, dyslipidemia, or small carotid diameter. The primary objective of this prospective multicenter study was to determine whether the technical characteristics of the eversion technique influence the 1-year rate of restenosis.
Source: Annals of Vascular Surgery - September 20, 2023 Category: Surgery Authors: Cl émentine Crepon, Cindy Vannier, Bahaa Nasr, Tom Le Corvec, Robert Martinez, Gregory Dessertenne, Christophe Robin, Nicolas Bague, Eva Deveze, Gautier Haupert, Jean Picquet Source Type: research
Female and Male Patients Have Similar Outcomes After TransCarotid Artery Revascularization in Prospective Trials
Sex disparities in outcomes after carotid revascularization have long been a concern, with several studies demonstrating increased post-operative death and stroke for female patients after either carotid endarterectomy (CEA) or transfemoral stenting (TF-CAS). Adverse events after TF-CAS are higher in female patients, particularly in symptomatic cases. Our objective was to investigate outcomes after transcarotid revascularization (TCAR) stratified by patient sex hypothesizing that the results would be similar between males and females.
Source: Journal of Vascular Surgery - September 14, 2023 Category: Surgery Authors: Justin A. Smith, Jane M. Chung, Peter A. Schneider, Christopher J. Kwolek, Frank R. Arko, Steve Henao, Jessica Titus, Paul DiMuzio, Sean Roddy, Mark A. Farber, Vikram S. Kashyap, ROADSTER trial investigators Source Type: research
Symptomatic carotid web requires aggressive intervention
Carotid web (CaWeb) is a rare form of fibromuscular dysplasia that can produce embolic stroke. Misdiagnosis of symptomatic CaWeb as “cryptogenic stroke” or “embolic stroke of unknown source” is common and can lead to recurrent, catastrophic neurologic events. Reports of CaWeb in the literature are scarce, and their natural history is poorly understood. Appropriate management remains controversial.
Source: Journal of Vascular Surgery - September 7, 2023 Category: Surgery Authors: Clayton J. Brinster, James O'Leary, Aaron Hayson, Andrew Steven, Charles Leithead, W.C. Sternbergh, Samuel R. Money, Gabriel Vidal Source Type: research
Short-term cardiovascular events after bariatric surgery in patients with metabolic syndrome
CONCLUSIONS: Patients with MetS have an increased frequency of cardiac events following bariatric surgery. Future studies should determine if optimization of 1 or more components of MetS or other related co-morbidities reduces the cardiovascular risk for patients.PMID:37659898 | DOI:10.1016/j.soard.2023.07.009
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - September 2, 2023 Category: Surgery Authors: Maryna Chumakova-Orin Jennifer L Ingram Loretta G Que Neha Pagidipati Alexander Gordee Maragatha Kuchibhatla Keri A Seymour Source Type: research
Impact of Patient and Procedural Factors on Outcomes Following Mesenteric Bypass
DISCUSSION: Mesenteric bypass for mesenteric ischemia leads to high rates of morbidity and mortality, whether done in an acute or chronic setting. Preoperative sepsis, independent of AMI or CMI, predicts CV morbidity, regardless of bypass configuration or conduit, while elevated INR or underlying CHF carries a higher risk of pulmonary morbidity.PMID:37655480 | DOI:10.1177/00031348231198118
Source: The American Surgeon - September 1, 2023 Category: Surgery Authors: William P Zickler Benjamin R Zambetti Christine L Zickler Michael K Zickler Saskya Byerly H Edward Garrett Louis J Magnotti Source Type: research
Risk factors for postoperative acute ischemic stroke in advanced-aged patients with previous stroke undergoing noncardiac surgery: a retrospective cohort study
The current study aimed to investigate the incidence and risk factors for postoperative acute ischemic stroke (PAIS) in advanced-aged patients ( ≥ 75 years) with previous ischemic stroke undergoing noncardiac s...
Source: BMC Surgery - August 29, 2023 Category: Surgery Authors: Wei Xiao, Shuyi Yang, Shuai Feng, Chunxiu Wang, Hao Huang, Chaodong Wang, Chonglin Zhong, Shubin Zhan, Dongxu Yao and Tianlong Wang Tags: Research Source Type: research
