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Total 15 results found since Jan 2013.
A 20-Year Experience With Thoracic Endovascular Aortic Repair
We report our 20-year experience with this therapy. Methods: Four hundred twenty patients (mean age = 69.0 years; 54% male) underwent thoracic endovascular aortic repair (1993–2013), predominantly for fusiform aneurysm (n = 144), saccular aneurysm (n = 94), acute (n = 64) or chronic (n = 36) dissection, or traumatic injury (n = 39). Rupture was present in 80 patients (19.1%). Most patients (78.3%) were at high risk for open repair. Mean aortic diameter was 5.5 cm. Extent of repair included arch in 218 patients, total descending aorta in 193 patients, and thoracoabdominal aorta in 35 patients. Results: Thirty-day mortalit...
Source: Annals of Surgery - September 30, 2014 Category: Surgery Tags: Papers of the 134th ASA Annual Meeting Source Type: research
Revascularization of asymptomatic carotid stenosis is not appropriate in patients on dialysis
This study reports outcomes of carotid revascularization in asymptomatic dialysis patients in the United States.
Source: Journal of Vascular Surgery - March 1, 2015 Category: Surgery Authors: Theodore H. Yuo, Joseph Sidaoui, Luke K. Marone, Michel S. Makaroun, Rabih A. Chaer Tags: Clinical research study Source Type: research
Endovascular Management of Rupture in Acute Type B Aortic Dissections.
CONCLUSION: With 16% in hospital mortality and 8% early major complications, this study confirms the feasibility of TEVAR for r-ABAD with a lower peri-operative morbidity and mortality rate compared with open surgery. Given the high rate of re-intervention, close follow up is required in surviving patients. PMID: 25805327 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - March 21, 2015 Category: Surgery Authors: Faure EM, Canaud L, Marty-Ané C, Becquemin JP, Alric P Tags: Eur J Vasc Endovasc Surg Source Type: research
Patients at elevated risk of major adverse events following endarterectomy for asymptomatic carotid stenosis
Conclusions A high-risk subset of patients undergoing CEA for asymptomatic carotid stenosis can be identified. If patient selection is optimized and perioperative morbidity and mortality are minimized, CEA will continue to play an important role in stroke prevention for those with significant asymptomatic carotid stenosis.
Source: The American Journal of Surgery - May 23, 2015 Category: Surgery Source Type: research
Impact of Perioperative Complications After Endovascular Therapy in Diabetic Patients With Critical Limb Ischemia due to Isolated Infrapopliteal Lesions
Conclusion: POCs within 30 days after balloon angioplasty for infrapopliteal disease in diabetics with CLI were more likely to occur in patients with low BMI and tissue loss. POC occurrence was associated with major adverse limb events in follow-up but not with mortality or wound healing.
Source: Journal of Endovascular Therapy - March 16, 2016 Category: Surgery Authors: Okamoto, S., Iida, O., Takahara, M., Yamauchi, Y., Hirano, K., Soga, Y., Suzuki, K., Uematsu, M. Tags: Lower Limb Interventions Source Type: research
Discharge Destination after Elective Femoropopliteal Bypass in Patients without Critical Ischemia.
This study examined the disposition at initial discharge of such patients. Data from the 2012 National Surgical Quality Improvement Program registry was queried for all elective FPB performed in patients without CLI. Analysis was limited to patients surviving to initial discharge who were living independently at home before surgery. Initial disposition was defined as to HOME or to a FACILITY (either rehabilitation or skilled nursing); these constituting the study groups. Univariate analysis and multivariable logistic regression were performed to identify patient risk factors for failure to discharge to home. In-hospital an...
Source: The American Surgeon - April 30, 2016 Category: Surgery Authors: Kauvar DS, Osborne CL Tags: Am Surg Source Type: research
A contemporary evaluation of carotid endarterectomy outcomes in patients with chronic kidney disease in the United States.
Conclusions Patients with ESRD undergoing CEA had an increased risk of respiratory and septic complications, but not a higher risk of stroke compared to patients with normal renal function. The greatest risks of postoperative stroke, respiratory, and cardiac complications were found in patients with CKD. A diagnosis of ESRD and CKD were both found to significantly increase hospital mortality, length of stay and cost. Where clinicians typically consider ESRD patients the highest risk for CEA, further consideration should be given to patients with CKD not yet on dialysis as they had the higher risk of cardiac complications a...
Source: Vascular - December 31, 2016 Category: Surgery Authors: Patel AR, Dombrovskiy VY, Vogel TR Tags: Vascular Source Type: research
Adherence to lipid management guidelines is associated with lower mortality and major adverse limb events in patients undergoing revascularization for chronic limb-threatening ischemia
The 2013 American College of Cardiology/American Heart Association lipid management guidelines recommend high-intensity statins for all patients ≤75 years old with chronic limb-threatening ischemia (CLTI) and moderate-intensity statins for CLTI patients>75 years old without contraindications or on dialysis, but these recommendations are based primarily on coronary and stroke data. We aimed to validate these guidelines in patients with CLTI and to assess current adherence to these recommendations.
Source: Journal of Vascular Surgery - May 12, 2017 Category: Surgery Authors: Thomas F.X. O'Donnell, Sarah E. Deery, Jeremy D. Darling, Katie E. Shean, Murray A. Mittleman, Gabrielle N. Yee, Matthew R. Dernbach, Marc L. Schermerhorn Source Type: research
Free Tissue Transfers for Head and Neck Reconstruction in Patients with End-Stage Renal Disease on Dialysis: Analysis of Outcomes Using the Taiwan National Health Insurance Research Database
Conclusion Despite greater preoperative risk factors, patients with renal failure on hemodialysis do not appear to have a higher rate of free flap failure following head and neck reconstruction. However, other complications can be minimized by optimizing patient's medical condition to succeed with this reconstructive effort. [...] Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.Article in Thieme eJournals: Table of contents | Abstract | Full text
Source: Journal of Reconstructive Microsurgery - June 16, 2017 Category: Surgery Authors: Manrique, Oscar J. Ciudad, Pedro Sharaf, Basel Martinez-Jorge, Jorys Moran, Steven Mardini, Samir Chen, Hung-Chi Bite, Uldis Cheng, Hsu-Tang Tags: Original Article 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
Experience with the SynCardia total artificial heart in a Canadian centre.
CONCLUSION: The TAH provides an alternative with low incidence of neurologic events in extremely fragile and complex patients waiting for heart transplantation. Complex and unusual anatomic conditions explained the current use of TAH. PMID: 28930049 [PubMed - as supplied by publisher]
Source: Canadian Journal of Surgery - September 22, 2017 Category: Surgery Authors: Nguyen A, Pellerin M, Perrault LP, White M, Ducharme A, Racine N, Carrier M Tags: Can J Surg Source Type: research
Early Outcomes After Branched and Fenestrated Endovascular Aortic Repair in Octogenarians.
CONCLUSIONS: Complex endovascular repair in octogenarians has higher early all cause mortality compared with non-octogenarians. Rupture and higher ASA class of ≥4 are independent predictors for early mortality. Age ≥80 years was found to be an independent predictor for higher early all cause mortality. PMID: 30241980 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - September 18, 2018 Category: Surgery Authors: Makaloski V, Kölbel T, Rohlffs F, Behrendt CA, Law Y, Debus ES, Tsilimparis N Tags: Eur J Vasc Endovasc Surg Source Type: research
Hyperhomocysteinemia and Peripheral Arterial Disease in Patients Undergoing Hemodialysis
ConclusionHyperomocysteinemia is an independent risk factor for atherosclerosis in patients undergoing hemodialysis. Its clinical presentation is disturbance of the microcirculation early after the onset of hemodialysis, even in younger patients.
Source: Hellenic Journal of Surgery - September 1, 2018 Category: Surgery Source Type: research
A Simple Risk Score to Predict Clavien-Dindo Grade IV and V Complications After Non-elective Cholecystectomy
ConclusionA simple risk-score model predicts severe complications in patients undergoing unplanned cholecystectomy for common indications encountered in an acute care surgery service and identifies high-risk patients.
Source: Journal of Gastrointestinal Surgery - February 5, 2020 Category: Surgery Source Type: research
Perioperative Outcomes for Carotid Revascularization on Asymptomatic Patients on Dialysis are Meeting SVS Guidelines
Society for Vascular Surgery(SVS) guidelines recommend carotid revascularization for asymptomatic disease in patients with three-year life expectancy and stenosis>60%, when perioperative stroke/death rate is
Source: Journal of the American College of Surgeons - September 30, 2020 Category: Surgery Authors: Christopher A. Latz, Laura Boitano, Linda Wang, Charles DeCarlo, Anna Alaska Pendleton, Harold Davis Waller, Cheong J. Lee, Anahita Dua Tags: Vascular Surgery Source Type: research