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Mechanical versus bioprosthetic valves in chronic dialysis: a systematic review and meta-analysis
CONCLUSION: Mechanical valves were associated with reduced mortality, but increased rate of bleeding and stroke. Given very low certainty for evidence of mortality and stroke outcomes, patients and clinicians may choose prosthetic valves based on factors such as bleeding risk and valve longevity.STUDY REGISTRATION: PROSPERO no. CRD42017081863.PMID:35820696 | PMC:PMC9293484 | DOI:10.1503/cjs.001121
Source: Canadian Journal of Surgery - July 12, 2022 Category: Surgery Authors: Kevin S Kim Emilie P Belley-C ôté Saurabh Gupta Arjun Pandey Ali Alsagheir Ahmad Makhdoum Graham McClure Brooke Newsome Sophie W Gao Matthias Bossard Tetsuya Isayama Yasuhisa Ikuta Michael Walsh Amit X Garg Gordon H Guyatt Richard P Whitlock Source Type: research

CZecking heart failure in patients with advanced chronic kidney disease (Czech HF-CKD): Study protocol
DISCUSSION: This trial will differ from others by: (1) detailed repeated hemodynamic assessment including arteriovenous access flow and (2) by careful assessment of adequate hydration to avoid confusion between HF and water overload.PMID:35676802 | DOI:10.1177/11297298221099843
Source: The Journal of Vascular Access - June 9, 2022 Category: Surgery Authors: Jan Malik Anna Valerianova Satu Sinikka Pesickova Zdenka Hruskova Vladimira Bednarova Pavel Michalek Vladimir Polakovic Vladimir Tesar Source Type: research

Dialysis-dependent Patients Have Increased Risk of Myocardial Infarction and Perioperative Death Following Carotid Revascularization Using Transcarotid Artery Revascularization
Dialysis-dependent patients have been reported to have high rates of stroke and death following carotid revascularization; however, recent data suggests that outcomes for the treatment of carotid stenosis in dialysis-dependent patients may be better than previously surmised. The effect of dialysis dependence on outcomes following transcarotid artery revascularization (TCAR) remains unclear. We aimed to study outcomes following the treatment of symptomatic and asymptomatic carotid stenosis using TCAR among dialysis-dependent patients.
Source: Journal of Vascular Surgery - May 19, 2022 Category: Surgery Authors: Nallely Saldana-Ruiz, Myra Ahmad, Sarah E. Deery, Marc L. Schermerhorn, Peter A. Soden, Matthew Smith, Niten Singh, Sara L. Zettervall Tags: PC: Poster Competition Source Type: research

Systematic Review and Meta-analysis of Physician Modified Endografts for Treatment of Thoraco-Abdominal and Complex Abdominal Aortic Aneurysms
CONCLUSION: Physician modified fenestrated or branched grafts for endovascular aortic repair seems feasible and safe in the short-term follow-up. However, the quality of the available data is low which highlights the need for better and more accurate data regarding this technique.PMID:35483575 | DOI:10.1016/j.ejvs.2022.04.015
Source: PubMed: Eur J Vasc Endovasc ... - April 28, 2022 Category: Surgery Authors: Ryan Gouveia E Melo Carlota Fern ández Prendes Daniel Caldeira Jan Stana Barbara Rantner Anders Wanhainen Gustavo S Oderich Nikolaos Tsilimparis Source Type: research

Extent of mural thrombus is not associated with increased 5-year mortality following elective AAA repair
CONCLUSIONS: In our experience, the extent of mural thrombus in AAA does not influence long-term survival after elective repair. AAA repair may provide protection against circulating components of mural thrombus which have the potential to promote atherosclerotic-related adverse events. Patients with renal insufficiency and larger AAA have increased risk of mortality 5 years after elective repair.PMID:35331063 | DOI:10.1177/17085381211063282
Source: Vascular - March 25, 2022 Category: Surgery Authors: Bilal Siddiq Matthew Dejong Emily Decicco Tara Zielke Melissa D'Andrea Bernadette Aulivola Matthew Blecha Source Type: research

MILLER Banding Procedure for Treatment of Dialysis Access-Related Steal Syndrome, Pulmonary Hypertension, and Heart Failure
Am Surg. 2021 Nov 18:31348211056259. doi: 10.1177/00031348211056259. Online ahead of print.ABSTRACTA Minimally Invasive Limited Ligation Endoluminal-assisted Revision (MILLER) banding procedure has been used for treating patients with dialysis access-related steal syndrome (DASS) and high-flow vascular access-related pulmonary hypertension (PHT) and heart failure (HF).We performed a retrospective analysis of patients undergoing the MILLER procedure performed for DASS, HF, and PHT from our Vascular Access Database from September 2017 to October 2019. Outcomes included primary patency of banding, primary assisted patency, an...
Source: The American Surgeon - November 19, 2021 Category: Surgery Authors: Ahmad Alqassieh Patrick B Dennis Veena Mehta June Shi Angello Lin Dave Taber Vinayak Rohan Source Type: research

Risk factors Associated with Long Term Mortality and Complications Following Thoracoabdominal Aortic Aneurysm Repair
To determine the risk factors associated with late mortality or complications (Thoracoabdominal aortic Aneurysm Life-altering Events (TALE): composite of mortality, permanent paraplegia, permanent dialysis, and stroke) in patients undergoing endovascular or open thoracoabdominal aortic aneurysm (TAAA) repair.
Source: Journal of Vascular Surgery - October 1, 2021 Category: Surgery Authors: Rodolfo V. Rocha, Thomas F. Lindsay, Daniyal Nasir, Douglas S. Lee, Peter C. Austin, Justin Chan, Jennifer Chung, Thomas L. Forbes, Maral Ouzounian Source Type: research

Composite Dialysis, Paralysis, Stroke, or Mortality After Endovascular Aortic Interventions in the Society for Vascular Surgery Vascular Quality Initiative
Thoracoabdominal aortic aneurysm life-altering events, which include a combination of permanent dialysis, permanent spinal cord ischemia, stroke, and/or death, have devastating effects after complex endovascular repair. However, the occurrence of these life-altering events after endovascular abdominal aortic aneurysm repair (EVAR) and thoracic endovascular aortic repair (TEVAR) has not been studied. Therefore, we examined the effects of procedural and anatomic characteristics on a composite outcome of postoperative dialysis, stroke, paralysis, and/or mortality after any endovascular aortic repair.
Source: Journal of Vascular Surgery - August 24, 2021 Category: Surgery Authors: Priya Patel, Christina Marcaccio, Livia de Guerre, Nicholas J. Swerdlow, Thomas F. O'Donnell, Sara L. Zettervall, Virendra I. Patel, Marc L. Schermerhorn Tags: IP: Interactive Poster Session Source Type: research

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