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740 results
  • Underutilization of Non Opioid Pain Medication in Patients Undergoing AAA Repair. [Journal Article]
    Ann Vasc Surg. 2020 May 19 [Online ahead of print]Phair J, Carnevale M, … Garg K
  • CONCLUSIONS: This single institutional retrospective study evaluated pain prescription patterns for patients undergoing AAA repair. AAA patients are predominantly treated with opioid pain medications with few adjunctive therapies. Intraoperative epidural and pEVAR may aid in decreasing the total MME used, however, the total number of opioid prescribed are similar for pEVAR and cEVAR despite the difference in approach. Clinicians must consider alternative non-opioid based pain management strategies.
  • Dual-layer everted saphenous vein patch for pediatric femoral artery repair following ECMO decannulation. [Journal Article]
    J Pediatr Surg. 2020 Mar 05 [Online ahead of print]Sorber R, Pedroso FE, … Stewart D
  • Decannulation from pediatric veno-arterial extracorporeal membrane oxygenation (VA-ECMO) involves the removal of large arterial perfusion cannulas from relatively small lower extremity arteries. While these challenging repairs are frequently performed by general pediatric surgeons, there is little standardization with regard to vascular techniques within the pediatric surgery training paradigm, r…
  • A Five-Year Data Report of Long-Term Central Venous Catheters Focusing on Early Complications. [Journal Article]
    Anesthesiol Res Pract. 2019; 2019:6769506.Lenz H, Myre K, … Dorph E
  • CONCLUSIONS: We have a high success rate of first-attempt insertions compared with other published data, as well as an acceptable and low rate of pneumothorax, hematoma, and infections. However, the number of malpositioned catheters was relatively high. This could probably have been avoided with routine use of fluoroscopy during the procedure.
  • Percutaneous vascular closure device in minimally invasive mitral valve surgery. [Journal Article]
    Ann Thorac Surg. 2019 Nov 30 [Online ahead of print]Kastengren M, Svenarud P, … Dalén M
  • CONCLUSIONS: Percutaneous femoral artery cannulation using a novel plug-based VCD in minimally invasive mitral valve surgery eliminates traditional complications frequently seen with surgical cut-down with no femoral access site seroma and infection though at the expense of an increased risk for vascular complications.
  • Superficial femoral artery access for endovascular aortic repair. [Journal Article]
    J Vasc Surg. 2019 Nov 04 [Online ahead of print]Avraham E, Natour M, … Karmeli R
  • CONCLUSIONS: The SFA approach is easier to perform and has a lower complication rate compared with the CFA approach. During the procedure, there is no dissection or damage to arterial branches, especially to the deep femoral artery. The SFA approach has a low complication rate and can be an alternative to percutaneous access when it is unsuitable.
  • Unusual Venous Access for Device Implantation. [Journal Article]
    Am J Case Rep. 2019 Oct 08; 20:1482-1486.Al-Sadawi M, Budzikowski AS
  • CONCLUSIONS: Recognizing patients who have difficult venous access for CIED and using alternative approaches, like a jugular vein approach, for device insertion is important to avoid unnecessary medical and technical complications.
  • Prediction of Nonelective Central Venous Catheter Removal in Medically Complex Neonates. [Journal Article]
    Pediatr Qual Saf. 2019 Jul-Aug; 4(4):e179.Beard L, Levek C, … Grover T
  • CONCLUSIONS: Patient risk factors and potentially modifiable catheter characteristics, including catheter dwell time and concurrent catheters, are associated with increased NER. As NER is associated with a broad spectrum of adverse outcomes, we propose a quality improvement strategy to risk stratify patients and reduce exposure to high-risk, modifiable catheter characteristics.
  • Complete Revascularization of Acute Limb Ischemia With Distal Pedal Access. [Case Reports]
    Vasc Endovascular Surg. 2020 Jan; 54(1):69-74.Cho S, Lee SH, Joh JH
  • Acute limb ischemia (ALI) is an abrupt decrease of blood flow to a limb, resulting in a potential threat to that body part. In ALI, which is commonly caused by embolism or traumatic occlusion, symptoms appear quickly due to a lack of collateral blood flow and extension of the thrombus to arterial outflow. In cases with ALI presentation, urgent evaluation and management are necessary. Here, we rep…
  • [Autopneumonectomie. A Forgotten Disease]. [Case Reports]
    Dtsch Med Wochenschr. 2019 08; 144(17):1209-1211.Gerhardy HJ, Weber R, … Winter J
  • CONCLUSIONS: After autopneumonectomy, postpneumonectomy like syndrome may occur in very rare cases, whereupon operative treatment is mandatory. Any respiratory infections should be treated with antibiotics. Pacemaker electrode placement via the subclavian vein is contraindicated due to the risk of a catastrophic pneumothorax.
  • Utility of Intravascular Ultrasound During Carotid Angioplasty and Stenting with Proximal Protection. [Journal Article]
    Cureus. 2019 Jun 18; 11(6):e4935.Morr S, Vakharia K, … Siddiqui AH
  • Carotid artery stenting (CAS) is an established treatment for patients at high-risk for endarterectomy. Patients who undergo CAS have been shown to have periprocedural microembolic events on transcranial Doppler ultrasonography. Flow reversal is often applied in these situations to prevent distal emboli and concurrently allow blood to flush into the common carotid artery. Patients who demonstrate…
  • Safety and Effectiveness of Percutaneous Axillary Artery Access for Complex Aortic Interventions. [Journal Article]
    Ann Vasc Surg. 2019 Nov; 61:326-333.Agrusa CJ, Connolly PH, … Schneider DB
  • CONCLUSIONS: Percutaneous axillary artery access can be used to provide upper extremity arterial access during complex aortic interventions with high rates of safety and technical success. Overall complication rates are low and occurred mainly during the early experience, indicating that there is an associated learning curve effect. Elimination of surgical cutdown incisions and arterial conduits by using percutaneous axillary access may reduce operative times and wound-related complications during complex aortic interventions requiring large-bore upper extremity access.
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