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The study of transcarotid artery revascularization under local versus general anesthesia with results from the Society for Vascular Surgery Vascular Quality Initiative.
CONCLUSIONS: Excellent outcomes from transcarotid artery revascularization for carotid stenosis were observed in the VQI database between the years 2016 and 2018, under both local anesthesia and general anesthesia. The data demonstrate the choice of anesthesia for transcarotid artery revascularization does not appear to have any effect on clinical outcomes. Surgical teams should perform transcarotid artery revascularization under the anesthesia type they are most comfortable with.
PMID: 32408855 [PubMed - as supplied by publisher]
Source: Vascular - May 13, 2020 Category: Surgery Authors: Mukherjee D, Collins DT, Liu C, Ha N, Jim J Tags: Vascular Source Type: research
Pioneers in Vascular Surgery: F. William Blaisdell
Frank William (Bill) Blaisdell died in April 2020 at the age of 92. Although most widely known as a preeminent trauma surgeon and father of the modern trauma center, in the early years of his career he was a vascular surgeon who made several important contributions to the art and science of vascular surgery. Among them is the axillary –femoral bypass, first performed in1962 during an emergency operation for an acutely occluded aortofemoral graft in a patient who had experienced cardiac arrest during induction of anesthesia.
Source: Journal of Vascular Surgery - October 20, 2021 Category: Surgery Authors: Jerry Goldstone Tags: Leaders in vascular surgery Source Type: research
Data mining to evaluate mortality after amputation surgery
Conclusion Data mining enabled identification of associations between death and a variety of different variables and diagnostic hypotheses; for example, age> 70 years and diagnosis of embolism and thrombosis of arteries of the lower extremities.
Source: Jornal Vascular Brasileiro - May 14, 2018 Category: Surgery Source Type: research
Treatment of an atherosclerotic aneurysm of the superficial temporal artery: case report
ResumoAneurismas da artéria temporal superficial são incomuns segundo a literatura. A grande maioria é secundária a traumatismos ou cirurgia na região temporal, sendo que 95% dos casos evoluem para pseudoaneurismas. Entretanto, os aneurismas verdadeiros ou espontâneos são extremamente raros e representam 8% dos casos de aneurismas da artéria temporal superficial, sendo estes, geralmente, de origem aterosclerótica. Aneurismas temporais espontâneos podem coexistir com outras lesões vasculares, incluindo aneurismas intracranianos. Nosso relato trata de um paciente com aneurisma de artéria temporal superficial esqu...
Source: Jornal Vascular Brasileiro - October 20, 2015 Category: Surgery Source Type: research
Topical vs. intravenous administration of tranexamic acid in knee arthroplasty and prevalence of deep venous thrombosis: a randomized clinical trial
Conclusions Both topical and intravenous administration of TXA are safe with regard to occurrence of DVT, since the number of DVT cases in patients given TXA was not different to the number in those given placebo.Resumo Contexto O ácido tranexâmico é amplamente utilizado em cirurgia ortopédica para reduzir a hemorragia perioperatória. Como o ácido tranexâmico inibe a fibrinólise, há uma preocupação de que ele possa aumentar o risco de eventos tromboembólicos. Objetivos Verificar se o uso do ácido tranexâmico é seguro em relação à prevalência de trombose venosa profunda em pacientes submetidos a artroplas...
Source: Jornal Vascular Brasileiro - July 19, 2016 Category: Surgery Source Type: research
The Year in Cardiothoracic and Vascular Anesthesia: Selected Highlights from 2012
Cardiothoracic and vascular critical care has emerged as a subspecialty due to procedural breakthroughs, an aging population, and a multidisciplinary collaboration. This subspecialty now has a dedicated professional society, recently published guidelines, and plans for standardized certification. This paradigm shift represents a major collaboration opportunity for our specialty. The rise of evidence-based perioperative practice has produced a culture of large trials in our specialty to search for solutions to the challenging outcome questions. Besides the growth in the development of evidence, the consensus conference form...
Source: Journal of Cardiothoracic and Vascular Anesthesia - January 12, 2013 Category: Anesthesiology Authors: Harish Ramakrishna, Christopher Reidy, Hynek Riha, Aris Sophocles, Bernard J. Lane, Prakash A. Patel, Michael Andritsos, Kamrouz Ghadimi, John G.T. Augoustides Tags: Special Article Source Type: research
Laparoscopic ligation of Type II endoleaks following endovascular aneurysm repair: A systematic review.
Conclusions Laparoscopic ligation of feeding vessels causing Type II endoleak is potentially an alternative treatment after failed standard endovascular embolization, particularly in select centres with necessary resources and capabilities.
PMID: 29966486 [PubMed - as supplied by publisher]
Source: Vascular - January 1, 2018 Category: Surgery Authors: Wee I, Marjot T, Patel K, Bhrugubanda V, Mtl Choong A Tags: Vascular Source Type: research
Anesthetic management for lower extremity vascular bypass procedures: The impact of general or regional anesthesia on clinical outcomes
CONCLUSIONS: Neuraxial anesthesia is usually an effective anesthesia technique for infrainguinal bypass surgery. Elderly patients and those with underlying respiratory problems may display some benefit from neuraxial anesthesia. Further evaluation within institutions should be performed to identify which patients would most benefit from regional techniques. Notably, systemic antithrombotic and anticoagulation therapy is common among this population and may affect anesthetic choices.PMID:37540895 | DOI:10.1177/17085381231193492
Source: Vascular - August 4, 2023 Category: Surgery Authors: Andr é P Schmidt Marine M Del Maschi Cristiano F Andrade Source Type: research
Thromboresistant Hydrogel Materials for Venous Catheters: Interview with CEO of Access Vascular
Access Vascular, based in Massachusetts, has developed a peripherally inserted central venous catheter (PICC) composed of a thromboresistant hydrogel material. The catheter could reduce the incidence of catheter-related thrombi and resulting adverse ...
Source: Medgadget - October 2, 2018 Category: Medical Devices Authors: Conn Hastings Tags: Anesthesiology Emergency Medicine Exclusive Materials Radiology Surgery Vascular Surgery Source Type: blogs
National trends of hybrid lower extremity revascularization in the ACS-NSQIP database.
CONCLUSION: Hybrid lower extremity revascularization for peripheral artery disease has been increasingly used and is performed primarily by independent vascular surgeons. Simple hybrid procedures may be performed safely by vascular surgeons as well as other trained surgical specialists.
PMID: 31126228 [PubMed - as supplied by publisher]
Source: Vascular - May 23, 2019 Category: Surgery Authors: Fereydooni A, Zhou B, Jorshery SD, Deng Y, Dardik A, Chaar CIO Tags: Vascular Source Type: research
Ultrasound-Guided Vascular Access: A Comprehensive Review
THE INCREASING AVAILABILITY of small mobile bedside ultrasound (US) imaging devices has spurred its use for purposes beyond the traditional diagnostic arena. Ultrasound now is used routinely by a wide variety of practitioners including anesthesiologists to guide procedures, such as regional anesthesia blocks and to obtain vascular access in a large variety of clinical settings. Although there is a great deal of evidence that US-guided vascular access can be beneficial, there still is significant controversy and resistance from experienced practitioners and specialty societies alike to embrace this technology and to provide...
Source: Journal of Cardiothoracic and Vascular Anesthesia - September 20, 2012 Category: Anesthesiology Authors: Menachem M. Weiner, Paul Geldard, Alexander J.C. Mittnacht Tags: Review Articles Source Type: research
FDA grants de novo clearance to Avenu Medical for Ellipsys vascular access system
Vascular access system maker Avenu Medical said today it won FDA de novo clearance for its Ellipsys vascular access system designed for use with end-stage renal disease patients who require hemodialysis.
The San Juan Capistrano, Calif.-based company touted that its Ellipsys EndoAVF technology acts as an alternative to traditional AV fistula creation. The system, which can be used under local or regional anesthesia, uses an ultrasound-guided catheter that delivers a small amount of thermal energy to fuse a permanent anastomosis between the vein and artery to create an AVF.
“Using the Ellipsys vascular access system ...
Source: Mass Device - June 27, 2018 Category: Medical Devices Authors: Fink Densford Tags: Food & Drug Administration (FDA) Regulatory/Compliance Vascular Avenu Medical Source Type: news
Vascular access surgery can be safely performed in an ambulatory setting.
CONCLUSION: Arteriovenous access surgery can be safely performed in an ambulatory setting, in spite of complex cases, comorbidities, or the increasing implementation of axillary plexus blocks. Surgical results and patency are good, and complications necessitating readmission remain very low.
PMID: 30117363 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - August 19, 2018 Category: Surgery Tags: J Vasc Access Source Type: research
Non-randomized safety and performance evaluation of the av-Guardian vascular access system.
CONCLUSION: The results demonstrated the safety and feasibility of a subcutaneously implanted, extravascular device in achieving repeatable successful cannulation via a constant site, to facilitate blunt needling in matured arteriovenous fistula in limited number of patients.
PMID: 31920144 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - January 11, 2020 Category: Surgery Tags: J Vasc Access Source Type: research
Challenges After the First Decade of Transcatheter Aortic Valve Replacement: Focus on Vascular Complications, Stroke, and Paravalvular Leak
Transcatheter aortic valve replacement (TAVR) is entering its second decade. Three major clinical challenges have emerged from the first decade of experience: vascular complications, stroke, and paravalvular leak (PVL). Major vascular complications remain common and independently predict major bleeding, transfusion, renal failure, and mortality. Although women are more prone to vascular complications, overall they have better survival than men. Further predictors of major vascular complications include heavily diseased femoral arteries and operator experience. Strategies to minimize vascular complications include a multimo...
Source: Journal of Cardiothoracic and Vascular Anesthesia - November 12, 2012 Category: Anesthesiology Authors: Christopher Reidy, Aris Sophocles, Harish Ramakrishna, Kamrouz Ghadimi, Prakash A. Patel, John G.T. Augoustides Tags: Expert Review Source Type: research
