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Vascular

March 27, 2018
A succinct balanced editorial advancing, amongst other things, the position for initial nonintervention for submassive pulmonary embolism.
March 24, 2018
This survey of general surgeons in the US who had a pregnancy during surgical training identified a number of challenges that may influence career satisfaction.  These included inadequate scheduling support, lactation facilities, and mentoring.  30% of participants would advise a female medical student not to pursue a surgical career.
March 21, 2018
This video demonstrates a superior caval system reconstruction using a single bovine pericardial patch. The procedure was performed following a radical thymectomy for a cortical thymoma, which invaded the right and left brachiocephalic veins and the upper portion of the superior vena cava.
March 21, 2018
Of 1,232 patients who underwent elective arch repairs at 11 European aortic centers, 155 were selected and their surgical outcomes were analyzed retrospectively. Approximately 13% of patients suffered an aortic event, and 85% of them needed reoperation.
March 21, 2018
One of the more contentious issues in Enhanced Recovery After Surgery (ERAS) programs is the role of preoperative carbohydrate loading.  This randomized trial demonstrated less need for insulin for treating serum glucose >180 mg/dl in the carbohydrate-loading group compared to the placebo group (2.4% versus 16.0%; RR 0.15; p<0.001) with no chan
March 21, 2018
A brief, informative, and helpful article.  It highlights alarming reports that 80% to 90% of "negative" randomized controlled trials in surgery are not adequately powered to reliably declare a negative outcome.
March 19, 2018
Common carotid artery cannulation can provide antegrade blood flow to the whole body during cardiopulmonary bypass, as well as maintain cerebral perfusion even at the time of arch exclusion or repair.
March 19, 2018
Kepez and colleagues retrospectively evaluated the incidence of coronary artery-pulmonary artery collaterals in patients with chronic thromboembolic pulmonary hypertension (CTEPH).
March 15, 2018
The EJCTS and ICVTS are publishing a series of Statistical Primers to help clinicians perform and interpret research. Although Kaplan-Meier analyses are standard in the cardiothoracic surgical literature, there are several pitfalls that should be kept in mind.
March 5, 2018
Physicians are at high risk for burnout, physical disability, and financial deprivation after investing time and money in obtaining their training.  This article highlights how physicians can maintain their health and positive outlook to enable them to continue helping others.

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