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Vascular

August 17, 2017
In this study of low volume surgeons (defined as performing fewer than 1 index operation annually) the authors studied outcomes in New York state for open AAA repair (OAR) and carotid endarterectomy (CEA).   About 50% of surgeons performing these operations were low volume surgeons.  Low volume surgeons had higher rates of operative mortality for OAR
June 27, 2017
Mehaffey and colleagues evaluated major adverse events in 118 cardiopulmonary bypass (CPB) patients who had received methylene blue (MB) within 72 hours of CPB.
May 8, 2016
The entire issue is dedicated to thrombosis and makes a compulsory read for cardiovascular and thoracic hospitalists. Of patricular relevance to the thoracic surgeon are the translational articles on system analysis (page 1348) and the table on oral anticoagulants on page 1410.
January 21, 2015
This video demonstrates a technique for aortic arch debranching and reconstruction in an elderly patient.
January 14, 2015
This RCT compared daily 200mg or 300mg of FXI-ASO (an antisense oligonucleotide that reduces levels of factor XI) to daily 40mg of enoxaparin in pts undergoing knee replacement surgery.  The end point was thromboembolism.  FXI-ASO significantly reduced factor XI levels in a dose-response manner.  FXI-ASO 200 mg was equivalent to enoxaparin in frequen
January 14, 2015
This multicenter study analyzes the utility of a "Top Gun" competition in promoting simulator use and improving technical skills among 1st-year CT Surgery residents.  A coronary anastomosis simulation module was sent to most 1st-year residents in the U.S.  Fifteen residents submitted baseline and final videos for evaluation.
August 14, 2014
This double-blind placebo-controlled trial involved 153 pts undergoing elective endovascular aortic aneurysm repair, of whom half received methylprednisolone preoperatively.  The intervention reduced the systemic inflammatory response from 92% to 27%, plasma IL-6 was decreased by 90%, and CRP, body temperature, IL-8, and TNF were also reduced.  MMP-9

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