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Vascular

March 29, 2017
A succinct editorial advancing the case for aortic super-centres
January 10, 2017
A comprehensive discussion on an important parameter for cardiologists and surgeons dealing with congenital and structural / valve disease, as applicable to the systemic circulation 
August 2, 2016
Physiologic effects of pulmonary endarterectomy (PEA) for chronic thromboembolic disease (CTED) were studied 1 year postop.  PEA resulted in improved RV stroke volume response, heart rate response, and ventilatory efficiency related to exercise. 
June 11, 2016
The authors summarize findings in a single institution retrospective review of patients undergoing pre-discharge VTE screening after pneumonectomy for NSCLC and compare outcomes to an historic series of patients who did not have screening.  Rates of VTE in the screened group were 8.9% at discharge, an additional 3.4% within 30 days postop, and 5.4% &
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.
February 18, 2016
An Editorial suggesting that atheroma is here to stay...
February 18, 2016
Over 1400 patients with asymptomatic severe carotid stenosis were randomized to with carotid stenting or endarterectomy.  The endpoints were the composite of death, stroke, or acute MI within 30 days, or ipsilateral stroke.   Stenting was non-inferior to endarterectomy.   The rate of the composite endpoint was 3.8% vs 3.4% (stent vs surgery).  At 30
June 16, 2015
The good news continues regarding chocolate consumption!   A study involving nearly 21,000 individuals with a median follow-up of nearly 12 years correlated cardiovascular disease with quintiles of chocolate consumption.  The lowest quintile was associated with a 50% higher risk of coronary heart disease and a similar increase in stroke incidence.
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

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