Vascular Surgery
Review: Supervised Treadmill Exercise Therapy for Peripheral Artery Disease
13 Jul, 2017 | 20:44h | UTCReview: Supervised Treadmill Exercise Therapy for Peripheral Artery Disease – American College of Cardiology, Latest in Cardiology (free)
Related guideline: 2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary : A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines (free) AND Summary: AHA/ACC Guideline on the Management of Lower Extremity Peripheral Artery Disease (free)
A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery
26 Jun, 2017 | 17:32h | UTCA Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)
Source: EvidenceAlerts (free resource to find articles of interest)
“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”
Management of Brain Arteriovenous Malformations
23 Jun, 2017 | 01:31h | UTCCommentary: Update on the Statement on Brain AVMs: Despite New Data, Questions Still Unanswered (free)
Top Ten Things to Know: Management of Brain Arteriovenous Malformations (free PDF)
Slide Set: Management of Brain Arteriovenous Malformations (free PDF)
Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery
20 Jun, 2017 | 18:23h | UTCInspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss
20 Jun, 2017 | 12:25h | UTCInspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss – The New York Times (10 articles per month are free)
Is There an Association Between Fruit and Vegetable Consumption and PAD?
16 Jun, 2017 | 01:09h | UTCGreater Frequency of Fruit and Vegetable Consumption Is Associated With Lower Prevalence of Peripheral Artery Disease – Arteriosclerosis, Thrombosis, and Vascular Biology (link to abstract – $ for full-text)
Commentary: Is There an Association Between Fruit and Vegetable Consumption and PAD? – American College of Cardiology, Latest in Cardiology (free)
Canagliflozin will receive new boxed warning about amputation risks
12 Jun, 2017 | 19:51h | UTCCanagliflozin will receive new boxed warning about amputation risks – ACP Internist (free)
FDA Drug Safety Communication: FDA confirms increased risk of leg and foot amputations with the diabetes medicine canagliflozin (Invokana, Invokamet, Invokamet XR) (free)
Practice Guidelines for Preoperative Fasting
9 Jun, 2017 | 16:03h | UTCPractice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration – Anesthesiology, via Medscape (free registration required)
Growth and Rupture Risk of Small Unruptured Intracranial Aneurysms
7 Jun, 2017 | 15:11h | UTCGrowth and Rupture Risk of Small Unruptured Intracranial Aneurysms: A Systematic Review – Annals of Internal Medicine (link to abstract – $ for full-text)
Commentaries: Growth, rupture risk appear low for small intracranial aneurysms, review indicates – ACP Internist Weekly (free) AND How Frequently Do Small Brain Aneurysms Rupture? – MedPage Today (free registration required)
“The annualized rupture rate was 0% for aneurysms 3 mm or smaller, below 0.5% for aneurysms 5 mm or smaller, and below 1% for aneurysms 7 mm or smaller”
Carotid Artery Stenting Versus Endarterectomy for Stroke Prevention
5 Jun, 2017 | 14:41h | UTCCarotid Artery Stenting Versus Endarterectomy for Stroke Prevention: A Meta-Analysis of Clinical Trials – Journal of the American College of Cardiology (link to abstract – $ for full-text)
Commentary: CAS vs. CEA for Stroke Prevention – American College of Cardiology, Latest in Cardiology (free)
“CAS and CEA were associated with similar rates of a composite of periprocedural death, stroke, MI, or nonperiprocedural ipsilateral stroke. The risk of long-term overall stroke was significantly higher with CAS, and was mostly attributed to periprocedural minor stroke”.
Thrombolysis may reduce complications of deep vein thrombosis
26 May, 2017 | 15:09h | UTCThrombolysis may reduce complications of deep vein thrombosis – NIHR Signal (free)
Original article: Thrombolysis for acute deep vein thrombosis – Cochrane Library (Link to abstract – $ for full-text)
Thrombolysis reduced post-thrombotic syndrome, but lead to more bleeding complications than standard anticoagulation. “Individuals with clots in the pelvis and thigh, which carry higher risk of complications, may be likely to gain most benefit”.
American Urological Assn. Adds 5 More Unnecessary Practices to Choosing Wisely
23 May, 2017 | 14:24h | UTCSee also: Complete American Urological Association list with 15 Things Physicians and Patients Should Question – Choosing Wisely (free)
Peripheral Artery Disease Guideline
15 May, 2017 | 19:40h | UTC2016 AHA/ACC Guideline on the Management of Patients With Lower Extremity Peripheral Artery Disease: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines – Journal of the American College of Cardiology (free, and legal, PDF via Unpawall)
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017
5 May, 2017 | 20:29h | UTCCenters for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017 – JAMA Surgery (free) (RT @jankluytmans and @CIDRAP_ASP see Tweet)
Invited commentary: Surgical Site Infection Prevention – What We Know and What We Do Not Know – JAMA Surgery (free)
Commentary: ‘Long-Awaited’ CDC Guidelines on SSI Prevention Released – Medscape (free registration required)
Related: Global guidelines on the prevention of surgical site infection 2016 – World Health Organization (free)
Mortality Trends After Surgical Safety Checklist
20 Apr, 2017 | 14:31h | UTCMortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative – Annals of Surgery (link to abstract – free PDF available)
Sources: Global Health NOW Newsletter (free) AND South Carolina Hospitals Saw Surgery Deaths Drop After Implementing WHO Checklist – AJMC News (free) AND A simple checklist prevents deaths after surgery, a large new study suggests – The Washington Post (a few articles per month are free)
See also: WHO Surgical Safety Checklist – World Health Organization (free) AND A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population – New England Journal of Medicine (free)
Management of the Diseases of Mesenteric Arteries and Veins
5 Apr, 2017 | 21:53h | UTC
The wound/burn guidelines – Japanese Dermatological Association
5 Apr, 2017 | 21:55h | UTCThe wound/burn guidelines – Japanese Dermatological Association (all guidelines are free)
Wounds in general / Guidelines for the diagnosis and treatment for pressure ulcers / Guidelines for the diagnosis and treatment for diabetic ulcer/gangrene / Guidelines for the management of skin ulcers associated with connective tissue disease/vasculitis / Guidelines for the management of lower leg ulcers/varicose veins / Guidelines for the management of burns
American College of Radiology (ACR) Appropriateness Criteria Adds Topics
4 Apr, 2017 | 21:19h | UTCACR Appropriateness Criteria Adds Topics, Covers More Clinical Variants Than Ever Before (free)
Browse Appropriateness Criteria Topics (free)
Source: Newswise
This comprehensive guide from American College of Radiology (ACR) covers 230 topics with more than 1,100 clinical indications and has just been updated. It is a very useful resource for doctors in all specialties to guide which exam is most appropriate in each clinical situation.
HERDOO2 rule to guide treatment duration for women with unprovoked venous thrombosis
29 Mar, 2017 | 17:07h | UTCSource: Richard Lehman’s weekly review
HERDOO2 rule stands for Hyperpigmentation, Edema, or Redness in either leg; D-dimer level ≥250 μg/L; Obesity with body mass index ≥30; or Older age, ≥65 years. The authors concluded that women with a first unprovoked VTE event and none or one of the HERDOO2 criteria have a low risk (3.0% per patient year) of recurrent VTE and can safely discontinue anticoagulants after completing short term treatment.
The year in cardiology 2016: peripheral circulation
29 Mar, 2017 | 17:00h | UTCThe year in cardiology 2016: peripheral circulation – European Heart Journal (free)
Surgeries are being performed with the patient awake
27 Mar, 2017 | 00:59h | UTCGoing Under the Knife, With Eyes and Ears Wide Open – New York Times (free access to 10 articles per month)
“More and more surgeries are being performed with the patient awake and looking on, for financial and medical reasons”.