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Vascular Surgery (all articles)

German guidelines for the diagnosis and treatment of varicose veins.

20 Apr, 2022 | 09:49h | UTC

S2k guidelines: diagnosis and treatment of varicose veins – Leitlinien und Empfehlungen

 

RCT: A home-based, walking exercise behavior change intervention increased walking distance in adults with peripheral artery disease.

13 Apr, 2022 | 11:02h | UTC

Effect of a Home-Based, Walking Exercise Behavior Change Intervention vs Usual Care on Walking in Adults With Peripheral Artery Disease: The MOSAIC Randomized Clinical Trial – JAMA (free for a limited period)

 

Commentary on Twitter

 

Cluster RCT: A multifaceted intervention did not reduce catheter related bloodstream infections in patients on hemodialysis.

13 Apr, 2022 | 10:29h | UTC

Multifaceted intervention to reduce haemodialysis catheter related bloodstream infections: REDUCCTION stepped wedge, cluster randomised trial – The BMJ

 

Cohort Study: Increased thoracic aortic diameter is associated with increased risk of cardiovascular events and mortality among women and men.

13 Apr, 2022 | 10:20h | UTC

Thoracic Aortic Diameter and Cardiovascular Events and Mortality among Women and Men – Radiology

News Release: Increased aortic diameter raises risk of heart attack, stroke – Radiological Society of North America

 

M-A: The clinical effect and safety of new preoperative fasting time guidelines for elective surgery.

12 Apr, 2022 | 09:51h | UTC

The clinical effect and safety of new preoperative fasting time guidelines for elective surgery: a systematic review and meta-analysis – Gland Surgery

Related:

An international multidisciplinary consensus statement on fasting before procedural sedation in adults and children – Anaesthesia

Does my hospitalized patient need an NPO-after-midnight order preoperatively?

ESPEN practical guideline: Clinical nutrition in surgery – “Preoperative fasting from midnight is unnecessary in most patients. Patients undergoing surgery, who are considered to have no specific risk of aspiration, shall drink clear fluids until 2 h before anesthesia. Solids shall be allowed until 6 h before anesthesia.”

Pro-Con Debate: 1- vs 2-Hour Fast for Clear Liquids Before Anesthesia in Children.

Editorial: The rationale for the recommendations of the European Pediatric Fasting Guideline – “the authors of the 2021 ESAIC pediatric guideline have found reasons to recommend reductions to the minimum fasting times for infant formula to 4 h, for breast milk to 3 h and for clear fluids to 1 h”.

Practice Guidelines for Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration: Application to Healthy Patients Undergoing Elective Procedures: An Updated Report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration

Perioperative fasting in adults and children: guidelines from the European Society of Anaesthesiology

Clear fluids fasting for elective paediatric anaesthesia: The European Society of Anaesthesiology consensus statement – European Journal of Anaesthesiology

Canadian Pediatric Anesthesia Society statement on clear fluid fasting for elective pediatric anesthesia – Canadian Journal of Anesthesia (free)

 

M-A: Mechanical thrombectomy with retrievable stents and aspiration catheters for acute ischemic stroke.

8 Apr, 2022 | 10:21h | UTC

Mechanical thrombectomy with retrievable stents and aspiration catheters for acute ischaemic stroke: a meta-analysis of randomised controlled trials – EuroIntervention (link to abstract – $ for full-text)

Commentary: Mechanical Stroke Thrombectomy May Reduce Death: Meta-analysis – TCTMD

 

Commentary on Twitter

 

RCT: Pain outcomes following mechanochemical ablation vs. cyanoacrylate adhesive for the treatment of primary truncal saphenous vein incompetence.

7 Apr, 2022 | 08:28h | UTC

Pain Outcomes Following Mechanochemical Ablation vs Cyanoacrylate Adhesive for the Treatment of Primary Truncal Saphenous Vein Incompetence: The MOCCA Randomized Clinical Trial – JAMA Surgery (free for a limited period)

Invited Commentary: Relevant Outcomes in Superficial Venous Ablation Treatments – JAMA Surgery (free for a limited period)

 

Commentary on Twitter

 

RCT: In patients undergoing intraarterial treatment for stroke, functional outcomes after 3 months were similar with general anesthesia vs. sedation.

7 Apr, 2022 | 08:00h | UTC

General Anesthesia versus Sedation, Both with Hemodynamic Control, during Intraarterial Treatment for Stroke: The GASS Randomized Trial – Anesthesia

 

Commentary on Twitter

 

Craniocervical artery dissections: a concise review for clinicians.

6 Apr, 2022 | 10:06h | UTC

Craniocervical Artery Dissections: A Concise Review for Clinicians – Mayo Clinic Proceedings

 

Systematic Review: Endovascular vs. conventional open surgical repair for thoracoabdominal aortic aneurysms.

5 Apr, 2022 | 08:11h | UTC

Endovascular versus conventional open surgical repair for thoracoabdominal aortic aneurysms – Cochrane Library

Summary: Are patient outcomes superior after endovascular or open surgical repair of thoracoabdominal aortic aneurysms? – Cochrane Library

 

Commentary on Twitter

 

Review: Diagnosis and neurointerventional management of large vessel occlusion acute ischemic stroke.

29 Mar, 2022 | 08:39h | UTC

Diagnosis and Neurointerventional Management of Large Vessel Occlusion Acute Ischemic Stroke – emDocs

 

Cohort Study: Association of lower extremity lymphedema with physical functioning and activities of daily living among older survivors of colorectal, endometrial, and ovarian cancer.

28 Mar, 2022 | 08:39h | UTC

Association of Lower Extremity Lymphedema With Physical Functioning and Activities of Daily Living Among Older Survivors of Colorectal, Endometrial, and Ovarian Cancer – JAMA Network Open

Commentaries:

Older female cancer survivors face challenges with physical activity due to chronic lower extremity lymphedema – News Medical

Lower-Extremity Lymphedema Common in Older, Female Cancer Survivors – HealthDay

 

Commentary on Twitter

 

ANN Guideline: Stroke prevention in symptomatic large artery intracranial atherosclerosis practice advisory.

22 Mar, 2022 | 09:51h | UTC

Stroke Prevention in Symptomatic Large Artery Intracranial Atherosclerosis Practice Advisory: Report of the AAN Guideline Subcommittee – Neurology

News Release: AAN issues guidance on preventing second stroke in those with plaque in brain arteries – American Academy of Neurology

 

Study shows low risk of complications after ipsilateral intravenous catheter placement in breast cancer surgery patients.

18 Mar, 2022 | 08:48h | UTC

Ipsilateral Intravenous Catheter Placement in Breast Cancer Surgery Patients – Anesthesia & Analgesia (link to abstract – $ for full-text)

 

Commentary on Twitter

 

Position Paper: Post-thrombotic syndrome-prevention and treatment.

16 Mar, 2022 | 08:41h | UTC

The Post-thrombotic Syndrome-Prevention and Treatment: VAS-European Independent Foundation in Angiology/Vascular Medicine Position Paper – Frontiers in Cardiovascular Medicine

 

SHEA neonatal intensive care unit (NICU) white paper series: Practical approaches for preventing central line-associated bloodstream infections.

11 Mar, 2022 | 09:53h | UTC

SHEA neonatal intensive care unit (NICU) white paper series: Practical approaches for the prevention of central line-associated bloodstream infections – Infection Control and Hospital Epidemiology

News Release: Practical approaches for the prevention of central line-associated bloodstream infections in NICU – Society for Healthcare Epidemiology of America

 

Nationwide analysis of persistent type II endoleak and late outcomes of endovascular abdominal aortic aneurysm repair in Japan: a propensity-matched analysis.

11 Mar, 2022 | 09:32h | UTC

Nationwide Analysis of Persistent Type II Endoleak and Late Outcomes of Endovascular Abdominal Aortic Aneurysm Repair in Japan: a Propensity-matched Analysis – Circulation

Commentary: Type II Endoleak and EVAR Outcomes for Abdominal Aortic Aneurysm – American College of Cardiology

 

Therapeutic strategies targeting inflammation and immunity in atherosclerosis: how to proceed?

11 Mar, 2022 | 08:38h | UTC

Therapeutic strategies targeting inflammation and immunity in atherosclerosis: how to proceed? – Nature Reviews Cardiology (if the link is paywalled, try this one)

 

Review: Primary lymphedema.

8 Mar, 2022 | 08:19h | UTC

Primary lymphoedema – Nature Reviews Disease Primers (if the link is paywalled, try this one)

Infographic: Primary Lymphoedema (if the link is paywalled, try this one)

 

Commentary on Twitter

 

RCT: Aspirin and unfractionated heparin increase the risk of symptomatic intracranial hemorrhage in patients undergoing endovascular treatment for ischemic stroke.

3 Mar, 2022 | 08:53h | UTC

Safety and efficacy of aspirin, unfractionated heparin, both, or neither during endovascular stroke treatment (MR CLEAN-MED): an open-label, multicentre, randomised controlled trial – The Lancet (link to abstract – $ for full-text)

 

Guideline Update: Timing of elective surgery and risk assessment after SARS-CoV-2 infection – “The guidance remains that patients should avoid elective surgery within 7 weeks of infection, unless the benefits of doing so exceed the risk of waiting”.

1 Mar, 2022 | 08:58h | UTC

Timing of elective surgery and risk assessment after SARS-CoV-2 infection: an update – Anaesthesia

Related:

Perioperative cardiovascular considerations prior to elective noncardiac surgery in patients with a history of Covid-19.

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

BJS commission on surgery and perioperative care post-COVID-19.

The risk of postoperative complications following major elective surgery in active or resolved COVID-19 in the United States – Major, elective surgery 0–4 weeks after Covid-19 is associated with greatly increased risk of postoperative complications; surgery performed 4–8 weeks after infection is still associated with an increased risk of pneumonia.

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

 

ERAS/SVS Consensus Statement on perioperative care in open aortic vascular surgery.

21 Feb, 2022 | 09:21h | UTC

Perioperative care in open aortic vascular surgery: A Consensus Statement by the Enhanced Recovery after Surgery (ERAS®) Society and Society for Vascular Surgery – Journal of Vascular Surgery

 

RCT: A supraclavicular ultrasound-guided right subclavian venous catheterization approach was non-inferior in terms of safety compared to an ultrasound-guided infraclavicular approach.

15 Feb, 2022 | 09:46h | UTC

Supraclavicular versus infraclavicular approach for ultrasound-guided right subclavian venous catheterisation: a randomised controlled non-inferiority trial – Anaesthesia (link to abstract – $ for full-text)

 

M-A: Timing of carotid intervention in symptomatic carotid artery stenosis.

15 Feb, 2022 | 08:51h | UTC

Timing of Carotid Intervention in Symptomatic Carotid Artery Stenosis: A Systematic Review and Meta-Analysis – European Journal of Vascular & Endovascular Surgery

 

RCT: In patients with acute stroke with a large ischemic region, endovascular therapy resulted in better functional outcomes compared to medical care alone but was associated with increased risk of intracranial hemorrhage.

11 Feb, 2022 | 08:49h | UTC

Endovascular Therapy for Acute Stroke with a Large Ischemic Region – New England Journal of Medicine (link to abstract – $ for full-text)

Commentary: Endovascular Stroke Therapy Works for Large Infarcts: RESCUE-Japan LIMIT – TCTMD

 

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