Vascular Specialist is the official newspaper of the Society for Vascular Surgery
VIDEO: Patient vouchers prompt physicians to prescribe top antiplatelet drugs
ORLANDO – Voucher use led to prescribing changes post-MI, but not all patients took advantage.
Ups and downs of A1c -
The American College of Physicians has found evidence that current target A1c levels should be adjusted.
The latest data show that the great majority of workplace violence is perpetrated by individuals outside the organization.
SAN ANTONIO – The latest data show that the great majority of workplace violence is perpetrated by individuals outside the organization.
Another volley in the The Great Surgical Hat War: “No association of the banning of skullcaps with decreased surgical site infection rates.” http://bit.ly/2EyUaTw a.
JACKSONVILLE, FLA. – OR skullcap may have been given a bad rap.
The Jan. 4, 2018, publication of the DAWN trial revealed that patients with ischemic strokes can benefit from thrombectomy long after the time window generally thought to afford benefits had closed.
LOS ANGELES – The number needed to treat varied according to the level of functional outcome achieved.
LOS ANGELES – Clot removal in acute ischemic stroke patients using an aspiration catheter was noninferior to clot removal using the standard method, a stent retriever, in a multicenter, randomized trial with 270 patients.
LOS ANGELES – An initial strategy of clot aspiration was noninferior to initial clot removal with a stent retriever in a multicenter randomized trial.
LOS ANGELES – Only about two-thirds of the United States population has less than 60-minute access to a stroke center that is able to provide endovascular therapy, according to modeling of geomapping data.
LOS ANGELES – Simply making endovascular therapy available at 50 select hospitals could provide access to another 22 million Americans.
“This is a major, major change in how we view care for patients with stroke,” Dr. Powers said in a video interview.
The latest U.S. acute ischemic stroke guideline adopts imaging as the main thrombectomy eligibility criterion out to 24 hours after stroke onset.
Transseptal mitral valve implantation of an off-the-shelf, commercially available TAVR valve in high-surgical-risk patients with a failing surgically implanted mitral ring prosthesis has become a reasonable treatment strategy in light of the interim findings of the ground-breaking MITRAL trial, Mayra E. Guerrero, MD, said at the Transcatheter Cardiovascular Therapeutics annual educational meeting.
DENVER – MITRAL trial breaks new ground for formerly no-hope patients.
VIDEO: Anticoagulant underprescribing common, jeopardizing atrial fib patients http://bit.ly/2mC4JcG
Drug-prescribing data show many patients with atrial fibrillation are underdosed with anticoagulants, often due to fears about bleeding.
Which physician behaviors and health care workplace environments cross the line into sexual harassment?
VAMPIRE 3: Embolic filter for primary PCI reduces MACE http://bit.ly/2CUem0j
DENVER – Why experts predict the impressive results won’t change U.S. practice.
Gastrointestinal complications are a key risk factor for death after AEF repair http://bit.ly/2lV1zAX
The presence of gastrointestinal complications increased the risk of mortality for AEF repair more than threefold.
New guidelines recommend cardioprotective antihyperglycemic drugs for patients with diabetes in combination with cardiovascular disease http://bit.ly/2CypGeM
The ADA document is the first to support use of these drugs for their cardioprotective effect.
FDA approves first follow-on short-acting insulin product using abbreviated approval pathway
A short-acting lispro insulin has received FDA approval, making it the first such insulin to be approved on the agency’s abbreviated pathway, thereby hastening its availability and dropping its cost.
Dueling clinical trials cause confusion re: post-thrombotic syndrome http://www.mdedge.com/vascularspecialistonline/article/153318/dvt-pulmonary-embolism/pharmacomechanical-thrombolysis-does
The ATTRACT trial results contrast with recent reports from another randomized trial, known as CAVENT.
Thirty million Americans became hypertensive overnight on Nov. 13 with the introduction of new high blood pressure guidelines from the American College of Cardiology and American Heart Association.
ANAHEIM, CALIF. – Thirty million Americans became hypertensive overnight.
Infections increase risk of idiopathic VTE http://bit.ly/2jcl8Gp
Beware the increased risk of VTE in patients with infections.
Vascular Specialist updated their phone number.
Type of headwear worn during surgery had no impact on SSI rates http://bit.ly/2h7YTgQ
Surgeon preference for bouffant versus skull caps do not significantly impact superficial SSI rates.
Female surgeons are responsible for more work at home http://bit.ly/2j2CLZi
Women surgeons do more work at home
ORBITA: PCI no better than meds for stable angina http://bit.ly/2h1sjNA
DENVER – ORBITA trial fails to show stenting benefit over optimal medical therapy in stable angina, but reactions to results are overblown.
The analysis concludes TAVR costs less and improves quality-adjusted life-years more.
DENVER – The analysis concludes TAVR costs less and improves quality-adjusted life-years more.
Atrial fibrillation boosts VTE risk http://bit.ly/2yidO2M
BARCELONA – Study shows women face higher and more persistent risk.
Carotid endarterectomy is one of the most common operations for vascular surgeons. Dr. Linda Harris shares tips on using a retrojugular approach to the carotid.
Carotid endarterectomy is one of the most common operations for vascular surgeons. The standard approach, anteriorly, requires division of the facial vein, freq
Surgeons paid a price for presidential procedures http://bit.ly/2yOz6Cb
SAN DIEGO – Surgeons endured criticism, disrespect, and a mustache mandate.
Twelve months after a stroke, Mexican Americans performed worse on a cognitive function battery than did non-Hispanic whites.
SAN DIEGO – Twelve months after a stroke, Mexican Americans performed worse on a cognitive function battery than did non-Hispanic whites.
Beware the risks associated with greater saphenous vein http://bit.ly/2yNbJsY
Isolated greater saphenous vein thrombosis can be viewed as a marker of more serious systemic disease.
Claims involving EHRs have more than doubled in the last 7 years, according to an analysis.
Muscle flaps have come to play an invaluable role in the management of complex groin wounds. Dr. John F. Eidt and Dr. Ahsan Ali share tips on using the gracilis muscle flap and how it has significant advantages over other local muscle flaps.
Muscle flaps have come to play an invaluable role in the management of complex groin wounds (Figure 1). We have found that the gracilis muscle offers significant advantages over other local muscle flaps. In comparison to the segmental blood supply of the sartorius muscle which can be disrupted durin...
VIDEO: Salvageable brain tissue can guide decision for stroke thrombectomy http://bit.ly/2yzXveF
Eye movement, not CT or MRI, rules out posterior stroke http://bit.ly/2zeTJGW
“Physiology beats anatomy in the acute phase,” Dr. David Newman-Toker said in regard to the results of a meta-analysis.
Young adult stroke survivors have distinct risk profile http://bit.ly/2yn1q0B
An analysis of rehospitalization shows associations with blood sugar problems and dyslipidemia, but not hypertension or smoking.
SAN DIEGO – There was an 86% greater risk of ischemic stroke after transcatheter aortic valve replacement, compared with surgical aortic valve replacement, and a more than sixfold increased risk of hemorrhagic stroke, in a review of more than 44,000 patients in the Nationwide Readmissions Database who were followed out to a year after having one procedure or the other.
Study in real-world setting shows more than sixfold higher risk for hemorrhagic stroke.
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