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Vascular Medicine

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https://www.readbyqxmd.com/read/29153040/inpatient-thrombophilia-testing-impact-of-healthcare-system-technology-and-targeted-clinician-education-on-changing-practice-patterns
#1
Ming Y Lim, Charles S Greenberg
No abstract text is available yet for this article.
November 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/29143577/lipedema
#2
Caitriona Canning, John R Bartholomew
No abstract text is available yet for this article.
November 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/29125051/how-to-become-proficient-in-performance-of-the-resting-ankle-brachial-index-results-of-the-first-randomized-controlled-trial
#3
Céline Donnou, Ségolène Chaudru, Olivier Stivalet, Eunice Paul, Marie Charasson, Jean-Marc Selli, Chadi Mauger, Anthony Chapron, Alexis Le Faucheur, Vincent Jaquinandi, Guillaume Mahé
The resting ankle-brachial index (ABI) is a first-line test to diagnose peripheral artery disease (PAD). No randomized controlled trial (RCT) has yet been conducted to determine the best teaching method to become proficient in the ABI procedure. We conducted a monocentric RCT to determine whether didactic learning alone or didactic learning combined with experiential learning improved proficiency in the ABI procedure. Medical students ( n = 30) received didactic learning, including (i) a presentation of the ABI guidelines and (ii) a video demonstration...
November 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/29125047/extra-corporeal-membrane-oxygenation-and-outcomes-in-massive-pulmonary-embolism-two-eras-at-an-urban-tertiary-care-hospital
#4
David L Ain, Mazen Albaghdadi, Jay Giri, Farhad Abtahian, Michael R Jaff, Kenneth Rosenfield, Nathalie Roy, Mauricio Villavicencio-Theoduloz, Thoralf Sundt, Ido Weinberg
Mortality associated with high-risk pulmonary embolism (PE) remains high. Extra-corporeal membrane oxygenation (ECMO) allows for acute hemodynamic stabilization and potentially for administration of other disease process altering therapies. We sought to compare two eras: pre-ECMO and post-ECMO in relation to high-risk PE treatment and mortality. A single-center retrospective chart review was conducted of high-risk PE patients. High-risk PE was defined as acute PE and cardiac arrest or shock. A total of 60 patients were identified, 31 in the pre-ECMO era and 29 in the post-ECMO era...
November 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/29105577/comparative-assessment-of-patient-outcomes-with-intraluminal-or-subintimal-crossing-of-infrainguinal-peripheral-artery-chronic-total-occlusions
#5
Ananya Kondapalli, Haekyung Jeon-Slaughter, Hua Lu, Hao Xu, Houman Khalili, Anand Prasad, Ehrin J Armstrong, Emmanouil S Brilakis, Subhash Banerjee
This study compares procedural complications and clinical outcomes between subintimal crossing versus intraluminal crossing during endovascular treatment of infrainguinal peripheral artery chronic total occlusions (CTO). We identified 1335 CTO interventions in 1001 patients from the multicenter Excellence in Peripheral Artery Disease (XLPAD) registry from January 2005 to October 2015. Outcomes included 30-day and 12-month all-cause death, non-fatal myocardial infarction or stroke, peripheral artery stent, or vessel, thrombosis (ST), need for any target limb endovascular or surgical revascularization, target limb major amputation and procedural complications...
November 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/29103369/antiphospholipid-antibodies
#6
Damon E Houghton, Stephan Moll
No abstract text is available yet for this article.
November 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/29096590/non-thrombotic-pulmonary-artery-embolism-don-t-forget-the-differential
#7
Anthony Michael Sammel, Sebastian Fung, Abdullah Omari
No abstract text is available yet for this article.
November 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/29068255/burden-of-hospitalization-in-clinically-diagnosed-peripheral-artery-disease-a-community-based-study
#8
Adelaide M Arruda-Olson, Homam Moussa Pacha, Naveed Afzal, Sara Abram, Bradley R Lewis, Iyad Isseh, Raad Haddad, Christopher G Scott, Kent Bailey, Hongfang Liu, Thom W Rooke, Iftikhar J Kullo
The burden and predictors of hospitalization over time in community-based patients with peripheral artery disease (PAD) have not been established. This study evaluates the frequency, reasons and predictors of hospitalization over time in community-based patients with PAD. We assembled an inception cohort of 1798 PAD cases from Olmsted County, MN, USA (mean age 71.2 years, 44% female) from 1 January 1998 through 31 December 2011 who were followed until 2014. Two age- and sex-matched controls ( n = 3596) were identified for each case...
October 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/29065789/quantitative-digital-subtraction-angiography-during-type-b-chronic-aortic-dissection-endovascular-repair
#9
Giovanni Tinelli, Francesca De Nigris, Fabrizio Minelli, Claudio Vincenzoni, Andrea Flex
No abstract text is available yet for this article.
October 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/29034789/a-midterm-report-card-for-pulmonary-embolism-response-teams
#10
Jay S Giri, Gregory Piazza
No abstract text is available yet for this article.
October 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/28985708/blue-rubber-bleb-nevus-syndrome-a-rare-cause-of-gastrointestinal-bleeding-and-vascular-anomaly-in-children
#11
Arnes Rešić, Ana Močić Pavić, Ante Čizmić, Ines Potočnjak
No abstract text is available yet for this article.
October 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/28985707/simultaneous-pain-intensity-rating-and-quantification-of-ischemia-throughout-exercise-and-recovery-in-proximal-versus-distal-arterial-claudication
#12
Alban Fouasson-Chailloux, Pierre Abraham, Christophe Colas-Ribas, Mathieu Feuilloy, Bruno Vielle, Samir Henni
Data on simultaneous hemodynamic changes and pain rating estimation in arterial claudication while walking are lacking. This study was conducted to determine if a difference in transcutaneous oxygen pressure (tc pO2) exists between proximal and distal localization at pain appearance (PAINapp), maximal pain (PAINmax) and pain relief (PAINrel) in proximal or distal claudication and if a relationship exists between tc pO2 changes and pain intensity. We analyzed the pain rating (Visual Analog Scale (VAS)) to lower limb ischemia, measured with the decrease from rest of oxygen pressure (DROP) tc pO2 index during constant-load treadmill tests in patients with calf ( n = 41) or buttock ( n = 19) claudication...
October 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/28980511/the-association-of-race-with-quality-of-health-in-peripheral-artery-disease-following-peripheral-vascular-intervention-the-q-pad-study
#13
Anwar Zaitoun, Saif Al-Najafi, Thaer Musa, Susan Szpunar, Dawn Light, Thomas Lalonde, Hiroshi Yamasaki, Rajendra H Mehta, Howard S Rosman
Black patients have a higher prevalence of peripheral artery disease (PAD) than white patients, and also tend to have a greater extent and severity of disease, and poorer outcomes. The association of race with quality of health (QOH) after peripheral vascular intervention (PVI), however, is less well-known. In our study, we hypothesized that after PVI, black patients experience worse QOH than white patients. We retrospectively assessed racial differences in health status using responses to the Peripheral Arterial Questionnaire (PAQ) at baseline (pre-PVI) and up to 6 months following PVI among 387 patients...
October 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/28976248/from-the-masters-research-lessons-i-ve-learned-over-a-career-in-vascular-medicine
#14
Emile R Mohler
No abstract text is available yet for this article.
September 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/28965480/perils-in-the-thrombophilia-workup-frequency-and-circumstances-of-erroneously-ordered-factor-v-activity-tests-for-thrombophilia
#15
Damon E Houghton, Shivani Sud, Stephan Moll, Marian A Rollins-Raval
No abstract text is available yet for this article.
September 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/28965473/femoral-artery-plaque-characteristics-lower-extremity-collaterals-and-mobility-loss-in-peripheral-artery-disease
#16
Mary M McDermott, Timothy Carroll, James Carr, Chun Yuan, Luigi Ferrucci, Jack M Guralnik, Melina Kibbe, Michael H Criqui, Lu Tian, Tamar Polonsky, Lihui Zhao, Ying Gao, Daniel S Hippe, Dongxiang Xu, Walter McCarthy, Christopher M Kramer
Little is known about the prognostic significance of specific characteristics of magnetic resonance imaging (MRI) measured plaque in the superficial femoral artery (SFA). Associations of MRI-measured plaque quantity, lumen area, and plaque composition in the SFA with subsequent mobility loss were studied in people with lower extremity peripheral artery disease (PAD). Participants with an ankle-brachial index (ABI) < 1.00 were identified from Chicago medical centers and underwent direct visualization of atherosclerotic plaque in the SFA using MRI...
September 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/28931350/sex-differences-in-associations-of-cardio-ankle-vascular-index-with-left-ventricular-function-and-geometry
#17
Zi Ye, Patricia A Pellikka, Iftikhar J Kullo
The cardio-ankle vascular index (CAVI) is a measure of global arterial stiffness. We hypothesized that CAVI is associated with left ventricular (LV) function and geometry in individuals without structural heart disease. We measured CAVI in 600 participants (mean age 60.3±14.6 years, 54% men) without history of atherosclerotic cardiovascular disease who were referred for transthoracic echocardiography. Linear regression analysis was used to assess the association of CAVI with LV function (peak mitral annular systolic s' and early diastolic velocity e') and structure (LV mass index (LVMI) and relative wall thickness (RWT))...
September 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/28931345/preliminary-validation-of-the-claudication-symptom-instrument-csi
#18
Todd C Edwards, Danielle C Lavallee, Alexander W Clowes, Emily B Devine, David R Flum, Mark H Meissner, Ellen T Thomason, Skye P Barbic, Sara J Beck, Donald L Patrick
This article describes the development of the Claudication Symptom Instrument (CSI) and its measurement properties for evaluating the symptom experience of patients diagnosed with intermittent claudication (IC). We conducted semi-structured qualitative interviews with IC patients for item development and cognitive interviews in which patient comprehension of items was tested. We evaluated measurement properties using data collected and analyzed in the context of an observational comparative effectiveness study of IC treatments...
September 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/28920554/a-pulmonary-embolism-response-team-s-initial-20-month-experience-treating-87-patients-with-submassive-and-massive-pulmonary-embolism
#19
Akhilesh K Sista, Oren A Friedman, Eda Dou, Brendan Denvir, Gulce Askin, Jamie Stern, Jaclyn Estes, Arash Salemi, Ronald S Winokur, James M Horowitz
Pulmonary Embolism Response Teams (PERTs) have emerged to provide rapid multidisciplinary assessment and treatment of PE patients. However, descriptive institutional experience and preliminary outcomes data from such teams are sparse. PERT activations were identified through a retrospective review. Only confirmed submassive or massive PEs were included in the data analysis. In addition to baseline variables, the therapeutic intervention, length of stay (LOS), in-hospital mortality, and bleeding rate/severity were recorded...
September 1, 2017: Vascular Medicine
https://www.readbyqxmd.com/read/28901215/presentation-treatment-and-outcomes-in-patients-with-spontaneous-isolated-celiac-and-superior-mesenteric-artery-dissection
#20
Charles DeCarlo, Suvranu Ganguli, Jorge C Borges, Robert M Schainfeld, Ari J Mintz, Jessica Mintz, Michael R Jaff, Ido Weinberg
Spontaneous isolated celiac or superior mesenteric artery (SMA) dissection (SICMAD) is a rare clinical entity. Not much is known about the natural history and appropriate treatment. We retrospectively queried a prospectively collected institutional radiology database for all patients diagnosed with SICMAD from 1990 to 2017. We identified 42 arteries in 40 patients (83.3% male), mean age 54.8 ± 10.9 years, consisting of 24 celiac arteries and 18 SMA. SMA lesions were longer than celiac lesions (5.15 ± 3.81 vs 2...
September 1, 2017: Vascular Medicine
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