Publications by authors named "Adam Witcher"
Article Synopsis
- - Endovascular devices, especially frozen elephant trunk stents, are becoming more common for repairing type A aortic dissection, which can involve complicated procedures.
- - While deploying these stents, they can sometimes end up in the wrong place, specifically the false lumen, which can cause serious issues like increased pressure and reduced blood flow to organs.
- - The text introduces a new, straightforward rescue method for correcting this issue during surgery, utilizing transesophageal echocardiography and intravascular ultrasound to guide the procedure.
Objective: Enhanced recovery programs (ERPs) have gained wide acceptance across multiple surgical disciplines to improve postoperative outcomes and to decrease hospital length of stay (LOS). However, there is limited information in the existing literature for vascular patients. We describe the implementation and early results of an ERP and barriers to its implementation for lower extremity bypass surgery.
View Article and Find Full Text PDFObjective: The Wound, Ischemia, and foot Infection (WIfI) classification system was created to encompass demographic changes and expanding techniques of revascularization to perform meaningful analyses of outcomes in the treatment of the threatened limb. The WIfI index is intended to be analogous to the TNM staging system for cancer, with restaging to be done after control of infection and after revascularization. Our goal was to evaluate the effectiveness of WIfI restaging after therapy in the prediction of limb outcomes.
View Article and Find Full Text PDFObject: The aim of this study was to examine observer reliability of frequently used arteriovenous malformation (AVM) grading scales, including the 5-tier Spetzler-Martin scale, the 3-tier Spetzler-Ponce scale, and the Pollock-Flickinger radiosurgery-based scale, using current imaging modalities in a setting closely resembling routine clinical practice.
Methods: Five experienced raters, including 1 vascular neurosurgeon, 2 neuroradiologists, and 2 senior neurosurgical residents independently reviewed 15 MRI studies, 15 CT angiograms, and 15 digital subtraction angiograms obtained at the time of initial diagnosis. Assessments of 5 scans of each imaging modality were repeated for measurement of intrarater reliability.