Publications by authors named "Al-Salman M"

: Since thoracic endovascular aortic repair (TEVAR) and endovascular aneurysm repair (EVAR) are increasingly utilized, examining their outcomes and safety in real-world scenarios is crucial. This study investigated the management and outcomes of TEVAR and EVAR as alternatives to traditional open surgical repair for managing aortic pathologies. : This was a retrospective cohort study.

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Objectives: To analyze the outcomes of carotid endarterectomy in individuals with carotid artery stenosis in the context of a tertiary care center.

Methods: We carried out a retrospective cohort investigation between 2015-2022. Patient data includes demographics, risk factors, preoperative medications, and operative details.

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Background Among the young population, many have risk factors that are nonmodifiable, modifiable, or both, increasing their chances of developing cardiovascular diseases (CVDs) and/or experiencing a heart attack later in life. Knowledge of both risk factors has a major role in preventing CVD by encouraging screening and applying the necessary lifestyle modifications. This study aims to assess the knowledge of risk factors and complications associated with heart attacks among individuals in the early adulthood age group.

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  • Buerger's disease (BD) is a serious condition that requires early diagnosis for effective treatment, but there’s no universally accepted method for diagnosing it due to varied criteria used by different vascular centers.
  • A recent Delphi Consensus Study highlighted the lack of consensus on BD diagnostic criteria, particularly beyond the requirement of a history of smoking, making it hard to compare patient outcomes globally.
  • The VAS-European Independent Foundation has proposed that a definitive BD diagnosis should include a history of smoking, typical angiographic and histopathological features, and suggests using a combination of major and minor criteria for suspected diagnoses, with validation studies currently in progress.
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Renal artery stenosis is one of the most common causes of secondary hypertension (HTN). Renal artery stenosis-induced HTN can occur in the presence of unilateral or bilateral narrowing and a solitary kidney with stenotic artery, which may subsequently lead to renal insufficiency (e.g.

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Carotid body tumors (CBTs) are rare and mostly benign. Research outcomes usually arise from single-center data. We conducted this study to present the characteristics and outcomes of patients who underwent surgical resection of CBT at our hospital over the past 20 years.

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  • The study focused on the experiences of treating arterial vascular thoracic outlet syndrome (ATOS) and venous thoracic outlet syndrome (VTOS) over a 30-year period at King Saud University Medical City.
  • It involved a review of 69 patients with a total of 90 limbs diagnosed with vascular TOS, mostly affecting females (69.6%), where ATOS was more common (86.7%).
  • Results showed successful surgical outcomes with no recurrence or mortality, although 18.9% experienced post-operative complications, indicating that careful selection and advanced imaging techniques enhance patient outcomes.
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  • Buerger's disease (BD) is challenging to diagnose due to a lack of universally accepted criteria, making proper identification difficult.
  • A modified Delphi consensus study involving 29 experts sought to establish a more definitive set of diagnostic criteria for BD, ultimately leading to the acceptance of several key factors such as a history of tobacco use and certain physical symptoms.
  • The study highlighted significant discrepancies in existing diagnostic criteria and emphasized the need for a standardized approach to diagnosing BD in clinical settings.
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Background And Aim: According to previously reported studies in the literature, a significant number of patients do not receive enteral nutrition in pediatric intensive care unit (PICU) because of avoidable barriers. Optimal nutrition is a fundamental goal in PICU. This study aims to identify the barriers of enteral nutrition in PICU.

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  • Psoriasis is a chronic skin condition driven by immune responses, and treatments like statins (specifically fluvastatin and simvastatin) may help reduce its severity by lowering inflammation.* -
  • In a randomized controlled trial, researchers tested the effectiveness of adding simvastatin to narrowband UVB (NB-UVB) therapy in 48 psoriasis patients, comparing results with a placebo group over a 12-week period.* -
  • Results showed that while both groups improved in terms of psoriasis severity (PASI score) and quality of life (DLQI), there was no significant difference between the simvastatin and placebo groups, indicating simvastatin may not enhance the effects of NB-UVB treatment.*
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Even today thromboangiitis obliterans has disease features that remain misunderstood or underappreciated. The epidemiology, etiology and pathophysiology of the disease are still unclear. Biomarkers and disease activity markers are lacking, thus clinical assessment is difficult.

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Aim: This study presents a rare case of pseudoaneurysm mimicking a tumor on the back, with no history of fever, trauma, or surgical intervention. In which no identifiable symptoms or warning signs were present. This pseudoaneurysm arises from intercostal arteries and segmental arteries.

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Background: The study aims to evaluate the perceptions of pediatric residents under the night float (NF) on-call system and its impact on well-being, education, and patient safety compared with the traditional 24-h on-call system.

Methods: The study is prospective in nature and conducted on two pediatric resident training centers who apply the NF on-call system as a pilot project. Senior residents (PGY-3 and PGY-4) enrolled in the two training centers were invited to participate before and 6 months after the implementation of the change in the on-call system.

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Objectives The objective of the study is to determine the impact of urinary incontinence (UI) on the quality of life (QoL) of the Saudi elderly population. Besides, we investigated individuals' help-seeking behaviors and the religious and cultural aspects of UI among the Saudi elderly.  Methods We conducted a cross-sectional study using a random sample of 150 Saudi older adults of both genders.

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Scleromyxedema is an uncommon disease, affecting the skin mainly and other internal organs sometimes, characterized by fibroblasts proliferation, fibrosis, and mucous deposition in the absence of thyroid disorder. It is associated with monoclonal gammopathy in most cases. We are reporting a case with a rare presentation of tumoral scleromyxedema in the neck, with a mass mimicking other tumoral lesions, highlighting the importance of diagnosis and histopathologic correlation.

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Background: Arterial pseudoaneurysms are a well-known complication resulting from procedures requiring arterial wall puncture. Previously, surgical repair was the definitive treatment option for arterial pseudoaneurysms despite being relatively invasive and time-consuming. Ultrasound-guided thrombin injection (UGTI) has become the standard of care since its initial description back in 1997.

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Article Synopsis
  • A traumatic spinal fracture (TSF) affects patients significantly, with common causes linked to motor vehicle accidents, particularly in young males.
  • A study at a Level 1 trauma center in Riyadh reviewed cases from 2001 to 2016, finding neurological disabilities in 6.7% of patients, with cervical spine injuries contributing notably to mortality.
  • The findings suggest a need for improved documentation on seatbelt use to enhance injury prevention efforts, though the results may not be applicable to other settings due to the study's limitations.
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In neutropenic patients with acute perianal sepsis in the setting of hematological malignancy, the classical clinical features of abscess formation are lacking. Additionally, the role of surgical intervention is not well established. In this review, we discuss the challenges and controversy regarding diagnosis and optimal management when clear surgical guidelines are absent.

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The use of preoperative radiotherapy has resulted in significant downstaging and downsizing of tumor, this in turn facilitated resections permitting sphincter preservation and coloanal anastomosis for patients who would otherwise have not been candidates for this type of surgery as concluded by some small studies. On the other hand, other clinical trials have shown that the effect of radiotherapy on the rate of sphincter preservation is still not clear. Moreover, different modes of radiotherapy have been tested on the rate of sphincter preservation such as pelvic irradiation with or without combination of chemotherapy, short or conventional course radiotherapy, and preoperative or postoperative radiotherapy with different timing intervals of surgery.

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The number of patients with end-stage renal disease maintained on chronic hemodialysis is increasing progressively. Arteriovenous fistula (AVF) is a common vascular access for hemodialysis, however, its effect on limb distal circulation has not been studied well. Palpation of pulse at the wrist is a crude method of clinical assessment.

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Objective: To determine the prevalence of and the risk factors for Peripheral arterial disease (PAD) in a primary health care setting in Saudi Arabia.

Methods: We conducted a prospective cross-sectional study of Saudi patients aged >or= 45 years, who attended the primary health care center at King Khalid University Hospital between February 2006 and March 2006. A pre-designed questionnaire was used for each patient.

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Objective: To report on moyamoya syndrome (MMS) as a risk factor for stroke in a prospective and retrospective cohort of Saudi children. The usual and novel associations of MMS in this cohort will also be described.

Methods: Children with stroke were evaluated at the Division of Pediatric Neurology at King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Kingdom of Saudi Arabia during the periods July 1992 to February 2001 (retrospective study) and February 2001 to March 2003 (prospective study).

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Cervicocephalic arterial dissection CCAD is an important, but rarely recognized, cause of stroke in children. We describe 3 cases of CCAD who were diagnosed during a study on childhood stroke which included 104 patients. A high index of suspicion and targeted investigations are needed for the diagnosis and management of CCAD in childhood.

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Osler-Weber-Rendu disease is an autosomal dominant disease, sometimes known as hereditary hemorrhagic telangiectasia (HHT) with a family history. It is a rare disease and there are no records of families with inheritance lineage in Riyadh. We experienced an anesthetic management of a 28-yr-old woman with Osler-Weber-Rendu disease.

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