Publications by authors named "Andrew J Seiwert"

Article Synopsis
  • Cilostazol demonstrates effectiveness in improving the maturation rates and longevity of arteriovenous access in hemodialysis patients compared to a control group not receiving the drug.
  • Patients treated with cilostazol were 3.8 times more likely to experience successful fistula maturation and had a significantly lower rate of complications and longer time until the first complication.
  • Although the time to maturation was similar for both groups, the cilostazol group had a significantly longer duration of functional access post-maturation, indicating potential benefits of cilostazol therapy in improving vascular access outcomes.
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Chronic venous insufficiency (CVI) with the resultant clinical sequelae significantly reduces quality of life. Most elderly patients with CVI are treated nonoperatively owing to concerns of increased operative risk and therefore suffer more advanced disease. Radiofrequency ablation (RFA) has emerged as a minimally invasive procedure to treat patients with superficial venous insufficiency (SVI) due to great saphenous vein (GSV) incompetence.

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Objective: As an emerging endovascular alternative to ligation and stripping of the incompetent greater saphenous vein (GSV), radiofrequency ablation was monitored with ultrasound scanning to evaluate anatomic results. Neovascularization and inflammation are potential consequences that lead to the appearance of small vessels. The natural history of the below-knee untreated GSV segment may be important in our understanding of ongoing chronic venous disease.

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In the past decade, expected in-hospital length of stay (LOS) after carotid endarterectomy (CEA) has decreased from 4 days to 1. Long LOS is associated with known complications and factors affecting severity of the patient's condition. Factors affecting an intermediate stay of 2 to 4 days need further clarification.

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