Publications by authors named "Baqir Kedwai"
Balloon-expandable covered stenting of a large right hepatic artery aneurysm.
J Vasc Surg Cases Innov Tech
December 2024
Article Synopsis
- Hepatic artery aneurysms (HAAs) are uncommon but have a high risk of rupture, complicating treatment options.
- An 88-year-old man with a 4.2-cm right HAA was successfully treated using covered stenting, which effectively sealed the aneurysm.
- This case highlights that balloon-expandable covered stenting is a promising treatment method for HAAs, especially for patients who can't undergo traditional surgical bypass.
Background: Transcarotid artery revascularization (TCAR) is a minimally invasive surgical treatment for carotid artery stenosis. This study describes a 10-year institutional experience of TCAR and the concurrent development of enhanced recovery protocols.
Methods: Standardized practices were implemented at a single institution for patients undergoing TCAR.
Introduction: Aneurysmal sac regression is a predictor of long-term outcomes after endovascular aneurysm repair (EVAR). This study aimed to compare a large cohort of TREO and non-TREO endografts over a mid-term follow-up and compare abdominal aortic aneurysm sac regression. The hypothesis was that TREO endografts have an increased sac regression by 24 mo.
View Article and Find Full Text PDFObjective: Vascular surgeons work long, unpredictable hours with repeated exposure to high-stress situations. Inspired by general surgery acute care surgery models, we sought to organize the care of vascular emergencies with the implementation of a vascular acute care surgery (VACS) model. Within this model, a surgeon is in-house without elective cases and assigned for consultations and urgent operative cases on a weekly basis.
View Article and Find Full Text PDFArticle Synopsis
- - Vascular surgeons experience high burnout rates due to demanding workloads and patient acuity, prompting interest in Acute Care Surgery (ACS) models used by other surgical specialties.
- - A study analyzed survey results from vascular surgery faculty and residents before and after implementing a Vascular Acute Care Surgery (VACS) model, which features a dedicated rotation for handling urgent vascular cases.
- - Post-implementation, both faculty and residents showed increased emotional exhaustion, but faculty reported higher feelings of personal accomplishment, indicating that the VACS model may help reduce burnout and improve job satisfaction.
Introduction: Physician-modified endografts (PMEGs) have been used for repair of thoracoabdominal aortic aneurysms (TAAAs) for 2 decades with good outcomes but limited financial data. This study compared the financial and clinical outcomes of PMEGs to the Cook Zenith-Fenestrated (ZFEN) graft and open surgical repair (OSR).
Methods: A retrospective review of financial and clinical data was performed for all patients who underwent endovascular or OSR of juxtarenal aortic aneurysms and TAAAs from January 2018 to December 2022 at an academic medical center.
Stenting of a hepatic artery pseudoaneurysm rupture secondary to a celiac artery dissection.
J Vasc Surg Cases Innov Tech
June 2024
Hepatic artery (HA) pseudoaneurysm rupture is a rare and potentially lethal pathology. We present the case of a celiac artery dissection complicated by an HA pseudoaneurysm rupture that was treated successfully with endovascular stenting. The patient's postoperative course was uncomplicated, and he was further evaluated for an underlying connective tissue disorder.
View Article and Find Full Text PDFStrategies to reduce rates of severe endothermal heat-induced thrombosis following radiofrequency ablation.
J Vasc Surg Venous Lymphat Disord
July 2024
Article Synopsis
- The study aimed to assess the impact of new protocols to reduce endothermal heat-induced thrombosis (EHIT) complications after radiofrequency ablation (RFA) procedures, particularly focusing on specific vein size criteria for patient selection.
- Researchers analyzed data from the Vascular Quality Initiative database, comparing rates of thrombotic complications and bleeding before and after the institutional policy changes that included the use of prophylactic low-molecular-weight heparin.
- Results indicated a decrease in the EHIT rate from 2.6% to 1.5% after the change, particularly noting a significant drop in more severe EHIT cases, while factors like treating multiple veins and larger vein diameters increased EHIT risk.
Article Synopsis
- The study investigates the effectiveness of endovenous thermal ablation (EVTA) in obese patients with mild to moderate venous disease (CEAP C2 and C3).
- The analysis used data from over 8,000 limbs and compared outcomes between obese and nonobese patients, focusing on improvements in symptoms and complications.
- Results indicated that obesity did not significantly affect the improvement in symptoms as measured by the venous clinical severity score (VCSS), suggesting that EVTA may be equally effective for both obese and nonobese patients.
Objective: Guidelines recommend open revascularization (OR) over endovascular revascularization (ER) for the treatment of chronic mesenteric ischemia (CMI) for younger, healthier patients. However, little is known about the long-term costs of these recommendations with respect to patients' overall life expectancy. This study investigated whether 5-year value differs between these treatment modalities.
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