Publications by authors named "M V Ratner"

Background: The National Comprehensive Cancer Network guidelines consider pancreatic cancer with celiac axis (CA), proper hepatic artery (PHA), and superior mesenteric artery (SMA) involvement unresectable. Thus, technical reports and video illustrations of these operations are rare. We report the stepwise management of multivascular reconstruction for Mayo Clinic class IIIb CA resections at New York University Langone Health, a dedicated center of excellence in pancreatic surgery.

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  • * The study found that patients without healing had significantly higher rates of amputation and noncompliance compared to those whose ulcers healed, highlighting the importance of TCC adherence in treatment success.
  • * Subgroup analysis revealed that patients undergoing revascularization interventions had better healing outcomes (66.7% healed) and noted lower ABI scores, indicating more severe vascular issues, compared to those who did not require additional procedures. *
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  • The study examined the impact of polyvascular disease on outcomes after endovascular aneurysm repair (EVAR) using data from the Vascular Quality Initiative (VQI) from 2012-2022.
  • Researchers evaluated 21,160 patients, finding that those with disease in three arterial beds had higher rates of complications and major adverse cardiac events (MACEs) post-surgery compared to those with disease in fewer beds.
  • The findings concluded that polyvascular disease significantly worsens peri-operative outcomes, increasing the odds of MACEs and mortality after EVAR.
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Treatment of pregnancy-related venous thromboembolism is limited by considerations of the health risks to both the patient and fetus. Anticoagulation is the cornerstone treatment for pregnancy-related venous thromboembolism; however, early thrombus removal may be preferred for prompt symptom resolution and to decrease the risk of post-thrombotic syndrome. We report the successful treatment of a patient in the second trimester of pregnancy with symptomatic iliofemoral deep venous thrombosis and May-Thurner syndrome using percutaneous mechanical thrombectomy.

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