Publications by authors named "M Wyers"
Management and outcomes of venous thoracic outlet decompression: A transition to the infraclavicular approach.
J Vasc Surg Venous Lymphat Disord
November 2024
Article Synopsis
- Venous thoracic outlet syndrome (vTOS) involves the compression of the subclavian vein, leading to potential vein thrombosis, with treatment primarily focusing on thoracic outlet decompression and rib resection.
- A study conducted on 76 patients treated for vTOS from 2007 to 2022 revealed that the majority presented with swelling and had a high incidence of deep vein thrombosis, often requiring anticoagulation before surgery.
- Most surgeries involved rib resection through the infraclavicular approach, with a low rate of complications and no perioperative mortality, although some patients did experience bleeding complications post-surgery.
Article Synopsis
- A study was conducted to evaluate how travel distance to the hospital impacts outcomes for patients undergoing lower extremity revascularization for chronic limb-threatening ischemia (CLTI), with a focus on patients traveling more than or less than 30 miles.
- Among 1,293 patients analyzed, those traveling longer distances (over 30 miles) were generally younger, more likely to undergo open surgery, and experienced a longer hospital stay but shorter follow-up periods.
- Key findings indicated that while there was no significant difference in restenosis or reinterventions at 5 years, longer travel distances were linked to higher rates of major amputation and mortality.
Objective: Prior literature has found worse outcomes for female patients after endovascular repair of abdominal aortic aneurysm and mixed findings after thoracic endovascular aortic repair (TEVAR) for thoracic aortic aneurysm. However, the influence of sex on outcomes after TEVAR for acute type B aortic dissection (aTBAD) is not fully elucidated.
Methods: We identified patients who underwent TEVAR for aTBAD (<30 days) in the Vascular Quality Initiative from 2014 to 2022.
Background: Distal internal carotid artery (ICA) stenting may be employed as a bailout maneuver when an inadequate end point or clamp injury is encountered at the time of carotid endarterectomy (CEA) in a surgically inaccessible region of the distal ICA. We sought to characterize the indications, technique, and outcomes for this infrequently encountered clinical scenario.
Methods: We performed a retrospective review of all patients who underwent distal ICA stenting at the time of CEA at our institution between September 2008 and July 2022.