Spine (Phila Pa 1976)
April 2013
Study Design: Retrospective study from data from a single access surgeon at 2 hospitals.
Objective: To increase the surgeon's awareness of iliolumbar vein (ILV) variants during the anterior approach to the lumbar spine.
Summary Of Background Data: Although there are many advantages to using the anterior approach, serious risks are involved, namely, vascular injury.
Background Context: Anterior lumbar surgery is a common procedure for anterior lumbar interbody fusion and disc replacement but the impact of obesity on this procedure has not been determined.
Purpose: To assess the perioperative outcomes of anterior retroperitoneal lumbar surgery in obese versus non-obese patients.
Study Design/setting: Prospective review of patients with anterior retroperitoneal lumbar disc procedures
Patient Sample: Seventy-four patients with anterior retroperitoneal lumbar disc procedures performed were evaluated.
Endovascular intervention can provide an alternative method of treatment for visceral artery aneurysms. We conducted a retrospective review of all patients with visceral artery aneurysms at a single university medical center from 1990 to 2003, focusing on the outcome of endovascular therapy. Sixty-five patients with visceral artery aneurysms were identified: 39 splenic (SAA), 13 renal, seven celiac, three superior mesenteric (SMA), and three hepatic.
View Article and Find Full Text PDFThis is a retrospective review of all carotid endarterectomies (CEA) (n=91) done from 1993 to 2002 at an inner-city hospital (Group I). This group was compared to a randomly selected group of patients (n=445) treated at a private hospital (Group II). The same high-volume surgeons performed CEAs at both hospitals.
View Article and Find Full Text PDFCiting the higher perioperative risk of redo carotid surgery, balloon angioplasty and stenting of the carotid artery (CAS) has been advocated for recurrent carotid stenosis (RCS). To examine the impact of CAS on the management and outcome of recurrent stenosis, a retrospective review of a prospectively compiled database was performed. From a registry of patients treated for carotid disease, 105 procedures were performed from 1992 to 2002 for RCS.
View Article and Find Full Text PDFBackground: There is an ongoing debate regarding the merits of resident work-hour limitations. We postulated that this issue would be a factor in the decision-making process of applicants to surgical residency.
Methods: Candidates for surgical residency at a university-based program completed an anonymous survey during their visit.
The natural history and clinical significance of type II or branch vessel endoleaks following endovascular aortic aneurysm (AAA) repair remain unclear. Some investigators have suggested that these endoleaks have a benign course and outcome and that they can be safely observed. The purpose of this study was to document the natural history and outcome of all type II endoleaks that have occurred following endovascular AAA repair at our institution.
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