Publications by authors named "Reinier R Smeets"

Article Synopsis
  • Transcatheter aortic valve implantation (TAVI) via transfemoral access is becoming more common in treating aortic valve disease, though access-related vascular complications still affect about 10% of procedures.
  • This study analyzed patients from Dutch and German hospitals who underwent TF-TAVI between 2017 and 2021, focusing on those who had occlusive complications (OC) versus hemorrhagic complications (HC) requiring further intervention.
  • Results showed that patients with OC had significantly smaller arterial diameters compared to those with HC, while those with HC had a higher tortuosity index, highlighting the need for careful preoperative imaging to tailor prevention strategies.
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Veno-arterial extracorporeal membrane oxygenation (V-A ECMO) cannulas have major repercussions on vascular hemodynamics that can potentially lead to limb ischemia. Duplex ultrasound enables the non-invasive analysis of vascular hemodynamics. This study aims to describe the duplex parameters of the femoral vessels during V-A ECMO support, investigate differences between cannulated and non-cannulated vessels, and analyze the variations in the case of limb ischemia and intra-aortic balloon pumps (IABPs).

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Objective: Venous injury to the inferior vena cava or iliac veins is rare but can result in high mortality rates. Traditional treatment by repair or ligation can be technically demanding. A relatively new treatment modality is the use of a covered stent to cover the venous defect.

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Background: Treatment of rectovaginal fistulas is difficult, and many surgical interventions have been developed. The best surgical intervention for the closure of these fistulas is still unclear.

Objective: A systematic review was performed reporting the outcomes of different surgical techniques for rectovaginal fistulas.

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Background: The long-term closure rate of high perianal fistulas after surgical treatment remains disappointing.

Objective: The goal of this study was to improve the long-term closure rate of high cryptoglandular perianal fistulas combining mucosal advancement flap with platelet-rich plasma.

Design: This study was retrospective in design.

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