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The evolving role of endovascular therapy in the management of arterial thoracic outlet syndrome.

J Vasc Surg

March 2022

Division of Vascular Surgery, University of California at Los Angeles, David Geffen School of Medicine, Los Angeles, Calif.

Article Synopsis
  • Vascular surgeons have increasingly used endovascular techniques for treating arterial thoracic outlet syndrome (ATOS) over the last two decades, with significant shifts observed in treatment methods.
  • A study reviewed 51 ATOS cases, comparing outcomes from two time periods: before and after the adoption of endovascular methods, highlighting the rise in catheter-based interventions performed by vascular surgeons in the later period.
  • Results showed that while endovascular repairs had shorter operation times and hospital stays compared to open repairs, the long-term success rates (patency rates) were lower, indicating a trade-off between immediate benefits and long-term outcomes.
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The Coronavirus (COVID-19) Effect on Public Sentiments Regarding Elective Plastic Surgery in the United States.

Plast Reconstr Surg Glob Open

April 2021

Department of Surgery, Division of Plastic and Reconstructive Surgery, Cedars-Sinai Medical Center, Los Angeles, Calif.

Background: The SARS-CoV-2 coronavirus (COVID-19) has challenged the US's healthcare systems to adapt and innovate on multiple fronts. As the course of the COVID-19 pandemic changes, we explore the US public sentiments on resuming previously postponed elective plastic surgery procedures.

Methods: A prospective national survey of one thousand US adults was conducted to study public perception of elective plastic surgery procedures during the COVID-19 pandemic.

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Impact of Rapid Transition to Telemedicine-Based Delivery on Allergy/Immunology Care During COVID-19.

J Allergy Clin Immunol Pract

July 2021

UCSF Department of Medicine, Division of Pulmonary, Critical Care, Allergy, and Sleep Medicine, San Francisco, Calif.

Background: Coronavirus disease 2019 (COVID-19) necessitated wide-scale adoption of telemedicine (TM) and restriction of in-person care. The impacts on allergy/immunology (A/I) care delivery are still being studied.

Objective: To describe the outcomes of rapid transition to TM-based care (video visit followed by in-person visits dedicated to diagnostic and therapeutic procedures when needed) at an academic A/I practice during COVID-19.

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Resuming Elective Surgery during Covid-19: Can Inpatient Hospitals Collaborate with Ambulatory Surgery Centers?

Plast Reconstr Surg Glob Open

February 2021

Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, Mich.

Unlabelled: Little is known about the volume and scope of surgical procedures performed in ambulatory surgery centers (ASCs) and the resources that ASCs may provide to assist local health systems. The purpose of this study was to evaluate elective surgical procedures in the inpatient and outpatient ASC setting using currently available administrative claims data.

Methods: We used the 2019 Medicare Point of Service (POS) file to evaluate the geographic distribution of Medicare-certified ASCs in the U.

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Background: Functional popliteal artery entrapment syndrome (FPAES) is a rare disorder described in young, physically active adults that can be limb or performance threatening if untreated. We used provocative computed tomography angiography (CTA) in these patients to guide partial debulking of the anterolateral quadrant of the medial head of the gastrocnemius muscle for FPAES and reviewed the outcomes of this technique in this highly specialized cohort.

Methods: Athletes referred with symptoms of FPAES underwent a CTA protocol with provocative plantarflexion and dorsiflexion to confirm compression and were offered surgery.

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