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| http://dx.doi.org/10.1097/JOM.0000000000000118 | DOI Listing |
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Vascular access: Femoral, radial and large-bore alternative access.
Prog Cardiovasc Dis
January 2025
Charles R Drew University School of Medicine, Los Angeles, CA, United States of America; VA Long Beach Healthcare System, Long Beach, CA, United States of America. Electronic address:
Vascular access for coronary, peripheral, and structural interventions has changed significantly over the past two decades. The evolving demand for both large-bore access for valvular interventions and mechanical support devices, and for safer access for coronary interventions, in patients with comorbidities have driven progress in these areas. This review will provide an overview of the techniques of arterial access in the femoral, forearm (radial and ulnar), and alternative (transcarotid, transaxillary, and transcaval) locations based on the latest evidence and experience.
View Article and Find Full Text PDFUnderstanding risk factors for revision surgery after cubital tunnel release: Analysis of patient selection, surgeon, and clinical factors.
J Hand Microsurg
December 2024
Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA.
Purpose: The purpose of this study was to identify and characterize factors that may contribute to revision surgery following primary cubital tunnel release (CuTR) surgery.
Methods: A retrospective study was performed by reviewing all patients who underwent CuTR at a single institution between 2014 and 2021. Only primary CuTR surgeries were included.
Ulnar-Basilic Arteriovenous Fistula for Hemodialysis: A 15-Year Overview.
Semin Dial
December 2024
Nephrology Department, Hospital General Universitario Reina Sofía, Universidad de Murcia, Murcia, Spain.
Article Synopsis
- The study focuses on ulnar-basilic fistulas (UBFs) for hemodialysis, which are less common than radiocephalic fistulas due to specific anatomical challenges.
- A retrospective review analyzed 11 UBFs created between 2008 and 2023, finding that while only 3.3% of functional distal AVFs were UBFs, many demonstrated immediate success.
- The results indicated that UBFs are safe and durable options for hemodialysis despite technical difficulties, particularly for patients with multiple health issues.
Favorable Outcomes Following Elbow Ulnar Collateral Ligament Reconstruction and Repair, Though Repair Associated with Increased Risk of Revision Surgery.
Arthroscopy
November 2024
Department of Sports Medicine, Hospital for Special Surgery, New York, New York, U.S.A.
Purpose: To assess the risk of revision surgery following repair versus reconstruction of the medial ulnar collateral ligament (UCL) of the elbow in a national sample of patients in the United States.
Methods: This was a retrospective cohort study of young patients (≤35 years old) who underwent primary UCL reconstruction or repair for an isolated medial UCL injury of the elbow from October 2015 through October 2022 in a large national database (PearlDiver). Patient demographic data, comorbidities, surgical details, and concomitant ulnar nerve procedures were collected.
Shoulder disarticulation after clavicle fracture: a case report.
Ulus Travma Acil Cerrahi Derg
November 2024
Department of Orthopaedics and Traumatology, Okan University, İstanbul-Türkiye.
Article Synopsis
- - A 90-year-old woman with multiple health issues arrived at the emergency department three weeks after a fall, showing signs of neurological and vascular complications related to a fractured left clavicle.
- - Imaging revealed a displaced midshaft clavicle fracture and significant arterial flow loss in the left arm's major arteries due to compression.
- - Due to her fragile health, the surgical team opted for shoulder disarticulation to address the arterial occlusion, and she showed no further circulatory issues at the three-month follow-up, highlighting the risks of delayed treatment in such fractures.
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