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Background And Objective: Ambulatory surgery centers (ASCs) are increasingly common venues for same-day neurosurgical procedures, allowing for cost-effective, high-quality patient care. We present the first and largest series of patients undergoing diagnostic cerebral angiography at an ASC to demonstrate the effectiveness, safety, and efficiency of outpatient endovascular care.

Methods: We retrospectively reviewed data for consecutive patients who underwent diagnostic cerebral angiography at our ASC between January 1, 2024, and May 29, 2024.

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Objective: Postoperative day-one discharge is used as a quality-of-care indicator after carotid revascularization. This study identifies predictors of prolonged length of stay (pLOS), defined as a postprocedural LOS of >1 day, after elective carotid revascularization.

Methods: Patients undergoing carotid endarterectomy (CEA), transcarotid artery revascularization (TCAR), and transfemoral carotid artery stenting (TFCAS) in the Vascular Quality Initiative between 2016 and 2022 were included in this analysis.

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A 53-year-old man with inotrope-dependent advanced heart failure was admitted with acute decompensation and underwent urgent listing for heart transplant.

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Transfemoral amputation versus knee arthrodesis for failed total knee replacement: A systematic review of outcomes.

Knee

March 2024

The University of Notre Dame Australia, Auburn, New South Wales, Australia; Limb Reconstruction Centre, Macquarie University Hospital, Macquarie Park, Australia.

Article Synopsis
  • The systematic review examined outcomes of two salvage options for failed total knee replacements: transfemoral amputation (TFA) and knee arthrodesis (KA), focusing on factors like ambulatory status, infections, and quality of life.
  • A total of 44 studies were analyzed, revealing that TFA patients had lower ambulatory capacity and higher infection rates compared to KA patients, but similar rates of needing revision surgery.
  • The lack of randomized controlled trials highlights possible selection bias in the data, suggesting that KA patients generally have better outcomes in terms of mobility compared to those undergoing TFA.
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Background: A 72-year-old man with a history of delayed presentation for severe right lower extremity burns underwent through-knee amputation complicated by periprosthetic distal femur osteomyelitis. Subsequent transfemoral amputation was complicated by Stage IVB Cierny-Mader osteomyelitis despite appropriate medical and surgical treatment.

Methods: Due to the presence of threatened proximal femur intramedullary nail from prior intertrochanteric femur fracture, inability to further shorten femur, and lack of local soft-tissue options, we performed soft tissue reconstruction with free gracilis flap.

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