6 results match your criteria: "Center for Learning and Excellence in Vascular and Endovascular Research (CLEVER)[Affiliation]"
Uncontrolled hypertension is associated with higher perioperative mortality, prolonged ICU stay, and increased cardiac complications versus controlled hypertension after Endovascular Aneurysm Repair.
J Vasc Surg
November 2024
Center for Learning and Excellence in Vascular and Endovascular Research (CLEVER), Division of Vascular & Endovascular Surgery, Department of Surgery, UC San Diego (UCSD), San Diego, California. Electronic address:
Article Synopsis
- The study investigates the impact of controlled versus uncontrolled hypertension on the outcomes of patients undergoing elective Endovascular Aneurysm Repair, using a national database to enhance preoperative care.
- Patients were categorized based on their hypertension status and tracked for outcomes like perioperative death and other complications, from a larger group including both hypertensive and non-hypertensive individuals.
- The results showed that patients with uncontrolled hypertension had significantly worse outcomes compared to those with controlled hypertension and non-hypertension, indicating the need for better preoperative management in hypertensive patients.
Investigation of the weekend effect on perioperative complications and mortality after carotid revascularization.
J Vasc Surg
November 2024
Division of Vascular & Endovascular Surgery, Department of Surgery, Center for Learning and Excellence in Vascular and Endovascular Research (CLEVER), UC San Diego, San Diego, CA. Electronic address:
Article Synopsis
- The study aimed to investigate the "weekend effect" on outcomes for three types of carotid revascularization procedures: carotid endarterectomy (CEA), transcarotid artery revascularization (TCAR), and transfemoral carotid artery stenting (TFCAS) from 2016 to 2022.
- Researchers analyzed data from 155,962 procedures and found that while TCAR showed no significant differences in outcomes between weekend and weekday interventions, CEA and TFCAS had increased odds of complications and mortality when performed on weekends.
- Specifically, asymptomatic patients undergoing weekend procedures had nearly triple the odds of 30-day mortality and in-hospital death for CEA, TCAR, and TFCAS
A Contemporary Evaluation of the Centers for Medicare and Medicaid Services High-risk Indicators for Carotid Endarterectomy.
Ann Surg
September 2024
Department of Surgery, Division of Vascular & Endovascular Surgery, Center for Learning and Excellence in Vascular and Endovascular Research (CLEVER), UC San Diego (UCSD), San Diego, CA.
Objective: Compare stroke/death outcomes across carotid endarterectomy (CEA), transcarotid artery revascularization (TCAR), and transfemoral carotid artery stenting (TFCAS) using Centers for Medicare and Medicaid Services (CMS) high-risk criterion.
Background: Existing literature has revealed inconsistencies with CMS risk guidelines. With recent approval for TCAR and TFCAS in standard-risk patients, an updated analysis of guidelines is needed.
Transcarotid Artery Revascularization Versus Carotid Endarterectomy.
Angiology
June 2024
Department of Surgery, Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
The obesity paradox exists for perioperative complications and mortality following lower extremity arterial bypass surgery.
J Vasc Surg
September 2024
Division of Vascular Surgery, Department of Surgery, Center for Learning and Excellence in Vascular and Endovascular Research (CLEVER), UC San Diego, San Diego, CA. Electronic address:
Objective: The obesity paradox refers to a phenomenon by which obese individuals experience lower risk of mortality and even protective associations from chronic disease sequelae when compared with the non-obese and underweight population. Prior literature has demonstrated an obesity paradox after cardiac and other surgical procedures. However, the relationship between body mass index (BMI) and perioperative complications for patients undergoing major open lower extremity arterial revascularization is unclear.
View Article and Find Full Text PDFPropensity-Score Matched Analysis of Three Years Survival of Trans Carotid Artery Revascularization Versus Carotid Endarterectomy in the Vascular Quality Initiative Medicare-Linked Database.
Ann Surg
October 2023
Department of Surgery, UC San Diego, San Diego, CA.
Objective: Carotid endarterectomy (CEA) remains the gold standard procedure for carotid revascularization. Transfemoral carotid artery stenting (TFCAS) was introduced as a minimally invasive alternative procedure in patients who are at high risk for surgery. However, TFCAS was associated with an increased risk of stroke and death compared to CEA.
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