40 results match your criteria: "Center for Vascular Care[Affiliation]"

Current Quality of Videos on Colorectal Cancer Screening for General Public.

Am Surg

April 2024

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health at San Antonio, San Antonio, TX, USA.

Background: One-third of American adults encompassed by current colorectal cancer screening guidelines fail to obtain recommended screening evaluations. Educational videos are a valuable medium through which to educate and encourage recommended health behaviors in patients.

Methods: A cross-sectional study reviewing the quality of patient education videos addressing colorectal cancer screening.

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An analysis of vascular surgery education publications reveals an educational shortage.

J Vasc Surg

May 2023

Center for Quality, Effectiveness and Outcomes in Cardiovascular Diseases, Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX; Division of Vascular and Endovascular Surgery, Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX; South Texas Center for Vascular Care, South Texas Medical Center, University of Texas Health Science Center at San Antonio, San Antonio, TX. Electronic address:

Background: As vascular surgery training continues to evolve with the growth of integrated vascular surgery residency (0+5) programs and the consolidation of fellowship programs, optimizing all aspects of the education for vascular surgery trainees, both fellows and 0+5 residents, has become increasingly important. In the present study, we aimed to determine the prevalence, quality, and content of vascular surgery education publications across journals.

Methods: Journal websites (n = 26) and PubMed were queried to identify vascular surgery education publications from 2012 to 2021.

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Objective: Angiosarcoma is a rare malignant vascular tumor, and the management and outcome of this disease are not well-described. The aim of this study was to report the incidence, patient demographics, and outcomes of angiosarcoma based on national data.

Methods: Data on patients with angiosarcoma were obtained from the Surveillance, Epidemiology, and End Results (SEER) database.

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Systematic review of vascular surgery recruitment strategies for medical students and general surgery residents.

J Vasc Surg

September 2022

Department of Surgery, University of Texas Health at San Antonio, San Antonio; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio; Division of Vascular and Endovascular Surgery, University of Texas Health at San Antonio, San Antonio. Electronic address:

Objectives: Recruitment into the vascular surgery specialty is an imperative as the specialty faces significant demographic changes. Due to the changing dynamics in vascular surgery training pathways, we sought to review current literature on recruitment strategies and their effectiveness with medical students and general surgery residents.

Methods: A systematic search, following Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines, was performed by searching MEDLINE, EMBASE, Scopus, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Education Resources Information Center (ERIC) databases for studies on vascular surgery recruitment methods for medical students and general surgery residents from inception of databases to December 31, 2021.

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Quality Assessment of Online Resources for Thoracic Outlet Syndrome Patients.

Ann Vasc Surg

September 2022

Division of Vascular and Endovascular Surgery, University of Texas Health at San Antonio, San Antonio, TX; Department of Surgery, Long School of Medicine, University of Texas Health at San Antonio, San Antonio, TX. Electronic address:

Background: The internet has become a leading resource for patients, to research information about their medical conditions. Access to inaccurate information can lead to miscommunication, poor patient satisfaction and effect shared decision-making with the provider. This study seeks to evaluate the quality and readability of patient resources that appear in the top search results for Thoracic Outlet Syndrome (TOS).

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How Competitive are Integrated Vascular Surgery Residency Programs? A Ten-Year Comparison Using a Normalized Competitive Index.

Ann Vasc Surg

November 2022

Center for Quality, Effectiveness and Outcomes in Cardiovascular Diseases, University of Texas Health at San Antonio, San Antonio, TX; Division of Vascular and Endovascular Surgery, Long School of Medicine, University of Texas Health at San Antonio, San Antonio, TX; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, TX. Electronic address:

Background: Integrated vascular surgery residency (VS) programs have increased in popularity and offer an accelerated track compared to the traditional fellowship pathway. We sought to create a simple metric for medical students to better assess the competitiveness of VS training programs compared to general surgery (GS) programs.

Methods: GS and VS programs were compared using the National Resident Matching Program match data from 2012 to 2021.

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Graduate Medical Education "Trainee in difficulty" current remediation practices and outcomes.

Am J Surg

August 2022

Division of Vascular and Endovascular Surgery, University of Texas Health at San Antonio, San Antonio, TX, USA; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, TX, USA. Electronic address:

Background: Trainees in difficulty require additional support to complete training program and become successful physicians. This study reviewed the current remediation practices and outcomes of trainees in difficulty.

Methods: A PRISMA-based literature review was performed.

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Management of Arterio-Venous Fistula Side Branches During Maturation: Ligation or Coil Embolization.

Ann Vasc Surg

May 2022

Division of Vascular and Endovascular Surgery, Long School of Medicine, University of Texas Health at San Antonio, San Antonio, TX; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, TX. Electronic address:

Objective: Failure of maturation of arteriovenous fistulae (AVF) remains an ongoing concern for dialysis access. One etiology is the presence of side branches that divert flow from the main AVF channel. This study aims to evaluate the outcomes of endovascular and open surgical interventions for AVF side branches in the setting of maturation failure.

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Quality Analysis of Online Resources for Patients with Peripheral Artery Disease.

Ann Vasc Surg

July 2022

Division of Vascular and Endovascular Surgery, University of Texas Health San Antonio, San Antonio, TX; South Texas Medical Center, South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, TX. Electronic address:

Background: The burden of peripheral artery disease is significant for public health but the readily available on-line information on the disease is poorly studied. This study seeks to evaluate the quality and readability of patient resources and identify gaps that appear in the top search results for peripheral artery disease.

Methods: Internet searches were performed for "PAD" and "Peripheral Artery Disease" and "PVD" on three search engines and two metasearch engines.

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Deep Venous Arterialization for Chronic Limb Threatening Ischemia in Atherosclerosis Patients - A Meta-Analysis.

Ann Vasc Surg

April 2022

Center for Quality, Effectiveness and Outcomes in Cardiovascular Diseases, University of Texas Health at San Antonio, San Antonio, TX; Division of Vascular and Endovascular Surgery, University of Texas Health at San Antonio, San Antonio, TX; Department of Surgery, University of Texas Health at San Antonio, San Antonio, TX; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, TX. Electronic address:

Background: Venous arterialization is an upcoming and novel alternative in chronic limb threatening ischemia (CLTI) patients in the absence of standard revascularization options. The aim of this study is to systematically review and analyze outcomes of venous arterialization.

Methods: A systematic literature search was performed in 5 databases using the PRISMA methodology.

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Exploring the relationship between electronic health records and provider burnout: A systematic review.

J Am Med Inform Assoc

April 2021

Center for Quality, Effectiveness and Outcomes in Cardiovascular Diseases, Division of Vascular and Endovascular Surgery, University of Texas Health Science Center at San Antonio, San Antonio, Texas, USA.

Objective: Stress and burnout due to electronic health record (EHR) technology has become a focus for burnout intervention. The aim of this study is to systematically review the relationship between EHR use and provider burnout.

Materials And Methods: A systematic literature search was performed on PubMed, EMBASE, PsychInfo, ACM Digital Library in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement.

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Digital Footprint of Academic Vascular Surgeons in the Southern United States on Physician Rating Websites: Cross-sectional Evaluation Study.

JMIR Cardio

February 2021

Division of Vascular Surgery, Department of Surgery, UT Health San Antonio, San Antonio, TX, United States.

Background: The internet has become a popular platform for patients to obtain information and to review the health care providers they interact with. However, little is known about the digital footprint of vascular surgeons and their interactions with patients on social media.

Objective: This study aims to understand the activity of academic vascular surgeons on physician rating websites.

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Critical analysis of the quality of internet resources for patients with varicose veins.

J Vasc Surg Venous Lymphat Disord

July 2021

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Tex; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, Tex. Electronic address:

Objective: Patients increasingly seek information on their medical conditions from the internet. The present study evaluated the quality and readability of readily available online patient resources for varicose veins.

Methods: An internet search for "varicose veins" was conducted using the meta-search engines Yippy and Dogpile and the general search engines Google, Yahoo, and Bing with a cleared-cache web browser in July 2019.

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Recruiting trainees to surgery in the United States and Canadian system - What strategies are effective?

Am J Surg

February 2021

Division of Vascular and Endovascular Surgery, University of Texas Health at San Antonio, San Antonio, TX, USA; South Texas Center for Vascular Care South Texas Medical Center, San Antonio, TX, USA. Electronic address:

Background: There has been increasing concerns regarding the declining number of medical students entering surgical residencies. The aim of this study is to analyze strategies and outcomes to enhance recruitment to the surgical specialties.

Methods: A systematic literature PRISMA-based search was performed.

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Extent of heel ulceration influences the outcomes in patients with isolated infrapopliteal limb threatening critical ischemia.

J Vasc Surg

May 2021

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health at San Antonio, and South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, Tex. Electronic address:

Background: The aim of the present study was to assess the effects of the extent of heel ulceration on the outcomes of limb threatening critical ischemia due to isolated infrapopliteal disease.

Methods: A retrospective review identified 989 patients with isolated infrapopliteal disease and heel ulceration treated from 2001 to 2018. The heel was defined as the back of the foot, extending from the Achilles tendon to around the plantar surface and covering the apex of the calcaneum bone.

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Vascular surgeons provide an important service to the health care system. They are capable of treating a wide range of disease processes that affect both the venous and arterial systems. Their presence broadens the complexity and diversity of services that a health care system can offer both in the outpatient setting and in the inpatient setting.

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Improving ABSITE scores - A meta-analysis of reported remediation models.

Am J Surg

December 2020

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health at San Antonio, San Antonio, TX, USA; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, TX, USA. Electronic address:

Background: The ABSITE is an annual formative assessment of residents' knowledge. This study examines the effects of remediation models on performance in the ABSITE.

Methods: A systemic literature review, qualitative content analysis and a quantitative meta-analysis were performed on studies from 1980 to 2018.

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Outcomes of isolated inframalleolar interventions for chronic limb-threatening ischemia in diabetic patients.

J Vasc Surg

May 2020

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health at San Antonio, San Antonio, Tex; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, Tex. Electronic address:

Background: Inframalleolar disease is present in many diabetic patients presenting with tissue loss. The aim of this study was to examine the patient-centered outcomes after isolated inframalleolar interventions.

Methods: A database of patients undergoing lower extremity endovascular interventions for tissue loss (critical limb-threatening ischemia, Wound, Ischemia, and foot Infection [WIfI] stage 1-3) and a de novo intervention on the index limb between 2007 and 2017 was retrospectively queried.

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Implications of early failure of isolated endovascular tibial interventions.

J Vasc Surg

July 2020

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health at San Antonio, San Antonio, Tex; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, Tex. Electronic address:

Background: Endovascular tibial interventions for chronic limb-threatening ischemia are frequent, but the implications of early failure (≤30 days) of an isolated tibial intervention are still unclear. The aim of this study was to examine the patient-centered outcomes after early failure of isolated tibial artery intervention.

Methods: A database of patients undergoing lower extremity endovascular interventions between 2007 and 2017 was retrospectively queried.

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Short-term contemporary outcomes for staged versus primary lower limb amputation in diabetic foot disease.

J Vasc Surg

August 2020

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Tex; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, Tex. Electronic address:

Background: Major lower extremity amputations remain among the most common procedures performed by vascular surgeons in patients with diabetes and its associated peripheral vascular disease. After major amputation, this population commonly suffers from high readmission rates, increased wound complications, and conversion to more proximal major amputations. These events impact quality in terms of cost, resources, and subjective quality of life.

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Upper extremity arterial endovascular interventions for symptomatic vascular access-induced steal syndrome.

J Vasc Surg

December 2019

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health at San Antonio, San Antonio, Tex; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, Tex. Electronic address:

Background: Critical hand ischemia owing to vascular access-induced steal syndrome (VASS) continues to be a significant problem. The aim of this study was to examine the outcomes of arterial endovascular interventions in the upper extremity of patients presenting with VASS.

Methods: A database of patients presenting with documented VASS between 2006 and 2016 was retrospectively queried.

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Outcomes of upper extremity interventions for chronic critical ischemia.

J Vasc Surg

January 2019

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health at San Antonio, San Antonio, Tex; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, Tex. Electronic address:

Background: Critical hand ischemia owing to below-the-elbow atherosclerotic occlusive disease is relatively uncommon. The aim of this study was to examine the outcomes in patients presenting with critical ischemia owing to below-the-elbow arterial atherosclerotic disease who underwent nonoperative and operative management.

Methods: A database of patients undergoing operative and nonoperative management for symptomatic below-the-elbow atherosclerotic disease between 2006 and 2016 was retrospectively queried.

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Commentary: Is Prophylactic Paving of Highly Calcified Femoropopliteal Occlusions All It's Cracked Up to Be?

J Endovasc Ther

June 2018

1 Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health Sciences Center, San Antonio, TX, USA.

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Outcomes of reintervention for recurrent symptomatic disease after tibial endovascular intervention.

J Vasc Surg

September 2018

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Tex; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, Tex. Electronic address:

Objective: Tibial interventions for critical limb ischemia are now commonplace. Restenosis and occlusion remain barriers to durability after intervention. The aim of this study was to examine the patient-centered outcomes of open and endovascular reintervention for symptomatic recurrent disease after a primary isolated tibial endovascular intervention.

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A comparison of preoperative and intraoperative vein mapping sizes for arteriovenous fistula creation.

J Vasc Surg

June 2018

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Tex; Audie L. Murphy VA Medical Center, San Antonio, Tex; South Texas Center for Vascular Care, University Hospital System, San Antonio, Tex.

Background: Duplex ultrasound (DUS) mapping of the veins and arteries of the upper extremity is a well-established practice in arteriovenous fistula creation for long-term hemodialysis access. Previous publications have shown that vein diameters varying from 2 to 3 mm are predictive of success. Regional anesthesia is known to result in vasodilation and thus to increase the diameter of upper extremity veins.

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