Journal ArticleAcad Radiol · May 2025
Generative artificial intelligence, including large language models (LLMs), holds immense potential to enhance healthcare, medical education, and health research. Recognizing the transformative opportunities and potential risks afforded by LLMs, the Associ ...
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Journal ArticleJ Vasc Interv Radiol · May 2025
PURPOSE: To compare costs of intravascular ultrasound (IVUS)-guided transjugular intrahepatic portosystemic shunt (TIPS) creation versus non-IVUS-guided TIPS creation, accounting for differences in procedure time and resource utilization. MATERIALS AND MET ...
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Journal ArticleJ Vasc Interv Radiol · October 2024
PURPOSE: To determine the degree of renal function deterioration after renal cryoablation in patients with a solitary functioning kidney on the basis of ablation volume. MATERIALS AND METHODS: Over a 15-year period, 81 percutaneous cryoablations were perfo ...
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Journal ArticleAcad Radiol · August 2024
RATIONALE ANDÂ OBJECTIVES: Near-peer paradigms have been demonstrated effective in supporting how students navigate novel clinical environments. In this study, we describe an innovative model of incorporating teaching assistants (TAs) into a core radiology ...
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Journal ArticleAcad Radiol · June 2024
The discussion and critical appraisal of medical literature in a group setting has been incorporated in health care education for over a century and remains one of the structured didactic activities in Accreditation Council for Graduate Medical Education r ...
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Journal ArticleClin Imaging · June 2024
PURPOSE: The purpose of this study was to evaluate long-term morphologic changes occurring in the liver after TIPS creation with correlation with hepatic function to gain insight on the physiologic impact of TIPS on the liver. METHODS: This retrospective s ...
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Journal ArticleCurr Probl Diagn Radiol · 2024
RATIONALE AND OBJECTIVES: Radiology remains underrepresented in U.S. medical school clinical curricula, and preconceived opinions about the field may impact whether students pursue elective exposure. A core radiology clerkship at one academic institution p ...
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Journal ArticleCurr Probl Diagn Radiol · 2024
PURPOSE: Uterine artery embolization has become established as a frontline treatment for uterine leiomyomata. In planning embolization, preprocedural imaging can further characterize pathology and anatomy, but it may also reveal coexisting diagnoses that h ...
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Journal ArticleCurr Probl Diagn Radiol · 2024
RATIONALE AND OBJECTIVES: A novel three-day radiology course, PRIMER, directly preceding medical students' clinical year, was created and assessed. The required course consisted of large group lecture sessions, small group breakout sessions, and individual ...
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Journal ArticleBMJ Case Rep · November 6, 2023
A man in his late 60s presented with intermittent abdominal pain, nausea, vomiting and approximately 40 pounds of weight loss over the course of a year, most concerning for chronic mesenteric ischaemia. Given a prior negative workup, a CT angiogram was per ...
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Journal ArticleJ Vasc Interv Radiol · October 2023
PURPOSE: To compare the laboratory markers of acute liver injury after transjugular intrahepatic portosystemic shunt (TIPS) creation performed using intravascular ultrasound (IVUS) guidance with those using other techniques. MATERIALS AND METHODS: This sin ...
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Journal ArticleAcad Radiol · August 2023
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RATIONALE AND OBJECTIVES: The COVID-19 pandemic prompted the virtualization of historically in-person radiology rotations for medical students. As students return to in-person clinical education, there is an opportunity to reevaluate teaching strategies an ...
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Journal ArticleJ Am Coll Radiol · April 2023
PURPOSE: The objective of this study was to determine differences in the reporting of performance data on medical student performance evaluations (MSPEs) by medical school ranking. METHODS: MSPEs from all US allopathic and osteopathic medical schools recei ...
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Journal ArticleJ Vasc Interv Radiol · April 2023
PURPOSE: To compare the diagnostic accuracy and adverse event rates of intravascular ultrasound (US)-guided transvenous biopsy (TVB) versus those of computed tomography (CT)-guided percutaneous needle biopsy (PNB) for retroperitoneal (RP) lymph nodes. MATE ...
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Journal ArticleAcad Radiol · March 2023
The health care sector is a resource-intensive industry, consuming significant amounts of water and energy, and producing a multitude of waste. Health care providers are increasingly implementing strategies to reduce energy use and waste. Little is current ...
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Journal ArticleJ Am Coll Radiol · February 2023
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OBJECTIVE: To understand how women and historically underrepresented minority medical students perceive radiology as a potential career choice. METHODS: Medical students representing a broad spectrum of radiology exposure from a single institution were inv ...
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Journal ArticleClin Imaging · February 2023
BACKGROUND: Intraprocedural Cone Beam CT (CBCT) is assessed to examine if use improves diagnosis and embolization rates of acute lower GI bleed (LGIB) and if automatic vessel detection (AVD) software can identify feeding vessels (FV) for embolization. METH ...
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Journal ArticleCurr Probl Diagn Radiol · 2023
Decreasing radiology reimbursement is a major challenge faced by academic radiology practices in the United States. The consequent increased workload from reading more radiological studies can lead to job dissatisfaction, burnout and adverse impact on rese ...
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Journal ArticleCurr Probl Diagn Radiol · 2023
RATIONALE & OBJECTIVES: There is increasing interest in narrative feedback and competency-based evaluation in medical student education. This study evaluates the implementation of a structured oral exam for a required radiology clerkship in furtherance of ...
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Journal ArticleCurr Probl Diagn Radiol · 2023
PURPOSE: The financial sustainability of the US healthcare system is a growing concern in an environment of declining reimbursement and rising costs. Variable Centers for Medicare and Medicaid (CMS) reimbursement and denial rates for specific imaging exami ...
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Journal ArticleSouth Med J · December 2022
OBJECTIVES: Radiology education is essential in medical school; however, developing an integrated and comprehensive curriculum remains a challenge. Many novel methods have been implemented with varying outcomes. In this study, the authors sought to examine ...
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Journal ArticleAcad Radiol · July 2022
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RATIONALE AND OBJECTIVES: Limited exposure to radiology by medical students can perpetuate negative stereotypes and hamper recruitment efforts. The purpose of this study is to understand medical students' perceptions of radiology and how they change based ...
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Journal ArticleClin Imaging · April 2022
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PURPOSE: Our diagnostic radiology (DR) program lacked a formalized, structured process for residents to learn from errors. Prior DR residency Accreditation Council for Graduate Medical Education (ACGME) survey results additionally demonstrated opportunity ...
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Journal ArticleJ Vasc Interv Radiol · March 2022
PURPOSE: To assess ischemic adverse events following particle embolization when used as a second-line embolic to coil embolization for the treatment of acute lower gastrointestinal bleeding (LGIB). MATERIALS AND METHODS: The single-institution retrospectiv ...
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Journal ArticleClin Imaging · February 2022
BACKGROUND: Adenomyosis is a common gynecologic pathology that relies on diagnostic imaging to guide treatment. Accuracy of both pelvic ultrasound and magnetic resonance imaging (MRI) when specifically evaluating for the presence of adenomyosis is high. Ho ...
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Journal ArticleCurr Probl Diagn Radiol · 2022
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PURPOSE: To quantify the financial effect of delayed reporting of new moderate sedation (MS) Current Procedural Terminology (CPT) codes at an academic radiology practice, and to identify barriers to timely reporting. MATERIALS AND METHODS: Billing and reim ...
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Journal ArticleJ Vasc Access · December 10, 2021
BACKGROUND: The purpose of this study was to assess the feasibility and outcomes of recanalization and subsequent HeRO graft outflow component insertion across stent interstices in patients with an otherwise abandoned upper extremity. METHODS: Over a 10-ye ...
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Journal ArticleAcad Radiol · December 2021
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RATIONALE AND OBJECTIVES: This study explores the relationship between the development of uterine fibroids and hemoglobin SS sickle cell disease (SCD) by examining the prevalence of uterine fibroids as detected by pelvic magnetic resonance imaging (MRI) in ...
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Journal ArticleClin Imaging · September 2021
PURPOSE: Proton pump inhibitor (PPI) use is a potential risk factor for hepatic encephalopathy (HE), but few studies have examined the effect on post-TIPS HE. The purpose of this study was to determine whether PPIs are associated with increased rates of po ...
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Journal ArticleJ Vasc Interv Radiol · September 2021
PURPOSE: To report initial clinical experience with intravascular ultrasound (US)-guided transvenous biopsy (TVB) for perivascular target lesions in the abdomen and pelvis using side-viewing phased-array intracardiac echocardiography catheters. MATERIALS A ...
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Journal ArticleAcad Radiol · September 2021
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Interventional radiology continues to evolve into a more robust and clinically dynamic specialty underpinned by significant advancements in training, education, and practice. This article, prepared by members of the 2020-2021 Association of University Radi ...
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Journal ArticleDiagn Interv Radiol · September 2021
PURPOSE: There is increasing interest in the distal radial artery in the anatomic snuffbox as an alternative arterial access point, but the durability of the distal radial artery to support repetitive accesses over multiple procedures is not well establish ...
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Journal ArticleAcad Radiol · August 2021
RATIONALE AND OBJECTIVES: Historically, patients undergoing image-guided percutaneous gastrostomy tube placement have been admitted overnight with feeds commencing 12-24 hours postprocedure. With new expedited feeding protocols starting 3-4 hours postproce ...
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Journal ArticleJ Vasc Interv Radiol · July 2021
PURPOSE: To determine whether socioeconomic status (SES) is associated with hepatic encephalopathy (HE) risk after transjugular intrahepatic portosystemic shunt (TIPS) creation. MATERIALS AND METHODS: This single-institution retrospective study included 36 ...
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Journal ArticleCardiovasc Intervent Radiol · May 2021
PURPOSE: To evaluate the technical success and safety of a steerable coaxial sharp recanalization technique that utilizes routine needles in patients with refractory thoracic central venous occlusions. MATERIALS AND METHODS: This retrospective study was pe ...
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Journal ArticleBMJ Case Rep · March 23, 2021
A 43-year-old woman presented with postpartum haemorrhage necessitating uterine artery embolisation. Prior to embolisation, angiography demonstrated the presence of a persistent sciatic artery (PSA). Due to the possibility of embolic particles inadvertentl ...
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Journal ArticleClin Imaging · February 2021
PURPOSE: To identify whether technically modifiable factors during gastrojejunostomy (GJ) tube insertion are predictive of retrograde jejunal limb migration into the stomach. MATERIALS AND METHODS: Retrospective review of our procedural database over a 5-y ...
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Journal ArticleJ Vasc Interv Radiol · February 2021
Patients with a gastrojejunal anastomosis pose challenging anatomy for percutaneous gastrojejunostomy (GJ)-tube placement. A retrospective review of 24 patients (mean age 67.8 years, 13 males) with GJ anastomoses who underwent attempted GJ tube placement r ...
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Journal ArticleJ Vasc Interv Radiol · August 2020
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PURPOSE: To assess and quantify the financial effect of unbundling newly unbundled moderate sedation codes across major payors at an academic radiology practice. MATERIALS AND METHODS: Billing and reimbursement data for 23 months of unbundled moderate seda ...
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Journal ArticleSpine (Phila Pa 1976) · August 1, 2020
STUDY DESIGN: Retrospective review. OBJECTIVE: To ascertain impact of preprocedural magnetic resonance imaging (MRI) or nuclear medicine Tc99m-DMP scintigraphy on the treatment plan when compared with plain films and/or computed tomography prior to vertebr ...
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Journal ArticleJ Vasc Interv Radiol · July 2020
PURPOSE: To determine whether a single 10-mg intravenous dose of the promotility agent metoclopramide reduces the fluoroscopy time, radiation dose, and procedure time required for gastrojejunostomy (GJ) tube placement. METHODS: This prospective, randomized ...
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Journal ArticleJ Vasc Interv Radiol · March 2020
PURPOSE: To compare early totally implantable central venous port catheter-related infection rates after inpatient vs outpatient placement and to determine whether the risk associated with inpatient placement is influenced by length of hospital stay. MATER ...
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Journal ArticleSpine (Phila Pa 1976) · February 11, 2020
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STUDY DESIGN: Retrospective review OBJECTIVE.: To ascertain impact of pre-procedural MRI or nuclear medicine Tc99m-DMP scintigraphy on the treatment plan when compared with plain films and/or CT prior to vertebral augmentation procedures. SUMMARY OF BACKGR ...
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Journal ArticleAJR Am J Roentgenol · January 2020
OBJECTIVE. The purpose of this study was to assess the impact of relative sarcopenia with excess adiposity on mortality after transjugular intrahepatic portosystemic shunt (TIPS) creation. MATERIALS AND METHODS. In this single-institution retrospective stu ...
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Journal ArticleBMJ Case Rep · November 24, 2019
A 66-year-old woman was admitted to an outside facility with leg swelling and dyspnea on exertion. Initial workup revealed severe aortic stenosis and congestive heart failure (CHF) thought to be the culprit; however, a CT performed in the emergency departm ...
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Journal ArticleAcad Radiol · November 2019
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RATIONALE AND OBJECTIVES: Requests for gastrostomy tube placement in patients on aspirin (ASA) 325 mg are common, particularly in patients following reconstructive surgery for head and neck cancer, but periprocedural guidelines and recommendations regardin ...
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Journal ArticleJ Vasc Interv Radiol · November 2019
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PURPOSE: To investigate the correlation of computed tomography (CT) angiography and 99mTechnetium-labeled red blood cell (RBC) scintigraphy to catheter angiography (CA) in the management of lower gastrointestinal bleeding (LGIB) while considering potential ...
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Journal ArticleNucl Med Commun · November 2019
OBJECTIVE: Lung shunt fraction studies using technetium-99 m macro aggregated albumin are routinely performed before yttrium-90 radioembolization regardless of underlying liver malignancy type. This study evaluates the role of lung shunt fraction studies i ...
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Journal ArticleBMJ Case Rep · August 30, 2019
A gravida 4 para 1021, 41-year-old woman postcaesarean section at 39 weeks and 1 day with clinically significant haemorrhage required embolisation of unique uterine arterial collaterals. She had persistent haemorrhage after initial bilateral uterine artery ...
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Journal ArticleCardiovasc Intervent Radiol · May 2019
PURPOSE: To compare survival after transjugular intrahepatic portosystemic shunt (TIPS) creation versus serial large volume paracenteses (LVP) in patients with refractory ascites and higher Model for End-Stage Liver Disease (MELD) scores. MATERIALS AND MET ...
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Chapter · January 18, 2019
This book will help trainees to intelligently field IR consults, effectively round on patients, and develop an understanding of IR disease processes. ...
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Journal ArticleJ Am Coll Radiol · January 2019
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PURPOSE: The purpose of this study is to compare the motivations of interventional radiology (IR) residency, IR fellowship, and diagnostic radiology (DR) applicants. MATERIALS AND METHODS: A questionnaire was distributed to IR integrated residency and IR f ...
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Journal ArticleJ Am Coll Radiol · December 2018
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INTRODUCTION: The formation of integrated interventional radiology (IR) residency programs has changed the training paradigm. This change mandates the need to provide adequate exposure to allow students to explore IR as a career option and to allow program ...
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Journal ArticleBMJ Innovations · January 1, 2018
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With obesity rates increasing rapidly, the Atlas table, a modular table overlay, was developed to address the unmet medical need of the inability of current interventional tables to support patients weighing more than 450 lbs. Current procedural tables hav ...
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Journal ArticleTech Vasc Interv Radiol · December 2017
Trauma is a significant contributor to mortality, especially in the young. Pelvic trauma with pelvic ring fractures may result in associated arterial injury, necessitating endovascular intervention. As a result, interventional radiology plays a critical ro ...
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Journal ArticleTech Vasc Interv Radiol · December 2017
Trauma is a leading cause of death in patients under the age of 45 and generally associated with a high kinetic energy event such as a motor vehicle accident or fall from extreme elevations. Blunt trauma can affect every organ system and major vascular str ...
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Journal ArticleTech Vasc Interv Radiol · December 2017
Acute lower gastrointestinal bleeding (LGIB), defined as hemorrhage into the gastrointestinal tract distal to the ligament of Treitz, is a major cause of morbidity and mortality among adults. Overall, mortality rates are estimated between 2.4% and 3.9%. Th ...
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Journal ArticleTech Vasc Interv Radiol · December 2017
Biliary and urinary obstructions can be managed endoscopically or cystoscopically, surgically or by percutansous intervention or drainage. If the obtructed system is infected, emergent decompression is needed. Early recognition and treatment is paramount i ...
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Journal ArticleTech Vasc Interv Radiol · December 2017
Hematemesis and acute postsurgical upper gastrointestinal hemorrhage are common emergent on-call consultations for the interventional radiologist. Upper GI bleleding (UGIB) is a relatively frequent problem. The incidence and mortality vary among patient po ...
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Journal ArticleTech Vasc Interv Radiol · December 2017
Interventional radiologists are often called for emergent control of abnormal uterine bleeding. Bleeding, even heavy bleeding as a result of uterine fibroids is not a common emergent procedure; instead, pregnancy and pregnancy related conditions, trauma an ...
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Journal ArticleTech Vasc Interv Radiol · December 2017
Penetrating injuries can result in acute or subacute arterial injuries of the solid organs or extremities. Although most penetrating injuries are managed conservatively, some patients require endovascular or surgical treatment. Often, the best method for m ...
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Journal ArticleTech Vasc Interv Radiol · December 2017
Acute limb ischemia is technically defined as ischemia of the lower extremities lasting 14 days or less. The condition affects between 15 and 26 persons per 100,000 each year in the United States. The associated morbidity and mortality is extremely high, w ...
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Journal ArticleJ Vasc Interv Radiol · January 2017
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PURPOSE: To compare early outcomes of skin closure with octyl cyanoacrylate skin adhesive versus subcuticular suture closure. MATERIALS AND METHODS: Over a 7-month period, 109 subjects (28 men and 81 women; mean age, 58.6 y) scheduled to undergo single-lum ...
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