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Journal ArticleAnn Vasc Surg · June 2026
BACKGROUND: Surgical site infections (SSIs) are among the most common complications after lower extremity bypass (LEB) surgery, despite being considered a preventable event. In this Quality Improvement project, we report the development and implementation ...
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Journal ArticleAm Surg · May 2026
BackgroundRecent studies suggest that general surgery (GS) residents perform more operations related to their future specialty compared with their peers. In this multi-institutional study, we examined the process of early specialization among GS residents ...
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Journal ArticleAnn Vasc Surg · April 2026
BACKGROUND: Surgical site infections (SSIs) are common complications following lower extremity bypass (LEB). Previous studies have reported that recognition of SSIs may be delayed among patients with darker skin tones, leading to more severe presentations. ...
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Journal ArticleSurgery · April 2026
INTRODUCTION: Surgical site infections are common after open lower extremity revascularization for peripheral arterial disease, increasing morbidity, limb loss, mortality, and costs. Although universal bundles reduce surgical site infection rates, some pro ...
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Journal ArticleJ Vasc Access · February 6, 2026
BACKGROUND: Hemodialysis Reliable Outflow (HeRO) graft is vital for complex hemodialysis patients who have exhausted all other access options. Hemodialysis access-induced distal ischemia (HAIDI) is a serious complication, however, risk factors for HAIDI af ...
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Journal ArticleAnn Vasc Surg · February 2026
BACKGROUND: Vascular surgeons are essential to maintaining a safe operating room environment for all surgical specialties, in addition to managing primary vascular diseases. The value of the vascular surgery service line within a health-care system has bee ...
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Journal ArticleJ Vasc Surg Cases Innov Tech · February 2026
In this report, we present a 67-year-old man who was transferred from an outside facility with complaints of severe back pain. Computed tomography imaging demonstrated a type IIIa endoleak with complete junctional dissociation of his prior fenestrated endo ...
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Journal ArticleJ Vasc Access · January 2026
To overcome the limitations of central venous occlusion or stenosis (CVO) in complex chronic hemodialysis patients, the Hemodialysis Reliable Outflow (HeRO) vascular access graft was created as an alternative means of vascular access that bypasses the CVO ...
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Journal ArticleAnn Vasc Surg · January 2026
BACKGROUND: Acute limb ischemia of the upper extremity is an uncommon but emergent clinical scenario, in which both revascularization and decompressive fasciotomy may be indicated to optimize patient outcomes. The purpose of this study was to examine opera ...
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Journal ArticleAnn Vasc Surg · January 2026
BACKGROUND: Previous case series on postoperative bleeding complications after transcarotid artery revascularization (TCAR) have primarily been through case series. The purpose of this study is to evaluate risk factors and consequences of bleeding complica ...
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Journal ArticleAnn Vasc Surg · December 2025
BACKGROUND: The Hemodialysis Reliable Outflow (HeRO) graft combines an arteriovenous graft with a central venous stent, allowing for hemodialysis access in patients with end-stage renal disease limited by central venous stenosis. The impact of anticoagulat ...
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Journal ArticleAnn Vasc Surg · December 2025
BACKGROUND: Lower extremity bypasses performed with autogernous conduit have superior patency and limb salvage. This is often performed with single segment great saphenous vein (GSV), but other options may be required for patients without available GSV. Th ...
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Journal ArticleJ Vasc Surg · December 2025
BACKGROUND: Hemodialysis Reliable Outflow (HeRO) graft implantation is performed as a last resort option for hemodialysis access in patients limited by central venous stenosis or occlusion. In this single-center series, we examined the incidence, risk fact ...
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Journal ArticleJ Surg Res · November 2025
INTRODUCTION: Asians are considered an over-represented minority in medicine, making up 7% of the US national population but 17.1% of active physicians. However, representation trends are different across surgical specialties, and many surgical residency p ...
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Journal ArticleJ Surg Res · November 2025
INTRODUCTION: Surgical site infection (SSI) is among the most common complications following infrainguinal bypass surgery, despite being considered a preventable complication. The timing and selection of perioperative antibiotic prophylaxis are a key measu ...
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Journal ArticleJ Vasc Surg · October 2025
OBJECTIVE: The Hemodialysis Reliable Outflow (HeRO) graft offers hemodialysis access options for patients who have developed central venous stenosis or occlusion. In this single-center study, we report our perioperative and long-term outcomes after HeRO gr ...
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Journal ArticleJ Vasc Surg · October 2025
OBJECTIVE: Acute care vascular surgery (ACVS) comprises a significant proportion of modern vascular surgery practice. Given the burden of ACVS at our institution, we have transitioned from a traditional "on call" model to a "Surgeon of the Week" (SOW) mode ...
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Journal ArticleJ Surg Educ · September 2025
BACKGROUND: Surgical training has evolved considerably over the past decade. Both program directors (PDs) and surgical faculty have had to adapt to novel training paradigms and innovations in surgical techniques, while balancing resident education with adm ...
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Journal ArticleJ Vasc Surg · February 2025
OBJECTIVE: There remains a progressive projected deficit in the vascular surgery (VS) workforce for decades. Despite the expanding integrated VS residency pathway, the fellowship training model remains critical in supporting our future workforce. Therefore ...
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Journal ArticleAnn Vasc Surg · February 2025
BACKGROUND: Surgical site infections (SSIs) are a common cause of patient morbidity, hospital readmission, and reoperation after lower extremity bypass (LEBs) surgery for chronic limb-threatening ischemia (CLTI). Recent studies on the use of incisional neg ...
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Journal ArticleAnn Vasc Surg · February 2025
BACKGROUND: Surgical site infections (SSI) are the most common complication following lower extremity bypass (LEB) surgery. SSIs contribute to significant patient morbidity and healthcare expenditure, and accurate detection of SSIs remains an important ste ...
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Journal ArticleAm J Surg · February 2025
The impact of the coronavirus disease COVID-19 pandemic on surgical training in the United States remains a controversial topic. In this study, we examined resident and fellow operative volumes in the pre-COVID-19 and COVID-19 periods across ten different ...
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Journal ArticleOpen Forum Infectious Diseases · January 29, 2025
AbstractBackgroundDifferent societies and organizations use different surgical site infection (SSI) definitions for surveillance. With ...
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Journal ArticleJ Vasc Surg · January 2025
BACKGROUND: The management of vascular trauma requires specialized training and expertise. Although traumatic vascular injury is treated currently by both vascular and trauma surgeons in modern practice, it remains unclear who will inherit the role of mana ...
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Journal ArticleAnn Vasc Surg · January 2025
BACKGROUND: Current practice guidelines recommend dual antiplatelet therapy for at least 30 days postoperatively after transcarotid artery revascularization (TCAR) to promote stent patency. However, many patients are already taking other antithrombotic med ...
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Journal ArticleAnn Vasc Surg · January 2025
BACKGROUND: The restructuring of nonelective general surgery and nationwide implementation of the acute care surgery paradigm has improved patient outcomes and healthcare resource utilization. Although vascular surgery maintains one of the highest acuity r ...
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Journal ArticleJvs Vascular Insights · January 1, 2025
The transition from surgical trainee to new attending is one of the steepest learning curves in a surgeon's career. However, successfully navigating this difficult transition can serve as a foundation for a long and fruitful career in vascular surgery. Thi ...
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Journal ArticleJvs Vascular Insights · January 1, 2025
Background: The recent advent of endovascular aneurysm repair has shifted the landscape of abdominal aortic aneurysm treatment from an open to a primarily endovascular approach. Previous studies have reported a decline in open abdominal aortic aneurysm rep ...
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Chapter · January 1, 2025
Adequate cerebral perfusion depends on autoregulatory mechanisms that have a crucial role in maintaining cerebral hemodynamics required to meet changes in intracranial metabolic demand, despite fluctuations in systemic arterial pressure. ...
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Journal ArticleAnn Vasc Surg · December 2024
BACKGROUND: Vascular surgeons play a critical role in the functioning of a healthcare system. As a service line, vascular surgery not only performs its own complex operations but also provides support to other surgical specialties by assisting in the manag ...
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Journal ArticleAnn Vasc Surg · December 2024
BACKGROUND: Surgical site infections (SSIs) are among the most common complications after lower extremity bypass (LEB). Both patient and hospital-related factors have been associated with SSI after LEB; however, the impact of surgical closure technique on ...
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Journal ArticleJ Surg Res · December 2024
INTRODUCTION: Complications in the femoral area following vascular surgery are frequent and linked to considerable morbidity, including the risk of underlying graft infection. Sartorius muscle flaps are an important adjunct for the treatment of wound compl ...
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Journal ArticleJ Vasc Surg · September 2024
OBJECTIVE: Racial and ethnic disparities have been well-described among surgical specialties; however, variations in underrepresented in medicine (URiM) representation between these specialties have not previously been quantified. METHODS: Data collected f ...
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Journal ArticleJ Vasc Surg Venous Lymphat Disord · July 2024
INTRODUCTION: Primary vascular leiomyosarcomas are incredibly rare and have a poor prognosis. The purpose of this study was to analyze the surgical outcomes of patients with primary inferior vena cava (IVC) leiomyosarcoma. METHODS: We performed a retrospec ...
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Journal ArticleVasc Endovascular Surg · April 2024
BACKGROUND: The impact of integrated vascular surgery (VS) residency (0 + 5) programs on general surgery (GS) resident and VS fellow (5 + 2) operative volume has not been investigated on a national scale. METHODS: Accreditation Council for Graduate Medical ...
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Journal ArticleAnn Vasc Surg · March 2024
BACKGROUND: Comprehensive vascular care includes both arterial and venous disease management. However, operative training in venous disease is often significantly overshadowed by arterial procedures, despite the public health burden of acute and chronic ve ...
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Journal ArticleVascular · February 2024
OBJECTIVES: Open lower extremity revascularization is controversial among octogenarians; however, the indications for surgical bypass are higher in the elderly population. The aim of the study was to compare postoperative outcomes between octogenarians and ...
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Journal ArticleJ Vasc Surg · February 2024
OBJECTIVE: Groin wound complications are common following vascular surgery and can lead to significant patient morbidity. Sartorius muscle flap coverage may help to prevent vascular graft infection in the setting of wound dehiscence or infection. However, ...
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Journal ArticleAnn Vasc Surg · February 2024
BACKGROUND: Carotid endarterectomy (CEA) is currently performed by multiple surgical specialties. The impact of surgical specialty and operative volume on post-CEA outcomes has been well described. However, it is unclear whether trainees of different surgi ...
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Journal ArticleJ Surg Res · January 2024
INTRODUCTION: Bypass graft failure and major amputation are among the worst complications after femoropopliteal bypass surgery. In this large multicenter analysis, we examined our incidence and risk factors for failure-to-salvage (FTS) following either byp ...
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Journal ArticleAnn Vasc Surg · January 2024
BACKGROUND: Single segment, greater saphenous vein (GSV) conduit is considered the optimal bypass conduit among patients undergoing bypass surgery for peripheral artery disease (PAD). While this data has been extrapolated to patients undergoing bypass for ...
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Journal ArticleJvs Vascular Insights · January 1, 2024
Background: Social media is a powerful tool for vascular surgeons to showcase their expertise, share their research, and network with peers and patients. However, it also requires careful consideration of ethical and professional standards and effective st ...
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Journal ArticleJvs Vascular Insights · January 1, 2024
Objective: Orthopedic surgery is among the highest compensated specialties in modern practice. Vascular surgeons are consulted frequently during orthopedic operations, however, the comprehensive value of the vascular surgery service to the safe delivery of ...
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Journal ArticleJ Vasc Surg · December 2023
BACKGROUND: Endovascular and hybrid interventions have played an increasingly prominent role in the treatment of peripheral arterial disease (PAD) in the past decade. This shift has prompted concerns about the adequacy of open surgical training for current ...
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Journal ArticleAnn Vasc Surg · November 2023
BACKGROUND: Preoperative anemia is an important, modifiable risk factor among surgical patients. However, data are scarce on the impact of preoperative anemia on postoperative outcomes after infrainguinal bypass. METHODS: In this multi-institutional analys ...
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Journal ArticleAtherosclerosis · November 2023
BACKGROUND AND AIMS: Lower extremity bypass surgery is an effective treatment option for patients with chronic limb-threatening ischemia (CLTI). Recent studies have suggested that sex-based differences may impact patient outcomes following lower extremity ...
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Journal ArticleJ Vasc Surg · November 2023
BACKGROUND: Although endovascular technology has resulted in a paradigm shift in treatment, medical management remains the standard of care for penetrating aortic ulcer (PAU) and intramural hematoma (IMH). This study aimed to detail the short- and long-ter ...
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Journal ArticleJ Clin Med · September 27, 2023
BACKGROUND: The importance of collaboration between vascular and podiatric surgeons has been well-established. High-level partnerships are integral to the development of multidisciplinary programs and wound care centers, ultimately resulting in improved pa ...
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Journal ArticleJ Vasc Surg Cases Innov Tech · September 2023
The inferior mesenteric artery (IMA) has often been overlooked in favor of the celiac or superior mesenteric artery in arterial mesenteric ischemia, owing to the typically robust visceral collateral networks. In the present report, we have described a case ...
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Journal ArticleAnn Vasc Surg · September 2023
BACKGROUND: The purpose of this study was to examine sex-based trends in incidence of elective abdominal aortic aneurysm (AAA), ruptured AAA, ruptured AAA repair, and AAA-related mortality. METHODS: A retrospective analysis of patients presenting with AAA ...
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Journal ArticleAnn Surg · May 1, 2023
OBJECTIVE: To determine if routine completion angiography for lower extremity bypasses using vein conduit results in lower rates of postoperative bypass occlusion. SUMMARY OF BACKGROUND DATA: With the increasing availability of on-table angiography and sig ...
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Journal ArticleAnn Vasc Surg · May 2023
BACKGROUND: Given the relative rarity of ruptured and symptomatic type I-III thoracoabdominal aortic aneurysms (TAAA), data is scarce with regard the outcomes of those who survive to repair. The goal of this study was to determine short and long-term outco ...
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Journal ArticleJ Vasc Surg · April 2023
OBJECTIVE: Ruptured abdominal aortic aneurysms (RAAAs) are surgical emergencies that require immediate and expert treatment. It has been unclear whether presentation during evenings and weekends, when "on call" teams are primarily responsible for patient c ...
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Journal ArticleVasc Endovascular Surg · April 2023
Objectives: Unplanned hospital readmission is a leading source of hospital resource expenditure, and preventing readmission may improve both patient quality of life and healthcare costs. The factors influencing hospital readmission after lower extremity by ...
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Journal ArticleAnn Vasc Surg · April 2023
BACKGROUND: Studies have previously identified increased morbidity and mortality with celiac artery coverage during thoracic endovascular aortic repair (TEVAR) for aneurysmal disease. This study aimed to delineate the risks associated with celiac artery co ...
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Journal ArticleAnn Vasc Surg · April 2023
BACKGROUND: Clopidogrel resistance is a well-described phenomenon that has been linked to adverse cardiovascular events in patients with coronary artery disease. The impact of clopidogrel resistance in patient outcomes after vascular and endovascular surge ...
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Journal ArticleAnn Vasc Surg · April 2023
BACKGROUND: Centralization of vascular surgery care for Ruptured Abdominal Aortic Aneurysms (RAAAs) to high-volume tertiary centers may hinder access to timely surgical intervention for patients in remote areas. The objective of this study was to determine ...
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Journal ArticleAnnals of Vascular Surgery Brief Reports and Innovations · March 1, 2023
Infectious aortitis is an uncommon vascular pathology that can be associated with development of pseudoaneurysms and mycotic aneurysms of the thoracic or abdominal aorta. Non-typhoidal Salmonellae most commonly cause gastroenteritis in adults and can rarel ...
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Journal ArticleJ Vasc Surg · January 2023
OBJECTIVE: Antiplatelet therapy has been a pillar of management for peripheral artery disease (PAD). However, a significant subset of patients with PAD will be resistant to certain antiplatelet medications and, therefore, have an increased risk of graft an ...
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Journal ArticleAnn Vasc Surg · January 2023
BACKGROUND: Clinical outcomes in women with peripheral artery disease (PAD) after revascularization procedures are worse compared to men, yet there is little in the existing literature as why this may be the case. Platelet Mapping is an emerging point-of-c ...
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Journal ArticleJvs Vascular Insights · January 1, 2023
Objective: Current research suggests a significant discrepancy in integrated vascular resident (IVR) vs vascular fellow case numbers by the completion of training. Our objective was to understand how IVRs log cases over the course of their training. Additi ...
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Chapter · December 8, 2022
Mary T. Hawn, Aurora D. Pryor, Steven J. Hughes, Michael S. Sabel, Kellie R. Brown and Amy J. Goldberg, this comprehensive, two-volume surgical atlas focuses on the steps of each technique, rapidly directing you to the information you need ... ...
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Journal ArticleJ Surg Res · November 2022
INTRODUCTION: Outcomes after femoropopliteal bypass for intermittent claudication (IC) remain unclear in the endovascular era. METHODS: A multi-institutional database was retrospectively queried for all femoropopliteal bypass procedures performed between 1 ...
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Journal ArticleAnn Vasc Surg · November 2022
BACKGROUND: Postoperative infection and wound dehiscence rates are higher than expected in peripheral artery disease and contribute significantly to limb loss and mortality. Microvascular pathology characterized by microthrombi and increased platelet aggre ...
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Journal ArticleJ Vasc Surg · October 2022
BACKGROUND: Anticoagulant and antiplatelet (AC/AP) medications have been reported to improve bypass graft patency, however, the optimal AC/AP strategy remains unclear in the heterogenous peripheral artery disease population. METHODS: A multi-institutional ...
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Journal ArticleAnn Vasc Surg · August 2022
BACKGROUND: Abdominal compartment syndrome (ACoS) is a devastating complication after endovascular aneurysm repair for ruptured abdominal aortic aneurysms (rEVAR). This study sought to develop a risk score for ACoS to identify patients who would benefit fr ...
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Journal ArticleVasc Endovascular Surg · July 2022
Chronic limb-threatening ischemia (CLTI) carries a high risk of amputation and warrants urgent intervention. CLTI involving the infrageniculate vessels, in particular, carries a considerably higher risk of major limb amputation. Open surgical bypass is the ...
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Journal ArticleJ Vasc Surg · July 2022
OBJECTIVE: In this multi-institutional series, we aimed to determine the incidence, risk factors, and long-term outcomes of graft infection in patients post-femoropopliteal bypass. METHODS: A multi-institutional database was retrospectively queried for all ...
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Journal ArticleAm J Surg · July 2022
OBJECTIVE: Recent initiatives have emphasized the importance of diversity, equity, and inclusion in academic surgery. Racial/ethnic disparities remain prevalent throughout surgical training, and the "diversity pipeline" in resident recruitment and retentio ...
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Journal ArticleJ Vasc Surg Venous Lymphat Disord · July 2022
BACKGROUND: Pregnancy is a known risk factor for developing varicose veins (VV). However, pregnancy is often considered a homogeneous entity and few studies have examined if specific characteristics and complications of pregnancy may influence VV formation ...
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Journal ArticleVasc Endovascular Surg · April 2022
BackgroundRecent studies report a limited window in which carotid endarterectomy (CEA) provides the greatest benefit for symptomatic carotid stenosis. Given the time-sensitive nature of CEA for symptomatic stenosis, it is important to understand whether pa ...
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Book · March 16, 2022
This book is designed to provide easy to reference, up to date protocols and procedures for vascular ultrasound. The text also delineates how to interpret imaging findings and implement results for optimal patient care outcomes. Chapters thoroughly cover a ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretations of a lower extremity arterial duplex exam in the evaluation of lower extremity arterial aneurysms. It discusses how to prepare the patient and perform the ultrasound. It also evaluates ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretation of a lower extremity bypass duplex exam. It discusses how to prepare the patient and perform the ultrasound from a technologist's perspective. It also addresses the clinical criteria use ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretation of an upper and lower extremity vein mapping for bypass graft conduit. It discusses how to prepare the patient and perform the ultrasound from a technician's perspective. It also evaluat ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretations of the mesenteric artery duplex exam. It discusses how to prepare the patient and perform the ultrasound with associated with maneuvers. It also evaluates the clinical utility of a mese ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretations of a lower extremity venous duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also evaluates the clinical utility of a lower extremity venous duplex in ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretations of an upper extremity arterial duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also addresses the clinical utility of the duplex in the evaluation of ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretations of a pelvic venous duplex, specifically in the evaluation of venous structures in the pelvis that may cause pelvic congestion. It discusses how to prepare the patient and perform the ul ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretations of the transcranial Doppler. It discusses how to prepare the patient and perform the ultrasound. It also evaluates the clinical utility of a transcranial Doppler in the evaluation of pl ...
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Chapter · March 16, 2022
Building a vascular laboratory is a highly ambitious endeavor. Whether you are starting a new practice, expanding a current practice, or undertaking new clinical research capabilities, the creation of a vascular laboratory is no small undertaking. Approval ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretation of abdominal aortic and iliac artery duplex. It discusses how to prepare the patient and perform the ultrasound from a technologist's perspective. It also evaluates the clinical utility ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretations of a lower extremity peripheral arterial physiologic testing. It discusses how to prepare the patient and perform the ultrasound. It also evaluates the clinical utility of a lower extre ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretations of upper extremity arterial physiologic testing. It discusses how to prepare the patient and perform the ultrasound. It also addresses the clinical utility of the ultrasound in the eval ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretations of a temporal artery duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also addresses the clinical utility of the duplex for the evaluation of giant ce ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretations of a renal artery duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also evaluates the clinical utility of a renal artery duplex in the evaluation of r ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretations of an upper extremity venous duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also addresses the clinical utility of the duplex on the evaluation of a ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretations of the lower extremity arterial duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also evaluates the clinical utility of a lower extremity arterial dup ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretation of a hemodialysis fistula mapping ultrasound. It discusses how to prepare the patient and perform the ultrasound from a technician's perspective. It also addresses the anatomic and physi ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretation of a lower extremity venous reflux study. It discusses how to prepare the patient and perform the ultrasound with associated maneuvers. It also evaluates the clinical criteria used to id ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretations of an extracranial cerebrovascular duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also addresses the clinical utility of the duplex in the evaluatio ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretation of a palmar arch (Allen's) test. It discusses how to prepare the patient and perform the ultrasound from a technician's perspective. It also evaluates the clinical utility of the Allen's ...
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Chapter · March 16, 2022
This chapter reviews the indications, limitations, and interpretation of a hemodialysis fistula duplex exam. It discusses how to prepare the patient and perform the ultrasound from a technologist's perspective. It also evaluates the clinical utility of a h ...
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Journal ArticleJ Vasc Surg · March 2022
OBJECTIVE: Thromboelastography (TEG) is diagnostic modality that analyzes real-time blood coagulation parameters. Clinically, TEG primarily allows for directed blood component resuscitation among patients with acute blood loss and coagulopathy. The utiliza ...
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Journal ArticleJ Vasc Surg · December 2021
OBJECTIVE: Penetrating atherosclerotic ulcers (PAUs) in aortic branch vessels are rare. There is a paucity of data regarding their long-term natural history and associated management. This study aimed to determine the prevalence and natural history of aort ...
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Journal ArticleCirculation · October 5, 2021
BACKGROUND: Literature detailing the natural history of asymptomatic penetrating aortic ulcers (PAUs) is sparse and lacks long-term follow-up. This study sought to determine the rate of asymptomatic PAU growth over time and adverse events from asymptomatic ...
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Journal ArticleSemin Vasc Surg · September 2021
Since the onset of the COVID-19 pandemic, a concentrated research effort has been undertaken to elucidate risk factors underlying viral infection, severe illness, and death. Recent studies have investigated the association between blood type and COVID-19 i ...
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Book · August 5, 2021
This is a short and comprehensive handbook of current management of vascular surgery. This review is well-organized and aims to cover all topics in vascular surgery. Each of the disease processes encountered in vascular surgery are divided into their etiol ...
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Journal ArticleSemin Vasc Surg · March 2021
Chronic venous insufficiency (CVI) affects more than 25 million adults in the United States alone, and more 6 million with advanced stages of venous disease. The high incidence of CVI and the increasing costs of care, place a heavy financial burden on the ...
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Journal ArticleJ Surg Educ · 2021
OBJECTIVE: Recent initiatives have targeted the issue of gender and ethnic/racial disparities in general surgery and vascular surgery. However, the prevalence of these disparities in general and vascular surgical training programs is unknown. DESIGN: A ret ...
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Journal ArticleSurg Open Sci · April 2020
BACKGROUND: Preoperative narcotic use impacts hospital cost and outcomes in surgical patients, but the underlying reasons are unclear. METHODS: A single-center retrospective analysis was performed on surgical patients admitted with intestinal obstruction ( ...
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Journal ArticleJ Surg Res · March 2020
BACKGROUND: Acute lung injury (ALI) is a frequent complication after severe trauma. Lung-protective ventilation strategies and damage control resuscitation have been proposed for the prevention of ALI; however, there are no clinical or laboratory parameter ...
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Journal ArticleAm J Transplant · February 2020
Morbid obesity is a barrier to kidney transplant in patients with end-stage renal disease (ESRD). Laparoscopic sleeve gastrectomy (SG) is an increasingly considered intervention, but the safety and long-term outcomes are uncertain. We reviewed prospectivel ...
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Journal ArticleThromb Res · January 2020
INTRODUCTION: During storage, packed red blood cells undergo a series of physical, metabolic, and chemical changes collectively known as the red blood cell storage lesion. One key component of the red blood cell storage lesion is the accumulation of microp ...
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Journal ArticleSurg Obes Relat Dis · January 2020
BACKGROUND: Morbid obesity serves as a barrier to kidney transplantation (KT) due to potential suboptimal posttransplant outcomes. Laparoscopic sleeve gastrectomy (LSG) has previously been shown to improve transplant eligibility through weight loss. OBJECT ...
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Journal ArticleSurgery · December 2019
BACKGROUND: Patients undergoing complex surgery at safety net hospitals have been shown to suffer inferior short-term outcomes. Liver transplantation, one of the most complex surgical interventions, is offered at certain safety net hospitals. We sought to ...
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Chapter · November 27, 2019
Helps you achieve better outcomes and ensure faster recovery times for your patients. Provides a quick, efficient review prior to surgery and when preparing for surgical boards and ABSITEs."--Publisher ...
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Journal ArticleLiver Transpl · November 2019
Obesity has become an epidemic in the United States over the past decade, and recent studies have shown this trend in the liver transplantation (LT) population. These patients may be candidates for laparoscopic sleeve gastrectomy (LSG) to promote significa ...
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Journal ArticlePediatr Emerg Care · September 2019
We present a case of a 17-year-old girl with sialadenitis and sialocele due to trauma sustained from a dental procedure. Our objectives are to review relevant literature and anatomy of the floor of the mouth and salivary glands and discuss potential compli ...
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Journal ArticleBMJ Case Rep · May 9, 2019
We present a case of a 26-year-old woman with a small bowel herniating from her vagina following traumatic injury from a road traffic accident. The patient was taken immediately to operating theatre for repair of her uterine defect and small bowel resectio ...
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Journal ArticleJ Surg Case Rep · May 2019
We hereby present a case of a 6-year-old boy with exposed brain matter following traumatic injury from a road traffic accident, in a third-world country with poor healthcare resources. The patient was taken immediately to operating theater where two genera ...
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Journal ArticleJ Surg Case Rep · April 2019
We present a 82-year-old man who presented with a 3-week history of a fungating penile mass with urinary leakage. Our objectives are to detail our global health experience providing surgical care in a low-resource, third-world environment. ...
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Journal ArticleShock · March 2019
During sepsis, the early innate response and inflammatory cytokine cascade are associated with activation of the coagulation cascade. Acute hypercoagulability can contribute to lethal sequela of vascular thrombosis, tissue ischemia, and organ failure. We i ...
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Journal ArticleAm J Surg · January 2019
INTRODUCTION: Predictors of student performance on clerkship rotations are limited. In this study, we aim to identify predictors of success on the surgery clerkship. METHODS: 62 third-year medical students completed an institution-specific clerkship survey ...
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Journal ArticleJ Gastrointest Surg · December 2018
INTRODUCTION: Safety-net hospitals provide care to an inherently underprivileged patient population. These hospitals have previously been shown to have inferior surgical outcomes after complex, elective procedures, but little is known about how hospital pa ...
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Journal ArticleShock · November 2018
Traumatic brain injury (TBI) results in systemic changes in coagulation and inflammation that contribute to post-traumatic morbidity and mortality. The potential interaction of platelets and pro-inflammatory cytokines in the modulation of coagulation, micr ...
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Journal ArticleSurgery · October 2018
BACKGROUND: Variability in blood use after pancreaticoduodenectomy and the associated impact on readmission, mortality, and cost is not well understood at the national level. METHODS: The University HealthSystem Consortium database was queried for all panc ...
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Journal ArticleJ Gastrointest Surg · June 2018
BACKGROUND: Preoperative exposure to narcotics has recently been associated with poor outcomes after elective major surgery, but little is known as to how preoperative opioid use impacts outcomes after common, emergency general surgical procedures (EGS). M ...
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Journal ArticleHPB (Oxford) · March 2018
BACKGROUND: We aimed to characterize variability in cost after straightforward orthotopic liver transplant (OLT). METHODS: Using the University HealthSystem Consortium and Scientific Registry of Transplant Recipients databases, we identified patients who u ...
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Journal ArticleSurgery · March 2018
BACKGROUND: Despite the potential benefits of social media, health care providers are often hesitant to engage patients through these sites. Our aim was to explore how implementation of social media may affect patient engagement and satisfaction. METHODS: ...
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Journal ArticleShock · March 2018
Microparticles are submicron vesicles shed from aging erythrocytes as a characteristic feature of the red blood cell (RBC) storage lesion. Exposure of pulmonary endothelial cells to RBC-derived microparticles promotes an inflammatory response, but the mech ...
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Journal ArticleAm J Transplant · February 2018
Morbid obesity is a barrier to kidney transplantation due to inferior outcomes, including higher rates of new-onset diabetes after transplantation (NODAT), delayed graft function (DGF), and graft failure. Laparoscopic sleeve gastrectomy (LSG) increases tra ...
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Journal ArticleJ Gastrointest Surg · February 2018
BACKGROUND: Several studies have identified a "weekend effect" for surgical outcomes, but definitions vary and the cause is unclear. Our aim was to better characterize the weekend effect for emergency general surgery using mortality as a primary endpoint. ...
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Journal ArticleSurgery · February 2018
BACKGROUND: Red blood cell-derived microparticles are biologically active, submicron vesicles shed by erythrocytes during storage. Recent clinical studies have linked the duration of red blood cell storage with thromboembolic events in critically ill trans ...
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Journal ArticleJ Gastrointest Surg · January 2018
BACKGROUND: Due to disparities in access to care, patients with Medicaid or no health insurance are at risk of not receiving appropriate adjuvant treatment following resection of pancreatic cancer. We have previously shown inferior short-term outcomes foll ...
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Chapter · 2018
Essential reading for residents and medical students, this popular handbook is a must-have resource for convenient, quick access to information on managing common surgical problems. ...
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Chapter · 2018
Essential reading for residents and medical students, this popular handbook is a must-have resource for convenient, quick access to information on managing common surgical problems. ...
Cite
Journal ArticleSurgery · December 2017
BACKGROUND: Orthotopic liver transplantation is a curative treatment for hepatocellular carcinoma within Milan criteria, but these criteria preclude many patients from transplant candidacy. Recent studies have demonstrated that downstaging therapy can redu ...
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Journal ArticleJ Surg Res · October 2017
BACKGROUND: Laparoscopic subtotal cholecystectomy (LSC) is considered a safe alternative to laparoscopic cholecystectomy (LC) if biliary anatomy is obscured by inflammation. While case series studies have observed low morbidity rates with LSC, the impact o ...
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Chapter · September 27, 2017
This book provides a comprehensive, state-of-the art review of current and new therapies in treating pancreatic cancer. ...
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Journal ArticleSurgery · August 2017
BACKGROUND: While previous studies have demonstrated short-term efficacy of laparoscopic sleeve gastrectomy in candidates awaiting renal transplantation, the combination of morbid obesity and end-stage renal disease presents unique challenges to perioperat ...
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Chapter · July 30, 2017
With the expertise of an author panel of leading clinicians in the field of surgery, trauma, critical care and geriatrics the new edition of this text addresses the explosion in knowledge on the impact aging has on injury, acute illness and ... ...
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Journal ArticleBlood Transfus · July 2017
Since the advent of anticoagulation and component storage of human blood products, allogeneic red blood cell transfusion has been one of the most common practices in modern medicine. Efforts to reduce the biochemical effects of storage, collectively known ...
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Journal ArticleJ Surg Res · June 1, 2017
BACKGROUND: Although increased hospital volume has been correlated with improved outcomes in certain surgical procedures, the effect of center volume on pancreas transplantation (PT) is less understood. Our study aims to establish whether a volume-outcome ...
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Journal ArticleJ Surg Res · May 15, 2017
BACKGROUND: Prolonged storage of packed red blood cells (pRBCs) induces a series of harmful biochemical and metabolic changes known as the RBC storage lesion. RBCs are currently stored in an acidic storage solution, but the effect of pH on the RBC storage ...
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Journal ArticleSurgery · May 2017
BACKGROUND: Efforts to regionalize surgery based on thresholds in procedure volume may have consequences on the cost of health care delivery. This study aims to delineate the relationship between hospital volume, case mix, and variability in the cost of op ...
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Journal ArticleShock · May 2017
Erythrocyte-derived microparticles (MPs) are sub-micrometer, biologically active vesicles shed by red blood cells as part of the biochemical changes that occur during storage. We hypothesized that MPs from stored red blood cells would activate endothelial ...
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Journal ArticleJ Surg Oncol · March 2017
BACKGROUND AND OBJECTIVES: In patients with borderline resectable pancreas cancers, clinicians frequently consider radiographic response as the primary driver of whether patients should be offered surgical intervention following neoadjuvant therapy (NT). W ...
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Journal ArticleSurgery · December 2016
BACKGROUND: A growing number of renal transplant recipients have a body mass index ≥40. While previous studies have shown that patient and graft survival are significantly decreased in renal transplant recipients with body mass indexes ≥40, less is known a ...
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Journal ArticleAnn Surg Oncol · December 2016
BACKGROUND: Sequencing therapy for patients with periampullary malignancy is controversial. Clinical trial data report high rates of adjuvant therapy completion, though contemporary, real-world rates remain incomplete. We sought to identify patients who fa ...
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Journal ArticleInt J Hematol Res · June 2016
Hemorrhagic shock is a leading cause of mortality within the trauma population, and blood transfusion is the standard of care. Leukoreduction filters remove donor leukocytes prior to transfusion of blood products. While the benefits of leukocyte depletion ...
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Book · May 20, 2016
This High-Yield ABSITE Review is the perfect study aid for surgical residents who aim to excel on the American Board of Surgery In-Training Examination (ABSITE). This study guide was created by residents who have done well on the ABSITE during their clinic ...
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Journal ArticleClin Lymphoma Myeloma · June 2009
We describe an extremely rare case of so-called nonsecretory, nonproducer myeloma in an 80-year-old man who presented with weight loss and anemia. The patient's serum protein electrophoresis was negative for M protein spike, and quantitation of his immunog ...
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