Utilization of endovascular and open surgical repair in the United States: A 10-year analysis of the National Trauma Databank (NTDB)

2019 ◽  
Vol 218 (6) ◽  
pp. 1128-1133 ◽  
Author(s):  
AN Romagnoli ◽  
M Zeeshan ◽  
B Joseph ◽  
ML Brenner
Keyword(s):  
United States ◽  
Surgical Repair ◽  
The United States ◽  
Open Surgical Repair ◽  
National Trauma

scholarly journals Burkholderia Aortic Aneurysm: A Case Report and Review of the Literature

2017 ◽  
Vol 2017 ◽  
pp. 1-4 ◽  
Author(s):  
Sreelakshmi Panginikkod ◽  
Aishwarya Ramachandran ◽  
Pratyusha Bollimunta ◽  
Roshanak Habibi ◽  
Roshan Kumar Arjal ◽  
...  
Keyword(s):  
United States ◽  
Burkholderia Pseudomallei ◽  
Surgical Repair ◽  
Epigastric Pain ◽  
The United States ◽  
The Philippines ◽  
Northern Australia ◽  
Review Of The Literature ◽  
Descending Thoracic Aorta ◽  
Ct Angiogram

Melioidosis is a frequently fatal infection caused by the Gram-negative bacillus Burkholderia pseudomallei endemic to Southeast Asia and Northern Australia. It is a rare imported pathogen in the United States and is a potential bioterror agent. We report the case of an 82-year-old previously healthy man who presented with 2 weeks of fever and epigastric pain after he returned from the Philippines. A diagnosis of nondissecting mycotic aneurysm in the descending thoracic aorta was made with the help of CT angiogram and positive blood cultures. The patient completely recovered with a 6-month antibiotic therapy followed by surgical repair of the aneurysm. Given the slight increase in the number of melioidosis cases reported by CDC since 2008, melioidosis might be considered an emerging infectious disease in the United States. The purpose of this report is to raise awareness of the disease among clinicians as well as travelers.

Hemodynamics in Human Abdominal Aortic Aneurysms During Rest and Simulated Exercise

2007 ◽  
Author(s):  
Andrea S. Les ◽  
Christopher P. Cheng ◽  
Mary T. Draney Blomme ◽  
C. Alberto Figueroa ◽  
John F. LaDisa ◽  
...  
Keyword(s):  
United States ◽  
Shear Stress ◽  
Wall Shear Stress ◽  
Surgical Repair ◽  
Abdominal Aortic Aneurysms ◽  
The United States ◽  
Aortic Aneurysms ◽  
High Particle ◽  
Abdominal Aortic ◽  
Natural Progression

Abdominal Aortic Aneurysms (AAAs) — the localized enlargement of the abdominal aorta — represent the 13th leading cause of death in the United States. The natural progression of small (3–5 cm) AAAs is 2–6% growth per year until rupture or surgical repair [1]. As AAAs enlarge, adverse hemodynamic conditions (including regions of low mean wall shear stress and high particle residence time) are exacerbated under normal resting conditions.

scholarly journals CRT-100.28 Coronary Artery Stenting in the Trauma Patient: A Review of Utilization and Outcomes in the United States National Trauma Databank

2017 ◽  
Vol 10 (3) ◽  
pp. S11
Author(s):  
Odunayo Olorunfemi ◽  
Gbolahan Ogunbayo ◽  
Anand Dayama ◽  
Rebecca Ojo ◽  
Amole Ojo ◽  
...  
Keyword(s):  
United States ◽  
Coronary Artery ◽  
Trauma Patient ◽  
The United States ◽  
National Trauma ◽  
Coronary Artery Stenting

Myelomeningocele: surgical trends and predictors of outcome in the United States, 1988–2010

2014 ◽  
Vol 13 (6) ◽  
pp. 666-678 ◽  
Author(s):  
Varun R. Kshettry ◽  
Michael L. Kelly ◽  
Benjamin P. Rosenbaum ◽  
Andreea Seicean ◽  
Lee Hwang ◽  
...  
Keyword(s):  
Public Health ◽  
United States ◽  
Hospital Stay ◽  
Low Income ◽  
Surgical Repair ◽  
The United States ◽  
Shunt Placement ◽  
Health Initiatives ◽  
Myelomeningocele Repair ◽  
Public Health Initiatives

Object Myelomeningocele repair is an uncommonly performed surgical procedure. The volume of operations has been decreasing in the past 2 decades, probably as the result of public health initiatives for folate supplementation. Because of the rarity of myelomeningocele, data on patient or hospital factors that may be associated with outcome are scarce. To determine these factors, the authors investigated the trends in myelomeningocele surgical repair in the United States over a 23-year period and examined patient and hospital characteristics that were associated with outcome. Methods The Nationwide Inpatient Sample database for 1988–2010 was queried for hospital admissions for myelomeningocele repair. This database reports patient, hospital, and admission characteristics and surgical trends. The authors used univariate and multivariate logistic regression to assess associations between patient and hospital characteristics and in-hospital deaths, nonroutine discharge, long hospital stay, and shunt placement. Results There were 4034 hospitalizations for surgical repair of myelomeningocele. The annual volume decreased since 1988 but plateaued in the last 4 years of the study. The percentages of myelomeningocele patients with low income (30.8%) and Medicaid insurance (48.2%) were disproportionately lower than those for the overall live-born population (p < 0.0001). More operations per 10,000 live births were performed for Hispanic patients (3.2) than for white (2.0) or black (1.5) patients (p < 0.0001). Overall, 56.6% of patients required shunt placement during the same hospital stay as for surgical repair; 95.0% of patients were routinely discharged; and the in-hospital mortality rate was 1.4%. Nonwhite race was associated with increased in-hospital risk for death (OR 2.8, 95% CI 1.2–6.3) independent of socioeconomic or insurance status. Conclusions Overall, the annual surgical volume of myelomeningocele repairs decreased after public health initiatives were introduced but has more recently plateaued. The most disproportionately represented populations are Hispanic, low-income, and Medicaid patients. Among nonwhite patients, increased risk for in-hospital death may represent a disparity in care or a difference in disease severity.

scholarly journals CRT-800.54 Intra-aortic Balloon Pump Use In The Trauma Patient - Better Late Than Never? An Analysis Of The United States National Trauma Databank

2017 ◽  
Vol 10 (3) ◽  
pp. S78
Author(s):  
Odunayo Olorunfemi ◽  
Gbolahan Ogunbayo ◽  
Amole Ojo ◽  
Rebecca Ojo ◽  
Josephine Adunse ◽  
...  
Keyword(s):  
United States ◽  
Trauma Patient ◽  
The United States ◽  
Intra Aortic Balloon Pump ◽  
National Trauma

scholarly journals Successful Obliteration of a Pseudoaneurysm from Post-CEA Repair Secondary to a Pruitt-Inahara Shunt Using a Stent Graft

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Vishal Dahya ◽  
Prasad Chalasani
Keyword(s):  
Carotid Artery ◽  
Stent Graft ◽  
Surgical Repair ◽  
The United States ◽  
Blunt Injury ◽  
Open Surgical Repair ◽  
Invasive Approach ◽  
Less Invasive Approach ◽  
Graft Reconstruction ◽  
Positive Results

Pseudoaneurysms of the carotid artery are very uncommon complications following carotid endarterectomy. Pseudoaneurysms are usually caused by any kind of blunt injury or trauma during carotid artery surgery. CEA has become an increasingly more common vascular surgery performed in the United States. The standard of treatment for a carotid PA has been open surgical repair with excision of the defect and then a graft reconstruction of the artery. Advancements in endovascular intervention have helped to make it a more popular choice in treatment because of the positive results and less invasive approach. This case report describes the successful obliteration of a large post-CEA PA using a stent graft. The PA was likely secondary to the use of a Pruitt-lnahara Shunt because it was found to be distal to the endarterectomized area of the carotid artery which means that the defect was likely caused by the balloon portion of the shunt. This case demonstrates the feasibility of using endovascular interventional techniques to treat a PA using a stent graft.

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