journal
https://read.qxmd.com/read/37863614/computer-science-meets-vascular-surgery-keeping-a-pulse-on-artificial-intelligence
#21
REVIEW
Carly Thaxton, Alan Dardik
Artificial intelligence (AI)-based technologies have garnered interest across a range of disciplines in the past several years, with an even more recent interest in various health care fields, including Vascular Surgery. AI offers a unique ability to analyze health data more quickly and efficiently than could be done by humans alone and can be used for clinical applications such as diagnosis, risk stratification, and follow-up, as well as patient-used applications to improve both patient and provider experiences, mitigate health care disparities, and individualize treatment...
September 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37863613/machine-learning-and-image-analysis-in-vascular-surgery
#22
REVIEW
Roger T Tomihama, Saharsh Dass, Sally Chen, Sharon C Kiang
Deep learning, a subset of machine learning within artificial intelligence, has been successful in medical image analysis in vascular surgery. Unlike traditional computer-based segmentation methods that manually extract features from input images, deep learning methods learn image features and classify data without making prior assumptions. Convolutional neural networks, the main type of deep learning for computer vision processing, are neural networks with multilevel architecture and weighted connections between nodes that can "auto-learn" through repeated exposure to training data without manual input or supervision...
September 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37863612/artificial-intelligence-in-clinical-workflow-processes-in-vascular-surgery-and-beyond
#23
REVIEW
Shernaz S Dossabhoy, Vy T Ho, Elsie G Ross, Fatima Rodriguez, Shipra Arya
In the past decade, artificial intelligence (AI)-based applications have exploded in health care. In cardiovascular disease, and vascular surgery specifically, AI tools such as machine learning, natural language processing, and deep neural networks have been applied to automatically detect underdiagnosed diseases, such as peripheral artery disease, abdominal aortic aneurysms, and atherosclerotic cardiovascular disease. In addition to disease detection and risk stratification, AI has been used to identify guideline-concordant statin therapy use and reasons for nonuse, which has important implications for population-based cardiovascular disease health...
September 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37863611/artificial-intelligence-for-the-vascular-surgeon
#24
REVIEW
Sina Asaadi, Kevin N Martins, Mary M Lee, Joe Luis Pantoja
In recent years, artificial intelligence (AI) has permeated different aspects of vascular surgery to solve challenges in clinical practice. Although AI in vascular surgery is still in its early stages, there have been promising developments in its applications to vascular diagnosis, risk stratification, and outcome prediction. By establishing a baseline knowledge of AI, vascular surgeons are better equipped to use and interpret the data from these types of projects. This review aims to provide an overview of the fundamentals of AI and highlight its role in helping vascular surgeons overcome the challenges of clinical practice...
September 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37863610/forward
#25
EDITORIAL
Sharon C Kiang
No abstract text is available yet for this article.
September 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330249/the-role-of-big-data-risk-prediction-simulation-and-centralization-for-emergency-vascular-problems-lessons-learned-and-future-directions
#26
REVIEW
Salvatore T Scali, David H Stone
Vascular specialists remain in high demand in current practice and commonly oversee care delivery for a variety of clinical emergencies. Accordingly, the contemporary vascular surgeon must be facile with treating a spectrum of problems, including a complex, heterogeneous group of acute arteriovenous thromboembolic and bleeding diatheses. It has been documented previously that there are substantial current workforce limitations placing constraints on vascular surgical care provision. Moreover, with the aging at-risk population, there remains a considerable national urgency to improve timely diagnoses, specialty consultation, and appropriate transfer of patients to centers of excellence capable of providing a comprehensive compendium of emergency vascular services...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330248/the-anesthesiologist-s-perspective-on-emergency-aortic-surgery-preoperative-optimization-intraoperative-management-and-postoperative-surveillance
#27
REVIEW
Fulvio Nisi, Luca Carenzo, Nadia Ruggieri, Antonio Reda, Maria Giulia Pascucci, Arianna Pignataro, Efrem Civilini, Federico Piccioni, Enrico Giustiniano
The management of emergencies related to the aorta requires a multidisciplinary approach involving various health care professionals. Despite technological advancements in treatment methods, the risks and mortality rates associated with surgery remain high. In the emergency department, definitive diagnosis is usually obtained through computed tomography angiography, and management focuses on controlling blood pressure and treating symptoms to prevent further deterioration. Preoperative resuscitation is the main focus, followed by intraoperative management aimed at stabilizing the patient's hemodynamics, controlling bleeding, and protecting vital organs...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330247/the-role-of-multimodal-imaging-in-emergency-vascular-conditions-the-journey-from-diagnosis-to-hybrid-operating-rooms
#28
REVIEW
Elda Chiara Colacchio, Mariagiovanna Berton, Francesco Squizzato, Mirko Menegolo, Michele Piazza, Franco Grego, Michele Antonello
Multimodal imaging is the incorporation of two or more imaging modalities during the same examination, and it has both diagnostic and treatment applications. The use of image fusion for intraoperative guidance in endovascular interventions is being extended increasingly to the field of vascular surgery, especially in the context of hybrid operating rooms. The aim of this work was to perform a review and narrative synthesis of the available literature in order to report on current applications of multimodal imaging in diagnosis and treatment of emergent vascular conditions...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330246/emergency-vascular-surgical-care-in-populations-with-unique-physiologic-characteristics-pediatric-pregnant-and-frail-populations
#29
REVIEW
David Warner, Kathryn W Holmes, Rana Afifi, Melissa L Russo, Sherene Shalhub
Vascular surgical emergencies are common in vascular surgical care and require complex decision making and multidisciplinary care. They are especially challenging when they occur in patients with unique physiological characteristics, such as pediatric, pregnant, and frail patients. Among the pediatric and pregnant population, vascular emergencies are rare. This rarity challenges accurate and timely diagnosis of the vascular emergency. This landscape review summarizes these three unique populations' epidemiology and emergency vascular considerations...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330245/severe-local-wound-infections-after-vascular-exposure-in-the-groin-and-other-body-areas-prevention-treatment-and-prognosis
#30
REVIEW
Marta Minucci, Tommaso Donati, Antonio Luparelli, Lucia Scurto, Julia Paolini, Simona Sica, Marco Natola, Fabrizio Minelli, Yamume Tshomba, Giovanni Tinelli
Severe surgical site infections (SSIs) are a frequent nosocomial complication after vascular interventions, an important cause of postoperative morbidity, and a substantial burden to the health care system. Patients undergoing arterial interventions are at elevated risk of SSIs, possibly because of the presence of several risk factors in this patient population. In this review, we examined the available clinical evidence for the prevention, treatment, and prognostication of postoperative severe SSIs after vascular exposure in the groin and other body areas...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330244/acute-perioperative-complications-after-arterial-and-venous-femoral-access-in-major-vascular-and-cardiac-procedures-ischemic-or-hemorrhagic-patterns-and-how-to-solve-them
#31
REVIEW
Luca Mezzetto, Mario D'Oria, Davide Mastrorilli, Elisa Zanetti, Gioele Simonte, Nicola Leone, Edoardo Veraldi, Sandro Lepidi, Gian Franco Veraldi
A direct percutaneous arterial and venous approach to the common femoral vessel has become the first option in most large-bore percutaneous vascular and cardiac procedures, making the issue of access site-related complications (ASCs) a pressing clinical concern. ASCs represent a potentially limb-threating and/or life-threatening scenario that alters the clinical success of the procedure and contributes to increased length of stay and resource utilization. Preoperative assessment of risk factors for ASCs should be well known before planning an endovascular percutaneous procedure and early diagnosis is necessary for prompt treatment...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330243/acute-venous-problems-integrating-medical-surgical-and-interventional-treatments
#32
REVIEW
Daniele Bissacco, Tim J Mandigers, Silvia Romagnoli, Tiziana Aprea, Chiara Lomazzi, Ilenia D'Alessio, Velio Ascenti, Anna Maria Ierardi, Maurizio Domanin, Valerio Stefano Tolva, Gianpaolo Carrafiello, Santi Trimarchi
"Acute venous problems" refers to a group of disorders that affect the veins and result in sudden and severe symptoms. They can be classified based on the pathological triggering mechanisms, such as thrombosis and/or mechanical compression, and their consequences, including symptoms, signs, and complications. The management and therapeutic approach depend on the severity of the disease, the location, and the involvement of the vein segment. Although summarizing these conditions can be challenging, the objective of this narrative review was to provide an overview of the most common acute venous problems...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330242/acute-problems-of-hemodialysis-access-thrombosis-aneurysms-symptomatic-high-flow-fistulas-and-complications-related-to-central-lines
#33
REVIEW
Marco Franchin, Marco Tadiello, Luca Guzzetti, Andrea Gattuso, Francesca Mauri, Maria Cristina Cervarolo, Mario Giovanni Gerardo D'Oria, Matteo Tozzi
Hemodynamic complications frequently affect vascular access and are important causes of morbidity and mortality. We present a review of acute complications affecting vascular accesses, focusing on classical and new treatments. Acute complications in hemodialysis vascular access are often underestimated and undertreated, and can present a challenge for both vascular surgeons and anesthesiologists. Accordingly, we considered different anesthesiologic approaches to both hemorrhagic and nonhemorrhagic patients...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330241/emergent-vessel-embolization-for-major-traumatic-and-non-traumatic-hemorrhage-indications-tools-and-outcomes
#34
REVIEW
Tal M Hörer, Anna Maria Ierardi, Serena Carriero, Carolina Lanza, Gianpaolo Carrafiello, David T McGreevy
Endovascular embolization of bleeding vessels in trauma and non-trauma patients is frequently used and is an important tool for bleeding control. It is included in the EVTM (endovascular resuscitation and trauma management) concept and its use in patients with hemodynamic instability is increasing. When the correct embolization tool is chosen, a dedicated multidisciplinary team can rapidly and effectively achieve bleeding control. In this article, we will describe the current use and possibilities for embolization of major hemorrhage (traumatic and non-traumatic) and the published data supporting these techniques as part of the EVTM concept...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330240/recent-advances-and-the-future-of-abdominopelvic-and-lower-extremity-vascular-injury-management
#35
REVIEW
Mahmood Kabeil, David S Kauvar, Lisa Bennett, Max V Wohlauer
Despite advances in open and endovascular management of trauma, vascular injuries remain a source of devastating outcomes. This narrative review of the literature between 2018 and 2023 explored recent advances in abdominopelvic and lower extremity vascular injury management. New conduit choices, use of temporary intravascular shunts, and advances in endovascular management of vascular trauma were reviewed. Although endovascular techniques are being applied more frequently, there is a paucity of reporting on long-term outcomes...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330239/major-vascular-traumas-to-the-neck-upper-limbs-and-chest-clinical-presentation-diagnostic-approach-and-management-strategies
#36
REVIEW
Giovanni Badalamenti, Ciro Ferrer, Cristiano Calvagna, Marco Franchin, Gabriele Piffaretti, Jacopo Taglialavoro, Silvia Bassini, Filippo Griselli, Beatrice Grando, Sandro Lepidi, Mario D'Oria
Major vascular traumas to the neck, upper limbs, and chest may arise from penetrating and/or blunt mechanisms, resulting in a range of clinical scenarios. Lesions to the carotid arteries may also lead to neurologic complications, such as stroke. The increasing use of invasive arterial access for diagnostic and/or interventional purposes has increased the rate of iatrogenic injuries, which usually occur in older and hospitalized patients. Bleeding control and restoration of perfusion represent the two main goals of treatment for vascular traumatic lesions...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330238/resuscitative-balloon-occlusion-of-the-aorta-in-the-modern-era-expanding-indications-optimal-techniques-unresolved-issues-and-current-results
#37
REVIEW
Joanna Shaw, Megan Brenner
Resuscitative endovascular balloon occlusion of the aorta has been used by trauma surgeons at the bedside for more than a decade in civilian and military settings. Translational and clinical research suggests it is superior to resuscitative thoracotomy for select patients. Clinical research suggests outcomes are superior in patients who received resuscitative balloon occlusion of the aorta compared with those who did not. Technology has advanced considerably in the past several years, leading to the improved safety profile and wider adoption of resuscitative balloon occlusion of the aorta...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330237/acute-management-of-mesenteric-emergencies-tailoring-the-solution-to-the-problem
#38
REVIEW
Rebecca N Treffalls, David P Stonko, Randall R DeMartino, Jonathan J Morrison
Acute mesenteric ischemia (AMI) constitutes a life-threatening problem that can result in death, multiorgan failure, and severe nutritional disability. Although AMI is a rare cause of acute abdominal emergencies, ranging between 1 and 2 individuals per 10,000, the morbidity and mortality rates are high. Arterial embolic etiology composes nearly one-half of AMIs, with a sudden onset of severe abdominal pain considered the most common symptom. Arterial thrombosis is the second most common cause of AMI, which presents similarly to arterial embolic AMI, although often more severe due to anatomic differences...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330236/emergent-management-of-diabetic-foot-problems-in-the-modern-era-improving-outcomes
#39
REVIEW
Nicola Troisi, Giulia Bertagna, Maciej Juszczak, Francesco Canovaro, Lorenzo Torri, Daniele Adami, Raffaella Berchiolli
Limb amputation is a consequence, and the leading complication, of diabetic foot ulcers. Prevention depends on prompt diagnosis and management. Patients should be managed by multidisciplinary teams and efforts should be focused on limb salvage ("time is tissue"). The diabetic foot service should be organized in a way to meet the patient's clinical needs, with the diabetic foot centers at the highest level of this structure. Surgical management should be multimodal and include not only revascularization, but also surgical and biological debridement, minor amputations, and advanced wound therapy...
June 2023: Seminars in Vascular Surgery
https://read.qxmd.com/read/37330235/acute-ischemia-of-the-upper-and-lower-limbs-tailoring-the-treatment-to-the-underlying-etiology
#40
REVIEW
Ciro Ferrer, Giulia Antonietta Cannizzaro, Adelaide Borlizzi, Cataldo Caruso, Rocco Giudice
Acute limb ischemia (ALI) can be a devastating clinical emergency with potentially limb- or life-threatening consequences. It is defined as a quickly developing or sudden decrease in limb perfusion producing new or worsening symptoms and signs, often threatening limb viability. ALI is commonly related to an acute arterial occlusion. Rarely, extensive venous occlusion can lead to upper and lower extremities ischemia (ie, phlegmasia). The incidence of acute peripheral arterial occlusion causing ALI is approximately 1...
June 2023: Seminars in Vascular Surgery
journal
journal
29928
2
3
Fetch more papers »
Fetching more papers... Fetching...
Remove bar
Read by QxMD icon Read
×

Save your favorite articles in one place with a free QxMD account.

×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"

We want to hear from doctors like you!

Take a second to answer a survey question.