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Featured Article
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Vascular Disease Management - ISSN: 1553-8036 - Volume 2 - Issue 6 - November 2006 | |
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| Christian Spies, MD and R. Jeffrey Snell, MD |
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AngioSeal Closure Device Related Dissection: Anchor-Related Trauma in a Normal Vessel |
| Shahrzad Shareghi, MD and David M. Shavelle, MD |
The goal of vascular closure devices is to reduce access site complications, patient discomfort and duration of immobilization. We recently encountered a patient that developed loss of distal pulses following the placement of an AngioSeal closure device, with subsequent surgical exploration showing probable anchor-mediated vascular injury and dissection.
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Impact of Gender on In-Hospital Outcomes Following Contemporary Percutaneous Intervention for Peripheral Arterial Disease |
| Akio Kawamura, MD, Thomas C. Piemonte, MD, Richard W. Nesto, MD, Seth D. Bilazarian, MD, Nabila S. Riskalla, RN, Manish S. Chauhan, MD |
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Women and Aneurysm Disease: Progress and Challenges |
| Ellen D. Dillavou, MD |
Abdominal aortic aneurysm (AAA) differences between men and women are becoming increasingly well-known, with mounting evidence that women rupture at smaller aneurysm sizes, have higher mortality, and may not receive surgery as often as men. In a recent review of the US Medicare database, we found that men have had a 30% decrease in AAA rupture surgery over the past decade, compared to a 12% drop for women (P < .001). Rupture mortality is higher for women (44.2% versus 52.8%, P < .001), as is elective mortality in 2003 (3.2% versus 5.45%, P < .001). Men have a significantly shorter length of stay and are more likely to be discharged home. We conclude that recent improvements in AAA management have decreased aneurysm-related deaths. Women, however, continue to have consistently poorer outcomes after open and ruptured AAA repair.
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| Subbarao Myla, MD, FACC |
Dr. Myla is an Interventional Cardiologist and the Medical Director of Cardiovascular Research and Vascular Intervention for the Hoag Memorial Hospital Presbyterian. He is also affiliated with Premier Heart and Vascular Care. Dr. Myla is board certified in internal medicine, cardiology, interventional cardiology and critical care medicine. He has been a principal investigator for numerous clinical trials and is routinely invited to organize and participate in national and international symposia. Dr. Myla has also served as a media consultant for the popular television shows Chicago Hope and Gideon’s Crossing.
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