Cirurgia Vascular

Estudo de registro | Determinantes dos desfechos após cirurgia de dissecção aórtica aguda tipo A.

12 Jan, 2022 | 12:28h

Determinants of outcomes following surgery for type A acute aortic dissection: the UK National Adult Cardiac Surgical Audit – European Heart Journal

Editorial: Acute type A aortic dissection reconsidered: it’s all about the location of the primary entry tear and the presence or absence of malperfusion

 

Comentário no Twitter

Determinants of outcomes following surgery for type A acute aortic dissection: the UK National Adult Cardiac Surgical Audit https://t.co/nKH9jJLjdp #EHJ #ESCYoung #cardiotwitter @ehj_ed @rladeiraslopes pic.twitter.com/5C5jGd4DV6

— European Society of Cardiology Journals (@ESC_Journals) September 30, 2021

 

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Revisão | Vasculite de grandes vasos.

10 Jan, 2022 | 12:05h

Large-vessel vasculitis – Nature Reviews Disease Primers (se o link tiver acesso pago, tente este)

Infográfico: Large-vessel vasculitis (se o link tiver acesso pago, tente este)

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Risco de complicações pós-operatórias após cirurgias eletivas em pacientes com COVID-19 ativa ou resolvida nos EUA – Cirurgia realizada de 0 a 4 semanas após Covid-19 está associada a risco bastante aumentado de complicações pós-cirúrgicas; cirurgia feita de 4 a 8 semanas depois da infecção ainda está associada com risco aumentado de pneumonia.

7 Dez, 2021 | 11:50h

The Risk of Postoperative Complications following Major Elective Surgery in Active or Resolved COVID-19 in the United States – Annals of Surgery

Conteúdos relacionados:

Guideline: SARS‐CoV‐2 infection, COVID‐19 and timing of elective surgery

Study from 116 countries suggests surgery should be delayed for at least seven weeks following a COVID-19 diagnosis to reduce mortality risk

ASA Guidance: Preoperative testing for COVID-19 is essential, regardless of vaccination.

Position statement: Perioperative management of post-COVID-19 surgical patients.

Cohort study: Postoperative in-hospital mortality of patients with COVID-19 infection was more than double that in patients without COVID-19

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M-A | Em pacientes com AVC agudo de circulação anterior e evidência de isquemia cerebral reversível em um intervalo de 6-24 h, a trombectomia foi associada com taxas mais altas de independência nas atividades de vida diária em 90 dias do que tratamento clínico isolado.

19 Nov, 2021 | 12:25h

Thrombectomy for anterior circulation stroke beyond 6 h from time last known well (AURORA): a systematic review and individual patient data meta-analysis – The Lancet (link para o resumo – $ para o texto completo)

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Estudo observacional sugere que, em pacientes com AVC e oclusão de grande vaso apresentando intervalo estendido, a TC sem contraste é tão boa quanto a cintilografia de perfusão cerebral ou RM para selecionar os pacientes candidatos à trombectomia.

19 Nov, 2021 | 12:23h

Noncontrast Computed Tomography vs Computed Tomography Perfusion or Magnetic Resonance Imaging Selection in Late Presentation of Stroke With Large-Vessel Occlusion – JAMA Neurology

Comentário: Noncontrast CT a cost-friendly alternative to select late-stroke patients for thrombectomy – Health Imaging

 

Comentário no Twitter

Don’t have CTP worry not! No MRI/MRP worry not! Good old non-contrast CTH performs just as well for pt selection! But I do like those colored CBF, CBV, MTT maps & don’t like the errors in image processing! This will inc access to late thrombectomy #NoELVOleftbehind @almuftifawaz https://t.co/vBv5y2IDjT

— Neha Dangayach MD MSCR FNCS (@drdangayach) November 11, 2021

 

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Estudo randomizado | Em pacientes com AVC agudo elegíveis a alteplase intravenosa e tratamento endovascular, alteplase antes do tratamento endovascular não melhorou os desfechos em comparação com o tratamento endovascular isolado.

11 Nov, 2021 | 16:06h

A Randomized Trial of Intravenous Alteplase before Endovascular Treatment for Stroke – New England Journal of Medicine (link para o resumo – $ para o texto completo)

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Revisão sobre as complicações vasculares na COVID-19.

2 Nov, 2021 | 12:34h

A comprehensive review of vascular complications in COVID-19 – Journal of Thrombosis and Thrombolysis

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Revisão sistemática | Antibióticos profiláticos para prevenir infecções por Gram-positivos associadas a cateter venoso central de longa permanência em adultos e crianças em tratamento oncológico.

28 Out, 2021 | 16:07h

Prophylactic antibiotics for preventing gram‐positive infections associated with long‐term central venous catheters in adults and children receiving treatment for cancer – Cochrane Library

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Revisão sistemática | Comparada com a palpação, a orientação por ultrassom da cateterização arterial (não femoral) em adultos pode melhorar as taxas de sucesso.

14 Out, 2021 | 10:31h

Ultrasound guidance for arterial (other than femoral) catheterisation in adults – Cochrane Library

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Estudo randomizado | Em pacientes com acidente vascular encefálico isquêmico e oclusão de grande vaso, a trombectomia combinada com aspiração de contato e retirada por stent (stent retriever) não foi melhor do que o stent retriever isolado.

13 Out, 2021 | 12:37h

Effect of Thrombectomy With Combined Contact Aspiration and Stent Retriever vs Stent Retriever Alone on Revascularization in Patients With Acute Ischemic Stroke and Large Vessel Occlusion: The ASTER2 Randomized Clinical Trial – JAMA (link para o resumo – $ para o texto completo)

Comentários:

Little Benefit From Adding Aspiration to Thrombectomy for Stroke – Medscape (necessário cadastro gratuito)

Combo Thrombectomy Approach No Better for Large Vessel Strokes – MedPage Today (necessário cadastro gratuito)

 

Comentário no Twitter

Clinical trial found the rate of near-total or total reperfusion at the end of the endovascular procedure was not significantly different for patients receiving thrombectomy with contact aspiration and stent retriever combined vs stent retriever alone https://t.co/SQTEnysFBG

— JAMA (@JAMA_current) September 28, 2021

 

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