Posts by Mark F. Conrad, MD
Adverse Neck Anatomy Increases Risk of Late Type 1A Endoleaks
Mark F. Conrad, MD, MMSc, Thomas F.X. O'Donnell, MD, of the Division of Vascular and Endovascular Surgery, and colleagues, say close surveillance for late type 1A endoleak after endovascular aneurysm repair is needed for patients with adverse neck anatomy and those who undergo intervention for other endoleaks.
Simultaneous Treatment of Tandem Carotid Artery Lesions Risky for Asymptomatic Patients
Massachusetts General Hospital vascular surgeons found that simultaneous treatment of asymptomatic tandem carotid artery lesions (TCAL) was associated with twice the risk of perioperative stroke/death versus treatment of isolated internal carotid arteries. For symptomatic TCAL, simultaneous treatment did not increase risk.
Optimal Graft Sizing, Treatment of Endoleaks Improve Survival After TEVAR for Descending Thoracic Aortic Aneurysms
Graft oversizing of 20%–30%, treatment of endoleaks and rigorous surveillance improve mid- and long-term outcomes for patients undergoing thoracic endovascular aneurysm repair for descending thoracic aortic aneurysms.
Complex Juxtarenal Aortic Aneurysm Repair Does Not Prevent Anastomotic Degeneration
It isn't necessary to remove all proximal aneurysmal aortic tissue during open treatment of juxtarenal aortic aneurysms, according to the first study to examine this issue by researchers from Massachusetts General Hospital.
Preoperative Factors Affect Discharge Destination After Open Aortic Aneurysm Repair
Vascular surgeons at Massachusetts General Hospital have identified five factors that influence discharge destination among home-dwelling individuals who undergo elective open aortic aneurysm repair.
Advanced Age, Dependency Predict Nonhome Discharge After Endovascular Repair of Abdominal Aortic Aneurysm
Vascular surgeons at Massachusetts General Hospital have published the first data in the modern era of endovascular surgery about who should expect nonhome discharge after repair of an abdominal aortic aneurysm.
Late Complications Unlikely After Open Type IV Thoracoabdominal Aortic Aneurysm Repair
Open-type IV thoracoabdominal aortic aneurysm repair is relatively durable compared with current endovascular techniques, according to a review of nearly 27 years of patient records at Massachusetts General Hospital.
Medical Therapy Alone May Not Prevent Substantial Asymptomatic Carotid Stenosis
Medical therapy alone—even the combination of an antiplatelet and a statin—is unlikely to provide sufficient stroke prevention for patients with substantial asymptomatic carotid stenosis, according to a large retrospective study at Massachusetts General Hospital.
Extracorporeal Circulation During Open Repair of DTA and TAA Aneurysms Improves Late Survival
Massachusetts General Hospital vascular surgeons participated in the largest study to date demonstrating significant benefits of employing extracorporeal circulation during open repair of thoracic and thoracoabdominal aortic aneurysms.
Anticoagulants Used for SVT Ward Off Thrombi, VTE
Review of six superficial vein thrombosis studies finds use of anticoagulants, at sub-therapeutic doses, ward off thrombi, venous thromboembolism
Fenestrated Endovascular Approach Can Safely Repair Aneurysms
Fenestrated endovascular aneurysm repair is safe for complex abdominal aortic aneurysms
CEA with SCSO increases death risk and decreases ipsilateral, stroke risk
After carotid endarterectomy, the presence of severe contralateral carotid stenosis or occlusion increases risk for death and, decreases risk for ipsilateral, any stroke.
Aneurysm sac size signals need for endoleak intervention
Growing aneurysm sac size signaled need for re-intervention for type IA endoleak from endovascular aneurysm repair