دورية أكاديمية
Carotid Artery Operation Delay During the Covid-19 Pandemic: Results of a Multicenter International Study.
| العنوان: | Carotid Artery Operation Delay During the Covid-19 Pandemic: Results of a Multicenter International Study. |
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| المؤلفون: | Kabeil M; Division of Vascular Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO., Wohlauer MV; Division of Vascular Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO. Electronic address: max.wohlauer@cuanschutz.edu., D'Oria M; Division of Vascular and Endovascular Surgery, Cardiovascular Department, University Hospital of Trieste ASUGI, Trieste, Italy., Khetarpaul V; Department of Surgery, Section of Vascular Surgery, Washington University School of Medicine, St. Louis, MO., Gillette R; Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO., Moore E; Division of Vascular Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO., Colborn K; Department of Surgery, University of Colorado Anschutz Medical Campus, Aurora, CO., Cuff RF; Spectrum Health, Grand Rapids, MO., O'Banion LA; Department of Surgery, University of California San Francisco (UCSF) Fresno, Fresno, CA., Koleilat I; Department of Surgery, RWJBH Community Medical Center, Toms River, NJ., Aziz F; Division of Vascular Surgery, Department of Surgery, Penn State University, State College, PA., Mouawad NJ; McLaren Health System, Bay City, MO. |
| مؤلفون مشاركون: | Vascular Surgery COVID-19 Collaborative (VASCC) |
| المصدر: | Annals of vascular surgery [Ann Vasc Surg] 2023 Oct; Vol. 96, pp. 44-56. Date of Electronic Publication: 2023 Jun 23. |
| نوع المنشور: | Multicenter Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 8703941 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1615-5947 (Electronic) Linking ISSN: 08905096 NLM ISO Abbreviation: Ann Vasc Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2007->: Netherlands : Elsevier Original Publication: Detroit : [Published by Expansion scientifique française for Annals of Vascular Surgery, Inc. and Association pour la promotion de la chirurgie vasculaire, Paris, c1986- |
| مواضيع طبية MeSH: | Carotid Stenosis*/diagnostic imaging , Carotid Stenosis*/surgery , Carotid Stenosis*/epidemiology , COVID-19* , Ischemic Attack, Transient* , Endarterectomy, Carotid*/adverse effects , Stroke*/epidemiology, Humans ; Pandemics ; Treatment Outcome ; Carotid Arteries |
| مستخلص: | Background: To measure the impact of the COVID-19 pandemic on the management of patients with carotid artery stenosis. Methods: We prospectively collected data from 25 centers (19 centers in the United States and 6 centers internationally) on postponed carotid artery operations between March 2020 and January 2022. We describe the characteristics of these patients and their planned operations, along with outcomes including mortality and neurological deterioration during the period of operative delay due to the COVID-19 pandemic. Results: A total of 1,220 vascular operations were postponed during the pandemic, of them 96 patients presented with significant carotid stenosis (median stenosis of 71%; interquartile range; 70-80) and 80% of them were planned for carotid endarterectomy. Most patients were asymptomatic (69%), and 31% of patients were symptomatic (16% of patients had a stroke, 15% of patients had a transient ischemic attack, and 1% of patients experienced amaurosis fugax). The median length of surgical delay was 71 days (interquartile range: 45.5, 115.5). At the data entry time, 62% of patients had their carotid operations postponed and successfully completed. Most postponements (72%) were due to institutional policies aimed at resource conservation. During the delay, no patient decompensated or required an urgent operation. A total of 5 patients (5%) with carotid stenosis died while awaiting operations due to COVID-19. Conclusions: Our study of a cohort of patients with carotid artery stenosis who underwent a median delay of 71 days during the COVID-19 pandemic showed a disparate operation delay between US regions and internationally, most postponements were due to hospital policy, and none of the patients deteriorated or required an emergency surgery during the delay. (Copyright © 2023 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Investigator: M Kabeil, Division of Vascular Surgery, University of Colorado Anschutz Medical Campus, CO, USA.; MV Wohlauer, Division of Vascular Surgery, University of Colorado Anschutz Medical Campus, CO, USA.; M D'Oria, Division of Vascular and Endovascular Surgery, Cardiovascular Department, University Hospital of Trieste ASUGI, Trieste, Italy.; V Khetarpaul, Washington University School of Medicine, St. Louis, MO, USA.; R Gillette, Department of Surgery, University of Colorado Anschutz Medical Campus, CO, USA.; E Moore, Division of Vascular Surgery, University of Colorado Anschutz Medical Campus, CO, USA.; K Colborn, Department of Surgery, University of Colorado Anschutz Medical Campus, CO, USA.; RF Cuff, Spectrum Health, Grand Rapids, MI, USA.; LA O'Banion, University of California, San Francisco (UCSF) Fresno.; A Ali, University of California, San Francisco (UCSF) Fresno.; L Lucero, University of California, San Francisco (UCSF) Fresno.; M Costanza, SUNY Upstate University Hospital.; E Hammond, SUNY Upstate University Hospital.; RL Motaganahalli, Division of Vascular Surgery, Indiana University.; H Samra, Division of Vascular Surgery, Indiana University.; GG Westin, Division of Vascular Surgery, Indiana University.; K Allen, Department of General Surgery, Indiana University.; U Sachdev, University of Pittsburgh Medical Center.; EA Andraska, University of Pittsburgh Medical Center.; M Sharafuddin, University of Iowa Healthcare.; J Pena-Quevedo, University of Iowa Healthcare.; I Koleilat, Department of Surgery, RWJBH Community Medical Center, Toms River, NJ.; M Carnevale, Albert Einstein College of Medicine (AECOM) and Montefiore Medical Center (MMC).; P Batarseh, Albert Einstein College of Medicine (AECOM) and Montefiore Medical Center (MMC).; BH Tonnessen, Yale University School of Medicine.; N Harroun, Division of Vascular Surgery, University of Colorado Anschutz Medical Campus, CO, USA.; A Sataviciute, Respublikine Vilniaus Universitetine Ligonine (RVUL), Vilnius, Lithuania.; F Aziz, Penn State University.; G Tinelli, Unit of Vascular Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS - Università Cattolica del Sacro Cuore, Rome, Italy.; J Chuen, Department of Vascular Surgery, Austin Health, The University of Melbourne, VIC, Australia.; J Bath, University of Missouri.; JL Mills, Baylor College of Medicine.; RO Afifi, McGovern Medical School at UTHealth.; R Coscas, Ambroise Paré Hospital, AP-HP, UVSQ Paris-Saclay University.; S Shalhub, University of Washington in Seattle.; R Nkansah, University of Washington in Seattle.; AW Beck, The University of Alabama at Birmingham.; R St John, The University of Alabama at Birmingham.; F Malekpour, UT Southwestern Medical Center/William P. Clements Jr. University Hospital.; M Siah, UT Southwestern Medical Center/William P. Clements Jr. University Hospital.; S Kim, UT Southwestern Medical Center/William P. Clements Jr. University Hospital.; MG Davies, UT Health San Antonio.; GI Todd, UT Health San Antonio.; C Busby, The University of Alabama at Birmingham.; PR Nelson, University of Oklahoma.; S Wyatt, University of Oklahoma.; S Ahmed, University of Oklahoma.; A Cosentino, Washington University School of Medicine, St. Louis, MO, USA.; A Ghosh, Division of Vascular Surgery, University of Colorado Anschutz Medical Campus, CO, USA.; JA Miranda, Baylor College of Medicine.; I Torres, Hospital das Clínicas FMUSP.; I Fakhradiyev, Kazak National Medical University.; A Kota, Christian Medical College and Hospital, India.; S Mier Y Teran-Ellis, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico.; G Lopez, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico.; CA Hinojosa, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran, Mexico.; N Gunawansa, National Institute of Nephrology and Transplantation, Sri Lanka.; NJ Mouawad, McLaren Health System, Bay City MI, USA.; K Singh, Staten Island University Hospital/ Zucker School of Medicine/Northwell. |
| تواريخ الأحداث: | Date Created: 20230624 Date Completed: 20230925 Latest Revision: 20230925 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1016/j.avsg.2023.05.041 |
| PMID: | 37355018 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1615-5947 |
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| DOI: | 10.1016/j.avsg.2023.05.041 |