Anal-cardiac reflex leading to coronary spasm and cardiac arrest during abdominoperineal excision of the rectum (MILES): case report and review of the literature

Coronary artery spasm (CAS) has been frequently documented during regional or general anesthesia. However, severe cardiac arrest induced by CAS as a result of anal-cardiac and vasovagal reflexes is relatively …  Read More

Mid-Term Outcomes of Common Femoral Patch Angioplasty in Iliofemoral Occlusive Diseases: Bovine Pericardial Patch Versus Great Saphenous Vein Patch

Ann Vasc Surg. 2025 Jan 27;114:106-115. doi: 10.1016/j.avsg.2024.12.075. Online ahead of print.

ABSTRACT

BACKGROUND: To assess the mid-term outcomes of using bovine pericardium patch (BPP) compared to great saphenous vein patch (GSVP) in femoral angioplasty for iliofemoral occlusive diseases.

METHODS: A retrospective study was carried out at the First Medical Center of the Chinese PLA General Hospital from January 2013 to July 2023 to assess the efficacy of femoral angioplasty in patients with iliofemoral occlusive disease. Technical success, early outcomes, 24-month primary patency, and freedom from restenosis at the patch site were evaluated. Propensity score matching was employed to improve comparability between the BPP and GSVP groups.

RESULTS: A total of 81 patients (91 limbs) were included in the study; 2 groups were created according to the type of patch used with 35 patients (42 limbs) in the BPP group and 46 patients (49 limbs) in the GSVP group. Common femoral angioplasty was a fixed step in all cases. Technical success was achieved in all cases, with no perioperative mortality. The perioperative complication rate was 14.3%. Kaplan-Meier curves showed comparable primary patency and freedom from restenosis between the BPP and GSVP groups with or without propensity score matching.

CONCLUSION: It may be a viable option to choose BPP in femoral angioplasty for patients who cannot provide GSVP.

PMID:39880282 | DOI:10.1016/j.avsg.2024.12.075

A new guiding strategy for treating the free margin of the leaflet in an aortic root remodelling procedure

In valve-sparing aortic root replacement procedure, leaflet prolapse can be corrected by shortening the length of the free margin. But precisely determining the extent of the reduction remains a problem. This …  Read More

Paravertebral block analgesia during surgical stabilization for rib fractures patients under conscious state: a single-arm, pilot study and post-hoc analysis

Paravertebral block (PVB) is commonly used for analgesia postoperatively while rarely as anesthesia during surgical stabilization for rib fractures. This study aimed to explore the feasibility and safety of PV…  Read More

Quality of life and compensatory hyperhidrosis following thoracoscopic sympathectomy: a retrospective cohort study

Palmar hyperhidrosis (PH), characterized by excessive palm sweating, significantly impacts quality of life (QOL) in affected individuals, particularly young adults. This study aimed to evaluate the efficacy of…  Read More

Transit time flow management as a management strategy in high-risk groups undergoing coronary artery bypass grafting

We evaluated the surgical outcomes in three groups of individuals with diabetes mellitus (DM), end-stage renal disease (ESRD), and on (ONCAB) vs. off-pump (OPCAB) coronary artery bypass grafting (CABG). We als…  Read More

Global trends and research hotspots in acupuncture treatment for cardiovascular diseases over the past decade: a bibliometric study

This study aims to examine the status and emerging trends of acupuncture treatment for cardiovascular disease (CVD) over the past decade. By conducting a visual analysis of existing literature, it seeks to off…  Read More