D.H. Burger
- Aortic aneurysm repair treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Peripheral Artery Disease Management
- Cerebrovascular and Carotid Artery Diseases
- Aortic Disease and Treatment Approaches
- Venous Thromboembolism Diagnosis and Management
- Vascular Procedures and Complications
- Infectious Aortic and Vascular Conditions
- Clinical practice guidelines implementation
- Acute Ischemic Stroke Management
- Congenital Anomalies and Fetal Surgery
- Infective Endocarditis Diagnosis and Management
- Chronic Disease Management Strategies
- Urinary Tract Infections Management
- Urinary Bladder and Prostate Research
- Economic and Financial Impacts of Cancer
- Diagnosis and Treatment of Venous Diseases
- Health Systems, Economic Evaluations, Quality of Life
- Spinal Cord Injury Research
- Cardiac Valve Diseases and Treatments
- Nausea and vomiting management
- Enhanced Recovery After Surgery
- Hip and Femur Fractures
- Cardiovascular Health and Disease Prevention
- Pharmaceutical studies and practices
Elisabeth-TweeSteden Ziekenhuis
2006-2022
Dutch Institute for Clinical Auditing
2020-2021
University Medical Center Utrecht
2020
Society for Vascular Surgery
2020
Haga Hospital
2020
University of Groningen
2020
Leiden University Medical Center
2020
Deventer Ziekenhuis
2018-2020
Amsterdam University Medical Centers
2020
University of Amsterdam
2020
New strategies targeting waste are required to improve financial and ecologic sustainability of expensive therapies, such as oral anticancer drugs, that frequently remain unused by patients. Redispensing drugs seems be a promising strategy when drug quality is guaranteed.
ObjectiveAge is an independent risk factor for mortality after both elective open surgical repair (OSR) and endovascular aneurysm (EVAR). As a result of ageing population, the less invasive nature EVAR, number patients over 80 years (octogenarians) being treated increasing. The morbidity following surgery are increased octogenarians. However, octogenarians who have either low or high peri-operative risks remains unclear. aim this study was to provide outcomes vs. non-octogenarians OSR EVAR...
Previous studies have focused on patient-related risk factors to explain the higher mortality in women undergoing elective abdominal aortic aneurysm (AAA) repair. The aim of this study was evaluate whether hospital-related influence outcomes following AAA repair women.
While several observational studies suggested a lower postoperative mortality after minimal invasive endovascular aneurysm repair (EVAR) in patients with ruptured abdominal aortic (RAAA) compared to conventional open surgical (OSR), landmark randomized controlled trials have not been able prove the superiority of EVAR over OSR. Randomized contain selected, homogeneous population, influencing external validity. Observational are biased and adjustment confounders can be incomplete....
We present a case of Brown-Séquard syndrome (BSS) after thoracic endovascular aortic repair (TEVAR) to treat Stanford type B dissection. A 49-year-old male presented the emergency department with acute tearing pain between scapulae, connected respiratory movements. Computed tomography showed dissection from left subclavian artery level 11th vertebra. Conservative treatment was initiated intravenous antihypertensives. However, due persistent and an increase in diameter intramural hematoma,...
BackgroundLong-term secondary aortic reinterventions (SARs) can be a sign of (lack of) effectiveness abdominal aneurysm (AAA) surgery. This study provides insight into the national number SARs after primary AAA repair by endovascular (EVAR) or open surgical in Netherlands.MethodsObservational included all patients undergoing SAR between 2016 and 2017, registered compulsory Dutch Surgical Aneurysm Audit (DSAA). The DSAA started 2013, are from 2016. Characteristics postoperative outcomes...
Introduction: Geospatial mapping technology has been previously successfully used in cardiac disease to identify geographical areas where at-risk patients live terms of their socio-economic background and cardiovascular outcomes. This methodology not applied for peripheral arterial (PAD). By doing so, we could vulnerable subpopulations that may benefit from more aggressive secondary prevention follow-up. Methods: We are introducing the Geographically High-Risk Areas PAD (GAP) study...
Background: Lower-extremity peripheral arterial disease (PAD) is associated with an increased risk of mortality and high resource utilization. Therefore, there a real need to assess PAD patients' for initial cardiovascular event as well their multiple, serial events over time. Although it expected, but unexplored, that those greater burden (e.g. multiple vs. single lesions) would have events, common modeling strategies only emphasize time first event. We tested novel recurrent model examine...
Background: Guideline-recommended care for intermittent claudication (IC) preferentially consists of conservative treatment with exercise therapy and optimal pharmacotherapy. Although health status, anatomic lesion location, cardiovascular risk considerations need to be taken into account when referring patients IC invasive vs. therapy, it is unknown whether these factors site variations are associated the decision offer revascularization in real-world clinical practice. Methods: A total 407...
Introduction: The decision-making process for invasive treatment in lower-extremity peripheral arterial disease (PAD) is ambiguous. There a lack of appropriateness criteria and limited information available on health status gains to be expected following treatment. We compared 1-year outcomes by the receipt among patients with PAD evaluated whether baseline was indicative gains, assuming that lower scores would receive highest benefit. Methods: Baseline (SF-12, Physical Component Score...