Amani D. Politano
A5032428042- Aortic Disease and Treatment Approaches
- Aortic aneurysm repair treatments
- Vascular Procedures and Complications
- Diabetic Foot Ulcer Assessment and Management
- Cardiac Valve Diseases and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Sepsis Diagnosis and Treatment
- Nosocomial Infections in ICU
- Muscle and Compartmental Disorders
- Peripheral Artery Disease Management
- Central Venous Catheters and Hemodialysis
- Cardiovascular Issues in Pregnancy
- Cardiac Structural Anomalies and Repair
- Diagnosis and Treatment of Venous Diseases
- Hip and Femur Fractures
- Respiratory Support and Mechanisms
- Infectious Aortic and Vascular Conditions
- Surgical site infection prevention
- Antibiotic Use and Resistance
- Hemodynamic Monitoring and Therapy
- Pressure Ulcer Prevention and Management
- Colorectal Cancer Surgical Treatments
- Appendicitis Diagnosis and Management
- Thermal Regulation in Medicine
- Prosthetics and Rehabilitation Robotics
Oregon Health & Science University
2020-2024
University of Portland
2022
University of Virginia Health System
2010-2017
University of Virginia
2011-2015
We hypothesized that a longer duration of antibiotic treatment for intra-abdominal infections (IAI) would be associated with an increased risk extra-abdominal (EAI) and high mortality.We reviewed all IAI occurring in single institution between 1997 2010. The were divided into two groups consisting those subsequent EAI without; the data each group analyzed. Patients following matched 1:2 ratio patients who did not develop on basis their Acute Physiology Chronic Health Evaluation (APACHE II)...
Cohorting patients in dedicated hospital wards or wings during infection outbreaks reduces transmission of organisms, yet frequently, this may not be feasible because inadequate capacity, especially the intensive care unit (ICU). We hypothesized that cohorting isolation one geographic location a single ICU and using enhanced procedures ("superisolation") can prevent further spread highly multi-drug-resistant organisms (MDRO).Six dispersed throughout our Surgical Trauma Burn had infections...
Transcatheter aortic valve replacement (TAVR) has emerged as an alternative treatment option for patients with severe stenosis regardless of surgical risk, particularly in those a high and prohibitive risk. Since the advent TAVR, transfemoral access been standard care. However, given comorbidities anatomical limitations, proportion are not good candidates approach. Alternative access, including transapical, transaortic, transaxillary, transsubclavian, transcarotid, transcaval, can be...
Overuse of broad-spectrum antibiotics results in microbial resistance and financially is a healthcare burden. Antibiotic de-escalation refers to starting treatment presumed infection with narrowing drug spectrum based on culture sensitivities. A study was designed evaluate antibiotic at tertiary care center. We hypothesized that would not be associated increased patient mortality rates or worsening the primary infection.All infections treated single, Surgical ICU between August 2009 December...
Thoracic aortic aneurysm and dissection are complex diagnoses that require management by multidisciplinary providers using a variety of medical therapies, surgical interventions, lifestyle modifications. Pharmacological agents, such as β-blockers (atenolol) angiotensin II type 1 receptor blockers (losartan), have been mainstay treatments for several years, research from the past decade has continued to evaluate these other medication classes further improve patient morbidity mortality....
Understanding what matters most to patients can help guide research in a direction that is best situated provide evidence responsive their core concerns. This better inform the treatment decision-making process for and physicians. The Aortic Dissection (AD) Collaborative built collaborative AD infrastructure involving other stakeholders facilitate patient-centered outcomes training, support, networking among those affected by AD. Two surveys semi-structured interviews were conducted between...
<h3>Background</h3> Aberrant subclavian artery (ASA) with or without Kommerell's diverticulum (KD) is a rare anatomic aortic arch anomaly that can cause dysphagia and/or life-threatening rupture. The objective of this study to compare outcomes ASA/KD repair in patients left versus right arch. <h3>Methods</h3> Using the Vascular Low Frequency Disease Consortium methodology, retrospective review was performed ≥18 years old surgical treatment from 2000 2020 at 20 institutions. <h3>Results</h3>...
Previously, open surgical repair was the primary treatment for pediatric blunt thoracic aortic injury (BTAI). However, endovascular (TEVAR) has recently become most frequently used option. Given rarity of this pathology, long term complications and sizing difficulties TEVAR in a growing aorta have not been well documented. Here we report two-year follow-up after successful traumatic BTAI patient with concern stent-graft-associated stenosis similar to coarctation.
Anatomic popliteal artery entrapment can be challenging to diagnose. Four cases are described in which initial diagnosis and treatment failed identify correct the anatomic defect responsible for patients’ symptoms. In 3 of these cases, assessment was exertional compartment syndrome, yet release did not resolve complaint. Following accurate diagnosis, surgical aberrant fossa anatomy provided all 4 patients with lasting symptom resolution, though 1 patient bilateral operations has had relief...
Aortic dissection (AD) is a life-changing event that often accompanied by loss of normal quality life. Survivors AD go on to have chronic disease requires lifestyle modification, medical management, and surgical repair the aorta. Clinical care includes multiple disciplines, health settings, different geographic locations. This qualitative assessment examined experiences people with at risk for AD. The following four themes emerged: "unnecessary drama" diagnosis, unmet needs information...
The terminal abdominal aorta divides into the common iliac arteries at L4 level. At level of sacrum, divide external and internal (hypogastric) arteries. This review covers aneurysms arteries, with discussion anatomy, clinical evaluation, investigative studies, management, follow-up imaging. Figures show presenting configurations artery aneurysms, examples open repair techniques for example revascularization in setting aneurysm repair, endovascular complex hybrid multiple aneurysms. Tables...