- Cerebrovascular and Carotid Artery Diseases
- Aortic aneurysm repair treatments
- Peripheral Artery Disease Management
- Cardiac, Anesthesia and Surgical Outcomes
- Vascular Procedures and Complications
- Acute Ischemic Stroke Management
- Intracranial Aneurysms: Treatment and Complications
- Cardiovascular Health and Disease Prevention
- Aortic Disease and Treatment Approaches
- Atrial Fibrillation Management and Outcomes
- Venous Thromboembolism Diagnosis and Management
- Renal and Vascular Pathologies
- Infectious Aortic and Vascular Conditions
- Coronary Interventions and Diagnostics
- Cardiac and Coronary Surgery Techniques
- Abdominal vascular conditions and treatments
- Central Venous Catheters and Hemodialysis
- Peripheral Nerve Disorders
- Vascular anomalies and interventions
- Antiplatelet Therapy and Cardiovascular Diseases
- Orthopedic Surgery and Rehabilitation
- Acute Myocardial Infarction Research
- Primary Care and Health Outcomes
- Shoulder Injury and Treatment
- Healthcare Policy and Management
University of Iowa Hospitals and Clinics
2001-2020
Iowa City Public Library
1994-2019
Urology Associates
2019
Cleveland Clinic
2015
University of Iowa
2001-2014
Iowa Medical Society
2010
University of Kansas
2004
Arkansas Foundation for Medical Care
2000-2004
Changes in Health Care Financing & Organization
2001
University of Connecticut
1995-1999
ince the 1950s carotid endarterectomy has been performed in patients with symptomatic artery stenosis, based on suggestive but inconclusive evidence for its effectiveness.Only during last 5 years have randomized studies clarified indications surgery.In preparing this report, panel members used same rules of previous report 1,2 (Table ). Management Risk FactorsFew analyzed control risk factors a randomized, prospective manner following endarterectomy.However, wealth data are available...
Context.—Medicare has a legislative mandate for quality assurance, but the effectiveness of its population-based improvement programs been difficult to establish.Objective.—To improve care Medicare patients with acute myocardial infarction.Design.—Quality project baseline measurement, feedback, remeasurement, and comparison samples.Setting.—All hospitals in United States.Patients.—Preintervention postintervention samples included all Alabama, Connecticut, Iowa, Wisconsin discharged principal...
Background and Purpose— Bleeding risks from combined antiplatelet-warfarin therapy have not been well-described in clinical practice. We examined antiplatelet among warfarin users the impact on major bleeding rates. Methods— Retrospective cohort analysis of persons discharged after an atrial fibrillation admission using data Medicare’s National Stroke Project. Data included Medicare claims, enrollment information, medical record abstracted data. Logistic regression Cox proportional hazards...
Background Although aspirin is an effective, inexpensive, and safe treatment of acute myocardial infarction, the frequency use in actual medical practice not known. Elderly patients, a group with low rates utilization effective therapies such as thrombolytic therapy, also may be at risk receiving for infarction. To address this issue, we sought to determine current pattern assess its effectiveness large, population-based sample elderly patients hospitalized Methods Results As part...
Objectives: The management of combined carotid and coronary disease is controversial, the outcomes endarterectomy (CEA) artery bypass grafting (CABG) have not been determined on a community-wide basis. This study was undertaken to evaluate CEA CABG risk for adverse events. Methods: A complete medical record review 10,561 procedures randomly selected from Medicare patients undergoing in 10 states performed. In this sample, 226 were performed combination with same operative event. Results:...
MARCINIAK, THOMAS A.; ELLERBECK, EDWARD F.; RADFORD, MARTHA J.; KRESOWIK, TIMOTHY GOLD, JAY KRUMHOLZ, HARLAN M.; KIEFE, CATARINA I.; ALLMAN, RICHARD VOGEL, ROBERT JENCKS, STEPHEN F. Author Information
With the increasing use of percutaneous transfemoral coronary angioplasty in conjunction with thrombolytic as well anticoagulant therapy, sonographic evaluation groin masses, particular emphasis on differentiating pseudoaneurysms from hematomas and other abnormalities, has become more common. Seventy-three sonograms 60 patients (65 different groins) were reviewed retrospectively to determine accuracy duplex Doppler sonography distinguishing femoral artery pseudoaneurysm (a surgical...
The effects of two urokinase (UK) dose regimens on lysis time, lytic success, primary clinical and frequency complications peripheral thrombolysis were compared. Seventy-two intraarterial UK infusions performed by means standard catheter-directed infusion techniques in 63 patients with symptomatic arterial or bypass graft occlusions. Patients prospectively randomized to high-dose (250,000 U/h for 4 hours then 125,000 U/h) low-dose (50,000 regimens. mean time complete was 20.8, 26.0, 16.5,...
Background: Thoracic outlet syndrome (TOS) results from compression of neurovascular structures supplying the upper extremity as they exit thoracic outlet. Depending on clinical presentation, surgical decompression may be required. Objectives: Transaxillary (TA) and supraclavicular (SC) approaches are both widely utilized deemed effective. Our objective was to review outcomes for at our institution. Methods: A retrospective conducted patients who underwent between 2010 2015. Data...