- Liver Disease Diagnosis and Treatment
- Liver Disease and Transplantation
- Vascular anomalies and interventions
- Gallbladder and Bile Duct Disorders
- Organ Transplantation Techniques and Outcomes
- Abdominal vascular conditions and treatments
- Diagnosis and Treatment of Venous Diseases
- Aortic Disease and Treatment Approaches
- Pelvic and Acetabular Injuries
- Substance Abuse Treatment and Outcomes
- Abdominal Trauma and Injuries
- Venous Thromboembolism Diagnosis and Management
- Cannabis and Cannabinoid Research
- Trauma and Emergency Care Studies
- Long-Term Effects of COVID-19
- Hepatitis Viruses Studies and Epidemiology
- Heme Oxygenase-1 and Carbon Monoxide
- Liver Diseases and Immunity
- Hepatocellular Carcinoma Treatment and Prognosis
- Cardiac, Anesthesia and Surgical Outcomes
- Vascular Anomalies and Treatments
- Cardiovascular and Diving-Related Complications
- Dialysis and Renal Disease Management
- Vascular Malformations Diagnosis and Treatment
- Suicide and Self-Harm Studies
Virginia Commonwealth University Medical Center
2016-2024
Virginia Commonwealth University
2009-2022
University Health System
2016-2020
Children's Hospital of Richmond at VCU
2012
Centers for Disease Control and Prevention
2004
National Center for Injury Prevention and Control
2004
Purpose To compare the short- and long-term (>1 year) efficacy safety of radiofrequency ablation (ClosureFAST™) versus endovenous laser (980 nm diode laser) for treatment superficial venous insufficiency great saphenous vein. Materials methods Two hundred patients with vein were randomized to receive either or (and simultaneous adjunctive therapies surface varicosities when appropriate). Post-treatment sonographic clinical assessment was conducted at one week, six weeks, months closure,...
BACKGROUND Uncontrolled hemorrhage is the leading cause of preventable death after trauma. Resuscitative endovascular balloon occlusion aorta (REBOA) an evolving technique for controlling noncompressible torso hemorrhage. A challenge limiting REBOA use dependence on fluoroscopy confirmation intra-aortic positioning a guide wire, necessary component safe and accurate deployment. The current study evaluates using surgeon-performed sonography alone, without fluoroscopy, in identifying presence...
The optimal approach to the drainage of malignant obstruction at liver hilum remains uncertain. We aim compare percutaneous transhepatic biliary (PTBD) endoscopic retrograde cholangiography (ERC) as first intervention in patients with cholestasis due suspected hilar (MHO). INTERCPT trial is a multi-center, comparative effectiveness, randomized, superiority PTBD vs. ERC for decompression MHO. One hundred and eighty-four eligible across medical centers United States, who provide informed...
ntravenous contrast-enhanced multidetector computed tomography (MDCT) continues to play a critical role in the evaluation of splenic injuries among patients sustaining blunt abdominal trauma (1-4).Current accepted management algorithms stratify operative or nonoperative treatment based on hemodynamic stability.For those relegated treatment, accurate with MDCT is crucial.Parenchymal and extraparenchymal findings are prime importance grading (AAST, modified scale) (5).Peitzman et al. ( 6)...
Hepatic artery aneurysms are rare, but their diagnosis is important because of high mortality and complications. Common risk factors for developing these include hypertension, vascular disease, pancreatitis, diabetes, tobacco use, autoimmune diseases, previous transplantation. Frequent imaging trauma tumor surveillance has increased the incidence naive hepatic aneurysms. These can be difficult to manage, it challenging decide correct treatment modality patient. Hereby, we present four cases...
Objective: Data from a large, nationally representative sample of hospital emergency departments (EDs) were used to assess the prevalence and characteristics alcohol-related ED visits among people ages 13 25 years in United States. Method: Emergency department recorded National Electronic Injury Surveillance System-All Program coded for alcohol involvement based on product codes abstractions chart narratives. estimates confidence intervals calculated using SUDAAN statistical software....
Liver biopsy and hepatic venous pressure gradient (HVPG), the gold standard for assessing advanced fibrosis (AF) clinically significant portal hypertension (CSPH), are invasive, costly, time-consuming.
The case of a 39-year-old highly sensitized woman who underwent second renal transplantation after being on warfarin because history frequent thromboses her left femoral arteriovenous graft (AVG) is reported here. patient received flow cytometric positive crossmatch kidney transplant from deceased donor. Her posttransplant course was complicated by prolonged delayed function (DGF) lasting for 9 months. Antibody-mediated rejection occurred in the immediate postoperative period. This resolved...
A 47-year-old man with a history of transposition the great arteries after Mustard atrial switch procedure and prior inferior vena cava filter placement for venous thromboembolism presented removal before being listed orthotopic heart transplantation in anticipation cardiopulmonary bypass cannulation. The was retrieved using right transjugular approach without disruption his existing baffle. Contingency planning event unsuccessful baffle navigation included transfemoral everted approach....
Deaths with underlying causes of ICD9 E868.2 (unintentional), E952.0 (suicide), and E982.0 (undetermined).ÀDeaths E868.2, E868.3, E868.8, E868.9 (unintentional); E952.0,E952.1 (suicide); E982.0,E982.1 (undetermined).
Background: Transjugular intrahepatic portosystemic shunt (TIPS) is a therapeutic intervention for refractory ascites and variceal bleeding. However, the development of hepatic encephalopathy (HE) known complication. TIPS diameter can be reduced to decrease further HE episodes when pharmacotherapy. reduction (rHE) poorly described. This case series identifies various characteristics outcomes among this unique patient cohort. Case Presentation: In cohort 8 patients, 63% were male, 75%...
Background: Discordance in hepatocellular carcinoma (HCC) staging between pre-transplant imaging and explant pathology is associated with an increased risk of recurrence death. Our aim was to evaluate variables that predicted concordance/discordance the era new generation locoregional therapies (LRT) improved radiologic technology diagnosis. Methods: A single-center retrospective study performed on patients who received a liver transplant for HCC 2008-2019. Pre- post-LT variables, including...