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Surgery News
Tiny plastics in carotid plaque tied to elevated risk for heart attack, stroke, death
Among patients with asymptomatic carotid artery disease who had carotid endarterectomy, those whose atheromas contained microplastics and/or nanoplastics had worse outcomes than those whose atheromas did not, researchers reported.
Coronary artery calcium score identifies symptomatic patients with low risk for CV events
Among patients with stable chest pain referred for invasive coronary angiography, a low coronary artery calcium score was associated with low risk for heart attack and stroke, researchers reported in Radiology.
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Fewer women undergo revascularization for heart attack vs. men
Despite larger declines in STEMI and non-STEMI events from 2011 to 2018, women received proportionately fewer revascularization procedures and had a higher STEMI mortality rate vs. men, researchers reported.
Price, outcomes of CABG do not appear to be correlated
The price of coronary artery bypass graft surgery varies widely across the U.S., with investor-owned and major teaching hospitals conferring greater cost, researchers reported.
More younger patients opt for TAVR vs. surgery, despite poorer outcomes
Adults younger than 60 years with severe aortic stenosis are increasingly opting for transcatheter aortic valve replacement despite data suggesting poorer 5-year survival compared with surgical AVR, researchers reported.
Study: Depressive symptoms may be a modifiable factor to improve surgical outcomes
According to published results, preoperative depressive symptom burden treatment may improve patient-centered outcomes and health trajectories after surgery.
Revascularization rates higher with ‘CT first’ diagnosis of chest pain
Read-world data showed that more patients underwent subsequent revascularization after “CT first” evaluation for chest pain vs. other functional testing strategies, researchers reported.
Miniaturized transesophageal echocardiography transducer gains FDA 510(k) clearance
Philips announced it received FDA 510(k) clearance of its next-generation, miniaturized, transesophageal echocardiography transducer which can be used in very small patients and complex ICU cases.
High Lp(a) common in patients undergoing CABG; linked to poor outcomes
High lipoprotein(a), a relatively common finding in patients undergoing CABG, was associated with increased risk for all-cause death after surgery, researchers reported.
Expert panel: IVUS can benefit patients needing peripheral revascularization
Compared with angiography, IVUS may improve care and outcomes of patients requiring interventional peripheral revascularization, according to an expert consensus roundtable sponsored by several medical societies.
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