Foot care for people with diabetes: prevention of complications and treatment

15Aug
2017

The Future of Cardiovascular Magnetic Resonance Imaging

15Aug
2017

Surgical management of secondary lymphedema of the upper and lower extremities related to prior oncologic therapies

11Aug
2017

Surgical Guidelines for Perioperative Management of Older Adults

10Aug
2017

Acute mesenteric ischemia: guidelines

9Aug
2017

Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease

3Aug
2017

Interventions for the prevention of recurrent erysipelas and cellulitis

1Aug
2017

Long-Term Outcomes and Prognostic Factors of Complications in Takayasu’s Arteritis

27Jul
2017

Recent advances in the treatment of venous thromboembolism in the era of the direct oral anticoagulants

25Jul
2017

Comprehensive geriatric assessment and optimization in vascular surgery

20Jul
2017

Randomized clinical trial of comprehensive geriatric assessment and optimization in vascular surgery – British Journal of Surgery (link to abstract – $ for full-text)

Source: ACP Journal Club ($ resource to find articles of interest)

In this RCT, a comprehensive preoperative geriatric assessment and optimization before vascular surgery was associated with shorter length of hospital stay, lower incidence of complications, and patients were less likely to be discharged to a higher level of dependency.

 

Review: Supervised Treadmill Exercise Therapy for Peripheral Artery Disease

13Jul
2017

A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery

26Jun
2017

A Meta-analysis of the Impact of Aspirin, Clopidogrel, and Dual Antiplatelet Therapy on Bleeding Complications in Noncardiac Surgery – Annals of Surgery (link to abstract – $ for full-text)

Source: EvidenceAlerts (free resource to find articles of interest)

“Antiplatelet therapy at the time of noncardiac surgery confers minimal bleeding risk with no difference in thrombotic complications. In many cases, it is safe to continue antiplatelet therapy in patients with important indications for their use”

 

Management of Brain Arteriovenous Malformations

23Jun
2017

Antiplatelet Therapy in Patients With Coronary Stents Undergoing Elective Noncardiac Surgery

20Jun
2017

Inspired by War Zones, Balloon Device May Save Civilians From Fatal Blood Loss

20Jun
2017

Is There an Association Between Fruit and Vegetable Consumption and PAD?

16Jun
2017

Canagliflozin will receive new boxed warning about amputation risks

12Jun
2017

Practice Guidelines for Preoperative Fasting

9Jun
2017

Growth and Rupture Risk of Small Unruptured Intracranial Aneurysms

7Jun
2017

Growth and Rupture Risk of Small Unruptured Intracranial Aneurysms: A Systematic Review – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentaries: Growth, rupture risk appear low for small intracranial aneurysms, review indicates – ACP Internist Weekly (free) AND How Frequently Do Small Brain Aneurysms Rupture? – MedPage Today (free registration required)

“The annualized rupture rate was 0% for aneurysms 3 mm or smaller, below 0.5% for aneurysms 5 mm or smaller, and below 1% for aneurysms 7 mm or smaller”

 

Carotid Artery Stenting Versus Endarterectomy for Stroke Prevention

5Jun
2017

Carotid Artery Stenting Versus Endarterectomy for Stroke Prevention: A Meta-Analysis of Clinical Trials – Journal of the American College of Cardiology (link to abstract – $ for full-text)

Commentary: CAS vs. CEA for Stroke Prevention – American College of Cardiology, Latest in Cardiology (free)

“CAS and CEA were associated with similar rates of a composite of periprocedural death, stroke, MI, or nonperiprocedural ipsilateral stroke. The risk of long-term overall stroke was significantly higher with CAS, and was mostly attributed to periprocedural minor stroke”.

 

Thrombolysis may reduce complications of deep vein thrombosis

26May
2017

Thrombolysis may reduce complications of deep vein thrombosis – NIHR Signal (free)

Original article: Thrombolysis for acute deep vein thrombosis – Cochrane Library (Link to abstract – $ for full-text)

Thrombolysis reduced post-thrombotic syndrome, but lead to more bleeding complications than standard anticoagulation. “Individuals with clots in the pelvis and thigh, which carry higher risk of complications, may be likely to gain most benefit”.

 

American Urological Assn. Adds 5 More Unnecessary Practices to Choosing Wisely

23May
2017

Peripheral Artery Disease Guideline

15May
2017

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017

5May
2017

Mortality Trends After Surgical Safety Checklist

20Apr
2017

Management of the Diseases of Mesenteric Arteries and Veins

5Apr
2017

The wound/burn guidelines – Japanese Dermatological Association

5Apr
2017

American College of Radiology (ACR) Appropriateness Criteria Adds Topics

4Apr
2017

ACR Appropriateness Criteria Adds Topics, Covers More Clinical Variants Than Ever Before (free)

Browse Appropriateness Criteria Topics (free)

Source: Newswise

This comprehensive guide from American College of Radiology (ACR) covers 230 topics with more than 1,100 clinical indications and has just been updated. It is a very useful resource for doctors in all specialties to guide which exam is most appropriate in each clinical situation.

 

HERDOO2 rule to guide treatment duration for women with unprovoked venous thrombosis

29Mar
2017

Validating the HERDOO2 rule to guide treatment duration for women with unprovoked venous thrombosis: multinational prospective cohort management study – The BMJ (free)

Source: Richard Lehman’s weekly review

HERDOO2 rule stands for Hyperpigmentation, Edema, or Redness in either leg; D-dimer level ≥250 μg/L; Obesity with body mass index ≥30; or Older age, ≥65 years. The authors concluded that women with a first unprovoked VTE event and none or one of the HERDOO2 criteria have a low risk (3.0% per patient year) of recurrent VTE and can safely discontinue anticoagulants after completing short term treatment.

 

The year in cardiology 2016: peripheral circulation

29Mar
2017

Surgeries are being performed with the patient awake

27Mar
2017

Going Under the Knife, With Eyes and Ears Wide Open – New York Times (free access to 10 articles per month)

“More and more surgeries are being performed with the patient awake and looking on, for financial and medical reasons”.

 

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