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Occlusive Dressing

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141. Global Vascular Guidelines for patients with chronic limb-threatening ischemia

trunk. CFA, Common femoral artery; CTO, chronic total occlusion; DFA, deep femoral artery; Pop, popliteal; SFA, superficial femoral artery. ---- | ---- Fig 5.3 Infrapopliteal (IP) disease grading in Global Limb Anatomic Staging System (GLASS). AT, Anterior tibial; CTO, chronic total occlusion; TP, tibioperoneal. ---- | ---- Fig 5.4 Representative angiograms of Global Limb Anatomic Staging System (GLASS) stage I disease patterns. The target arterial path (TAP) is outlined in yellow . Left panel , TAP (...) includes the anterior tibial (AT) artery. Femoropopliteal (FP) grade is 0. Infrapopliteal (IP) grade is 2 (3-cm chronic total occlusion; chronic total occlusion of AT artery and total length of disease <10 cm). Right panel , TAP includes the peroneal artery. FP grade is 2 (chronic total occlusion <10 cm; total length of disease <⅔). IP grade is 0. ---- | ---- Fig 5.5 Representative angiograms of Global Limb Anatomic Staging System (GLASS) stage II disease patterns. The target arterial path (TAP

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2019 Society for Vascular Surgery

142. Recommendations for the Establishment of Stroke Systems of Care: A 2019 Update: A Policy Statement From the American Stroke Association

prenotification occurs in only 67% of EMS transports. Thus, stroke systems of care should endeavor to enhance recognition of stroke symptoms by dispatch and EMS providers, to reduce on-scene time in transported patients, and to improve prenotification of the receiving hospital. Prehospital Stroke Severity Scales and Rerouting of Patients With the advent of thrombectomy for acute ischemic stroke with large vessel occlusion (LVO) of the internal carotid artery and middle cerebral artery stem (M1) and worse (...) of the current scales have been tested in the prehospital setting in a limited fashion and without head-to-head comparisons. The Cincinnati Stroke Triage Assessment Tool, Rapid Arterial Occlusion Evaluation, Los Angeles Motor Scale, and Field Assessment Stroke Triage for Emergency Destination are specifically named on the AHA Mission: Lifeline severity-based stroke triage algorithm for EMS. For prehospital patients with suspected LVO by a stroke severity scale, the Mission: Lifeline algorithm recommends

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2019 American Heart Association

143. Compression therapy after invasive treatment of superficial veins of the lower extremities

be used after surgical or thermal procedures to eliminate varicose veins. [GRADE - 2; LEVEL OF EVIDENCE - C] Guideline 1.2: Dose of compression after thermal ablation or stripping of the varicose veins. If compression dressings are to be used postprocedurally in patients undergoing ablation or surgical procedures on the saphenous veins, those providing pressures >20 mm Hg together with eccentric pads placed directly over the vein ablated or operated on provide the greatest reduction in postoperative (...) ., and Marston, W.A. Inflammatory cytokine levels in chronic venous insufficiency ulcer tissue before and after compression therapy. J Vasc Surg . 2009 ; 49 : 1013–1020 | | | | | Dose of compression and compression profile A major goal of compression after procedures on superficial veins is to maintain occlusion of the treated vein to prevent bruising and recanalization, as shown in an animal model. x 11 Staubesand, J. and Seydewitz, V. An ultrastructural study of sclerosed varices. Phlebologie . 1991 ; 44

2019 American Venous Forum

144. ACR–ASNR–SNIS–SPR Practice Parameter for the Performance of Cervicocerebral Magnetic Resonance Angiography (MRA)

occurring within 24 hours of the procedure or any puncture-site infection should be reviewed as part of the institution-wide quality improvement program. Major Complications Reported Rates Suggested Threshold Contrast media–associated nephrotoxicity 0%-0.15% 0.2% Arterial occlusion requiring surgical 0%-0.4% 0.5% thrombectomy or thrombolysis Arteriovenous fistula/pseudoaneurysm 0.01%-0.22% 0.3% Hematoma requiring transfusion or surgery 0.26%-2% 2% Published rates for individual types of complications (...) for the determination of carotid artery stenosis, the final report should reflect the methodology and reference the criteria for percentage of stenosis outlined in the North American Symptomatic Carotid Endarterectomy Trial (NASCET). Care should be taken to avoid recognized pitfalls for NASCET-type measurements. Care should also be taken not to calculate percentage ratios in the presence of a poststenotic arterial diameter decrease (near occlusion). The percentage of stenosis must be calculated using the diameter

2019 American Society of Neuroradiology

145. Paediatric Urology

during laparoscopic varicocelectomy on recurrence and the catch-up growth rate in adolescents. J Pediatr Urol, 2014. 10: 435. 310. Fayad, F., et al. Percutaneous retrograde endovascular occlusion for pediatric varicocele. J Pediatr Surg, 2011. 46: 525. 311. Thon, W.F., et al. Percutaneous sclerotherapy of idiopathic varicocele in childhood: a preliminary report. J Urol, 1989. 141: 913. 312. Locke, J.A., et al. Treatment of varicocele in children and adolescents: A systematic review and meta-analysis

2019 European Association of Urology

147. ACC/AATS/AHA/ASE/ASNC/HRS/SCAI/SCCT/SCMR/STS 2019 Appropriate Use Criteria for Multimodality Imaging in the Assessment of Cardiac Structure and Function in Nonvalvular Heart Disease

Intervention for Structural Heart Disease ... .. - Table 6. Imaging for the Evaluation of TIA or Ischemic Stroke .. - 6.3.1. ImagingfortheEvaluationofPatentForamen Ovale or Atrial Septal Defect . - Table 7a. Preprocedural Evaluation for Closure of PFO or Atrial Septal Defect . .. - Table 7b. Intraprocedural Guidance for Closure of PFO or ASD .. - Table 7c. Assessment Following Closure of PFO or ASD .. .. - 6.3.2. Imaging for the Evaluation of Left Atrial Appendage Occlusion Device . - Doherty et al. JACC (...) VOL. -,NO. -,2019 AUC for Multimodality Imaging in Non–VHD -,2019:-–- 2Table 8a. Preprocedural Evaluation for LAA Occlusion - Table 8b. Intraprocedural Guidance for LAA Occlusion - Table 8c. Assessment Following LAA Occlusion .. - 7.DISCUSSION ... - 8.CONCLUSION ... ... - ACC PRESIDENT AND STAFF ... - REFERENCES ... - APPENDIX A Relationships With Industry and Other Entities . - ABSTRACT This document is the second of 2 companion appropriate use criteria (AUC) documents developed by the American

2019 Heart Rhythm Society

148. Diagnosis and Treatment of Non-Neurogenic Overactive Bladder (OAB) in Adults: an AUA/SUFU Guideline

patients who may be at risk for cognitive impairment to Overactive Bladder AUA/SUFU Guideline Copyright © 2019 American Urological Association Education and Research, Inc.® 8 determine whether symptoms are aggravated by cognitive problems, to ensure that they will be able to follow directions for behavioral therapy and/or to determine the degree of risk for cognitive decline with anti-muscarinic therapy. In the Panel’s experience, the ability of the patient to dress independently is informative

2019 American Urological Association

149. British Association of Dermatologists guidelines for the management of Stevens-Johnson syndrome/toxic epidermal necrolysis in children and young people

a day, in those who are conscious. R36 (↑↑) Administer* adequate analgesia to ensure comfort using intravenous opioid infusions in those not tolerating oral medication. R37 (↑↑) Administer* patient‐controlled analgesia where appropriate, with involvement of the acute pain team. R38 (↑) Consider sedation or general analgesia where appropriate, to address pain associated with patient handling, repositioning and dressing changes. R39 (↑) Consider keeping the child sedated and ventilated (...) to minimize the extent of epidermal detachment. R41 (↑) Limit* epidermal trauma by avoiding the use of sphygmomanometer cuffs, adhesive electrocardiogram (ECG) leads, adhesive dressings and identification wrist tags: Place thin soft clothing under blood pressure cuff to avoid trauma Cover the fingertip with clingfilm before attaching peg oxygen saturation monitor Use the hands of an assistant as a tourniquet (over clothing or soft fabric) Remove the adhesive pad on ECG monitoring leads and secure

2019 British Association of Dermatologists

150. Urological Trauma

. Hammer, C.C., et al. Effect of an institutional policy of nonoperative treatment of grades I to IV renal injuries. J Urol, 2003. 169: 1751. 74. Jawas, A., et al. Management algorithm for complete blunt renal artery occlusion in multiple trauma patients: case series. Int J Surg, 2008. 6: 317. 75. Armenakas, N.A., et al. Indications for nonoperative management of renal stab wounds. J Urol, 1999. 161: 768. 76. Jansen, J.O., et al. Selective non-operative management of abdominal gunshot wounds: survey

2019 European Association of Urology

151. Urological Infections

. Contemporary diagnosis and management of Fournier’s gangrene. Ther Adv Urol, 2015. 7: 203. 277. Eke, N. Fournier’s gangrene: a review of 1726 cases. Br J Surg, 2000. 87: 718. 278. Subrahmanyam, U., et al. Honey dressing beneficial in treatment of fournier’s gangrene. Indian J Surg, 2004. 66: 75. 279. Jallali, N., et al. Hyperbaric oxygen as adjuvant therapy in the management of necrotizing fasciitis. Am J Surg, 2005. 189: 462. 280. Karian, L.S., et al. Reconstruction of Defects After Fournier Gangrene

2019 European Association of Urology

152. ACR–ASNR–SIR–SNIS Practice Parameter for the Performance of Endovascular Embolectomy and Revascularization in Acute Stroke

and/or recommendations regarding performance and reporting of the endovascular procedure and periprocedural care, and v) recommendations on quality control and performance improvement. Every year in the United States, an estimated 795,000 people suffer an ischemic stroke. It is estimated that at least approximately 10%, or nearly 80,000, of these strokes will be caused by an emergent large-vessel occlusion (ELVO) affecting the intracranial internal carotid artery, the proximal middle cerebral artery (...) in select patients presenting with acute neurological symptoms attributable to a large-vessel occlusion within 6 hours from time of onset [2-6]. There are an estimated 24 ELVO strokes per 100,000 people per year in the United States. Some regions in the country are performing 10 to 12 endovascular stroke procedures per 100,000 population whereas the national average is between 3 to 6 endovascular stroke interventions per 100,000 people [7]. These estimates suggest a potential for significant growth

2019 American Society of Neuroradiology

153. Diagnosis and Treatment of Non-Neurogenic Overactive Bladder (OAB) in Adults

are aggravated by cognitive problems, to ensure that they will be able to follow directions for behavioral therapy and/or to determine the degree of risk for cognitive decline with anti-muscarinic therapy. In the Panel's experience, the ability of the patient to dress independently is informative of sufficient motor skills related to toileting habits. Urinalysis. A urinalysis to rule out UTI and hematuria should be performed. A urine culture is not necessary unless indication of infection (i.e., nitrites

2019 American Urological Association

155. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

47 Type I endoleak 47 Type II endoleak 47 Type III endoleak 48 Type IV endoleak 48 Endotension 48 Device migration 48 Limb occlusion 48 Graft infection 49 Prevention of an aortic graft infection Incisional hernia 50 Para-anastomotic aneurysm 51 Recommendation for postoperative surveillance 51 Surveillance imaging modality 51 Surveillance outcomes 51 Summary 51 COST AND ECONOMIC CONSIDERATIONS IN ANEURYSM REPAIR 51 CARE OF THE PATIENT WITH AN AAA: AREAS IN NEED OF FURTHER RESEARCH 53 REFERENCES 53 (...) bilateral internal iliac artery occlusion by at least 1 to 2 weeks if required for EVAR. Level of recommendation 1 (Strong) Quality of evidence A (High) We suggest renal artery or superior mesenteric artery (SMA) angioplasty and stenting for selected patients with symptomatic disease before EVAR or OSR. Level of recommendation 2 (Weak) Quality of evidence C (Low) We suggest prophylactic treatment of an asymptomatic, high-grade stenosis of the SMA in the presence of a meandering mesenteric artery based

2018 Society for Vascular Surgery

156. Out-of-Hospital Cardiac Arrest Resuscitation Systems of Care: A Scientific Statement From the American Heart Association

temperature between 32°C and 36°C for at least 24 hours for comatose patients with ROSC after cardiac arrest. , Access to PCI Up to 70% of patients with OHCA have coronary artery disease. Although 50% have acute coronary occlusion, only a minority of patients with OHCA with ROSC who were transported to hospital have an ST-segment elevation on a 12-lead ECG. , Mortality after emergent angiography for STEMI patients in the setting of post-ROSC OHCA is greater than that in the setting of STEMI alone (...) . However, these devices may have a role in reducing risks to EMS providers associated with performing manual compressions in a moving vehicle or in facilitating emergent coronary angiography in a patient with ongoing cardiac arrest and a high likelihood of acute coronary occlusion. Although the acceptance of regionalized approaches to systems of care and designated centers has increased, some EMS systems remain challenged by local concerns related to bypassing closer hospitals and the resultant loss

2018 American Heart Association

157. Atrial Fibrillation Burden: Moving Beyond Atrial Fibrillation as a Binary Entity: A Scientific Statement From the American Heart Association

(rivaroxaban vs warfarin, P for interaction=0.6). Efficacy end point models were adjusted for the following: age, sex, BMI, region, DM, prior stroke/TIA, vascular disease, myocardial infarction, peripheral artery disease, carotid occlusive disease, CHF, hypertension, chronic obstructive pulmonary disease, DBP, creatinine clearance, heart rate, and abstinence from alcohol.Safety end point models were adjusted for the following: prior stroke/TIA; anemia; prior gastrointestinal bleed; chronic obstructive

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2018 American Heart Association

158. Evaluation and Management of Right-Sided Heart Failure: A Scientific Statement From the American Heart Association

and acute RV dilation. A smaller proportion of patients have RVMI resulting from circumflex coronary artery occlusion in a left-dominant coronary system and rarely in association with left anterior descending coronary artery occlusion, in which this artery supplies collaterals to an otherwise underperfused anterior portion of the RV free wall. RVMI is associated with hemodynamic compromise in 25% to 50% of patients presenting with this infarct pattern. Early mortality is highest among patients (...) lead to acute RV strain as a result of pressure overload within minutes of occlusion of a major PA segment and is a common cause of ARHF. , Physical presentation often includes initial syncope or right-sided atrial arrhythmias. The prevalence of ARHF in the setting of acute PE ranges from 25% to 60%. , Predictors of RVD include >50% of the PA tree occluded by thrombus. Patients with evidence of RVD have a 2.4- to 3.5-fold increase in mortality compared with those without RVD. , Given the poor

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2018 American Heart Association

159. Spontaneous Coronary Artery Dissection: Current State of the Science: A Scientific Statement From the American Heart Association

intramural hematoma (dotted arrow) compressing the true lumen (asterisk). Despite the importance of intracoronary imaging for the diagnosis of SCAD, these tools have potential risks, including extending the coronary dissection with wire or imaging catheter, guide-catheter iatrogenic dissection, catheter-induced occlusion of true lumen, and hydraulic extension with contrast injection for optical coherence tomography. With weighing of the risks and benefits, intracoronary imaging should be pursued only (...) of ACS advocate an early invasive strategy with revascularization of culprit lesions over conservative therapy alone. , This stent-based lesion pacification reduces the risk of recurrent occlusion at the lesion site and associated adverse events in atherosclerotic MI, but there have been no randomized studies or subgroup analyses of treatment outcomes or comparisons between acute revascularization strategies for ACS caused by SCAD. These studies are critical because the mechanism of vessel

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2018 American Heart Association

160. ASPEN Guidelines for the Selection and Care of Central Venous Access Devices for Adult Home Parenteral Nutrition Administration

remains intact; requires no local site care when device is not accessed. PN may increase risk for CLABSI and occlusion in children with cancer. Adapted with permission from the American Society for Parenteral and Enteral Nutrition. CLABSI, central line–associated blood stream infection; CVAD, central venous access device; HPN, home parenteral nutrition; PICC, peripherally inserted central catheter; PN, parenteral nutrition; VAD, venous access device. The expansive duration of HPN (ranging from months (...) et al Retrospective cohort Compared complication rates of tunneled CVADs and PICCs in 1 Danish Center 136 adult HPN patients Total of 295 CVADs; 169 tunneled CVADs and 126 PICCs If removal was due to a mechanical cause (CVAD fell out, pulled out by mistake, occlusion, broken or other defects) PICC removal was higher (1.5 compared with 0.6/1000 CVAD days) PICCs were inserted when patient not able to care for the CVAD. Patients who had an acute condition, metabolically unstable requiring IV

2018 American Society for Parenteral and Enteral Nutrition

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