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  1. Article ; Online: Introduction to Virtual Supplement to Annals of Vascular Surgery.

    Gray, Bruce H

    Annals of vascular surgery

    2023  Volume 101, Page(s) 219–220

    MeSH term(s) Humans ; Treatment Outcome ; Specialties, Surgical ; Vascular Surgical Procedures
    Language English
    Publishing date 2023-12-16
    Publishing country Netherlands
    Document type Editorial
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2023.12.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Reclaiming the Bedside of the Vascular Patient.

    Gray, Bruce H

    Annals of vascular surgery

    2023  Volume 101, Page(s) 6–10

    Abstract: There are many challenges to meet the needs of our patients in this health-care environment. How we approach each patient, with a caring attitude, a real physical examination, and diligent reasoning prior to treatment is foundational. Survey data reveal ... ...

    Abstract There are many challenges to meet the needs of our patients in this health-care environment. How we approach each patient, with a caring attitude, a real physical examination, and diligent reasoning prior to treatment is foundational. Survey data reveal that we fall short in many patient encounters. This review provides a rationale for reclaiming the bedside, identifying ways to refocus our attention on the patient while dealing with a problem to be solved.
    MeSH term(s) Humans ; Treatment Outcome ; Physical Examination ; Patients
    Language English
    Publishing date 2023-12-19
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2023.12.006
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Refining Vascular Care Through Science Without Losing the Art.

    Low, Matthew / Gray, Bruce H

    Annals of vascular surgery

    2023  Volume 101, Page(s) 11–14

    Abstract: The science of medicine involves the incorporation of data from evidence-based medicine (collecting, analyzing, conducting clinical trials), medical knowledge (learned patterns of health and disease), diagnostic testing (objective evidence), treatment ... ...

    Abstract The science of medicine involves the incorporation of data from evidence-based medicine (collecting, analyzing, conducting clinical trials), medical knowledge (learned patterns of health and disease), diagnostic testing (objective evidence), treatment protocols (guidelines based on scientific evidence and/or expert consensus), and pharmacology (prescribing safely and effectively). The art of medicine involves clinical judgment (learn to interpret clinical signs, symptoms, and histories often relying on intuition and gut feelings), bedside manner (understanding patient needs), customization of care (artistic touch to meet each person's unique circumstances including values, preferences, and social determinants of health), complex decision-making (decision-making based on experience or expertise when confronted with limited or conflicting data), and managing uncertainty (making decisions keeping "doors open" when faced with limited objective confirmation). The delivery of healthcare is not "either science or art" but rather "both science and art" proposition. So, how do we wrestle with this potential paradox?
    MeSH term(s) Humans ; Treatment Outcome ; Evidence-Based Medicine ; Emotions
    Language English
    Publishing date 2023-12-16
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2023.12.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The Importance of Team Alignment and Retention in Vascular Center Development: A Clinician's Perspective.

    Hale, Allyson L / Gray, Weston S / Gray, Bruce H

    Annals of vascular surgery

    2023  Volume 101, Page(s) 1–5

    Abstract: The healthcare landscape is in a state of constant evolution, presenting both challenges and opportunities. Recent trends, including the departure or retirement of medical professionals, the rise in travel and per diem positions, and the expansive growth ...

    Abstract The healthcare landscape is in a state of constant evolution, presenting both challenges and opportunities. Recent trends, including the departure or retirement of medical professionals, the rise in travel and per diem positions, and the expansive growth of healthcare networks, have resulted in a palpable divide within the field. This divide often manifests as a shift from prioritizing patient care and staff well-being toward financial security and operational efficiency and productivity. Amid these ongoing changes, vascular centers possess the potential for a positive distinction that extends beyond their specialization to encompass their approaches to patient care and team dynamics. This article presents a 3-phase strategy for vascular clinicians and centers to consider as they seek to attract and retain top-tier staff, provide exceptional patient care, and attain sustainable growth and financial success.
    MeSH term(s) Humans ; Treatment Outcome ; Delivery of Health Care
    Language English
    Publishing date 2023-12-16
    Publishing country Netherlands
    Document type Journal Article ; Review
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1016/j.avsg.2023.12.005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Images in Vascular Medicine: Leukocytoclastic vasculitis after COVID-19 vaccine booster.

    Dicks, Andrew B / Gray, Bruce H

    Vascular medicine (London, England)

    2021  Volume 27, Issue 1, Page(s) 100–101

    MeSH term(s) COVID-19/prevention & control ; COVID-19 Vaccines/adverse effects ; Humans ; Immunization, Secondary/adverse effects ; Vasculitis, Leukocytoclastic, Cutaneous/chemically induced
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2021-11-01
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1311628-9
    ISSN 1477-0377 ; 1358-863X
    ISSN (online) 1477-0377
    ISSN 1358-863X
    DOI 10.1177/1358863X211055507
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Is it the baby or the bath water?

    Gray, Bruce H

    Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions

    2018  Volume 91, Issue 6, Page(s) 1136–1137

    Abstract: Technique makes a difference Pharmaceutical support is essential Secondary procedures are frequent. ...

    Abstract Technique makes a difference Pharmaceutical support is essential Secondary procedures are frequent.
    MeSH term(s) Humans ; Infant ; Stents ; Vascular Diseases
    Language English
    Publishing date 2018-05-07
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 1459995-8
    ISSN 1522-726X ; 1522-1946
    ISSN (online) 1522-726X
    ISSN 1522-1946
    DOI 10.1002/ccd.27621
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Peripheral vascular intervention is better than tibial bypass for critical limb ischemia.

    Gray, Bruce H

    Vascular medicine (London, England)

    2017  Volume 22, Issue 1, Page(s) 35–36

    Language English
    Publishing date 2017-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 1311628-9
    ISSN 1477-0377 ; 1358-863X
    ISSN (online) 1477-0377
    ISSN 1358-863X
    DOI 10.1177/1358863X16681665
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: A Comprehensive Review of Risk Factors and Thrombophilia Evaluation in Venous Thromboembolism.

    Dicks, Andrew B / Moussallem, Elie / Stanbro, Marcus / Walls, Jay / Gandhi, Sagar / Gray, Bruce H

    Journal of clinical medicine

    2024  Volume 13, Issue 2

    Abstract: Venous thromboembolism (VTE), which encompasses deep vein thrombosis (DVT) and pulmonary embolism (PE), is a significant cause of morbidity and mortality worldwide. There are many factors, both acquired and inherited, known to increase the risk of VTE. ... ...

    Abstract Venous thromboembolism (VTE), which encompasses deep vein thrombosis (DVT) and pulmonary embolism (PE), is a significant cause of morbidity and mortality worldwide. There are many factors, both acquired and inherited, known to increase the risk of VTE. Most of these result in increased risk via several common mechanisms including circulatory stasis, endothelial damage, or increased hypercoagulability. Overall, a risk factor can be identified in the majority of patients with VTE; however, not all risk factors carry the same predictive value. It is important for clinicians to understand the potency of each individual risk factor when managing patients who have a VTE or are at risk of developing VTE. With this, many providers consider performing a thrombophilia evaluation to further define a patient's risk. However, guidance on who to test and when to test is controversial and not always clear. This comprehensive review attempts to address these aspects/concerns by providing an overview of the multifaceted risk factors associated with VTE as well as examining the role of performing a thrombophilia evaluation, including the indications and timing of performing such an evaluation.
    Language English
    Publishing date 2024-01-09
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm13020362
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Remembering Jess R Young, MD, MSVM (1928-2021): SVM Founding Member and First President.

    Bartholomew, John R / Jaff, Michael R / Gray, Bruce H / Olin, Jeffrey W

    Vascular medicine (London, England)

    2022  Volume 27, Issue 2, Page(s) 211–213

    Language English
    Publishing date 2022-03-09
    Publishing country England
    Document type Journal Article
    ZDB-ID 1311628-9
    ISSN 1477-0377 ; 1358-863X
    ISSN (online) 1477-0377
    ISSN 1358-863X
    DOI 10.1177/1358863X221080192
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Navigating between the science and art of acute limb ischemia treatment.

    Low, Matthew / Gray, Bruce H

    Progress in cardiovascular diseases

    2021  Volume 65, Page(s) 29–33

    Abstract: The diagnosis and treatment of acute limb ischemia (ALI) has long been a fierce adversary that has evolved over the last several decades with scientific advancements in endovascular therapy. History and physical examination remain the mainstay of ... ...

    Abstract The diagnosis and treatment of acute limb ischemia (ALI) has long been a fierce adversary that has evolved over the last several decades with scientific advancements in endovascular therapy. History and physical examination remain the mainstay of diagnosis enhanced by detailed imaging to guide therapy. Many endovascular tools are available for prompt restoration of flow that compliment traditional surgical options. These devices incorporate the mechanical removal of thrombus and the chemical dissolution of thrombus . Medical decision-making for ALI patients must take into account the patient characteristics, anatomic variables, mechanism of ischemia, degree of ischemia, and operator skill to employ the right strategy for the right patient. This moving target challenges scientific study, making the therapeutic bedside decision making an artform. We present an overview of the field, supportive data, and a treatment algorithm that hopefully captures this delicate balance.
    MeSH term(s) Acute Disease ; Catheterization, Peripheral/adverse effects ; Catheterization, Peripheral/instrumentation ; Clinical Decision-Making ; Endovascular Procedures/adverse effects ; Endovascular Procedures/instrumentation ; Fibrinolytic Agents/administration & dosage ; Fibrinolytic Agents/adverse effects ; Humans ; Ischemia/diagnostic imaging ; Ischemia/physiopathology ; Ischemia/therapy ; Peripheral Arterial Disease/diagnostic imaging ; Peripheral Arterial Disease/physiopathology ; Peripheral Arterial Disease/therapy ; Predictive Value of Tests ; Thrombectomy/adverse effects ; Thrombolytic Therapy/adverse effects ; Thrombolytic Therapy/instrumentation ; Treatment Outcome
    Chemical Substances Fibrinolytic Agents
    Language English
    Publishing date 2021-02-12
    Publishing country United States
    Document type Journal Article
    ZDB-ID 209312-1
    ISSN 1873-1740 ; 1532-8643 ; 0033-0620
    ISSN (online) 1873-1740 ; 1532-8643
    ISSN 0033-0620
    DOI 10.1016/j.pcad.2021.02.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

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