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  1. Article: Spontaneous iliac vein rupture: An uncommon, but frequently lethal, event.

    McCready, Robert A / Kiell, Charles S / Webb, Thomas H

    Journal of vascular surgery cases and innovative techniques

    2021  Volume 7, Issue 3, Page(s) 558–562

    Abstract: Spontaneous rupture of the iliac veins is a distinctly uncommon problem often misdiagnosed as an arterial rupture because of significant retroperitoneal bleeding. It often occurs with acute left-sided deep vein thrombosis and physical activities that ... ...

    Abstract Spontaneous rupture of the iliac veins is a distinctly uncommon problem often misdiagnosed as an arterial rupture because of significant retroperitoneal bleeding. It often occurs with acute left-sided deep vein thrombosis and physical activities that exacerbate acute venous hypertension. A significant number of these patients will have anatomy associated with May-Thurner syndrome. Delayed imaging on computed tomography scanning might suggest a venous etiology for a retroperitoneal hematoma rather than arterial bleeding. We found 53 previously reported cases of iliac vein rupture Our report details two additional cases and the treatment options and outcomes.
    Language English
    Publishing date 2021-07-01
    Publishing country United States
    Document type Case Reports
    ISSN 2468-4287
    ISSN 2468-4287
    DOI 10.1016/j.jvscit.2021.06.011
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Long-term Results With CorMatrix Extracellular Matrix Patches After Carotid Endarterectomy.

    McCready, Robert A / Kiell, Charles S / Chugh, Atul R / Rapp, Brian M / Webb, Thomas H / Barksdale, Andrew / Parikshak, Manesh / Gerdisch, Marc W

    The Journal of surgical research

    2021  Volume 262, Page(s) 21–26

    Abstract: Background: Previous reports of extracellular matrix (ECM) patch use after carotid endarterectomy (CEA) have noted an approximately 10% rate of pseudoaneurysm (PSA) formation. PSA-related rupture of ECM patches has also been described after femoral ... ...

    Abstract Background: Previous reports of extracellular matrix (ECM) patch use after carotid endarterectomy (CEA) have noted an approximately 10% rate of pseudoaneurysm (PSA) formation. PSA-related rupture of ECM patches has also been described after femoral artery repair. In these studies, different thicknesses (4-ply versus 6-ply) and no standard length of soaking the patch in saline before implantation were used. Herein, we describe our experience with ECM CorMatrix patches in 291 CEAs with 6-ply patches.
    Methods: The records of 275 consecutive patients undergoing 291 CEAs with CorMatrix 6-ply patches beginning in November of 2011 and extending until 2015 were reviewed. Only 6-ply patches and a 1 min hydration time in saline were used in all patients. No shunts were used.
    Results: There were three deaths within the first 30 d secondary to subsequent cardiac surgical procedures. Nine patients experienced a perioperative stroke (3.1%), only one of which occurred secondary to an occluded internal carotid artery. One patient had a transient ischemic attack with a patent endarterectomy site. In follow-up, 11 patients (4.5%) developed severe recurrent stenoses requiring reintervention. Only one patient (0.34%) developed a PSA at 2 years possibly secondary to chronic infection. The median follow-up was 72 mo.
    Conclusions: Our experience with 6-ply CorMatrix ECM patches and a brief period of soaking demonstrated that these patches performed well in patients requiring a CEA. Only one PSA was noted.
    MeSH term(s) Aged ; Aged, 80 and over ; Bioprosthesis/adverse effects ; Blood Vessel Prosthesis Implantation/adverse effects ; Carotid Artery Injuries/etiology ; Endarterectomy, Carotid/adverse effects ; Endarterectomy, Carotid/methods ; Extracellular Matrix ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications/etiology
    Language English
    Publishing date 2021-01-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80170-7
    ISSN 1095-8673 ; 0022-4804
    ISSN (online) 1095-8673
    ISSN 0022-4804
    DOI 10.1016/j.jss.2021.01.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Guidelines for hospital privileges in vascular surgery and endovascular interventions: Recommendations of the Society for Vascular Surgery.

    Calligaro, Keith D / Amankwah, Kwame S / D'Ayala, Marcus / Brown, O William / Collins, Paul Steven / Eslami, Mohammad H / Jain, Krishna M / Kassavin, Daniel S / Propper, Brandon / Sarac, Timur P / Shutze, William P / Webb, Thomas H

    Journal of vascular surgery

    2018  Volume 67, Issue 5, Page(s) 1337–1344

    Abstract: The Hospital Privileges Practice Guideline Writing Group of the Society for Vascular Surgery is making the following five recommendations concerning guidelines for hospital privileges for vascular surgery and endovascular therapy. Advanced endovascular ... ...

    Abstract The Hospital Privileges Practice Guideline Writing Group of the Society for Vascular Surgery is making the following five recommendations concerning guidelines for hospital privileges for vascular surgery and endovascular therapy. Advanced endovascular procedures are currently entrenched in the everyday practice of specialized vascular interventionalists, including vascular surgeons, but open vascular surgery remains uniquely essential to the specialty. First, we endorse the Residency Review Committee for Surgery recommendations regarding open and endovascular cases during vascular residency and fellowship training. Second, applicants for new hospital privileges wishing to perform vascular surgery should have completed an Accreditation Council for Graduate Medical Education-accredited vascular surgery residency or fellowship or American Osteopathic Association-accredited training program before 2020 and should obtain American Board of Surgery certification in vascular surgery or American Osteopathic Association certification within 7 years of completion of their training. Third, we recommend that applicants for renewal of hospital privileges in vascular surgery include physicians who are board certified in vascular surgery, general surgery, or cardiothoracic surgery. These physicians with an established practice in vascular surgery should participate in Maintenance of Certification programs as established by the American Board of Surgery and maintain their respective board certification. Fourth, we provide recommendations concerning guidelines for endovascular procedures for vascular surgeons and other vascular interventionalists who are applying for new or renewed hospital privileges. All physicians performing open or endovascular procedures should track outcomes using nationally validated registries, ideally by the Vascular Quality Initiative. Fifth, we endorse the Intersocietal Accreditation Commission recommendations for noninvasive vascular laboratory interpretations and examinations to become a Registered Physician in Vascular Interpretation, which is included in the requirements for board eligibility in vascular surgery, but recommend that only physicians with demonstrated clinical experience in the diagnosis and management of vascular disease be allowed to interpret these studies.
    MeSH term(s) Certification/standards ; Clinical Competence/standards ; Education, Medical, Continuing/standards ; Education, Medical, Graduate/standards ; Endovascular Procedures/education ; Endovascular Procedures/standards ; Humans ; Medical Staff Privileges/standards ; Medical Staff, Hospital/standards ; Societies, Medical/standards ; Surgeons/education ; Surgeons/standards ; Vascular Surgical Procedures/education ; Vascular Surgical Procedures/standards
    Language English
    Publishing date 2018
    Publishing country United States
    Document type Journal Article ; Practice Guideline
    ZDB-ID 605700-7
    ISSN 1097-6809 ; 0741-5214
    ISSN (online) 1097-6809
    ISSN 0741-5214
    DOI 10.1016/j.jvs.2018.02.008
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Leiomyosarcoma arising from the superior mesenteric vein.

    Goldin, Steven B / Webb, Thomas H / Lillemoe, Keith D

    Surgery

    2002  Volume 132, Issue 1, Page(s) 108–109

    MeSH term(s) Adult ; Female ; Humans ; Leiomyosarcoma/diagnosis ; Leiomyosarcoma/secondary ; Leiomyosarcoma/surgery ; Liver Neoplasms/secondary ; Mesenteric Veins ; Vascular Neoplasms/diagnosis ; Vascular Neoplasms/pathology ; Vascular Neoplasms/surgery
    Language English
    Publishing date 2002-05-09
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 202467-6
    ISSN 1532-7361 ; 0039-6060
    ISSN (online) 1532-7361
    ISSN 0039-6060
    DOI 10.1067/msy.2002.118261
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Preoperative selective intercostal angiography in patients undergoing thoracoabdominal aneurysm repair.

    Williams, G Melville / Roseborough, Glen S / Webb, Thomas H / Perler, Bruce A / Krosnick, Teresa

    Journal of vascular surgery

    2004  Volume 39, Issue 2, Page(s) 314–321

    Abstract: Objective: This study was designed to test the hypothesis that detection of the location of the major artery supplying the spinal cord, that is, the artery of Adamkiewicz or the great radicular artery (GRA), with angiography would help prevent ... ...

    Abstract Objective: This study was designed to test the hypothesis that detection of the location of the major artery supplying the spinal cord, that is, the artery of Adamkiewicz or the great radicular artery (GRA), with angiography would help prevent paraplegia. Knowing which intercostal artery provides this important branch would enable prompt, focused revascularization.
    Method: The surgical outcome in 131 patients with Crawford extent 1 and 2 degenerative aneurysms and 69 patients with descending thoracic aortic dissection was correlated with findings on selective intercostal arteriograms. Angiographic maneuvers were done with care, and the procedures were aborted if there was loose or "shaggy" mural thrombus, significant tortuosity, or difficulty entering each dissection channel. No attempts were made to find major contributions proximal to T6. Subarachnoid drains were placed in all patients, and all but five patients underwent distal aortic perfusion with controlled cooling to 32 degrees F. Five patients underwent cold circulatory arrest, enabling replacement of the distal aortic arch. We defined paraplegia simply as the inability to walk at hospital discharge, paraparesis as impaired ambulation, and both as having spinal cord dysfunction (SCD).
    Results: A GRA was found in 65 (43%)of the 151 patients studied. Of the 65 patients with the GRA identified, SCD developed in 3 (4.6%) patients. Thirteen of 135 (9.6%) patients in whom the GRA was not identified, either because they were not studied or were studied and the GRA was not found, developed SCD (P =.35) However, when the GRA was identified, SCD occurred only in the group with aortic dissection. None of the 45 patients with degenerative aneurysms with the GRA identified had SCD, compared with 9 of 55 (16%) patients studied but without a GRA found (P =.01).
    Conclusion: The approach with selective intercostal angiography did not improve overall results. One third of our patients were not studied, and they fared as well as patients who were studied and the GRA was localized (not studied, 4 of 49, 8% with SCD; GRA localized, 3 of 65, 5% with SCD; P =.8). However, when the GRA was found, SCD occurred only in patients with aortic dissection. The studies confirmed the concept that the existence of mural thrombus in degenerative aneurysms results in the occlusion of many intercostal arteries, leaving those remaining patent to supply rich vascular watersheds through acquired collateral channels. As a result, in the group of patients with degenerative aneurysms, the identification of the critical intercostal artery allows focused reimplantation with uniform success. This is not the case in patients with aortic dissection. In those patients, most intercostal vessels remain patent, such that the insertion of one pair is insufficient to supply the paravertebral plexus and the spinal cord. Finally, failure to identify the GRA angiographically with our methods does not provide assurance that the GRA does not exist. Therefore negative findings did not provide license to ligate all intercostal arteries.
    MeSH term(s) Aneurysm, Dissecting/diagnostic imaging ; Aneurysm, Dissecting/surgery ; Angiography/methods ; Aortic Aneurysm, Abdominal/diagnostic imaging ; Aortic Aneurysm, Abdominal/surgery ; Aortic Aneurysm, Thoracic/diagnostic imaging ; Aortic Aneurysm, Thoracic/surgery ; Drainage ; Heart Arrest, Induced ; Humans ; Paraplegia/prevention & control ; Preoperative Care ; Ribs/diagnostic imaging ; Ribs/surgery ; Spinal Cord/blood supply
    Language English
    Publishing date 2004-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605700-7
    ISSN 1097-6809 ; 0741-5214
    ISSN (online) 1097-6809
    ISSN 0741-5214
    DOI 10.1016/j.jvs.2003.09.039
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Preoperative and intraoperative determinants of incisional bulge following retroperitoneal aortic repair.

    Matsen, Susanna L / Krosnick, Teresa A / Roseborough, Glen S / Perler, Bruce A / Webb, Thomas H / Chang, David C / Williams, G Melville

    Annals of vascular surgery

    2006  Volume 20, Issue 2, Page(s) 183–187

    Abstract: Although the left flank retroperitoneal incision is a useful approach for many patients undergoing major aortic reconstruction for aneurysmal and occlusive disease, it has been associated with weakening of the flank muscles, resulting in bulges varying ... ...

    Abstract Although the left flank retroperitoneal incision is a useful approach for many patients undergoing major aortic reconstruction for aneurysmal and occlusive disease, it has been associated with weakening of the flank muscles, resulting in bulges varying from slight asymmetry to huge hernias. The purpose of this study was to determine if the incidence of this complication correlated with identifiable preoperative or intraoperative factors. Fifty consecutive patients undergoing aortic reconstruction via the retroperitoneal approach were followed for 1 year postoperatively for evidence of disfiguring bulges. Bulges were scored as follows: normal/mild, <1-inch protrusion; moderate, protrusion 1-2 inches; severe, protrusion >2 inches and/or pain or true herniation. Preoperatively, patients were administered a questionnaire to elicit demographic and comorbidity data. Fifty-six percent of patients developed a bulge at 1 year. In 43% of these, the bulge was deemed mild and in 54% moderate. One patient developed a severe bulge. Among preoperative comorbidities, no statistically significant correlations were found on bivariate analysis. However, likelihood ratios for bulge development of 5.5 for renal disease and 3.1 for cancer were demonstrated. Conversely, peripheral vascular disease had a likelihood ratio of 0.21 for bulge formation and emphysema, 0.28. On logistic analysis, incision >15 cm and body mass index (BMI) >23 mg/kg(2) were found to correlate strongly with bulge formation (p=0.003, odds ratio=9.1, and p=0.018, odds ratio=16.9, respectively). Together, these yielded a pseudo r (2) of 0.32. BMI >23 mg/kg(2 )was found to yield the greatest explanatory power. These same two variables were found to correlate with severity of bulge: p=0.02 for incision>5 cm and p=0.006 for BMI >23. Of note, gender, age, and extension of the incision into the interspace were not significant on logistic analysis. Preoperatively, surgeons should warn obese patients and those requiring large incisions for extensive disease of their increased risk for poor healing. Intraoperatively, surgeons should aim to minimize incision length.
    MeSH term(s) Aged ; Aorta/surgery ; Body Mass Index ; Cohort Studies ; Female ; Hernia, Ventral/epidemiology ; Hernia, Ventral/etiology ; Hernia, Ventral/pathology ; Humans ; Incidence ; Intraoperative Care ; Male ; Obesity/complications ; Postoperative Complications ; Preoperative Care ; Retroperitoneal Space/surgery ; Risk Factors ; Vascular Surgical Procedures/adverse effects ; Wound Healing
    Language English
    Publishing date 2006-03
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1027366-9
    ISSN 1615-5947 ; 0890-5096
    ISSN (online) 1615-5947
    ISSN 0890-5096
    DOI 10.1007/s10016-006-9021-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Book ; Audio / Video: Information for Kanzas immigrants

    Webb, Thomas H

    1855  

    Title variant Information for Kansas immigrants
    Institution New England Emigrant Aid Company
    Author's details prepared by Thomas H. Webb (Secretary of the New England Emigrant Aid Co.)
    Keywords Kansas
    Language English
    Size 24 p. ;, 21 cm.
    Edition 2nd ed.
    Publisher Printed by Alfred Mudge & Son
    Publishing place Boston
    Document type Book ; Audio / Video
    Database NAL-Catalogue (AGRICOLA)

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  8. Book: Remarks on the cholera, embracing facts and observations collected at New-York

    Webb, Thomas H / Tobey, Samuel Boyd / Mauran, J

    during a visit to the city expressly for that purpose

    1832  

    MeSH term(s) Cholera ; Disease Outbreaks
    Keywords New York City
    Language English
    Size 34 p. ;, 19 cm.
    Edition 3rd ed.
    Publisher W. Marshall and Co
    Publishing place Providence
    Document type Book
    Note Cover title; authors from verso of t.p. ; In manuscript on cover: 1832(?), Josiah Snow.
    Database Catalogue of the US National Library of Medicine (NLM)

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