Posts Tagged ‘stenosis’

Transcatheter or Surgical Aortic-Valve Replacement in Intermediate-Risk Patients

Posted by • April 27th, 2016

I’ve sometimes wondered if I’m embarking on the field of surgery in the wrong era.  As a medical student, and now as a resident, the big open operations have always seemed to be the most exhilarating and rewarding.  It always seems more thrilling to have your hands deep in a patient’s abdomen or chest than… Read More…

Fusion for Lumbar Spinal Stenosis?

Posted by • April 13th, 2016

Back pain does not respect traditional boundaries in healthcare.  Patients with back pain are present in our emergency rooms, our minute clinics, our surgical subspecialty offices, and our inpatient units.  As such, many of us—orthopedist or internist, rheumatologist or advanced practitioner—have had to think about advising the patient with lumbar spinal stenosis or lumbar spondylolisthesis,… Read More…

Should we just go with the flow? Fractional flow reserve-directed PCI and the FAME-2 trial

Posted by • September 12th, 2012

Most of us don’t give much thought to the luminal appearance of the drainpipe in our kitchen sink. Why worry about it as long as the water’s flowing well? It’s when the flow slows to a trickle that we think about calling a plumber. Flow is also of primary importance in the coronary arteries. Although an… Read More…

Carotid Revascularization

Posted by • July 2nd, 2010

Carotid-artery atherosclerosis is an important cause of ischemic stroke. Carotid endarterectomy has been established as effective treatment for both symptomatic patients and asymptomatic patients. Carotid-artery stenting is another option for treatment. In a randomized comparison by Brott et al. of stenting and endarterectomy as treatment for carotid-artery stenosis, no significant difference was found in the rate… Read More…