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Kumarage J, Khonyongwa K, Khan A, Desai N, Hoffman P, Taori S. Transmission of multi-drug resistant Pseudomonas aeruginosa between two flexible ureteroscopes and an outbreak of urinary tract infection: the fragility of endoscope decontamination. J Hosp Infect 2019; 102:89-94. [DOI: 10.1016/j.jhin.2019.02.015] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2019] [Accepted: 02/17/2019] [Indexed: 11/28/2022]
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77
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Ingram J, Collier F, Brown D, Burton T, Burton J, Chin M, Desai N, Goodacre T, Piguet V, Pink A, Exton L, Mohd Mustapa M. BAD guidelines for the management of HS (acne inversa) 2018. Br J Dermatol 2019. [DOI: 10.1111/bjd.17799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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78
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Ingram J, Collier F, Brown D, Burton T, Burton J, Chin M, Desai N, Goodacre T, Piguet V, Pink A, Exton L, Mohd Mustapa M. HS (反常性痤疮) 管理的 BAD 指南 2018. Br J Dermatol 2019. [DOI: 10.1111/bjd.17811] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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79
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Wallen T, Habertheuer A, Bavaria JE, Hughes G, Badhwar V, Jacobs JP, Yerokun B, Thibault D, Milewski K, Desai N, Szeto W, Svensson L, Vallabhajosyula P. Elective Aortic Root Replacement in North America: Analysis of STS Adult Cardiac Surgery Database. Ann Thorac Surg 2019; 107:1307-1312. [DOI: 10.1016/j.athoracsur.2018.12.039] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Revised: 12/06/2018] [Accepted: 12/17/2018] [Indexed: 11/28/2022]
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80
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Simon M, Gomberg-Maitland M, Oudiz R, Machado R, Rischard F, Elinoff J, Grigorian B, Schmid A, Hou S, Desai N, Gladwin M. Severe Pulmonary Arterial Hypertension Treated with ABI-009, nab-Sirolimus, an mTOR Inhibitor. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.1238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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81
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Ingram JR, Collier F, Brown D, Burton T, Burton J, Chin MF, Desai N, Goodacre TEE, Piguet V, Pink AE, Exton LS, Mohd Mustapa MF. British Association of Dermatologists guidelines for the management of hidradenitis suppurativa (acne inversa) 2018. Br J Dermatol 2019; 180:1009-1017. [PMID: 30552762 DOI: 10.1111/bjd.17537] [Citation(s) in RCA: 100] [Impact Index Per Article: 20.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/04/2018] [Indexed: 02/06/2023]
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82
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Reutersberg B, Gleason T, Desai N, Ehrlich MP, Evangelista-Masip A, Braverman A, Myrmel T, Chen E, Estrera A, Schermerhorn M, Bossone E, Montgomery D, Eagle K, Sundt T, Patel H, Trimarchi S, Eckstein HH. NEUROLOGICAL EVENT RATES AND ASSOCIATED RISK FACTORS IN ACUTE TYPE B AORTIC DISSECTIONS TREATED ENDOVASCULARLY. J Am Coll Cardiol 2019. [DOI: 10.1016/s0735-1097(19)32660-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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83
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Brown CR, Chen Z, Khurshan F, Kreibich M, Bavaria J, Groeneveld P, Desai N. Outcomes after thoracic endovascular aortic repair in patients with chronic kidney disease in the Medicare population. J Thorac Cardiovasc Surg 2019; 159:402-413. [PMID: 30955964 DOI: 10.1016/j.jtcvs.2019.01.118] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Revised: 01/04/2019] [Accepted: 01/20/2019] [Indexed: 01/16/2023]
Abstract
OBJECTIVE Thoracic endovascular aortic repair has been increasingly performed in higher-risk patients with renal failure. The objective was to compare Medicare patients with preoperative chronic kidney disease with patients with normal renal function to determine differences in postoperative survival and complications. METHODS From 2000 to 2014, 27,079 Medicare fee-for service patients underwent thoracic endovascular aortic repair. Patients were stratified by kidney function, and 23,375 patients (86%) had no chronic kidney disease, 2957 patients (11%) had chronic kidney disease stage I/IV, and 747 patients (3%) had end-stage renal disease or hemodialysis. Groups were then compared with determined differences in adjusted all-cause mortality and rates of postoperative complications. RESULTS Overall survival was significantly worse among patients with chronic kidney disease and end-stage renal disease or hemodialysis compared with patients with no chronic kidney disease (1-year survival no chronic kidney disease: 78%; chronic kidney disease I/II: 77%; chronic kidney disease III: 67%; chronic kidney disease IV: 58%; and end-stage renal disease or hemodialysis: 48%, P < .001). Mortality was significantly increased among patients with chronic kidney disease III (hazard ratio [HR], 1.29; P < .001), chronic kidney disease IV (HR, 1.74; P < .001), and end-stage renal disease or hemodialysis (HR, 2.03; P < .001). No mortality difference was found between patients with no chronic kidney disease and patients with chronic kidney disease stage I/II. At 30 days after thoracic endovascular aortic repair, sepsis was increased for patients with chronic kidney disease stage III/IV (HR, 1.7; P < .001) and end-stage renal disease or hemodialysis (HR, 2.7; P < .001). CONCLUSIONS In this elderly Medicare population undergoing thoracic endovascular aortic repair, patients with chronic kidney disease stage III, chronic kidney disease stage IV, or end-stage renal disease/hemodialysis had poor survival and increased morbidity compared with those with normal kidney function. These data may suggest that patients with chronic kidney disease stage III, chronic kidney disease stage IV, or end-stage renal disease/hemodialysis should be more cautiously evaluated for thoracic endovascular aortic repair, weighing the benefits of the procedure against the high expected mortality.
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84
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Kreibich M, Desai N, Bavaria J, Okamura H, Kimura N, Yamaguchi A, Beyersdorf F, Rylski B. Common Carotid Artery Occlusion Secondary to Type A Aortic Dissection. Thorac Cardiovasc Surg 2019. [DOI: 10.1055/s-0039-1678943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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85
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Habertheuer A, Milewski RK, Bavaria JE, Siki M, Freas M, Desai N, Szeto W, Ram C, Hu R, Vallabhajosyula P. Predictors of Recurrent Aortic Insufficiency in Type I Bicuspid Aortic Valve Repair. Ann Thorac Surg 2018; 106:1316-1324. [DOI: 10.1016/j.athoracsur.2018.06.026] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2018] [Revised: 06/05/2018] [Accepted: 06/06/2018] [Indexed: 11/16/2022]
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86
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Hsu A, Desai N, Paldino MJ. The Unwound Cochlea: A Specific Imaging Marker of Branchio-Oto-Renal Syndrome. AJNR Am J Neuroradiol 2018; 39:2345-2349. [PMID: 30385470 DOI: 10.3174/ajnr.a5856] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2018] [Accepted: 09/04/2018] [Indexed: 11/07/2022]
Abstract
BACKGROUND AND PURPOSE Branchio-oto-renal syndrome is an important syndromic cause of hearing loss. Our aim was to determine the test characteristics of the unwound cochlea on temporal bone CT for the diagnosis of branchio-oto-renal syndrome in a cohort of children with hearing loss. MATERIALS AND METHODS Patients were identified retrospectively with a clinical diagnosis of branchio-oto-renal syndrome and CT imaging of the temporal bones. Age-matched controls were also identified with sensorineural hearing loss not related to a diagnosis of branchio-oto-renal syndrome and CT imaging of the temporal bones. All examinations were reviewed by 2 neuroradiologists blinded to the diagnosis of branchio-oto-renal syndrome versus controls for the absence/presence of an unwound cochlea defined as anteromedial rotation and displacement of the middle and apical turns away from the basal turn. RESULTS The final study group comprised 9 patients with branchio-oto-renal syndrome (age range, 1-14 years; mean age, 8.0 ± 4.3 years) and 50 control patients (age range, 1-16 years; mean age, 7.9 ± 4.1 years). The cochlea was subjectively abnormal in all 9 patients. In 8 patients (89%), imaging demonstrated a typical unwound cochlear morphology. By contrast, none of the control subjects demonstrated an unwound cochlea on either side. Statistically, the unwound cochlea was significantly more frequent in the branchio-oto-renal group compared with controls (P < .001). The unwound cochlea was 89% sensitive and 100% specific for the diagnosis of branchio-oto-renal syndrome. CONCLUSIONS The unwound cochlea is a specific imaging marker of branchio-oto-renal syndrome. These findings further support the diagnostic accuracy and therefore the utility of temporal bone imaging in the diagnosis of this disorder.
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Desai N, Currey A, Kelly T, Bergom C. Nationwide Trends in Heart-Sparing Techniques Utilized in Radiation Therapy for Breast Cancer. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.1646] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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88
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Rymer J, Xiang K, Wang A, Cohen D, Desai N, Kirtane AJ, Hughes GC, Harrison JK, Vemulapalli S. TCT-7 Predictors and Outcomes of Aborted Procedures During Elective Transcatheter Aortic Valve Replacement. J Am Coll Cardiol 2018. [DOI: 10.1016/j.jacc.2018.08.1082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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89
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Llarena N, Muninarayana A, Richards E, Fletcher D, Bonfield T, Desai N, Flyckt R. IL-1B in endometrial secretions is a predictor of moderate to severe endometriosis. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.1077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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90
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Desai N, Goldberg J, Austin C, Falcone T. Assessing vitrification cycle outcomes: comparison between patients transferring blastocysts after PGS screening versus untested blastocysts. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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91
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Gingold J, Ng N, McAuley J, Lipton Z, Desai N. Predicting embryo morphokinetic annotations from time-lapse videos using convolutional neural networks. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.07.634] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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92
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Ibrahim M, Spelde AE, Carter TI, Patel PA, Desai N. The Ross Operation in the Adult: What, Why, and When? J Cardiothorac Vasc Anesth 2018. [DOI: 10.1053/j.jvca.2017.12.047] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
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93
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Jackson BM, Wang GJ, Foley PJ, Bavaria J, Szeto W, Desai N, Vallabhajosyula P, Fairman RM. VH05. Cervical Debranching for Aortic Arch Reconstruction. J Vasc Surg 2018. [DOI: 10.1016/j.jvs.2018.03.382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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94
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Mehta T, Desai N, Mehta K, Parikh R, Male S, Hussain M, Ollenschleger M, Spiegel G, Grande A, Ezzeddine M, Jagadeesan B, Tummala R, McCullough L. Outcomes of early carotid stenting and angioplasty in large-vessel anterior circulation strokes treated with mechanical thrombectomy and intravenous thrombolytics. Interv Neuroradiol 2018; 24:392-397. [PMID: 29697301 DOI: 10.1177/1591019918768574] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Introduction Proximal cervical internal carotid artery stenosis greater than 50% merits revascularization to mitigate the risk of stroke recurrence among large-vessel anterior circulation strokes undergoing mechanical thrombectomy. Carotid artery stenting necessitates the use of antiplatelets, and there is a theoretical increased risk of hemorrhagic transformation given that such patients may already have received intravenous thrombolytics and have a significant infarct burden. We investigate the outcomes of large-vessel anterior circulation stroke patients treated with intravenous thrombolytics receiving same-day carotid stenting or selective angioplasty compared to no carotid intervention. Materials and methods The study cohort was obtained from the National (Nationwide) Inpatient Sample database between 2006 and 2014, using International Statistical Classification of Diseases, ninth revision discharge diagnosis and procedure codes. A total of 11,825 patients with large-vessel anterior circulation stroke treated with intravenous thrombolytic and mechanical thrombectomy on the same day were identified. The study population was subdivided into three subgroups: no carotid intervention, same-day carotid angioplasty without carotid stenting, and same-day carotid stenting. Outcomes were assessed with respect to mortality, significant disability at discharge, hemorrhagic transformation, and requirement of percutaneous endoscopic gastronomy tube placement, prolonged mechanical ventilation, or craniotomy. Results This study found no statistically significant difference in patient outcomes in those treated with concurrent carotid stenting compared to no carotid intervention in terms of morbidity or mortality. Conclusions If indicated, it is reasonable to consider concurrent carotid stenting and/or angioplasty for large-vessel anterior circulation stroke patients treated with mechanical thrombectomy who also receive intravenous thrombolytics.
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Wallen TJ, Szeto W, Williams M, Atluri P, Arnaoutakis G, Fults M, Sultan I, Desai N, Acker M, Vallabhajosyula P. Tricuspid valve endocarditis in the era of the opioid epidemic. J Card Surg 2018; 33:260-264. [DOI: 10.1111/jocs.13600] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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96
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Mangels DR, Siki M, Menon R, Bavaria J, Anwaruddin S, Giri J, Desai N, Szeto WY, Vallabhajosyula P, Herrmann HC. Hemodynamic Effects of Valve Asymmetry in Sapien 3 Transcatheter Aortic Valves. THE JOURNAL OF INVASIVE CARDIOLOGY 2018; 30:138-143. [PMID: 29610444] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
BACKGROUND Eccentric valve deployment after transcatheter aortic valve replacement (TAVR) has been associated with abnormal leaflet shear stresses that may accelerate structural valve deterioration (SVD). This phenomenon has not been studied in patients receiving Sapien 3 prostheses (Edwards Lifesciences). METHODS A retrospective cohort analysis of 100 patients who received Sapien 3 valves between 2013 and 2015 at a single institution was performed. Axial fluoroscopic images from the co-planar view were used to assess TAVR asymmetry, which was defined as a ratio of left-to-right valve heights ≤0.9 or ≥1.1. Transthoracic echocardiograms (TTEs) were obtained at follow-up to analyze peak and mean aortic valve (AV) gradients, paravalvular leak (PVL), and aortic insufficiency (AI). RESULTS Overall, 26 mm and 29 mm valves had greater asymmetry (45.2% and 46.9%) compared to 23 mm valves (21.2%; P=.06). There was no relationship between pre-TAVR eccentricity and post-TAVR asymmetry, but greater annular calcification was associated with a higher incidence of TAVR asymmetry. Although asymmetry was associated with higher mean and peak AV gradients among 23 mm and 26 mm valves at both 1-year and 2-year follow-up exams, these results did not reach significance. There were no significant differences in PVL or AI severity between asymmetric and symmetric valves. CONCLUSIONS Asymmetric deployment of Sapien 3 valves is common, particularly among 26 mm and 29 mm prostheses. Overall, we detected a small increase in gradients in smaller prostheses, which could reflect early subclinical SVD. Longer follow-up will be necessary to determine the extent to which eccentricity is associated with clinically significant SVD.
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Holland J, Desai N, Holland E, Defrancesco C, Bernay K, Wade M. Smoking History and Cessation Guidance in Head and Neck Cancer Patients: A Review of Practice Patterns at Consultation. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2017.12.251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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98
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Desai N, Garry D. Assessing dynamic fluid-responsiveness using transthoracic echocardiography in intensive care. BJA Educ 2018; 18:218-226. [PMID: 33456836 DOI: 10.1016/j.bjae.2018.03.005] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/23/2018] [Indexed: 11/19/2022] Open
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99
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Myrmel T, Braverman A, Peterson M, Chen EP, Bossone E, Gleason T, Evangelista A, Eusanio MD, Desai N, O'Gara PT, Sechtem U, Montgomery D, Isselbacher E, Nienaber C, Hughes GC, Eagle K. PREDICTING FACTORS FOR 5 YEAR ADVERSE EVENTS AFTER TREATMENT FOR ACUTE AORTIC DISSECTIONS. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32575-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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100
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Davis A, Flyckt R, Desai N, Austin C, Tzakis A, Falcone T. IVF cycle characteristics in patients approved for uterine transplantation. Fertil Steril 2018. [DOI: 10.1016/j.fertnstert.2018.02.046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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