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Outcomes of Electiv...
Outcomes of Elective and Non-elective Fenestrated-branched Endovascular Aortic Repair for Treatment of Thoracoabdominal Aortic Aneurysms
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- Dias, N. (author)
- Lund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups
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- Vacirca, Andrea (author)
- Univ Texas Hlth Sci Ctr Houston, McGovern Med Sch, Adv Aort Res Program, Dept Cardiothorac & Vasc Surg, Houston, TX 77030 USA.
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- Huang, Ying (author)
- Univ Texas Hlth Sci Ctr Houston, McGovern Med Sch, Adv Aort Res Program, Dept Cardiothorac & Vasc Surg, Houston, TX 77030 USA.
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- Baghbani-Oskouei, Aidin (author)
- Univ Texas Hlth Sci Ctr Houston, McGovern Med Sch, Adv Aort Res Program, Dept Cardiothorac & Vasc Surg, Houston, TX 77030 USA.
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- Jakimowicz, Tomasz (author)
- Med Univ Warsaw, Warsaw, Poland.
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- Mendes, Bernardo C. (author)
- Mayo Clin, Div Vasc & Endovasc Surg, Rochester, MN USA.
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- Kolbel, Tilo (author)
- Univ Med Ctr Eppendorf UKE, Hamburg, Germany.
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- Sobocinski, Jonathan (author)
- Univ Lille, CHU Lille, Aort Ctr, Vasc Surg, Lille, France.;Univ Lille, CHU Lille, INSERM U1008, Lille, France.
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- Bertoglio, Luca (author)
- Univ Vita Salute San Raffaele, San Raffaele Sci Inst, Dept Vasc Surg, Milan, Italy.;Univ & ASST Spedali Civili Hosp Brescia, Dept Sperimental & Clin Sci DSCS, Brescia, Italy.
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- Mees, Barend (author)
- Maastricht Univ, Med Ctr, Dept Vasc Surg, Maastricht, Netherlands.
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- Gargiulo, Mauro (author)
- Univ Bologna, Vasc Surg, DIMEC, Bologna, Italy.;IRCCS Univ Hosp Policlin S Orsola, Vasc Surg Unit, Bologna, Italy.
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- Dias, Nuno (author)
- Skane Univ Hosp, Vasc Ctr, Dept Thorac Surg & Vasc Dis, Malmö, Sweden.;Lund Univ, Dept Clin Sci, Malmö, Sweden.
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- Schanzer, Andres (author)
- Univ Massachusetts, Med Sch, Worcester, MA USA.
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- Gasper, Warren (author)
- Univ Calif San Francisco, San Francisco, CA USA.
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- Beck, Adam W. (author)
- Univ Alabama Birmingham, Birmingham, AL USA.
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- Farber, Mark A. (author)
- Univ N Carolina, Dept Surg, Div Vasc Surg, Chapel Hill, NC USA.
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- Mani, Kevin, 1975- (author)
- Uppsala universitet,Kärlkirurgi
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- Timaran, Carlos (author)
- Univ Texas Southwestern, Clin Heart & Vasc Ctr, Dallas, TX USA.
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- Schneider, Darren B. (author)
- Univ Penn, Perelman Sch Med, Div Vasc Surg & Endovasc Therapy, Philadelphia, PA USA.
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- Pedro, Luis Mendes (author)
- Ctr Hosp Univ Lisboa Norte, Dept Vasc Surg, Lisbon, Portugal.;Univ Lisbon, Fac Med, Lisbon, Portugal.;Univ Lisboa CCULRISE, Ctr Cardiovasc, Lisbon, Portugal.
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- Tsilimparis, Nikolaos (author)
- Ludwig Maximilians Univ Hosp, Dept Vasc Surg, Munich, Germany.
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- Haulon, Stephan (author)
- Univ Paris Saclay, Hop Marie Lannelongue, Aort Ctr, Grp Hosp Paris St Joseph, Paris, France.
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- Sweet, Matthew P. (author)
- Univ Washington, Dept Surg, Div Vasc Surg, Seattle, WA USA.
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- Ferreira, Emilia (author)
- Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Dept Angiol & Vasc Surg, Lisbon, Portugal.
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- Eagleton, Matthew (author)
- Harvard Med Sch, Massachusetts Gen Hosp, Div Vasc & Endovasc Surg, Boston, MA USA.
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- Yeung, Kak Khee (author)
- Amsterdam UMC, VU Med Ctr, Amsterdam Cardiovasc Sci, Dept Vasc Surg, Amsterdam, Netherlands.
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- Khashram, Manar (author)
- Waikato Hosp, Dept Vasc Surg, Hamilton, New Zealand.;Univ Auckland, Dept Surg, Auckland, New Zealand.
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- Jama, Katarzyna (author)
- Med Univ Warsaw, Warsaw, Poland.
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- Panuccio, Giuseppe (author)
- Univ Med Ctr Eppendorf UKE, Hamburg, Germany.
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- Rohlffs, Fiona (author)
- Univ Med Ctr Eppendorf UKE, Hamburg, Germany.
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- Mesnard, Thomas (author)
- Univ Lille, CHU Lille, Aort Ctr, Vasc Surg, Lille, France.;Univ Lille, CHU Lille, INSERM U1008, Lille, France.
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- Chiesa, Roberto (author)
- Univ Vita Salute San Raffaele, San Raffaele Sci Inst, Dept Vasc Surg, Milan, Italy.;Univ & ASST Spedali Civili Hosp Brescia, Dept Sperimental & Clin Sci DSCS, Brescia, Italy.
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- Kahlberg, Andrea (author)
- Univ Vita Salute San Raffaele, San Raffaele Sci Inst, Dept Vasc Surg, Milan, Italy.;Univ & ASST Spedali Civili Hosp Brescia, Dept Sperimental & Clin Sci DSCS, Brescia, Italy.
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- Schurink, Geert Willem (author)
- Maastricht Univ, Med Ctr, Dept Vasc Surg, Maastricht, Netherlands.
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- Lemmens, Charlotte (author)
- Maastricht Univ, Med Ctr, Dept Vasc Surg, Maastricht, Netherlands.
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- Gallitto, Enrico (author)
- Univ Bologna, Vasc Surg, DIMEC, Bologna, Italy.;IRCCS Univ Hosp Policlin S Orsola, Vasc Surg Unit, Bologna, Italy.
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- Faggioli, Gianluca (author)
- Univ Bologna, Vasc Surg, DIMEC, Bologna, Italy.;IRCCS Univ Hosp Policlin S Orsola, Vasc Surg Unit, Bologna, Italy.
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- Karelis, A. (author)
- Lund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups
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- Parodi, Ezequiel (author)
- Univ N Carolina, Dept Surg, Div Vasc Surg, Chapel Hill, NC USA.
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- Gomes, Vivian (author)
- Univ N Carolina, Dept Surg, Div Vasc Surg, Chapel Hill, NC USA.
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- Wanhainen, Anders (author)
- Uppsala universitet,Kärlkirurgi
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- Habib, Mohammed (author)
- Uppsala universitet,Kärlkirurgi
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- Colon, Jesus Porras (author)
- Univ Texas Southwestern, Clin Heart & Vasc Ctr, Dallas, TX USA.
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- Pavarino, Felipe (author)
- Univ Texas Southwestern, Clin Heart & Vasc Ctr, Dallas, TX USA.
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- Baig, Mirza S. (author)
- Univ Texas Southwestern, Clin Heart & Vasc Ctr, Dallas, TX USA.
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- Melo, Ryan Eduardo Costeloe De (author)
- Ctr Hosp Univ Lisboa Norte, Dept Vasc Surg, Lisbon, Portugal.;Univ Lisbon, Fac Med, Lisbon, Portugal.;Univ Lisboa CCULRISE, Ctr Cardiovasc, Lisbon, Portugal.;Ludwig Maximilians Univ Hosp, Dept Vasc Surg, Munich, Germany.
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- Crawford, Sean (author)
- Univ Paris Saclay, Hop Marie Lannelongue, Aort Ctr, Grp Hosp Paris St Joseph, Paris, France.
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- Zettervall, Sara L. (author)
- Univ Washington, Dept Surg, Div Vasc Surg, Seattle, WA USA.
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- Garcia, Rita (author)
- Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Dept Angiol & Vasc Surg, Lisbon, Portugal.
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- Ribeiro, Tiago (author)
- Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Dept Angiol & Vasc Surg, Lisbon, Portugal.
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- Alves, Goncalo (author)
- Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Dept Angiol & Vasc Surg, Lisbon, Portugal.
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- Goncalves, Frederico Bastos (author)
- Ctr Hosp Univ Lisboa Cent, Hosp Santa Marta, Dept Angiol & Vasc Surg, Lisbon, Portugal.
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- Kappe, Kaj Olav (author)
- Amsterdam UMC, VU Med Ctr, Amsterdam Cardiovasc Sci, Dept Vasc Surg, Amsterdam, Netherlands.
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- Mariko van Knippenberg, Samira Elize (author)
- Amsterdam UMC, VU Med Ctr, Amsterdam Cardiovasc Sci, Dept Vasc Surg, Amsterdam, Netherlands.
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- Tran, Bich Lan (author)
- Amsterdam UMC, VU Med Ctr, Amsterdam Cardiovasc Sci, Dept Vasc Surg, Amsterdam, Netherlands.
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- Gormley, Sinead (author)
- Waikato Hosp, Dept Vasc Surg, Hamilton, New Zealand.;Univ Auckland, Dept Surg, Auckland, New Zealand.,University of Texas Health Science Center at Houston
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- Oderich, Gustavo S. (author)
- Univ Texas Hlth Sci Ctr Houston, McGovern Med Sch, Adv Aort Res Program, Dept Cardiothorac & Vasc Surg, Houston, TX 77030 USA.
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Grp, Int Multictr Aort Res (author)
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(creator_code:org_t)
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- Lippincott Williams & Wilkins, 2023
- 2023
- English.
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In: Annals of Surgery. - : Lippincott Williams & Wilkins. - 0003-4932 .- 1528-1140. ; 278:4, s. 568-577, s. 568-577
- Related links:
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http://dx.doi.org/10...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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Abstract
Subject headings
Close
- Objective: To describe outcomes after elective and non-elective fenestrated-branched endovascular aortic repair (FB-EVAR) for thoracoabdominal aortic aneurysms (TAAAs).Background: FB-EVAR has been increasingly utilized to treat TAAAs; however, outcomes after non-elective versus elective repair are not well described.Methods: Clinical data of consecutive patients undergoing FB-EVAR for TAAAs at 24 centers (2006-2021) were reviewed. Endpoints including early mortality and major adverse events (MAEs), all-cause mortality, and aortic-related mortality (ARM), were analyzed and compared in patients who had non-elective versus elective repair.Results: A total of 2603 patients (69% males; mean age 72 +/- 10 year old) underwent FB-EVAR for TAAAs. Elective repair was performed in 2187 patients (84%) and non-elective repair in 416 patients [16%; 268 (64%) symptomatic, 148 (36%) ruptured]. Non-elective FB-EVAR was associated with higher early mortality (17% vs 5%, P < 0.001) and rates of MAEs (34% vs 20%, P < 0.001). Median follow-up was 15 months ( interquartile range, 7-37 months). Survival and cumulative incidence of ARM at 3 years were both lower for non-elective versus elective patients (50 +/- 4% vs 70 +/- 1% and 21 +/- 3% vs 7 +/- 1%, P < 0.001). On multivariable analysis, non-elective repair was associated with increased risk of all-cause mortality ( hazard ratio, 1.92; 95% CI] 1.50-2.44; P < 0.001) and ARM (hazard ratio, 2.43; 95% CI, 1.63-3.62; P < 0.001).Conclusions: Non-elective FB-EVAR of symptomatic or ruptured TAAAs is feasible, but carries higher incidence of early MAEs and increased all-cause mortality and ARM than elective repair. Long-term follow-up is warranted to justify the treatment.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
Keyword
- fenestrated-branched endovascular aortic repair
- thoracoabdominal aortic aneurysm
- non-elective repair
- elective repair
- elective repair
- fenestrated-branched endovascular aortic repair
- non-elective repair
- thoracoabdominal aortic aneurysm
- Aged
- Aged, 80 and over
- Aortic Aneurysm, Abdominal
- Aortic Aneurysm, Thoracic
- Aortic Aneurysm, Thoracoabdominal
- Blood Vessel Prosthesis
- Blood Vessel Prosthesis Implantation
- Endovascular Aneurysm Repair
- Endovascular Procedures
- Female
- Humans
- Male
- Middle Aged
- Retrospective Studies
- Risk Factors
- Time Factors
- Treatment Outcome
- aged
- all cause mortality
- aortic related mortality
- Conference Paper
- confidence interval
- cumulative incidence
- elective surgery
- female
- fenestrated endovascular aneurysm repair
- follow up
- hazard ratio
- human
- intermethod comparison
- major clinical study
- male
- mortality
- multivariate analysis
- retrospective study
- thoracoabdominal aorta aneurysm
- abdominal aortic aneurysm
- blood vessel transplantation
- endovascular aneurysm repair
- endovascular surgery
- middle aged
- risk factor
- thoracic aorta aneurysm
- time factor
- treatment outcome
- very elderly
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Dias, N.
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Vacirca, Andrea
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Huang, Ying
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Baghbani-Oskouei ...
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Jakimowicz, Toma ...
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Mendes, Bernardo ...
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show more...
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Kolbel, Tilo
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Sobocinski, Jona ...
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Bertoglio, Luca
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Mees, Barend
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Gargiulo, Mauro
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Dias, Nuno
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Schanzer, Andres
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Gasper, Warren
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Beck, Adam W.
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Farber, Mark A.
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Mani, Kevin, 197 ...
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Timaran, Carlos
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Schneider, Darre ...
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Pedro, Luis Mend ...
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Tsilimparis, Nik ...
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Haulon, Stephan
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Sweet, Matthew P ...
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Ferreira, Emilia
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Eagleton, Matthe ...
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Yeung, Kak Khee
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Khashram, Manar
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Jama, Katarzyna
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Panuccio, Giusep ...
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Rohlffs, Fiona
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Mesnard, Thomas
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Chiesa, Roberto
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Kahlberg, Andrea
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Schurink, Geert ...
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Lemmens, Charlot ...
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Gallitto, Enrico
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Faggioli, Gianlu ...
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Karelis, A.
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Parodi, Ezequiel
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Gomes, Vivian
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Wanhainen, Ander ...
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Habib, Mohammed
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Colon, Jesus Por ...
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Pavarino, Felipe
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Baig, Mirza S.
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Melo, Ryan Eduar ...
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Crawford, Sean
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Zettervall, Sara ...
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Garcia, Rita
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Ribeiro, Tiago
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Alves, Goncalo
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Goncalves, Frede ...
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Kappe, Kaj Olav
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Mariko van Knipp ...
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Tran, Bich Lan
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Gormley, Sinead
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Oderich, Gustavo ...
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Grp, Int Multict ...
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cardiac and Card ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
- Articles in the publication
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Annals of Surger ...
- By the university
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Uppsala University
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Lund University