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In situ bypass and ...
In situ bypass and extra-anatomic bypass procedures result in similar survival in patients with secondary aortoenteric fistulas
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- Janko, Matthew R. (författare)
- Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.;Care off Chung J, Baylor Coll Med, Div Vasc Surg & Endovasc Therapy, Michael E DeBakey Dept Surg, One Baylor Plaza,BCM 390, Houston, TX 76030 USA.
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- Woo, Karen (författare)
- Univ Calif Los Angeles, Ronald Reagan UCLA Med Ctr, Los Angeles, CA USA.
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- Hacker, Robert I. (författare)
- Mercy Hosp, Div Vasc Surg, Toledo, OH USA.
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visa fler...
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- Baril, Donald (författare)
- Univ Calif Los Angeles, Ronald Reagan UCLA Med Ctr, Los Angeles, CA USA.
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- Bath, Jonathan (författare)
- Univ Missouri, Univ Hosp, Div Vasc Surg, Columbia, MO USA.
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- Smeds, Matthew R. (författare)
- St Louis Univ, SSM Hlth, Div Vasc Surg, St Louis, MO USA.
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- Kashyap, Vikram S. (författare)
- Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.
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- Szeberin, Zoltan (författare)
- Semmelweis Univ, Dept Vasc Surg, Budapest, Hungary.
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- Magee, Gregory A. (författare)
- Univ Southern Calif, Keck Sch Med, Div Vasc Surg & Endovasc Therapy, Los Angeles, CA 90007 USA.
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- Elsayed, Ramsey (författare)
- Univ Southern Calif, Keck Sch Med, Div Vasc Surg & Endovasc Therapy, Los Angeles, CA 90007 USA.
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- Wishy, Andrew (författare)
- Univ Calif Davis, Div Vasc Surg, Davis, CA 95616 USA.
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- St John, Rebecca (författare)
- Univ Alabama Birmingham, Div Vasc Surg & Endovasc Therapy, Birmingham, AL USA.
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- Beck, Adam (författare)
- Univ Alabama Birmingham, Div Vasc Surg & Endovasc Therapy, Birmingham, AL USA.
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- Farber, Mark (författare)
- Univ N Carolina, Sch Med, Div Vasc Surg, Chapel Hill, NC 27515 USA.
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- Motta, Fernando (författare)
- Univ N Carolina, Sch Med, Div Vasc Surg, Chapel Hill, NC 27515 USA.
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- Zhou, Wei (författare)
- Univ Arizona, Div Vasc & Endovasc Surg, Tucson, AZ USA.
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- Lemmon, Gary (författare)
- Indiana Univ, Hlth Phys Vasc Surg, Indianapolis, IN 46204 USA.
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- Coleman, Dawn (författare)
- Univ Michigan, Div Vasc Surg, Michigan Med, Ann Arbor, MI 48109 USA.
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- Behrendt, Christian-Alexander (författare)
- Univ Med Ctr Hamburg Eppendorf, Univ Heart Ctr Hamburg, Dept Vasc Med, Hamburg, Germany.;Univ Vita Salute San Raffaele, San Raffaele Sci Inst, Sch Med, Dept Vasc Surg, Milan, Italy.
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- Aziz, Faisal (författare)
- Milton S Hershey Med Ctr, Penn State Heart & Vasc Inst, Hershey, PA USA.
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- Black, James (författare)
- Johns Hopkins Univ Hosp, Div Vasc Surg & Endovasc Therapy, Baltimore, MD USA.
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- Shutze, William (författare)
- Heart Hosp Baylor Plano, Div Vasc Surg, Plano, TX USA.
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- Garrett, H. Edward, Jr. (författare)
- Cardiovasc Surg Clin, Memphis, TN USA.
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- De Caridi, Giovanni (författare)
- Univ Messina, Div Vasc Surg, Messina, Italy.
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- Liapis, Christos D. (författare)
- Natl & Kapodistrian Univ Athens, Dept Vasc Surg, Athens, Greece.
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- Geroulakos, George (författare)
- Natl & Kapodistrian Univ Athens, Dept Vasc Surg, Athens, Greece.
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- Kakisis, John (författare)
- Natl & Kapodistrian Univ Athens, Dept Vasc Surg, Athens, Greece.
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- Moulakakis, Konstantinos (författare)
- Natl & Kapodistrian Univ Athens, Dept Vasc Surg, Athens, Greece.
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- Kakkos, Stavros K. (författare)
- Univ Patras, Div Vasc Surg, Patras, Greece.
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- Obara, Hideaki (författare)
- Keio Univ, Div Vasc Surg, Tokyo, Japan.
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- Wang, Grace (författare)
- Univ Penn, Div Vasc Surg & Endovasc Therapy, Philadelphia, PA 19104 USA.
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- Rheaume, Pascal (författare)
- Vancouver Gen Hosp, Div Vasc Surg, Vancouver, BC, Canada.;Univ British Columbia, Vancouver, BC, Canada.
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- Davila, Victor (författare)
- Mayo Clin, Div Vasc Surg, Phoenix, AZ USA.
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- Ravin, Reid (författare)
- Mt Sinai New York, Div Vasc & Endovasc Surg, New York, NY USA.
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- DeMartino, Randall (författare)
- Mayo Clin, Div Vasc Surg & Endovasc Therapy, Rochester, MN USA.
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- Milner, Ross (författare)
- Univ Chicago, Div Vasc Surg, Chicago, IL USA.
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- Shalhub, Sherene (författare)
- Univ Washington, Harborview Med Ctr, Div Vasc Surg, 325 9Th Ave, Seattle, WA 98104 USA.
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- Jim, Jeffrey (författare)
- Washington Univ, Vasc Surg Sect, St Louis, MO 63110 USA.
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- Lee, Jason (författare)
- Stanford Univ, Div Vasc & Endovasc Surg, Stanford, CA 94305 USA.
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- Dubuis, Celine (författare)
- Stanford Univ, Div Vasc & Endovasc Surg, Stanford, CA 94305 USA.
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- Ricco, Jean-Baptiste (författare)
- CHU Poitiers, Hop Jean Bernard, Vasc Surg, Poitiers, France.
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- Coselli, Joseph (författare)
- Baylor Coll Med, Dept Cardiothorac Surg, Houston, TX 77030 USA.
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- Lemaire, Scott (författare)
- Baylor Coll Med, Dept Cardiothorac Surg, Houston, TX 77030 USA.
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- Fatima, Javairiah (författare)
- MedStar Georgetown Univ Hosp, Div Vasc Surg, Washington, DC USA.
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- Sanford, Jennifer (författare)
- St Louis Univ, SSM Hlth, Div Vasc Surg, St Louis, MO USA.
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- Yoshida, Winston (författare)
- Fac Botucatu, Dept Vasc Surg, Botucatu, SP, Brazil.
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- Schermerhorn, Marc L. (författare)
- Beth Israel Deaconess Med Ctr, Div Vasc & Endovasc Surg, Boston, MA 02215 USA.
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- Menard, Matthew (författare)
- Brigham & Womens Hosp, Div Vasc & Endovasc Surg, 75 Francis St, Boston, MA 02115 USA.
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- Belkin, Michael (författare)
- Brigham & Womens Hosp, Div Vasc & Endovasc Surg, 75 Francis St, Boston, MA 02115 USA.
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- Blackwood, Stuart (författare)
- Brigham & Womens Hosp, Div Vasc & Endovasc Surg, 75 Francis St, Boston, MA 02115 USA.
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- Conrad, Mark (författare)
- Massachusetts Gen Hosp, Div Vasc & Endovasc Surg, Boston, MA 02114 USA.
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- Wang, Linda (författare)
- Massachusetts Gen Hosp, Div Vasc & Endovasc Surg, Boston, MA 02114 USA.
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- Crofts, Sara (författare)
- Massachusetts Gen Hosp, Div Vasc & Endovasc Surg, Boston, MA 02114 USA.
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- Nixon, Thomas (författare)
- Massachusetts Gen Hosp, Div Vasc & Endovasc Surg, Boston, MA 02114 USA.
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- Wu, Timothy (författare)
- Rutgers State Univ, Robert Wood Johnson Med Sch, Div Vasc Surg & Endovasc Therapy, New Brunswick, NJ USA.
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Chiesa, Roberto (författare)
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- Bose, Saideep (författare)
- Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.
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- Turner, Jason (författare)
- Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.
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- Moore, Ryan (författare)
- Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.
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- Smith, Justin (författare)
- Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.
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- Ciocca, Rocco (författare)
- Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA.
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- Hsu, Jeffrey (författare)
- Kaiser Permanente, Div Vasc Surg, Fontana, Germany.
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- Czerny, Martin (författare)
- Univ Heart Ctr Freiburg Bad Krozingen, Dept Cardiovasc Surg, Freiburg, Germany.
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- Cullen, Jonathan (författare)
- Univ Virginia, Med Ctr, Div Vasc & Endovasc Surg, Charlottesville, VA USA.
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- Kahlberg, Andrea (författare)
- Univ Vita Salute San Raffaele, San Raffaele Sci Inst, Sch Med, Dept Vasc Surg, Milan, Italy.
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- Setacci, Carlo (författare)
- Univ Siena, Div Vasc & Endovasc Surg, Siena, Italy.
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- Joh, Jin Hyun (författare)
- Kyung Hee Univ, Div Vasc Surg, Seoul, South Korea.
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- Senneville, Eric (författare)
- Gustave Dron Hosp, Div Vasc Surg, Tourcoing, Portugal.
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- Garrido, Pedro (författare)
- Ctr Hosp Lisboa Norte, Div Vasc Surg, Lisbon, Portugal. Ohio State Univ, Wexner Med Ctr, Div Vasc Surg, Columbus, OH 43210 USA.
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- Sarac, Timur P. (författare)
- Univ Penn, Div Vasc Surg & Endovasc Therapy, Philadelphia, PA 19104 USA.
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- Rizzo, Anthony (författare)
- Univ Penn, Div Vasc Surg & Endovasc Therapy, Philadelphia, PA 19104 USA.
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- Go, Michael R. (författare)
- Univ Penn, Div Vasc Surg & Endovasc Therapy, Philadelphia, PA 19104 USA.
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- Björck, Martin (författare)
- Uppsala universitet,Kärlkirurgi
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- Gavali, Hamid (författare)
- Uppsala universitet,Kärlkirurgi
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- Wanhainen, Anders (författare)
- Uppsala universitet,Kärlkirurgi
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- Lawrence, Peter F. (författare)
- Univ Calif Los Angeles, Ronald Reagan UCLA Med Ctr, Los Angeles, CA USA.
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Case Western Reserve Univ, Sch Med, Univ Hosp Cleveland Med Ctr, Div Vasc Surg & Endovasc Therapy, Cleveland, OH 44106 USA;Care off Chung J, Baylor Coll Med, Div Vasc Surg & Endovasc Therapy, Michael E DeBakey Dept Surg, One Baylor Plaza,BCM 390, Houston, TX 76030 USA. Univ Calif Los Angeles, Ronald Reagan UCLA Med Ctr, Los Angeles, CA USA. (creator_code:org_t)
- Elsevier, 2021
- 2021
- Engelska.
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Ingår i: Journal of Vascular Surgery. - : Elsevier. - 0741-5214 .- 1097-6809. ; 73:1, s. 210-221.e1
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- Objective: The optimal revascularization modality in secondary aortoenteric fistula (SAEF) remains unclear in the literature. The purpose of this investigation was to determine the revascularization approach associated with the lowest morbidity and mortality using real-world data in patients with SAEF. Methods: A retrospective, multi-institutional study of SAEF from 2002 to 2014 was performed using a standardized database. Baseline demographics, comorbidities, and operative and postoperative variables were recorded. The primary outcome was long-term mortality. Descriptive statistics, Kaplan-Meier survival analysis, and univariate and multivariate analyses were performed. Results: During the study period, 182 patients at 34 institutions from 11 countries presented with SAEF (median age, 72 years; 79% male). The initial aortic procedures that resulted in SAEF were 138 surgical grafts (76%) and 42 endografts (23%), with 2 unknown; 102 of the SAEFs (56%) underwent complete excision of infected aortic graft material, followed by in situ (in-line) bypass (ISB), including antibiotic-soaked prosthetic graft (53), autogenous femoral vein (neoaortoiliac surgery; 17), cryopreserved allograft (28), and untreated prosthetic grafts (4). There were 80 patients (44%) who underwent extra-anatomic bypass (EAB) with infected graft excision. Overall median Kaplan-Meier estimated survival was 319 days (interquartile range, 20-2410 days). Stratified by EAB vs ISB, there was no significant difference in Kaplan-Meier estimated survival (P = .82). In comparing EAB vs ISB, EAB patients were older (74 vs 70 years; P = .01), had less operative hemorrhage (1200 mL vs 2000 mL; P = .04), were more likely to initiate dialysis within 30 days postoperatively (15% vs 5%; P = .02), and were less likely to experience aorta-related hemorrhage within 30 days postoperatively (3% aortic stump dehiscence vs 11% anastomotic rupture; P = .03). There were otherwise no significant differences in presentation, comorbidities, and intraoperative or postoperative variables. Multivariable Cox regression showed that the duration of antibiotic use (hazard ratio, 0.92; 95% confidence interval, 0.86-0.98; P = .01) and rifampin use at time of discharge (hazard ratio, 0.20; 95% confidence interval, 0.05-0.86; P = .03) independently decreased mortality. Conclusions: These data suggest that ISB does not offer a survival advantage compared with EAB and does not decrease the risk of postoperative aorta-related hemorrhage. After repair, <50% of SAEF patients survive 10-months. Each week of antibiotic use decreases mortality by 8%. Further study with risk modeling is imperative for this population. (J Vasc Surg 2021;73:210-21.)
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Aortoenteric fistula
- Aorta
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- Av författaren/redakt...
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Janko, Matthew R ...
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Woo, Karen
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Hacker, Robert I ...
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Baril, Donald
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Bath, Jonathan
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Smeds, Matthew R ...
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visa fler...
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Kashyap, Vikram ...
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Szeberin, Zoltan
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Magee, Gregory A ...
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Elsayed, Ramsey
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Wishy, Andrew
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St John, Rebecca
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Beck, Adam
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Farber, Mark
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Motta, Fernando
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Zhou, Wei
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Lemmon, Gary
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Coleman, Dawn
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Behrendt, Christ ...
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Aziz, Faisal
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Black, James
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Shutze, William
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Garrett, H. Edwa ...
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De Caridi, Giova ...
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Liapis, Christos ...
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Geroulakos, Geor ...
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Kakisis, John
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Moulakakis, Kons ...
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Kakkos, Stavros ...
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Obara, Hideaki
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Wang, Grace
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Rheaume, Pascal
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Davila, Victor
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Ravin, Reid
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DeMartino, Randa ...
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Milner, Ross
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Shalhub, Sherene
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Jim, Jeffrey
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Lee, Jason
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Dubuis, Celine
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Ricco, Jean-Bapt ...
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Coselli, Joseph
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Lemaire, Scott
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Fatima, Javairia ...
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Sanford, Jennife ...
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Yoshida, Winston
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Schermerhorn, Ma ...
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Menard, Matthew
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Belkin, Michael
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Blackwood, Stuar ...
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Conrad, Mark
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Wang, Linda
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Crofts, Sara
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Nixon, Thomas
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Wu, Timothy
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Chiesa, Roberto
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Bose, Saideep
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Turner, Jason
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Moore, Ryan
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Smith, Justin
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Ciocca, Rocco
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Hsu, Jeffrey
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Czerny, Martin
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Cullen, Jonathan
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Kahlberg, Andrea
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Setacci, Carlo
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Joh, Jin Hyun
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Senneville, Eric
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Garrido, Pedro
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Sarac, Timur P.
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Rizzo, Anthony
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Go, Michael R.
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Björck, Martin
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Gavali, Hamid
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Wanhainen, Ander ...
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Lawrence, Peter ...
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- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kirurgi
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
- Artiklar i publikationen
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Journal of Vascu ...
- Av lärosätet
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Uppsala universitet