Holly N. Smith

Libin Cardiovascular Institute of Alberta

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Eric Herget

University of Calgary

Nizar N. Mahomed

University Health Network

Rajiv Gandhi

University of Toronto

Alexander J. Gregory

Libin Cardiovascular Institute of Alberta

R. Scott McClure

Libin Cardiovascular Institute of Alberta

Jehangir J. Appoo

Libin Cardiovascular Institute of Alberta

Anthony L. Estrera

The University of Texas Health Science Center at Houston

Kenton Rommens

University of Calgary

Akiko Tanaka

The University of Texas Health Science Center at Houston

Randy D. Moore

University of Calgary

Cooperative Institutions

University of Calgary

University of Toronto

Libin Cardiovascular Institute of Alberta

University Health Network

Calgary Laboratory Services

The University of Texas Health Science Center at Houston

University Health Care System

Foothills Medical Centre

Toronto Western Hospital

Toronto General Hospital

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Open Treatments for Thoracoabdominal Aortic Aneurysm Repair

Methodist DeBakey Cardiovascular Journal (2023)

Akiko Tanaka Holly N. Smith Hazim J. Safi Anthony L. Estrera

Thoracoabdominal aortic aneurysms (TAAA) represent a unique pathology that is associated with considerable mortality if untreated. While the advent of endovascular technologies has introduced new modalities for consideration, the mainstay of TAAA treatment remains open surgical repair. However, the optimal conduct of open TAAA repair requires careful consideration of patient risk factors and a collaborative team effort to mitigate the risk of perioperative complications. In this chapter, we briefly outline the history of treating TAAA, preoperative preparation and postoperative care, and our operative techniques for treatment.

Modalities

Treatment modality

10.14797/mdcvj.1178

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Citations (7)

5-year mortality in uncomplicated type B aortic dissections with high-risk anatomic features, a 15-year retrospective review

JVS-Vascular Insights (2025)

Melissa Jones Melissa A. King Zhiying Liang Holly N. Smith R. Scott McClure

10.1016/j.jvsvi.2025.100185

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Rehabilitation post spinal injury

British Small Animal Veterinary Association eBooks (2019)

Holly N. Smith

Preview this chapter: Rehabilitation post spinal injury, Page 1 of 1 < Previous page | Next page > /docserver/preview/fulltext/10.22233/9781910443699/9781910443699.27.3-1.gif

Spinal injury

10.22233/9781910443699.27.3

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Commentary: The mutation matters: Improving precision for surgical management of hereditary aortic syndromes

Journal of Thoracic and Cardiovascular Surgery (2020)

Holly N. Smith Paul W.M. Fedak

10.1016/j.jtcvs.2020.08.077

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Rehabilitation of orthopaedic patients

British Small Animal Veterinary Association eBooks (2019)

Holly N. Smith

Preview this chapter: Rehabilitation of orthopaedic patients, Page 1 of 1 < Previous page | Next page > /docserver/preview/fulltext/10.22233/9781910443699/9781910443699.31.9-1.gif

10.22233/9781910443699.31.9

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CLASSIFICATION AND OUTCOMES OF EXTENDED ARCH REPAIR FOR ACUTE TYPE A AORTIC DISSECTION: A SYSTEMATIC REVIEW AND META-ANALYSIS

Canadian Journal of Cardiology (2016)

Holly N. Smith Munir Boodhwani Richard Saczkowski Maral Ouzounian Alexander J. Gregory

Descending aorta

10.1016/j.cjca.2016.07.297

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Citations (32)

Neuromonitoring for descending thoracic and thoracoabdominal aortic aneurysm repair

Annals of Cardiothoracic Surgery (2023)

Akiko Tanaka Hung Nguyen Holly N. Smith Anthony L. Estrera

Thoracic aortic aneurysm

Aortic repair

Thoracic aorta

Cardiothoracic surgery

10.21037/acs-2023-scp-11

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Citations (1)

170 – COMPLICATIONS FOLLOWING MINIMALLY INVASIVE TOTAL KNEE REPLACEMENT AS COMPARED TO TRADITIONAL INCISION TECHNIQUES: A META-ANALYSIS

Orthopaedic Proceedings (2011)

Rajiv Gandhi Holly N. Smith Kelly A. Lefaivre J Roderick Davey Nizar N. Mahomed

Purpose: Minimally invasive surgery (MIS) knee replacement surgery has experienced a recent surge in popularity, driven by the patient concerns of a faster recovery time and a shorter, more cosmetic scar. However the evaluation of any new medical therapy must include a detailed evaluation of both efficacy and safety outcomes. The primary objective of our meta-analysis was to compare the incidence of complications between minimally invasive(MIS) and standard total knee replacement (TKR) approaches. Method: We reviewed randomized controlled trials comparing minimally invasive TKR to standard TKR. After testing for publication bias and heterogeneity, the data were aggregated by random-effects modeling. Our primary outcome was the number of complications. Our secondary outcomes were alignment outliers, Knee Society Function Scores, and Knee Society Knee Scores. Results: We had a total of 9 studies evaluating our primary outcome. Average follow up time ranged from 3 to 28 months. There was no significant publication bias in our study. The combined odds ratios for complications for the MIS group and alignment outliers were 1.58 (95% CI: 1.01 to 2.47) p Conclusion: The results of this meta-analysis demonstrate a statistically significant increase in complication rates with MIS TKR when compared to standard TKR. There were no significant differences in postoperative alignment or KSS at 3 months between the two groups. MIS knee surgery should be approached with caution.

Total Knee Replacement

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Treatment selection for thoracoabdominal aortic aneurysm repair: open or endovascular?

Vessel Plus (2023)

Akiko Tanaka Holly N. Smith Anthony L. Estrera

Despite advancements in operative techniques and perioperative management, early mortality and morbidity from open thoracoabdominal aortic aneurysm (TAAA) repair remain significant. Endovascular aortic repair (EVAR), with visceral parallel grafts or branched/fenestrated stent grafts, is the less invasive treatment option. However, off-the-shelf, branched/fenestrated stent grafts are currently not readily available on the market. The anatomical complexities of TAAAs, which make open repair difficult, such as the involvement of visceral branches and spinal cord blood supplies, are also challenges to endovascular repair. Open surgical TAAA repair should be considered in patients with connective tissue disorders, younger age (less than 50 years old), and ruptured hemodynamically unstable TAAA. Endovascular TAAA repair should be considered in patients with sarcopenia, advanced age, renal dysfunction, and lung dysfunction, if patients have suitable anatomy. The two approaches should remain complementary. Overall, few data exist on which TAAA patient population would benefit from open vs. endovascular approaches. Therefore, this manuscript discusses patient selection for open and endovascular repair of TAAA from a literature review and our institutional experience.

Endovascular aneurysm repair

10.20517/2574-1209.2023.108

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Citations (1)

Management of Non-United Four-Corner Fusions

Hand (2007)

Martin Skie Nicholas K. Gove Despina Ciocanel Holly N. Smith

Wrist degeneration, resulting from scaphoid nonunion or scapholunate ligamentous disruption, is widely managed with scaphoid excision with four-corner fusion. There are no specific details in the literature regarding "salvage" of nonunion after attempted "four-corner fusions" or the patient outcomes. The purpose of this paper is to present the results of patients who underwent treatment for nonunion after four-corner fusion, the subsequent surgeries done for wrist salvage and the functional results.We reviewed, retrospectively, 37 patients who underwent limited wrist fusion using circular plate fixation, of which eight cases (22%) went on to nonunion and necessitated revision surgeries with plate exchange and bone graft. (Table 1) Five of eight patients were available to return to the clinic, and the wrist range of motion and the disabilities of the arm, shoulder, and hand (DASH) score were recorded.The average DASH score was 46 (range, 15 to 60.8). Grip on the affected limb was, on the average, 62% of the contralateral limb. Average arc of wrist motion was 70 degrees (35.7 degrees of flexion and 34.3 degrees of extension). Three of the five patients were laborers, and two returned to the previous employment. The remaining two patients returned to their previous sedentary jobs. All patients reported difficulty with recreational activities involving heavy activity.Complications of four-corner arthrodesis using circular plate fixation were recorded, revealing a high number of nonunions and hardware failures. All nonunions were salvaged with allograft or autogenous grafting with plate revision; however, the patients did have considerable limitations.

10.1007/s11552-007-9021-y

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Citations (20)