Surgical intervention among asymptomatic patients aged ≥80 with a contralateral carotid occlusion appears selectively warranted.

Objective: The role of prophylactic carotid revascularization in asymptomatic patients aged ≥80 remains controversial. Current guidelines stipulate that asymptomatic older patients at "higher risk of stroke" on best medical therapy may still benefit from carotid intervention. Specifically, there is a widespread perception that a contralateral internal carotid artery (ICA) occlusion may confer an increased anatomical stroke risk, thus creating a surgical dilemma, particularly among older patients.

Digital assistive technologies for community-dwelling people with dementia: A systematic review of systematic reviews by the INTERDEM AI & assistive technology taskforce.

Introduction: The use of digital assistive technologies by and for people living with dementia is promising for supporting social health and advocated as a partial solution to growing prevalence worldwide. A state-of-the-art position paper published in 2017 identified challenges regarding digital assistive technologies, around five themes: development, usability, (cost-)effectiveness, implementation and ethics. This systematic review summarizes progress on the challenges found in 2017, and persisting or emerging challenges.

The Impact of Reintervention on Arteriovenous Fistula Maturation and Functional Patency in the Hemodialysis Fistula Maturation Study.

Rationale & Objective: Arteriovenous dialysis fistula (AVF) reinterventions are sought to assist with maturation and/or maintain functional patency; however, their ultimate impact on fistula lifespan remains poorly documented. Furthermore, current clinical practice guidelines lack clarity regarding reintervention paradigms to achieve optimal AVF performance. Therefore, the purpose of this study was to document reintervention rates and their association with AVF maturation and functional patency among patients enrolled in the Hemodialysis Fistula Maturation (HFM) study.

Nodal Metastases in Oncocytic Carcinoma of the Thyroid Are Associated With Decreased Survival.

Introduction: Oncocytic thyroid carcinoma (OCA) carries a worse prognosis when compared to papillary or follicular thyroid cancer; however, the degree to which OCA is associated with nodal metastases is poorly understood. We sought to determine the predictors of survival in patients with OCA who underwent nodal evaluation.

Methods: The National Cancer Database was queried from 2004 to 2020 for patients with OCA who underwent nodal evaluation.

Delayed Sternal Closure in Infants With Congenital Heart Disease: Can Chest Wall Edema Guide Timing?

IntroductionDelayed sternal closure is commonly used after complex congenital cardiac surgery in neonates and infants. The purpose of this study is to assess whether measurements on chest radiography can aid in determining optimal timing for delayed sternal closure.MethodsThis is a retrospective study evaluating 103 neonates and infants <3 months of age who underwent cardiac surgery with delayed sternal closure from January 2018 to June 2021.