Author
Chelsea Dorsey
Other affiliations: Stanford University
Bio: Chelsea Dorsey is an academic researcher from University of Chicago. The author has contributed to research in topics: Medicine & Vascular surgery. The author has an hindex of 4, co-authored 12 publications receiving 102 citations. Previous affiliations of Chelsea Dorsey include Stanford University.
Papers
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TL;DR: Covering accessory renal arteries during endovascular aneurysm repair (EVAR) is well tolerated based upon preservation of renal function without additional morbidity and results support the long-term safety of ARA coverage for EVAR when necessary.
54 citations
TL;DR: A multi-institutional study showed negligible radiation exposure on fetal monitoring suggesting that with the appropriate safety precautions, these concerns may be unwarranted.
30 citations
TL;DR: A review of the literature outlines the unique barriers to health and disparities that are associated with vulnerable communities who have been most impacted by the COVID-19 pandemic in the United States as discussed by the authors.
26 citations
TL;DR: In this paper, the authors assess trends in workforce diversity within vascular surgery (VS) and general surgery (GS) as compared with orthopedic surgery (OS), a specialty that instituted a formal diversity initiative over a decade ago.
19 citations
TL;DR: Women have significantly smaller iliofemoral arterial systems compared to men, even after controlling for height, weight, and other comorbidities that are known to affect vascular anatomy.
17 citations
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TL;DR: A door‐to‐intervention time of <90 minutes is suggested, based on a framework of 30‐30‐30 minutes, for the management of the patient with a ruptured aneurysm, and the Vascular Quality Initiative mortality risk score is suggested for mutual decision‐making with patients considering aneurYSm repair.
1,542 citations
TL;DR: There is no level I evidence regarding the prevention of AKI in EVAR, so this review sought to examine the mechanisms and prevention strategies for this potentially fatal complication.
Abstract: Acute kidney injury (AKI) after any type of intervention negatively impacts mortality, length of hospitalization, and perhaps long-term survival. In the case of endovascular aneurysm repair (EVAR), the incidence of AKI ranges from 1% to 23% for elective and emergency procedures and is lower compared to open repair. The pathophysiology of AKI in EVAR is complex: contrast-induced nephropathy, renal microembolization, and acute tubular necrosis are all implicated. Prevention strategies include hydration, ischemic preconditioning, regional anesthesia, and pharmacological agents. There is no level I evidence regarding the prevention of AKI in EVAR, so this review sought to examine the mechanisms and prevention strategies for this potentially fatal complication.
67 citations
TL;DR: The p-Branch design has greater anatomic feasibility and achieves proximal seal in all patients with juxtarenal and pararenal AAAs but is not able to incorporate visceral arteries in 40% of patients.
53 citations
TL;DR: Techniques to limit maternal and fetal radiation exposure, including intracardiac echo and electroanatomic mapping systems, are particularly important in this setting.
Abstract: Cardiac arrhythmia as a complication of pregnancy can be problematic to maternal health and fetal life and development. Catheter ablation of tachyarrhythmias during pregnancy has been successfully performed in selected patients with limited experience. Techniques to limit maternal and fetal radiation exposure, including intracardiac echo and electroanatomic mapping systems, are particularly important in this setting. Specific accommodations are necessary in the care of the gravid patient during catheter ablation.
47 citations
TL;DR: The basics of radiation dose and the potential radiation effects, particularly as they pertain to the operator, are reviewed and the data regarding the risk of each type of radiation effect to the fluoroscopy operator and staff are presented, with special attention on cancer induction, radiation-induced cataracts, and the pregnant operator.
Abstract: OBJECTIVE. Recent articles discussing cases of brain cancer in interventionalists have raised concerns regarding the hazards of occupational exposure to ionizing radiation. We review the basics of radiation dose and the potential radiation effects, particularly as they pertain to the operator. Then we present the data regarding the risk of each type of radiation effect to the fluoroscopy operator and staff, with special attention on cancer induction, radiation-induced cataracts, and the pregnant operator. CONCLUSION. Although the evidence overwhelmingly shows that exposure to higher doses of radiation carries a risk of cancer and tissue reactions, the risks of chronic exposure to low-level radiation are less clear. Many studies examining occupational exposure to radiation fail to show an increased risk of stochastic effects of radiation, but the positive results raise concern that the studies are underpowered to consistently detect the small risk. The lack of information in these studies about radiation d...
45 citations