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Bergqvist, David
Alternative names
Publications (10 of 193) Show all publications
Troëng, T., Bergqvist, A. & Bergqvist, D. (2018). Successful pregnancies after neonatal aortic thrombosis, childhood arterial repair, and a deficient pelvic vasculature. Clinical Case Reports, 6(6), 1045-1047
Open this publication in new window or tab >>Successful pregnancies after neonatal aortic thrombosis, childhood arterial repair, and a deficient pelvic vasculature
2018 (English)In: Clinical Case Reports, E-ISSN 2050-0904, Vol. 6, no 6, p. 1045-1047Article in journal (Refereed) Published
Abstract [en]

Neonatal aortic bifurcation thrombosis can cause occlusion of iliac arteries causing abnormal pelvic vasculature and claudication in childhood. A bifurcation graft normalizes the perfusion of the legs but not of the pelvis. In a girl, this does not preclude successful pregnancies in adult life. It has not been reported before.

Keywords
Aortic bifurcation graft in childhood, childhood aortic surgery, neonatal aortic thrombosis, normal pregnancies in vascular abnormality, pelvic vascular abnormality and pregnancy
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:uu:diva-357696 (URN)10.1002/ccr3.1498 (DOI)000434217800014 ()29881560 (PubMedID)
Available from: 2018-08-22 Created: 2018-08-22 Last updated: 2018-08-22Bibliographically approved
Bergqvist, D., Mani, K., Troëng, T. & Wanhainen, A. (2018). Treatment of aortic aneurysms registered in Swedvasc: Development reflected in a national vascular registry with an almost 100% coverage. Gefässchirurgie, 23(5), 340-345
Open this publication in new window or tab >>Treatment of aortic aneurysms registered in Swedvasc: Development reflected in a national vascular registry with an almost 100% coverage
2018 (English)In: Gefässchirurgie, ISSN 0948-7034, E-ISSN 1434-3932, Vol. 23, no 5, p. 340-345Article in journal (Refereed) Published
Abstract [en]

Swedvasc is a registry for vascular surgical procedures, both open and endovascular. It was started in 1987 and since 1994 the whole population of Sweden is covered, at present around 10 million inhabitants. In a recent external validation, it was found to be highly accurate with abdominal aortic aneurysm surgery correctly reported in > 96%. In this paper various factors explaining the almost 100% coverage are discussed, one important being that the registry has been developed and maintained within the profession of vascular surgery and not dictated by authorities. Another factor of importance is the possibility to use data in various research projects and so far 15 PhD theses have used Swedvasc data. To exemplify the practical use of the registry, the treatment of abdominal aortic aneurysms is scrutinized and among the various complications abdominal compartment syndrome is analyzed. Several significant temporal changes have been observed over the almost 25 years of Swedvasc: increasing use of endovascular surgery, treatment of aneurysms detected by screening , decreasing treatment for rupture, improved outcome, increasing treatment of older patients and patients with comorbid conditions. In conclusion, a high quality national vascular registry can be valid with high compliance and can be used to study population-based development of treatment and outcome. It can also be used to perform international comparisons with other registries, thereby getting an indication of the quality of care.

Place, publisher, year, edition, pages
SPRINGER HEIDELBERG, 2018
Keywords
Vascular surgery, Vascular surgical procedures, Sweden/epidemiology, Population surveillance, Treatment outcome
National Category
Cardiac and Cardiovascular Systems
Identifiers
urn:nbn:se:uu:diva-362106 (URN)10.1007/s00772-018-0414-8 (DOI)000442589200009 ()30237668 (PubMedID)
Available from: 2018-10-01 Created: 2018-10-01 Last updated: 2018-10-01Bibliographically approved
Kragsterman, B., Bergqvist, D., Siegbahn, A. & Pärsson, H. (2017). Carotid Endarterectomy Induces the Release of Inflammatory Markers and the Activation of Coagulation as Measured in the Jugular Bulb. Journal of Stroke & Cerebrovascular Diseases, 26(10), 2320-2328
Open this publication in new window or tab >>Carotid Endarterectomy Induces the Release of Inflammatory Markers and the Activation of Coagulation as Measured in the Jugular Bulb
2017 (English)In: Journal of Stroke & Cerebrovascular Diseases, ISSN 1052-3057, E-ISSN 1532-8511, Vol. 26, no 10, p. 2320-2328Article in journal (Refereed) Published
Abstract [en]

Background and Purpose: Transient cerebral hypoxia may induce neuronal injury through an ischemia-reperfusion (I/R) response, with a subsequent activation of inflammation and coagulation-fibrinolysis. During carotid endarterectomy (CEA), the artery is clamped, which might impair the regional cerebral perfusion and initiate a local I/R response. Data suggest that the CD40-CD40 ligand dyad acts as a modulator in the induced activation. The aim of this study was to locally measure soluble CD40 ligand (sCD40L), in conjunction with inflammation and coagulation activation markers, during CEA.

Subjects and Methods: This is a prospective study of 18 patients undergoing CEA. Blood samples from the venous jugular bulb (JB) and the radial artery (RA) were drawn at baseline and during the procedure. Measurements of sCD40L, interleukin-6 (IL-6), fragment 1 + 2 (F1 + 2), plasminogen activator inhibitor-1 (PAI-1), and D-dimer were analyzed. Comparisons during CEA were made between levels: baselines versus JB, JB versus RA, and sequential JB measurements. Fifty cardiovascular healthy patients were the reference group for the sCD40L baseline comparison.

Results: Increased cerebral IL-6 levels were demonstrated throughout the procedure, as well as the temporal influence in F1 + 2, PAI-1, and D-dimer values. sCD40L remained unchanged throughout the procedure. This indicates a local cerebral inflammatory reaction together with an activation of coagulation-fibrinolysis, but it does not appear to primarily involve the CD40-CD40 ligand dyad.

Conclusions: Signs of a local inflammatory reaction and activation of coagulation were observed during CEA, but levels of sCD40L remained stable, unaffected by carotid artery clamping and reperfusion.

Keywords
Carotid endarterectomy, carotid clamping, cerebral perfusion, cerebral ischemia
National Category
Cardiac and Cardiovascular Systems Neurology
Identifiers
urn:nbn:se:uu:diva-341672 (URN)10.1016/j.jstrokecerebrovasdis.2017.05.020 (DOI)000414535300041 ()28652057 (PubMedID)
Available from: 2018-02-13 Created: 2018-02-13 Last updated: 2018-02-13Bibliographically approved
Kakkos, S. K., Bicknell, C. D., Tsolakis, I. A. & Bergqvist, D. (2016). Editor's Choice - Management of Secondary Aorto-enteric and Other Abdominal Arterio-enteric Fistulas: A Review and Pooled Data Analysis. European Journal of Vascular and Endovascular Surgery, 52(6), 770-786
Open this publication in new window or tab >>Editor's Choice - Management of Secondary Aorto-enteric and Other Abdominal Arterio-enteric Fistulas: A Review and Pooled Data Analysis
2016 (English)In: European Journal of Vascular and Endovascular Surgery, ISSN 1078-5884, E-ISSN 1532-2165, Vol. 52, no 6, p. 770-786Article, review/survey (Refereed) Published
Abstract [en]

Objectives: To compare management strategies for secondary abdominal arterio-enteric fistulas (AEFs). Methods: This study is a review and pooled data analysis. Medline and Scopus databases were searched for studies published between 1999 and 2015. Particular emphasis was given to short- and long-term outcomes in relation to AEF repair type. Results: Two hundred and sixteen publications were retrieved, reporting on 823 patients. In-hospital mortality was 30.7%. Open surgery had higher in-hospital mortality (246/725, 33.9%), than endovascular methods (7/98, 7.1%, p<.001, OR 6.7, 95% CI 3-14.7, including staged endovascular to open surgery, 0/13, 0%). In-hospital mortality after graft removal/extra-anatomical bypass grafting was 31.2% (66/226), graft removal/in situ repair 34% (137/403), primary closure of the arterial defect 62.5% (10/16), and for miscellaneous open procedures 41.3% (33/80), p=.019. Among the subgroups of in situ repair, homografts were associated with a higher mortality than impregnated prosthetic grafts (p=.047). There was no difference in recurrent AEF-free rates between open and endovascular procedures. Extra-anatomical bypass/graft removal and in situ repair had a lower AEF recurrence rate than primary closure and homografts. Late sepsis occurred more often after endovascular surgery (2-year rates 42% vs. 19% for open, p=.001). The early survival benefit of endovascular surgery was blunted during follow-up, although it remained significant (p<.001). Within the in situ repair group, impregnated prosthetic grafts were associated with the worst overall and AEF related mortality free rates and vein grafts with the best. No recurrence, sepsis, or mortality was reported following staged endograft placement to open repair after a mean follow-up of 16.8 months (p=.18, p=.22, and p=.006, respectively, compared with patients in other groups). Conclusions: Endovascular surgery, where appropriate, is associated with better early survival than open surgery for secondary AEFs. Most of this benefit is lost during long-term follow-up, implying that a staged approach with early conversion to in situ vein grafting may achieve the best results in selected patients.

Keywords
Aortoenteric fistula, Arterioenteric fistula, Endovascular, Graft removal, Secondary
National Category
Cardiac and Cardiovascular Systems Surgery
Identifiers
urn:nbn:se:uu:diva-315006 (URN)10.1016/j.ejvs.2016.09.014 (DOI)000390738800012 ()27838156 (PubMedID)
Available from: 2017-02-08 Created: 2017-02-08 Last updated: 2017-11-29Bibliographically approved
Bergqvist, D. & Wanhainen, A. (2015). Konsten att skriva ett vetenskapligt manus. Svensk Kirurgi, 73(1), 10-12
Open this publication in new window or tab >>Konsten att skriva ett vetenskapligt manus
2015 (Swedish)In: Svensk Kirurgi, ISSN 0346-847X, Vol. 73, no 1, p. 10-12Article in journal (Other academic) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-276841 (URN)
Available from: 2016-02-16 Created: 2016-02-16 Last updated: 2017-11-30Bibliographically approved
Bergqvist, D. (2015). Kultur på tentamen: i kärlkirurgi. Läkartidningen, 112(6), 226-227, Article ID DAXM.
Open this publication in new window or tab >>Kultur på tentamen: i kärlkirurgi
2015 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 112, no 6, p. 226-227, article id DAXMArticle in journal (Other academic) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-276840 (URN)
Note

Läkartidningen. 2015;112:DAXM

Available from: 2016-02-16 Created: 2016-02-16 Last updated: 2017-11-30Bibliographically approved
Bergqvist, D. (2015). Mästerkirurgen Acrel: och behandling av kärlskador på 1700-talet. Läkartidningen, 112(50), 2300-2301, Article ID DRXL.
Open this publication in new window or tab >>Mästerkirurgen Acrel: och behandling av kärlskador på 1700-talet
2015 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 112, no 50, p. 2300-2301, article id DRXLArticle in journal (Other academic) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-276849 (URN)
Note

Available from: 2016-02-16 Created: 2016-02-16 Last updated: 2017-11-30Bibliographically approved
Mitchell, D., Venermo, M., Mani, K., Björck, M., Troëng, T., Debus, S., . . . Lees, T. (2015). Quality Improvement in Vascular Surgery: The Role of Comparative Audit and Vascunet.. European Journal of Vascular and Endovascular Surgery, 49(1)
Open this publication in new window or tab >>Quality Improvement in Vascular Surgery: The Role of Comparative Audit and Vascunet.
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2015 (English)In: European Journal of Vascular and Endovascular Surgery, ISSN 1078-5884, E-ISSN 1532-2165, Vol. 49, no 1Article in journal (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-267236 (URN)26347910 (PubMedID)
Available from: 2015-11-19 Created: 2015-11-19 Last updated: 2017-12-01
Bergqvist, D. (2015). Screening av bukaortaaneurysm fortfarande indicerad. Läkartidningen, 112
Open this publication in new window or tab >>Screening av bukaortaaneurysm fortfarande indicerad
2015 (Swedish)In: Läkartidningen, ISSN 0023-7205, E-ISSN 1652-7518, Vol. 112Article in journal (Other academic) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-276847 (URN)
Note

Debattartikel

Available from: 2016-02-16 Created: 2016-02-16 Last updated: 2017-11-30Bibliographically approved
Bergqvist, D. (2015). Spännande läkekonsthistorik. Paper presented at 2015;73:224-226. Svensk Kirurgi, 73(4), 224-226
Open this publication in new window or tab >>Spännande läkekonsthistorik
2015 (Swedish)In: Svensk Kirurgi, ISSN 0346-847X, Vol. 73, no 4, p. 224-226Article in journal (Other academic) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:uu:diva-276848 (URN)
Conference
2015;73:224-226
Note

Bokrecension

Available from: 2016-02-16 Created: 2016-02-16 Last updated: 2017-11-30Bibliographically approved
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