Julius H Jacobson, II Professor of Surgery, Johns Hopkins University School of Medicine; Vice Chair for Clinical Operations and Financial Affairs Department of Surgery

Vascular Surgery

Bruce Perler works in the field of Vascular Surgery. He studied medicine at Duke University School of Medicine. Duke University School of Medicine is a top medical university. Duke University School of Medicine is ranked 8/29 in Research/PrimaryCare. He received 9 awards: "President", "Senior Editor", "America's Top Doctors", "CMS Meaningful Use Stage 1 Certification", "Top Doctors:Baltimore Area", "Top Doctors:Washington-Baltimore", "Super Doctor", "Fellow (FACS)" and "Top MD". Bruce Perler is also published. He has 101 publications published. The lastest publication: "Surgical repair of ruptured abdominal aortic aneurysms in the state of Maryland: factors influencing outcome among 527 recent cases.' Dr. Bruce A. Perler is registered with Medicare and accepts Medicare payments.

Publications

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• Management of infected Vascular grafts.
• Design of the ReVascularization With Open Bypass vs Angioplasty and Stenting of the Lower Extremity Trial (ROBUST): A Randomized Clinical Trial.
• Surgeon's 30-Day Outcomes Supporting the Carotid Revascularization Endarterectomy versus Stenting Trial.
• Perioperative Mortality Following Repair of Abdominal Aortic Aneurysms: Application of a Randomized Clinical Trial to Real-World Practice Using a Validated Nationwide ...
• Outcomes of Carotid endarterectomy and stenting in elderly patients.
• Racial and ethnic disparities in the treatment of unruptured thoracoAbdominal aortic aneurysms in the United States.
• Disparities in outcomes for Hispanic patients undergoing endovascular and open Abdominal aortic aneurysm repair.
• The impact of race and ethnicity on the outcome of Carotid interventions in the United States.
• Editors' message.
• Updates in Venous disease.
• Image of the month. Aortoduodenal fistula.
• Is endoVascular stent-graft treatment of primary aortoesophageal fistula worthwhile?
• Cost of inpatient care and its association with hospital competition.
• Charles Dickens, Coach K, Pogo, and the recent history and future of Vascular surgery.
• Improving surgical outcomes through adoption of evidence-based process measures: intervention specific or associated with overall hospital quality?
• Efficacy and safety of alfimeprase in patients with Acute peripheral arterial occlusion (PAO).
• Editors' message. This year marked the silver anniversary of the Journal of Vascular Surgery, and the first year of our Editorial stewardship.
• Managing patients with clinically significant cardiac and Carotid artery occlusive disease.
• Impact of hospital teaching status on survival from ruptured Abdominal aortic aneurysm repair.
• Novel approach to a type I endoleak following a hybrid repair of an arch Aortic aneurysm.
• Multiple treatment algorithms for successful outcomes in Venous thoracic outlet syndrome.
• A tribute to: Jack L. Cronenwett, MD, editor-in-chief James M. Seeger, MD, Senior Editor the Journal of Vascular Surgery January 1, 2003-December 31, 2008.
• A message from the new editors.
• Statistical modeling of the volume-outcome effect for Carotid endarterectomy for 10 years of a statewide database.
• Reduction of in-hospital mortality among California hospitals meeting Leapfrog evidence-based standards for Abdominal aortic aneurysm repair.
• Branding of Vascular surgery.
• The effect of statin medications on perioperative and long-term outcomes following Carotid endarterectomy or stenting.
• Selective versus routine intraoperative shunting during Carotid endarterectomy: a multivariate outcome analysis.
• Commentary: has evidence changed practice? Appropriateness of Carotid endarterectomy after the clinical trials. Halm EA, Tuhrim S, Wang JJ, Rojas M, Hannan EL, Chassin...
• Should statins be given routinely before Carotid endarterectomy?
• Presidential Address. When I grow up, I want to be successful like daddy: I just don't want to be a doctor.
• Preoperative statin and diuretic use influence the presentation of patients undergoing Carotid endarterectomy: results of a large single-institution case-control study.
• Trends in the in-hospital stroke rate following Carotid endarterectomy in California and Maryland.
• Hyperglycemia independently increases the risk of perioperative stroke, myocardial infarction, and death after Carotid endarterectomy.
• Preoperative and intraoperative determinants of incisional bulge following retroperitoneal Aortic repair.
• 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors reduce the risk of perioperative stroke and mortality after Carotid endarterectomy.
• A preliminary clinical scale to predict the risk of in-hospital death after Carotid endarterectomy.
• Inappropriate industry influence on FDA processes.
• Floating thoracic Aortic thrombus in "protein S" deficient patient.
• Mandatory versus selective preoperative Carotid screening: a retrospective analysis.
• Preoperative selective intercostal angiography in patients undergoing thoracoAbdominal aneurysm repair.
• Takayasu's Disease.
• Sensitivity of routine intensive care unit surveillance for detecting myocardial ischemia.
• The distribution of Carotid endarterectomy procedures among surgeons and hospitals in New York state: is regionalization of specialized vascular care occurring?
• Cardiac troponin I predicts short-term mortality in Vascular surgery patients.
• Durability of thoracoAbdominal aortic aneurysm repair in patients with connective tissue disorders.
• Subdural hematoma after thoracoAbdominal aortic aneurysm repair: an underreported complication of spinal fluid drainage?
• A contemporary assessment of Carotid body tumor surgery.
• Carotid endarterectomy: the "gold standard" in the endovascular era.
• Recurrent Induction of the Syndrome of Inappropriate Antidiuretic Hormone Secretion Following Carotid Endarterectomy.
• Weight-based rt-PA thrombolysis protocol for Acute native arterial and bypass graft occlusions.
• Double-masked randomized trial comparing alternate combinations of intraoperative anesthesia and postoperative analgesia in Abdominal aortic surgery.
• Aneurysmal expansion of the visceral patch after thoracoAbdominal aortic replacement: an argument for limiting patch size?
• Impact of race on the outcome of Carotid endarterectomy: a population-based analysis of 9,842 recent elective procedures.
• Percutaneous catheter drainage of infected intra-Abdominal fluid collections. American College of Radiology. ACR Appropriateness Criteria.
• Percutaneous biliary drainage in malignant biliary obstruction. American College of Radiology. ACR Appropriateness Criteria.
• Thrombolysis for lower extremity Arterial and graft occlusions. American College of Radiology. ACR Appropriateness Criteria.
• Needle biopsy in the thorax. American College of Radiology. ACR Appropriateness Criteria.
• Percutaneous transluminal Renal angioplasty. American College of Radiology. ACR Appropriateness Criteria.
• Iliac angioplasty. American College of Radiology. ACR Appropriateness Criteria.
• Inferior vena cava filter placement. American College of Radiology. ACR Appropriateness Criteria.
• Immediate postoperative thrombolytic therapy: an aggressive strategy for neurologic salvage when cerebral thromboEmbolism complicates carotid endarterectomy.
• The influence of female gender on the outcome of Carotid endarterectomy: a challenge to the ACAS findings.
• Results of elective Abdominal aortic aneurysm repair in the 1990s: A population-based analysis of 2335 cases.
• Surgical repair of ruptured Abdominal aortic aneurysms in the state of Maryland: factors influencing outcome among 527 recent cases.
• Influence of age and hospital volume on the results of Carotid endarterectomy: a statewide analysis of 9918 cases.
• Impact of a critical pathway on the results of Carotid endarterectomy in a tertiary care university hospital: effect of methods on outcome.
• The management of patients with ruptured Abdominal aortic aneurysms.
• The use of blood products for surgical bleeding.
• The impact of advanced age on the results of Carotid endarterectomy: an outcome analysis.
• Does donor iliac Artery percutaneous transluminal angioplasty or stent placement influence the results of femorofemoral bypass? Analysis of 70 consecutive cases with l...
• Cost-efficacy issues in the treatment of peripheral vascular Disease: primary amputation or revascularization for limb-threatening ischemia.
• Carotid Dacron patch angioplasty: immediate and long-term results of a prospective series.
• The case for conservative management of infected prosthetic grafts.
• Unintentional hypothermia is associated with postoperative myocardial ischemia. The Perioperative Ischemia Randomized Anesthesia Trial Study Group.
• Angioplasty, bypass surgery, and amputation for lower extremity peripheral arterial Disease in Maryland: a closer look.
• Rotational muscle flaps to treat localized prosthetic graft infection: long-term follow-up.
• Preoperative spinal Artery localization and its relationship to postoperative neurologic complications.
• The effects of different anesthetic regimens on fibrinolysis and the development of postoperative arterial Thrombosis. Perioperative Ischemia Randomized Anesthesia Tri...
• Perioperative morbidity in patients randomized to epidural or general anesthesia for lower extremity Vascular surgery. Perioperative Ischemia Randomized Anesthesia Tri...
• Visceral lipid peroxidation occurs at reperfusion after supraceliac Aortic cross-clamping.
• Vascular Disease in the elderly patient.
• Carotid endarterectomy--is intensive care unit care necessary?
• Carotid endarterectomy in the very elderly: is it worthwhile?
• Surgical treatment of femoral pseudoAneurysm following cardiac catheterization.
• Hypercoagulability and the hypercoagulability syndromes.
• The influence of anesthetic method on infrainguinal bypass graft patency: a closer look.
• Catecholamine and cortisol responses to lower extremity reVascularization: correlation with outcome variables. Perioperative Ischemia Randomized Anesthesia Trial Study...
• Aortofemoral graft for multilevel occlusive Disease. Predictors of success and need for distal bypass.
• Vascular complications of intra-Aortic balloon counterpulsation.
• Massive small bowel infarction. An unusual complication of Abdominal aortic surgery.
• The effect of Vascular fellowships on general surgical residency training.
• Tailored approach for evaluation of peripheral vascular disease: intraVenous digital subtraction angiography.
• Iliac Artery occlusion: management with intrathrombus streptokinase infusion and angioplasty.
• Low-dose thrombolytic therapy for infrainguinal graft occlusions: an idea whose time has passed?
• Oculoplethysmography and supraorbital Doppler evaluation of Carotid disease. A reappraisal.
• Abdominal aortic aneurysms: diagnosing and treating on time.
• The safety of Carotid endarterectomy at the time of coronary artery bypass surgery: analysis of results in a high-risk patient population.
• In situ saphenous Vein bypass grafts: angiographic evaluation and interventional repair of complications.
• Emergency gastroduodenal-renal Artery bypass. An extra-anatomic approach for salvage of the solitary kidney.

Schools

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• Duke University School Of Medicine

• Massachusetts General Hospital

Procedures Preformed

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• Aortic Repair, Open or Repair of Arterial Aneurysm, Open
• ArterioVenous Fistula Repair
• ArterioVenous Shunt Creation
• Carotid Artery Stent Placement
• View All

Conditions Treated

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• Abdominal Aortic Aneurysm (AAA)
• Acute Deep Vein Thrombosis (DVT)
• Acute Venous Embolism Thrombosis
• Aortic Aneurysm
• View All

Doctors Specialties

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• General Surgery
• Vascular Surgery

Accepted Insurances

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Awards

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• President
• Senior Editor
• America's Top Doctors
• CMS Meaningful Use Stage 1 Certification
• Top Doctors:Baltimore Area
• Top Doctors:Washington-Baltimore
• Super Doctor
• Fellow (FACS)
• Top MD

Education

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• Massachusetts General Hospital
• Duke University School of Medicine

Hospital

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• Johns Hopkins Hospital
• Johns Hopkins Bayview Medical Center

Helpful Reviews

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Medicare Facts

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National Provider Identifier [NPI]	1508813205
Last Name Of The Provider	PERLER
First Name Of The Provider	BRUCE
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