Abstract:
OBJECTIVES:Remote ischemic preconditioning (RIPC) involves the phenomenon whereby transient episodes of limb ischemia induced by cuff inflation provide cardioprotection. The effectiveness of RIPC in vascular surgery is uncertain. This randomized, controlled trial was designed to investigate the potential of two episodes of RIPC to provide myocardial protection in patients undergoing vascular surgery. DESIGN AND METHODS:Patients undergoing an elective major vascular procedure (open abdominal aortic aneurysm (AAA) repair, endovascular aneurysm repair, and lower-limb bypass grafting) were randomized into RIPC group (n = 42) or control group (n = 43). Remote ischemic preconditioning consisted of three 5-minute cycles of upper limb cuff occlusion with 5-minutes of reperfusion between cycles, both 24 hours and immediately before surgery. Control patients received a similarly timed sham treatment. Cardiac high-sensitivity troponin T (hsTnT) concentration was measured in plasma at 6, 12, 24, and 48 hours post-surgery, and at 72, 96, and 120 hours in patients still in hospital. Perioperative clinical adverse events and readmissions within ∼12 months were recorded. RESULTS:Myocardial injury was demonstrated perioperatively in 43% of RIPC patients and 49% of controls, as defined by a significant hsTnT elevation. These incidences were statistically equivalent (odds ratio 0.79, 95% confidence interval 0.33-1.85, P = .58). The 48-hour area under the curve for hsTnT change from baseline also revealed no difference (RIPC vs control median: 5.3 vs 7.5 ng/L.h, P = .22). Each group had one type I and one type II myocardial infarction and no difference in complications or readmissions. CONCLUSIONS:This trial could not confirm that two episodes of RIPC reduce myocardial injury following vascular surgery. Along with other equivocal studies, it appears that RIPC does not induce a clear benefit in vascular surgery.
journal_name
Vasc Endovascular Surgjournal_title
Vascular and endovascular surgeryauthors
Thomas KN,Cotter JD,Williams MJ,van Rij AMdoi
10.1177/1538574416639150subject
Has Abstractpub_date
2016-04-01 00:00:00pages
140-6issue
3eissn
1538-5744issn
1938-9116pii
1538574416639150journal_volume
50pub_type
杂志文章,随机对照试验abstract:OBJECTIVES:After surgical or endovascular revascularization, some ischemic lesions will not heal, while some others will heal at a variable period of time from the intervention, indicating a multifactorial interaction between local and systematic "wound healing-promoting" factors. Our objective was to identify predicto...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574419868863
更新日期:2019-11-01 00:00:00
abstract::The fate of popliteal artery aneurysms after ligation and bypass is believed to be relatively innocuous. The patient presented in this report, however, experienced spontaneous rupture of a popliteal aneurysm 11 years after ligation and bypass. Magnetic resonance angiography was used to establish the diagnosis of ruptu...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440403800613
更新日期:2004-11-01 00:00:00
abstract::In an effort to explore alternatives to contrast arteriography, we compared computed tomography angiography to contrast arteriography for defining anatomic features of patients undergoing lower extremity revascularization. From November 2003 to March 2004, 36 inpatients with chronic lower extremity ischemia underwent ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574406297265
更新日期:2007-04-01 00:00:00
abstract::Strategies developed by vascular surgeons to establish an endovascular program and the 5-year results of the program are reported. In 1994, the operating room was chosen as the site for the endovascular suite. With this strategy, vascular surgeons would be able to 1) govern appropriate indications for intervention, 2)...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440203600104
更新日期:2002-01-01 00:00:00
abstract::In this article, a novel technique for the treatment of ruptured abdominal aortic aneurysm secondary to proximal type 1 endoleak as a result of progressive neck dilatation after endovascular aneurysm repair is reported. A 74-year-old man with multiple comorbidities including severe ischemic heart disease, congestive c...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574408315203
更新日期:2008-08-01 00:00:00
abstract::Endovascular treatment of chronic mesenteric ischemia is currently the treatment of choice, regardless of the number of involved vessels. Unlike other anatomic areas, the hyperperfusion produced by revascularization and the consecutive reperfusion syndrome is only described in cases of acute bowel ischemia, which is u...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574419839547
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:There is no detailed information available about trend in the morphological change after conservative medical treatment in patients with symptomatic spontaneous isolated superior mesenteric artery dissection (SISMAD). METHODS:We enrolled 27 consecutive patients with symptomatic SISMAD who underwent conservat...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574417729271
更新日期:2017-11-01 00:00:00
abstract:OBJECTIVES:Cilostazol improves walking in patients with peripheral arterial disease (PAD). We hypothesized that cilostazol reduces diabetic complications in PAD patients. METHODS:Diabetic PAD patients were prospectively recruited to a randomized double-blinded, placebo-controlled trial, using cilostazol 100mg twice a ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,随机对照试验
doi:10.1177/1538574408328586
更新日期:2009-04-01 00:00:00
abstract::This case illustrates an unusual anomaly of the great veins. To our knowledge, these are the first published photographs of the vena cava traversing anterior to the distal aorta. This anatomic variant caused minor technical problems during open abdominal aortic aneurysm repair. ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574408324615
更新日期:2009-02-01 00:00:00
abstract::First-bite syndrome (FBS) is an infrequently encountered complication of parapharyngeal space surgery. Patients experience excruciating pain in the ipsiltateral parotid gland region at the first bite of each meal, which improves with subsequent mastication. This is thought to be due to parotid gland sympathetic denerv...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574411407084
更新日期:2011-07-01 00:00:00
abstract::Recent reports have established the feasibility and safety of percutaneous transluminal angioplasty and stent placement in the treatment of innominate artery occlusive disease. Although the long-term durability of these endovascular approaches has not been clearly established, they are particularly attractive in patie...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440303700407
更新日期:2003-07-01 00:00:00
abstract::Aortic dissection represents the most common aortic emergency, affecting 3 to 4 per 100,000 people per year and is still associated with a high mortality. Twenty percent of the patients with aortic dissection die before reaching hospital and 30% die during hospital admission. Aortic dissections may be classified in 3 ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574410362118
更新日期:2010-04-01 00:00:00
abstract:PURPOSE:Aim of this study is to present our initial experience with the use of the retrograde popliteal artery access in patients with certain anatomic lesions. METHODS:Between September 2008 and September 2010, 24 patients underwent a transpopliteal retrograde subintimal recanalization. Instead of its usage when ante...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574411414308
更新日期:2011-10-01 00:00:00
abstract:PURPOSE:To present a case of upper gastrointestinal bleeding (UGIB) that was treated with percutaneous endovascular embolization using Amplatzer vascular plug and hydrogel coils after failed endoscopic treatment. CASE REPORT:A 78-year-old male was referred for endovascular treatment of massive recurrent UGIB from a du...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574411399158
更新日期:2011-04-01 00:00:00
abstract::Ovarian vein thrombosis is a rare but serious condition that may cause sepsis in the postpartum patient or may be associated with thrombosis of the inferior vena cava or renal vein. A 30-year-old woman presented 2 weeks postpartum with sudden onset of dyspnea and rightsided pleuritic chest pain. She was diagnosed with...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574406291332
更新日期:2006-12-01 00:00:00
abstract:OBJECTIVES:To review immediate results, patency rates, hemodynamic success, and incidence of concomitant procedures with external iliac artery stenting (EIAS). METHODS:Demographic features, category and clinical grade, Trans-Atlantic Inter-Society Consensus II classification lesion type, pre- and postprocedure ankle-b...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574412442400
更新日期:2012-04-01 00:00:00
abstract::Cerebral reperfusion following carotid endarterectomy occasionally causes cerebral hyperperfusion syndrome. This is a rare but important complication and this case report acted as a stimulus for a literature review of this problem. A 60-year-old businessman had a right carotid endarterectomy for a severe stenosis whic...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/153857440203600407
更新日期:2002-07-01 00:00:00
abstract::Although renal arteriovenous fistula (AVF) is an uncommon condition, it may lead to high cardiac output heart failure and renal insufficiency. Recently, percutaneous transcatheter embolization has replaced traditional surgery as the first line of treatment. We report a case of a 68-year-old male who presented with a r...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574414561230
更新日期:2014-10-01 00:00:00
abstract::A 26-year-old male soldier was clinically characterized by transient fever, persistent right upper quadrant pain, hypertension, and elevated inflammatory biomarkers associated with bacterial infection. On the fifteenth day after the onset of symptoms, he had typical CT findings in polyarteritis nodosa involving only t...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574420968682
更新日期:2020-10-21 00:00:00
abstract:OBJECTIVE:The present meta-analysis aimed to evaluate the efficacy and safety of compression stockings for postthrombotic syndrome (PTS) prevention in patients with deep venous thrombosis (DVT). METHODS:Randomized controlled trials (RCTs) regarding the use of compression stockings for prevention of PTS were identified...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,meta分析,评审
doi:10.1177/1538574416652242
更新日期:2016-07-01 00:00:00
abstract:BACKGROUND:Regression of the residual sac is indicative of successful endovascular aortic aneurysm (EVAR) repair. Using color duplex ultrasound (CDU), we monitored the residual aneurysm sac following EVAR and correlated sac behavior with perioperative risk factors. METHODS:Of 145 patients with EVAR, 106 (73.1%) patien...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574413513846
更新日期:2014-02-01 00:00:00
abstract::Venous aneurysms of the femoro-iliac axis are uncommon abnormalities of the vascular system with a potentially life-threatening course; they can be associated with the disastrous events of thromboembolism or rupture. Therefore, a focused imaging evaluation and prophylactic treatment is essential. The appropriate surgi...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574408320171
更新日期:2008-12-01 00:00:00
abstract::Nail-patella syndrome (NPS) is a rare disorder characterized by abnormal development of ectodermal and mesodermal tissues. Classically, NPS presents as a triad of nail dysplasia, dysplastic patellae, and bony exostoses of the ilia known as "iliac horns." Apart from dermatological and skeletal abnormalities, patients m...
journal_title:Vascular and endovascular surgery
pub_type:
doi:10.1177/1538574419888345
更新日期:2020-02-01 00:00:00
abstract:AIM:The aim of the study is to determine whether presentation and outcomes of inflammatory abdominal aortic aneurysms (IAAA) have changed over the last five decades. METHODS:Comparison of current outcomes (January 2001 to December 2007) with results of the earliest report from our unit in 1972. RESULTS:In contemporar...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574409335915
更新日期:2009-08-01 00:00:00
abstract::Inadvertent complications of jugular vein catheterization are not uncommon, however, a persistent symptomatic carotid-jugular fistula has been rarely reported. A 72-year-old male with infected surgical wound after coxofemoral disarticulation for sarcoma presented with symptoms of acute right heart failure. A fistula b...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574416675675
更新日期:2016-11-01 00:00:00
abstract::Pulmonary embolism remains an endemic challenge for public health care. The first line of treatment for venous thromboembolic disorder has been anticoagulation; however, in the absence of appropriate pharmacologic treatment, because of failure or contraindication, caval filter placement has been widely performed in th...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章,评审
doi:10.1177/1538574409332000
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND:The aim of the present study was to investigate the blood transfusion practice in patients operated for abdominal aortic aneurysm (AAA) with special emphasis on massive transfusion in cases with rupture. MATERIAL AND METHODS:From a database, 504 patients operated for AAA were stratified into 2 groups; an ea...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574412467860
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND:Open repair (OR) for popliteal artery aneurysm (PAA) has recently been challenged by endovascular repair (ER) as the primary choice of treatment. The aim of the present study was to evaluate time trends in treatment modality and compare outcomes between OR and ER among electively operated patients after star...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574417742762
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Tissue loss or gangrene in the setting of lower extremity peripheral artery disease (PAD) may result in amputation. Previous studies have demonstrated elevated mortality rates after major transtibial and transfemoral amputation. Also, amputation of 1 leg may be associated with subsequent major amputation of ...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/1538574413503715
更新日期:2013-11-01 00:00:00
abstract::True aneurysm formation in infrainguinal autologous vein grafts is rare. The authors report a case of a patient presenting with extensive aneurysmal degeneration of a femoropopliteal bypass vein graft 13 years after the original operation and 8 years after graft revision and thrombolysis for acute occlusion. Over a 2-...
journal_title:Vascular and endovascular surgery
pub_type: 杂志文章
doi:10.1177/153857440403800312
更新日期:2004-05-01 00:00:00