Obturator bypass: technical considerations.

abstract：:Innovation in medicine is often driven by the observations of imaginative physicians who are blessed with insatiable curiosity, coupled with the inability to accept technical boundaries, the status quo of patient care, or the acceptance of procedural morbidity. Few examples illustrate this truism better than the physi...

journal_title：Seminars in vascular surgery

authors： Parodi J,Bates MC,Ohki T,Schönholz C

更新日期：2018-03-01 00:00:00

abstract：:Since carotid endarterectomy was revitalized following the North American Symptomatic Carotid Endarterectomy Trial and Asymptomatic Carotid Atherosclerosis Study, results have improved. However, types of carotid endarterectomy, indications, risk factors, surgical factors, techniques, and other treatment modalities may...

journal_title：Seminars in vascular surgery

authors： Shah DM,Darling RC 3rd,Chang BB,Paty PS,Kreienberg PB,Roddy SP,Ozsvath KJ,Mehta M

更新日期：2004-09-01 00:00:00

abstract：:Increased intra-abdominal pressure (IAP) and abdominal compartment syndrome (ACS) are important clinical problems after repair of ruptured abdominal aortic aneurysms and are reviewed here. IAP >20 mm Hg occurs in approximately 50% of patients treated with open abdominal aortic aneurysm repair after rupture, and approx...

journal_title：Seminars in vascular surgery

authors： Björck M

更新日期：2012-03-01 00:00:00

abstract：:The etiology of foot lesions in diabetics is multifactorial. Arterial insufficiency, neuropathy, and susceptibility to infection are major factors contributing to the formation of nonhealing diabetic foot lesions. These factors lead to a 15% ulceration rate in diabetics with 20% resulting in amputation. This amputatio...

journal_title：Seminars in vascular surgery

authors： Neville RF,Sidawy AN

更新日期：2012-06-01 00:00:00

abstract：:In this article, the use of prosthetic grafts for above-the-knee femoral-popliteal arterial bypass reconstruction is discussed. The issue as to whether prostheses should be used preferentially, selectively, or not at all, remains both topical and controversial in vascular surgical circles. The debate has been heighten...

journal_title：Seminars in vascular surgery

authors： Abbott WM

更新日期：1997-03-01 00:00:00

abstract：:The pathophysiology of the diabetic foot ulcer and soft-tissue infection is due to neuropathy, trauma, and, in many patients, concomitant peripheral artery occlusive disease. Diabetic neuropathy results in foot deformity, leading to increased skin pressure with walking. Once a foot ulcer develops, the limb is at high ...

journal_title：Seminars in vascular surgery

authors： Bandyk DF

更新日期：2018-01-01 00:00:00

abstract：:Aortic infection is an uncommon but life-threatening condition. Conservative medical treatment is insufficient in many cases because of the high risk of persistent infection, aortic rupture, and death. Conventional open surgical treatment consists of extensive tissue debridement, complete removal of the infected prost...

journal_title：Seminars in vascular surgery

authors： Setacci C,de Donato G,Setacci F

更新日期：2011-12-01 00:00:00

abstract：:Thromboembolic vascular diseases remain the main cause of death in Western industrialized societies. Anticoagulants retard the formation, growth, and embolization of thrombi and are effective agents in the prevention and treatment of thromboembolic disease. Anticoagulants in venous thromboembolism have been investigat...

journal_title：Seminars in vascular surgery

authors： Da Silva MS,Sobel M

更新日期：2002-12-01 00:00:00

abstract：:Renal artery stenting remains an important adjuvant treatment for true-resistant hypertension, although recent disappointing randomized trials highlight the importance of careful patient selection. Safe and successful renal interventions begin with critical core knowledge regarding renal artery anatomy and understandi...

journal_title：Seminars in vascular surgery

authors： Campbell JE,Stone PA,Bates MC

更新日期：2013-12-01 00:00:00

abstract：:Over the last decade, more than 25,000 endovascular stent grafts have been used to treat aortic aneurysms. Although results have been promising thus far, problems with endoleaks, material failure, device migration, and aneurysm rupture continue to be reported. Improvements in device material and design have contribute...

journal_title：Seminars in vascular surgery

authors： Jacobs T,Teodorescu V,Morrissey N,Carroccio A,Ellozy S,Minor M,Hollier LH,Marin ML

更新日期：2003-06-01 00:00:00

abstract：:Elimination of the embolic potential of existing thrombus, restoration of unobstructed flow, prevention of further thrombosis, and preservation of venous valve function are the ideal goals of therapy for acute deep vein thrombosis (DVT). Meeting these goals will not only prevent pulmonary embolus, but will also minimi...

journal_title：Seminars in vascular surgery

authors： Mewissen MW

更新日期：2010-12-01 00:00:00

abstract：:It is estimated that 20% to 40% of the patients who survive the acute phase of aortic dissection will develop significant aneurysmal dilatation of the descending thoracic or thoracoabdominal aorta. Aortic dissection has long been considered a risk factor for mortality and neurologic deficit following surgical repair o...

journal_title：Seminars in vascular surgery

authors： Huynh TT,Porat EE,Miller CC 3rd,Estrera AL,Smith JJ,Safi HJ

更新日期：2002-06-01 00:00:00

abstract：:The failure of an autogenous or prosthetic arteriovenous hemodialysis access is usually related to the failure of the venous outflow resulting from a stenosis somewhere in the venous system, commonly at the venous anastomosis for a prosthetic access or within the central veins. The National Kidney Foundation's Kidney ...

journal_title：Seminars in vascular surgery

authors： Illig KA

更新日期：2011-06-01 00:00:00

abstract：:The continuing evolution of endovascular approaches to the repair of descending thoracic and thoracoabdominal aortic aneurysms necessitates careful evaluation of the safety and efficacy of these alternative therapies as they compare to the "gold standard" of open surgical repair. The purpose of this report is to prese...

journal_title：Seminars in vascular surgery

authors： Coselli JS,LeMaire SA

更新日期：2008-03-01 00:00:00

abstract：:While carotid angioplasty and stenting has been clearly established as a minimally invasive alternative to endarterectomy for patients with carotid occlusive disease, its indications continue to evolve, being refined as more controlled data of large studies are being accumulated. The purpose of this article is to revi...

journal_title：Seminars in vascular surgery

authors： Chaer RA,Makaroun MS

更新日期：2008-06-01 00:00:00

abstract：:The use of autologous femoral veins for in situ reconstruction of the aortoiliac segment is an effective technique to treat native aorta or prosthetic graft infections. The indications, technical details, and outcomes of this procedure are detailed. Graft infection involving the aortic segment, while rare, remains one...

journal_title：Seminars in vascular surgery

authors： Savlania A,Tripathi RK

更新日期：2019-01-01 00:00:00

abstract：:Inflammatory abdominal aortic aneurysms (IAAA) are being treated more frequently by endovascular aneurysm repair (EVAR). Some authors caution against treating IAAA by EVAR because retroperitoneal inflammation may not subside post-operatively. A recent experience of 69 IAAA treated by open and endovascular methods is p...

journal_title：Seminars in vascular surgery

authors： Stone WM,Fankhauser GT

更新日期：2012-12-01 00:00:00

abstract：:Arterial and venous trauma of the cervicothoracic region continues to present challenging problems for the surgeon, despite advances in vascular diagnostics and surgical technique. Whether due to penetrating or blunt mechanisms, overall incidence of these injuries is low, whereas morbidity and mortality remain high. D...

journal_title：Seminars in vascular surgery

authors： McIntyre WB,Ballard JL

更新日期：1998-12-01 00:00:00

abstract：:Because endovascular procedures represent an ever-increasing portion of many vascular surgery practices, many surgeons are faced with difficult choices. Endovascular procedures often require open surgery, and open surgical techniques increasingly require fluoroscopic imaging. Without good intraoperative imaging, endov...

journal_title：Seminars in vascular surgery

authors： Fillinger MF,Weaver JB

更新日期：1999-12-01 00:00:00

abstract：:The development of carotid duplex scanning revolutionized the diagnosis of carotid artery disease. Continued advances in the technology as well as widespread experience with cartoid ultrasound have redefined the role this technology plays in the care of patients with carotid atherosclerosis. Recent clinical trials hav...

journal_title：Seminars in vascular surgery

authors： Ricci MA

更新日期：1998-03-01 00:00:00

abstract：:Chronic venous disease includes a spectrum of clinical presentations ranging from varicose veins through chronic lower extremity pain and edema to venous skin changes and ulceration. Such manifestations may result from primary venous insufficiency or be secondary to other disorders, primarily acute deep venous thrombo...

journal_title：Seminars in vascular surgery

authors： Tran NT,Meissner MH

更新日期：2002-03-01 00:00:00

abstract：:Means for endovascular therapy have radically altered the treatment paradigm for occlusive lesions of the aortic arch vessels. Diagnosis of these problems by noninvasive means is becoming increasingly more common, allowing invasive evaluation and treatment to occur simultaneously. Most of these lesions are atheroscler...

journal_title：Seminars in vascular surgery

authors： Clair DG,Greenberg RK

更新日期：2000-06-01 00:00:00

abstract：:In recent years, vascular surgery fellowships have changed substantially to meet the requirements for interventional as well as open surgical training. Data from the Residency Review Committee for Surgery indicate that the average vascular fellow performed fewer than 15 interventional procedures in 2000, but that this...

journal_title：Seminars in vascular surgery

authors： Cronenwett JL

更新日期：2006-12-01 00:00:00

abstract：:In vascular surgery, the gold standard for evaluation of the lower-extremity arterial tree has long been contrast arteriography (CA). Associated risks of CA are well-documented and include severe allergic reactions, arterial injury and/or hemorrhage, and contrast-induced nephropathy. Increasingly, less-invasive techni...

journal_title：Seminars in vascular surgery

authors： Hingorani A,Ascher E,Marks N

更新日期：2007-03-01 00:00:00

abstract：:The main focus when discussing acute or chronic mesenteric ischemia is on occlusive disease, arterial or venous. This article reviews present knowledge on mesenteric nonocclusive hypoperfusion syndromes. The following three clinical entities are reviewed: (1) Intraabdominal hypertension (IAH), or abdominal compartment...

journal_title：Seminars in vascular surgery

authors： Björck M,Wanhainen A

更新日期：2010-03-01 00:00:00

abstract：:Constructing vascular access for hemodialysis causes changes in blood flow to the extremity, which can lead to distal ischemia. Ischemic steal syndrome is manifested by pain; weakness; pallor; and, in severe cases, ulceration and tissue loss. Severe ischemia, requiring reintervention, has an incidence of 4%, although ...

journal_title：Seminars in vascular surgery

authors： Suding PN,Wilson SE

更新日期：2007-09-01 00:00:00

abstract：:The first commercially available stent grafts were unable to withstand the hemodynamic forces of the vascular environment. The past 15 years have seen a gradual improvement in long-term stent graft performance as designs evolved through the elimination of features associated with late failure and the replication of fe...

journal_title：Seminars in vascular surgery

authors： Chuter TA

更新日期：2009-06-01 00:00:00

abstract：:In the United States, 90% of carotid intervention is being performed for asymptomatic carotid stenosis, even though 90% of patients would be better treated with intensive medical therapy. This is being justified by comparing risks of stroke or death with medical therapy during clinical trials completed decades ago (ap...

journal_title：Seminars in vascular surgery

authors： Spence JD

更新日期：2017-03-01 00:00:00

abstract：:For generations, the use of techniques to defer skin pressure and protect the lower-extremity wound has been a cardinal goal to achieve therapeutic success and healing. Choosing the appropriate postoperative offloading device or shoe is often difficult, as it is challenging to merge optimal mechanical protection with ...

journal_title：Seminars in vascular surgery

authors： Miller J,Armstrong DG

更新日期：2014-03-01 00:00:00

abstract：:Aortoiliac occlusive disease is a significant cause of lower extremity ischemic symptoms. Over the past two decades, most patients have been treated with a variety of surgical procedures, including aortofemoral and extra-anatomic bypasses. Most recently, percutaneous balloon angioplasty and stents have been successful...

journal_title：Seminars in vascular surgery

authors： Sanchez LA,Wain RA,Veith FJ,Cynamon J,Lyon RT,Ohki T

更新日期：1997-12-01 00:00:00