Diagnosis and treatment of proximal carotid lesions.

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 atherosclerotic and occur at the vessel origin. These types of lesions tend to be heavily calcified and unresponsive to simple angioplasty alone. Angioplasty in conjunction with stenting offers an additional therapeutic alternative for lesions affecting these vessels. A brief review of the alternatives and techniques for both open surgical and endovascular treatment of these abnormalities will allow the physician caring for patients with these problems to offer patients the best treatment option available.

journal_name

Semin Vasc Surg

authors

Clair DG,Greenberg RK

subject

Has Abstract

pub_date

2000-06-01 00:00:00

pages

103-8

issue

2

eissn

0895-7967

issn

1558-4518

journal_volume

13

pub_type

杂志文章,评审
  • Inflammatory aneurysms treated with EVAR.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2012.09.008

    authors: Stone WM,Fankhauser GT

    更新日期:2012-12-01 00:00:00

  • Thrombolysis for lower-extremity deep vein thrombosis.

    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

    pub_type: 杂志文章

    doi:10.1053/j.semvascsurg.2010.10.002

    authors: Mewissen MW

    更新日期:2010-12-01 00:00:00

  • Early and late presentations of radiation arteritis.

    abstract::Radiotherapy (XRT) plays a prominent role in the therapy of a variety of malignancies. Improved survival for malignancies treated with XRT has produced a growing subset of patients who present several years later with arterial occlusive disease in the irradiated field. Establishing a presumptive diagnosis of radiation...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1016/s0895-7967(03)00026-7

    authors: Modrall JG,Sadjadi J

    更新日期:2003-09-01 00:00:00

  • The epidemiology, pathophysiology, and natural history of chronic venous disease.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Tran NT,Meissner MH

    更新日期:2002-03-01 00:00:00

  • Vascular surgery resident training in Canada.

    abstract::The training of vascular surgeons in Canada has evolved over the past decade. Direct entry into a vascular surgery training program after medical school has been offered since 2012. At some institutions, it is the only option for surgery training. The smaller population of Canada and a single-payer health care system ...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章

    doi:10.1053/j.semvascsurg.2019.01.009

    authors: Duncan AA,Power AH

    更新日期:2019-01-01 00:00:00

  • The history of proximal carotid protection and flow reversal to prevent stent angioplasty embolization.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2018.03.002

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

    更新日期:2018-03-01 00:00:00

  • The changing role of duplex scan in the management of carotid bifurcation disease and endarterectomy.

    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

    pub_type: 杂志文章,评审

    doi:

    authors: Ricci MA

    更新日期:1998-03-01 00:00:00

  • Impact of comorbidities on decision-making in chronic critical limb ischemia.

    abstract::Given both the high-risk nature of the critical limb ischemia (CLI) patient population, as well as the variety of available treatment options, the ability to use preprocedure variables to predict a given outcome has become increasingly important. The three main advantages associated with accurate risk stratification i...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章

    doi:10.1053/j.semvascsurg.2009.10.002

    authors: Schanzer A

    更新日期:2009-12-01 00:00:00

  • Risk factors for failure of lower-extremity revascularization procedures: are they different for bypass and percutaneous procedures?

    abstract::Restenosis following lower-extremity revascularization remains a significant and costly public health burden. Technical advances in endovascular therapy afford us the choice of treating longer and more distal lesions, which were heretofore reserved for vein bypass surgery. While contemporary vascular surgeons are well...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2008.05.007

    authors: Owens CD,Ho KJ,Conte MS

    更新日期:2008-09-01 00:00:00

  • Algorithm-based approach to management of venous leg ulceration.

    abstract::Management of venous ulceration has evolved tremendously during the last 2 decades. There has been considerable progress in our understanding of the pathophysiology, hemodynamics, venous imaging, and therapeutic options for venous ulcers, including endovenous ablation, iliac vein stenting, and vein-valve repair techni...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2015.07.002

    authors: Verma H,Tripathi RK

    更新日期:2015-03-01 00:00:00

  • Aortobifemoral bypass, the gold standard: technical considerations.

    abstract::The controversies that surround the technical aspects of transabdominal reconstruction for aortoiliac occlusive disease, and more specifically ABF, have provided lively debates during the golden era of vascular surgery. It seems almost a pity that, with the resolution of many of these issues, what has become one of th...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Rutherford RB

    更新日期:1994-03-01 00:00:00

  • Endovascular as an open adjunct: use of hybrid endovascular treatment in the SFA.

    abstract::While open or endovascular techniques for treatment of the superficial femoral artery continue to dominate the care of most patients, there are clearly patients who benefit from a combination of these approaches. Typically these patients require treatment of more than a single level of disease. In these cases, endovas...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2008.11.006

    authors: Reed AB

    更新日期:2008-12-01 00:00:00

  • Venous hypertension associated with arteriovenous hemodialysis access.

    abstract::Venous hypertension is a significant problem for the patient on chronic hemodialysis. This condition can result in impairment of arteriovenous access function, disabling upper extremity edema with bluish discoloration and pigmentation of the skin, and, in advanced cases, ulceration of the finger tips and neuralgias. V...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2003.11.002

    authors: Neville RF,Abularrage CJ,White PW,Sidawy AN

    更新日期:2004-03-01 00:00:00

  • Management of central vein stenoses and occlusions: the critical importance of the costoclavicular junction.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2011.05.008

    authors: Illig KA

    更新日期:2011-06-01 00:00:00

  • Aortomonoiliac endovascular grafting combined with femorofemoral bypass: an acceptable compromise or a preferred solution?

    abstract::The relative merits of aortomonoiliac and bifurcated stent-graft configurations depend on the patient's arterial anatomy and clinical status. Aortomonoiliac stent-grafts are simple to make, simple to insert, and versatile. They are most useful when the iliac artery anatomy is severely distorted and the patient is old,...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章

    doi:

    authors: Chuter TA,Faruqi RM,Reilly LM,Kerlan RK,Sawhney R,Wall SD,Canto K,Gordon RL,Messina LM

    更新日期:1999-09-01 00:00:00

  • Intraoperative imaging: does it really improve perioperative outcomes of carotid endarterectomy?

    abstract:UNLABELLED:A variety of intraoperative imaging and assessment techniques can be used during carotid endarterectomy (CEA) to evaluate the technical results of the arterial repair. However, the necessity of utilizing these techniques routinely in every case, and the actual ability of these studies to improve the outcomes...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2007.10.003

    authors: Rockman CB,Halm EA

    更新日期:2007-12-01 00:00:00

  • Technical discussion of diagnostic angiography and intervention of atherosclerotic renal artery stenosis.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2014.06.002

    authors: Campbell JE,Stone PA,Bates MC

    更新日期:2013-12-01 00:00:00

  • Anticoagulants: to bleed or not to bleed, that is the question.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/svas.2002.36261

    authors: Da Silva MS,Sobel M

    更新日期:2002-12-01 00:00:00

  • Offloading the diabetic and ischemic foot: solutions for the vascular specialist.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2014.10.002

    authors: Miller J,Armstrong DG

    更新日期:2014-03-01 00:00:00

  • Current status of pulmonary embolism and venous thrombosis prophylaxis.

    abstract::Prophylaxis for venous thromboembolism is an area that has received intense study in certain conditions, but less than adequate coverage in other areas. In considering who needs prophylaxis, patients are categorized into levels of risk. Clinical venous thromboembolism can be correlated to these levels of risk. Methods...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Wakefield TW,Proctor MC

    更新日期:2000-09-01 00:00:00

  • Endovascular therapy for upper extremity injury.

    abstract::Various endovascular techniques, including the placement of embolization coils, intravascular stents, and the use of stented grafts, have been used in the setting of traumatic upper extremity injuries. Coil embolization and stent placement are effective in a limited number of cases. Endovascular grafts have greatly ex...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:

    authors: Ohki T,Veith FJ,Kraas C,Latz E,Gitlitz D,Quintos RT,Sanchez LA

    更新日期:1998-06-01 00:00:00

  • History of prosthetic grafts.

    abstract::The evolution of vascular surgery during the past five decades has established what was once controversial to be mandate, what was never dreamed of as debatable, and the vast body of knowledge yet to be unraveled--but requiring clinical application--as currently controversial. Controversy results when dissimilar thera...

    journal_title:Seminars in vascular surgery

    pub_type: 历史文章,杂志文章

    doi:

    authors: Dardik H,Greisler H

    更新日期:1999-03-01 00:00:00

  • Screening and surveillance for abdominal aortic aneurysms: who needs it and when.

    abstract::Early detection of abdominal aortic aneurysms potentially can save many lives by preventing aneurysm rupture. Screening programs, however, have yet to be proven as an efficient means of accomplishing this goal and improving overall life expectancy. Until more information is available, selective high-risk screening may...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/svas.2001.25491

    authors: Ebaugh JL,Garcia ND,Matsumura JS

    更新日期:2001-09-01 00:00:00

  • A new paradigm: the vascular center.

    abstract::The vascular surgeon, in the absence of effective medical options for the treatment of atherosclerosis, has in the past assumed primary responsibility for the care of patients with peripheral vascular disorders. During the past two decades, management of these patients has become increasingly complex, the direct resul...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章

    doi:

    authors: Whittemore A

    更新日期:1997-06-01 00:00:00

  • Preprocedural imaging: new options to reduce need for contrast angiography.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2007.02.005

    authors: Hingorani A,Ascher E,Marks N

    更新日期:2007-03-01 00:00:00

  • Biomarkers in descending thoracic aortic dissection.

    abstract::The clinical application of serum biomarkers (d-dimer, C-reactive protein) to predict the natural history of descending thoracic aortic dissection remains elusive. In this review, our current understanding of biomarkers in descending thoracic aortic dissection detection, predicting complications, and aiding in patient...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2015.01.001

    authors: Shalhub S,Dua A,Brooks J

    更新日期:2014-12-01 00:00:00

  • Tips for successful outcomes for descending thoracic and thoracoabdominal aortic aneurysm procedures.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2007.11.009

    authors: Coselli JS,LeMaire SA

    更新日期:2008-03-01 00:00:00

  • Proper evaluation and management of acute embolic versus thrombotic limb ischemia.

    abstract::Acute limb ischemia is one of the most potentially devastating but treatable diseases faced by the vascular surgeon. It is crucial to identify the ischemic process early, as the outcomes of early intervention can lead to limb salvage, whereas late recognition places the patient at risk for limb loss and potential mort...

    journal_title:Seminars in vascular surgery

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2008.12.004

    authors: O'Connell JB,Quiñones-Baldrich WJ

    更新日期:2009-03-01 00:00:00

  • Analysis of factors contributing to improved outcome for carotid endarterectomy.

    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

    pub_type: 杂志文章,多中心研究

    doi:10.1016/s0895-7967(04)00052-3

    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

  • The diabetic foot: Pathophysiology, evaluation, and treatment.

    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

    pub_type: 杂志文章,评审

    doi:10.1053/j.semvascsurg.2019.02.001

    authors: Bandyk DF

    更新日期:2018-01-01 00:00:00