Development and utilization of paperless medical records: a unique approach.

abstract：:There is a need for a standardized consistent language in vascular surgery that allows easy flow of information and comparison of results among clinicians. Beginning with current nomenclature, a common language serves as a framework for more detailed efforts. Understanding the outcomes assessment tools available provi...

journal_title：Seminars in vascular surgery

authors： Vasquez MA,Munschauer CE

更新日期：2010-06-01 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：:Patients with end-stage liver disease (ESLD) who develop hepatorenal syndrome (HRS) have very high mortality rates. For patients with HRS type I, median survival without specific therapy is only 2 weeks. Due to worsening clinical condition in such patients secondary to uremia and hepatic disease, some form of renal re...

journal_title：Seminars in vascular surgery

authors： Thorat A,Jeng LB

更新日期：2016-12-01 00:00:00

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

authors： Owens CD,Ho KJ,Conte MS

更新日期：2008-09-01 00:00:00

abstract：:Thrombembolic complications frequently occur during and after endovascular procedures because of associated arterial injury and thrombotic characteristics of implanted devices such as stents. New strategies in platelet aggregation inhibition are now available blocking the final and common pathway of platelet aggregati...

journal_title：Seminars in vascular surgery

authors： Tepe G,Hahn U,Pusich B,König C,Müller-Schimpfle M,Raygrotzki S,Claussen CD,Duda SH

更新日期：2001-06-01 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：: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：: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：:Vascular surgeons well versed in peritoneal dialysis applications understand the importance of this modality among the limited options afforded to patients in renal failure. Peritoneal and hemodialysis strategies are interdependent and should be considered in concert. Careful assessment often shows that patients with ...

journal_title：Seminars in vascular surgery

authors： Farooq MM,Freischlag JA

更新日期：1997-09-01 00:00:00

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

authors： Wakefield TW,Proctor MC

更新日期：2000-09-01 00:00:00

abstract：:Spinal cord ischemia (SCI) is one of the most feared complications after treatment of thoracic aortic diseases. Based on limited evidence from clinical trials of investigational devices the incidence appears to be lower in endovascular compared to open thoracic aortic repairs. To date, several clinical and procedural ...

journal_title：Seminars in vascular surgery

authors： Feezor RJ,Lee WA

更新日期：2009-09-01 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：:Tobacco abuse is a highly prevalent modifiable risk factor in vascular surgery patient populations. Despite the known benefits of smoking cessation, quitting smoking is difficult for most patients. Physician advice to stop smoking can help, though more intensive or multifactorial interventions have greater impact. Smo...

journal_title：Seminars in vascular surgery

authors： Spangler EL,Goodney PP

更新日期：2015-06-01 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：: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

authors： Schanzer A

更新日期：2009-12-01 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：: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

authors： Dardik H,Greisler H

更新日期：1999-03-01 00:00:00

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

authors： Shalhub S,Dua A,Brooks J

更新日期：2014-12-01 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：: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：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

authors： Rockman CB,Halm EA

更新日期：2007-12-01 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：:The size of abdominal aortic aneurysms (AAA) is the most usual predictor of the risk for rupture. Because chronic metalloproteinases production and activation by inflammatory cells causes degradation of elastin and collagen in the aneurysmal wall, the detection of an increased metabolic process preceding fissuration a...

journal_title：Seminars in vascular surgery

authors： Sakalihasan N,Hustinx R,Limet R

更新日期：2004-06-01 00:00:00

abstract：:The management of patients with thrombosed vein grafts remains a formidable challenge for all vascular surgeons. Management strategies will vary based on a variety of criteria including the patients' overall condition and symptoms, the interval and etiology of graft failure, and the pathological anatomy and availabili...

journal_title：Seminars in vascular surgery

authors： Belkin M,Whittemore AD

更新日期：1994-09-01 00:00:00

abstract：:Endovascular treatment of thoracic aortic pathology (ETAP) has been under development for over a decade. Only recently has one device been approved in the United States for treatment of descending thoracic aortic aneurysms. The length of this development process is due to multiple device and deployment system modifica...

journal_title：Seminars in vascular surgery

authors： Hassoun HT,Matsumura JS

更新日期：2006-03-01 00:00:00

abstract：:Innominate and subclavian artery lesions run a wide spectrum of disease manifestation and treatment options. Since the first surgical treatment, multiple variances have been attempted with the desire to maintain high long-term patency rates while reducing perioperative morbidity and mortality. The advent of endovascul...

journal_title：Seminars in vascular surgery

authors： Aiello F,Morrissey NJ

更新日期：2011-03-01 00:00:00

abstract：:The decision to operate on a patient with an aortic aneurysm is based on the risk of aneurysm rupture versus the risk of aneurysm repair, within the context of the patient's overall life expectancy. Risk of rupture is still primarily based on the maximum aneurysm diameter, with some allowances made for factors that mo...

journal_title：Seminars in vascular surgery

authors： Fillinger M

更新日期：2007-06-01 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：: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：:Duplex ultrasound testing has evolved to be a clinically useful modality for the evaluation of chronic mesenteric ischemia (CMI) due to visceral artery origin atherosclerosis. Patients with known or suspected CMI can be scanned to identify stenosis or occlusion of the celiac, superior mesenteric, and inferior mesenter...

journal_title：Seminars in vascular surgery

authors： Hodgkiss-Harlow K

更新日期：2013-06-01 00:00:00