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

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

authors： O'Connell JB,Quiñones-Baldrich WJ

更新日期：2009-03-01 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：: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：: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：: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：: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

authors： Ebaugh JL,Garcia ND,Matsumura JS

更新日期：2001-09-01 00:00:00

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

authors： Verma H,Tripathi RK

更新日期：2015-03-01 00:00:00

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

authors： Whittemore A

更新日期：1997-06-01 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：: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：:Nutcracker syndrome is one of the abdominal venous entrapments, caused by compression of the left renal vein between the superior mesenteric artery and the abdominal aorta. Occasionally a retro-aortic left renal vein is compressed between the aorta and the vertebral body (posterior nutcracker syndrome). The renal vein...

journal_title：Seminars in vascular surgery

authors： Said SM,Gloviczki P,Kalra M,Oderich GS,Duncan AA,D Fleming M,Bower TC

更新日期：2013-03-01 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：: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：:Popliteal artery aneurysms are the most common peripheral aneurysm. They are associated with concomitant contralateral popliteal aneurysms and abdominal aortic aneurysms. Patients with unrecognized aneurysms may present with acute limb ischemia and potential for limb loss. Use of preoperative lytic therapy to improve ...

journal_title：Seminars in vascular surgery

authors： Henke PK

更新日期：2005-12-01 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：: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 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

authors： Rutherford RB

更新日期：1994-03-01 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：: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：: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：: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：: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：: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：: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

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

更新日期：2004-03-01 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：: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：: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：:Our understanding of cerebrovascular disease in women is hampered by a paucity of studies that include adequate numbers of female patients. Most studies are heavily biased toward men. Although women have fewer strokes than men and have a better long-term prognosis after strokes or TIAs, cerebrovascular disease still a...

journal_title：Seminars in vascular surgery

authors： Hurlbert SN,Krupski WC

更新日期：1995-12-01 00:00:00

abstract：:Although numerically far less than claudicants, patients with critical leg ischemia (CLI) demand a disproportionately large commitment both in medical effort and economically and represent the major workload for vascular surgical units. The incidence and prevalence of CLI is approximately 500 to 1,000/million/year. Th...

journal_title：Seminars in vascular surgery

authors： Dormandy J,Heeck L,Vig S

更新日期：1999-06-01 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