Strategies for detection and prevention of spinal cord ischemia during TEVAR.

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：: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 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 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：:Endovascular aneurysm repair has enabled a broad population of patients with infrarenal abdominal aortic aneurysm to be treated by a less-invasive technique. However, endovascular aneurysm repair has therapeutic limitations, including the need for lifelong surveillance and a higher rate of secondary interventions than...

journal_title：Seminars in vascular surgery

authors： Kostun ZW,Woo EY

更新日期：2016-03-01 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：: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：: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：:The traditional dogma of putting mobile patients with acute deep vein thrombosis into bed for several days has been challenged by some studies that showed a better clinical outcome with walking exercises under good compression. Repeated lung scans did not show an increased risk of new pulmonary embolism. There was a f...

journal_title：Seminars in vascular surgery

authors： Partsch H

更新日期：2005-09-01 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：: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：: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：: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

abstract：:Recent advances in endovascular technologies have made catheter-based interventions a preferred treatment strategy in patients with intermittent claudication or ischemic rest pain of the lower extremity. Although the current body of literature is inundated with clinical reports favoring countless endovascular devices ...

journal_title：Seminars in vascular surgery

authors： Lin PH,Weakley SM,Kougias P

更新日期：2010-09-01 00:00:00

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

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

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：: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：: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：: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：: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：: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：: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：: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：: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

authors： Duncan AA,Power AH

更新日期：2019-01-01 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：: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：: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：: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：: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：: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