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

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：: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：: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：: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 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：:The purpose of this article is to describe the development and utilization of a unique paperless medical record system in a large multispeciality group practice setting. The Scott and White integrated health care delivery system provides care over a 34-county area in Central Texas. Since 1988, clinicians at Scott and ...

journal_title：Seminars in vascular surgery

authors： Burke JD Jr,Culp KS,Burke KC,Myers DL

更新日期：2001-03-01 00:00:00

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

authors： Reed AB

更新日期：2008-12-01 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：: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：: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：:Several techniques have been developed and clinically applied to reduce the spinal cord ischemia complications that follow thoracoabdominal aortic aneurysm (TAA) repair. Hypothermia as a protective adjunct is a concept that has been used throughout the evolution of cardiac and central aortic surgery. Because experimen...

journal_title：Seminars in vascular surgery

authors： Cambria RP,Davison JK

更新日期：2000-12-01 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

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：: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：: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：: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

authors： Modrall JG,Sadjadi J

更新日期：2003-09-01 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：: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：:Ultrasound-guided sclerotherapy with foam is able to suppress blood flow in almost all types of varicose veins. The technique is efficient, simple, safe, inexpensive, and easily repeatable, although it requires training and skill. It should be considered as the best primary treatment for most varicose patients. Evalua...

journal_title：Seminars in vascular surgery

authors： Guex JJ

更新日期：2005-03-01 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：: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：: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：: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 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：: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：: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：: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：:Venous invasion is a common characteristic of renal cell carcinoma, manifesting as tumor thrombus with possible extension into the renal vein and, in extensive cases, the thrombus can reach from the renal vein to the right atrium. Currently, cytoreductive nephrectomy and tumor thrombectomy are the foundations for impr...

journal_title：Seminars in vascular surgery

authors： Calero A,Armstrong PA

更新日期：2013-12-01 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：: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