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 minimize long-term sequelae of venous hypertension and development of postthrombotic syndrome (PTS). Treatment strategies aimed at eliminating or reducing risk of PTS should focus on preserving valvular function and eliminating risk of continued venous obstruction after acute DVT. Thrombolytic agents are an attractive form of early therapy because they have the ability to eliminate obstructive thrombus in the deep veins, and should therefore help provide protection against PTS. Perceived benefits of early and rapid recanalization in preserving valve function have been the basis for lytic therapy to treat acute DVT. Data from the National Venous Registry and subsequent reports on the role of catheter-directed thrombolysis for treatment of acute lower-extremity DVT indicate that the technique is safe and effective in select patients. More recently, implementation of percutaneous mechanical devices designed to quickly remove acute thrombus has had a significant impact on time and cost of catheter-directed thrombolysis procedure. Although the long-term benefits of this form of therapy are not yet completely known, the Venous Registry can serve as a guide to the judicious selection of patients who will most benefit from this aggressive form of therapy.
journal_name
Semin Vasc Surgjournal_title
Seminars in vascular surgeryauthors
Mewissen MWdoi
10.1053/j.semvascsurg.2010.10.002subject
Has Abstractpub_date
2010-12-01 00:00:00pages
228-34issue
4eissn
0895-7967issn
1558-4518pii
S0895-7967(10)00064-5journal_volume
23pub_type
杂志文章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
更新日期：2007-12-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2014.10.002
更新日期：2014-03-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2011.05.008
更新日期：2011-06-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2003.11.002
更新日期：2004-03-01 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
pub_type： 杂志文章,评审
doi：
更新日期：1999-06-01 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
pub_type： 杂志文章,评审
doi：
更新日期：2000-06-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2005.11.003
更新日期：2006-03-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2009.04.008
更新日期：2009-06-01 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
pub_type： 杂志文章,评审
doi：
更新日期：2000-09-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2015.01.001
更新日期：2014-12-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2012.09.008
更新日期：2012-12-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2008.03.003
更新日期：2008-06-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2007.07.009
更新日期：2007-09-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2009.12.009
更新日期：2010-03-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2004.03.002
更新日期：2004-06-01 00:00:00
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：
更新日期：1998-03-01 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
pub_type： 杂志文章
doi：10.1053/j.semvascsurg.2019.01.009
更新日期：2019-01-01 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
pub_type： 杂志文章
doi：
更新日期：1997-06-01 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
pub_type： 杂志文章,评审
doi：10.1053/svas.2002.33088
更新日期：2002-06-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2019.07.002
更新日期：2019-01-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2013.04.006
更新日期：2013-03-01 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
pub_type： 杂志文章,评审
doi：
更新日期：1998-12-01 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
pub_type： 杂志文章,评审
doi：10.1053/svas.2001.23171
更新日期：2001-06-01 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
pub_type： 杂志文章,评审
doi：
更新日期：1997-09-01 00:00:00
abstract：:The recent endovascular aneurysm repair (EVAR) 1 and 2 and Dutch Randomized Endovascular Aneurysm Management (DREAM) trials addressed management of abdominal aortic aneurysms (AAAs) larger than 5.5 cm in diameter. The DREAM and EVAR 1 trials randomized patients appropriate for open repair between endovascular repair (...
journal_title：Seminars in vascular surgery
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2006.03.001
更新日期：2006-06-01 00:00:00
abstract：:Ischemia-reperfusion injury is a continuing challenge to vascular surgeons. Microvascular factors and mechanisms underlying edema and compartment syndrome provide a useful end point for analysis and planning of therapy. We review the pivotal role of endothelium-leukocyte interactions and of cytokines in the genesis of...
journal_title：Seminars in vascular surgery
pub_type： 杂志文章,评审
doi：
更新日期：1998-09-01 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
pub_type： 杂志文章,评审
doi：10.1016/s0895-7967(03)00026-7
更新日期：2003-09-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2014.06.015
更新日期：2013-12-01 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
pub_type： 杂志文章,评审
doi：
更新日期：2000-12-01 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
pub_type： 杂志文章,评审
doi：10.1053/j.semvascsurg.2010.05.001
更新日期：2010-09-01 00:00:00
