Offloading the diabetic and ischemic foot: solutions for the vascular specialist.

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：: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：: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 relative merits of aortomonoiliac and bifurcated stent-graft configurations depend on the patient's arterial anatomy and clinical status. Aortomonoiliac stent-grafts are simple to make, simple to insert, and versatile. They are most useful when the iliac artery anatomy is severely distorted and the patient is old,...

journal_title：Seminars in vascular surgery

authors： Chuter TA,Faruqi RM,Reilly LM,Kerlan RK,Sawhney R,Wall SD,Canto K,Gordon RL,Messina LM

更新日期：1999-09-01 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：:The obturator bypass is a useful method for revascularizing the lower extremity in the presence of a hazardous groin dissection. The most common indication for employing this method of reestablishing arterial continuity is in circumventing infected vascular prostheses. One- and 5-year patency rates of 72.7% and 56.9% ...

journal_title：Seminars in vascular surgery

authors： Reddy DJ,Shin LH

更新日期：2000-03-01 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：: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：: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：: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：: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 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

authors： Rutherford RB

更新日期：2006-06-01 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：: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：: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：: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：: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 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：: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：:Renal artery stenting remains an important adjuvant treatment for true-resistant hypertension, although recent disappointing randomized trials highlight the importance of careful patient selection. Safe and successful renal interventions begin with critical core knowledge regarding renal artery anatomy and understandi...

journal_title：Seminars in vascular surgery

authors： Campbell JE,Stone PA,Bates MC

更新日期：2013-12-01 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：: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：: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 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：: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：: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 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：: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：: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：: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