Algorithm-based approach to management of venous leg ulceration.

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：:Because endovascular procedures represent an ever-increasing portion of many vascular surgery practices, many surgeons are faced with difficult choices. Endovascular procedures often require open surgery, and open surgical techniques increasingly require fluoroscopic imaging. Without good intraoperative imaging, endov...

journal_title：Seminars in vascular surgery

authors： Fillinger MF,Weaver JB

更新日期：1999-12-01 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：: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：: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：: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：: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：: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：: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：: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：: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 vascular surgery, the gold standard for evaluation of the lower-extremity arterial tree has long been contrast arteriography (CA). Associated risks of CA are well-documented and include severe allergic reactions, arterial injury and/or hemorrhage, and contrast-induced nephropathy. Increasingly, less-invasive techni...

journal_title：Seminars in vascular surgery

authors： Hingorani A,Ascher E,Marks N

更新日期：2007-03-01 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：: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 minimi...

journal_title：Seminars in vascular surgery

authors： Mewissen MW

更新日期：2010-12-01 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 increasing availability of and vascular surgeons' familiarity with digital cine-fluoroscopy in the operating room has been facilitated by the advent and growing popularity of endovascular aortoiliac aneurysm repair and other endovascular techniques that are being incorporated into vascular surgical practice. Digit...

journal_title：Seminars in vascular surgery

authors： Lipsitz EC,Veith FJ,Wain RA

更新日期：2003-12-01 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：: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：: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：: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：: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

authors： Durán WN,Takenaka H,Hobson RW 2nd

更新日期：1998-09-01 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：: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：: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：: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 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：: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

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 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：: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