当前位置： SCI文献检索 > JOURNAL OF VASCULAR SURGERY期刊下所有文献 > Surgical management of heparin-associated thrombocytopenia. Strategies in the treatment of venous and arterial thromboembolism.

Surgical management of heparin-associated thrombocytopenia. Strategies in the treatment of venous and arterial thromboembolism.

Abstract：

:We report the vascular surgical strategies and results in 13 patients with heparin-associated thrombocytopenia and describe useful in vitro techniques for the evaluation of anticoagulant therapy. Thirteen of 40 patients with heparin-associated thrombocytopenia had 18 cardiovascular procedures done to save life or limb. Greenfield filters were placed in eight patients to prevent pulmonary embolism. Eight patients had 10 arterial procedures, with alternative anticoagulation that used dextran or warfarin in five cases. In three cases iloprost, a derivative of prostacyclin and a potent platelet inhibitor, was infused intraoperatively and heparin was given. Both the use of alternative anticoagulants and platelet suppression by iloprost were clinically effective strategies. The concurrent measurement of plasma levels of beta-thromboglobulin and fibrinopeptide A in two patients confirmed that both approaches can successfully prevent activation of platelets and plasma coagulation during arterial surgery. One operative death occurred; all vascular reconstructions remained patent at 3 to 6 months. In two patients who received heparin alone for arterial surgery, both procedures resulted in thrombosis and limb loss. When major venous thromboembolism is complicated by heparin-associated thrombocytopenia, insertion of a Greenfield vena cava filter should be considered if there is significant risk of pulmonary embolism. When necessary, arterial surgery is feasible in patients with heparin-associated thrombocytopenia if alternative anticoagulation or adequate suppression of platelet reactivity can be achieved.

journal_name

J Vasc Surg

journal_title

Journal of vascular surgery

authors

Sobel M,Adelman B,Szentpetery S,Hoffman M,Posner MP,Jenvey W

subject

Has Abstract

pub_date

1988-10-01 00:00:00

pages

395-401

issue

4

eissn

0741-5214

issn

1097-6809

pii

0741-5214(88)90101-2

journal_volume

8

pub_type

杂志文章

相关文献

JOURNAL OF VASCULAR SURGERY文献大全
  • A prospective randomized evaluator-blinded trial of two potential wound healing agents for the treatment of venous stasis ulcers.

    abstract：:Chronic wounds such as venous stasis ulcers have become a socioeconomic problem. Even with successful initial management, the recurrence rate approaches 70%. With the advent of new wound healing agents, nonoperative attempts to heal these wounds appear indicated. This study reports a prospective randomized evaluator-b...

    journal_title：Journal of vascular surgery

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1067/mva.1992.37086

    authors： Bishop JB,Phillips LG,Mustoe TA,VanderZee AJ,Wiersema L,Roach DE,Heggers JP,Hill DP Jr,Taylor EL,Robson MC

    更新日期：1992-08-01 00:00:00

  • Aortic dissection originating in the suprarenal abdominal aorta.

    abstract：:Spontaneous dissection of the abdominal aorta originating from the suprarenal aorta is very rare. Previous reports attest to the lethal nature of this disorder. This case represents the first report of successful repair of a spontaneous suprarenal abdominal aortic dissection by graft insertion with obliteration of bot...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,评审

    doi：10.1016/s0741-5214(94)70222-5

    authors： Elliott BM,Roberts CS,Robison JG,Brothers TE

    更新日期：1994-06-01 00:00:00

  • Technique for obtaining proximal intraluminal control when arteries are inaccessible or unclampable because of disease or calcification.

    abstract：:When proximal arterial control cannot be obtained by standard methods, it may be achieved safely and bloodlessly by intraluminal routes with balloon catheters, hemostatic sheaths, and catheter-guide wire techniques. This method was used successfully in 20 patients to achieve proximal arterial control without complicat...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/s0741-5214(98)70338-6

    authors： Veith FJ,Sanchez LA,Ohki T

    更新日期：1998-03-01 00:00:00

  • Carotid artery stenting: Impact of practitioner specialty and volume on outcomes and resource utilization.

    abstract：OBJECTIVES:A variety of endovascular specialists perform carotid artery stenting (CAS), but little data exist on outcomes and resource utilization among these specialists. We analyzed differences in outcomes after CAS was performed by radiologists (RAD), cardiologists (CRD), and vascular surgeons (VAS). METHODS:Second...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2008.12.006

    authors： Vogel TR,Dombrovskiy VY,Haser PB,Graham AM

    更新日期：2009-05-01 00:00:00

  • Contemporary comparison of aortofemoral bypass to alternative inflow procedures in the Veteran population.

    abstract：OBJECTIVE:Multiple vascular inflow reconstruction options exist for claudication, including aortofemoral bypass (AFB) and alternative inflow procedures (AIPs) such as femoral reconstruction with iliac stents, and femoral-femoral, iliofemoral, and axillofemoral bypass. Contemporary multi-institution comparison of these ...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2016.05.081

    authors： McPhee JT,Madenci A,Raffetto J,Martin M,Gupta N

    更新日期：2016-12-01 00:00:00

  • Endovascular management of acute aortic dissections.

    abstract：INTRODUCTION:Acute aortic dissection (AAD) is one of the most common aortic emergencies that vascular specialists are asked to manage. Traditional surgical interventions for cases complicated by malperfusion have resulted in significant morbidity and mortality. With increasing availability of thoracic endografts, endov...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2011.04.025

    authors： O'Donnell S,Geotchues A,Beavers F,Akbari C,Lowery R,Elmassry S,Ricotta J

    更新日期：2011-11-01 00:00:00

  • Median arcuate ligament compression syndrome in monozygotic twins.

    abstract：:Twin 27-year-old women had symptomatic mesenteric ischemia caused by median arcuate ligament compression. Arteriography demonstrated severe celiac artery stenosis in one twin, celiac artery occlusion in the other, and proximal superior mesenteric artery narrowing with retrograde filling from a meandering mesenteric ar...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,评审

    doi：10.1016/s0741-5214(94)70021-4

    authors： Bech F,Loesberg A,Rosenblum J,Glagov S,Gewertz BL

    更新日期：1994-05-01 00:00:00

  • Ruptured popliteal artery aneurysm.

    abstract：:Popliteal artery aneurysms rarely rupture. We treated a 91-year-old man who presented with a deep venous thrombosis and anemia; rupture of a popliteal artery aneurysm was suspected only after compartment syndrome isolated to the thigh developed as the result of bleeding. Although fasciotomy was required on the basis o...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/s0741-5214(98)70251-4

    authors： Illig KA,Eagleton MJ,Shortell CK,Ouriel K,DeWeese JA,Green RM

    更新日期：1998-04-01 00:00:00

  • Superficial femoral vein: a useful autogenous harvest site.

    abstract：PURPOSE:The purpose of this study was to present the use of superficial femoral vein (SFV) as an arterial bypass graft when ipsilateral saphenous vein is inadequate. METHODS:Data collected prospectively were reviewed on 24 patients (25 limbs) who had an arterial bypass with SFV performed by the authors between January...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/0741-5214(94)90232-1

    authors： Sladen JG,Reid JD,Maxwell TM,Downs AR

    更新日期：1994-12-01 00:00:00

  • Repair of juxtarenal para-anastomotic aortic aneurysms after previous open repair with fenestrated and branched endovascular stent grafts.

    abstract：:Three patients with juxtarenal para-anastomotic aortic aneurysms after previous open abdominal aortic aneurysm repair were treated with custom-designed fenestrated and branched Zenith endovascular stent grafts. Six renal arteries and two superior mesenteric arteries were targeted for incorporation by graft fenestratio...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2005.05.062

    authors： Adam DJ,Berce M,Hartley DE,Anderson JL

    更新日期：2005-11-01 00:00:00

  • A clinical study of ultrasound-guided intralesional injection of bleomycin A5 on venous malformation in cervical-facial region in China.

    abstract：OBJECTIVES:To evaluate the therapeutic outcome of ultrasound-guided intralesional injection of bleomycin A5 on treatment of venous malformation (VM) in cervical-facial region. METHODS:Seventy-five patients (32 male, 43 female), ranging in age from 13 to 60 years old, suffering from VM in cervical-facial region were ad...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2009.11.038

    authors： Hou R,Guo J,Hu K,Yang Y,Wang L,Kong L,Liu G,Lei D

    更新日期：2010-04-01 00:00:00

  • Percutaneous radiofrequency ablation: a novel treatment of facial venous malformation.

    abstract：:We performed radiofrequency ablation to treat a symptomatic facial venous malformation of a 24-year-old woman under ultrasound scan-guidance. The 20.25-cm sized original facial venous malformation in her right cheek markedly reduced without any scar formation and was grossly not visible after 1 month of the procedure....

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2009.03.047

    authors： Kim AH,Ko HK,Won JY,Lee DY

    更新日期：2009-08-01 00:00:00

  • Nonoperative versus surgical management of small (less than 3 cm), asymptomatic popliteal artery aneurysms.

    abstract：:Popliteal artery aneurysms represent a common pathology that vascular surgeons are often confronted with. However, several issues remain incompletely understood, including indications for intervention and optimal methods of treatment. In the following article, our discussants debate the appropriate management of small...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2011.02.001

    authors： Cross JE,Galland RB,Hingorani A,Ascher E

    更新日期：2011-04-01 00:00:00

  • Anatomic characteristics and natural history of renal artery aneurysms during longitudinal imaging surveillance.

    abstract：OBJECTIVE:Renal artery aneurysms (RAAs) are uncommon, and rates of growth and rupture are unknown. Limited evidence therefore exists to guide clinical management of RAAs, particularly small aneurysms that are asymptomatic. To further characterize the natural history of RAAs, we studied anatomic characteristics and chan...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2014.03.006

    authors： Wayne EJ,Edwards MS,Stafford JM,Hansen KJ,Corriere MA

    更新日期：2014-08-01 00:00:00

  • Biochemical composition of human internal mammary artery and saphenous vein.

    abstract：:The long-term patency of the internal mammary artery graft is better than that of the saphenous vein graft in coronary bypass surgery because of a low incidence of atherosclerosis in the internal mammary artery. In search of a possible biochemical explanation of the low degree of atherosclerosis in the internal mammar...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.1990.17248

    authors： Sisto T,Ylä-Herttuala S,Luoma J,Riekkinen H,Nikkari T

    更新日期：1990-03-01 00:00:00

  • Are intrasac pressure measurements useful after endovascular repair of abdominal aortic aneurysms?

    abstract：:Few would argue with the need for long-term follow-up after endovascular repair of abdominal aortic aneurysms. A small risk of reintervention persists and the challenge remains to identify those patients that will require additional procedures to prevent subsequent complications. The ideal follow-up regimen remains el...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2010.11.130

    authors： Milner R,De Rango P,Verzini F,Cao P

    更新日期：2011-02-01 00:00:00

  • A multicenter experience of the management of collapsed thoracic endografts.

    abstract：OBJECTIVES:Thoracic endograft collapse after thoracic endovascular aortic repair (TEVAR) is a potentially devastating complication. This study evaluates the management of thoracic stent graft collapse. METHODS:A multicenter review of thoracic stent graft collapse was performed from 2005 to 2009. Diagnosis and preopera...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,多中心研究

    doi：10.1016/j.jvs.2010.10.119

    authors： Tadros RO,Lipsitz EC,Chaer RA,Faries PL,Marin ML,Cho JS

    更新日期：2011-05-01 00:00:00

  • Presentation, complications, and natural history of penetrating atherosclerotic ulcer disease.

    abstract：OBJECTIVES:Increased utilization of computed tomography angiography (CTA) has increased the radiologic diagnosis of penetrating atherosclerotic ulcers (PAUs), which are defined as the ulceration of atherosclerotic plaque through the internal elastic lamina into the aortic media. However, the presentation, treatment ind...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2011.08.005

    authors： Nathan DP,Boonn W,Lai E,Wang GJ,Desai N,Woo EY,Fairman RM,Jackson BM

    更新日期：2012-01-01 00:00:00

  • A population-based cohort study examining the risk of abdominal cancer after endovascular abdominal aortic aneurysm repair.

    abstract：OBJECTIVE:Endovascular aneurysm repair (EVAR) has increasingly been used as the primary treatment approach for abdominal aortic aneurysm (AAA). This study examined the hypothesis that EVAR leads to an increased risk of abdominal cancer within the radiation field compared with open AAA repair. METHODS:The nationwide En...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2018.09.058

    authors： Markar SR,Vidal-Diez A,Sounderajah V,Mackenzie H,Hanna GB,Thompson M,Holt P,Lagergren J,Karthikesalingam A

    更新日期：2019-06-01 00:00:00

  • Human vascular endothelial cell attachment and growth inhibition by type V collagen.

    abstract：PURPOSE:Human vascular prostheses develop a pseudointima that after time is devoid of a complete endothelial lining. The composition of this pseudointima consists of both cellular and noncellular components such as coagulation proteins and extracellular matrix proteins. Of these extracellular molecules, type V collagen...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1067/mva.1993.40730

    authors： Ziats NP,Anderson JM

    更新日期：1993-04-01 00:00:00

  • Arterial vascular disease in women.

    abstract：BACKGROUND:Arterial disease in women will become a major issue in the near future. METHODS:A systemic review of existing literature was retrospectively conducted to collect information on the three most common entities of vascular disease: carotid atherosclerotic, abdominal aortic aneurismal, and lower extremity arter...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.jvs.2007.07.057

    authors： Vouyouka AG,Kent KC

    更新日期：2007-12-01 00:00:00

  • Endovascular repair of bilateral common iliac artery aneurysms following open abdominal aortic aneurysm repair with preservation of both hypogastric arteries using commercially available stent grafts.

    abstract：:Endovascular treatment of aneurysmal disease has become the predominant form of repair for all aneurysms. Some areas continue to pose specific challenges to stay within the general tenets of successful repair, mainly achieving adequate seal without sacrificing other arterial pathways. Following aortic aneurysm repair,...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2013.03.005

    authors： Cuff R,Banegas S,Mansour A,Chambers C,Wong P,Slaikeu J

    更新日期：2014-02-01 00:00:00

  • Durability of carotid endarterectomy for treatment of symptomatic and asymptomatic stenoses.

    abstract：PURPOSE:Although many studies have well established that carotid endarterectomy (CEA) is beneficial in selected patients with severe carotid disease, only a few large studies have focused on the durability of the surgical procedure. Carotid artery angioplasty and stenting (CAS) has recently been proposed as a potential...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2004.04.005

    authors： Ballotta E,Da Giau G,Piccoli A,Baracchini C

    更新日期：2004-08-01 00:00:00

  • Decreased mortality with local versus general anesthesia in endovascular aneurysm repair for ruptured abdominal aortic aneurysm in the Vascular Quality Initiative database.

    abstract：BACKGROUND:Endovascular aneurysm repair (EVAR) is an accepted approach for patients presenting with ruptured abdominal aortic aneurysm (rAAA) and suitable anatomy. The effect of anesthesia modality on mortality outcomes in rAAA has not been well described. Using the Vascular Quality Initiative database, this study comp...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2018.10.090

    authors： Faizer R,Weinhandl E,El Hag S,Le Jeune S,Apostolidou I,Shafii SM,Lee CJ,Rosenberg MS,Reed A,Fanola CL

    更新日期：2019-07-01 00:00:00

  • A randomized double-blind trial of upward progressive versus degressive compressive stockings in patients with moderate to severe chronic venous insufficiency.

    abstract：BACKGROUND:The present randomized double-blind multicenter study was designed to assess the efficacy of a progressive compressive stocking (new concept with maximal pressure at calf), compared to a degressive compressive stocking graded 30 mm Hg, evaluating the improvement of lower leg symptoms of chronic venous insuff...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,多中心研究,随机对照试验

    doi：10.1016/j.jvs.2012.02.060

    authors： Couzan S,Leizorovicz A,Laporte S,Mismetti P,Pouget JF,Chapelle C,Quéré I

    更新日期：2012-11-01 00:00:00

  • Pediatric venous thromboembolism in relation to adults.

    abstract：OBJECTIVE:This review was performed to analyze the current knowledge and controversies in the pathophysiology, diagnosis, treatment, and outcomes of pediatric venous thromboembolism (VTE) compared with adults. METHODS:Searches of the MEDLINE database and manual searches of the references of selected articles were perf...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.jvs.2011.07.047

    authors： Spentzouris G,Scriven RJ,Lee TK,Labropoulos N

    更新日期：2012-06-01 00:00:00

  • Late open conversion after endovascular abdominal aortic aneurysm repair.

    abstract：OBJECTIVE:This study determined the incidence, the surgical details, and the outcome of late open conversion after failed endovascular aneurysm repair (EVAR) for abdominal aortic aneurysm. METHODS:A review of English-language medical literature from 1991 to 2014 was conducted using the PubMed and EMBASE databases to f...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.jvs.2015.02.019

    authors： Kouvelos G,Koutsoumpelis A,Lazaris A,Matsagkas M

    更新日期：2015-05-01 00:00:00

  • Preoperative selective intercostal angiography in patients undergoing thoracoabdominal aneurysm repair.

    abstract：OBJECTIVE:This study was designed to test the hypothesis that detection of the location of the major artery supplying the spinal cord, that is, the artery of Adamkiewicz or the great radicular artery (GRA), with angiography would help prevent paraplegia. Knowing which intercostal artery provides this important branch w...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2003.09.039

    authors： Williams GM,Roseborough GS,Webb TH,Perler BA,Krosnick T

    更新日期：2004-02-01 00:00:00

  • Venous valves and major superficial tributary veins near the saphenofemoral junction.

    abstract：BACKGROUND:Venous valves are still discussed controversially, mainly because it is still uncertain whether primarily missing or insufficient valves or the weakness of the venous walls cause varices. Furthermore, the distribution and frequencies of major superficial tributary veins (MSTVs), which should discharge the gr...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章

    doi：10.1016/j.jvs.2009.02.241

    authors： Mühlberger D,Morandini L,Brenner E

    更新日期：2009-06-01 00:00:00

  • Diagnosis, management, and future developments of fibromuscular dysplasia.

    abstract：:Fibromuscular dysplasia (FMD) is a nonatherosclerotic noninflammatory vascular disease that primarily affects women from age 20 to 60, but may also occur in infants and children, men, and the elderly. It most commonly affects the renal and carotid arteries but has been observed in almost every artery in the body. FMD ...

    journal_title：Journal of vascular surgery

    pub_type： 杂志文章,评审

    doi：10.1016/j.jvs.2010.10.066

    authors： Olin JW,Sealove BA

    更新日期：2011-03-01 00:00:00