Interventions in atherosclerosis: a review for surgeons.

Abstract:

:For the surgeon, atherosclerosis is defined by a variety of aneurysmal, occlusive, or ulcerated lesions in major arteries. These end-stage lesions often require operative treatment. However, just as advanced atherosclerosis presents complex clinical phenomena, so its earlier stages display many underlying mechanisms promoting lesions. To arrest or control atherosclerosis, the disease must be approached with knowledge about diverse biological processes. These include ceullar and systemic aspects of lipoprotein metabolism, reactions and metabolism of endothelium and smooth muscle cells of the arterial wall, and interaction of platelets with the arterial intima. The chronic nature of this process is such that surgeons are involved intimately with overall management as well as with surgical procedures. We will review underlying biological processes of atherosclerosis as related to interventions in patients with clinically apparent disease.

journal_name

Surgery

journal_title

Surgery

authors

DePalma RG,Clowes AW

subject

Has Abstract

pub_date

1978-08-01 00:00:00

pages

175-89

issue

2

eissn

0039-6060

issn

1532-7361

journal_volume

84

pub_type

杂志文章,评审

相关文献

SURGERY文献大全
  • A telephone-based surgical transitional care program with improved patient satisfaction scores and fiscal neutrality.

    abstract:BACKGROUND:Limited data exist regarding the downstream effects of surgical transitional care programs. We explored the impact of such programs on patient satisfaction and fiscal metrics. METHODS:A telephone-based surgical transitional care program enrolled patients undergoing complex abdominal surgery between 2015 to ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2020.09.015

    authors: Schreiter NA,Fisher A,Barrett JR,Acher A,Sell L,Edwards D,Leverson G,Joachim A,Weber SM,Abbott DE

    更新日期:2021-02-01 00:00:00

  • Safe intraabdominal pressure of carbon dioxide pneumoperitoneum during laparoscopic surgery.

    abstract:BACKGROUND:The deliberate induction of carbon dioxide pneumoperitoneum during laparoscopic surgery could be a possible source of cardiovascular collapse. The effects of elevated intraabdominal pressure (IAP) on systemic hemodynamics and splanchnic blood flow created by insufflation of carbon dioxide were examined in an...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Ishizaki Y,Bandai Y,Shimomura K,Abe H,Ohtomo Y,Idezuki Y

    更新日期:1993-09-01 00:00:00

  • Thigh pressure artifacts with noninvasive techniques in an experimental model.

    abstract::In an experimental canine model of isolated and tandem arterial stenoses, noninvasive thigh and calf pressure measurements were evaluated against direct intra-arterial pressures. Under control circumstances, proximal iliac arterial stenosis, and high superficial femoral artery stenosis, the noninvasive measurements we...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Bernstein EF,Witzel TH,Stotts JS,Fronek A

    更新日期:1981-03-01 00:00:00

  • Diarrhea after resection of advanced abdominal neuroblastoma: a common management problem.

    abstract:BACKGROUND:After resection of advanced abdominal neuroblastoma, children may have persistent postoperative diarrhea. Until recently, the magnitude of this problem had not been appreciated. METHODS:To assess the incidence, severity, and management of chronic postoperative diarrhea in these patients, we reviewed the cas...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.1998.88092

    authors: Rees H,Markley MA,Kiely EM,Pierro A,Pritchard J

    更新日期:1998-05-01 00:00:00

  • Advanced age alone does not suppress anastomotic healing in the intestine.

    abstract:BACKGROUND:Because retrospective clinical studies yield conflicting results and experimental data are completely absent, this study was performed to determine whether anastomotic repair in the intestine deteriorates with age. METHODS:Ileal and colonic anastomoses were constructed in two groups of healthy rats, ages 2 ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/s0039-6060(96)80207-8

    authors: Stoop MJ,Dirksen R,Hendriks T

    更新日期:1996-01-01 00:00:00

  • Celiac artery aneurysmectomy: case report with review of the literature.

    abstract::A case of celiac trunk aneurysm treated by excision and direct reanastomosis with restoration of arterial continuity, and a description of a new technique for selective visualization of the celiac artery are reported. A review of the literature with tabulation of all surgically treated cases is included. Significance ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Haimovici H,Sprayregen S,Eckstein P,Veith FJ

    更新日期:1976-05-01 00:00:00

  • Portal vein thrombi after restorative proctocolectomy.

    abstract:BACKGROUND:Restorative proctocolectomy (RP) has been the surgical procedure of choice for surgical management of mucosal ulcerative colitis since 1978. This study was undertaken to investigate the clinical presentation and implications of portal vein thrombi (PVT). METHODS:We reviewed all patients undergoing RP in our...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.2002.127689

    authors: Remzi FH,Fazio VW,Oncel M,Baker ME,Church JM,Ooi BS,Connor JT,Preen M,Einstein D

    更新日期:2002-10-01 00:00:00

  • Impact of inadvertent enterotomy on short-term outcomes after ventral hernia repair: An AHSQC analysis.

    abstract:BACKGROUND:Patients undergoing ventral hernia repair (VHR) are at risk of an inadvertent enterotomy during surgery. Inadvertent enterotomies potentially contaminate the surgical field presenting a management dilemma for the surgeon. The aim of our study was to define the incidence and risk factors for a recognized inad...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2018.04.003

    authors: Krpata DM,Prabhu AS,Tastaldi L,Huang LC,Rosen MJ,Poulose BK

    更新日期:2018-08-01 00:00:00

  • Extracellular-intracellular lactate gradients in skeletal muscle during hemorrhagic shock in the rat.

    abstract::Previous studies performed in our laboratory with a constant-pressure model of hemorrhagic shock in the anesthetized rat have failed to find any significant effect of shock on the glycogen or high-energy phosphate content of the soleus muscle that would be consistent with inadequate oxygen supply. The present study ex...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Pearce FJ,Connett RJ,Drucker WR

    更新日期:1985-10-01 00:00:00

  • Effect of intestinal inflammation on neuronal survival and function in the dorsal motor nucleus of the vagus.

    abstract:BACKGROUND:The effects of intestinal inflammation on the central nervous system are unknown. The dorsal motor nucleus of the vagus (DMNV) integrates peripheral and central signals and sends efferent signals to the gastrointestinal system. The purpose of this study was to determine the effects of intestinal inflammation...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2008.03.042

    authors: Ammori JB,Zhang WZ,Li JY,Chai BX,Mulholland MW

    更新日期:2008-08-01 00:00:00

  • Hepatic hypoperfusion after intestinal reperfusion.

    abstract:BACKGROUND:Intestinal ischemia-reperfusion injury (IIR) induces hepatic and pulmonary dysfunction and thus has been used as a model of multiple organ failure syndrome. This study examines the hypothesis that hepatic blood flow is markedly reduced in this injury model. METHODS:Sprague-Dawley rats underwent 120 minutes ...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/s0039-6060(96)80163-2

    authors: Turnage RH,Kadesky KM,Myers SI,Guice KS,Oldham KT

    更新日期:1996-02-01 00:00:00

  • Malignant tumors of the extrahepatic bile ducts.

    abstract::A series of 76 patients treated for carcinoma of the extrahepatic bile ducts at three Swedish hospitals during the years 1952 to 1973 was studied. The mean age of the patients was 68 years. Gallstones were found in 22 patients, whereas 11 patients had undergone cholecystectomy earlier for gallstone disease. At operati...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Andersson A,Bergdahl L,van der Linden W

    更新日期:1977-02-01 00:00:00

  • Use and prognostic value of staging mediastinoscopy in non-small-cell lung cancer.

    abstract::One hundred sixty patients had preoperative mediastinoscopy, resection of the primary tumor, and complete mediastinal lymphadenectomy for non-small-cell carcinoma of the lung. Minimum follow-up was 24 months (mean 40 months). Postoperative staging based on histologic examination of the specimen of the lung and mediast...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Albertucci M,DeMeester TR,Golomb HM,MacMahon HK,Ryan JW,Iascone C

    更新日期:1987-10-01 00:00:00

  • Pitfalls in evaluating the surgical student.

    abstract::One hundred five students in our surgical clerkship were evaluated independently by two faculty members, a chief resident, a written multiple-choice examination, and two oral examinations. Faculty and chief resident evaluations included a written explanation and a score from 1 (honors) to 5 (failing). Oral and written...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Stillman RM

    更新日期:1984-07-01 00:00:00

  • Comparison of pulsed Doppler and real-time B-mode echo arteriography for noninvasive imaging of the extracranial carotid arteries.

    abstract::Accuracy and clinical applications of noninvasive imaging of the extracranial carotid arteries were compared using pulsed Doppler and real-time B-mode ultrasonography. During the period December, 1977, to February, 1979, 530 ultrasonograms (265 patients) were performed. Angiographic correlations were available in 90 p...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Hobson RW 2nd,Berry SM,Katocs AS Jr,O'Donnell JA,Jamil Z,Savitsky JP

    更新日期:1980-03-01 00:00:00

  • Mortality after surgery for primary hyperparathyroidism: a follow-up of 441 patients operated on from 1956 to 1979.

    abstract::Four hundred forty-one patients who were operated on for primary hyperparathyroidism were observed for up to 22 years. Mortality was significantly higher than expected during the first postoperative years, for both men and women. This was predominantly due to a higher than expected incidence of diseases of the circula...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Palmér M,Adami HO,Bergström R,Akerström G,Ljunghall S

    更新日期:1987-07-01 00:00:00

  • Acidosis plus melphalan induces nitric oxide-mediated tumor regression in an isolated limb perfusion human melanoma xenograft model.

    abstract:BACKGROUND:Isolated limb perfusion (ILP) with melphalan is an accepted treatment for intransit melanoma of the extremities. Using an ILP human melanoma xenograft model, we tested the hypothesis that acidosis augments the antitumor effect of melphalan and that nitric oxide (NO) induction mediates tumor regression. METH...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.2002.125713

    authors: Kelley ST,Menon C,Buerk DG,Bauer TW,Fraker DL

    更新日期:2002-08-01 00:00:00

  • A prospective study of the pathophysiology of carcinoid crisis.

    abstract:BACKGROUND:Sudden massive release of serotonin, histamine, kallikrein, and bradykinin is postulated to cause an intraoperative carcinoid crisis. The exact roles of each of these possible agents, however, remain unknown. Optimal treatment will require an improved understanding of the pathophysiology of the carcinoid cri...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2018.04.093

    authors: Condron ME,Jameson NE,Limbach KE,Bingham AE,Sera VA,Anderson RB,Schenning KJ,Yockelson S,Harukuni I,Kahl EA,Dewey E,Pommier SJ,Pommier RF

    更新日期:2019-01-01 00:00:00

  • Biliary sludge formation during enteral nutrition: prevalence and natural history.

    abstract:BACKGROUND:Total parenteral nutrition is an etiologic factor in the formation of biliary sludge. We studied whether enteral nutrition is also a risk factor for sludge. METHODS:Fifty patients with a needle catheter jejunostomy (NCJ) placed during a major abdominal operation underwent preoperative and weekly postoperati...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1067/msy.1998.92011

    authors: Schwesinger WH,Page CP,Strodel WE,Ghiatis AA,Chopra S,Gross GW,Sirinek KR

    更新日期:1998-10-01 00:00:00

  • Reduction of transfusion requirements during major hepatic resection for metastatic disease.

    abstract:BACKGROUND:Our purpose was to determine whether the combination of total liver vascular inflow occlusion (Pringle maneuver) and rapid hepatic transection with a clamp-crush technique results in significant reduction of blood loss and transfusion requirements during major hepatic resections. METHODS:A series of 49 adul...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Arnoletti JP,Brodsky J

    更新日期:1999-02-01 00:00:00

  • Hypoxia of the growing liver accelerates regeneration.

    abstract:BACKGROUND:After portal vein ligation of 1 side of the liver, the other side regenerates at a slow rate. This slow growth may be accelerated to rapid growth by adding a transection between the 2 sides, i.e., performing portal vein ligation and parenchymal transection. We found that in patients undergoing portal vein li...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2016.05.018

    authors: Schadde E,Tsatsaris C,Swiderska-Syn M,Breitenstein S,Urner M,Schimmer R,Booy C,Z'graggen BR,Wenger RH,Spahn DR,Hertl M,Knechtle S,Diehl AM,Schläpfer M,Beck-Schimmer B

    更新日期:2017-03-01 00:00:00

  • Stimulation of angiogenesis by canine parathyroid tissue.

    abstract:BACKGROUND:Autotransplanted parathyroid tissue is capable of inducing neovascularization in vivo, restoring calcium homeostasis with regulatory control. The mechanisms of parathyroid-induced neovascularization remain to be determined. Using an unique three-dimensional in vitro model, we tested the ability of parathyroi...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/s0039-6060(96)80060-2

    authors: Carter WB,Crowell SL,Boswell CA,Williams SK

    更新日期:1996-12-01 00:00:00

  • Activated clotting time of thrombelastography (T-ACT) predicts early postinjury blood component transfusion beyond plasma.

    abstract:INTRODUCTION:Rapid thrombelastography (rTEG) has been advocated as a point-of-care test to manage trauma-induced coagulopathy. rTEG activated clotting time (T-ACT) results become available much sooner than other rTEG values, thus offering an attractive tool to guide blood component transfusion in a hemorrhagic shock. W...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2014.04.017

    authors: Moore HB,Moore EE,Chin TL,Gonzalez E,Chapman MP,Walker CB,Sauaia A,Banerjee A

    更新日期:2014-09-01 00:00:00

  • Novel approach to iatrogenic bile peritonitis.

    abstract::Bile peritonitis after injury to the biliary tree is a serious complication that requires exploratory laparotomy. Our patient had an obstructing ampullary carcinoma, and generalized bile peritonitis developed from attempted percutaneous transhepatic cholangiography. The patient's condition was managed by peritoneal la...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: McAneny DB,Gibran NS,Braasch JW

    更新日期:1991-06-01 00:00:00

  • Changes in the levels of endogenous antioxidants in the liver of mice with experimental endotoxemia and the protective effects of the antioxidants.

    abstract::Gram-negative bacterial endotoxin (lipopolysaccharide) induces hepatic damage in mice caused by lipid peroxidation, and administration of antioxidants (coenzyme Q10 and alpha-tocopherol) suppresses this lipid peroxidation, preserves energy metabolism, and enhances the survival of endotoxin-administered mice. Therefore...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Sugino K,Dohi K,Yamada K,Kawasaki T

    更新日期:1989-02-01 00:00:00

  • Mucosal melanoma of the female genitalia: a clinicopathologic study of forty-three cases at Duke University Medical Center.

    abstract:BACKGROUND:Mucosal melanoma of the female genitalia is a rare neoplasm. Only nine reports reviewing more than 40 patients have been published on this subject in the past 30 years. These lesions arise from melanocytes, which can be found within the mucosa lining the female genital tract. Surgical resection is the mainst...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: DeMatos P,Tyler D,Seigler HF

    更新日期:1998-07-01 00:00:00

  • Improved outcome of adult blunt splenic injury: a cohort analysis.

    abstract:BACKGROUND:The purpose of this study was to review our 15-year experience in the treatment of blunt splenic injury in adults. Our hypothesis was that the implementation of a change in practice, with stress on splenic preservation and splenic artery embolization for the management of splenic injury, would result in impr...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2006.07.005

    authors: Rajani RR,Claridge JA,Yowler CJ,Patrick P,Wiant A,Summers JI,McDonald AA,Como JJ,Malangoni MA

    更新日期:2006-10-01 00:00:00

  • Is a diverting ostomy needed in mid-high rectal cancer patients undergoing a low anterior resection after neoadjuvant chemoradiation? An NSQIP analysis.

    abstract:INTRODUCTION:A diverting stoma is often performed at the time of low anterior resection (LAR) for rectal cancer after neoadjuvant chemoradiation (nCRT) to protect the anastomosis. The aim of this study was to compare surgical outcomes in large cohorts of mid-high rectal cancer patients undergoing LAR after nCRT with an...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:10.1016/j.surg.2015.02.026

    authors: Messaris E,Connelly TM,Kulaylat AN,Miller J,Gusani NJ,Ortenzi G,Wong J,Bhayani N

    更新日期:2015-09-01 00:00:00

  • Reducing postoperative pain, narcotics, and length of hospitalization.

    abstract::Bupivacaine wound infiltration together with efficient esophagogastric decompression and immediate elemental feeding in 43 consecutive, well-instructed patients who had undergone cholecystectomy reduced their postoperative analgesia requirements to an average of 17 (+/- 46, SD) mg of meperidine during the initial 24 h...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Moss G,Regal ME,Lichtig L

    更新日期:1986-02-01 00:00:00

  • Parathyroid cysts: a report of eleven cases including two associated with hyperparathyroid crisis.

    abstract::Eleven parathyroid cysts were found in 325 patients who underwent parathyroid operations. Ten cysts were located in the neck and one was located in the mediastinum. The cysts ranged in size from 1.6 to 10 cm with a mean of 3.9 cm. The patients who had cysts included six women and five men, and their ages ranged from 2...

    journal_title:Surgery

    pub_type: 杂志文章

    doi:

    authors: Calandra DB,Shah KH,Prinz RA,Sullivan H,Hofmann C,Oslapas R,Ernst K,Lawrence AM,Paloyan E

    更新日期:1983-12-01 00:00:00