Abstract:
:This article analyzes the complication rates of diagnostic arteriographies performed by a single vascular surgeon and compares them to those previously published by interventional radiologists. Five hundred fifty-eight consecutive patients who underwent diagnostic arteriographies were analyzed. A modification of one study's criteria was used to compile perioperative complications. The technical success rate was 99%. These included 345 aortoiliofemoral arteriograms with runoff, 64 aortoiliofemoral arteriograms for abdominal aortic aneurysms, 83 aortoiliofemoral arteriograms with contralateral selective iliacs, 35 aortoiliofemoral arteriograms with carotids, and 27 aortoiliofemoral arteriograms with selective visceral/renal. Femoral artery puncture was used in 93%, and left brachial artery in 7%. The mean amount of contrast was 97 cc and the mean operative time was 25 minutes. The overall complication rate was 3.8% (1.3% major), which was comparable to what was published previously (1.9% and 2.9%) but superior to what we published previously as performed by our radiologists (7%, p <.001). A logistic regression could not find any variables that were significant for the prediction of a major complication. However, increased age, a longer operating time (>or= 30 minutes), and smoking were associated with an increase in overall complications. It was determined that diagnostic arteriography can be done safely by experienced vascular surgeons with low complication rates that compare favorably with what was published by interventional radiologists.
journal_name
Vascularjournal_title
Vascularauthors
AbuRahma AF,Elmore M,Deel J,Mullins B,Hayes Jdoi
10.2310/6670.2007.00022subject
Has Abstractpub_date
2007-03-01 00:00:00pages
92-7issue
2eissn
1708-5381issn
1708-539Xjournal_volume
15pub_type
杂志文章相关文献
Vascular文献大全abstract:OBJECTIVES:The aim of this study is to investigate the durability and clinical efficacy of profundoplasty as a sole procedure in patients presenting with critical limb ischaemia associated with profunda femoral artery disease and superficial femoral artery occlusion. METHODS:Retrospective analysis of outcomes from all...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538120963901
更新日期:2020-10-14 00:00:00
abstract:OBJECTIVE:Carotid stenosis with crescendo-transient-ischemic-attack (cTIA) requires a prompt intervention to reduce the stroke risk. Few data are reported in literature about cTIA suggesting a different perioperative risk compared with patients with single TIA (sTIA). This study aimed to compare the outcome of carotid ...
journal_title:Vascular
pub_type: 杂志文章,多中心研究
doi:10.1177/1708538118799225
更新日期:2019-02-01 00:00:00
abstract::Purpose Cyanoacrylate closure of the great saphenous vein with the VenaSeal™ Closure System is a relatively new modality. Studies have been limited to moderate-sized great saphenous veins and some have mandated postoperative compression stockings. We report the results of a prospective study of cyanoacrylate closure f...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538116651014
更新日期:2017-04-01 00:00:00
abstract::Proteomics is evolving as an important research technique in cardiovascular disease. We present exploratory research for a systemic biomarker of abdominal aortic aneurysm (AAA) in serum. Forty patients, 20 with large AAAs and 20 matched controls, were prospectively recruited. Serum was harvested, enriched, and mined f...
journal_title:Vascular
pub_type: 杂志文章
doi:10.2310/6670.2010.00046
更新日期:2010-09-01 00:00:00
abstract::Inflammatory carotid pseudotumor is a rare differential of a unilateral neck swelling in the carotid triangle. A 48-year-old man presented with a firm non-tender gradually progressive left neck swelling for five months. Computed tomography angiogram revealed a mass encasing the common carotid. Patient underwent excisi...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.1177/1708538112474261
更新日期:2014-04-01 00:00:00
abstract::Systemic anticoagulation with heparin or its unfractionated derivatives followed by warfarin therapy has been the mainstay of treatment in patients with lower extremity deep venous thrombosis (DVT). Although heparin is an effective treatment modality in preventing thrombus propagation, it provides minimal therapeutic ...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.2310/6670.2007.00070
更新日期:2007-09-01 00:00:00
abstract::Approximately 40-50% of patients undergoing thoracic endovascular aortic repair require left subclavian artery coverage for adequate proximal landing zone. Many of these patients undergo left subclavian artery revascularisation. However, outcomes data for left subclavian artery revascularisation in the context of thor...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538116647631
更新日期:2017-02-01 00:00:00
abstract::Ureteric fistula into the arterial tree is a well-recognised, but uncommon condition. The involvement of internal iliac artery is rare. We present a rare case of fistulous communication and subsequent infection of an internal iliac artery aneurysm and ureter secondary to insertion of ureteric stent following endovascu...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538114538623
更新日期:2015-04-01 00:00:00
abstract::Aneurysms of the inferior vena cava (IVC) are exceedingly rare; less than 50 cases have been reported in the world literature. Owing to the paucity of data regarding the natural history of IVC aneurysms, there is no consensus on their treatment. This case report describes the evaluation of an IVC aneurysm in a 56-year...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.2310/6670.2009.00020
更新日期:2009-09-01 00:00:00
abstract::The purpose of this article is to report two distal dissections resulting as a complication of endovascular aneurysm repair (EVAR) in two cases of type B aortic dissection (TBAD) and its relationship with prosthetic alignment at the distal landing zone. Two patients affected by aneurysm formation of a chronic type B d...
journal_title:Vascular
pub_type: 杂志文章
doi:10.2310/6670.2008.00004
更新日期:2008-03-01 00:00:00
abstract::A 58-year-old man presented to the hospital with an 8-hour history of acute-onset bilateral lower limb ischemia. A large saddle embolus had occluded the aorta and could not be removed by balloon endarterectomy through the femoral arteries. Successful open aortic and femoral thromboembolectomy followed by extensive fas...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1258/rsmvasc.12.3.202
更新日期:2004-05-01 00:00:00
abstract::We present a case of an endovascular aneurysm repair for a Q-fever-infected acute abdominal aortic aneurysm with aortocaval fistula. Type 2 endoleak persisted after successful endovascular repair. ...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538114562658
更新日期:2015-12-01 00:00:00
abstract::The purpose of this study was to evaluate the incidence and durability of additional proximal cuffs during endovascular abdominal aortic aneurysm repair (EVAR). A retrospective review of 90 EVAR patients was conducted. Postoperative survival, proximal sealing zone-related complications, and secondary procedures were a...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1258/rsmvasc.13.1.16
更新日期:2005-01-01 00:00:00
abstract::Objective Reports on inflammatory aortic abdominal aneurysm treatment are scarce. Traditionally, open surgery has been validated as the gold standard of treatment; however, high technical skills are required. Endovascular aortic repair has been suggested as a less invasive treatment by some authors offering good resul...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538117728865
更新日期:2018-04-01 00:00:00
abstract::This present study investigated the influence of combined preoperative clopidogrel and aspirin (ASA) administration on adverse postoperative outcomes and bleeding risk in patients undergoing carotid endarterectomy (CEA). A retrospective cohort study of all consecutive patients undergoing isolated CEA (n = 1488) betwee...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538113478763
更新日期:2013-08-01 00:00:00
abstract:AIM:To identify morphologic factors affecting aortic expansion in patients with uncomplicated type B aortic dissections. METHODS:Computed tomography data of 24 patients (18 male; median age: 61 years), diagnosed with acute uncomplicated type B aortic dissections between 2002 and 2013, were retrospectively reviewed. Al...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538115591941
更新日期:2016-04-01 00:00:00
abstract::More challenging abdominal aortic aneurysms with unfavorable proximal aortic neck anatomy are treated with endovascular means. As a consequence, proximal inadequate sealing may result in type IA endoleak, which in turn can lead to abdominal aortic aneurysm progression or rupture. The presence of type IA endoleak is an...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.1177/1708538115599698
更新日期:2016-04-01 00:00:00
abstract::Given that considerable motion of the carotid artery is present during head movements, we hypothesized that a flexible stent with low torsion might be favorable to avoid stress imparted to the stent and carotid artery. Therefore, we evaluated the flexibility of different expanded carotid stents before and after deploy...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1258/rsmvasc.12.6.369
更新日期:2004-11-01 00:00:00
abstract:OBJECTIVE:The Nellix EndoVascular Aneurysm Sealing (EVAS) system has offered a novel approach in the treatment of abdominal aortic aneurysm (AAA). While it is currently indicated as a primary procedure in patients with infrarenal AAA with suitable anatomy according to the indications for use, a few studies aimed to add...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538119897525
更新日期:2020-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the possibility of using heparin-bonded polycaprolactone grafts to replace small-diameter arteries. METHODS:Polycaprolactone was bonded with heparin. The activated partial thromboplastin time of heparin-bonded polycaprolactone grafts was determined in vitro. Small-diameter grafts were electrospun...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538114550737
更新日期:2015-08-01 00:00:00
abstract::Vascular injury is an uncommon complication of spine surgery. Among the different approaches, anterior lumbar interbody fusion has increased potential for vascular injuries, since the great vessels and their branches overly the disc spaces to be operated on, and retraction of these vessels is necessary to gain adequat...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538114534235
更新日期:2015-04-01 00:00:00
abstract::Patients diagnosed with steal syndrome after hemodialysis access surgery have a few options for symptom relief while maintaining vascular access. These include fistula lengthening, banding, distal revascularization with interval ligation (DRIL), revision using distal inflow (RUDI) or proximalization of the arterial in...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.2310/6670.2007.00047
更新日期:2007-07-01 00:00:00
abstract:OBJECTIVE:The objective of this study was to analyze the roles of demographic, clinical, and laboratory factors on the progression of atherosclerotic stenosis in carotid bifurcation. It was based on prospective information from records entered on a specific application form for follow-up outpatients at a tertiary unive...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538115571404
更新日期:2016-02-01 00:00:00
abstract::Objectives Peripheral arterial disease most commonly presents as intermittent claudication (IC). Early evidence has suggested that extracorporeal shockwave therapy is efficacious in the short term for the management of intermittent claudication. The objective of this pilot trial was to evaluate the medium-term efficac...
journal_title:Vascular
pub_type: 杂志文章,随机对照试验
doi:10.1177/1708538118773618
更新日期:2018-10-01 00:00:00
abstract::Heparin is the predominant anticoagulant used in cardiac and vascular surgery. Heparin-induced thrombocytopenia (HIT) is one of the most serious and life-threatening adverse drug reactions associated with heparin use. In addition to the development of thrombocytopenia, HIT is associated with a high risk (40-50%) of th...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:
更新日期:2008-03-01 00:00:00
abstract::The incidence of peripheral arterial occlusive disease (PAD) increases with age. Women represent a growing percentage of the elderly population who present with PAD. While speculation exists that gender affects outcome after revascularization procedures, the literature is confusing and often conflicting. This review c...
journal_title:Vascular
pub_type: 杂志文章,评审
doi:10.1258/vasc.2010.ra0042
更新日期:2011-04-01 00:00:00
abstract::Objectives Major and minor amputations are associated with significant rates of mortality. However, little is known about the impact of unplanned redo-amputation during the same hospitalization on outcomes. The objectives of this study were to identify the risk factors associated with in-hospital mortality after both ...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538117736677
更新日期:2018-06-01 00:00:00
abstract::Objective This study evaluated the concept of percutaneous closure of insufficient veins using the VeinScrew principle. Methods The VeinScrew is designed to place a spring-shaped implant that contracts and clamps around the vein. The ability of the device to occlude adequately was tested in a bench model experiment. T...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538116644117
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:Deep venous thrombosis (DVT) is a life-threatening and morbid pathology. This study aimed to investigate the efficacy of an early thrombolysis procedure using a rotator thrombolysis device. METHODS:Sixty-seven patients with acute proximal DVT were enrolled in the study. Patients' data were recorded retrospec...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538115612637
更新日期:2016-10-01 00:00:00
abstract::We report a five year military experience with anterior retroperitoneal spine exposure combining vascular and neurosurgical spine teams. From August 2005 through April 2010 (56 months), hospital records from a single institution were retrospectively reviewed. Complications, estimated blood loss, transfusions, operativ...
journal_title:Vascular
pub_type: 杂志文章
doi:10.1177/1708538113478757
更新日期:2014-08-01 00:00:00