Aortobifemoral bypass, the gold standard: technical considerations.

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：:Endovascular treatment of thoracic aortic pathology (ETAP) has been under development for over a decade. Only recently has one device been approved in the United States for treatment of descending thoracic aortic aneurysms. The length of this development process is due to multiple device and deployment system modifica...

journal_title：Seminars in vascular surgery

authors： Hassoun HT,Matsumura JS

更新日期：2006-03-01 00:00:00

abstract：:Our understanding of cerebrovascular disease in women is hampered by a paucity of studies that include adequate numbers of female patients. Most studies are heavily biased toward men. Although women have fewer strokes than men and have a better long-term prognosis after strokes or TIAs, cerebrovascular disease still a...

journal_title：Seminars in vascular surgery

authors： Hurlbert SN,Krupski WC

更新日期：1995-12-01 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：: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：:Over the last decade, more than 25,000 endovascular stent grafts have been used to treat aortic aneurysms. Although results have been promising thus far, problems with endoleaks, material failure, device migration, and aneurysm rupture continue to be reported. Improvements in device material and design have contribute...

journal_title：Seminars in vascular surgery

authors： Jacobs T,Teodorescu V,Morrissey N,Carroccio A,Ellozy S,Minor M,Hollier LH,Marin ML

更新日期：2003-06-01 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：: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：: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：: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：: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：:The management of patients with thrombosed vein grafts remains a formidable challenge for all vascular surgeons. Management strategies will vary based on a variety of criteria including the patients' overall condition and symptoms, the interval and etiology of graft failure, and the pathological anatomy and availabili...

journal_title：Seminars in vascular surgery

authors： Belkin M,Whittemore AD

更新日期：1994-09-01 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：: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：: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：: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：: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：: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：: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：:Endovascular aneurysm repair has proven to be a valuable alternative to open repair in selected patients. This less invasive procedure, however, requires long-term surveillance for its own set of potential complications, including perigraft leakage, or endoleak. This article focuses on the detection of these leaks, fi...

journal_title：Seminars in vascular surgery

authors： Hiatt MD,Rubin GD

更新日期：2004-12-01 00:00:00

abstract：:Thromboembolic vascular diseases remain the main cause of death in Western industrialized societies. Anticoagulants retard the formation, growth, and embolization of thrombi and are effective agents in the prevention and treatment of thromboembolic disease. Anticoagulants in venous thromboembolism have been investigat...

journal_title：Seminars in vascular surgery

authors： Da Silva MS,Sobel M

更新日期：2002-12-01 00:00:00

abstract：:Increased intra-abdominal pressure (IAP) and abdominal compartment syndrome (ACS) are important clinical problems after repair of ruptured abdominal aortic aneurysms and are reviewed here. IAP >20 mm Hg occurs in approximately 50% of patients treated with open abdominal aortic aneurysm repair after rupture, and approx...

journal_title：Seminars in vascular surgery

authors： Björck M

更新日期：2012-03-01 00:00:00

abstract：:The size of abdominal aortic aneurysms (AAA) is the most usual predictor of the risk for rupture. Because chronic metalloproteinases production and activation by inflammatory cells causes degradation of elastin and collagen in the aneurysmal wall, the detection of an increased metabolic process preceding fissuration a...

journal_title：Seminars in vascular surgery

authors： Sakalihasan N,Hustinx R,Limet R

更新日期：2004-06-01 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：:The purpose of this article is to describe the development and utilization of a unique paperless medical record system in a large multispeciality group practice setting. The Scott and White integrated health care delivery system provides care over a 34-county area in Central Texas. Since 1988, clinicians at Scott and ...

journal_title：Seminars in vascular surgery

authors： Burke JD Jr,Culp KS,Burke KC,Myers DL

更新日期：2001-03-01 00:00:00

abstract：:In the United States, 90% of carotid intervention is being performed for asymptomatic carotid stenosis, even though 90% of patients would be better treated with intensive medical therapy. This is being justified by comparing risks of stroke or death with medical therapy during clinical trials completed decades ago (ap...

journal_title：Seminars in vascular surgery

authors： Spence JD

更新日期：2017-03-01 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：:Spinal cord ischemia (SCI) is one of the most feared complications after treatment of thoracic aortic diseases. Based on limited evidence from clinical trials of investigational devices the incidence appears to be lower in endovascular compared to open thoracic aortic repairs. To date, several clinical and procedural ...

journal_title：Seminars in vascular surgery

authors： Feezor RJ,Lee WA

更新日期：2009-09-01 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