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Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie

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https://www.readbyqxmd.com/read/27551877/results-of-peripheral-bypass-surgery-in-patients-with-critical-limb-ischemia-critisch-registry
#1
T Bisdas, G Torsello, A Stachmann, R T Grundmann
AIM: On the basis of the CRITISCH registry outcomes in patients with critical limb ischemia (CLI) undergoing lower extremity bypass surgery were analyzed according to the site of distal anastomosis and type of bypass material. PATIENTS AND METHODS: A total of 284 patients with lower extremity bypasses consisting of 75 patients with bypasses above the knee (group 1), 80 with bypasses below the knee (group 2) and 129 crural or pedal bypasses (group 3) were included in the study...
2016: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/27546993/inflammatory-diseases-of-the-aorta-part-2-infectious-aortitis
#2
I Töpel, N Zorger, M Steinbauer
Infectious aortitis is a rare but life-threatening disease. Due to impending local and systemic complications, prompt diagnosis and initiation of effective causal treatment are essential for patient survival. Differentiating infectious aortitis from other aortic diseases, in particular non-infectious aortitis, is of great importance. This article discusses the various causes, diagnostic tools, and therapeutic strategies for infectious aortitis.
2016: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/27546992/inflammatory-diseases-of-the-aorta-part-1-non-infectious-aortitis
#3
I Töpel, N Zorger, M Steinbauer
Aortitis is a term which encompasses inflammatory changes to the aortic wall from various pathogenic etiologies. Large vessel vasculitis, such as Takayasu arteritis and giant cell arteritis represent the most common entities; however, there is also an association with other rheumatological diseases. Chronic idiopathic periaortitis represents a distinct disease entity and infectious aortitis is a rare but life-threatening disease. Due to the diverse clinical pictures vascular surgeons often face a significant challenge in terms of making an accurate initial diagnosis...
2016: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/27546991/the-endovascular-performance-spectrum-of-vascular-surgery-departments-in-germany-results-of-an-online-survey-among-senior-department-physicians
#4
T Schmitz-Rixen, G Torsello, M Steinbauer, R T Grundmann
AIM: To survey the scope of vascular surgery services in Germany. METHOD: A total of 308 senior German vascular surgeons received a 19-point questionnaire pertaining to department structure and scope of services. Of these surgeons 223 replied between 16 August 2015 and 23 October 2015 (response rate 72 %), with 62.2 % reporting an additional qualification as an endovascular surgeon according to the guidelines of the German Society for Vascular Surgery and Vascular Medicine (Deutsche Gesellschaft für Gefäßchirurgie und Gefäßmedizin, DGG) and 43...
2016: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/27546990/impact-of-staphylococcus-aureus-protein-a-spa-genetic-typing-in-cases-of-prosthetic-shunt-graft-infections
#5
P Konstantiniuk, A Grisold, G Schramayer, S C Santler, S Koter, T Cohnert
INTRODUCTION: In January 2014 an internal audit was performed at the department of surgery, division of vascular surgery of the Medical University Graz, Austria, to assess the short and long-term outcomes of prosthetic shunt graft implantations performed between December 1998 and December 2013. A 10.8 % explantation rate due to graft infection was detected. The majority of the cases were associated with Staphylococcus aureus. The aim of this study was to clarify whether this constitutes a nosocomial problem...
2016: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/27546989/xenografts-in-septic-vascular-surgery
#6
I Töpel, C Uhl, I Ayx, M Steinbauer
BACKGROUND: In general, autologous veins are the optimal replacement material for an infected vascular graft in terms of handling, durability and resistance to reinfection. In the absence of suitable autologous material, several options are available, each of which has specific advantages and drawbacks with regard to these characteristics. METHODS: In recent years, xenogeneic materials (in particular pericardial patches from different species and biosynthetic grafts) have been increasingly used as replacement material in the setting of infections...
2016: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/27546988/operative-technique-and-morbidity-of-superficial-femoral-vein-harvest
#7
A Neufang, S Savvidis
BACKGROUND: The use of autologous superficial femoral veins (SFV) as an arterial or venous substitute represents a valuable technique in modern vascular surgery with versatile indications. The SFV autografts exhibit excellent control of infection and durable long-term results in terms of graft patency in prosthetic or arterial infections. In cases of elective use of the SFV, duplex ultrasound evaluation of the deep leg vein system should be implemented to confirm the patency of the profunda femoris vein...
2016: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/27546987/interventional-treatment-of-postthrombotic-syndrome
#8
H Jalaie, K Schleimer, M E Barbati, A Gombert, J Grommes, M A F de Wolf, R de Graaf, C H A Wittens
BACKGROUND: Postthrombotic syndrome (PTS) is the development of symptoms and signs of chronic venous insufficiency following deep vein thrombosis (DVT) and has a significant negative effect on the quality of life. The current understanding is that the clinical manifestation of PTS is related more to venous obstruction than it is to venous reflux. The use of interventional techniques for the treatment of venous obstruction and/or venous occlusion has rapidly increased in recent years. OBJECTIVE: This article summarizes the current concept of endovenous and hybrid interventions and presents the optimized treatment of choice in patients with chronic symptomatic venous obstruction...
2016: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/27453636/aortic-arch-pathologies-incidence-and-natural-history
#9
S W K Cheng
Endovascular interventions have made significant progress and are moving towards treating diseases of the aortic arch. Aortic arch pathologies incur substantial morbidity as well as short and long-term mortality but the progression is not well understood. This article reviews the current evidence on the natural history of aortic arch aneurysms and acute aortic syndromes, including penetrating ulcers, intramural hematomas, acute and chronic type B dissections. Risk factors for disease progression and mortality are also identified with special reference to vascular surgeons...
2016: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/27034581/biodegradable-polymeric-stents-for-vascular-application-in-a-porcine-carotid-artery-model-english-version
#10
S Kischkel, N Grabow, A Püschel, B Erdle, M Kabelitz, D P Martin, S F Williams, I Bombor, K Sternberg, K-P Schmitz, W Schareck, C M Bünger
Over the past years the development of biodegradable polymeric stents has made great progress; nevertheless, essential problems must still be solved. Modifications in design and chemical composition should optimize the quality of biodegradable stents and remove the weaknesses. New biodegradable poly-L-lactide/poly-4-hydroxybutyrate (PLLA/P4HB) stents and permanent 316L stents were implantedendovascularly into both common carotid arteries of 10 domestic pigs. At 4 weeks following implantation, computed tomography (CT) angiography was carried out to identify the distal degree of stenosis...
2016: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/27034580/epidemiology-and-inpatient-treatment-of-vascular-diseases-in-germany-english-version
#11
A Kühnl, H Söllner, H-H Eckstein
BACKGROUND: Non-cardiac vascular diseases account for approximately 10 % of the total burden of disease in the German population as measured in disability-adjusted life years (DALY). Thus, from the social perspective, much attention should be paid to optimization of the provision of vascular services especially in elderly people. OBJECTIVES: This article describes the structure of inpatient care and the provision of vascular treatment as well as age- and gender-specific hospital incidence rates of vascular diseases in Germany between 2005 and 2013...
2016: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/27034579/ultrasound-diagnostics-of-renal-artery-stenosis-stenosis-criteria-ceus-and-recurrent-in-stent-stenosis
#12
W Schäberle, L Leyerer, W Schierling, K Pfister
BACKGROUND AND PURPOSE: As a non-invasive, side effect-free and cost-effective method, ultrasonography represents the method of choice for the diagnosis of renal artery stenosis. Four different criteria in total, including two direct criteria in peak systolic velocity (PSV) and renal aortic ratio (RAR) and two indirect criteria in resistance index (RI) and acceleration time (AT) for the measurement of relevant renal artery stenosis are described, each demonstrating highly variable accuracy in studies...
2016: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/26900262/randomized-controlled-trials-still-the-backbone-of-vascular-surgery
#13
A R Naylor
Prior to the introduction of evidence-based medicine, decision-making was largely based upon 'intuitive reasoning', whereby senior clinicians dictated practice based upon personal dogma, personal experience and (often) biased observational studies. This era began to end (in vascular surgery) following completion of the landmark randomized trials in carotid disease, which recruited patients throughout the 1980s. Despite scepticism amongst some surgeons of the time these particular randomized trials have stood the test of time and remain the cornerstone of virtually every guideline of practice to this day...
2016: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/26478659/modern-diagnostics-for-type-b-aortic-dissection
#14
T Donati, J Wilson, T Kölbel, R E Clough
BACKGROUND: Undifferentiated chest pain is one of the most common complaints in the acute care setting. Type B aortic dissection is an important cause of chest pain and a complex clinical entity, which carries significant morbidity and mortality and requires accurate clinical and radiological evaluation. METHODS: Imaging technologies have become an irreplaceable tool to establish the diagnosis of aortic dissection and to plan treatment strategies. Computed tomography is an important component in this process, replacing catheter-based angiography as the most commonly used preoperative and postoperative imaging modality for the thoracic aorta...
2015: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/26190904/bias-in-the-use-of-randomized-trials-for-carotid-stenosis-management
#15
A L Abbott
BACKGROUND: Carotid artery procedures, such as surgery and stenting, although associated with significant risks and costs, are often recommended in guidelines which cite12- to 34-year-old randomized trial evidence of benefit; however, these recommendations exist although there is no evidence these procedures benefit patients who receive only current optimal medical treatment  (encouragement of a healthy lifestyle and appropriate use of medication). OBJECTIVE: To examine whether bias exists in the use of randomized trial evidence and its impact on guideline recommendations...
2015: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/26119947/ultrasound-diagnostics-of-the-abdominal-aorta-english-version
#16
W Schäberle, L Leyerer, W Schierling, K Pfister
BACKGROUND AND OBJECTIVES: The ideal method for screening investigations is one which is as free as possible from side effects, is easily learnt, and can therefore be broadly used to detect abdominal aortic aneurysms (AAA) with a high degree of certainty. Although ultrasonography fulfils these criteria, the measurement method is not standardized. Different measurement methods are used in ultrasonography as well as in computed tomography (CT) studies and the measurement method is actually described sufficiently in only 57 % of cases...
2015: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
https://www.readbyqxmd.com/read/26120253/abdominal-aortic-aneurysm-screening-program-in-poland
#17
A Jawien, B Formankiewicz, T Derezinski, A Migdalski, P Brazis, L Woda
BACKGROUND: Screening for abdominal aortic aneurysms (AAA) is currently recommended by several vascular societies. In countries where it has been introduced the prevalence of AAAs differed greatly and was mainly related to cigarette smoking. The screening program also had an enormous impact on the decrease of AAA ruptures and reduced mortality rate. These facts have led to the introduction of the first screening program for AAAs in Poland. OBJECTIVE: The aim of the study was to determine the prevalence of AAAs among men aged 60 years and older undergoing ultrasound examination of the abdominal aorta...
2014: Gefässchirurgie: Zeitschrift Für Vaskuläre und Endovaskuläre Chirurgie
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