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https://www.readbyqxmd.com/read/27822948/delayed-high-output-heart-failure-due-to-arteriovenous-fistula-complicated-with-herniated-disc-surgery
#1
Taeshik Park, Sang Ho Park, Alok Arora
A 36-year-old male presented with progressive exertional dyspnea over months. Physical examination showed jugular venous distension, lung crecipitations, femoral bruit and pitting pedal edema. Echocardiogram showed a dilated right ventricle with severe pulmonary hypertension and a non collapsing inferior vena cava (IVC). On right heart catheterization, IVC oxygen saturation was noted at 92% suggesting arterial mixing; a computed tomography of the abdomen showed a fistula between the right common iliac artery to the right common iliac vein at L4 level and a massive IVC; this was linked to trauma from a disectomy done 16 years ago at L4-L5 level...
December 2016: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/27822118/the-danish-vascular-registry-karbase
#2
REVIEW
Nikolaj Eldrup, Charlotte Cerqueira, Louise de la Motte, Lisbet Knudsen Rathenborg, Allan K Hansen
AIM: The Danish Vascular Registry (DVR), Karbase, is monitoring arterial and advanced vein interventions conducted at all vascular departments in Denmark. The main aim of the DVR is to improve the quality of treatment for patients undergoing vascular surgery in Denmark by using the registry for quality assessment and research. STUDY POPULATION: All patients undergoing vascular interventions (surgical and endovascular) at any vascular department in Denmark are registered in the DVR...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27793619/patterns-in-the-management-of-acute-limb-ischemia-a-vess-survey
#3
Matthew R Smeds, Harleen K Sandhu, Samuel S Leake, Charles C Miller, Kristofer M Charlton-Ouw
BACKGROUND: Treatment strategies for acute limb ischemia (ALI) are abundant with few established guidelines. We sought to determine nationwide ALI treatment patterns in the modern era. METHODS: Anonymous electronic surveys examining the management of ALI involving native vessel and bypass occlusion were sent to all members of the Vascular and Endovascular Surgery Society (n = 738). Treatment options included catheter-directed lysis (CDL) or pharmacomechanical (PMT) thrombolysis and open surgery...
October 26, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27768661/direct-site-endovascular-repair-dser-a-novel-approach-to-vascular-trauma
#4
Anders J Davidson, Lucas P Neff, Joseph J DuBose, James B Sampson, Christopher M Abbot, Timothy K Williams
Peripheral vascular injuries carry significant risk for permanent functional impairment, limb loss, and death. Definitive correction of these injuries requires significant operative time and has traditionally been resource and skill set intensive. In the initial surgical treatment of the physiologically depleted trauma patient, faster techniques may prove more appropriate. Damage control techniques, including vascular shunting, rapidly restore distal flow but require additional vascular intervention and risk shunt thrombosis with prolonged use...
November 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27763266/predictive-factors-for-better-bypass-patency-and-limb-salvage-after-prosthetic-above-knee-bypass-reconstruction
#5
Eric Klingelhoefer, Hendrik Bergert, Stephan Kersting, Stefan Ludwig, Norbert Weiss, Frank Schönleben, Robert Grützmann, Gabor Gäbel
BACKGROUND: Peripheral arterial disease (PAD) is one of the most underestimated diseases because of its high prevalence and unfavorable prognosis. Many PAD patients without suitable autologous veins or options for endovascular treatment receive prosthetic above-knee femoropopliteal bypass (PAKB). Until now predictors of prosthetic bypass failure and of increased amputation risk remain indistinct. This study aimed to identify predictive factors associated with better bypass patency and limb salvage to achieve a more favorable outcome after PAKB reconstruction...
August 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27729606/-pediatric-iatrogenic-vertebral-arteriovenous-fistula-successfully-treated-with-endovascular-treatment-a-case-report
#6
Rintaro Yokoyama, Satoshi Iihoshi, Kei Miyata, Kentaro Toyama, Katsuya Komatsu, Masahiko Wanibuchi, Nobuhiro Mikuni
OBJECT: We report a relatively rare case of pediatric iatrogenic extradural vertebral arteriovenous fistula. CASE: A five-year-old boy with a history of multiple surgeries for Total Anomalous Pulmonary Venous Return(TAPVR)exhibited vascular engorgement of his right neck from about 4 years old. We thought that this was caused by his past operations. He demonstrated swollen blood vessels in the right neck and pulmonary hypertension with increased right heart load...
October 2016: No Shinkei Geka. Neurological Surgery
https://www.readbyqxmd.com/read/27659372/a-decade-of-major-vascular-trauma-lessons-learned-from-gang-and-civilian-warfare
#7
M J Ramdass, P Harnarayan
INTRODUCTION Trinidad and Tobago is a trans-shipment point for the illegal trade of drugs, arms and ammunition and, as such, has a high incidence of gang-related warfare and drug-related crimes. This has led to a high incidence of gunshot and stab wounds, with associated major vascular injuries. We describe our management strategies learned from a decade of vascular trauma experience. METHODS A retrospective analysis of age, gender, type of trauma, vessel injured, procedure and outcome for all cases of vascular trauma between 2006 and 2015 at two surgical units in Trinidad and Tobago...
September 23, 2016: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/27627775/-post-traumatic-pseudoaneurysm-of-the-anterior-tibial-artery-secondary-to-tibial-shaft-fracture-case-report
#8
J Gómez-Salazar, J Tovar-López, G Hernández-Rodríguez, H De la Concha-Ureta
Arterial pseudoaneurysm of the lower limb is an infrequent entity, particularly in the infrapopliteal segment. It is commonly associated to vascular repairs or follows a localized arterial lesion, a fracture or a surgical procedure. There is little information in Mexico about this entity in cases involving the anterior tibial artery, and secondary to trauma and osteosynthesis. Given that sudden bleeding due to rupture of the pseudoaneurysm is a possible catastrophic outcome for the viability of the segment, it is important to timely detect and diagnose the pseudoaneurysm...
January 2016: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/27602890/direct-site-endovascular-repair-dser-a-novel-approach-to-vascular-trauma
#9
Anders J Davidson, Lucas P Neff, Joseph J Dubose, James B Sampson, Christopher M Abbot, Timothy K Williams
Peripheral vascular injuries carry significant risk for permanent functional impairment, limb loss, and death. Definitive correction of these injuries requires significant operative time and has traditionally been resource and skill set intensive. In the initial surgical treatment of the physiologically depleted trauma patient, faster techniques may prove more appropriate. Damage control techniques, including vascular shunting, rapidly restore distal flow, but require additional vascular intervention and risk shunt thrombosis with prolonged use...
September 16, 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/27568153/vascular-thoracic-outlet-syndrome
#10
Mohamad Anas Hussain, Badr Aljabri, Mohammed Al-Omran
Two distinct terms are used to describe vascular thoracic outlet syndrome (TOS) depending on which structure is predominantly affected: venous TOS (due to subclavian vein compression) and arterial TOS (due to subclavian artery compression). Although the venous and arterial subtypes of TOS affect only 3% and <1% of all TOS patients respectively, the diagnostic and management approaches to venous and arterial TOS have undergone considerable evolution due to the recent emergence of minimally invasive endovascular techniques such as catheter-directed arterial and venous thrombolysis, and balloon angioplasty...
2016: Seminars in Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/27531084/the-twin-evils-of-concomitant-rare-pathology-with-variant-anatomy-superior-mesenteric-artery-aneurysm-and-a-replaced-right-hepatic-artery
#11
A C Rogers, S Chalasani, A G Ryan, K S C Cross, M P McMonagle
Aneurysmal degeneration of the superior mesenteric artery (SMA) is a rare clinical finding, estimated to affect less than 1% of the general population in post-mortem studies. Due to the rare prevalence of aneurysms affecting the SMA, there are no clear or definitive published consensus guidelines for its management at presentation, with both surgical and endovascular options described. An aberrant or replaced right hepatic artery (RRHA) is thought to affect 10-15% of the population. The prevalence of both conditions presenting concomitantly is unknown, but undoubtedly even rarer...
August 12, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27489718/delayed-presentation-of-a-carotid-pseudoaneurysm-following-penetrating-neck-trauma
#12
Abdullah Alfawaz, Xiaoyi Li, Stefan Kénel-Pierre, Jane Yang, Jorge Rey, Handel Robinson
OBJECTIVE: Penetrating carotid trauma in a hemodynamically stable patient invariably presents with a pseudoaneurysm on initial imaging. Although extremely rare, delayed pseudoaneurysm formation has been reported. The purpose of this paper is to define this rare entity and propose a diagnostic and treatment plan. METHODS: We present a case of delayed presentation of carotid pseudoaneurysm following penetrating neck trauma. A systematic review of the literature was performed...
2016: SAGE open medical case reports
https://www.readbyqxmd.com/read/27462000/contemporary-comparison-of-aortofemoral-bypass-to-alternative-inflow-procedures-in-the-veteran-population
#13
James T McPhee, Arin Madenci, Joseph Raffetto, Michelle Martin, Naren Gupta
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 techniques is lacking. METHODS: The Veterans Affairs Surgical Quality Improvement Project (VASQIP) national database (2005-2013) was used to compare AFB vs AIP in a propensity-matched analysis...
July 22, 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27402800/role-of-endovascular-embolization-for-trigeminal-neuralgia-related-to-cerebral-vascular-malformation
#14
Huijian Ge, Xianli Lv, Hengwei Jin, Hongwei He, Youxiang Li
OBJECTIVE: The objective of this article is to describe the trigeminal neuralgia related to cerebral vascular malformation that is rarely reported and the experience referring to endovascular treatment. PATIENTS AND METHODS: A total of 10 patients who had cerebral vascular malformation (AVM and dAVF) in a single center presented with trigeminal neuralgia. Clinical and angiographic presentations as well as their clinical outcomes after embolization were reviewed...
October 2016: Interventional Neuroradiology
https://www.readbyqxmd.com/read/27336339/-thrombectomy-and-plication-of-veins-as-a-method-of-preventing-pulmonary-artery-thromboembolism-at-a-multidisciplinary-surgical-hospital
#15
S V Galkin, N V Pashin, I G Dedyukhin, A G Aleksandrov, M V Lebedeva
The authors assessed efficacy and safety of the operation of plication of deep veins of lower extremities, pelvic veins, and the inferior vena cava as a method of preventing fatal pulmonary artery thromboembolism. A total of 48 patients were operated on. Of these, 23 patients belonged to traumatological-and-orthopaedical cohort, 3 to general surgical cohort, 4 to gynaecological, and 18 to vascular cohort (isolated deep vein thrombosis). The length of the floating head of the thrombus varied from 2 to 10 cm...
2016: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/27236866/-management-of-popliteal-artery-pseudoaneurysms-as-a-result-of-limb-trauma-and-orthopedic-surgery-or-associated-with-osteochondromas
#16
F Raherinantenaina, T M A Rajaonanahary, H N Rakoto Ratsimba
Most published articles regarding popliteal artery pseudoaneurysms (PAPs) are case reports and in English language literature. In this context, no study with robust data was previously published. The exact epidemiology of these APs is not well-known and their management is not yet codified. We wanted to summarize the current knowledge on diagnostic and therapeutic features of PAPs as a result of limb trauma and orthopedic surgery or associated with osteochondromas. An electronic research on MEDLINE and EMBASE between 1953 and March 2015 was performed; using the key words "popliteal pseudoaneurysm"...
September 2016: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/27209899/diagnosis-and-management-of-iliac-artery-endofibrosis-results-of-a-delphi-consensus-study
#17
(no author information available yet)
OBJECTIVE: Iliac endofibrosis is a rare condition that may result in a reduction of blood flow to the lower extremity in young, otherwise healthy individuals. The data to inform everyday clinical management are weak and therefore a Delphi consensus methodology was used to explore areas of consensus and disagreement concerning the diagnosis and management of patients with suspected iliac endofibrosis. METHODS: A three-round Delphi questionnaire approach was used among vascular surgeons, sports physicians, sports scientists, radiologists, and clinical vascular scientists with experience of treating this condition to explore diagnosis and clinical management issues for patients with suspected iliac artery endofibrosis...
July 2016: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/27175653/endovascular-treatment-of-behcet-disease-with-recurrent-infrainguinal-arterial-pseudoaneurysms-a-case-report-and-literature-review
#18
Ze-Yang Ding, Guan-Nan Jin, Xi Ai, Li-Yan Li, Ping Zheng, Yan Guan, Qi Wang, Zhi-Wei Zhang, Jun Yang
Aneurysm or pseudoaneurysm formation is one of the vascular complications of Behcet disease. At present, the optimal treatment for the disease has not been established.The authors report a case of vasculo-Behcet disease (v-BD) with recurrent pseudoaneurysms in the left infrainguinal arteries (common femoral artery, superficial femoral artery, and popliteal artery), as well as thrombosis in the popliteal vein and posterior tibial vein. The patient underwent 3 rounds of surgery, but developed a new pseudoaneurysm several months after each surgery...
May 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27154607/dural-arteriovenous-fistulae-imaging-and-management
#19
REVIEW
Yafell Serulle, Timothy R Miller, Dheeraj Gandhi
Intracranial dural arteriovenous fistulae (DAVF) are pathologic arteriovenous shunts between meningeal arteries and dural venous sinuses or veins. They account for approximately 10% to 15% of all intracranial vascular malformations and are most common in middle-aged patients. DAVF are the most common vascular cause of pulsatile tinnitus. Digital subtraction angiography remains the gold standard for diagnosing these lesions. The pattern of venous drainage determines the type of DAVF and their risk for hemorrhage...
May 2016: Neuroimaging Clinics of North America
https://www.readbyqxmd.com/read/27034580/epidemiology-and-inpatient-treatment-of-vascular-diseases-in-germany-english-version
#20
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
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