keyword
Keywords Peripheral Arterial Obstructiv...

Peripheral Arterial Obstructive Disease

https://read.qxmd.com/read/38111608/prospective-clinical-validation-of-the-empatica-embraceplus-wristband-as-a-reflective-pulse-oximeter
#21
JOURNAL ARTICLE
Giulia Gerboni, Giulia Comunale, Weixuan Chen, Jessie Lever Taylor, Matteo Migliorini, Rosalind Picard, Marisa Cruz, Giulia Regalia
INTRODUCTION: Respiratory diseases such as chronic obstructive pulmonary disease, obstructive sleep apnea syndrome, and COVID-19 may cause a decrease in arterial oxygen saturation (SaO2 ). The continuous monitoring of oxygen levels may be beneficial for the early detection of hypoxemia and timely intervention. Wearable non-invasive pulse oximetry devices measuring peripheral oxygen saturation (SpO2 ) have been garnering increasing popularity. However, there is still a strong need for extended and robust clinical validation of such devices, especially to address topical concerns about disparities in performances across racial groups...
2023: Frontiers in digital health
https://read.qxmd.com/read/38110083/the-utilization-of-protamine-during-peripheral-vascular-interventions-in-the-vqi
#22
JOURNAL ARTICLE
Sahar Ali, Fatma M Shebl, Edouard Aboian, David Strosberg, Uwe Fischer, Jonathan Cardella, Raul J Guzman, Cassius Iyad Ochoa Chaar
BACKGROUND: Protamine administration was shown to reduce bleeding after carotid surgery but the role of protamine during peripheral vascular interventions (PVIs) remains unknown. This study evaluates the trend and outcomes of protamine use in the Vascular Quality Initiative (VQI). Our hypothesis is that the use of protamine is associated with decreased bleeding after PVI. METHODS: Patients undergoing elective PVI in the VQI (2016-2020) for peripheral arterial disease were reviewed and the utilization trend for protamine was described...
December 16, 2023: Annals of Vascular Surgery
https://read.qxmd.com/read/38106760/lipoproteins-and-their-effects-on-the-cardiovascular-system
#23
REVIEW
Pratyush Das, Nishikant Ingole
Coronary heart disease is the foremost leading cause of death across the world. It mainly involves the blood vessels, which supply the heart. Plaque formation due to lipid deposition leads to the narrowing of the vessels, obstructing blood flow. Therefore, lipoproteins such as high-density lipoproteins (HDL), low-density lipoproteins (LDL), very low-density lipoproteins (VLDL), and chylomicrons play a crucial role in cardiovascular diseases. Lipoproteins are carrier molecules made up of proteins and fats. They carry cholesterol through the bloodstream and transport it to the peripheral tissues or the liver...
November 2023: Curēus
https://read.qxmd.com/read/38098280/outcomes-of-clampless-real-chimney-technique-with-dacron-graft-and-sleeve-banding-of-the-ascending-aorta-for-total-debranching-endovascular-arch-repair
#24
JOURNAL ARTICLE
Sohei Matsuura, Manabu Motoki, Atsushi Akai, Masaaki Kato
BACKGROUND: Hybrid aortic arch repair with debranching of the supra-aortic vessels carries a high risk of cerebral infarction and fatal complications associated with side clamping of the ascending aorta. A previous study had reported the "real chimney" technique, a novel method for clamp-free total debranching thoracic endovascular aortic repair with the ascending aortic sleeve banding with dacron. In this study, we aim to build upon this foundation by presenting our experience with the early and midterm outcomes of this technique...
December 14, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/38092309/short-term-mortality-and-revisions-to-promote-maturation-after-arteriovenous-fistula-creation
#25
JOURNAL ARTICLE
Karissa M Wang, Hugh Gelabert, Juan Carlos Jimenez, David Rigberg, Karen Woo
OBJECTIVE: Arteriovenous fistula (AVF) for hemodialysis access is traditionally considered superior to grafts due to infection resistance and purported improved patency. However, challenges to AVF maturation and limited patient survival may reduce AVF benefits. The objective of this study is to identify factors associated with risk of AVF requiring revision before maturation and/or mortality within 2 years of creation. METHODS: We performed a retrospective review of 250 AVFs created between May 2017 and November 2020 at a single institution...
December 12, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/38072578/surgical-treatment-of-nutcracker-syndrome-results-in-improved-pain-and-quality-of-life
#26
JOURNAL ARTICLE
Suzanna Fitzpatrick, Eleanor Dunlap, Eugene Schweitzer, Michael Phelan, Khanjan Nagarsheth
BACKGROUND: Left renal vein (LRV) compression, or nutcracker phenomenon, describes the compression of the LRV, most commonly between the aorta and the superior mesenteric artery. The outflow obstruction that occurs from the compression causes venous hypertension leading to the development of pelvic collaterals, lumbar vein engorgement and gonadal vein reflux. The symptoms associated with LRV compression include abdominal pain, left flank pain, back pain, headache, pelvic pain/pressure, and hematuria...
December 2023: Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing
https://read.qxmd.com/read/38072575/the-impact-of-class-i-compression-stockings-on-the-peripheral-microperfusion-of-the-lower-limb-a-prospective-pilot-study
#27
JOURNAL ARTICLE
Andreas Lutz Heinrich Gerken, Michelle Ann Hattemer, Christel Weiß, Martin Sigl, Sebastian Zach, Michael Keese, Kai Nowak, Christoph Reißfelder, Nuh N Rahbari, Kay Schwenke
OBJECTIVE: The use of medical compression stockings (MCS) in patients with peripheral arterial disease (PAD) and diabetes is the subject of an ongoing critical debate. While reducing leg edema of various origins by improving venous back flow, there is a concern about additional arterial flow obstruction when compression therapy is applied in pre-existing PAD. The aim of this study is to obtain further information on the use of class I MCS in patients with advanced PAD and to evaluate the framework conditions for a safe application...
December 2023: Journal of Vascular Nursing: Official Publication of the Society for Peripheral Vascular Nursing
https://read.qxmd.com/read/38028042/an-extensive-arterial-thrombosis-with-lower-limb-ischemia-in-a-covid-19-patient-a-case-report
#28
Johary Andriamamonjisoa Andriamizanaka, Etienne Rakotomijoro, Volatiana Andriananja, Mihaja Raberahona, Radonirina Lazasoa Andrianasolo, Rivonirina Andry Rakotoarivelo, Jean de Dieu Randria Mamy
The coronavirus disease 2019 (COVID-19) pandemic is responsible for huge morbidity and mortality throughout the world. Several serious complications of this disease have been reported. It can cause hypercoagulability, which may lead to venous and arterial thromboembolic diseases. This hypercoagulability state is also associated with high morbidity and mortality. Arterial thrombosis in COVID-19 is poorly described compared to venous thrombosis and pulmonary embolism. We report a case of an extensive arterial thrombosis leading to a limb ischemia with extremely high D-dimer in a COVID-19 patient...
November 2023: Clinical Case Reports
https://read.qxmd.com/read/38022038/radiation-induced-peripheral-artery-disease-in-a-63-year-old-patient
#29
Claudia Aleman Oliva, Erik Aleman Espino, Michelle Demory Beckler, Marc M Kesselman
Tobacco use, hypertension, diabetes, and hypercholesterolemia are known risk factors for peripheral artery disease (PAD). However, additional causes of PAD, such as radiation therapy, should be considered for the prevention and diagnosis of this disease. The patient described in this report had 36 radiation therapies directly to the pelvis and bladder area due to bladder cancer. The presence of severe PAD on this patient's right external iliac artery, the same area where he received radiation therapy, raises the question of whether radiation therapy contributed to the development of PAD...
October 2023: Curēus
https://read.qxmd.com/read/37984757/anatomic-patterns-in-claudicants-who-fail-supervised-exercise-therapy
#30
JOURNAL ARTICLE
Thomas J Breen, Katharine McGinigle, David Strosberg, Alan Dardik, S Elissa Altin
OBJECTIVE: Patients with intermittent claudication (IC) from peripheral arterial disease (PAD) have significant improvement with supervised exercise therapy (SET). However, many patients have progressive disease that will ultimately require revascularization. We sought to determine whether the anatomic patterns of PAD were associated with response to SET. METHODS: We prospectively enrolled patients with IC at the West Haven, Connecticut Veterans Health Administration between June 2019 and June 2022...
November 19, 2023: Journal of Vascular Surgery
https://read.qxmd.com/read/37944896/diabetes-hypertension-and-smoking-do-not-affect-outcomes-of-iliofemoral-vein-stenting-for-chronic-proximal-venous-outflow-obstruction
#31
JOURNAL ARTICLE
Yeju Kang, Halbert Bai, Jason B Storch, Jenny Chen, Pavel Kibrik, Windsor Ting
OBJECTIVE: Diabetes, hypertension, and smoking are well-recognized risk factors for Peripheral Artery Disease (PAD), but little is known of their impact on chronic venous insufficiency (CVI). This study evaluates these factors in patients undergoing iliac vein stenting (IVS) for CVI. METHODS: A registry of 708 patients who underwent IVS from August 2011 to June 2021 was retrospectively analyzed. Symptoms were quantified using venous clinical severity score (VCSS) and CEAP classification...
November 7, 2023: Annals of Vascular Surgery
https://read.qxmd.com/read/37941892/coronary-artery-and-peripheral-vascular-disease-in-a-patient-with-poorly-differentiated-thyroid-cancer-treated-with-the-tyrosine-kinase-inhibitor-lenvatinib
#32
Vineeth Sukrithan, Lisa Kim, Jennifer A Sipos, Ashima Goyal, Ye Zhou, Daniel Addison, Manisha Shah, Bhavana Konda, Ajay Vallakati
A subset of patients with differentiated thyroid carcinoma develop radioiodine refractory (RAIR) incurable disease, which typically has a poor prognosis. The multitargeted tyrosine kinase inhibitor lenvatinib has demonstrated significant improvements in progression-free survival in RAIR thyroid cancers compared to placebos. However, in the phase III SELECT trial of the drug in thyroid cancer, 5.4% of patients on lenvatinib experienced arterial thromboembolic events, with 2.7% experiencing severe grade ≥3 toxicities associated with arterial vascular events...
2023: Case Reports in Endocrinology
https://read.qxmd.com/read/37925099/risk-factors-for-surgical-site-infection-after-lower-limb-revascularisation-surgery-a-systematic-review-and-meta-analysis-of-prognostic-studies
#33
REVIEW
Aidan M Kirkham, Jasmine Candeliere, Trinh Mai, Sudhir K Nagpal, Timothy M Brandys, Luc Dubois, Risa Shorr, Henry T Stelfox, Daniel I McIsaac, Derek J Roberts
OBJECTIVE: To systematically review and meta-analyse adjusted risk factors for surgical site infection (SSI) after lower limb revascularisation surgery. DATA SOURCES: MEDLINE, Embase, Evidence Based Medicine Reviews, and the Cochrane Central Register of Controlled Trials (inception to 28 April 2022). REVIEW METHODS: Systematic review and meta-analysis conducted according to PRISMA guidelines. After protocol registration, databases were searched...
November 2, 2023: European Journal of Vascular and Endovascular Surgery
https://read.qxmd.com/read/37919946/drug-coated-balloon-angioplasty-of-infrapopliteal-lesions-in-chronic-limb-threatening-ischemia-six-month-outcomes-of-prime-wifi
#34
JOURNAL ARTICLE
Julong Guo, Meng Ye, Wei Zhang, Ziheng Wu, Zibo Feng, Xin Fang, Qiang Li, Hongfei Sang, Zhenyu Shi, Weihao Shi, Chunshui He, Xixiang Gao, Jianming Guo, Zhu Tong, Yongquan Gu, Lianrui Guo
PURPOSE: To evaluate 6-month outcomes of drug-coated balloon (DCB) angioplasty of infrapopliteal lesions in patients with chronic limb-threatening ischemia (CLTI). METHODS: We analyzed 6-month follow-up data from the 10-center PRIME-WIFI prospective registry on 300 consecutive patients (33.000% female) with CLTI who underwent DCB angioplasty for infrapopliteal arterial lesions. The primary outcome was freedom from major adverse event (MAE), a composite of major amputation, all-cause death, and clinically-driven target limb reintervention (CD-TLR)...
November 3, 2023: Journal of Endovascular Therapy
https://read.qxmd.com/read/37909266/risk-factors-for-sternal-wound-infection-after-open-heart-operations-a-systematic-review-and-meta-analysis
#35
REVIEW
Dongsheng Chen, Jianghe Zhang, Yuting Wang, Weiqian Jiang, Yujian Xu, Chenlu Xiong, Zekun Feng, Yan Han, Youbai Chen
We aimed to quantitatively and systematically elucidate the rationality of the examined variables as independent risk factors for sternal wound infection. We searched databases to screen studies, ascertained the variables to be analysed, extracted the data and applied meta-analysis to each qualified variable. Odds ratios and mean differences were considered to be the effect sizes for binary and continuous variables, respectively. A random-effects model was used for these procedures. The source of heterogeneity was evaluated using a meta-regression...
November 1, 2023: International Wound Journal
https://read.qxmd.com/read/37869904/kidney-intrinsic-mechanisms-as-novel-targets-in-renovascular-hypertension
#36
REVIEW
Alfonso Eirin, Alejandro R Chade, Lilach O Lerman
Almost a hundred years have passed since obstruction of the renal artery has been recognized to raise blood pressure. By now chronic renovascular disease (RVD) due to renal artery stenosis is recognized as a major source of renovascular hypertension and renal disease. In some patients, RVD unaccompanied by noteworthy renal dysfunction or blood pressure elevation may be incidentally identified during peripheral angiography. Nevertheless, in others, RVD might present as a progressive disease associated with diffuse atherosclerosis, leading to loss of renal function, renovascular hypertension, hemodynamic compromise, and a magnified risk for cardiovascular morbidity and mortality...
February 2024: Hypertension
https://read.qxmd.com/read/37818699/the-correlation-between-transcutaneous-oxygen-pressure-tcpo-2-and-forward-looking-infrared-flir-thermography-in-the-evaluation-of-lower-extremity-perfusion-according-to-angiosome
#37
JOURNAL ARTICLE
Ha Jong Nam, Syeo Young Wee, Se Young Kim, Hyun Gyo Jeong, Da Woon Lee, Je-Yeon Byeon, Sang-Ho Park, Hwan Jun Choi
The increased peripheral arterial disease (PAD) incidence associated with aging and increased incidence of cardiovascular conditions underscores the significance of assessing lower limb perfusion. This study aims to report on the correlation and utility of two novel non-invasive instruments: transcutaneous oxygen pressure (TcPO2 ) and forward-looking infrared (FLIR) thermography. A total of 68 patients diagnosed with diabetic foot ulcer and PAD who underwent vascular studies at a single institution between March 2022 and March 2023 were included...
October 11, 2023: International Wound Journal
https://read.qxmd.com/read/37797964/comorbidities-and-mortality-among-patients-with-chronic-obstructive-pulmonary-disease
#38
JOURNAL ARTICLE
Nils Skajaa, Kristina Laugesen, Erzsébet Horváth-Puhó, Henrik Toft Sørensen
INTRODUCTION: Comorbidities are common in patients with chronic obstructive pulmonary disease (COPD). Estimates of prevalence, incidence and prognostic impact of comorbidities provide foundational knowledge of COPD epidemiology. We examined the prevalence, incidence and prognostic impact of 21 comorbidities among patients with COPD compared with the Danish general population. METHODS: We conducted a nationwide, population-based cohort study based on longitudinal Danish registry data, covering all Danish hospitals (2010-2021)...
October 2023: BMJ Open Respiratory Research
https://read.qxmd.com/read/37797089/could-we-predict-poaf-with-a-simple-ambulatory-oscillometry-evaluating-aortic-stiffness
#39
JOURNAL ARTICLE
Ziya Apaydin, Semi Ozturk, Ali Yasar Kilinc, Ahmet Seyfeddin Gurbuz, Halil Ibrahim Biter, Ayca Gumusdag
OBJECTIVE: To investigate the relationship between aortic stiffness and postoperative atrial fibrillation (POAF) in patients undergoing coronary artery bypass grafting (CABG). METHODS: This study included 110 patients undergoing elective isolated CABG. Aortic stiffness was measured using a noninvasive oscillometric sphygmomanometer before surgery. Characteristics of patients with and without POAF were compared. RESULTS: POAF developed in 32 (29...
October 5, 2023: Brazilian Journal of Cardiovascular Surgery
https://read.qxmd.com/read/37795086/iatrogenic-air-embolism-pathoanatomy-thromboinflammation-endotheliopathy-and-therapies
#40
REVIEW
Phillip L Marsh, Ernest E Moore, Hunter B Moore, Connor M Bunch, Michael Aboukhaled, Shaun M Condon, Mahmoud D Al-Fadhl, Samuel J Thomas, John R Larson, Charles W Bower, Craig B Miller, Michelle L Pearson, Christopher L Twilling, David W Reser, George S Kim, Brittany M Troyer, Doyle Yeager, Scott G Thomas, Daniel P Srikureja, Shivani S Patel, Sofía L Añón, Anthony V Thomas, Joseph B Miller, David E Van Ryn, Saagar V Pamulapati, Devin Zimmerman, Byars Wells, Peter L Martin, Christopher W Seder, John G Aversa, Ryan B Greene, Robert J March, Hau C Kwaan, Daniel H Fulkerson, Stefani A Vande Lune, Tom E Mollnes, Erik W Nielsen, Benjamin S Storm, Mark M Walsh
Iatrogenic vascular air embolism is a relatively infrequent event but is associated with significant morbidity and mortality. These emboli can arise in many clinical settings such as neurosurgery, cardiac surgery, and liver transplantation, but more recently, endoscopy, hemodialysis, thoracentesis, tissue biopsy, angiography, and central and peripheral venous access and removal have overtaken surgery and trauma as significant causes of vascular air embolism. The true incidence may be greater since many of these air emboli are asymptomatic and frequently go undiagnosed or unreported...
2023: Frontiers in Immunology
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