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https://www.readbyqxmd.com/read/27833497/peroneal-nerve-palsy-after-compression-stockings-application
#1
Jun Hyun Kim, Won Il Kim, Ji Yeon Kim, Won Joo Choe
Peroneal nerve palsy can be caused by various etiology. We report unilateral peroneal nerve palsy after compression stockings application. A 64-year-old man underwent off-pump coronary bypass graft. Surgeon did not use saphenous vein for the bypass graft. Sedation was stopped after 3 h postoperative. After 16 h, for prophylaxis of deep vein thrombosis, knee-high elastic stocking was applied. After 1 h, he took off right stocking because of numbness but left stocking was kept. After 24 h postoperative, (8 h after stocking application) patient complained suddenly left foot drop...
October 2016: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/26926934/tibial-and-peroneal-bypasses-in-octogenarians-and-nonoctogenarians-with-critical-limb-ischemia
#2
Christian Uhl, Carolin Hock, Isabelle Ayx, Niels Zorger, Markus Steinbauer, Ingolf Töpel
BACKGROUND: Elderly patients with critical limb ischemia are increasingly treated through interventional therapy. The outcome of tibial and peroneal bypasses in octogenarians who were unsuitable for endovascular therapy remains unclear. METHODS: We conducted a retrospective analysis of all patients who underwent tibial or peroneal bypass surgery in our clinic between October 2007 and April 2015. In Group 1 we included all patients 80 years and older and in group 2 all patients under 80 years...
June 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26509141/popliteal-to-dorsalis-pedis-in-situ-small-saphenous-vein-bypass-under-planning-with-mapping-using-computed-tomography-volume-rendering-technique
#3
Seung-Jae Byun
The small saphenous vein (SSV) is an important graft in limb salvage surgery. It is frequently translocated for bypass surgery. Sometimes, the use of the SSV as an in-situ graft for posterior tibial artery or peroneal artery reconstruction offers the advantages of reduced vein graft injury and improved patency. Recently, saphenous vein mapping through computed tomography (CT) volume rendering technique offers a great quality view to the surgeon. We experienced a patient in whom a CT image with volume rendering technique revealed an aberrant SSV connected with the great saphenous vein at the medial malleolus level...
September 2015: Vascular Specialist International
https://www.readbyqxmd.com/read/26439918/prevalence-of-peripheral-nervous-system-complications-after-major-heart-surgery
#4
Armando Gavazzi, Francesca de Rino, Maria Claudia Boveri, Anna Picozzi, Massimo Franceschi
We evaluated 374 consecutive patients from May 2013 to April 2014 who underwent major cardiac surgery. Each patient had an interview and a neurological clinical examination during the rehabilitation period. Patients with possible peripheral nervous system (PNS) complications underwent further electrodiagnostic tests. Among 374 patients undergoing major heart surgery (coronary artery bypass grafting, valvular heart surgery, ascending aortic aneurysm repair) 23 (6.1 %) developed 34 new PNS complications. We found four brachial plexopathies; four carpal tunnel syndromes; five critical illness neuropathies; three worsening of pre-existing neuropathies; two involvement of X, one of IX and one of XII cranial nerves; three peroneal (at knee), one saphenous, two median (at Struthers ligament), six ulnar (at elbow) mononeuropathies; two meralgia parestheticas...
February 2016: Neurological Sciences
https://www.readbyqxmd.com/read/26372190/comparison-of-posterior-and-medial-approaches-for-popliteal-artery-aneurysms
#5
COMPARATIVE STUDY
Daniela Mazzaccaro, Michele Carmo, Raffaello Dallatana, Alberto M Settembrini, Iacopo Barbetta, Luca Tassinari, Sergio Roveri, Piergiorgio G Settembrini
BACKGROUND: Long-term results of the posterior approach (PA) for the treatment of popliteal artery aneurysms are lacking in the literature. We reviewed our experience during a 13-year period in patients with popliteal artery aneurysms, comparing those treated through a PA with those operated on through a standard medial approach (MA). METHODS: Clinical data of all patients treated between February 1998 and October 2011 were retrospectively reviewed and outcomes analyzed...
December 2015: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26164740/a-comparison-of-tibial-and-peroneal-venous-and-heptfe-bypasses-in-diabetics-with-critical-limb-ischemia
#6
C Hock, T Betz, I Töpel, S Bröckner, M Steinbauer, C Uhl
OBJECTIVE: In this study we analyzed the outcome of tibial and peroneal venous and heparin-bonded expanded polytetrafluoroethylene (HePTFE) bypasses in diabetics with critical limb ischemia (CLI). We aimed to verify our hypothesis that HePTFE grafts will achieve acceptable 1-year patency and limb salvage results in patients who lack an adequate vein. METHODS: We conducted a retrospective analysis for all diabetics who underwent tibial bypass surgery in our department between October 2007 and October 2012...
July 8, 2015: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
https://www.readbyqxmd.com/read/25623028/comparison-of-venous-and-heptfe-tibial-and-peroneal-bypasses-in-critical-limb-ischemia-patients-unsuitable-for-endovascular-revascularization
#7
COMPARATIVE STUDY
Christian Uhl, Carolin Hock, Thomas Betz, Markus Greindl, Ingolf Töpel, Markus Steinbauer
BACKGROUND: We examined short- and long-term outcomes of tibial and peroneal venous and heparin-bonded expanded polytetrafluoroethylene bypasses in patients with critical limb ischemia who were unsuitable for endovascular revascularization. METHODS: A retrospective analysis was done for all patients who underwent tibial and peroneal bypass surgery in our department between October 2007 and October 2012. Vein was the preferred graft material and used whenever possible...
December 2015: Vascular
https://www.readbyqxmd.com/read/25528633/the-impact-of-infrainguinal-endovascular-interventions-on-the-results-of-subsequent-femoro-tibial-bypass-procedures-a-retrospective-cohort-study
#8
C Uhl, C Hock, T Betz, S Bröckner, I Töpel, M Steinbauer
BACKGROUND: Endovascular recanalization has become the accepted first-line treatment strategy for most lower extremity arterial occlusions, especially in patients with critical limb ischemia (Rutherford 4-6). Prior endovascular interventions have been described as risk factors for the outcome of subsequent lower extremity bypass surgery. The effect on subsequent tibial and peroneal bypasses is controversial. We analyzed the impact of prior endovascular lower extremity revascularization procedures on the short- and mid-term results of femoro-tibial and femoro-peroneal bypasses...
January 2015: International Journal of Surgery
https://www.readbyqxmd.com/read/25306791/open-arterial-revascularization-of-the-critically-ischemic-foot-using-arterial-homograft
#9
Joseph J Naoum, Jean Bismuth, Hosam F El-Sayed, Mark G Davies, Eric K Peden, Alan B Lumsden
BACKGROUND: Revascularization alternatives for patients with critical limb ischemia and without adequate autogenous vein remain challenging. We reviewed our experience with the use of arterial homograft as a conduit for limb salvage in patients with limb ischemia and active lower extremity infections. METHODS: A retrospective review of patients who underwent open arterial revascularization of the lower extremity with cryopreserved femoral artery homograft for the treatment of symptomatic critical limb ischemia (i...
July 2014: Le Journal Médical Libanais. the Lebanese Medical Journal
https://www.readbyqxmd.com/read/25119400/foot-ischemia-after-a-free-fibula-flap-harvest-immediate-salvage-with-an-interpositional-sapheneous-vein-graft
#10
Funda Akoz Saydam, Karaca Basaran, Fatih Ceran, Bulent Mert
The most dreaded major donor-site complication of free fibula flap is a foot ischemia, which is fortunately rare. Various authors have discussed the efficacy of the use of preoperative imaging methods including color Doppler, magnetic resonance angiography, and conventional angiography. A 25-year-old man presented with a 10-cm mandibular defect after a facial gunshot injury. Lower extremity color Doppler revealed triphasic peroneal, tibialis anterior, and posterior artery flows. A fibula osteocutaneous flap was harvested, and the mandible was reconstructed...
September 2014: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/24952297/severity-of-demographic-and-clinical-characteristics-revascularization-feasibility-major-amputation-and-mortality-rate-in-diabetic-patients-admitted-to-a-tertiary-diabetic-foot-center-for-critical-limb-ischemia-comparison-of-2-cohorts-recruited-at-a-10-year
#11
Ezio Faglia, Giacomo Clerici, Alessia Scatena, Maurizio Caminiti, Vincenzo Curci, Marco Prisco, Vincenzo Prisco, Rosaria Greco, Francesco Cetta, Alberto Morabito
BACKGROUND: To compare demographic and clinical characteristics, revascularization, major amputation, and mortality among patients admitted to a diabetic foot center because of critical limb ischemia (CLI) during 1999-2003 (cohort 1) and 2009 (cohort 2). METHODS: During 1999-2003, 564 diabetic patients with CLI (cohort 1) were admitted to our center, and 344 patients (360 affected limbs) were admitted during 2009 (cohort 2). Data on demographic and clinical characteristics, revascularization by peripheral angioplasty (PTA) or bypass graft (BPG), major amputation, and mortality were recorded...
October 2014: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/24084265/evaluation-of-superficial-femoral-artery-remote-endarterectomy-for-treatment-of-critical-limb-ischemia-in-patients-with-limited-autogenous-conduit
#12
Neha Sheng, Jason Chiriano, Theodore H Teruya, Ahmed M Abou-Zamzam, Christian Bianchi
BACKGROUND: Many patients with critical limb ischemia require infrageniculate bypass with a prosthetic graft due to the limited availability of autogenous vein. Prosthetic grafts have been shown to have inferior patency and subject the patient to increased infection rates when compared to bypass with autogenous conduit for lower extremity revascularization. In an effort to avoid the use of prosthetic material, we evaluated the use of remote superficial femoral artery endarterectomy (RSFAE) with distal autogenous revascularization in patients with critical limb ischemia and limited conduit...
January 2014: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/23657634/coronary-stent-embolization-of-peroneal-artery
#13
Thomas Marjot, Chung S Lim, Erwin Spannagl, Tahir Hussain
Embolization of coronary artery stents is a rare but well-recognized complication of percutaneous coronary intervention. Although intracardiac stent migration carries a significant risk to the patient, peripheral embolization is largely benign despite carrying a theoretical risk of distal ischemia. Furthermore, stents lost to the periphery are often never found. Here, we describe a case of an embolized stent to the peroneal artery which was accurately located using on-table fluoroscopy and ultrasound duplex...
July 2013: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/23134676/a-novel-reverse-thermosensitive-polymer-to-achieve-temporary-atraumatic-vessel-occlusion-in-infra-popliteal-bypasses
#14
K Mani, A Campbell, J Fitzpatrick, B Modarai, T Carrell, H Rashid, H Zayed
OBJECTIVE: The study aims to assess a novel thermosensitive polymer (LeGoo(®)) for distal vessel control during infra-popliteal (crural/pedal) bypass surgery in severe leg ischaemia. METHOD: Retrospective analysis of all distal bypasses from October 2009 to February 2012. Technical success, patency, limb salvage and amputation-free survival rates were analysed. RESULTS: Fifty-four infra-popliteal bypasses using the polymer were performed in 46 patients...
January 2013: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/23092735/comparison-of-precuffed-expanded-polytetrafluorothylene-and-heparin-bonded-polytetrafluorothylene-graft-in-crural-bypass
#15
COMPARATIVE STUDY
Raffaello Bellosta, Giuseppe Natalini, Luca Luzzani, Claudio Carugati, Antonio Sarcina
BACKGROUND: The purpose of this study was to evaluate early and midterm results of tibial bypasses comparing precuffed expanded polytetrafluoroethylene (PTFE) graft (Distaflo) and heparin-bonded PTFE graft (Propaten) with a distal vein patch. METHODS: This is a retrospective cohort analysis evaluating patients who underwent PTFE femorocrural bypasses between April 2004 and December 2010 at the Vascular Surgery Division of the Poliambulanza Foundation Hospital (Brescia, Italy)...
February 2013: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/23007698/direct-puncture-of-the-prosthetic-bypass-graft-in-the-treatment-of-critical-limb-ischemia-patient-undergoing-prior-axillo-femoral-bypass
#16
Hiromasa Katoh, Tsuyoshi Nozue, Ichiro Michishita
A 76-year-old man presented with a non-healing ischemic ulceration of the left foot. He had undergone left axillo-femoral bypass surgery 4 years previously. Diagnostic angiography showed total occlusion from the left common iliac to the common femoral artery and the anterior and posterior tibial artery as well as severe stenosis of the superficial femoral and peroneal artery. Because there were no other access sites except for the axillo-femoral bypass graft, we performed endovascular therapy (EVT) by direct puncture of this bypass graft...
January 2013: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/22677009/a-comparison-of-tibial-artery-bypass-performed-with-heparin-bonded-expanded-polytetrafluoroethylene-and-great-saphenous-vein-to-treat-critical-limb-ischemia
#17
COMPARATIVE STUDY
Richard F Neville, Avery Capone, Richard Amdur, Michael Lidsky, Joseph Babrowicz, Anton N Sidawy
BACKGROUND: Expanded polytetrafluoroethylene (ePTFE) bonded with heparin (HePTFE) has been reported to perform equivalent to saphenous vein graft (SVG) for below-knee bypass. This series examines outcomes for tibial artery bypass using HePTFE and SVG over a contemporaneous time period. METHODS: A retrospective analysis of prospectively collected data was conducted for 112 tibial bypasses (62 HePTFE, 50 SVG) performed from November 2006 to January 2009. Demographics for age, sex, race, diabetes mellitus, and end-stage renal disease were similar...
October 2012: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/22595148/an-expanded-series-of-distal-bypass-using-the-distal-vein-patch-technique-to-improve-prosthetic-graft-performance-in-critical-limb-ischemia
#18
R F Neville, M Lidsky, A Capone, J Babrowicz, R Rahbar, A N Sidawy
OBJECTIVES: The endovascular first approach has led to increasing complexity for surgical bypass especially in those patients without autogenous conduit. The use of vein interposed at the distal anastomosis has been reported to improve the results of prosthetic grafts. This series expands our initial experience with the distal vein patch technique (DVP) reporting a larger cohort with enhanced follow-up. DESIGN: A retrospective review of prospectively collected data was performed for distal bypasses from July 1995 to November 2008...
August 2012: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/22477556/use-of-an-autologous-artery-for-tibial-artery-bypass-in-a-trauma-patient
#19
Randall W Franz, Jamison M Foster
Peripheral artery bypass grafting is a commonly performed procedure. The present report describes the use of an autologous artery for tibial artery bypass graft following a gunshot wound to the calf. Approximately 4 cm of proximal peroneal artery was harvested for use as a bypass graft. At one year postoperatively, an arterial duplex scan showed patency of the tibioperoneal trunk to the posterior artery bypass.
2009: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/22445111/-distal-femoral-bypass-under-local-anaesthesia
#20
Rubén Taboada Martín, Víctor Glenn-Ray López, Francisco Gutiérrez García, Norberto Cassinello Martínez
INTRODUCTION: The aim of this article is to present our experience in performing distal femoral bypass under local anaesthesia for high risk patients. MATERIAL AND METHODS: Lower limb revascularisation surgery under local anaesthesia was performed on 8 patients in our centre between January and May 2010. The common characteristics of the patients were, advanced age, chronic ischaemic heart disease on antiplatelet treatment, and chronic obstructive pulmonary disease (COPD)...
August 2012: Cirugía Española
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