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Femoral bypass

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https://www.readbyqxmd.com/read/29673552/fracture-of-cobalt-chrome-fully-coat-beaded-femoral-revision-long-stem-a-clinical-outcomes-study
#1
Chih-Hsiang Chang, Po-Chun Lin, Cheng-Min Shih, Chun-Chieh Chen, Pang-Hsin Hsieh, Hsin-Nung Shih
BACKGROUND: Femoral bone loss during revision total hip arthroplasty poses a challenging problem. Bypass fixation over the diaphysis has achieved clinical success in cases of proximal femoral bone loss. Fracture of cementless, fully bead-coated femoral stem is an uncommon complication. The purpose of this study is to analyze the patients with and without fracture stem and find out the possible risk factors. METHODS: From 2006 to 2012, a total of 251 revision long stems (Zimmer, Warsaw, IN) were implanted...
February 2018: Biomedical Journal
https://www.readbyqxmd.com/read/29665617/transradial-versus-transfemoral-approach-for-diagnostic-coronary-angiography-and-percutaneous-coronary-intervention-in-people-with-coronary-artery-disease
#2
REVIEW
Ahmed A Kolkailah, Rabah S Alreshq, Ahmed M Muhammed, Mohamed E Zahran, Marwah Anas El-Wegoud, Ashraf F Nabhan
BACKGROUND: Cardiovascular disease (CVD) is the major cause of mortality worldwide. Coronary artery disease (CAD) contributes to half of mortalities caused by CVD. The mainstay of management of CAD is medical therapy and revascularisation. Revascularisation can be achieved via coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI). Peripheral arteries, such as the femoral or radial artery, provide the access to the coronary arteries to perform diagnostic or therapeutic (or both) procedures...
April 18, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29660388/outcomes-of-gracilis-muscle-flaps-in-the-management-of-groin-complications-after-arterial-bypass-with-prosthetic-graft
#3
Anahita Dua, Vy T Ho, Christina Rao, Sapan S Desai
INTRODUCTION: This study details two-year outcomes of a modified gracilis muscle flap (GMF) technique in providing tissue coverage for groin complications after arterial bypass surgery with synthetic graft. METHODS: All patients who developed groin infections after lower extremity arterial bypass with synthetic graft that underwent a GMF were included from June 2014 to March 2017 from a prospectively collected, purpose-built institutional database. Modifications to the standard technique included identification of the muscle using ultrasound to ensure precise skip incisions, preservation of the segmental blood supply, widening of the tunnel through which the muscle is retroflexed, placement of a wound VAC for healing, and lifelong antibiotics...
April 13, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29644314/complete-femoral-artery-transection-following-handlebar-trauma
#4
Gergana Todorova Taneva Zaryanova, Ana Begoña Arribas Díaz, Ciro Baeza Bermejillo, César Aparicio Martínez, Alejandro González García
Complete transection of the common femoral artery is more frequent after penetrating injuries than after blunt trauma, with most of the cases occurring in combination with fractures. Contusion from a bicycle handlebar is a rare form of injury to the femoral vessels. Hereby, we present a case of complete common femoral artery transection caused by a direct bicycle handlebar trauma. The patient suffered severe hypovolemia during his transfer to the Emergency room. He required an emergency intervention and a bypass reconstruction...
June 2017: Trauma Case Reports
https://www.readbyqxmd.com/read/29643698/real-world-comparison-of-drug-eluting-and-bare-metal-stents-in-superficial-femoral-artery-occlusive-disease-with-trans-atlantic-intersociety-consensus-b-lesions-a-2-year-single-institute-study
#5
Fan-Chieh Meng, Po-Lin Chen, Chiu-Yang Lee, Chun-Che Shih, I-Ming Chen
Background: Endovascular stenting has surpassed bypass surgery to become the first-line treatment for superficial femoral artery (SFA) occlusive disease, and various types of stents including bare-metal stents (BMSs), covered stents, and drug-eluting stents (DESs), have been approved for treatment. This retrospective, single-institute study compared the short-term, real-world outcomes of BMSs and DESs for treating SFA occlusive disease. Methods: A retrospective chart review was used to enroll 94 patients who received a DES (n = 24) or BMS (n = 70) between 2009 and 2014...
March 2018: Acta Cardiologica Sinica
https://www.readbyqxmd.com/read/29628466/increase-carotid-flow-by-double-sheath-connection-technique-to-reduce-cerebral-ischemia-for-transcatheter-aortic-valve-implantation-through-transcarotid-approach
#6
Richard Tsai, I-Ming Chen, Po-Lin Chen, Hsin-Bang Leu, Ying-Hwa Chen, Hsiao-Huang Chang
PURPOSE: Transcarotid transcatheter aortic valve implantation (TAVI) is one alternative approach if unfavorable femoral access. However, this approach may cause cerebral vascular accidents (CVAs) by temporarily occluding common carotid artery (CCA). The purpose of this study is to develop a new method reducing cerebral ischemia during transcarotid TAVI. METHODS: We inserted an 8- and 18-Fr. sheath in CCA with tip toward brain and aortic arch, respectively, and connected their side arms to create a bypass flow...
April 6, 2018: Annals of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29622512/cost-effectiveness-evaluation-of-heparin-coated-versus-standard-graft-for-bypass-surgery-in-peripheral-artery-disease-alongside-a-randomised-controlled-trial
#7
Marie K Villemoes, Jes S Lindholt, Kim C Houlind, Bo Gottschalksen, Christian N Petersen, Martin Rasmussen, Charlotte Wedel, Morten B Bramsen, Rikke Søgaard
OBJECTIVE/BACKGROUND: Heparin coating has recently been shown to reduce the risk of graft failure in arterial revascularisation, at least transiently. The aim of this study was to assess the cost-effectiveness of heparin coated versus standard polytetrafluoroethylene grafts for bypass surgery in peripheral artery disease from a long-term healthcare system perspective. METHODS: Cost-effectiveness evaluation was conducted alongside the Danish part of the Scandinavian Propaten trial in which 431 patients planned for femoro-femoral or femoro-popliteal bypass surgery were randomised to either type of graft and followed for 5 years...
April 2, 2018: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29618068/occipital-artery-to-posterior-cerebral-artery-bypass-using-descending-branch-of-the-lateral-circumflex-femoral-artery-graft-for-treatment-of-fusiform-unruptured-posterior-cerebral-artery-aneurysm-3-dimensional-operative-video
#8
Kristine Ravina, Ian A Buchanan, Robert C Rennert, Ben A Strickland, Joseph N Carey, Jonathan J Russin
Posterior cerebral artery (PCA) aneurysms can be technically challenging lesions due to the intricacy of perforating branches and the relationship to cranial nerves and the brainstem. Fusiform aneurysms of the perimesencephalic segment of the PCA are a rare finding which does not favor direct clip occlusion or reconstruction. In such cases, proximal parent vessel occlusion is an option for aneurysm treatment. Extracranial-intracranial (EC-IC) bypass can be used to revascularize beyond the lesion when considering proximal occlusion...
April 3, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29614260/primary-hydatid-cyst-of-the-thoracic-aorta-revealed-by-peripheral-arterial-embolism
#9
Zied Chaari, Aymen Damak, Nizar Kardoun, Saif Hadhri, Raghda Hbaieb, Nizar Elleuch, Abdelhamid Karoui, Imed Frikha
Primitive aortic-hydatidosis is exceptional. We report the case of a 55-year-old-woman complaining of pain in left lower limb for a week. A CT angiogram showed multi-vesicular and fluid-density-mass intimately contiguous to descending thoracic aorta with endoluminal subtraction image and hydatid cysts in the spleen. Surgical approach was through a thoraco-phreno-lombotomy with right femoro-femoral bypass. Complete resection of destroyed aortic portion was performed, and continuity was restored by aorto-aortic bypass using Dacron prosthesis...
March 31, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29606570/femoral-artery-transposition-is-a-safe-and-durable-option-for-the-treatment-of-popliteal-artery-aneurysms
#10
Gaël Bounkong, Jean-Michel Davaine, Philippe Tresson, Lucie Derycke, Nicolas Kagan, Thibault Couture, James Lawton, Mahine Kashi, Julien Gaudric, Laurent Chiche, Fabien Koskas
OBJECTIVE: A suitable ipsilateral great saphenous vein (GSV) autograft is widely considered the best material for arterial reconstruction of a popliteal artery aneurysm (PAA). There are, however, cases in which such a GSV is absent, diseased, or of too small diameter for this use. Alternatives to GSV are synthetic conduits, but with a reduced long-term patency, in particular for infragenicular bypass; other venous autografts of marginal use; and stent grafts still in the first stages of their evaluation...
March 29, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29600079/a-technique-of-minimally-invasive-aortic-valve-replacement-an-alternative-to-transcatheter-aortic-valve-replacement-tavr
#11
Luke B Henderson, Zuorui Song, Xiaotian Sun, John P Pirris
Minimally invasive aortic valve replacement (AVR) is increasingly being adopted worldwide, in which a right mini-thoracotomy (RT) approach plays an important role. Here we reported a novel technique of AVR via RT using sutureless prosthesis, without rib division or groin incision. Surgical access was performed through an anterior right thoracotomy with 5-cm skin incision placed in the third intercostal space. Percutaneous femoral-femoral cardio-pulmonary bypass (CPB) was applied under fluoroscopy guidance to avoid groin incision...
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29598891/outcomes-of-dialysis-patients-with-critical-limb-ischemia-after-revascularization-compared-with-patients-with-normal-renal-function
#12
Alexander Meyer, Cornelia Fiessler, Konstantinos Stavroulakis, Giovanni Torsello, Theodosios Bisdas, Werner Lang
OBJECTIVE: An analysis was conducted of intermediate outcomes and possible influencing factors in patients with end-stage renal disease (ESRD) and critical limb ischemia after lower limb revascularization compared with patients with regular renal function (non-ESRD). METHODS: Data collection was performed by inquiry of the German multicenter registry of First-Line Treatments in Patients with Critical Limb Ischemia (CRITISCH); 102 ESRD patients and 674 non-ESRD patients were included...
March 26, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29526378/successful-percutaneous-access-for-endovascular-aneurysm-repair-is-significantly-cheaper-than-femoral-cutdown-in-a-prospective-randomized-trial
#13
Miriam Elisabeth Uhlmann, Corinna Walter, Fadi Taher, Markus Plimon, Jürgen Falkensammer, Afshin Assadian
OBJECTIVE: Because of its minimally invasive nature, percutaneous femoral access for endovascular aneurysm repair (pEVAR) is currently undergoing rapid popularization. Compared with surgical cutdown for femoral access (cEVAR), it offers the advantage of faster recovery after surgery as well as a reduction in wound complications. Despite proposed advantages, the method is largely considered uneconomical because of its reliance on costly closure devices. METHODS: There were 50 patients undergoing EVAR who were enrolled in this randomized prospective single-center trial...
March 8, 2018: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/29519382/vascular-access-site-and-outcomes-in-58-870-patients-undergoing-percutaneous-coronary-intervention-with-a-previous-history-of-coronary-bypass-surgery-results-from-the-british-cardiovascular-interventions-society-national-database
#14
Tim Kinnaird, Richard Anderson, Sean Gallagher, James Cockburn, Alex Sirker, Peter Ludman, Mark de Belder, Samuel Copt, James Nolan, Azfar Zaman, Mamas Mamas
OBJECTIVES: Using the British Cardiovascular Intervention Society percutaneous coronary intervention (PCI) database, access site choice and outcomes of patients undergoing PCI with previous coronary artery bypass grafting (CABG) were studied. BACKGROUND: Given the influence of access site on outcomes, use of radial access in PCI-CABG warrants further investigation. METHODS: Data were analyzed from 58,870 PCI-CABG procedures performed between 2005 and 2014...
March 12, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29518506/development-of-angiosarcoma-in-a-saphenous-vein-graft-following-femoral-to-above-knee-popliteal-artery-bypass
#15
Rachel Morris, Cheong Jun Lee
Angiosarcoma is an exceedingly rare and aggressive neoplasm. Due to early metastasis even in low-grade tumors, it is associated with poor survival. We report a late development of an angiosarcoma in a saphenous vein graft following a femoral artery to above knee popliteal artery bypass performed for disabling claudication. Chronic inflammation, lymphatic disruption and thrombosis of the graft may have contributed to the malignant transformation, similar to cases described occurring after arteriovenous fistulae creation...
March 5, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29518503/early-outcomes-following-endovascular-open-surgical-and-hybrid-revascularization-for-lower-extremity-acute-limb-ischemia
#16
Frank M Davis, Jeremy Albright, Katherine A Gallagher, Hitinder S Gurm, Gerald C Koenig, Theodore Schreiber, P Michael Grossman, Peter K Henke
BACKGROUND: Acute limb ischemia (ALI) of the lower extremity is a potentially devastating condition that requires urgent and definitive management. This challenging scenario is often treated with endovascular, open surgical, or hybrid revascularization (HyR) in an urgent basis, but the comparative effects of such therapies remain poorly defined. The purpose of this study was to compare the outcomes of endovascular, open surgical, and HyR for ALI in the contemporary era. METHODS: A large statewide cardiovascular consortium of 45 hospitals was queried for patients between January 2012 and June 2015 who underwent an endovascular, open surgical, or HyR for ALI deemed at high risk of limb loss if not treated within 24 hr (Rutherford class IIA or IIB)...
March 5, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29514148/the-relationship-between-carotid-and-femoral-artery-intima-media-thickness-and-histopathologic-grade-of-atherosclerosis-in-patients-with-chronic-kidney-disease
#17
Nariman Nezami, Kamyar Ghabili, Behrooz Shokouhi-Gogani, Mohammad Mirchi, Morteza Ghojazadeh, Javid Safa, Afshar Zomorrodi, Abasad Gharadaghi, Mohammad Khalid Mojadidi, Mohammad Kazem Tarzamni, Ghazal Khajir, Sona Ghorashi, Margarita Revzin
BACKGROUND/AIMS: Variability in the grade of atherosclerosis among patients with chronic kidney disease (CKD) could affect the ultrasound measurements of intima media thickness (IMT). We sought to investigate IMTs of carotid (cIMT) and femoral (fIMT) arteries in CKD patients and assess the degree of their correlation with histopathological atherosclerosis. METHODS: Eighty-nine out of 99 enrolled subjects completed this study. The subjects were divided into 3 groups: 34 patients with CKD (Case group), 31 with coronary artery disease undergoing coronary artery bypass graft (CABG, positive control group), and 24 healthy kidney donors (negative control group)...
March 7, 2018: Nephron
https://www.readbyqxmd.com/read/29511742/extracranial-vertebral-artery-aneurysm-rupture-complicated-by-extrapleural-haematoma
#18
D Nenadic, M Balevic, M Milojevic, S Tanskovic
Introduction: Extracranial vertebral artery aneurysm (EVAA) and extrapleural haematoma (EH) are rare clinical findings most often associated with blunt or penetrating trauma. However, EVAA rupture can be complicated by development of a large EH. Report: A 50 year old man underwent an emergency thrombectomy followed by graft reconstruction of an aorto-bi-femoral bypass. The post-operative course was complicated by respiratory failure and severe anaemia. Computed tomography revealed EVAA rupture and EH, so ligation of EVAA was performed with thoracotomy...
2018: EJVES Short Reports
https://www.readbyqxmd.com/read/29501594/eversion-femoral-endarterectomy-for-iliofemoral-occlusive-disease-a-description-of-technique-and-series-of-cases
#19
Matthew D Kronick, Natasha Saiyed, Marc Norris, Neal Hadro, Marvin E Morris
BACKGROUND: Eversion endarterectomy (EE) is a well described technique for the treatment of extra-cranial cerebrovascular disease. Longitudinal arteriotomy and closure with patch angioplasty is the standard for infra-inguinal arterial occlusive disease in the iliofemoral segment. A potential drawback of this technique is the introduction of exogenous material into the field. We herein describe a technique of transverse femoral arteriotomy with primary closure for treatment of chronic limb ischemia involving the iliofemoral system...
February 28, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29492394/pre-transplant-ventricular-assist-device-explant
#20
REVIEW
Espeed Khoshbin, Stephan Schueler
Explantation of a left ventricular assist device (LVAD) may be challenging even in the most experienced hands. We aim to describe the technique for explantation of an LVAD together with the heart as applicable to all contemporary implantable mechanical assist devices. In order to ensure safe explantation, particular care must be taken at three distinct stages: at the time of LVAD implantation, at pre-transplant assessment and at the time of heart transplantation. The preparation for a safe explantation at LVAD implantation includes positioning the driveline and the outflow graft away from the back of the sternum to ensure protection from injury during re-entry into the chest...
January 2018: Annals of Cardiothoracic Surgery
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