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By Yasser Abbas Sr Consultant general surgery
Fares Alahdab, Remy Arwani, Ahmed Khurshid Pasha, Zayd A Razouki, Larry J Prokop, Thomas S Huber, M Hassan Murad
BACKGROUND: Despite the enthusiasm for endovascular revascularization for chronic mesenteric ischemia (CMI), it is not clear if early benefits offset long-term patency rates. This systematic review aimed to provide an up-to-date comprehensive evidence synthesis evaluating the two approaches. METHODS: We searched MEDLINE, Embase, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, and Scopus through July 15, 2016, for studies that compared the endovascular with the open surgical approach for revascularization in CMI patients...
May 2018: Journal of Vascular Surgery
Mohamad A Hussain, Subodh Verma, Mohammed Al-Omran
No abstract text is available yet for this article.
March 2018: Journal of Vascular Surgery
Victor Aboyans, Jean-Baptiste Ricco, Marie-Louise E L Bartelink, Martin Björck, Marianne Brodmann, Tina Cohnert, Jean-Philippe Collet, Martin Czerny, Marco De Carlo, Sebastian Debus, Christine Espinola-Klein, Thomas Kahan, Serge Kownator, Lucia Mazzolai, A Ross Naylor, Marco Roffi, Joachim Röther, Muriel Sprynger, Michal Tendera, Gunnar Tepe, Maarit Venermo, Charalambos Vlachopoulos, Ileana Desormais
No abstract text is available yet for this article.
March 1, 2018: European Heart Journal
Fangfang Xia, Yun Xia, Sisi Chen, Lulu Chen, Weijuan Zhu, Yuanqing Chen, Thomas J Papadimos, Xuzhong Xu, Le Liu
BACKGROUND: Limb ischemia/reperfusion causes inflammation and elicits oxidative stress that may lead to local tissue damage and remote organ such as lung injury. This study investigates pulmonary function after limb ischemia/reperfusion and the protective effect of a lipid emulsion (Intralipid). METHODS: Twenty-four rats were divided into three groups: sham operation group (group S), ischemia/reperfusion group (group IR), and lipid emulsion treatment group (group LE)...
June 19, 2017: BMC Anesthesiology
Stéphan Haulon
No abstract text is available yet for this article.
May 2017: Journal of Vascular Surgery
D-A A Lamprou, H G J Voesten, R J Damstra, O R M Wikkeling
BACKGROUND: The treatment of end-stage lymphoedema of the leg is challenging, especially when conservative treatment fails and there is a large volume difference between the affected and unaffected legs. Circumferential suction-assisted lipectomy (CSAL) has been described as a treatment option for end-stage lymphoedema of the leg. Here, the long-term results of CSAL in end-stage primary and secondary lymphoedema of the leg were analysed. METHODS: This was a descriptive study of patients treated with CSAL for unilateral chronic irreversible lymphoedema of the leg...
January 2017: British Journal of Surgery
S Acosta, M Björck, A Wanhainen
BACKGROUND: Indications for negative-pressure wound therapy (NPWT) in vascular surgical patients are expanding. The aim of this review was to outline the evidence for NPWT on open and closed wounds. METHODS: A PubMed, EMBASE and Cochrane Library search from 2007 to June 2016 was performed combining the medical subject headings terms 'wound infection', 'abdominal aortic aneurysm (AAA)', 'fasciotomy', 'vascular surgery' and 'NPWT' or 'VAC'. RESULTS: NPWT of open infected groin wounds was associated with shorter duration of wound healing by 47 days, and was more cost-effective than alginate dressings in one RCT...
January 2017: British Journal of Surgery
W Sandmann
No abstract text is available yet for this article.
August 2016: European Journal of Vascular and Endovascular Surgery
Dayong Hu, Changbin Li, Liping Sun, Chunyu Zhou, Xinhua Li, Zisheng Ai, Jie Tang, Ai Peng
OBJECTIVE: With the growing need for reliable and durable upper arm hemodialysis access, we sought to compare the performance of a novel modified nontransposed brachiobasilic arteriovenous fistula (mNT-BBAVF) with that of the more traditional brachiocephalic arteriovenous fistula (BCAVF). METHODS: Briefly, to construct an mNT-BBAVF, an incision is made on the ulnar side of the elbow. The brachial artery and basilic vein are then isolated, and a side-to-side anastomosis is performed without transposition of the basilic vein...
October 2016: Journal of Vascular Surgery
Thomas G Brott, Robert W Hobson, George Howard, Gary S Roubin, Wayne M Clark, William Brooks, Ariane Mackey, Michael D Hill, Pierre P Leimgruber, Alice J Sheffet, Virginia J Howard, Wesley S Moore, Jenifer H Voeks, L Nelson Hopkins, Donald E Cutlip, David J Cohen, Jeffrey J Popma, Robert D Ferguson, Stanley N Cohen, Joseph L Blackshear, Frank L Silver, J P Mohr, Brajesh K Lal, James F Meschia
BACKGROUND: Carotid-artery stenting and carotid endarterectomy are both options for treating carotid-artery stenosis, an important cause of stroke. METHODS: We randomly assigned patients with symptomatic or asymptomatic carotid stenosis to undergo carotid-artery stenting or carotid endarterectomy. The primary composite end point was stroke, myocardial infarction, or death from any cause during the periprocedural period or any ipsilateral stroke within 4 years after randomization...
July 1, 2010: New England Journal of Medicine
Ahsan T Ali, Mario Rueda, Sarasijhaa Desikan, Mohammed M Moursi, Ruosu An, Horace Spencer, Steven Rueda, John F Eidt
OBJECTIVE: Multiple catheterizations and procedures on the femoral arteries can increase the risk of infection and eventual destruction of the overlying skin and subcutaneous tissue. Without adequate tissue coverage, vascular structures are exposed and, thus, vulnerable to disruption. This can lead to loss of limb and/or life and carries a significant mortality. We hypothesized that gracilis muscle flap (GMF) was a reliable adjunct in providing healthy tissue coverage for a complex surgical problem...
August 2016: Journal of Vascular Surgery
P Boisrenoult, S Lustig, P Bonneviale, E Leray, G Versier, P Neyret, P Rosset, D Saragaglia
INTRODUCTION: The incidence of associated vascular lesions in biligamentous cruciate injuries of the knee ranges from 16 to 64%, with a mean rate of 30%. Treatment of ischemic vascular lesions associated with ligaments injury is well established, comprising emergency arterial vascular repair, most of the times combined to external fixation. In the absence of clinical symptoms of vascular lesion, some authors recommend systematically performing arteriography, while others advocate selectively prescribing this examination in doubtful clinical situations...
December 2009: Orthopaedics & Traumatology, Surgery & Research: OTSR
Gabriele Piffaretti, Matteo Tozzi, Chiara Lomazzi, Nicola Rivolta, Roberto Caronno, Domenico Laganà, Gianpaolo Carrafiello, Patrizio Castelli
OBJECTIVES: The continued advances in imaging and stent/stent-graft technology have considerably expanded the indications for endovascular approach also in vascular trauma. We report our institutional experience with endovascular treatment of peripheral arterial injuries after blunt trauma. METHODS: Between January 2000 and June 2006 out of a series of 81 patients, 10 male patients (mean age of 50+/-14 years) with peripheral arterial injuries were managed endovascularly...
September 2007: Injury
Helen L Steele, Amandeep Singh
BACKGROUND: Popliteal artery injury can occur in up to one-third of patients with knee dislocation. Delay in the diagnosis of popliteal artery injury is the leading cause of amputation in this limb-threatening injury. OBJECTIVES: To remind emergency physicians to consider popliteal artery injury in any pulseless lower extremity, even in cases of spontaneous reduction of the knee dislocation before evaluation by medical personnel. CASE REPORT: We present a case of popliteal artery injury and occult knee dislocation in which the diagnoses were delayed for hours by incorrectly attributing the absence of posterior tibial and dorsalis pedis pulses to compartment syndrome...
March 2012: Journal of Emergency Medicine
Martin Teraa, Michael S Conte, Frans L Moll, Marianne C Verhaar
No abstract text is available yet for this article.
February 23, 2016: Journal of the American Heart Association
Bauer E Sumpio, Rachael O Forsythe, Kenneth R Ziegler, Jeff G van Baal, Mauri J A Lepantalo, Robert J Hinchliffe
Vascular surgery has seen a revolutionary transformation in its approach to peripheral vascular disease over the last 2 decades, fueled by technological innovation and a willingness by the field to adopt these changes. However, the underlying pathology behind critical limb ischemia and the significant rate of unhealed wounds and secondary amputations despite apparently successful revascularization needs to be addressed. In seeking to improve outcomes, it may be beneficial to examine our approach to vascular disease at the fundamental level of anatomy, the angiosome, to better dictate reperfusion strategies beyond a simple determination of open vs endovascular procedure...
September 2013: Journal of Vascular Surgery
F Biancari, T Juvonen
OBJECTIVE: The efficacy of angiosome-targeted revascularization to achieve healing of ischemic tissue lesions of the foot and limb salvage is controversial. This issue has been investigated in this meta-analysis. METHODS: A systematic review of the literature and meta-analysis of data on angiosome-targeted lower limb revascularization for ischemic tissue lesions of the foot were performed. RESULTS: Nine studies reported on data of interest...
May 2014: European Journal of Vascular and Endovascular Surgery
Y Kagaya, N Ohura, H Suga, H Eto, A Takushima, K Harii
OBJECTIVES: The "tissue oxygen saturation (StO2) foot-mapping" method was developed using a non-invasive near-infrared tissue oximeter monitor to classify the foot regions as ischemic and non-ischemic areas. The purpose of this study was to evaluate StO2 foot-mapping as a reliable method to detect ischemic areas in the feet of patients with critical limb ischemia (CLI), and to compare the results with assessments from the angiosome model. METHODS: The foot areas of 20 CLI patients and 20 healthy controls were classified into four regions: (1) 0 ≤ StO2 < 30%, (2) 30 ≤ StO2 < 50%, (3) 50 ≤ StO2 < 70%, and (4) 70 ≤ StO2 ≤ 100% to perform StO2 foot-mapping...
April 2014: European Journal of Vascular and Endovascular Surgery
Panagiotis Koutakis, Sara A Myers, Kim Cluff, Duy M Ha, Gleb Haynatzki, Rodney D McComb, Koji Uchida, Dimitrios Miserlis, Evlampia Papoutsi, Jason M Johanning, George P Casale, Iraklis I Pipinos
BACKGROUND: Peripheral artery disease (PAD), which affects an estimated 27 million people in Europe and North America, is caused by atherosclerotic plaques that limit blood flow to the legs. Chronic, repeated ischemia in the lower leg muscles of PAD patients is associated with loss of normal myofiber morphology and myofiber degradation. In this study, we tested the hypothesis that myofiber morphometrics of PAD calf muscle are significantly different from normal calf muscle and correlate with reduced calf muscle strength and walking performance...
June 1, 2015: Journal of Surgical Research
Heather Wachtel, Benjamin M Jackson, Edmund K Bartlett, Giorgos C Karakousis, Robert E Roses, Joseph E Bavaria, Douglas L Fraker
BACKGROUND: Leiomyosarcoma of the inferior vena cava (IVC) is a rare tumor which presents a unique surgical challenge. We present a series of six cases of leiomyosarcoma resection performed with IVC reconstruction. METHODS: Retrospective chart review was performed for patients undergoing initial operative resection of primary leiomyosarcoma with IVC reconstruction, at a tertiary care center. RESULTS: Between 2005-2013, six patients underwent resection with reconstruction...
March 2015: Journal of Surgical Oncology
2015-02-25 20:17:27
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