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Vascular

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42 papers 25 to 100 followers
https://www.readbyqxmd.com/read/28851595/european-society-for-vascular-surgery-guidelines-on-the-management-of-atherosclerotic-carotid-and-vertebral-artery-disease
#1
EDITORIAL
H-H Eckstein
No abstract text is available yet for this article.
August 3, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28890027/cryopreserved-cadaveric-arterial-allograft-for-arterial-reconstruction-in-patients-with-prosthetic-infection
#2
Anne Lejay, Charline Delay, Elie Girsowicz, Bettina Chenesseau, Emilie Bonnin, Mohamed-Zied Ghariani, Fabien Thaveau, Yannick Georg, Bernard Geny, Nabil Chakfe
OBJECTIVE: The aim of this study was to report outcomes of cryopreserved arterial allografts used as a vascular substitute in the setting of prosthetic material infection. METHODS: A retrospective analysis of prospectively collected data was conducted including all consecutive interventions performed with cryopreserved arterial allografts used for vascular reconstruction in the setting of prosthetic material infection between January 2005 and December 2014. Five year outcomes included allograft related re-interventions, survival, primary patency, and limb salvage rates...
November 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28892282/diabetic-foot-infection-antibiotic-therapy-and-good-practice-recommendations
#3
Nicholas D Barwell, Marion C Devers, Brian Kennon, Helen E Hopkinson, Claire McDougall, Matthew J Young, Hannah M A Robertson, Duncan Stang, Stephanie J Dancer, Andrew Seaton, Graham P Leese
BACKGROUND: Healthcare events related to diabetic foot disease carry a burden of morbidity, mortality and economic cost. Prompt identification of clinical infection with appropriate tissue sampling limits use of broad spectrum empirical antibiotics and improves antibiotic stewardship. Staphylococcus aureus remains the commonest infecting organism and high-dose flucloxacillin remains the empirical antibiotic of choice for antibiotic naïve patients. Barriers to microbe-specific treatment include: adequate tissue sampling, delays in culture results, drug allergies and the emergence of multidrug-resistant organisms which can complicate the choice of targeted antibiotics...
September 11, 2017: International Journal of Clinical Practice
https://www.readbyqxmd.com/read/28865981/randomized-clinical-trial-of-negative-pressure-wound-therapy-for-high-risk-groin-wounds-in-lower-extremity-revascularization
#4
Kevin Lee, Patrick B Murphy, Matthew V Ingves, Audra Duncan, Guy DeRose, Luc Dubois, Thomas L Forbes, Adam Power
OBJECTIVE: The surgical site infection (SSI) rate in vascular surgery after groin incision for lower extremity revascularization can lead to significant morbidity and mortality. This trial was designed to study the effect of negative pressure wound therapy (NPWT) on SSI in closed groin wounds after lower extremity revascularization in patients at high risk for SSI. METHODS: A single-center, randomized, controlled trial was performed at an academic tertiary medical center...
August 30, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28851596/2017-esc-guidelines-on-the-diagnosis-and-treatment-of-peripheral-arterial-diseases-in-collaboration-with-the-european-society-for-vascular-surgery-esvs
#5
Authors/Task Force Members, 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, Document Reviewers, Petr Widimsky, Philippe Kolh, Stefan Agewall, Héctor Bueno, Antonio Coca, Gert J De Borst, Victoria Delgado, Florian Dick, Cetin Erol, Marc Ferrini, Stavros Kakkos, Hugo A Katus, Juhani Knuuti, Jes Lindholt, Heinrich Mattle, Piotr Pieniazek, Massimo Francesco Piepoli, Dierk Scheinert, Horst Sievert, Iain Simpson, Jakub Sulzenko, Juan Tamargo, Lale Tokgozoglu, Adam Torbicki, Nikolaos Tsakountakis, José Tuñón, Melina Vega de Ceniga, Stephan Windecker, Jose Luis Zamorano
No abstract text is available yet for this article.
August 26, 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28533077/medical-management-of-claudication
#6
REVIEW
Elizabeth V Ratchford
Peripheral artery disease (PAD) is common and associated with significant morbidity and mortality. Optimal medical management of PAD is required for each patient, irrespective of the decision regarding lower extremity revascularization. The goals include reducing cardiovascular morbidity and mortality and improving quality of life. The approach should consist of aggressive and individualized risk factor modification including smoking cessation, antiplatelet therapy, a statin, and an angiotensin-converting enzyme inhibitor...
July 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28368090/bypass-surgery-for-chronic-lower-limb-ischaemia
#7
REVIEW
George A Antoniou, George S Georgiadis, Stavros A Antoniou, Ragai R Makar, Jonathan D Smout, Francesco Torella
BACKGROUND: Bypass surgery is one of the mainstay treatments for patients with critical lower limb ischaemia (CLI). This is the second update of the review first published in 2000. OBJECTIVES: To assess the effects of bypass surgery in patients with chronic lower limb ischaemia. SEARCH METHODS: For this update, the Cochrane Vascular Group searched its trials register (last searched October 2016) and the Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library (last searched Issue 9, 2016)...
April 3, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28359440/editor-s-choice-management-of-the-diseases-of-mesenteric-arteries-and-veins-clinical-practice-guidelines-of-the-european-society-of-vascular-surgery-esvs
#8
Writing Committee, M Björck, M Koelemay, S Acosta, F Bastos Goncalves, T Kölbel, J J Kolkman, T Lees, J H Lefevre, G Menyhei, G Oderich, Esvs Guidelines Committee, P Kolh, G J de Borst, N Chakfe, S Debus, R Hinchliffe, S Kakkos, I Koncar, J Sanddal Lindholt, M Vega de Ceniga, F Vermassen, F Verzini, Document Reviewers, B Geelkerken, P Gloviczki, T Huber, R Naylor
No abstract text is available yet for this article.
April 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28268108/relationship-between-clinical-outcomes-and-vessel-size-in-endovascular-therapy-for-femoropopliteal-lesions
#9
MULTICENTER STUDY
Seiichi Hiramori, Yoshimitsu Soga, Osamu Iida, Kenji Suzuki, Keisuke Hirano, Daizo Kawasaki, Yoshiaki Shintani, Kenji Ando
OBJECTIVE: We investigated the relationship between the outcomes of endovascular therapy (EVT) for femoropopliteal (FP) lesions and vessel diameter. Several studies have reported a relationship between the outcome of EVT for FP lesions and lesion characteristics. However, the relationship with vessel diameter has not been explored. METHODS: We retrospectively analyzed 2656 patients with 3340 de novo FP lesions (mean age, 73.9 ± 9 years; 70% male) who underwent EVT from January 2004 to December 2011...
June 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28291676/long-term-outcome-after-thrombolysis-for-acute-lower-limb-ischaemia
#10
O Grip, A Wanhainen, S Acosta, M Björck
OBJECTIVES: The purpose was to study long-term outcome after thrombolysis for acute arterial lower limb ischaemia, and to evaluate the results depending on the underlying aetiology of arterial occlusion. METHODS: This was a retrospective study of patients entered into a prospective database. Patients were identified in prospective databases from two vascular centres, including a large number of variables. Case records were analysed retrospectively. Through cross linkage with the Population Registry 100% accurate survival data were obtained...
June 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28258884/a-national-needs-assessment-to-identify-technical-procedures-in-vascular-surgery-for-simulation-based-training
#11
L J Nayahangan, L Konge, T V Schroeder, C Paltved, K G Lindorff-Larsen, B U Nielsen, J P Eiberg
OBJECTIVES AND BACKGROUND: Practical skills training in vascular surgery is facing challenges because of an increased number of endovascular procedures and fewer open procedures, as well as a move away from the traditional principle of "learning by doing." This change has established simulation as a cornerstone in providing trainees with the necessary skills and competences. However, the development of simulation based programs often evolves based on available resources and equipment, reflecting convenience rather than a systematic educational plan...
April 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28073668/drug-eluting-stenting-for-femoropopliteal-lesions-followed-by-cilostazol-treatment-reduces-stent-restenosis-in-patients-with-symptomatic-peripheral-artery-disease
#12
RANDOMIZED CONTROLLED TRIAL
Kan Zen, Mitsuyoshi Takahara, Osamu Iida, Yoshimitsu Soga, Daizo Kawasaki, Shinsuke Nanto, Hiroyoshi Yokoi, Satoaki Matoba
BACKGROUND: Cilostazol improves clinical endovascular therapy outcomes for femoropopliteal (FP) lesions in patients with symptomatic peripheral arterial disease, but whether it also has clinical benefits for patients after drug-eluting stent implantation remains unclear. METHODS: This study is a subanalysis of the ZilvEr PTX for tHe Femoral ArterY and Proximal Popliteal ArteRy (ZEPHYR) study, a prospective multicenter study investigating FP lesions treated with the Zilver (Cook Medical, Bloomington, Ind) paclitaxel-eluting stent...
March 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27871503/statin-use-in-patients-with-peripheral-arterial-disease
#13
REVIEW
Sheena K Harris, Matt G Roos, Gregory J Landry
BACKGROUND: Statins are recommended for use in patients with peripheral arterial disease (PAD) to reduce cardiovascular events and mortality. However, much of the data regarding benefits of statins stem from the cardiovascular literature. Here, we review the literature regarding statin use specifically in patients with PAD regarding its effects on cardiovascular events and mortality, limb-related outcomes, statin use after endovascular interventions, statin dosing, and concerns about statins...
December 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27707633/long-term-results-of-inframalleolar-bypass-for-critical-limb-ischaemia
#14
E Saarinen, P Kauhanen, M Söderström, A Albäck, M Venermo
INTRODUCTION: As the population ages and the incidence of diabetes increases, the expected number of patients with critical limb ischaemia (CLI) requiring distal revascularization will remain high or even increase. The aim of this study was to investigate the long-term results of inframalleolar bypass. MATERIAL AND METHODS: A total of 352 inframalleolar bypasses for CLI performed between 2002 and 2013 were included. Risk factors were evaluated and patency (both clinical and imaging based), leg salvage, survival, and amputation free survival (AFS) assessed...
December 2016: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/27142190/role-of-vitamin-k-antagonists-in-the-prevention-of-thrombotic-bypass-occlusion-after-infrainguinal-venous-bypass
#15
REVIEW
E Gándara, D Hammond, S Nagpal
CLINICAL VIGNETTE: Despite being the most common antithrombotic strategy in trials comparing venous with prosthetic grafts, the use of vitamin K antagonists (VKAs) to improve the outcome of venous bypass remains the subject of debate. In this systematic review, evidence supporting the use of VKAs for improving venous patency following infrainguinal venous bypass is provided. CLINICAL QUESTION: A 67 year old man with lifestyle limiting claudication underwent a successful infrainguinal venous bypass...
July 2016: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/27083242/vascular-operations-performed-by-cardiothoracic-surgeons-the-society-of-thoracic-surgeons-survey
#16
John S Ikonomidis, Niv Ad, Gabriel S Aldea, Michael Argenziano, Aubrey C Galloway, Robert C Hagberg, Robert L Kormos, Jennifer S Lawton, Tomislav Mihaljevic, T Brett Reece, Elaine E Tseng
BACKGROUND: Many cardiothoracic surgeons supplement their case volume through the performance of vascular surgical procedures. Information regarding this practice is not well defined. METHODS: In January of 2013, a survey was conducted of The Society of Thoracic Surgeons (STS) membership to assess the performance of vascular operations by cardiothoracic surgeons. RESULTS: The overall response rate was 8.7%. Of the surgeons practicing vascular surgery, 60% were aged 45 to 64 years and 92% were male...
August 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/26910203/endovascular-versus-open-revascularization-for-peripheral-arterial-disease
#17
Jason T Wiseman, Sara Fernandes-Taylor, Sandeep Saha, Jeffrey Havlena, Paul J Rathouz, Maureen A Smith, K Craig Kent
OBJECTIVE: The aim of this study was to determine whether endovascular or open revascularization provides an advantageous approach to symptomatic peripheral arterial disease (PAD) over the longer term. SUMMARY OF BACKGROUND DATA: The optimal revascularization strategy for symptomatic lower extremity PAD is not established. METHODS: We evaluated amputation-free survival, overall survival, and relative rate of subsequent vascular intervention after endovascular or open lower extremity revascularization for propensity-score matched cohorts of Medicare beneficiaries with PAD from 2006 through 2009...
February 22, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/26876343/relationship-of-intraoperative-transit-time-flowmetry-findings-to-angiographic-graft-patency-at-follow-up
#18
REVIEW
Sanaz Amin, Ana-Catarina Pinho-Gomes, David P Taggart
Early and late graft occlusion remains a significant complication of coronary artery bypass grafting. Transit time flowmetry is the most commonly used imaging technique to assess graft patency intraoperatively. Although the value of transit time flowmetry for intraoperative quality control of coronary anastomosis is well established, its standard variables for predicting eventual graft failure remain controversial. This review readdresses the issue of intraoperative transit time flowmetry, with a particular emphasis on defining cutoff values for standard variables and correlating them with the ability to predict midterm and long-term graft patency for arterial and venous conduits...
May 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/26860641/predictors-of-major-amputation-despite-patent-bypass-grafts
#19
RANDOMIZED CONTROLLED TRIAL
Ann D Smith, Alexander T Hawkins, Maria J Schaumeier, Marit S de Vos, Michael S Conte, Louis L Nguyen
OBJECTIVE: Despite patent vein bypass grafts, some patients with critical limb ischemia (CLI) receive major amputations. We analyzed the predictive factors leading to major amputation in the presence of patent lower extremity bypass (LEB) grafts. METHODS: Data from the Project of Ex-Vivo vein graft Engineering via Transfection III (PREVENT III), a large prospective randomized trial of 1404 patients who underwent LEB with vein graft for CLI, were queried for outcomes...
May 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26588994/early-post-operative-mortality-after-major-lower-limb-amputation-a-systematic-review-of-population-and-regional-based-studies
#20
REVIEW
J J van Netten, L V Fortington, R J Hinchliffe, J M Hijmans
OBJECTIVE: Lower limb amputation is often associated with a high risk of early post-operative mortality. Mortality rates are also increasingly being put forward as a possible benchmark for surgical performance. The primary aim of this systematic review is to investigate early post-operative mortality following a major lower limb amputation in population/regional based studies, and reported factors that might influence these mortality outcomes. METHODS: Embase, PubMed, Cinahl and Psycinfo were searched for publications in any language on 30 day or in hospital mortality after major lower limb amputation in population/regional based studies...
February 2016: European Journal of Vascular and Endovascular Surgery
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