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Total 22493 results found since Jan 2013.
The Society for Vascular Surgery Lower Extremity Threatened Limb Classification System: Risk stratification based on Wound, Ischemia, and foot Infection (WIfI)
Critical limb ischemia, first defined in 1982, was intended to delineate a subgroup of patients with a threatened lower extremity primarily because of chronic ischemia. It was the intent of the original authors that patients with diabetes be excluded or analyzed separately. The Fontaine and Rutherford Systems have been used to classify risk of amputation and likelihood of benefit from revascularization by subcategorizing patients into two groups: ischemic rest pain and tissue loss. Due to demographic shifts over the last 40 years, especially a dramatic rise in the incidence of diabetes mellitus and rapidly expanding techn...
Source: Journal of Vascular Surgery - October 14, 2013 Category: Surgery Authors: Joseph L. Mills, Michael S. Conte, David G. Armstrong, Frank B. Pomposelli, Andres Schanzer, Anton N. Sidawy, George Andros, Society for Vascular Surgery Lower Extremity Guidelines Committee Tags: Society for Vascular Surgery® document Source Type: research
The role of vascular echography in the management of complications associated with central venous access for hemodialysis in cancer patients: two case reports and literature review
Resumo O implante de cateter venoso central para hemodi álise é comumente realizado em grandes centros e suas complicações estão, por vezes, associadas ao treinamento insuficiente de quem o realiza, mas também às condições clínicas do próprio doente. O presente estudo relata dois casos de intercorrências relacionadas ao uso do cateter de curt a permanência para hemodiálise. No primeiro caso, houve inserção inadvertida da cânula na artéria subclávia esquerda e consequente trombose arterial, que foi conduzida conservadoramente, documentando-se uma boa perfusão colateral com ecografia vascular. O segundo c...
Source: Jornal Vascular Brasileiro - October 11, 2018 Category: Surgery Source Type: research
Transradial approach for challenging vascular access interventions.
CONCLUSION: The transradial approach for vascular access endovascular interventions is technically feasible and safe. It allows simultaneous treatment of peri-anastomotic lesions in fistulas with complex venous anatomy as well as lesions in the arterial inflow and central outflow.
PMID: 25248384 [PubMed - as supplied by publisher]
Source: Vascular - September 23, 2014 Category: Surgery Authors: Rahmatzadeh M, Vijayan V, Ritter CJ, Hockley J, Leong BD, Sandford M, Mwipatayi BP Tags: Vascular Source Type: research
Use of Vascular Shunts in Unstable Lower Extremity Trauma Patients
We present a case of a 25-year-old male with gunshot to both lower extremities who was unstable at the time of admission. Bilateral superficial femoral arter and femoral vein injuries were found on exploration. Since the patient was unstable due to massive bleeding, vascular continuity was restored using argyle shunts in all vessels. Shunts were secured using vessel loops. After control of bleeding, the patient was started on heparin. Patient was taken to the intensive care unit for resuscitation. The patient was brought back to the operating room 24 hours later, and bilateral superficial femoral arteries and femoral veins...
Source: Journal of Vascular Surgery - October 28, 2013 Category: Surgery Authors: Shoaib Shafique Tags: Abstracts from the 2013 Midwestern Vascular Surgical Society Annual Meeting Source Type: research
Evaluation of Near-Instant Noninvasive Optical Imaging of Tissue Perfusion for Vascular Assessment
Noninvasive vascular tests are critical for identifying patients who would benefit from surgical revascularization, yet are highly limited in diabetic patients. This case study evaluated the potential of spatial frequency domain imaging (SFDI) as a noninvasive vascular testing modality for lower limb assessment.
Source: Journal of Vascular Surgery - August 22, 2017 Category: Surgery Authors: Craig Weinkauf, Kairavi Vaishnav, Brain Hoang, Amaan Mazhar, David J. Cuccia, David G. Armstrong Tags: Abstract from the 2017 Western Vascular Society Annual Meeting Source Type: research
Strategy of advanced renal protection during open repair of thoraco-abdominal aortic aneurysms: a new solution of perfusion, direct stenting and bypass with Gore hybrid vascular grafts
To present a monocentric experience of a new surgical approach of advanced renal protection (ARP) including renal perfusion with a cold crystalloid solution enriched with histidine-tryptophan-ketoglutarate (Custodiol), routine associated peroperative renal stenting in presence of a renal artery stenosis, and selective use of the Gore Hybrid Vascular Graft - WL Gore and Associates, Flagstaff, Arizona (GHVG) to carry out an anastomosis without suture on the renal arteries.
Source: Annals of Vascular Surgery - September 20, 2017 Category: Surgery Authors: Yamume Tshomba, Andrea Kahlberg, Luca Bertoglio, Domenico Baccellieri, Germano Melissano, Roberto Chiesa Tags: Abstracts Presented to the French Vascular Surgery Society Source Type: research
The Society for Vascular Surgery Wound, Ischemia, and foot Infection Classification Predicts Wound Healing Better Than Angiosome-Directed Perfusion in Neuroischemic Diabetic Foot Wounds
Previous studies have shown conflicting results in the wound healing outcomes based on angiosome-directed perfusion, but none have adjusted for wound characteristics. We have previously shown that the Society for Vascular Surgery Wound, Ischemia, and foot Infection (WIfI) classification correlates with wound healing in neuroischemic diabetic foot ulcers (DFUs) treated by a multidisciplinary team. The aim of this study was to compare WIfI classification vs angiosome-directed perfusion as a predictor of wound healing in patients presenting with DFU and peripheral arterial disease (PAD).
Source: Journal of Vascular Surgery - September 21, 2017 Category: Surgery Authors: M. Libby Weaver, Joseph K. Canner, Caitlin W. Hicks, Ronald L. Sherman, Kathryn F. Hines, Nestoras Mathioudakis, James H. Black, Christopher J. Abularrage Tags: Abstract from the 2017 Eastern Vascular Society Annual Meeting Source Type: research
Global vascular guidelines on the management of chronic limb-threatening ischemia
Chronic limb-threatening ischemia (CLTI) is associated with mortality, amputation, and impaired quality of life. These Global Vascular Guidelines (GVG) are focused on definition, evaluation, and management of CLTI with the goals of improving evidence-based care and highlighting critical research needs. The term CLTI is preferred over critical limb ischemia, as the latter implies threshold values of impaired perfusion rather than a continuum. CLTI is a clinical syndrome defined by the presence of peripheral artery disease (PAD) in combination with rest pain, gangrene, or a lower limb ulceration>2 weeks duration.
Source: Journal of Vascular Surgery - May 28, 2019 Category: Surgery Authors: Michael S. Conte, Andrew W. Bradbury, Philippe Kolh, John V. White, Florian Dick, Robert Fitridge, Joseph L. Mills, Jean-Baptiste Ricco, Kalkunte R. Suresh, M. Hassan Murad, GVG Writing Group Joint guidelines of the Society for Vascular Surgery, European Tags: Clinical practice guideline document Source Type: research
Analysis of risk factors related to minor and major lower limb amputations at a tertiary hospital
Conclusions Lower limb amputations at different levels are related to different risk factors. Ischemia of greater severity and morbidity was associated with major amputations, while neuropathy and preserved perfusion were more often related to minor amputations.
Source: Jornal Vascular Brasileiro - May 9, 2017 Category: Surgery Source Type: research
Comparison of supra-arch in situ fenestration and chimney techniques for aortic dissection involving the left subclavian artery.
Conclusion Although there were previous studies describing the similar techniques, this study appears to be the first study to compare in situ fenestration and chimney techniques for aortic dissection involving the left subclavian artery according to the MEDLINE search. Although we are unable to establish the superiority between two approaches due to small sample size and relative short period of follow-up, in situ fenestration may represent a more favorable option, especially among aortic dissections with short proximal landing zones in the study.
PMID: 30319067 [PubMed - as supplied by publisher]
Source: Vascular - October 14, 2018 Category: Surgery Authors: XiaoHui M, Li W, Wei G, XiaoPing L, Xin J, Hongpeng Z, Lijun W Tags: Vascular Source Type: research
Extracorporeal sheath shunt technique in trauma: A different vascular shunt in civilian trauma
Conclusion: In the presented cases, this technique reduced time of shunt construction by avoiding artery surgical approach. This technique can facilitate the creation of an intravascular shunt among other than vascular surgeons.PMID:33761809 | DOI:10.1177/17085381211001170
Source: Vascular - March 25, 2021 Category: Surgery Authors: Lu ís F Antunes Mafalda Botelho Manuel Fonseca Source Type: research
