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Total 27983 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

Concomitant Vascular Compressive Syndromes: Median Arcuate Ligament Syndrome With Nutcracker Syndrome
This article describes the presentation and management of two vascular compressive syndromes occurring within the same patient. Median arcuate ligament syndrome (MALS) presents as chronic mesenteric ischemia secondary to compression of the celiac trunk by the median arcuate ligament. Treatment by surgical decompression can provide relief. Nutcracker syndrome presents as vague flank or pelvic pain along with hematuria. It occurs secondary to compression of the left renal vein (LRV) by the superior mesenteric artery (SMA).
Source: Journal of Vascular Surgery - August 22, 2014 Category: Surgery Authors: Sina Iranmanesh, Brittny W. Howell, John J. Ricotta Tags: Abstracts from the 2014 New England Society for Vascular Surgery/Eastern Vascular Society Joint 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

External iliac artery endofibrosis in an elite female endurance cyclist
We report the case of a 36-year-old professional female endurance cyclist who presented with lower extremity pain during training. Right external iliac artery endofibrosis was diagnosed and the patient underwent surgical treatment. At two-months follow-up, she reported significant improvement in symptoms. This case highlights the importance of diagnosing peripheral vascular disease in young patients and athletes, who do not fit the ordinary profile of patients with atherosclerotic risk factors.Resumo A endofibrose da art éria ilíaca externa é uma doença rara que afeta atletas de resistência (endurance) de nível compe...
Source: Jornal Vascular Brasileiro - April 28, 2021 Category: Surgery Source Type: research

Registered Nurses' Association of Ontario (RNAO) best practice guideline on the assessment and management of vascular access devices
CONCLUSION: The vascular access BPG provides high quality guidance and updated recommendations, and can serve as a primary resource for health providers assessing and managing VADs.PMID:37125815 | DOI:10.1177/11297298231169468
Source: The Journal of Vascular Access - May 1, 2023 Category: Surgery Authors: Christine Buchanan Amy Burt Nancy Moureau Darlene Murray Nafsin Nizum Source Type: research

Vascular surgical management of profunda femoris artery aneurysms: A single center experience
CONCLUSION: Pseudoaneurysms of the PFA are mostly iatrogenic in nature and can present with the triad of thigh swelling, bleeding, and unexplained anemia. If the clinical picture is suggestive of a PFA PSA but DUS does not detect a pseudoaneurysm, CT may be added as a more accurate imaging modality. Endovascular embolization is used in smaller pseudoaneurysms and in poor surgical candidates. Multiple glue, coil, or thrombin injections may be required to fully thrombose the pseudoaneurysm sac. True aneurysms of the PFA are associated with synchronous/asynchronous aneurysms and small TPFAAs should be carefully monitored, as ...
Source: Vascular - March 24, 2022 Category: Surgery Authors: George Elzawy Naomi Eisenberg Arash Jaberi Graham Roche-Nagle Source Type: research

Don't get in a flap!: A case report of progression through the spectrum of an acute aortic syndrome.
ConclusionThis case along with index images demonstrates the whole spectrum of the acute aortic syndrome from a solitary PAU to multiple PAUs with IMH extension. Despite an eventual clinical picture of an acute type B aortic dissection, there was a notable absence of a classical dissection flap on any imaging. We recommend that all aortic pathologies should be at least discussed with and preferably managed by vascular surgeons. The absence of a classical dissection flap on imaging is not a contra-indication to emergent treatment with thoracic stent grafting and in select patients is actually the only therapy that will trea...
Source: Vascular - January 31, 2014 Category: Surgery Authors: Choong AM, Das S, Mulrenan N, Hamady M, Bose P Tags: Vascular Source Type: research

Vascular Plumbing: A Visit to Mt. Sinai’s Cath Lab in Manhattan (w/video)
Dr. Prakash Krishnan snaking a catheter through the femoral artery to the site of the occlusion while wearing a ZeroGravity suit and using a Siemens fluoroscope. Minimally invasive interventions have opened a whole new way to treat a variety of cardi...
Source: Medgadget - July 2, 2013 Category: Technology Consultants Authors: Gene Ostrovsky Tags: Cardiac Surgery Cardiology Medgadget Exclusive Vascular Surgery Source Type: blogs

Patients' wishes, pregnancy and vascular access: When one size does not fit all.
Authors: Piccoli GB, Cabiddu G, Gallieni M Abstract Pregnancy in dialysis patients is a rare but important event that challenges our knowledge and demands re-thinking many aspects of our practice, including vascular access. This editorial briefly discusses some open questions on vascular access in this situation that challenge the motto 'fistula first' and underline the need for personalised approaches. Information on vascular access in pregnant women is scant. Different approaches may be considered between women on dialysis already on a well-functioning tunnelled catheter and newly placed catheters: while a tunnel...
Source: The Journal of Vascular Access - November 14, 2018 Category: Surgery Tags: J Vasc Access Source Type: research

Surgical management of vascular access related aneurysms to salvage dialysis access: case report and a systematic review of the literature.
CONCLUSIONS: Aggressive surgical management of VARAs is likely to become an acceptable procedure to salvage dialysis access and consistently maintain AVF or AVG function. PMID: 25451559 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - December 8, 2014 Category: Surgery Tags: J Vasc Access Source Type: research