Vascular Access Surgery - Tips and Tricks最新文献

Vascular Access Management for Haemodialysis: A Value-Based Approach from NephroCare Experience 血液透析的血管通路管理:从肾脏护理经验的价值为基础的方法

Vascular Access Surgery - Tips and Tricks Pub Date : 2019-04-03 DOI: 10.5772/INTECHOPEN.84987

B. Canaud, P. Ponce, M. Parisotto, E. Busink, C. Apel, J. Rammo, S. Stuard

{"title":"Vascular Access Management for Haemodialysis: A Value-Based Approach from NephroCare Experience","authors":"B. Canaud, P. Ponce, M. Parisotto, E. Busink, C. Apel, J. Rammo, S. Stuard","doi":"10.5772/INTECHOPEN.84987","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.84987","url":null,"abstract":"A good functioning vascular access (VA) is a prerequisite to obtain a successful dialysis treatment. This chapter reviews VA management in advanced chronic kidney disease (CKD) patients drawn from the experience of a large network dialysis care provider with the following sections: overview on VA management in advanced CKD that follows patient pathway and patient profile, current practice patterns in line with best clinical practices; VA creation addressing crucial themes: when and what type of VA to construct, how to assess patient pre-emptively, how to proceed for the construction and monitoring to prevent early failures and complications; VA management with particular focus on clinical monitoring, surveillance and interventional procedures required to preserve patency and functionality of VA; the often-forgotten patient perspective is VA usage. What information to share, how to proceed for preventing pain, and fears related with VA needling? What should patients know about their VA and how to manage in daily life? Competences, skills and responsibilities of nursing staff when using and managing VA; and future of VA in terms of innovative concept for creating and maintaining VA conduits in dialysis patients.","PeriodicalId":315025,"journal":{"name":"Vascular Access Surgery - Tips and Tricks","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125161401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Different Sites of Vascular Access for Transcutaneous Aortic Valve Implantation (TAVI) 经皮主动脉瓣植入术血管通路的不同部位

Vascular Access Surgery - Tips and Tricks Pub Date : 2019-03-01 DOI: 10.5772/INTECHOPEN.84533

Mohd. Shahbaaz Khan

{"title":"Different Sites of Vascular Access for Transcutaneous Aortic Valve Implantation (TAVI)","authors":"Mohd. Shahbaaz Khan","doi":"10.5772/INTECHOPEN.84533","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.84533","url":null,"abstract":"Aortic valve stenosis is a common valvular heart disease and its incidence is increasing day by day as the life expectancy is increasing gradually. It can be of congenital or acquired variety but in old ages aortic stenosis is acquired mostly and main reasons rheumatic heart disease or senile calcification of aortic valve. Aortic valve replacement with mechanical tissue valves is the surgical management of aortic valve stenosis but some of the patients are not suitable for the surgery based on their physical status and associated comorbidities. These patients are high risk for surgical complications or they have prohibitive risks for surgery. Transcutaneous aortic valve implantation is the new technique developed to implanting aortic valve mostly without opening the sternum and without using cardiopulmonary bypass machine. This procedure is mostly done via transfemoral access but in case of contraindications to use femoral artery for access some other different accesses are used to implant the aortic valve, that is, transsubclavian/transaxillary access, transapical access, transaortic access, transcarotid and transcaval accesses. In this chapter we are going to discuss all accesses in details.","PeriodicalId":315025,"journal":{"name":"Vascular Access Surgery - Tips and Tricks","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115457062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Endovascular Aortic Aneurysm Repair in Patients with Aortoiliac Occlusive Disease 主动脉髂闭塞性疾病患者的血管内动脉瘤修复

Vascular Access Surgery - Tips and Tricks Pub Date : 2019-02-08 DOI: 10.5772/INTECHOPEN.83848

Kevin D. Mangum, A. Fereydooni, Naiem Nassiri

{"title":"Endovascular Aortic Aneurysm Repair in Patients with Aortoiliac Occlusive Disease","authors":"Kevin D. Mangum, A. Fereydooni, Naiem Nassiri","doi":"10.5772/INTECHOPEN.83848","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.83848","url":null,"abstract":"Although endovascular aortic aneurysm repair (EVAR) has become an attrac-tive, minimally invasive option for patients with abdominal aortic aneurysms (AAA), significant challenges in arterial access exist in patients with concomitant aortoiliac occlusive disease (AIOD), particularly for more advanced TASC C and D lesions. Under these circumstances, endograft delivery is possible but requires extensive preoperative planning and intraoperative techniques including but not limited to surgical conduit creation, plain balloon angioplasty, endoconduit placement, and subintimal recanalization. Newer generation aortic endografts have also shown promise in accommodating compromised access vessels. Concomitant AIOD and compromised access vessels complicate EVAR and increase operative time and complexity. Therefore, extreme caution, meticulous preoperative planning, familiarity and facility with the various surgical and endovascular options needed to circumvent these obstacles are essential for safe and effective delivery of EVAR in this high-risk subset of patients. The purpose of this chapter is to present standard approaches for access in patients undergoing EVAR; discuss how advanced AIOD precludes routine access; and present various methods to overcome difficult access in patients undergoing EVAR.","PeriodicalId":315025,"journal":{"name":"Vascular Access Surgery - Tips and Tricks","volume":"292 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115326404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pathogenesis and Prevention of Vascular Access Failure 血管通路衰竭的发病机制及预防

Vascular Access Surgery - Tips and Tricks Pub Date : 2019-01-28 DOI: 10.5772/INTECHOPEN.83525

Rebecca Hudson, David W. Johnson, A. Viecelli

引用次数: 4

Promising Role of Vascular Endothelial Growth Factor-A in Risk Stratification after PCI 血管内皮生长因子- a在PCI术后危险分层中的重要作用

Vascular Access Surgery - Tips and Tricks Pub Date : 2019-01-09 DOI: 10.5772/INTECHOPEN.82712

Olga V. Petyunina, Mykola P. Kopytsya, Iurii S. Rudyk, Ganna S. Isayeva

{"title":"Promising Role of Vascular Endothelial Growth Factor-A in Risk Stratification after PCI","authors":"Olga V. Petyunina, Mykola P. Kopytsya, Iurii S. Rudyk, Ganna S. Isayeva","doi":"10.5772/INTECHOPEN.82712","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.82712","url":null,"abstract":"Vascular endothelial growth factor-A (VEGF-A), dimeric glycoprotein, is a potent endothelial cell-specific mitogen which plays a key role in angiogenesis, espe-cially in response to ischemia. Biomarkers reflect various pathophysiological faces of spherical LV transformation that related to myocardial stress due to persisted ischemia, fibrosis, and inflammation, and they may be helpful to improve risk stratification, more personalized medical approach for creating of individual medical care for HF preventing and adjusted treatment after STEMI. VEGF-A decrease ≤ 172.4 pg./ ml on the 7th day of STEMI allows to prognose after infarction angina after 6-month observation (area under curve (AUC) 0.697, with sensitivity 88.9% and specificity 50.9%; 95% CI 0.567–0.807, P = 0.0515). Anxiety and depression 10–14 days before MI associated with VEGF-A level decrease (anxiety (Taylor): OR 0.834, 95% C І 0.726–0.959, Р = 0.0107; depression (HADS): OR 0.741, 95% C І 0.535–1.027, Р = 0.0519. Cut-off VEGF-A level ≤ 201.86 pg./ml on the 7th day of STEMI (AUC 0.711, sensitivity 85.7% and specificity 57.9%; 95% C І 0.513–0.908, Р = 0.036) was effective for prognosis of dysadaptive left ventricular remodeling in STEMI patients after 6-month observation period. These findings may open new approach to stratify patients with successful coronary revascularization at risk of HF.","PeriodicalId":315025,"journal":{"name":"Vascular Access Surgery - Tips and Tricks","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123994821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2