DeckerMed Vascular and Endovascular Surgery最新文献_第4页

Principles and Techniques of Abdominal Access and Physiology of Pneumoperitoneum 腹部通路与气腹生理学原理与技术

DeckerMed Vascular and Endovascular Surgery Pub Date : 2018-11-29 DOI: 10.2310/anes.2203

J. Gould, K. Simon

引用次数: 2

Health Economics: National Health Expenditures 卫生经济学:国家卫生支出

DeckerMed Vascular and Endovascular Surgery Pub Date : 2018-10-15 DOI: 10.2310/surg.2404

B. Hall

引用次数: 0

Cardiac Arrhythmias, Acute Coronary Syndromes, and Heart Failure in the Surgical Patient 心律失常，急性冠状动脉综合征，心脏衰竭在外科病人

DeckerMed Vascular and Endovascular Surgery Pub Date : 2018-08-20 DOI: 10.2310/surg.8003

G. Franklin, Amirreza T. Motameni, J. Walker

{"title":"Cardiac Arrhythmias, Acute Coronary Syndromes, and Heart Failure in the Surgical Patient","authors":"G. Franklin, Amirreza T. Motameni, J. Walker","doi":"10.2310/surg.8003","DOIUrl":"https://doi.org/10.2310/surg.8003","url":null,"abstract":"Cardiac arrhythmias and events, such as acute coronary syndrome and acute decompensated heart failure, are becoming increasingly common with an aging population. Much is written regarding the evaluation and management of these conditions in the cardiac and vascular patient populations; however, there is less literature to discuss the management strategies in the critically ill noncardiac postoperative and polytrauma patients. Factors such as physiologic stress, electrolyte imbalances, neurologic derangement, infection, and massive fluid shifts create an environment that promotes cardiopulmonary instability. Appropriate recognition of cardiac arrhythmias, acute coronary syndromes, and heart failure coupled with accurate and timely intervention can reduce morbidity and mortality in these patients. This review discusses the assessment and management of cardiac tachy- and brady-arrhythmias, acute coronary syndromes, and acute decompensated heart failure in the surgical patient. This review contains 4 figures, 5 tables and 45 references Key Words: acute coronary syndrome, angina, arrhythmia, bradycardia, cardiac ischemia, dieresis, fluid overload, heart failure, infarction, tachycardia","PeriodicalId":413935,"journal":{"name":"DeckerMed Vascular and Endovascular Surgery","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134214647","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

Endovascular Procedures For Lower Extremity Vascular Disease: Specifics of Endovascular Treatment 下肢血管疾病的血管内手术:血管内治疗的特点

DeckerMed Vascular and Endovascular Surgery Pub Date : 2018-08-16 DOI: 10.2310/surg.2388

L. Jayakumar, M. Davies

引用次数: 0

Aortic Dissection 主动脉夹层

DeckerMed Vascular and Endovascular Surgery Pub Date : 2018-08-03 DOI: 10.2310/vasc.3038

K. Orion, James H Black Iii

引用次数: 0

Renovascular Hypertension and Stenosis 肾血管性高血压和狭窄

DeckerMed Vascular and Endovascular Surgery Pub Date : 2018-08-03 DOI: 10.2310/vasc.3042

J. Modrall

{"title":"Renovascular Hypertension and Stenosis","authors":"J. Modrall","doi":"10.2310/vasc.3042","DOIUrl":"https://doi.org/10.2310/vasc.3042","url":null,"abstract":"Renal artery stenosis (RAS) may present clinically as an incidental radiographic finding in an asymptomatic patient, or it may be the etiology of renovascular hypertension or ischemic nephropathy. Incidental RAS should be treated medically. The available clinical trial data suggest that medical management is the primary treatment for presumed renovascular hypertension. Renal artery stenting should be reserved for patients who fail medical therapy. When renal artery stenting is contemplated for presumed renovascular hypertension or ischemic nephropathy, clinical studies suggest that there are clinical predictors of outcomes that may be useful in identifying patients with a higher probability of a favorable clinical response to stenting. Clinical predictors of a favorable blood pressure response to renal artery stenting include (1) a requirement of four or more antihypertensive medications, (2) preoperative diastolic blood pressure greater than 90 mm Hg, and (3) preoperative clonidine use. The only clinical predictor of improved renal function with stenting is the rate of decline of estimated glomerular filtration rate (eGFR) in the weeks prior to stenting. Patients with a more rapid decline in eGFR have a higher probability of improved renal function after stenting compared with those with relatively stable eGFR prior to stenting. Finally, surgical renal artery revascularization remains a viable option but is usually reserved for younger, fit patients with unfavorable anatomy for stenting. Pediatric renovascular disease responds poorly to endovascular therapy and requires a surgical plan to address both renal artery stenoses and concomitant abdominal aortic coarctation if present. Renal artery stenosis in pediatric patients is best treated with reimplantation of the renal artery or interposition grafting using the autogenous internal iliac artery as a conduit. \u0000This review contains 39 references, 15 figures, and 3 tables.\u0000Key Words: chronic kidney disease, hypertension, renal artery stenosis, renovascular, stenting","PeriodicalId":413935,"journal":{"name":"DeckerMed Vascular and Endovascular Surgery","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123474055","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

Basic Concepts of Anesthesia 麻醉基本概念

DeckerMed Vascular and Endovascular Surgery Pub Date : 2018-07-16 DOI: 10.2310/vasc.2220

George P. Yang, P. Pandya

引用次数: 0

Splenectomy 脾切除术

DeckerMed Vascular and Endovascular Surgery Pub Date : 1900-01-01 DOI: 10.2310/surg.2082

B. Oommen, K. Kercher, B. T. Heniford, Ian A. Villanueva

引用次数: 0