Cirugia Cardiovascular最新文献

Cirugía clásica-abierta de las várices 传统开放式静脉曲张手术

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Cirugia Cardiovascular Pub Date : 2024-11-01 DOI: 10.1016/j.circv.2024.03.002

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Estado actual del tratamiento de los aneurismas de la aorta abdominal 腹主动脉瘤治疗现状

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Cirugia Cardiovascular Pub Date : 2024-11-01 DOI: 10.1016/j.circv.2024.06.001

Ivan García Martín

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Revisión de cirugía vascular periférica 外周血管外科回顾

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Cirugia Cardiovascular Pub Date : 2024-11-01 DOI: 10.1016/j.circv.2024.07.001

César A. Rodríguez Canedo, María Nuñez Sayar, Ander Ucelay Aristi, Alejandro Pontón Cortina

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Estudio de la insuficiencia venosa crónica 慢性静脉功能不全研究

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Cirugia Cardiovascular Pub Date : 2024-11-01 DOI: 10.1016/j.circv.2024.03.008

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Técnicas endovasculares en el tratamiento de la insuficiencia venosa superficial. Mecanismo de acción, procedimientos, indicaciones y efectos adversos 治疗浅静脉功能不全的血管内技术。作用机制、程序、适应症和不良反应。

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Cirugia Cardiovascular Pub Date : 2024-11-01 DOI: 10.1016/j.circv.2024.03.001

{"title":"Técnicas endovasculares en el tratamiento de la insuficiencia venosa superficial. Mecanismo de acción, procedimientos, indicaciones y efectos adversos","authors":"","doi":"10.1016/j.circv.2024.03.001","DOIUrl":"10.1016/j.circv.2024.03.001","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>Chronic venous disease is the most common entity of vascular pathology and varicose veins originating in the saphenous trunks can cause significant morbidity. Endovascular treatment offers significant advantages, being at least as effective as surgery.</div></div><div><h3>Methods</h3><div>Review of thermal (laser, radiofrequency, steam and microwave) and non-thermal (cyanoacrylate, ultrasound-guided foam and mechano-chemical) endovascular techniques in the treatment of superficial venous insufficiency based on existing literature and own experience.</div></div><div><h3>Results</h3><div>Throughout the article, each of the techniques, their mechanism of action and the commercial devices available with standard use procedures are described. Likewise, the usual postoperative period for each of them, precautions, contraindications, results described in the literature, and frequent and uncommon complications are detailed. After the description of the techniques, the results of endovascular techniques are compared with conventional surgery (high ligation/stripping) and endovascular techniques with each other. Finally, a guide is provided for selecting the best treatment based on the characteristics of the patient, its indications and known limitations, according to the latest clinical guidelines and reviews.</div></div><div><h3>Conclusions</h3><div>Endovascular treatment has become the current standard. Although thermoablative techniques are the first indication, non-thermal treatments are a good alternative depending on the clinical context and some such as cyanoacrylate may become first choice therapy in the future.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 6","pages":"Pages 267-286"},"PeriodicalIF":0.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141403561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Epidemiología, diagnóstico, clasificación e indicaciones quirúrgicas actuales de los aneurismas de la aorta toracoabdominal 胸腹主动脉瘤的流行病学、诊断、分类和当前手术适应症

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Cirugia Cardiovascular Pub Date : 2024-11-01 DOI: 10.1016/j.circv.2023.11.030

{"title":"Epidemiología, diagnóstico, clasificación e indicaciones quirúrgicas actuales de los aneurismas de la aorta toracoabdominal","authors":"","doi":"10.1016/j.circv.2023.11.030","DOIUrl":"10.1016/j.circv.2023.11.030","url":null,"abstract":"<div><div>Thoracoabdominal aortic aneurysms remain a challenge in cardiovascular surgery due to the complexity of the pathology, the invasiveness of surgical treatment required and common patient comorbidities. The prevalence, true and detected, of these aneurysms has increased due to increased life expectancy, improved diagnosis, and greater physician and patient awareness. They can trigger dissection or rupture, and half of all deaths are due to aortic rupture, even in aneurysms with diameters under 6cm. The goal of treatment is to reduce the risk of adverse aortic events, such as dissection, rupture, or aortic-related death. The timing of intervention requires careful evaluation of anatomic and risk factors for future events versus operative risks. Open surgery aims to replace the aneurysmal thoracoabdominal aortic segment with a prosthetic graft anastomosed to adjacent non-aneurysmal aortic tissues, whereas endovascular repair uses stent-grafts to exclude blood flow from the aneurysmal sac. The morbidity and mortality of open surgical repair are high, especially in patients with comorbidities, and include spinal cord ischemia and renal damage. Endovascular treatment has been developed as a less invasive alternative to open surgery, with promising results in reducing hospital mortality, but its use remains experimental. The choice of treatment requires a multidisciplinary assessment of the patient's risk factors and the anatomical characteristics of the aneurysm. Hybrid treatment, combining thoracic endovascular repair with (simultaneous or deferred) open abdominal surgery, has recently been proposed, but there is still limited experience and no robust evidence for improved outcomes.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"31 6","pages":"Pages 235-246"},"PeriodicalIF":0.3,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140467363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Estrategias en el tratamiento endovascular del aneurisma de aorta toracoabdominal 胸腹主动脉瘤的血管内治疗策略

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Cirugia Cardiovascular Pub Date : 2024-11-01 DOI: 10.1016/j.circv.2024.03.010

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Credits 荣誉

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Cirugia Cardiovascular Pub Date : 2024-11-01 DOI: 10.1016/S1134-0096(24)00176-1

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«Special Issues» en Cirugía Cardiovascular "心血管外科的特殊问题

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Cirugia Cardiovascular Pub Date : 2024-11-01 DOI: 10.1016/j.circv.2024.10.001