Journal of Vascular Nursing最新文献

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IF 1
Journal of Vascular Nursing Pub Date : 2024-03-01 DOI: 10.1016/S1062-0303(24)00015-3
{"title":"Information for readers","authors":"","doi":"10.1016/S1062-0303(24)00015-3","DOIUrl":"https://doi.org/10.1016/S1062-0303(24)00015-3","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030324000153/pdfft?md5=69244d6250c8d6f10274e18e3b57e44a&pid=1-s2.0-S1062030324000153-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140321559","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}
引用次数: 0
Effectiveness of herbal drug Terminalia Arjuna in chronic venous insufficiency - A prospective observational study 草药 Terminalia Arjuna 对慢性静脉功能不全的疗效 - 一项前瞻性观察研究
IF 1
Journal of Vascular Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.jvn.2023.11.009
KM Pratap Shankar , V. Ashwathykutty
{"title":"Effectiveness of herbal drug Terminalia Arjuna in chronic venous insufficiency - A prospective observational study","authors":"KM Pratap Shankar ,&nbsp;V. Ashwathykutty","doi":"10.1016/j.jvn.2023.11.009","DOIUrl":"10.1016/j.jvn.2023.11.009","url":null,"abstract":"<div><h3>Introduction</h3><p>Chronic venous insufficiency (CVI) manifests in various clinical presentations ranging from asymptomatic but cosmetic problems to severe symptoms, such as lower limb edema, skin trophic changes, and ulceration. CVI substantially affects the quality of life and work productivity of the patients. Ayurveda, an ancient traditional medicine in India, evaluates the various pathological stages of CVI with a wide range of pathological conditions such as <em>Siragranthi</em> (venous abnormalities), <em>Raktavaritavāta</em> (disorders of <em>vāta</em> occluded by <em>rakta</em> ∼ blood), <em>ApanaVaigunya</em> (vitiated <em>apānavāyu</em>), <em>Arsha</em> (hemorrhoids), <em>VataRakta</em> (rheumatism due to <em>rakta</em>)<em>, Kushtha</em> (integumentary disease) and <em>Dushta Vrana</em> (putrefied wound) depending upon the presentations of the patient. Ayurvedic texts mention <em>Terminalia arjuna</em> as a potential herb for treating various conditions related to the circulatory system. The drug is an effective anti-inflammatory, anti-oxidant, and anti-hypertensive and has a definite role in improving cardiovascular hemodynamics and wound healing. These attributes suggest that the potential of <em>Terminalia arjuna</em> needs to be explored as a promising venoactive drug.</p></div><div><h3>Methods</h3><p>This prospective observational study included 25 patients (31 limbs) with CVI who were treated with Tab <em>Terminalia arjuna</em> (Bark extract of <em>Terminalia arjuna</em> in a dose of 500 mg, given twice a day) and were observed on two visits on day 30 and day 90. Follow-up was carried out for three months to evaluate post-treatment complications or adverse effects. The clinical outcome assessment was done using Venous Clinical Severity Score (VCSS), and clinical grading was performed using clinical classification (C0 – C6) of CEAP (Clinical–Etiology–Anatomy–Pathophysiology) classification.</p></div><div><h3>Results</h3><p>The median VCSS score (of both limbs) during the third visit was comparatively lower than the first, with a statistically significant improvement at 0.05 level. Further, there was a substantial positive improvement in the clinical classification of CEAP among the patients in pre and post treatment phase.</p></div><div><h3>Conclusion</h3><p>The prospective observational study shows that Tab <em>Terminalia arjuna</em> is safe and effective in CVI, reducing the symptoms like pain, edema, inflammation, pigmentation, induration and also expediting ulcer healing.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030323000936/pdfft?md5=c16c4ff9c53e183400f1284bcf97258a&pid=1-s2.0-S1062030323000936-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139393401","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}
引用次数: 0
The need for iliac vein stenting in women of child bearing age and the compatibility of iliac vein stents in pregnancy 育龄妇女对髂静脉支架的需求以及妊娠期髂静脉支架的兼容性
IF 1
Journal of Vascular Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.jvn.2024.02.007
Patricia K. Bozeman APRN , Emily Russo BS , Mary O. Whipple PhD, RN
{"title":"The need for iliac vein stenting in women of child bearing age and the compatibility of iliac vein stents in pregnancy","authors":"Patricia K. Bozeman APRN ,&nbsp;Emily Russo BS ,&nbsp;Mary O. Whipple PhD, RN","doi":"10.1016/j.jvn.2024.02.007","DOIUrl":"https://doi.org/10.1016/j.jvn.2024.02.007","url":null,"abstract":"","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030324000104/pdfft?md5=dde7064ff83044acbf8e61395d5b5c7f&pid=1-s2.0-S1062030324000104-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140321084","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}
引用次数: 0
First pill hardest to swallow: An evaluation study of cardiovascular nurse-led follow-up phone calls 第一颗药丸最难下咽心血管病护士主导的电话随访评估研究
IF 1
Journal of Vascular Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.jvn.2023.11.007
Helen Gräs Højgaard MSc(Nursing), RN , Kirsten Frederiksen PhD, MEd, RN , Annette Langager Høgh PhD, MD , Marie Dahl PhD, MSc(Nursing), RN
{"title":"First pill hardest to swallow: An evaluation study of cardiovascular nurse-led follow-up phone calls","authors":"Helen Gräs Højgaard MSc(Nursing), RN ,&nbsp;Kirsten Frederiksen PhD, MEd, RN ,&nbsp;Annette Langager Høgh PhD, MD ,&nbsp;Marie Dahl PhD, MSc(Nursing), RN","doi":"10.1016/j.jvn.2023.11.007","DOIUrl":"10.1016/j.jvn.2023.11.007","url":null,"abstract":"<div><h3>Introduction</h3><p>Screening for cardiovascular disease (CVD) followed by preventive medication is expected to reduce CVD (2,3,5). However, insufficient medication adherence may affect screening effectiveness (11-12). It remains uncertain which interventions are suitable to support citizens in their decision-making about taking CVD preventive medication.</p></div><div><h3>Objective</h3><p>We evaluated <em>if</em> and <em>how</em> three nurse-led telephone follow-up (TFU) calls supported citizens in making informed decisions regarding CVD preventive medication and thereby potentially strengthened their medication adherence.</p></div><div><h3>Methods</h3><p>Employing a theory-based evaluation design inspired by Dahler-Larsen (39-41), we developed and tested a programme theory describing <em>if</em> and <em>how</em> the TFU calls supported medical decision-making and potentially improved medication adherence. Data were collected via telephone.</p></div><div><h3>Findings</h3><p>We analysed 61 TFU calls collected between May 2017 and April 2019 and found that TFU calls supported participants’ reflections on preventive medication. TFU calls supported informed decision-making regarding initiating medication, allowing participants to consider personal preferences and values, including both opting for and abstaining from medication. The content of the TFU calls revolved around four crucial themes: I) understanding the purpose of taking the medicine; II) meaningfulness and joint reflection support the decision; III) relation to healthcare professionals; and IV) taking medication for the first time.</p></div><div><h3>Conclusion</h3><p>TFU calls effectively supported citizens' understanding and addressed their needs. Trusted healthcare professionals' recommendations were preferred for decisional support. Initiating CVD preventive medication was particularly challenging for citizens who had not previously taken such medication. We recommend scheduling TFU calls early: the first after one week, the second after one month and the third after six months.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S106203032300095X/pdfft?md5=deb37430f27e14c69be974fc53571931&pid=1-s2.0-S106203032300095X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139013891","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}
引用次数: 0
Effectiveness of early cognitive exercise intervention on improvement cognitive function of stroke patients in the acute phase 早期认知运动干预对改善中风患者急性期认知功能的效果
IF 1
Journal of Vascular Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.jvn.2023.11.010
Nurcaya , Rosyidah Arafat , Elly L. Sjattar
{"title":"Effectiveness of early cognitive exercise intervention on improvement cognitive function of stroke patients in the acute phase","authors":"Nurcaya ,&nbsp;Rosyidah Arafat ,&nbsp;Elly L. Sjattar","doi":"10.1016/j.jvn.2023.11.010","DOIUrl":"10.1016/j.jvn.2023.11.010","url":null,"abstract":"<div><p>The purpose of this study was to assess the efficacy of early cognitive training in enhancement of cognitive function in stroke patients. This research used a quasi-experimental design, 45 patients were divided into two groups, and sequential sampling was employed. The experimental group (n = 22) received two weeks of early cognitive training six times per week, whereas the control group (n = 23) received regular hospital care. The Indonesian version of the Montreal Cognitive Assessment was used to evaluate cognitive function (MoCA-Ina). On the second day of therapy, pre-test data were taken, and post-test data were gathered after the intervention. Statistical test outcomes The MoCA-Ina score changed considerably between the intervention and control groups (p = 0.000 and p = 0.003, respectively). Several tests determined that the score was p = 0.017; the score after the intervention was substantially different between the two groups. It means cognitive function improves after exercise in the acute phase<em>.</em></p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030323000997/pdfft?md5=e9017e1a790140158e56854504ee0243&pid=1-s2.0-S1062030323000997-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139023633","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}
引用次数: 0
Gujarati translation, validity and reliability of Walking Impairment Questionnaire in people with intermittent claudication due to peripheral artery disease 外周动脉疾病间歇性跛行患者步行障碍问卷的古吉拉特语翻译、有效性和可靠性
IF 1
Journal of Vascular Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.jvn.2023.11.003
Darshana Naiyra , Megha Nishith Gohil , Hetshri Shah , Dr Manish Raval , Lindsay Mary Bearne
{"title":"Gujarati translation, validity and reliability of Walking Impairment Questionnaire in people with intermittent claudication due to peripheral artery disease","authors":"Darshana Naiyra ,&nbsp;Megha Nishith Gohil ,&nbsp;Hetshri Shah ,&nbsp;Dr Manish Raval ,&nbsp;Lindsay Mary Bearne","doi":"10.1016/j.jvn.2023.11.003","DOIUrl":"10.1016/j.jvn.2023.11.003","url":null,"abstract":"<div><h3>Introduction</h3><p>The Walking Impairment Questionnaire (WIQ) is a common and easy-to-use assessment of walking incapacity in people with claudication due to peripheral artery disease (PAD). It has four subscales: pain severity, walking distance, walking speed, and ability to climb stairs. It has not been translated into Gujarati, which limits its use in Indian subjects.</p></div><div><h3>Aim</h3><p>This study aims to translate and assess the validity and reliability of a Gujarati version of WIQ.</p></div><div><h3>Materials and Methods</h3><p>This study had three phases: 1. Forward and backward translation and Cultural adaptation of WIQ into the Gujarati language by two independent translators, 2. Face and content validation by six clinical reviewers and 10 participants with PAD and Type II diabetes, 3. Concurrent and construct validity, test-retest reliability, and internal consistency of Gujarati, the WIQ was assessed on 160 participants with PAD and Type II diabetes who had a mean Ankle Brachial Index (standard deviation) &lt;0.40 (0.1). The concurrent and construct validity of the WIQ was analyzed by correlating the WIQ distance and speed score with 6-minute walk distance (6MWD) and speed and WIQ total score with the Medical Outcome Study Questionnaire Short Form 36 (SF-36) score using Pearson's correlation coefficient. Test-retest reliability was analyzed using an intraclass correlation coefficient (ICC) with a seven-day interval between two questionnaire applications. Internal consistency of the total WIQ score was determined using Cronbach's alpha.</p></div><div><h3>Results</h3><p>Following translation, the Gujarati WIQ was considered acceptable and understandable by people with PAD. There was excellent correlation between the WIQ distance score and 6-minute walk test distance (<em>r</em> = 0.95, <em>P</em> &lt; .05)) , the WIQ speed score and 6-minute walk test speed score (<em>r</em> = 0.89, <em>P</em> &lt; .05)) and the Gujarati WIQ total score and total score of physical functioning domain of SF- 36 (r = 0.99, <em>P</em> &lt; .05). There was excellent test-retest reliability over 7 days for total WIQ score (ICC = 0.94). The Cronbach's alpha for internal consistency of 0.97 for total WIQ score were excellent. This demonstrates the sufficient homogeneity of the total questionnaire.</p></div><div><h3>Conclusion</h3><p>The Gujarati version of the WIQ is reliable and valid and can be used to assess self-reported walking impairment in Gujarati-speaking people with PAD and Type II Diabetes.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030323000924/pdfft?md5=659522a1b2275b5c8e7ca36b178a7c5e&pid=1-s2.0-S1062030323000924-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138627594","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}
引用次数: 0
Implementation of the Caprini risk assessment model (RAM) in surgical patients to decrease postsurgical venous thromboembolism and enoxaparin prescription at hospital discharge 在手术患者中实施卡普里尼风险评估模型 (RAM),以减少手术后静脉血栓栓塞和出院时的依诺肝素处方量
IF 1
Journal of Vascular Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.jvn.2023.11.004
Hope Walden DNP, AGACNP , Eleanor Stevenson PhD, RN, FAAN , Allen Cadavero PhD, RN , Ramanathan Seshadri MD
{"title":"Implementation of the Caprini risk assessment model (RAM) in surgical patients to decrease postsurgical venous thromboembolism and enoxaparin prescription at hospital discharge","authors":"Hope Walden DNP, AGACNP ,&nbsp;Eleanor Stevenson PhD, RN, FAAN ,&nbsp;Allen Cadavero PhD, RN ,&nbsp;Ramanathan Seshadri MD","doi":"10.1016/j.jvn.2023.11.004","DOIUrl":"10.1016/j.jvn.2023.11.004","url":null,"abstract":"<div><p>Venous thromboembolism (VTE), including deep venous thrombosis (DVT) and pulmonary embolism (PE), has been an increasingly common post-surgical complication for surgical patients. In the United States, VTE has become a leading cause of preventable hospital death with more than half occurring after discharge and are directly linked to a recent (within 30 days) hospitalization or surgery [1]. In large, hospital-associated/acquired VTE (HA-VTE) are preventable through measures such as the use of risk stratification tools and chemoprophylaxis. The project institution, a community, academic, medical center, for multiple years has consistently remained a high outlier for postoperative VTE. Also, the choice of VTE chemoprophylaxis in surgical patients at the time of discharge depended on, and varied between, the individual prescribing physician. The goal was to implement and determine the efficacy of a standardized intervention tool, the Caprini risk assessment model (RAM), for reducing postoperative VTE complications and its influence on the physician's prescription of enoxaparin at discharge. <em>Results</em>: Risk assessment scoring pre-operatively increased from 0% baseline to 26.3% at Plan-Do-Study-Act (PDSA) cycle 1 and demonstrated a statistically significant change (p-value = 0.006). Risk assessment scoring pre-operatively was 42.9% by PDSA cycle 2 but was not statistically significantly different from PDSA cycle 1. Risk assessment scoring post-operatively (for eligible patients) remained the same throughout all three cycles at 0%. Appropriate prescription of anticoagulation declined from baseline (12.5%) to PDSA cycle 1 (0%), and improved at PDSA cycle 2 (33.3%), however no differences were significant (p-value 0.302). The National Surgical Quality Improvement Project (NSQIP) database showed a decline in VTE occurrences at the projects institution from baseline (1.02%, 6 occurrences, 2021) to PDSA cycle 2 (0.92%, 4 occurrences, 2022) when compared to the national benchmark (1.0%) for the first time since 2018. Given the significant national problem HA-VTE pose to the public, and the rise in occurrences, this quality improvement (QI) project is clinically relevant.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030323000961/pdfft?md5=ca38b9ccc8a090c3c1cdfeff678c7f0e&pid=1-s2.0-S1062030323000961-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139395469","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}
引用次数: 0
Interprofessional collaboration in the cardiovascular management of Marfan syndrome: A qualitative study based on interviews with professionals 马凡氏综合征心血管治疗中的跨专业合作:基于专业人士访谈的定性研究
IF 1
Journal of Vascular Nursing Pub Date : 2024-03-01 DOI: 10.1016/j.jvn.2023.11.005
Tomoko Shimizu RN, PHD, Yasuko Shimizu
{"title":"Interprofessional collaboration in the cardiovascular management of Marfan syndrome: A qualitative study based on interviews with professionals","authors":"Tomoko Shimizu RN, PHD,&nbsp;Yasuko Shimizu","doi":"10.1016/j.jvn.2023.11.005","DOIUrl":"10.1016/j.jvn.2023.11.005","url":null,"abstract":"<div><h3>Background and Aim</h3><p>Patients with Marfan syndrome, who present with a variety of symptoms and complex psychosocial problems, require interprofessional collaboration in their care. However, it is unclear how health care providers contribute to interprofessional collaboration for these patients. The purpose of this study was to determine the characteristics of interprofessional collaboration for patients with Marfan syndrome in the cardiovascular field.</p></div><div><h3>Methods</h3><p>Semi-structured interviews were conducted with health care specialists (5 physicians, 2 nurses, and 3 certified genetic counselors) were analyzed qualitatively.</p></div><div><h3>Results</h3><p>Based on the medical collaboration for the management of cardiovascular complications in patients and their relatives, interprofessional collaboration was identified, such as collaboration and cooperation between physicians and certified genetic counselors, and nursing practice to facilitate interprofessional collaboration. In addition, issues such as difficulties in dealing with and coordinating medical care for noncardiovascular complications, lack of specialist physicians, and lack of opportunities to collaborate with nurses were identified.</p></div><div><h3>Conclusions</h3><p>Effective interprofessional collaboration requires the acquisition of Marfan syndrome and genetic knowledge by healthcare providers and the development of a healthcare delivery system based on departments that can provide leadership. In addition, the assignment of nurses to work across organizational boundaries and effective collaboration between genetic counselors and nurses should be considered.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1062030323000973/pdfft?md5=0e4e20441833f18b1f60e144f0763efe&pid=1-s2.0-S1062030323000973-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138620286","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}
引用次数: 0
Case study scrub nurse role in aorto-bifemoral reconstruction with transbrachial balloon endoclamping technique 擦洗护理在经臂球囊内窥镜技术重建主动脉-双股动脉中的作用
IF 1
Journal of Vascular Nursing Pub Date : 2023-12-01 DOI: 10.1016/j.jvn.2023.07.002
Jasna Racic , Slobodan Pesic , Zorka Nikolic , Snezana Pesic , Nenad Ilijevski
{"title":"Case study scrub nurse role in aorto-bifemoral reconstruction with transbrachial balloon endoclamping technique","authors":"Jasna Racic ,&nbsp;Slobodan Pesic ,&nbsp;Zorka Nikolic ,&nbsp;Snezana Pesic ,&nbsp;Nenad Ilijevski","doi":"10.1016/j.jvn.2023.07.002","DOIUrl":"10.1016/j.jvn.2023.07.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Aortoiliac arterial disease is a chronic progressive disease which is characterized by steno-occlusive changes in the aorta and iliac arteries. The gold standard for the treatment of patients with the advanced stage of the disease is aorto-bifemoral reconstruction. Patients with circumferential juxtarenal calcifications of the aorta bear a high risk of intraoperative complications, due to difficult cross-clamping in such zones.</p></div><div><h3>Case report</h3><p>We present a case of a 73-year-old patient who has been admitted due to left leg rest pain and second toe ulceration. Multislice computed tomography showed significant stenosis of the aortoiliac segment with a circumferentially calcified abdominal aorta. Aortobifemoral reconstruction was performed featuring endoluminal occlusion of the aorta using a balloon catheter which was placed through the left brachial artery. The procedure and the postoperative course were uneventful, and the patient was discharged on the sixth postoperative day.</p></div><div><h3>Conclusion</h3><p>The hybrid endovascular and open surgery technique presented emerged as a valid alternative for selected high-risk patients. Scrub nurses should be familiarized with endovascular techniques and tools and be aware of the measures to be protected from the harmful effects of ionizing radiation.</p></div>","PeriodicalId":45419,"journal":{"name":"Journal of Vascular Nursing","volume":null,"pages":null},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45034153","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
Asymptomatic peripheral arterial disease in HIV patients in Ghana: A case-control study 加纳HIV患者无症状外周动脉疾病的病例对照研究
IF 1
Journal of Vascular Nursing Pub Date : 2023-12-01 DOI: 10.1016/j.jvn.2023.07.001
Kwame Yeboah , Latif Musah , Samuel Essel , Jennifer Adjepong Agyekum , Kweku Bedu-Addo
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