Seminars in Vascular Surgery最新文献_第3页

Appropriateness of care in superficial venous disease 浅静脉疾病护理的适宜性

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semvascsurg.2024.05.005

引用次数: 0

A review of the current recommendations and practices for hemodialysis access monitoring and maintenance procedures 血液透析通路监测和维护程序的现行建议和实践回顾

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semvascsurg.2024.04.007

引用次数: 0

Appropriateness guidelines for inferior vena cava filter utilization: A contemporary review 下腔静脉滤器使用的适宜性指南：当代回顾

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semvascsurg.2024.04.002

引用次数: 0

Infective native arterial aneurysms and inflammatory abdominal aortic aneurysms: An overview with a focus on emergency settings 感染性原生动脉动脉瘤和炎症性腹主动脉瘤:以紧急情况为重点的综述

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semvascsurg.2023.04.019

{"title":"Infective native arterial aneurysms and inflammatory abdominal aortic aneurysms: An overview with a focus on emergency settings","authors":"","doi":"10.1053/j.semvascsurg.2023.04.019","DOIUrl":"10.1053/j.semvascsurg.2023.04.019","url":null,"abstract":"<div>Infective native arterial aneurysms and inflammatory aortic aneurysms are rare but morbid pathologies seen by vascular surgeons in the emergency setting. Presentation is not always clear, and a full workup must be obtained before adopting a management strategy. Treatment is multidisciplinary and is tailored to every case based on workup findings. Imaging with computed tomography, magnetic resonance, or with fluorodeoxyglucose-positron emission tomography aids in diagnosis and in monitoring response to treatment. Open surgery is traditionally performed for definitive management. Endovascular surgery may offer an alternative treatment in select cases with acceptable outcomes. Neither technique has been proven to be superior to the other. Physicians should consider patient's anatomy, comorbidities, life expectancy, and goals of care before selecting an approach. Long-term pharmacological treatment, with antibiotics in case of infective aneurysms and immunosuppressants in case of inflammatory aneurysms, is usually required and should be managed in collaboration with infectious disease specialists and rheumatologists.</div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47421888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Appropriate Use Criteria Committees: The professional society role in the development and implementation of Appropriate Use Criteria 适当使用标准委员会：专业学会在制定和实施适当使用标准中的作用

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semvascsurg.2024.04.004

{"title":"Appropriate Use Criteria Committees: The professional society role in the development and implementation of Appropriate Use Criteria","authors":"","doi":"10.1053/j.semvascsurg.2024.04.004","DOIUrl":"10.1053/j.semvascsurg.2024.04.004","url":null,"abstract":"<div>Vascular surgeons have the ability to manage and intervene on numerous vascular diseases of both the arterial and venous systems. With the growing number of interventions available as endovascular technology evolves, it is important to determine when a procedure is safely indicated for a vascular surgery patient. Appropriate Use Criteria (AUC) offer synthesized clinical information and practice standards that can aid clinicians in making these management decisions. Professional societies, such as the Society for Vascular Surgery, bring experts in the field together to collaborate and create AUC for various vascular diseases and interventions. It is essential to publish these criteria in peer-reviewed journals, as well as make them available on public websites so the information is available to vascular surgeons and interventionalists from other specialties who also treat patients with vascular disease. Cardiology, interventional radiology, and interventional nephrology are some other specialties that perform procedures for vascular disease, and vascular interventions by nonsurgeon specialists continue to increase. The Society for Vascular Surgery has published AUC on intermittent claudication, carotid disease, and abdominal aneurysm management. These are intended to guide practice, but also have highlighted areas for improvement that would allow for more universal implementation of AUC in vascular patient care across medical specialties. Increased intersocietal participation and perhaps inclusion of government and other payer participation will allow professional society–sponsored AUC to evolve, resulting in coordinated, appropriate care for vascular surgery patients.</div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141051332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

First do no harm (and do what's right) 首先是不伤害（做正确的事）

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semvascsurg.2024.05.004

引用次数: 0

Appropriateness of care: Asymptomatic carotid stenosis including transcarotid artery revascularization 治疗的适当性：无症状颈动脉狭窄，包括经颈动脉血管重建术

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semvascsurg.2024.03.002

{"title":"Appropriateness of care: Asymptomatic carotid stenosis including transcarotid artery revascularization","authors":"","doi":"10.1053/j.semvascsurg.2024.03.002","DOIUrl":"10.1053/j.semvascsurg.2024.03.002","url":null,"abstract":"<div>Carotid artery stenosis is one of the most common diagnoses treated by vascular specialists in the United States. The optimal management of carotid stenosis remains controversial, however, with notable variation surrounding diagnostic imaging modalities, longitudinal surveillance, medical therapies, and procedural interventions. Data from high-quality randomized controlled trials and observational studies form the foundation for current management paradigms and societal guidelines that inform clinical practice. Presently, a diagnosis of carotid disease is most often established with duplex ultrasound and supplemental cross-sectional imaging using computed tomography or magnetic resonance angiography as needed to provide additional anatomic information. All patients with documented occlusive disease should receive goal-directed medical therapy with antiplatelet agents and a lipid-reduction strategy, most commonly with a statin. Those with severe carotid stenosis and an acceptable life expectancy may be considered for carotid artery revascularization. The proceduralist should optimally consider a shared decision-making approach in which the tradeoffs of revascularization can be carefully considered with the patient to optimize informed therapeutic decision making. In current practice, three distinct procedure options exist to treat carotid artery stenosis, including carotid endarterectomy, transfemoral carotid artery stenting, and transcarotid artery revascularization. It should be noted that each procedure, although often used interchangeably in most clinical settings, carry technical nuances and outcome disparities. In this review, each of these topics are explored and various approaches are outlined surrounding the appropriate use of treatments for patients with asymptomatic carotid artery stenosis.</div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140928486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Appropriateness of care in complex fenestrated-branched aortic endografting 复杂带瓣主动脉内膜移植术的护理适宜性

IF 3.3 3区医学

Seminars in Vascular Surgery Pub Date : 2024-06-01 DOI: 10.1053/j.semvascsurg.2024.05.002

引用次数: 0

A review of arterial thoracic outlet syndrome 胸廓出口动脉综合征综述

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2024-03-01 DOI: 10.1053/j.semvascsurg.2024.02.001

Vamsi K. Potluri, Ruojia D. Li, Paul Crisostomo, Carlos F. Bechara

{"title":"A review of arterial thoracic outlet syndrome","authors":"Vamsi K. Potluri, Ruojia D. Li, Paul Crisostomo, Carlos F. Bechara","doi":"10.1053/j.semvascsurg.2024.02.001","DOIUrl":"10.1053/j.semvascsurg.2024.02.001","url":null,"abstract":"<div>Arterial thoracic outlet syndrome (TOS) is a condition in which anatomic abnormalities in the thoracic outlet cause compression of the subclavian or, less commonly, axillary artery. Patients are usually younger and typically have an anatomic abnormality causing the compression. The condition usually goes undiagnosed until patients present with signs of acute or chronic hand or arm ischemia. Workup of this condition includes a thorough history and physical examination; chest x-ray to identify potential anatomic abnormalities; and arterial imaging, such as computed tomographic angiography or duplex to identify arterial abnormalities. Patients will usually require operative intervention, given their symptomatic presentation. Intervention should always include decompression of the thoracic outlet with at least a first-rib resection and any other structures causing external compression. If the artery is identified to have intimal damage, mural thrombus, or is aneurysmal, then arterial reconstruction is warranted. Stenting should be avoided due to external compression. In patients with symptoms of embolization, a combination of embolectomy, lytic catheter placement, and/or therapeutic anticoagulation should be done. Typically, patients have excellent outcomes, with resolution of symptoms and high patency of the bypass graft, although patients with distal embolization may require finger amputation.</div>","PeriodicalId":51153,"journal":{"name":"Seminars in Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0895796724000097/pdfft?md5=d724161cf1aaa38c9fde345efe2e703a&pid=1-s2.0-S0895796724000097-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139814305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","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 infraclavicular approach for venous thoracic outlet syndrome 锁骨下入路治疗胸廓出口静脉综合征

IF 2.5 3区医学

Seminars in Vascular Surgery Pub Date : 2024-03-01 DOI: 10.1053/j.semvascsurg.2024.01.003

Sarah A. Loh, Britt H. Tonnessen

引用次数: 0