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Prevention of restenosis: medical treatment and procedures for iliac occlusive disease. 预防再狭窄:髂闭塞性疾病的医学治疗和程序。
Perspectives in vascular surgery and endovascular therapy Pub Date : 2012-09-01 Epub Date: 2013-01-23 DOI: 10.1177/1531003512472241
Dawn M Coleman, Jonathan L Eliason
{"title":"Prevention of restenosis: medical treatment and procedures for iliac occlusive disease.","authors":"Dawn M Coleman,&nbsp;Jonathan L Eliason","doi":"10.1177/1531003512472241","DOIUrl":"https://doi.org/10.1177/1531003512472241","url":null,"abstract":"<p><p>The treatment of occlusive vascular disease has evolved considerably over the past decades, with management strategies shifting from open surgical approaches toward less-invasive endovascular solutions or hybrid open and endovascular therapies. The treatment of aortoiliac occlusive disease has followed a similar pattern, with a more aggressive, minimally invasive approach being used even for long-segment iliac artery occlusions. Regardless of the type of treatment, however, optimal results are still limited by restenosis. This is also true in virtually all locations undergoing treatment of arterial occlusive disease. The current review seeks to explore the medical therapy and treatment options available for preventing restenosis in the iliac artery following intervention. Here we include data regarding prevention of restenosis in other arterial locations. Finally, novel therapies not currently available for iliac artery use but showing promise in prevention of arterial restenosis are reviewed.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 3","pages":"109-22"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003512472241","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31183322","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
Diagnosis and management of ileocolic pseudoaneurysms. 回结肠假性动脉瘤的诊断与治疗。
Perspectives in vascular surgery and endovascular therapy Pub Date : 2012-09-01 Epub Date: 2013-01-17 DOI: 10.1177/1531003512472240
Sapan S Desai, Anahita Dua, Cynthia K Shortell, Julie K Thacker
{"title":"Diagnosis and management of ileocolic pseudoaneurysms.","authors":"Sapan S Desai,&nbsp;Anahita Dua,&nbsp;Cynthia K Shortell,&nbsp;Julie K Thacker","doi":"10.1177/1531003512472240","DOIUrl":"https://doi.org/10.1177/1531003512472240","url":null,"abstract":"<p><p>Ileocolic pseudoaneurysmal disease is a rare splanchnic aneurysm that affects 3 out of 100 000 patients, and only 7 cases have been described in the past 40 years in patients without preexisting connective tissue disorders. Abdominal pain is the most common presenting symptom and nearly 30% of patients present with hemorrhage. Ileocolic pseudoaneurysms are diagnosed by contrasted computed tomography scans and verified by arteriography. We present a case report and review of the literature in which a patient was initially managed by coil embolization, followed by laparotomy and suture ligation due to pseudoaneurysm rupture.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 3","pages":"141-5"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003512472240","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31171212","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
Advances in CT and MR Technology. CT和MR技术的进展。
Perspectives in vascular surgery and endovascular therapy Pub Date : 2012-09-01 Epub Date: 2013-01-17 DOI: 10.1177/1531003512472238
Christopher J François
{"title":"Advances in CT and MR Technology.","authors":"Christopher J François","doi":"10.1177/1531003512472238","DOIUrl":"https://doi.org/10.1177/1531003512472238","url":null,"abstract":"<p><p>This article will review recent advances in computed tomography (CT) and magnetic resonance (MR) hardware and software techniques that have dramatically changed the use of CT and MR angiography. For CT angiography, technology has increased the speed of acquisition, reduced the radiation dose necessary to diagnose disease, and simplified the ability to characterize disease. Similarly, advances in MR angiography have focused on safer techniques that do not require the use of intravenous contrast agents, increased the speed of acquisition, and improved spatial resolution. In addition, new MR angiography methods have expanded the use of MR angiography beyond purely anatomical information toward quantitative hemodynamic analyses.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 3","pages":"128-36"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003512472238","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31171213","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: 4
Endovascular management of pulmonary artery stenosis due to tumor compression. 肿瘤压迫所致肺动脉狭窄的血管内治疗。
Perspectives in vascular surgery and endovascular therapy Pub Date : 2012-09-01 Epub Date: 2013-03-28 DOI: 10.1177/1531003513482491
Sapan S Desai, Anahita Dua, Sheila M Coogan, Kamal Khalil
{"title":"Endovascular management of pulmonary artery stenosis due to tumor compression.","authors":"Sapan S Desai,&nbsp;Anahita Dua,&nbsp;Sheila M Coogan,&nbsp;Kamal Khalil","doi":"10.1177/1531003513482491","DOIUrl":"https://doi.org/10.1177/1531003513482491","url":null,"abstract":"<p><p>A 75-year-old man with invasive thymoma encasing the aortic arch and pulmonary arteries was referred to our institution with a 1-year history of dyspnea and worsening right heart failure. Pulmonary angiogram demonstrated greater than 90% stenosis of the right pulmonary artery. Balloon angioplasty and stent placement were performed with immediate improvement in his shortness of breath and peripheral edema. Improved lung opacification was noted on completion arteriography, and the stents remained patent until the patient expired from complications related to his cancer 2 years later. Pulmonary artery stenting in noncongenital causes of stenosis is a safe and effective therapy.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":" ","pages":"146-8"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003513482491","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40233793","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
May-Thurner syndrome associated with Klippel-Trenaunay syndrome. May-Thurner综合征与Klippel-Trenaunay综合征相关。
Perspectives in vascular surgery and endovascular therapy Pub Date : 2012-09-01 DOI: 10.1177/1531003513482736
Tony Lu, Eileen de Grandis, Peter Gloviczki, James Glockner, Roger F Shepherd
{"title":"May-Thurner syndrome associated with Klippel-Trenaunay syndrome.","authors":"Tony Lu,&nbsp;Eileen de Grandis,&nbsp;Peter Gloviczki,&nbsp;James Glockner,&nbsp;Roger F Shepherd","doi":"10.1177/1531003513482736","DOIUrl":"https://doi.org/10.1177/1531003513482736","url":null,"abstract":"<p><p>We present an unusual case of a 23-year-old man who had symptomatic lower extremity varicosities that have been present since birth. He was complaining of pain and swelling of several years duration. Evaluation revealed Klippel-Trenaunay syndrome with associated compression of the left common iliac vein by the overriding left common iliac artery (May-Thurner syndrome). The patient was treated with left common iliac vein stenting followed by high ligation and inversion stripping of his grossly incompetent left small saphenous vein, stripping of his aberrant left lateral embryonic veins, and also by multiple stab phlebectomies, with excellent early result.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 3","pages":"155-60"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003513482736","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31359903","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
Predicting outcomes using the National Trauma Data Bank: optimum management of traumatic blunt carotid and blunt thoracic injury. 使用国家创伤数据库预测结果:外伤性颈动脉钝性和胸椎钝性损伤的最佳处理。
Perspectives in vascular surgery and endovascular therapy Pub Date : 2012-09-01 Epub Date: 2013-03-26 DOI: 10.1177/1531003513482492
Anahita Dua, Sapan S Desai, SreyRam Kuy, Bhavin Patel, Arshish Dua, Pathik J Desai, Matthew Darlow, Jay Shirgavi, Kristofer Charlton-Ouw, Cynthia Shortell
{"title":"Predicting outcomes using the National Trauma Data Bank: optimum management of traumatic blunt carotid and blunt thoracic injury.","authors":"Anahita Dua,&nbsp;Sapan S Desai,&nbsp;SreyRam Kuy,&nbsp;Bhavin Patel,&nbsp;Arshish Dua,&nbsp;Pathik J Desai,&nbsp;Matthew Darlow,&nbsp;Jay Shirgavi,&nbsp;Kristofer Charlton-Ouw,&nbsp;Cynthia Shortell","doi":"10.1177/1531003513482492","DOIUrl":"https://doi.org/10.1177/1531003513482492","url":null,"abstract":"<p><strong>Introduction: </strong>We used the National Trauma Data Bank (NTDB) to examine the incidence of blunt thoracic and carotid trauma nationally and survival outcomes based on treatment approach.</p><p><strong>Methods: </strong>All vascular traumas were identified from the 2008 NTDB. International Classification of Diseases, 9th Revision (ICD-9) diagnosis coding was used to identify 178 blunt thoracic aortic injuries and 313 traumatic blunt carotid injuries.</p><p><strong>Results: </strong>In all, 2089 vascular traumas were identified. Patients with blunt thoracic trauma within the highest injury severity score (ISS) range (61-75) had a significant survival advantage when observation was compared with endovascular management (P < .05). In the carotid trauma cohort, those with the highest ISS range (61-75) had a significant survival advantage with open surgery compared with observation (P < .01).</p><p><strong>Conclusion: </strong>Patients with traumatic blunt thoracic injury and an ISS > 61 appeared to benefit from endovascular approaches compared with open management. Patients with blunt carotid trauma and an ISS > 61 appeared to benefit from open surgical management.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":" ","pages":"123-7"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003513482492","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40227690","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: 9
Vagus nerve neuromonitoring during carotid endarterectomy. 颈动脉内膜切除术中迷走神经的监测。
Perspectives in vascular surgery and endovascular therapy Pub Date : 2012-09-01 Epub Date: 2013-01-21 DOI: 10.1177/1531003512472239
Tamaki Tomonori, Kubota Minoru, Saitou Norihiro, Umeoka Katsuya, Mizunari Takayuki, Node Yoji
{"title":"Vagus nerve neuromonitoring during carotid endarterectomy.","authors":"Tamaki Tomonori,&nbsp;Kubota Minoru,&nbsp;Saitou Norihiro,&nbsp;Umeoka Katsuya,&nbsp;Mizunari Takayuki,&nbsp;Node Yoji","doi":"10.1177/1531003512472239","DOIUrl":"https://doi.org/10.1177/1531003512472239","url":null,"abstract":"<p><p>To determine the causes and site(s) of nerve injury and to identify potential predictors of vocal fold paralysis (VFP) after carotid endarterectomy (CEA) by application of intraoperative neuromonitoring (IONM). A total of 68 CEA patients were enrolled in this study. A 3-step IONM procedure was designed to obtain vocal fold EMG data at V1 (just after identification of the vagus nerve [VN]), V2 (just before arteriotomy), and V3 (just before wound closure). We also performed IONM before/after hemostasis near the VN using bipolar forceps and before/after dissection of the VN. All patients underwent laryngoscopy to assess postoperative VFP. One patient showed loss of EMG signals between V2 and V3 and developed VFP that persisted for 11 months. The other 62 patients had no loss of EMG signals, but 2 patients had confirmed VFP for 1 month after CEA. There were no changes of EMG signal before and after VN dissection or hemostasis with bipolar forceps near the VN.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 3","pages":"137-40"},"PeriodicalIF":0.0,"publicationDate":"2012-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003512472239","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31179584","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: 4
Large spontaneous intrahepatic portal-systemic venous shunt treated with coil and Amplatzer vascular plug embolization. 大自发性肝内门静脉-全身静脉分流用线圈和Amplatzer血管栓栓塞治疗。
Perspectives in vascular surgery and endovascular therapy Pub Date : 2012-06-01 Epub Date: 2012-08-10 DOI: 10.1177/1531003512455223
Adam H Power, Haraldur Bjarnason
{"title":"Large spontaneous intrahepatic portal-systemic venous shunt treated with coil and Amplatzer vascular plug embolization.","authors":"Adam H Power,&nbsp;Haraldur Bjarnason","doi":"10.1177/1531003512455223","DOIUrl":"https://doi.org/10.1177/1531003512455223","url":null,"abstract":"<p><p>Spontaneous intrahepatic portal-systemic shunts are rare and can lead to significant encephalopathy. If intervention is recommended, transcatheter embolization is preferred. Various embolization techniques have been described using a wide range of embolization materials. In this report, the authors describe a useful embolization technique for managing a complex, large type 3 spontaneous intrahepatic portal-systemic shunt using Nester coils and Amplatzer vascular plugs through both percutaneous systemic and transhepatic approaches.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 2","pages":"90-4"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003512455223","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30828636","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: 11
Thromboprophylaxis practices following varicose veins surgery. 静脉曲张手术后血栓预防措施。
Perspectives in vascular surgery and endovascular therapy Pub Date : 2012-06-01 Epub Date: 2012-07-23 DOI: 10.1177/1531003512454581
Evagelos S Nikolopoulos, Dimitrios G Charalampidis, Efstratios I Georgakarakos, George S Georgiadis, Miltos K Lazarides
{"title":"Thromboprophylaxis practices following varicose veins surgery.","authors":"Evagelos S Nikolopoulos,&nbsp;Dimitrios G Charalampidis,&nbsp;Efstratios I Georgakarakos,&nbsp;George S Georgiadis,&nbsp;Miltos K Lazarides","doi":"10.1177/1531003512454581","DOIUrl":"https://doi.org/10.1177/1531003512454581","url":null,"abstract":"<p><strong>Objective: </strong>It is not clear whether patients undergoing varicose veins operations should receive thromboprophylaxis. A nationwide survey was conducted to assess thromboprophylaxis practice patterns in patients undergoing conventional vein surgery or endovenous procedures.</p><p><strong>Methods: </strong>A questionnaire was e-mailed to all members of the Greek Society of Vascular and Endovascular Surgery (n = 163).</p><p><strong>Results: </strong>In all, 68 members (42%) returned the survey, and 53% reported that they were not performing endovenous procedures. Thromboprophylaxis was used routinely by 52% after conventional surgery and 58% after endovenous procedures. Low-molecular-weight heparin was the preferred type of prophylaxis. Risk factors justifying thromboprophylaxis varied considerably among respondents. Postoperative duplex was performed routinely by 48% following stripping and by 76% following endovascular procedures.</p><p><strong>Conclusion: </strong>Thromboprophylaxis practices following varicose veins procedures vary among vascular surgeons in Greece. This reflects the uncertainty regarding the exact incidence of thromboembolic events in the existing literature as well as the absence of specific guidelines.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 2","pages":"80-6"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003512454581","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30784106","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: 5
Pelvic revascularization during endovascular aortic aneurysm repair. 血管内主动脉瘤修复过程中的盆腔血运重建。
Perspectives in vascular surgery and endovascular therapy Pub Date : 2012-06-01 Epub Date: 2012-11-28 DOI: 10.1177/1531003512468036
Javairiah Fatima, Mateus P Correa, Bernardo C Mendes, Gustavo S Oderich
{"title":"Pelvic revascularization during endovascular aortic aneurysm repair.","authors":"Javairiah Fatima,&nbsp;Mateus P Correa,&nbsp;Bernardo C Mendes,&nbsp;Gustavo S Oderich","doi":"10.1177/1531003512468036","DOIUrl":"https://doi.org/10.1177/1531003512468036","url":null,"abstract":"<p><p>Endovascular repair of aortic aneurysms (EVAR) has gained widespread acceptance in the treatment of abdominal aortic aneurysms (AAAs). Prospective studies have shown advantages compared with open surgical repair, including decreased blood loss, operating time, hospital stay, morbidity, and mortality. Approximately 30% of patients treated by EVAR have ectatic or aneurysmal common iliac arteries not suitable for distal sealing zones. In these patients, one of the most commonly utilized options is exclusion of the internal iliac artery (IIA). Decreased pelvic perfusion carries the risk of ischemic complications, including buttock claudication, sexual dysfunction, and other devastating complications such as spinal cord injury, ischemic colitis, and gluteal muscle necrosis. This article summarizes the methods of pelvic revascularization in patients with aortoiliac aneurysms involving one or both common iliac arteries.</p>","PeriodicalId":87201,"journal":{"name":"Perspectives in vascular surgery and endovascular therapy","volume":"24 2","pages":"55-62"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1531003512468036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31085770","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: 18
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