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ESTUDIOS


01 noviembre 2013

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY. Procedural Risk Following Carotid Endarterectomy in the Hyperacute Period after Onset of Symptoms

R. Sharpe, R.D. Sayers, N.J.M. London, M.J. Bown, M.J. McCarthy, A. Nasim, R.S.M. Davies, A.R. Naylor

Objectives: There have been concerns that performing carotid endarterectomy (CEA) in the hyperacute period after onset of a transient ischaemic attack (TIA) or stroke may be associated with a significant increase in the procedural risk that could offset any long-term benefit to the patient. The aim of this audit was to determine the 30-day risk of stroke/death after CEA in symptomatic patients, stratified for delay from the most recent neurological event, mode of presentation, and age.

01 octubre 2013

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY. The Morphological Applicability of a Novel Endovascular Aneurysm Sealing (EVAS) System (Nellix) in Patients with Abdominal Aortic Aneurysms

A. Karthikesalingam, R.J. Cobb, A. Khoury, E.C. Choke, R.D. Sayers, P.J. Holt, M.M. Thompson

Objective: Endovascular aneurysm sealing (EVAS) using the Nellix system is a promising alternative to endovascular repair (EVR) and open surgery for abdominal aortic aneurysms (AAA). The aim of this study was to investigate the proportion of patients with AAA who are morphologically suitable for treatment with Nellix.

01 septiembre 2013

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY.

S. Thomis, P. Verbrugghe, R. Milleret, E. Verbeken, I. Fourneau, P. Herijgers

Objective: There is an increasing use of minimal invasive techniques to treat saphenous vein reflux. Among these radiofrequency ablation (RFA), endovenous laser ablation (EVLA), and foam sclerotherapy are frequently used. A new method of thermal ablation is the steam vein sclerosing (SVS) system. This study evaluates the histological changes after ablation of the saphenous veins in goats with RFA, EVLA, and SVS.

01 octubre 2014

ENDOVASCULAR TODAY. TVR Reduction in the SFA

By Koen Deloose, MD; Marc Bosiers, MD; and Joren Callaert, MD

Although endovascular techniques have markedly improved over the past decades, the important rates of restenosis and the frequent need for target vessel revascularization (TVR) remain challenging when nominating any endovascular approach as the gold standard technique. Particularly in areas as difficult as the femoropopliteal tract, long-term procedural success is hindered by extensive plaque burden, as well as numerous external mechanical stressors. Long (TASC II C and D), severely calcified (grade 3–4, > 270° calcium) lesions in the distal femoropopliteal segment in patients with critical limb ischemia with multilevel disease and significant runoff still have high TVR rates.

01 octubre 2014

ENDOVASCULAR TODAY. Managing Perforations of the Superficial Femoral Artery

By Warren Swee, MD, MPH; Jeffrey Y. Wang, MD; and Arthur C. Lee, MD

Perforations along the superficial femoral artery (SFA) can occur from a variety of causes; if unrecognized or mismanaged, they can result in significant morbidity and even mortality. In the worst cases, uncontrolled bleeding can lead to hemodynamic instability and the need for open surgical management, blood transfusions, and prolonged hospital stays. From a procedural standpoint, perforations can result in prolonged procedure times, incomplete treatment, and tremendous frustration to the operator. This article focuses on SFA perforations related to endovascular interventions, although many of the treatment methods can be applied to other causes of perforation, such as penetrating trauma or crush injury. The prevention of perforations will be discussed first, because the best way to manage any complication is to avoid it altogether. Then, common mechanisms of perforation and the most effective treatment options will be reviewed (see Common Procedure-Related Causes of SFA Perforations and Techniques to Treat SFA Segment Perforations).

01 octubre 2014

ENDOVASCULAR TODAY. Acute Arterial Thrombosis Prevention and Management During SFA and Popliteal Interventions

By George L. Adams, MD, MHS, and O Jesse Mendes, BA

Acute arterial thrombosis can cause myocardial infarction (MI), ischemic stroke, and acute limb ischemia (ALI). The annual incidences of such events are high; there were 935,000 MI and 795,000 stroke events in the United States in 2008.1 However, the incidence and prevalence of acute peripheral arterial thrombosis is not well described, even in lieu of its devastating consequences, including morbidity, mortality, and limb loss.1,2

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