Vascular surgery最新文献

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A synthetic vascular conduit (expanded PTFE) for hemodialysis access--a preliminary report. 用于血液透析通路的合成血管导管(扩展聚四氟乙烯)——初步报告。

Vascular surgery

Pub Date : 1977-03-01 DOI: 10.1177/153857447701100210

B M Pasternak, S Paruk, S Kogan, S Levitt

The short term follow up of the thirteen PTFE synthetic grafts placed in eleven patients for chronic hemodialysis is reported. PTFE graft appears to be a satisfactory alternative to a bovine graft for use as a subcutaneous arteriovenous conduit for hemodialysis. Its resistance to local infection is noteworthy.

本文报道了11例慢性血液透析患者的13块聚四氟乙烯合成移植物的短期随访。聚四氟乙烯移植物似乎是一个令人满意的替代牛移植物用作血液透析的皮下动静脉导管。它对局部感染的抵抗力值得注意。

引用次数: 11

A solution to preserve the intima when vein grafts are irrigated and/or preserved. 一种在静脉移植物冲洗和/或保存时保存内膜的溶液。

Vascular surgery

Pub Date : 1977-03-01 DOI: 10.1177/153857447701100204

J D Colt

It appears that BGI Solution is a satisfactory graft irrigation media and does preserve the intima better than normal saline and as effective as whole blood. It also functions as a media for storage of vein grafts at 0-5 degrees C. Partially supported by grant from Arizona Heart Association.

华大基因溶液是一种令人满意的移植物冲洗介质，它比生理盐水更好地保存内膜，与全血一样有效。它还可以作为0-5℃的静脉移植物储存介质。部分由亚利桑那州心脏协会资助。

引用次数: 0

Treatment of chronic thromboembolism with Arvin, oral fibrinolytics and standard anticoagulants. 慢性血栓栓塞治疗Arvin，口服纤溶剂和标准抗凝剂。

Vascular surgery

Pub Date : 1977-03-01 DOI: 10.1177/153857447701100206

N G Kounis, W H Evans

In most Hospitals, the treatment of thromboembolic disease consists of heparin and simultaneous oral therapy instituted usually with Warfarin or phenidione; this oral therapy is continued for 3-12 months. However, in some patients, the thromboembolic disease progresses or recurs despite adequately controlled anticoagulant therapy. Chronic thromboembolic disease then is established and the recurrences of venous thrombosis and pulmonary embolism are frequent and disabling. In an attempt to prevent, reduce or treat chronic idiopathic thromboembolic disease, we have used Arvin in combination with heparin, phenformin, ethyloestrenol and warfarin in a new regime for 3-4 months. Defibrination

引用次数: 1

Systolic anterior motion of the mitral valve following annuloplasty. 二尖瓣成形术后的收缩前运动。

Vascular surgery

Pub Date : 1977-03-01 DOI: 10.1177/153857447701100203

B A Termini, P A Jackson, C D Williams

1 Director of Cardiology, John Peter Smith Hospital, 1500 South Main Street, Fort Worth, Texas 76104. 2 Chief Echocardiographic Technician, Division of Cardiodiagnostic Services, John Peter Smith Hospital, Fort Worth, Texas 76104. 3 500 South University, Little Rock, Arkansas 77205. Systolic anterior motion (SAM) of the mitral valve is usually seen in association with idiopathic hypertrophic subaortic stenosis (IHSS), although this finding has also been seen in patients with primary pulmonary hypertension,’ atrial septal defect 2, 3 mitral valve prolapse,4--6 left ventricular aneurysm,5 hypertrophic cardiomyopathy without gradient,7 severe aortic insufficiency,&dquo; in the setting of hypovolemia with administration of pressor drugs,9 and in patients with d-transposition of the great arteries following mustard operation.’° This paper reports a case in which systolic anterior motion of the mitral valve was noted following mitral annuloplasty.

引用次数: 34

Reconstructive procedures in the management of occlusive arterial disease. 动脉闭塞性疾病的重建手术治疗。

Vascular surgery

Pub Date : 1977-03-01 DOI: 10.1177/153857447701100208

D R Jackson

The various currently applicable reconstructive procedures in the management of occlusive arterial disease have been presented along with specific techniques and observations as to proper utilization of them clinically.

本文介绍了目前在动脉闭塞性疾病治疗中适用的各种重建方法，并介绍了具体的技术和临床正确应用的观察结果。

引用次数: 0

Femoro-distal posterior tibial bypass--management of infected vein graft. 股骨远端胫后分流术——感染静脉移植物的处理

Vascular surgery

Pub Date : 1977-03-01 DOI: 10.1177/153857447701100211

J Popovsky, E Fleegler, M Grossman

A case of local necrosis and infection of the skin overlying a femoro-to-posterior tibial artery saphenous vein bypass graft in a patient with pregangrenous symptoms is described. A method of circumvating this area with a new vein graft to isolate the exposed portion and re-establish vascular continuity is presented. This procedure permitted salvage of the limb and resolution of the signs and symptoms of claudication. Julio Popovsky, M.D., F.A.C.A. 11811 Shaker Blvd.

引用次数: 0

Carotid cavernous fistula. 颈动脉海绵窦瘘。

Vascular surgery

Pub Date : 1977-03-01 DOI: 10.1177/153857447701100212

A Khan, W J Lee

A carotid-cavernous fistula (C.C.F.) is a condition resulting from an artificial direct communication between an artery and an adjacent vein within the cavernous sinus. C.C.F. produces a characteristic syndrome compromised of severe unilateral headaches accompanied by homolateral carotid bruit, progressive exopathalmos with edema, retinal hemorrhage and variable degrees of ophthalmoplegia followed by subsequent blindness. A prompt diagnosis and treatment is essential to obviate the serious

引用次数: 1

Dissecting aneurysm of the thoracic aorta presenting as iliac artery occlusion. 胸主动脉夹层动脉瘤表现为髂动脉闭塞。

Vascular surgery

Pub Date : 1977-03-01 DOI: 10.1177/153857447701100202

J Schneiderman, R Walden, R Adar

A 68-year old man was admitted because of severe, sudden pain in his left thigh and leg, with a feeling of coldness, weakness and numbness that started four hours prior to his admission. The pain subsided gradually and spontaneously after about half an hour. The patient could recall a vague pain in the left lower abdomen, which started simultaneously with the pain in his leg, and subsided after a few minutes. There was no chest pain nor upper abdominal pain. The patient was a known hypertensive, receiving methyldopa and diuretics for several years. He also had chronic atrial fibrillation and was on mainte-

引用次数: 4

Bypass to the tibial and peroneal arteries using the great saphenous vein in situ. 利用原位大隐静脉旁路胫动脉和腓动脉。

Vascular surgery

Pub Date : 1977-03-01 DOI: 10.1177/153857447701100207

H Rostad, K V Hall, B Rostad

In 22 patients with extensive atherosclerotic disease of the lower extremities 24 long bypasses have been performed. The main indications for surgery were rest pain and imminent or manifest gangrene. The semiclosed in situ vein technique was used in all except one case. Five grafts thrombosed within 2 weeks postoperatively, one of them was successfully reopened. At discharge 20 grafts were patent, and most of the patients had relief of their ischemic symptoms. After 5 years 26% of the long vein grafts were patent. In comparison, almost 70% of in situ femoro-popliteal vein grafts were patent. One patient is still living with an open long vein graft 14 years after surgery. The in situ vein technique is especially suited for long bypasses. The poorer results in the present series is probably due to an extremely advanced atherosclerotic disease and a high percent of small fibrotic veins with a diameter of 3 mm or less.

在22例下肢广泛动脉粥样硬化疾病患者中，24例进行了长时间旁路手术。手术的主要适应症是静息性疼痛和迫在眉睫或明显的坏疽。除1例外，其余均采用原位静脉半封闭技术。5个移植物术后2周内形成血栓，其中1个成功重新开放。出院时移植物通畅20例，多数患者缺血症状得到缓解。5年后26%的长静脉移植通畅。相比之下，近70%的原位股腘静脉移植物是通畅的。一名患者在手术后14年仍在接受开放的长静脉移植。原位静脉技术特别适合于长距离的旁路手术。本系列较差的结果可能是由于极晚期的动脉粥样硬化疾病和高比例的直径小于或等于3mm的小纤维化静脉所致。

引用次数: 4

Subclavian-superior vena caval arteriovenous fistula. 锁骨下-上腔静脉动静脉瘘。

Vascular surgery

Pub Date : 1977-03-01 DOI: 10.1177/153857447701100209

D G Arkell, L J Lawson

A case is described of an arteriovenous fistula between the right subclavian artery and right brachiocephalic trunk draining into the superior vena cava. This was associated with an intermittent left hemiparesis, visual disturbances and an expressive dysphasia. The operative procedure is outlined and the possible aetiology discussed. An arteriovenous fistula, a direct communication between an artery and a vein which bypasses the capillary network, may be congenital or acquired. Congenital fistulae are more commonly diffuse vascular overgrowths, localised aneurysmal varies or malformations within viscera. Acquired fistulae may follow injury, operation or disease.’ Small peripheral fistulae may close spontaneously, occasionally following thrombophlebitis or angiography2 but larger communications are often associated with complications including deprivation of distal arterial blood, heart failure and endarteritis. Congenital arteriovenous fistulae in the neck are rare and this is believed to be the first reported case between the subclavian artery and the superior

引用次数: 2

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