Cardiovascular revascularization medicine : including molecular interventions
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Complex catheter-based interventions and rising case volumes confer occupational risks to interventional cardiologists. Despite advances in technology, modern interventional procedures are performed in a manner remarkably similar to the techniques pioneered decades ago. Percutaneous interventions are associated with operator orthopedic injuries, exposures to blood borne pathogens, and the effects of chronic radiation exposure from fluoroscopy. This review highlights the occupational hazards of interventional procedures and provides a glimpse at the technologies and techniques that may reduce risks to operators in the catheterization laboratory.
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Cardiovasc Revasc Med · Jul 2013
Acute limb ischemia: role of preoperative and postoperative duplex in differentiating acute embolic from thrombotic ischemia.
Acute limb ischemia (ALI) represents an emergency in which delayed intervention results in significant morbidity, and potentially, death. ⋯ A cut off value of 1.41% as percent dilatation or diminution in the diameter of occluded artery is the most important duplex sign for predicting embolic or thrombotic ALI respectively. Postoperative reduction in the diameter of occluded artery after embolectomy confirms this sign.