European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
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Eur J Vasc Endovasc Surg · Feb 1995
Multicenter StudyTrends in abdominal aortic aneurysms: a 13 year review.
To assess changing trends of abdominal aortic aneurysms 1979-1991. ⋯ The increasing incidence of abdominal aortic aneurysms may reflect better diagnostic methods, greater clinical awareness of the condition and increase in the proportion of elderly people in the population.
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Eur J Vasc Endovasc Surg · Feb 1995
Surgery for limb threatening ischaemia: a reappraisal of the costs and benefits.
To study the quality of life of patients following surgery for critical limb is ischaemia. ⋯ The mortality of this group of patients after six months was 24%. Forty-seven patients were available for quality of life assessment six months after initial intervention. Overall, amputation was more costly than successful revascularisation and limb salvage. Limb salvage resulted in greater mobility (p < 0.001) and better performance in self-care (p < 0.001) and lifestyle (p = 0.006), but produced more anxiety and depression (p = 0.04) than major amputation. A subgroup of patients who had major amputation after a failed limb salvage operation consumed a disproportionate amount of resources and, although their mobility was typical of amputees, their self-care and lifestyle scores were similar to those who had successful limb salvage. OBSTRUCTIONS: Limb salvage is attempted in up to 22% of patients for whom primary amputation may provide more expeditious rehabilitation with minimal impairment of their lifestyle performance.
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Eur J Vasc Endovasc Surg · Feb 1995
Comparative StudyThe changing workload of a surgical unit with a vascular interest.
To examine the changing relationship between general and vascular surgical workload on a vascular "firm", over a 6-year period. ⋯ Our figures show the progressive, rapid increase in vascular surgical workload, compared to general surgery, and the need for the continued expansion of vascular surgery as a speciality.
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Eur J Vasc Endovasc Surg · Feb 1995
Venous haemodynamics and the occurrence of leg oedema in patients with popliteal aneurysm.
To see whether popliteal aneurysms cause venous obstruction and to investigate leg oedema and DVT following repair. ⋯ Popliteal artery aneurysms "2 cm diameter usually compress and dislocate the popliteal vein prior to operation. However, sufficient venous drainage is maintained, possibly because of an increased collateral venous network. Disruption of lymph channels with secondary lymphoedema is probably the most important mechanism behind the leg swelling observed in patients following popliteal aneurysm repair.