European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
-
Eur J Vasc Endovasc Surg · Aug 2012
A ten year review of civilian iliac vessel injuries from a single trauma centre.
To report the surgical management and outcome of iliac vessel (IV) injuries in a civilian trauma centre with a high incidence of penetrating trauma. ⋯ In a stable patient a primary arterial repair is preferred but a temporary shunt can be a life and limb saving option in the unstable patient. Ligating the common or external iliac veins is associated with a low incidence of prolonged leg swelling.
-
Eur J Vasc Endovasc Surg · Jul 2012
Randomized Controlled Trial Multicenter StudyRisk stratification scores in elective open abdominal aortic aneurysm repair: are they suitable for preoperative decision making?
Risk indices help quantify the risk of cardiovascular events and death prior to making decisions about prophylactic AAA repair. This paper aims to study the predictive capabilities of 5 validated indices. ⋯ Whilst V(p)-POSSUM and E-PASS predicted outcome, the less complex RCRI and GAS performed poorly which questions the utility of decision making based on these surgical risk indices.
-
Eur J Vasc Endovasc Surg · Jul 2012
Multicenter Study Comparative StudyVariation in clinical practice in carotid surgery in nine countries 2005-2010. Lessons from VASCUNET and recommendations for the future of national clinical audit.
The aim of the study was to analyse variation in carotid surgical practice, results and effectiveness in nine countries. ⋯ There is significant variation in clinical practice across the participating countries. The theoretical stroke prevention potential of CEA seems to vary between participating countries due to differences in the inclusion criteria.
-
Eur J Vasc Endovasc Surg · Jul 2012
Comparative StudyUltrasound-guided locoregional anaesthesia for carotid endarterectomy: a prospective observational study.
Ultrasound guidance is increasingly used for invasive anaesthetic procedures to improve efficacy, facilitate performance and reduce risk of complications. Herein, we present a simple approach to ultrasound-guided locoregional anaesthesia for patients undergoing eversion carotid endarterectomy. ⋯ This observational study demonstrates that the described ultrasound-guided locoregional anaesthesia is suitable for eversion carotid endarterectomy and the amount of supplemental anaesthetic during the surgery is low.