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 · Dec 2011
Standardised frailty indicator as predictor for postoperative delirium after vascular surgery: a prospective cohort study.
To determine whether the Groningen Frailty Indicator (GFI) has a positive predictive value for postoperative delirium (POD) after vascular surgery. ⋯ The GFI can be helpful in the early identification of POD after vascular surgery in a select group of high-risk patients.
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Eur J Vasc Endovasc Surg · Oct 2011
Endovascular stent graft repair of aortic dissection type B extending to the aortic arch.
To analyse our experience with endovascular stent graft repair of descending aorta dissections that require supraaortic branch vessel revascularisation. ⋯ Endovascular stent graft methods show promise in endovascular stent graft repair of proximal descending aortic dissections involving the distal arch.
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Eur J Vasc Endovasc Surg · Oct 2011
Local anaesthesia for endovascular repair of infrarenal aortic aneurysms.
The study aimed to analyse and report the results of a 'local anaesthesia first' approach in elective endovascular aneurysm repair (EVAR) patients. ⋯ A 'local anaesthesia first' strategy can successfully be applied in 75% of patients undergoing EVAR. The use of LA can impact imaging quality and thus precise endograft placement, which should be considered in patients with challenging aneurysm morphologies.
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Eur J Vasc Endovasc Surg · Sep 2011
Randomized Controlled TrialA randomised study of perioperative esmolol infusion for haemodynamic stability during major vascular surgery; rationale and design of DECREASE-XIII.
This article describes the rationale and design of the DECREASE-XIII trial, which aims to evaluate the potential of esmolol infusion, an ultra-short-acting beta-blocker, during surgery as an add-on to chronic low-dose beta-blocker therapy to maintain perioperative haemodynamic stability during major vascular surgery. ⋯ This study will provide data on the efficacy of esmolol titration in chronic beta-blocker users for tight heart-rate control and reduction of ischaemia in patients undergoing vascular surgery as well as data on safety parameters.
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Eur J Vasc Endovasc Surg · Aug 2011
Endovascular repair of aorto-iliac artery injuries after lumbar-spine surgery.
This study aims to describe the endovascular management of abdominal-aortic- or common-iliac-artery injuries after lumbar-spine surgery. ⋯ Sealing of common iliac artery or abdominal aortic lesions as a complication of lumbar-disc surgery with a stent graft is effective and is suggested as an excellent alternative to open surgery for iatrogenic great-vessel injuries, particularly in critical conditions.