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 · Mar 2007
ReviewRelation between hospital volume and outcome of elective surgery for abdominal aortic aneurysm: a systematic review.
Our aim was to analyse the relation between hospital volume and peri-operative mortality in abdominal aortic aneurysm surgery. ⋯ We found some evidence for a relation between the volume of AAA surgery and peri-operative mortality. There seems to be a nonsignificant trend in favour of high volume hospitals. However we could not derive an unequivocal volume threshold for safely performing AAA surgery.
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Eur J Vasc Endovasc Surg · Mar 2007
Comparative StudyVarious local hemostatic agents with different modes of action; an in vivo comparative randomized vascular surgical experimental study.
To evaluate the effects of different local hemostatic agents in a new high flow vascular experimental bleeding model. ⋯ The most effective hemostatic agent was bTcM, followed by the combination of rFVIIa and MPH, while neither MPH nor rFVIIa alone displayed any hemostatic capacity compared to compression only.
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Eur J Vasc Endovasc Surg · Feb 2007
Controlled Clinical TrialA non-randomised controlled trial of the clinical and cost effectiveness of a Supervised Exercise Programme for claudication.
The main aims of treatment in patients with intermittent claudication (IC) are to improve the clinical indicators of lower limb ischaemia and patients' quality of life (QoL). The aims of this study were assess the clinical and cost effectiveness of a supervised exercise programme (SEP) in patients with IC. ⋯ Compared to CMT, SEP increases walking distances, improves QoL and is a highly cost-effective treatment for IC.
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Eur J Vasc Endovasc Surg · Feb 2007
Case ReportsAcute leriche syndrome due to paradoxical embolism.
Paradoxical embolism, describing the passage of venous or right-sided cardiac thrombus into the arterial or systemic circulation through patent foramen ovale, is an uncommon cause of acute arterial occlusion. Here, we report acute Leriche syndrome in a young woman attributable to paradoxical embolism. Ischaemia, patent foramen ovale, and venous thrombosis were the triad of evidence for paradoxical embolism.
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Eur J Vasc Endovasc Surg · Jan 2007
Randomized Controlled TrialThe superficial cervical plexus block for postoperative pain therapy in carotid artery surgery. A prospective randomised controlled trial.
Rapid and reliable neurological evaluation soon after carotid artery surgery is feasible with modern methods of general anesthesia, but postoperative pain therapy remains a challenge. Use of opioids can mask neurological deficits. We investigated whether superficial cervical plexus block reduced postoperative opioid consumption after carotid endarterectomy. ⋯ The significant and clinically relevant lower morphine consumption and pain score, as well as the substantially higher patient satisfaction demonstrate that superficial cervical plexus block provides effective pain relief for patients undergoing carotid endarterectomy.