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 · Jan 2006
Comparative StudyChanges in internal carotid blood flow after CEA evaluated by transit-time flowmeter.
The aim of this study was to investigate whether there was an association between the degree of the stenosis of the internal carotid artery (ICA) and post-operative increase of blood flow. ⋯ The blood flow increase following CEA is mainly determined by the pressure gradient across the stenosis.
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Eur J Vasc Endovasc Surg · Dec 2005
Comparative StudyA prospective study of cutaneous nerve injury following long saphenous vein surgery.
The aim of this study was to identify the incidence and distribution of nerve damage in patients undergoing primary venous surgery. ⋯ This study demonstrates the frequency of nerve injury during primary great saphenous vein surgery. It will be useful for clinicians providing informed consent and may provide a benchmark for comparison with newer techniques.
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Eur J Vasc Endovasc Surg · Dec 2005
Comparative StudyThoracoabdominal aortic aneurysm repair: interplay of spinal cord protecting modalities.
The purpose of this study was to assess the complementary use of different methods of measuring spinal cord perfusion during thoracoabdominal aortic surgery. ⋯ tcMEP/SSEP monitoring has proved to be an excellent means of detecting spinal cord ischaemia during surgery on thoracoabdominal aortic aneurysms. The prognostic value of tcMEP monitoring should be considered superior to that of SSEP measurements, because of its direct and rapid response to spinal malperfusion. Through combined neurophysiological monitoring, vital parameter balancing and intraoperative interventions, spinal cord perfusion improves and recovery of tcMEP and SSEP is achievable, reducing the prevalence of postoperative paraplegia.
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Eur J Vasc Endovasc Surg · Dec 2005
Case ReportsEndovascular repair of abdominal aortic aneurysms with aortocaval fistula.
To examine the risk of high-flow type II endoleak following endovascular repair of abdominal aortic aneurysm with aortocaval fistula. ⋯ We found no evidence that endovascular repair of abdominal aortic aneurysm with aortocaval fistula is associated with a higher incidence of persistent endoleak.
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Eur J Vasc Endovasc Surg · Nov 2005
Recombinant factor VIIa in the treatment of intractable bleeding in vascular surgery.
Intractable bleeding unresponsive to conventional haemostatic measures is an uncommon but potentially life threatening surgical complication. Several studies have suggested that recombinant factor VIIa (rVIIa), a genetically engineered substitute for endogenous factor VIIa may have therapeutic application in patients with uncontrollable haemorrhage not previously diagnosed with coagulopathy. We report our experience of rVIIa use in eight such vascular surgery patients who developed life-threatening non-surgical haemorrhage either intra-operative or post-operatively. In all but one patient a marked clinical improvement was noted following treatment with rVIIa with significantly less transfusion, and obvious haemostasis associated with haemodynamic stability without adverse thrombotic complications.