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 2001
ReviewThe results of spinal cord stimulation in critical limb ischaemia: a review.
to determine which patients with unreconstructible critical limb ischaemia (CLI) might benefit from spinal cord stimulation (SCS). ⋯ randomised studies show no benefit of SCS over conservative therapy in patients with non-reconstructible CLI. However, data from experimental and non-randomised studies suggest this may be due to sub-optimal patient selection for SCS. Further trials are needed to identify subgroups who may benefit from SCS.
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Eur J Vasc Endovasc Surg · Feb 2001
Trends in provision of distal arterial reconstruction in Scotland 1989-1999.
to establish if access to distal arterial reconstructive surgery is equally distributed within the health boards of Scotland and to establish if any variations in practice are reflected in lower limb amputation. ⋯ rates of distal arterial reconstruction in Scotland fall well below those in other European countries. It is likely that insufficient distal operations are undertaken to sufficiently impact on amputation rates. The study recommends an increased provision of specialist vascular surgical expertise in Scotland.
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Eur J Vasc Endovasc Surg · Dec 2000
Blunt thoracic and abdominal vascular trauma and organ injury caused by road traffic accident.
To analyse the relationship between vascular trauma and associated injuries to intra-thoracic and abdominal organs caused by traffic accidents. Design retrospective study in a university hospital. ⋯ Our results demonstrate that the mesenteric vessels are susceptible to blunt thoracic and abdominal trauma in road traffic accidents. Vascular reconstruction may be indicated for selected patients as long as the injuries to hollow organs are assessed carefully because of their strong association with vascular injury.
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Eur J Vasc Endovasc Surg · Oct 2000
Randomized Controlled Trial Multicenter Study Clinical TrialTwo randomised and placebo-controlled studies of an oral prostacyclin analogue (Iloprost) in severe leg ischaemia. The Oral Iloprost in severe Leg Ischaemia Study Group.
Two separate studies are described using the same prostacyclin analogue in a similar group of patients. ⋯ oral Iloprost administered for a year showed no clear benefit in patients with advanced severe leg ischaemia (PAOD III and IV). The results obtained with 4 weeks' treatment in Study A and in previous trials of intravenous Iloprost could not be reproduced