Availability and Communication: Excellence in Vascular Medicine
- Thu, 6/2/11 - 3:54pm
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- 951 reads
Dr. Ansel’s credentials as a thought leader and endovascular “luminary” are widely recognized. Coming from a cardiology background, he was among the early pioneers who understood that excellence in vascular disease management and endovascular therapy could only be achieved through dedication and intense focus. He has contributed widely to the field, and continues to be a significant player in — essentially — all major areas of endovascular technology.
Ideal Practice Building Focuses First on Patient Care
- Wed, 5/4/11 - 2:35pm
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- 1217 reads
My perspective overall may be a little different given the surgical background — no surprise here. However, I find little to disagree with in Dr. Benenati’s answers and advice. Ten years ago, I would have said that for surgeons there was nothing more important than to be trained and re-trained as an endovascular interventionist, as percutaneous catheter-based procedures and approaches were sure to dominate the vascular field in the foreseeable future.
Misdiagnosis and Treatment of Paget-Schroeter Syndrome
- Wed, 8/4/10 - 2:49pm
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VASCULAR DISEASE MANAGEMENT 2010;7:E178
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Upper-limb deep venous thrombosis (DVT), Paget-Schroetter syndrome, or effort thrombosis, is a problem that is commonly misdiagnosed and improperly treated. The authors present a straightforward case of upper-limb DVT that appropriately highlights the diagnosis and management of this problem, while raising an important management issue.
As mentioned by the authors, effort thrombosis usually occurs in younger patients. It is usually ac
Blood Transfusion Risks in Lower-Extremity Revascularization
- Tue, 7/6/10 - 9:43am
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- 2094 reads
VASCULAR DISEASE MANAGEMENT 2010;7:E158
The article by Xenos et al reinforces findings from a number of previous studies which have assessed the perioperative and postoperative outcomes in patients who have undergone transfusions following varied surgical procedures. In this article, the authors have clarified the situation in patients undergoing surgical revascularization for lower-extremity ischemia. This is a population with significant underlying cardiovascular disease and in particular, significant risk related to perioperative myocardia
Further Study Needed on the Effects of Blood Transfusion on Lower-Extremity Revascularization Outcomes
- Tue, 7/6/10 - 9:35am
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VASCULAR DISEASE MANAGEMENT 2010;7:E157–E157
In the current issue of Vascular Disease Management, the effects of blood transfusion on outcomes of lower-extremity revascularization are discussed in the paper by Eleftherios Xenos and colleagues. The paper uses the NSQIP database as a source for cases of lower-extremity revascularization for analysis. The authors use a preoperative propensity analysis to stratify patients for their risk of needing a transfusion. They then go on to assess the effect of blood transfusion on mortality and mo
Endograft Assessment for EVAR Follow-up
- Wed, 6/2/10 - 9:39am
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- 2528 reads
In this issue of Vascular Disease Management, the article “Aneurysm Rupture Following Limb Dissection of a Zenith Stent-Graft” by Houbballah et al points out several important issues regarding placement and long-term follow-up of patients with endovascular grafts used to treat aneurysmal disease. First, it is important to thoroughly understand the “anatomy” of the endovascular graft that you are using. In particular, as it relates to the Cook Zenith graft, it is important to understand the relationships between the overlapping zones of the limb placed in the pr
Hyperspectral Tissue Oygenation Mapping: A Vital Tool
- Mon, 11/9/09 - 5:07pm
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- 2389 reads
Address for correspondence: Marc E. Mitchell, M.D. James D. Hardy Professor and Chair, Department of Surgery, University of Mississippi, 2500 North State Street Jackson, MS 39216. Email: memitchell@surgery.umsmed.edu
In the current issue of Vascular Disease Management, Neville and Gupta1 use hyperspectral tissue oxygenation mapping (HTOM) technology to determine tissue oxygen delivery, oxygen extraction and oxygen saturation in the lower and upper extremities of normal individuals without vascular disease. HTOM quantifies oxyhemoglobin,
Laboratory Evaluation of Translumbar Embolization of Endoleaks with NBCA
- Tue, 8/11/09 - 9:20am
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- 2281 reads
author:
Marc E. Mitchell, MD
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Since the first endovascular repair of an abdominal aortic aneurysm by Parodi in 1990, the problems of incomplete exclusion of the aneurysm and peri-graft leaks have plagued vascular surgeons. The term “endoleak” was first coined in 1996.1 The decision of when to treat and when to observe endoleaks has been debated in the vascular literature, and many methods of treatment have been described. There are clinical reports describing successful embolization of endoleaks with N-Butyl Cyanoacrylate (NBCA) via a translu
Further Evaluation of Duplex Ultrasound for the Evaluation of Lower Extremity Arterial Disease
- Wed, 1/14/09 - 11:31am
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- 2295 reads
Author:
Nicholas J. Morrissey, MD
Author Affiliations:
From New York Presbyterian Hospital and Columbia University Medical Center, New York, NY.
Correspondence: Nicholas J. Morrissey, MD, Assistant Professor of Surgery, Columbia/Weill Cornell Division of Vascular Surgery, the New York Presbyterian Hospital, Irving Pavilion 639, 161 Fort Washington Ave, New York, NY 10032. E-mail: njm2106@columbia.edu.
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In this issue of the journal, Koshy et al1 describe an assessment of different segments of the arterial tree by duplex. Impor
Color Doppler versus Digital Subtraction Angiography: No Competition Needed
- Wed, 1/14/09 - 11:25am
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- 2537 reads
Author:
1Ali Morshedi-Meibodi, MD, 2Theodore A. Tan, MD, 3Aravinda Nanjundappa, MD, RVT, 1Robert S. Dieter, MD, RVT
Author Affiliations:
From 1Loyola University, Maywood, Illinois, 2Charleston Area Medical Center and 3West Virginia University, Charleston, West Virginia.
Correspondence: Robert S. Dieter, MD, RVT, Assistant Professor of Medicine, Vascular and Endovascular Medicine, Interventional Cardiology, Loyola University, 2160 S. First Ave., Maywood, IL 60153. E-mail: rdieter@lumc.edu.
