Mesenteric Vascular Occlusion
Antegrade visceral revascularisation via a thoracoabdominal approach for chronic mesenteric ischaemia. (1/215)
OBJECTIVES: It has been suggested that patients with chronic visceral ischaemia are elderly and emaciated hence they may not tolerate antegrade visceral revascularisation via a thoracoabdominal approach. There are no studies to support this assumption. The purpose of this study is to assess the efficacy of this approach for the treatment of chronic visceral ischaemia. METHODS: Between 1988 and 1996, 10 patients underwent antegrade visceral revascularisation for chronic visceral ischaemia via a thoracoabdominal approach and were followed-up for a mean of 40 months. Eight patients were treated with aorto superior mesenteric artery bypass and implantation of the coeliac axis in the graft and two patients with aorto superior mesenteric bypass alone. Graft patency was monitored with duplex scanning. RESULTS: There were no postoperative deaths in this series. Two patients developed postoperative pulmonary infections and required intubation for a short period of time. All patients were discharged after a mean of 17 days (range 7-38). Follow up with duplex scanning revealed that all grafts were patent. One patient developed a high grade anastomotic stenosis which was followed by recurrence of the symptoms. This was dilated on three occasions by balloon angioplasty within a period of 17 months. On the last occasion a stent was placed and since the patient remains asymptomatic. CONCLUSIONS: Antegrade visceral revascularisation via a thoracoabdominal approach is a durable and effective method of relieving symptoms of chronic visceral ischaemia. The low morbidity in this series justifies larger studies in order to establish the true incidence of complications. (+info)Elective surgical treatment of symptomatic chronic mesenteric occlusive disease: early results and late outcomes. (2/215)
PURPOSE: The purpose of this study was to determine the safety and efficacy of the elective surgical treatment of symptomatic chronic mesenteric occlusive disease (SCMOD) and to identify the factors that influence the results of this procedure. METHODS: From 1977 to 1997, 85 patients (mean age, 62 years) underwent elective surgical treatment of SCMOD. The presenting symptoms were abdominal pain in 78 patients (92%) and weight loss in 74 patients (87%). The surgical procedures included retrograde bypass grafting in 34 patients (40%), antegrade bypass grafting in 24 patients (28%), transaortic endarterectomy in 19 patients (22%), local arterial endarterectomy with patch angioplasty in six patients (7%), thrombectomy alone in one patient (1%), and superior mesenteric artery reimplantation in one patient (1%). Thirty-five patients (41%) underwent concomitant aortic replacement. All the involved mesenteric vessels were revascularized in 21 patients (25%), whereas revascularization was incomplete for the remaining 64 patients (75%). Late information was available for all 85 patients at a mean interval of 4.8 years. RESULTS: There were seven early (<35 days) postoperative deaths (8%). The cumulative 5-year survival rate was 64% (95% confidence interval [CI], 53% to 75%), and the 3-year symptom-free survival rate was 81% (95% CI, 72% to 90%). Serious complications occurred in 28 patients (33%). The results of univariate analysis identified advancing age at operation (P <.001), cardiac disease (P =.03), hypertension (P =.03), and additional occlusive disease (P =.05) as variables associated with mortality. Concomitant aortic replacement (P =.037), renal disease (P =.011), advancing age ( P =.035), and complete revascularization ( P =.032) were associated with postoperative morbidity including mortality. Late recurrent mesenteric occlusive disease was seen in 21 patients (16 symptomatic and five asymptomatic). Nine patients (43%) died, and 8 patients (38%) required subsequent surgical or endovascular procedures to treat their recurrent lesions. The 3-year survival rate from recurrent mesenteric occlusive disease was 76% (95% CI, 66% to 86%). CONCLUSION: We conclude that the elective surgical treatment of SCMOD may be performed with reasonable early and late mortality rates and that most of the patients remain free from recurrent symptoms of mesenteric ischemia. Advancing age, cardiac disease, hypertension, and additional occlusive disease significantly influenced the overall mortality rates, and concomitant aortic replacement, renal disease, and complete revascularization were significantly associated with postoperative morbidity rates. Surveillance and appropriate correction of recurrent disease appear to be necessary for optimal long-term results. (+info)Quality of life in patients receiving home parenteral nutrition. (3/215)
BACKGROUND/AIMS: Quality of life is an important determinant of the effectiveness of health technologies, but it has rarely been assessed in patients receiving home parenteral nutrition (HPN). PATIENTS/METHODS: The non-disease specific sickness impact profile (SIP) and the disease specific inflammatory bowel disease questionnaire (IBDQ) were used on a cohort of 49 patients receiving HPN, and the results compared with those for 36 non-HPN patients with either anatomical (<200 cm) or functional (faecal energy excretion >2.0 MJ/day (approximately 488 kcal/day)) short bowel. RESULTS: In the HPN patients the SIP scores were worse (higher) overall (17 (13)% v 8 (9)%) and with regard to physical (13 (15)% v 5 (8)%) and psychosocial (14 (12)% v 9 (11)%) dimensions and independent categories (20 (12)% v 9 (8)%) compared with the non-HPN patients (means (SD); all p<0.001). The IBDQ scores were worse (lower) in the HPN patients overall (5.0 (4.3-5.7) v 5.6 (4.8-6.2)) and with regard to systemic symptoms (3.8 (2.8-5.4) v 5.2 (3.9-5.9)) and emotional (5.3 (4.4-6.2) v 5.8 (5.4-6.4)) and social (4.3 (3.4-5. 5) v 4.8 (4.5-5.8)) function (median (25-75%); all p<0.05), but only tended to be worse with regard to bowel symptoms (5.2 (4.8-6.1) v 5.7 (4.9-6.4), p = 0.08). HPN also reduced quality of life in patients with a stoma, whereas a stoma did not reduce quality of life among the non-HPN patients. Female HPN patients and HPN patients older than 45 scored worse. CONCLUSION: Quality of life is reduced in patients on HPN compared with those with anatomical or functional short bowel not receiving HPN, and compares with that reported for patients with chronic renal failure treated by dialysis. (+info)Isolated inferior mesenteric artery revascularization for chronic visceral ischemia. (4/215)
PURPOSE: Complete visceral artery revascularization is recommended for the treatment of chronic visceral ischemia. However, in rare cases, it may not be possible to revascularize either the celiac or superior mesenteric (SMA) arteries. We have managed a series of patients with isolated revascularization of the inferior mesenteric artery (IMA) and now report our experience gained over a period of three decades. METHODS: Records were reviewed from 11 patients with chronic visceral ischemia who underwent isolated IMA revascularization (n = 8) or who, because of failure of concomitant celiac or SMA repairs, were functionally left with an isolated IMA revascularization (n = 3). All the patients had symptomatic chronic visceral ischemia documented with arteriography. Five patients had recurrent visceral ischemia after failed visceral revascularization, and two patients had undergone resection of ischemic bowel. The celiac or the SMA was unsuitable for revascularization in five cases, and extensive adhesions precluded safe exposure of the celiac or the SMA in five cases. IMA revascularization techniques included: bypass grafting (n = 4), transaortic endarterectomy (n = 4), reimplantation (n = 2), and patch angioplasty (n = 1). RESULTS: There was one perioperative death, and the remaining 10 patients had cured or improved conditions at discharge. One IMA repair thrombosed acutely but was successfully revascularized at reoperation. The median follow-up period was 6 years (range, 1 month to 13 years). Two patients had recurrent symptoms develop despite patent IMA repairs and required subsequent visceral revascularization; interruption of collateral circulation by prior bowel resection may have contributed to recurrence in both patients. Objective follow-up examination with arteriography or duplex scanning was available for eight patients at least 1 year after IMA revascularization, and all underwent patent IMA repairs. There were no late deaths as a result of bowel infarction. CONCLUSION: Isolated IMA revascularization may be useful when revascularization of other major visceral arteries cannot be performed and a well-developed, intact IMA collateral circulation is present. In this select subset of patients with chronic visceral ischemia, isolated IMA revascularization can achieve relief of symptoms and may be a lifesaving procedure. (+info)Superior mesenteric vein stenosis complicating Crohn's disease. (5/215)
BACKGROUND: Superior mesenteric vein stenosis as a consequence of mesenteric fibrosis, causing the development of small bowel varices, is an unrecognised association of Crohn's disease. CASE REPORTS: Two cases of gastrointestinal bleeding occurring in patients with Crohn's disease, and a third case, presenting with pain and diarrhoea, are described. In all three patients, visceral angiography showed superior mesenteric vein stenosis with dilatation of draining collateral veins in the small bowel. Overt gastrointestinal bleeding or iron deficiency anaemia resulting from mucosal ulceration is common in Crohn's disease, but acute or chronic bleeding from small bowel varices as a result of superior mesenteric vein stenosis due to fibrosis has not previously been reported. (+info)Mesenteric and portal vein thrombosis in a young patient with protein S deficiency treated with urokinase via the superior mesenteric artery. (6/215)
A 32-year-old man, who was previously healthy, had acute abdominal pain without peritonitis. Diffuse mesenteric and portal vein thrombosis were shown by means of a computed tomography scan. A protein s deficiency was found by means of an extensive workup for hypercoagulable state. Successful treatment was achieved with urokinase infusion via the superior mesenteric artery without an operation. This represents an attractive alternative approach to treating patients with this disease. The previous standard of operative intervention(1) can now be reserved for complications, such as bowel infarction with peritonitis, or for those patients with absolute contraindications to thrombolytic therapy. (+info)Chronic mesenteric ischemia: open surgery versus percutaneous angioplasty and stenting. (7/215)
OBJECTIVE: The aim of the study was to evaluate the safety and efficacy of percutaneous angioplasty and stenting (PAS) in comparison with traditional open surgical (OS) revascularization for the treatment of chronic mesenteric ischemia. METHODS: Over a 3.5-year period, 28 patients (32 vessels) underwent PAS (balloon angioplasty alone, 5 [18%] of 28; angioplasty and stenting, 23 [82%] of 28) for symptoms of chronic mesenteric ischemia. These patients were compared with a previously published series of 85 patients (130 vessels) treated with OS (bypass grafting, 60 [71%] of 85; transaortic endarterectomy, 19 [22%] of 85; or patch angioplasty, 6 [7%] of 85). RESULTS: The PAS and OS groups were similar with respect to baseline comorbidities, duration of symptoms (median: 6.7 vs 10.5 months, P =.52), and the number of vessels involved, but the patients differed in their age at presentation (median: 72 vs 65 years, P =.005). Fewer vessels were revascularized per patient in the PAS group (1.1 +/- 0.4) compared with the OS group (1.5 +/- 0.6, P =.001). Overall, 85.7% (24/28) had one vessel and 14.3% (4/28) had two vessels revascularized in the PAS group versus 48.2% (41/85) with one-vessel and 47.1% (40/85) with two-vessel revascularization in the OS group. No difference was noted in the early in-hospital complications (median: 17.9% [PAS] vs 32.9% [OS], P =.12) or mortality rate (10.7% [PAS] vs 8.2% [OS], P =.71). A reduced length of hospital stay in the PAS patients did not attain statistical significance (median: 5 days [PAS] vs 13 days [OS], P =.08). Although the 3-year cumulative recurrent stenosis (P =.62) and mortality rate (P =.99) did not differ, the PAS treatment group had a higher incidence of recurrent symptoms (P =.001). CONCLUSION: Although the results of PAS and OS were similar with respect to morbidity, death, and recurrent stenosis, PAS was associated with a significantly higher incidence of recurrent symptoms. These findings suggest that OS should be preferentially offered to patients deemed fit for open revascularization. (+info)Distal thoracic aorta as inflow for the treatment of chronic mesenteric ischemia. (8/215)
PURPOSE: Mesenteric revascularization for chronic mesenteric ischemia (CMI) traditionally involves antegrade or retrograde bypass graft originating from the supraceliac or infrarenal aorta. The distal thoracic aorta (DTA) may provide a better inflow source than the abdominal aorta. The purpose of this study was to evaluate the results with the DTA used as inflow for the surgical treatment of CMI. METHODS: All patients undergoing mesenteric revascularization for CMI with grafts originating from the DTA were identified from 1990 to 1999. A ninth interspace thoracoretroperitoneal incision was used for exposure, and distal aortic flow was maintained by use of a partial occlusion clamp. RESULTS: Eighteen consecutive patients with CMI underwent mesenteric bypass grafting with the DTA used as inflow. All patients were admitted with chronic abdominal pain or weight loss, with two (12%) requiring urgent revascularization because of acute exacerbation of chronic symptoms. Fourteen (78%) patients had both celiac and superior mesenteric artery bypass grafts placed, and three (17%) patients had superior mesenteric artery grafts alone. There was one (6%) perioperative death and three (17%) major complications. There was no kidney failure, mesenteric infarction, or spinal cord ischemia. The life-table survival rate was 89%, 89%, and 76% at 1, 3, and 5 years, respectively. All 18 patients remained symptom free and required no additional procedures to assist patency. There was no evidence of graft stenosis or occlusion (100% patency) for those grafts evaluated objectively during the mean follow-up of 34.8 months (range, 1-97 months). CONCLUSIONS: Antegrade mesenteric revascularization with the DTA used as inflow is associated with low morbidity and mortality rates. Furthermore, it provides excellent midterm patency and survival results and should be considered as a primary approach for reconstruction of patients with CMI. (+info)Mesenteric vascular occlusion refers to the blockage or obstruction of the blood vessels that supply the intestines, specifically the mesenteric arteries and veins. This condition can result in insufficient blood flow to the intestines, leading to ischemia (inadequate oxygen supply) and potential necrosis (tissue death).
There are two primary types of mesenteric vascular occlusion:
1. Mesenteric arterial occlusion: This occurs when the mesenteric artery, which carries oxygenated blood from the heart to the intestines, becomes blocked. The most common causes include atherosclerosis (plaque buildup in the arteries), embolism (a clot or particle that travels from another part of the body and lodges in the artery), and thrombosis (a blood clot forming directly in the artery).
2. Mesenteric venous occlusion: This happens when the mesenteric vein, which returns deoxygenated blood from the intestines to the heart, becomes obstructed. The most common causes include thrombophlebitis (inflammation and clot formation in the vein), tumors, or abdominal trauma.
Symptoms of mesenteric vascular occlusion may include severe abdominal pain, nausea, vomiting, diarrhea, and bloody stools. Rapid diagnosis and treatment are crucial to prevent intestinal tissue damage and potential life-threatening complications such as sepsis or shock. Treatment options typically involve surgical intervention, anticoagulation therapy, or endovascular procedures to restore blood flow.
Retinal artery occlusion (RAO) is a medical condition characterized by the blockage or obstruction of the retinal artery, which supplies oxygenated blood to the retina. This blockage typically occurs due to embolism (a small clot or debris that travels to the retinal artery), thrombosis (blood clot formation in the artery), or vasculitis (inflammation of the blood vessels).
There are two types of retinal artery occlusions:
1. Central Retinal Artery Occlusion (CRAO): This type occurs when the main retinal artery is obstructed, affecting the entire inner layer of the retina. It can lead to severe and sudden vision loss in the affected eye.
2. Branch Retinal Artery Occlusion (BRAO): This type affects a branch of the retinal artery, causing visual field loss in the corresponding area. Although it is less severe than CRAO, it can still result in noticeable vision impairment.
Immediate medical attention is crucial for both types of RAO to improve the chances of recovery and minimize potential damage to the eye and vision. Treatment options may include medications, laser therapy, or surgery, depending on the underlying cause and the severity of the condition.
Systemic vasculitis
Abdominal pain
List of MeSH codes (C06)
List of MeSH codes (C14)
Mesenteric arteries
Thromboangiitis obliterans
Ischemia
Superior mesenteric artery syndrome
Interventional radiology
Fibromuscular dysplasia
Horse colic
Abdominal angina
Intestinal ischemia
Inferior pancreaticoduodenal artery
Hyperosmolar hyperglycemic state
Embolectomy
Feline arterial thromboembolism
Endovascular aneurysm repair
Acute limb ischaemia
Bland embolization
Bradykinin
Index of anatomy articles
Joseph Lister
Generalized arterial calcification of infancy
Vein graft failure
Vitamin A
Surgical Outcomes Analysis and Research
Venous thrombosis
Abdominal aortic aneurysm
Osteopontin
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Ischemia35
- Chronic mesenteric ischemia (CMI) usually results from long-standing atherosclerotic disease of two or more mesenteric vessels. (medscape.com)
- In 1958, Shaw and Maynard described the first thromboendarterectomy of the superior mesenteric artery (SMA) for the treatment of both acute mesenteric ischemia (AMI) and CMI. (medscape.com)
- Mastery of the anatomy of the mesenteric vessels is essential to management of chronic mesenteric ischemia (CMI), although the wide array of vascular variations can make such mastery difficult to achieve. (medscape.com)
- This communication is an important connection that helps maintain bowel perfusion in the setting of mesenteric ischemia. (medscape.com)
- Interventional radiology in the treatment of acute and chronic mesenteric ischemia [La radiologia interventistica nel trattamento dell'ischemia mesenterica acuta e cronica. (torvergata.it)
- We treated 32 patients, 10 of them with acute mesenteric ischemia and 22 with chronic mesenteric ischemia and clinical signs of angina abdominis. (torvergata.it)
- In 3 cases acute mesenteric ischemia was not occlusive and could be successfully treated with papaverine infusion. (torvergata.it)
- In 7 cases, acute mesenteric ischemia was occlusive: in 5 of these patients it was successfully treated by PTA and/or fibrinolysis. (torvergata.it)
- Our results were positive in 80% of the cases, with remission of clinical signs in 4 of 5 patients treated for acute mesenteric ischemia. (torvergata.it)
- Although risk factors of occlusive acute mesenteric ischemia are well known, triggering factors of nonocclusive mesenteric ischemia (NOMI) remain unclear. (springeropen.com)
- Mesenteric vessel occlusion has long been the sole cause of acute mesenteric ischemia. (springeropen.com)
- Mesenteric ischemia usually involves the small intestine, but it may also involve other intra-abdominal organs such as the colon, liver, and stomach. (southfloridavascular.com)
- Mesenteric ischemia usually occurs when one or more of your mesenteric arteries narrows or becomes blocked. (southfloridavascular.com)
- Mesenteric ischemia usually occurs in people older than age 60. (southfloridavascular.com)
- You may be more likely to experience mesenteric ischemia if you are a smoker or have a high cholesterol level. (southfloridavascular.com)
- Mesenteric ischemia can be either chronic or acute. (southfloridavascular.com)
- Chronic mesenteric ischemia can progress without warning to acute mesenteric ischemia, sometimes very quickly. (southfloridavascular.com)
- If you have chronic mesenteric ischemia, you may experience severe pain in your abdomen 15 to 60 minutes after you eat. (southfloridavascular.com)
- Many people with chronic mesenteric ischemia begin losing weight because, although they may feel hungry, they do not want to eat because they experience the pain. (southfloridavascular.com)
- Sometimes the symptoms of chronic mesenteric ischemia can be vague and can be similar to those of other conditions. (southfloridavascular.com)
- With acute mesenteric ischemia, you may have sudden, severe stomach pain. (southfloridavascular.com)
- Narcotic pain medications may not adequately alleviate the pain that is associated with mesenteric ischemia. (southfloridavascular.com)
- With acute mesenteric ischemia, you may also experience nausea or vomiting. (southfloridavascular.com)
- Atherosclerosis, which slows the amount of blood flowing through your arteries, is a frequent cause of chronic mesenteric ischemia. (southfloridavascular.com)
- A clot, called an embolus, which travels to one of the mesenteric arteries and suddenly blocks the blood flow, is a common cause for acute mesenteric ischemia. (southfloridavascular.com)
- Endovascular Procedures for Acute and Chronic Intestinal Arterial Occlusions (Mesenteric Ischemia). (azhd.ae)
- CT diagnosis of acute mesenteric ischemia from various causes. (wustl.edu)
- OBJECTIVE: Acute mesenteric ischemia can be caused by various conditions such as arterial occlusion, venous occlusion, strangulating obstruction, and hypoperfusion associated with nonocclusive vascular disease, and the CT findings vary widely depending on the cause and underlying pathophysiology. (wustl.edu)
- The aim of this article is to review the CT appearances of acute mesenteric ischemia in various conditions. (wustl.edu)
- CONCLUSION: Recognition of characteristic CT appearances and the variations associated with each cause may help in the accurate interpretation of CT in the diagnosis of mesenteric ischemia. (wustl.edu)
- In the Cardiovascular Outcomes for People Using Anticoagulation Strategies (COMPASS) clinical trial of such patients, rivaroxaban plus aspirin demonstrated a significant reduction in major adverse CV events (MACE), a composite of stroke, myocardial infarction, and CV death, and major adverse limb events (MALE), a composite of chronic and acute limb ischemia, and major amputation resulting from vascular events, versus aspirin alone. (ahdbonline.com)
- Chronic mesenteric ischemia, also known as intestinal angina, is defined by reduced blood flow to major mesenteric arteries (celiac, superior mesenteric, inferior mesenteric) causing abdominal pain which is often postprandial. (logicalimages.com)
- Chronic mesenteric ischemia is typically caused by atherosclerotic disease. (logicalimages.com)
- The same risk factors for peripheral and coronary artery disease predispose to chronic mesenteric ischemia, namely smoking, hypertension, diabetes, and hyperlipidemia. (logicalimages.com)
- Presence of distal extremity ischemia (indicated by claudication , pain at rest, ischemic ulcers or gangrene) documented by noninvasive vascular testing such as ultrasound. (mdwiki.org)
Arteries7
- Radiologic revascularization procedures--i.e., percutaneous transluminal angioplasty (PTA) and fibrinolysis--are a valuable alternative to surgery in the treatment of stenoses and occlusions of the visceral vessels, that is the celiac tripod and the superior and inferior mesenteric arteries. (torvergata.it)
- The mesenteric arteries supply blood to your large and small intestines. (southfloridavascular.com)
- Emergency Repair of Acute Occlusion of Arteries. (azhd.ae)
- In a mesenteric infarction, an intestinal vessel is blocked by an embolism or thrombosis, whereby both intestinal arteries and intestinal veins can be affected. (bestitude.com)
- Thrombosis in the mesenteric arteries is more likely to occur in elderly patients due to arteriosclerosis. (bestitude.com)
- The diagnostic and prognostic information available from captopril renography and the increasing availability of magnetic resonance angiography (MRA) have reduced the use of renal arteriography as a diagnostic tool, except in evaluating kidneys with intrarenal branch-artery stenoses and those with complex vascular anatomy, including multiple accessory arteries. (medscape.com)
- These findings include a "corkscrew" appearance of arteries that result from vascular damage, particularly the arteries in the region of the wrists and ankles. (mdwiki.org)
Stenosis2
- Emergency coronary angiography showed no significant left main coronary artery (LMCA) stenosis and complete occlusion of the proximal segment of the left anterior descending (LAD) artery. (rcpjournals.org)
- [1] Angiograms may also show occlusions (blockages) or stenosis (narrowings) in multiple areas of both the arms and legs. (mdwiki.org)
Renal3
- Once your diagnosis is confirmed, rest assured that our skilled and caring vascular team can treat and manage a variety of vascular and circulatory conditions including all types of aneurysms, carotid artery disease, peripheral vascular disease, Raynaud's Phenomenon, renal vascular disease, stroke and varicose veins. (nebraskamed.com)
- By contrast, mesenteric lymph drainage increased the 2,3-DPG level in the renal tissue. (hindawi.com)
- Over the next 10 years, despite surgical attempts to erative glomerulonephritis ( 6 ) and segmental or circumfer- revascularize and treatment with anticoagulant drugs, his ential arteritis ( 4 ) with mononuclear infi ltration, fi brinoid condition deteriorated: his renal, mesenteric, and axillary necrosis and deposits, and increased intimal cellularity. (cdc.gov)
Varicose Veins1
- Peripheral Vascular Disease (PVD) refers to diseases of the circulatory system, and includes conditions like peripheral artery disease, carotid artery disease, aneurysms and varicose veins. (nebraskamed.com)
Surgery21
- As the regional leader, we use a collaborative approach to care bringing together experienced specialists from cardiology, interventional radiology, vascular surgery, neurosurgery, and cardiothoracic surgery who have one goal in mind: treating and healing you. (nebraskamed.com)
- When you come to Nebraska Medicine, you will receive world-class care in our state-of-the art Heart and Vascular Center that includes a hybrid operating room that provides the technology of a catheterization lab or interventional radiology suite and allows our doctors to also perform open surgery. (nebraskamed.com)
- The vascular services program brings together experienced specialists from cardiology, interventional radiology, vascular surgery, neurosurgery, and cardiothoracic surgery using leading edge research and technology. (nebraskamed.com)
- Dr. Hayes completed residency in general surgery, and fellowship in vascular surgery at the University of Toronto. (swedish.org)
- 2018-Indian Journal of Vascular and Endovascular Surgery. (stanleymedicalcollege.in)
- Vascular surgery refers to procedures performed to help treat diseases of the vascular system which mainly focuses on proper blood flow and circulation. (azhd.ae)
- A vascular surgeon is able to treat all conditions related to his/her respective field, even if no surgery is required, from medical therapy and open surgery to minimally invasive endovascular surgery. (azhd.ae)
- Endovascular surgery is the use of minimally invasive techniques to treat patients with vascular diseases. (azhd.ae)
- Jon G. Quatromoni, MD, MSTR, is a staff physician in the Department of Vascular Surgery, Sydell and Arnold Miller Family Heart, Vascular & Thoracic Institute. (clevelandclinic.org)
- Cleveland Clinic's Department of Vascular Surgery performs more than 5,000 procedures annually at 14 locations for patients with a broad spectrum of vascular diseases. (clevelandclinic.org)
- Altintas, Ü , Sillesen, H & Eiberg, J 2021, ' Response to Re 'Endovascular Treatment of Chronic and Acute on Chronic Mesenteric Ischaemia: Results From a National Cohort of 245 Cases' ', European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery , vol. 62, no. 2, pp. 318-319. (regionh.dk)
- If you need to be seen for these conditions, please click to find a provider for Neurosurgery - Vascular (brain) or Cardiovascular Surgery (heart) . (utmbhealth.com)
- The Department of Vascular Surgery comprises top-of-the-line medical infrastructure and world-class surgeons to offer diagnostic and therapeutic expertise for a wide range of vascular diseases. (kauveryhospital.com)
- The National Board of Examinations has been running DNB Vascular Surgery programme in the country. (kauveryhospital.com)
- NBE has recognised the Vascular Surgery department at Kauvery Hospital, Chennai, as a centre of excellence and has selected it to run a super-speciality training course. (kauveryhospital.com)
- Kauvery Hospital, Chennai is the first private healthcare provider in Tamil Nadu to be recognised by the NBE to conduct the DNB programme in Vascular Surgery. (kauveryhospital.com)
- The programme will be spearheaded by Prof Dr N Sekar, a doyen in the field of Vascular Surgery. (kauveryhospital.com)
- He was the first person in India to be awarded an M.Ch. in Vascular Surgery and the first Vascular Surgeon to start Endovascular surgeries in Tamilnadu. (kauveryhospital.com)
- He has been the president of the Vascular Society and has been one of the main people behind the shaping of Vascular Surgery speciality in India. (kauveryhospital.com)
- He completed a five-year general surgery residency at HCA Florida JFK North Hospital and a two-year vascular surgery fellowship at University of Maryland Medical Center. (24-7pressrelease.com)
- Objectives: The Amplatzer Vascular Plug (AVP) is a vascular occlusion device designed to provide optimal embolization in several fields of the endovascular surgery. (unina.it)
Diseases4
- Rare causes are drugs, intestinal parasites, and vascular immunoinflammatory diseases such as PERIARTERITIS NODOSA and THROMBOANGIITIS OBLITERANS. (bvsalud.org)
- At AZHD, we treat a wide variety of complex vascular diseases utilizing the latest endovascular techniques, advanced technology and specialized medical experts to give our patients the comprehensive treatment plans that they deserve. (azhd.ae)
- Equipped with the latest technologies, our specialized Vascular and Endovascular Surgeons are ready to assess, diagnose and treat all vascular related diseases. (azhd.ae)
- Vascular surgeons specialize in a large scope of vascular diseases such as arterial and venous disorders, and manage these disorders with medical therapy, minimally invasive procedures, and surgical intervention. (utmbhealth.com)
Aneurysm1
- The practice also sees patients with comorbidities linked to a high risk of complex vascular and vein disease including those with diabetes, hypertension, and other conditions as a specialist to aid in preventive care, and conducts regular peripheral artery disease, carotid artery disease, and abdominal aortic aneurysm screenings for early detection. (24-7pressrelease.com)
Thrombosis4
- The cause of a mesenteric infarction is either an embolism or a thrombosis. (bestitude.com)
- More rarely, a mesenteric vein thrombosis is responsible for the mesenteric infarction. (bestitude.com)
- Also noted were focal calcifications in the region of the diminutive main portal vein, medial splenic vein, and superior mesenteric vein, compatible with sequalae of chronic thrombosis. (amjcaserep.com)
- Dr. Garrido is a vascular surgeon with Advanced Vascular and Vein Associates , a private practice outside of Jackson, Miss. He treats all types of vein and artery conditions - from deep vein thrombosis and peripheral artery disease to chronic venous insufficiency and diabetic vascular disease, including diabetic wounds. (24-7pressrelease.com)
Stenting2
- Marcaccio CL, Anjorin A, Patel PB, Rastogi V, Jones DW, Lo RC, Wyers MC, Schermerhorn ML. In-hospital outcomes after upper extremity versus transfemoral and transcarotid access for carotid stenting in the Vascular Quality Initiative. (umassmed.edu)
- Common procedures performed include carotid endarterectomy, angioplasty and stenting, amputation prevention, dialysis access creation and maintenance, endovascular stenting, laser therapy, endovascular and surgical treatment of arterial occlusions, and median arcuate limb syndrome. (24-7pressrelease.com)
Occlusive1
- AMI is defined by the association of mesenteric vascular insufficiency (which can be occlusive or nonocclusive) with ischemic gut injury (which can be reversible or irreversible when transmural necrosis occurs). (springeropen.com)
Amplatzer Vascular Plug1
- Abdel-Aal AK, Dawoud N, Moustafa AS, Hamed MF, Saddekni S. Percutaneous Transhepatic Embolization of Bleeding Rectal Varices Using A New Embolic And Sclerotic Mixture Augmented By Amplatzer Vascular Plug 2. (uams.edu)
Angiography4
- As a regional leader with a nationally recognized team, our vascular services include an outpatient clinic with a full array of advanced medical equipment and state-of-the-art angiography suites. (nebraskamed.com)
- Our non-invasive vascular laboratories provide a full range of studies including carotid, venous and arterial exam, angiography, intravascular ultrasonography and transcranial doppler. (nebraskamed.com)
- The mesenteric infarction can be visualized using an X-ray overview of the abdomen, sonography and/or CT angiography. (bestitude.com)
- Subsequent angiography confirmed occlusion at the hepatic arterial anastomosis. (medscape.com)
Graft1
- However, vasculitis , aortic or mesenteric artery dissection, fibromuscular dysplasia , celiac artery compression by the median arcuate ligament, retroperitoneal fibrosis , or endovascular graft occlusion should be considered as alternative etiologies. (logicalimages.com)
Complete occlusion2
- Magnetic resonance angiogram of the recipient celiac axis depicts complete occlusion of the hepatic artery. (medscape.com)
- CT scan showed: Complete occlusion of calcified celiac trunk with Severely calcified stenosed mesenteric artery. (incathlab.com)
Inferior mesenteric6
- The proximal caudal limb is supplied by the superior mesenteric artery (SMA), whereas the distal portion is supplied by the inferior mesenteric artery (IMA). (medscape.com)
- The remaining 15 percent are divided equally between the celiac trunk ("stem of the abdominal cavity"), in whose supply area the stomach, liver, spleen and pancreas are located, as well as the duodenum, and the inferior mesenteric artery ("lower visceral artery"), which supplies the descending nourishes the colon and upper rectum. (bestitude.com)
- A mesenteric infarction of the inferior mesenteric artery has a better prognosis. (bestitude.com)
- Xiu WL, Liu J, Zhang JL, Su N, Wang FJ, Hao XW, Wang FF, Dong Q. Computer-assisted rescue of the inferior mesenteric artery in a child with a giant ganglioneuroblastoma: A case report. (wjgnet.com)
- and in 16.7%, the inferior mesenteric artery. (unina.it)
- A collateral Riolan arc is present from inferior mesenteric artery to superior mesenteric artery. (incathlab.com)
Blockage1
- However, further studies should be conducted to determine whether or not the blockage of mesenteric lymph return can decrease kidney injury after hemorrhagic shock without resuscitation. (hindawi.com)
Atherectomy1
- Dr. Zaidi's practice specializes in treating vascular disease with comprehensive treatment options including medical management, minimally invasive endovascular procedures including balloon angioplasty, atherectomy, stent procedures, and open surgical repair including bypass. (utmbhealth.com)
Malformation1
- A clinical study on management of slow flow vascular malformation with foam sclerotherapy.2018 International Journal of Advanced Research. (stanleymedicalcollege.in)
Vessel2
- The IMA is the smallest mesenteric vessel and comes off the anterior aorta. (medscape.com)
- A mesenteric infarction describes the acute occlusion of an intestinal vessel which, if left untreated, leads to the death of sections of the intestine. (bestitude.com)
Venous1
- Vascular surgeons do not manage arterial or venous disorders of the heart or brain. (utmbhealth.com)
Necrosis2
- Their necrosis begins about two hours after the vascular occlusion due to the undersupply of the corresponding sections of the intestine. (bestitude.com)
- If the mesenteric infarction is not diagnosed in time, the patient's condition deteriorates massively after about 12 hours due to advanced intestinal necrosis. (bestitude.com)
Superior2
- Noncontrast CT acquisitions were used to calculate calcium scores of the abdominal aorta, celiac trunk, superior mesenteric artery (SMA), and common iliac artery according to the Agatston method. (springeropen.com)
- In arterial mesenteric infarction, the superior mesenteric artery ("upper visceral artery"), which supplies large parts of the small intestine, large intestine and pancreas, is affected in 85 percent of cases. (bestitude.com)
Trauma1
- 4. Outcome analysis of Upper limb Vascular Trauma -Our institutional experience - International Journal of Advanced Research. (stanleymedicalcollege.in)
Disease5
- [ 1 , 2 ] It is also a manifestation of peripheral vascular disease in which the metabolic demands of visceral organs are not being met by the blood supply. (medscape.com)
- The Nebraska Medicine vascular team is devoted to diagnosing, treating and managing your circulatory system disease with the most advanced medical equipment, procedures and nationally recognized expertise. (nebraskamed.com)
- Dr. Hayes believes in educating his patients about vascular disease, and shared decision making. (swedish.org)
- Mesenteric artery FMD is rare and presents with abdominal symptoms similar to Crohn disease (CD) and Behcet disease (BD). (medscape.com)
- However, 2 mink farmers with vascular disease DNA was extracted from lymph nodes (patient 1) and from and microangiopathy similar to that in mink with Aleutian peripheral blood and bone marrow (patient 2) before ampli- disease were found to have AMDV-specifi c antibodies and fi cation with AMDV-specifi c primers. (cdc.gov)
Complications1
- Post-transplant complications can be categorized into vascular, non-vascular and biliary. (medscape.com)
Interventional1
- Several emerging themes are being developed in vascular interventional radiology with, for example, osteoarticular embolization for the treatment of chronic pain, prostatic artery embolization in the treatment of benign prostatic hypertrophy, and new focal therapies in oncology. (mdpi.com)
Surgeon1
- Dr. P. Gregory Hayes is a vascular surgeon at Swedish Medical Center, in Seattle, Washington. (swedish.org)