Emergency Vascular Surgery A Practical Guide - part 7 ppt

... greater saphenous vein a) 1. Scrub and drape a 10u10 cm large area ante- rior to the medial malleolus. 2. If the patient is awake, infiltrate a local anes - thetic. 3. Make a 3 cm-long transverse ... threatens limb viability, such as after a large em- bolization to a healthy vascular bed. Other times the symptoms are less dramatic, appearing as on- set of rest pain in a...

Ngày tải lên: 11/08/2014, 01:22

... . . . . 76 7. 3.2 Examination 76 7. 3.3 Dierential Diagnosis 77 7. 3.4 Clinical Diagnosis 77 7. 4 Diagnostics 77 7. 5 Management and Treatment 78 7. 5.1 Management Before Treatment 78 7. 5.1.1 ... Outcome 87 7 .7 Unusual Types of Aortic Aneurysms 87 7 .7. 1 Inammatory Aneurysm 87 7 .7. 2 Aortocaval Fistula 88 7. 7.3 Thoracoabdominal Aneurysm 88 7. 7.4 Mycotic Aneu...

Ngày tải lên: 11/08/2014, 01:22

... Manage- ment of extra-cranial vertebral artery injuries. Eur J Vasc Endovasc Surg 2004; 27: 1 57 162 Navsaria P, Omoshoro-Jones J. An analysis of 32 surgi- cally managed penetrating carotid artery ... “string sign” appearance (ar- rows) Contents Part A Specific Body Areas Chapter 1 Vascular Injuries to the Neck 1 Chapter 2 Vascular Injuries to the Thoracic Outlet Area 15 Chapter 3...

Ngày tải lên: 11/08/2014, 01:22

... regularly damage vessels below the elbow. The popularity of using the brachial artery as a site for vascular access for endovascular pro- cedures has caused an increase in iatrogenic cath- eter-related ... clavicular region may also damage the in- nominate artery. The same mechanisms are com- mon for injuries to the subclavian and proximal axillary arteries. Stab wounds are associated...

Ngày tải lên: 11/08/2014, 01:22

... routine analysis and blood typing and cross-matching. Laboratory studies follow stan- dard trauma management and should also include acid-base balance, serum amylase, and urineanal- ysis. Fluid ... If the patient’s condition allows and endovascular methods are available, the place- ment of an aortic balloon through a left brachial or femoral artery access, is of great potential value....

Ngày tải lên: 11/08/2014, 01:22

... an intramural hematoma, which is a hemorrhage into the medial layer of the aortic wall without an intimal tear. Intramural he- matomas have a natural history similar to aortic dissection and ... pan- creatitis and myocardial infarction. These can be verified by electrocardiogram (ECG), a plain ab- dominal x-ray, a CT scan, ultrasound, or urogra- phy as well as by blood tests. 7....

Ngày tải lên: 11/08/2014, 01:22

... have also become an increasing part of vascular trauma. Vascular injuries may cause life-threatening major bleeding, but distal ischemia is more common. Ischemia occurs after both blunt and ... Vascular injury Femoral shaft fracture Superficial femoral artery Knee dislocation Popliteal artery Fractured clavicle Subclavian artery Shoulder dislocation Axillary artery Supracondylar fr...

Ngày tải lên: 11/08/2014, 01:22

... the access is almost always threatened. Such expansion is usually caused by graft laceration and should be immedi- ately repaired. Old and stable hematomas can, as an alternative, be treated ... venotomy. Blind application of vascular clamps in a bleeding traumatic wound as dangerous. A nonsecure distal intimal edge is always a risk for dissection and creation of an inti- mal fl...

Ngày tải lên: 11/08/2014, 01:22

... an ordinary clamp Subject Index A AAA, see abdominal aortic aneurysm abdominal – aortic aneurysm (AAA) 75 –90 ––classic triad 77 – – clinical presentation 77 – – diagnosis of ruptured AAA 76 – ... proportion 67, 70 , 130 pallor 41 palpation of a thrill 170 pancreas 53, 56, 72 pancreatitis 68, 77 – hemorrhagic 70 papaverine 69, 72 , 113 paralysis 122, 146 paralysis 41 pa...

Ngày tải lên: 11/08/2014, 01:22

... that increase the duration of the cardiac actionpotential— Class IA and Class III drugs—canproduce the pause-dependentven- tricular tachyarrhythmias that are mediated by early afterdepolar- izations. ... in vestigational Class III antiarrhythmic agent whose efficacyagainst supraventricular arrhythmias appears to be on a par with other Class III drugs, whose efficacyagainst ventricular arrhyth...

Ngày tải lên: 13/08/2014, 12:20