Emergency Vascular Surgery A Practical Guide - part 9 ppsx

... 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

... Dissection 91 Chapter 9 Vascular Injuries in the Leg 101 Chapter 10 Acute Leg Ischemia 1 19 Part B General Concepts Chapter 11 Vascular Access in Trauma 135 Chapter 12 Complications in Vascular Surgery ... “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 A...

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 ... Fulford P, et al. Management of acute nontraumatic upper limb ischemia. Angiol- ogy 199 9; 50 (9) :715–720 Eyers P, Earnshaw JJ. Acute non-traumatic arm isch- aemia. Br J Surg 199 8; 85(10):1340...

Ngày tải lên: 11/08/2014, 01:22

... are available and that such management does not delay final treatment. Blunt abdominal trauma causing splenic injury can also be treated by endovascular embolization. In most published patient ... located below the mesocolon. Lateral perito- neal hematomas occur after renal vessel and pa- renchymal injuries. A pelvic hematoma indicate iliac vessel damage. 61 erate ligation during explo...

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. 7.5...

Ngày tải lên: 11/08/2014, 01:22

... or accidents. Because of the rise in the number of endovascular procedures, iatro- genic injuries have also become an increasing part of vascular trauma. Vascular injuries may cause life-threatening ... min- imize graft infection and postoperative complica- tions. 9. 5.3 Endovascular Treatment Endovascular treatment of vascular injuries to leg vessels is attractive because it pro...

Ngày tải lên: 11/08/2014, 01:22

... 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

... by 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 ... primary 1 29 analgesics 22, 70, 79, 97 , 105, 125, 175 anastomosis – bleeding 151 – transforming 175 anatomical aortic arch and branch variations 16 anemia 97 , 125, 153 anesthesia of the a...

Ngày tải lên: 11/08/2014, 01:22

... 19. Nemaline myopathy. A Distal leg atrophy in a patient with nemaline myopathy. B At- rophy of the proximal arm mus- cles, neck muscles, and weak- ness of the facial muscles. C Bi- lateral hand ... by certain distinc- tive clinical features: cardiac arrhythmia often requiring a pacemaker, limb and spine contractures, lack of facial weakness, and X-linked or autosomal dominant inheritan...

Ngày tải lên: 10/08/2014, 18:20