Peripheral vascular surgery

2011 ◽  
Author(s):  
A. E. Clason
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Carotid Body Tumour ◽  
Peripheral Vascular ◽  
Aortoiliac Occlusive Disease ◽  
Abdominal Aortic ◽  
Arterial Anastomosis

Arterial anastomosis 380Exposure of major blood vessels 386Profundaplasty 396Endarterectomy 398Carotid endarterectomy 400Excision of carotid body tumour 404Aneurysmal internal carotid artery repair 406Sympathectomy 408Repair of abdominal aortic aneurysm 416Embolectomy 422Aortoiliac occlusive disease 428Extra-anatomic bypass 432...

scholarly journals Simultaneous surgical treatment of ruptured abdominal aortic aneurysm and acute carotide occlusive disease

2009 ◽  
Vol 56 (1) ◽  
pp. 101-103
Author(s):  
Z.V. Maksimovic ◽  
N. Jakovljevic ◽  
S. Putnik ◽  
D. Jadranin ◽  
D. Markovic ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Surgical Treatment ◽  
Aortic Aneurysm ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Good Condition ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Acute Thrombosis ◽  
Abdominal Aortic

Combined rupture of abdominal aortic aneurysm and acute thrombosis of internal carotid artery is extremely rare but fatal combination resulting in high mortality rate. Presented case, shows successfully performed simultaneous surgery of ruptured abdominal aortic aneurysm and acute cerebrovascular insult caused by thrombosis of carotid artery in 81 year-old male. Post operative course was uneventfull. At 24 months follow up patient was in good condition, with full neurological recovery. Simultaneous surgical treatment of acute occlusive carotid disease and ruptured abdominal aortic aneurysm (RAAA) seems to be the only life saving procedure for this rare, but very complicated condition. To our knowledge, this is the first reported successful simultaneous surgical treatment of RAAA and acute thrombosis of internal carotid artery.

scholarly journals Step surgical treatment of a patient with abdominal aortic and internal carotid artery aneurysms

2020 ◽  
Vol 4 (7) ◽  
pp. 463-466
Author(s):  
A.R. Gilemkhanov ◽  
◽  
V.V. Plechev ◽  
V.Sh. Ishmetov ◽  
I.M. Gilemkhanova ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Surgical Treatment ◽  
Aortic Aneurysm ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Cerebral Aneurysm ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Iliac Arteries ◽  
Abdominal Aortic

The presence of associated cerebral aneurysm and abdominal aortic aneurysm is an extremely rare degenerative vascular pathology. The article describes a two-stage treatment of a patient with aneurysms that occur in different types of blood vessels characterized by different hemodynamic conditions. A 56-year-old man suffering from hypertension complained of abdominal pain, headache, and dizziness. The exam-ination revealed multiple aneurysms: in the abdominal and iliac arteries, as well as an ophthalmic artery aneurysm of the internal carotid ar-tery. Surgical interventions were carried out in stages: osteoplastic pterional craniotomy with aneurysm clipping of the right internal carotid artery with vascular ultrasound and endoprosthesis of abdominal aorta and iliac arteries with a stent graft. The patient was discharged in a satisfactory condition. Regression of clinical disease manifestations was found. It was shown that the key point was to create a multidisci-plinary team and determine the stages of surgical treatment when managing such patients.KEYWORDS: abdominal aortic aneurysm, iliac artery aneurysm, cerebral aneurysm, hypertension, degenerative pathology, treatment stages.FOR CITATION: Gilemkhanov A.R., Plechev V.V., Ishmetov V.Sh. et al. Step surgical treatment of a patient with abdominal aortic and internal carotid artery aneurysms. Russian Medical Inquiry. 2020;4(7):463–466. DOI: 10.32364/2587-6821-2020-4-7-463-466.

Peripheral Vascular Disease

2014 ◽  
pp. 881-892
Author(s):  
Mark A. Creager
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Carotid Artery ◽  
Diagnostic Imaging ◽  
Carotid Artery Disease ◽  
Vascular Diseases ◽  
Peripheral Vascular ◽  
Abdominal Aortic ◽  
Systemic Disorder ◽  
Artery Disease

Atherosclerosis is a systemic disorder with regional manifestations in the heart, limbs, brain, and other organs. Advances in vascular biology, diagnostic imaging, pharmacotherapeutics, and intervention have provided physicians with greater opportunities to evaluate and manage patients with atherosclerotic vascular diseases. This chapter reviews several of these peripheral vascular diseases, including peripheral artery disease, abdominal aortic aneurysm, and carotid artery disease.

scholarly journals Elective reconstruction of thoracoabdominal aortic aneurysm type IV by transabdominal approach

2012 ◽  
Vol 69 (1) ◽  
pp. 90-93
Author(s):  
Ivan Marjanovic ◽  
Miodrag Jevtic ◽  
Sidor Misovic ◽  
Momir Sarac
Keyword(s):  
Computed Tomography ◽  
Aortic Aneurysm ◽  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Thoracoabdominal Aortic Aneurysm ◽  
Aortic Dilatation ◽  
Aortic Reconstruction ◽  
Transabdominal Approach ◽  
Type Iv

Introduction. Thoracoabdominal aortic aneurysm (TAAA) type IV represents an aortic dilatation from the level of the diaphragmatic hiatus to the iliac arteries branches, including visceral branches of the aorta. In the traditional procedure of TAAA type IV repair, the body is opened using thoractomy and laparotomy in order to provide adequate exposure of the descending thoracic and abdominal aorta for safe aortic reconstruction. Case report. We reported a 71-yearold man with elective reconstruction of the TAAA type IV performed by transabdominal approach. Computed tomography scans angiography revealed a TAAA type IV with diameter of 62 mm in the region of celiac trunk and superior mesenteric artery branching, and the largest diameter of 75 mm in the infrarenal aortic level. The patient comorbidity included a chronic obstructive pulmonary disease and hypertension, therefore he was treated for a prolonged period. In preparation for the planned aortic reconstruction asymptomatic carotid disease (occlusion of the left internal carotid artery and subtotal stenosis of the right internal carotid artery) was diagnosed. Within the same intervention percutaneous transluminal angioplasty with stent placement in right internal carotid artery was made. In general, under endotracheal anesthesia and epidural analgesia, with transabdominal approach performed aortic reconstruction with tubular dakron graft 24 mm were, and reimplantation of visceral aortic branches into the graft performed. Postoperative course was uneventful, and the patient was discharged on the postoperative day 17. Control computed tomography scan angiography performed three months after the operation showed vascular state of the patient to be in order. Conclusion. Complete transabdominal approach to TAAA type IV represents an appropriate substitute for thoracoabdominal approach, without compromising safety of the patient. This approach is less traumatic, especially in patients with impaired pulmonary function, because there is no thoracotomy and any complications that could follow this approach.

Changing Indications and Outcomes for Open Abdominal Aortic Aneurysm Repair since the Advent of Endovascular Repair

2009 ◽  
Vol 75 (8) ◽  
pp. 665-670 ◽  
Author(s):  
Charles S. Joels ◽  
Eugene M. Langan ◽  
Charles A Daley ◽  
Corey A. Kalbaugh ◽  
Anna L. Cass ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Open Repair ◽  
Endovascular Aneurysm Repair ◽  
Abdominal Aortic Aneurysm Repair ◽  
Complication Rates ◽  
Aortoiliac Occlusive Disease ◽  
Abdominal Aortic ◽  
Artery Disease ◽  
Aneurysm Repair

The indications for open abdominal aortic aneurysm (AAA) repair have changed with the development of endovascular techniques. The purpose of this study is to clarify the indications and outcomes for open repair since endovascular aneurysm repair (EVAR) and to compare contemporary AAA repair with the pre-EVAR era. Patients undergoing open AAA repair were identified; the demographics, outcomes, and indications for open repair were reviewed. Outcomes were compared based on indication for open repair in the EVAR era and between the pre-EVAR and EVAR eras. Open indications in the EVAR era included: age younger than 65 years with minimal comorbidities (AGE, n = 24 [9.8%]), unfavorable anatomy (ANAT, n = 146 [59.3%]), aortoiliac occlusive disease (AIOD, n = 38 [15.4%]), and miscellaneous (OTHER, n = 38 [15.4%]). Mortality (30-day and 5-year) was affected by indication: AGE = 0 and 0 per cent, ANAT = 4.1 and 49.7 per cent, AIOD = 13.5 and 32.3 per cent, and OTHER = 5.3 and 41.8 per cent. Age, sex, race, coronary artery disease, and peripheral artery disease were similar between the pre-EVAR and EVAR eras. EVAR-era patients had more diabetes mellitus, hypertension, and hyperlipidemia and longer operative time. Mortality was not different, but complication rates were lower in the pre-EVAR era (23.7 vs 43.5%, P = 0.025). Patients undergoing open AAA repair in the EVAR era have more comorbidities, longer operative times, and more complications. Outcomes for EVAR-era patients are affected by the indication for open repair. A preference for open repair in younger patients with minimal comorbidities is justified.

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