Vascular pathology

2012 ◽  
Author(s):  
James Carton
Keyword(s):  
Lower Limb ◽  
Vessel Wall ◽  
Varicose Veins ◽  
Vascular Pathology ◽  
Limb Ischaemia ◽  
Lower Limb Ischaemia ◽  
Vein Thrombosis ◽  
Abdominal Aortic ◽  
Deep Vein ◽  
Systemic Arteries

Atherosclerosis 28Shock 30Hypertension 31Chronic lower limb ischaemia 32Acute lower limb ischaemia 33Aortic dissection 34Abdominal aortic aneurysm 35Varicose veins 36Deep vein thrombosis 37• An inflammatory disease of large- and medium-sized systemic arteries characterized by the formation of lipid-rich plaques in the vessel wall....

Vascular pathology

2017 ◽  
Author(s):  
James Carton
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Lower Limb ◽  
Varicose Veins ◽  
Vascular Pathology ◽  
Limb Ischaemia ◽  
Lower Limb Ischaemia ◽  
Vein Thrombosis ◽  
Abdominal Aortic ◽  
Venous Diseases ◽  
Deep Vein

This chapter covers vascular pathology, including common arterial and venous diseases including atherosclerosis and its complications, hypertension, shock, chronic lower limb ischaemia, acute lower limb ischaemia, aortic dissection, abdominal aortic aneurysm, deep vein thrombosis, and varicose veins.

Abdominal aortic and iliac aneurysm presented as lower limb deep vein thrombosis: case report

2018 ◽  
Vol 120 (4) ◽  
pp. 271-273
Author(s):  
Vedran Pazur ◽  
Inga Dakovic Bacalja ◽  
Ivan Cvjetko ◽  
Ana Borovecki
Keyword(s):  
Deep Vein Thrombosis ◽  
Case Report ◽  
Lower Limb ◽  
Iliac Aneurysm ◽  
Vein Thrombosis ◽  
Abdominal Aortic ◽  
Deep Vein ◽  
Limb Deep Vein Thrombosis

Non-pharmacological treatment of lower extremity varicose veins in patients who are not classified for surgical treatment

2017 ◽  
Vol 2 (3) ◽  
pp. 111-120
Author(s):  
Zuzanna Radosz ◽  
Małgorzata Ptaszyńska
Keyword(s):  
Surgical Procedures ◽  
Lower Limb ◽  
Pharmacological Treatment ◽  
Varicose Veins ◽  
Compression Therapy ◽  
Interventional Treatment ◽  
Invasive Treatment ◽  
Class I Obesity ◽  
Vein Thrombosis ◽  
Deep Vein

The purpose of this study is to discuss non-pharmacological methods of lower limb varices treatment for patients not qualified for surgical procedures. These methods can be used by both nurses and patients. There are the following types of varices treatment: interventional treatment, compression therapy and other non-pharmacological methods. Surgery is a traditional method of treatment, however it is not suitable for lower limb arterial ischemia, deep vein patency, haemorrhagic diathesis, deep vein thrombosis, acute infectious disease, pregnancy and class I obesity (BMI>29). In the abovementioned cases the following types of non-invasive treatment are recommended: compression therapy and other such non-pharmacological methods as; limb elevation, diet, hardening of the arteries in the affected limb, proper footwear selection and physical activity. Despite the degree of severity of the condition and undertaken surgical procedures the preventive medical treatment should be considered in the therapy as it (the therapy) significantly affects the further development of varicose veins and the severity of ailments related to the disease. Results of a number of studies confirm the importance of the integrity between pharmacological and non-pharmacological treatment.

Vascular surgery

2016 ◽  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Vascular Surgery ◽  
Lower Limb ◽  
Clinical Evidence ◽  
Varicose Veins ◽  
Limb Ischaemia ◽  
Carotid Disease ◽  
Abdominal Aortic ◽  
Extensive Range ◽  
Arteries And Veins

Over the last three decades, vascular surgery has transformed into a new specialty incorporating endovascular therapies. The field of vascular and endovascular therapy covers an extensive range of conditions and disorders of the arteries and veins such as lower limb ischaemia, abdominal aortic aneurysm, carotid disease, and varicose veins. This chapter covers recent key clinical evidence associated with the above conditions.

Peripheral vascular disease

2021 ◽  
pp. 775-808
Keyword(s):  
Vascular Disease ◽  
Peripheral Vascular Disease ◽  
Lower Limb ◽  
Varicose Veins ◽  
Critical Limb Ischaemia ◽  
Limb Ischaemia ◽  
Peripheral Vascular ◽  
Developmental Abnormalities ◽  
Abdominal Aortic ◽  
Associated Risk Factors

This chapter assesses peripheral vascular disease. It begins with acute limbic ischaemia; chronic upper limb ischaemia; chronic lower limb ischaemia; intermittent claudication; and critical limb ischaemia. The chapter then turns to aneurysms; ruptured abdominal aortic aneurysm; vascular developmental abnormalities; carotid disease; vasospastic disorders; varicose veins; deep venous thrombosis; and thrombolysis. It also considers the diabetic foot and amputations, as well as complications in vascular surgery. Complications may occur in the perioperative, early, or late post-operative periods. In general, vascular patients are older and have increased cardiac, cerebral, pulmonary, and renal comorbidities. This is due to the associated risk factors of hypertension, diabetes mellitus, hypercholesterolaemia, and smoking.

Acute thrombosis of abdominal aortic aneurysm presenting with lower limb ischaemia

2011 ◽  
Vol 81 (12) ◽  
pp. 945-946 ◽  
Author(s):  
Bobby V. M. Dasari ◽  
Anthony McBrearty ◽  
Robbie George ◽  
Chris Boyd ◽  
Chee Soong ◽  
...  
Keyword(s):  
Abdominal Aortic Aneurysm ◽  
Aortic Aneurysm ◽  
Lower Limb ◽  
Limb Ischaemia ◽  
Lower Limb Ischaemia ◽  
Acute Thrombosis ◽  
Abdominal Aortic

Vascular surgery

2012 ◽  
Author(s):  
Matthew D. Gardiner ◽  
Neil R. Borley
Keyword(s):  
Lower Limb ◽  
Venous Insufficiency ◽  
Varicose Veins ◽  
Arterial Disease ◽  
Arterial Occlusive Disease ◽  
Limb Ischaemia ◽  
Basic Principles ◽  
Abdominal Aortic ◽  
Peripheral Arterial ◽  
Extracranial Arterial Disease

This chapter begins by discussing the basic principles of haemostasis and coagulation and atherosclerosis, before focusing on the key areas of knowledge, namely assessment and management of peripheral arterial occlusive disease, acute lower limb ischaemia, extracranial arterial disease, abdominal aortic aneurysm, chronic venous insufficiency, varicose veins, lymphatic conditions, diabetic foot, lower limb ulceration, and miscellaneous vascular conditions. The chapter concludes with relevant case-based discussions.

Obesity and lower limb venous disease – The epidemic of phlebesity

2016 ◽  
Vol 32 (4) ◽  
pp. 227-233 ◽  
Author(s):  
Huw OB Davies ◽  
Matthew Popplewell ◽  
Rishi Singhal ◽  
Neil Smith ◽  
Andrew W Bradbury
Keyword(s):  
Deep Vein Thrombosis ◽  
Lower Limb ◽  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Varicose Veins ◽  
Venous Disease ◽  
Obese Patients ◽  
Obese People ◽  
Vein Thrombosis ◽  
Deep Vein

Introduction Lower limb venous disease affects up to one half, and obesity up to one quarter, of the adult population. Many people are therefore affected by, and present to health services for the treatment of both conditions. This article reviews the available evidence of pathophysiological and clinical relationship between obesity and varicose veins, chronic venous insufficiency and ulceration and deep vein thrombosis. Methods A literature search of PubMed and Cochrane libraries was performed in accordance with PRISMA statement from 1946 to 2015, with further article identification from following cited references for articles examining the relationship between obesity and venous disease. Search terms included obesity, overweight, thrombosis, varicose veins, CEAP, chronic venous insufficiency, treatment, endovenous, endothermal, sclerotherapy, bariatric surgery and deep vein thrombosis. Results The proportion of the population suffering from lower limb venous disease and obesity is increasing. Obesity is an important risk factor for all types of lower limb venous disease, and obese patients with lower limb venous disease are more likely to be symptomatic as a result of their lower limb venous disease. The clinical diagnosis, investigation, imaging and treatment of lower limb venous disease in obese people present a number of challenges. The evidence base underpinning medical, surgical and endovenous management of lower limb venous disease in obese people is limited and such treatment may be associated with worse outcomes and increased risks when compared to patients with a normal body mass index. Conclusion Lower limb venous disease and obesity are both increasingly common. As such, phlebologists will be treating ever greater numbers of obese patients with lower limb venous disease, and clinicians in many other specialties are going to be treating a wide range of obesity-related health problems in people with or at risk of lower limb venous disease. Unfortunately, obese people have been specifically excluded from many, if not most, of the pivotal studies. As such, many basic questions remain unanswered and there is an urgent need for research in this challenging and increasingly prevalent patient group.

scholarly journals Status of clinical profile and management of varicose veins in a tertiary care teaching hospital

2021 ◽  
Vol 8 (10) ◽  
pp. 3093
Author(s):  
Atul Tandon
Keyword(s):  
Lower Limb ◽  
Medical Condition ◽  
Varicose Veins ◽  
Tertiary Care ◽  
Lower Limbs ◽  
Venous Flow ◽  
Male Predominance ◽  
Vein Thrombosis ◽  
Left Limb ◽  
Deep Vein

Background: Varicose veins are a widespread medical condition found in at least 10 percent of the general population. Symptoms of varicose veins range from asymptomatic varicose veins to more extreme symptoms such as ulceration and bleeding.Methods: Fifty-six cases of varicose veins of lower limb were evaluated by taking detailed history and by carrying out thorough clinical examination. Patients with features of varicose veins and its complications were included in the study while patients with secondary varicose veins due to deep vein thrombosis, recurrent varicose veins, pregnancy, and venous flow obstruction were excluded from the study.Results: It was more common in left lower limb then compared to right one, 26 (46.4%) patients developed in left and 23 (41.1%) patients in right lower limb. In the present study, right limb involvement of 41.1% and left limb involvement of 46.4%. In the present study bilateral involvement is seen in four patients (12.5%).Conclusions: Distributions of varicose veins of lower limbs is greater common in center age organization of 30 to 50 years (58.9%) with male predominance, career and own family history are the opposite contributory factors.

Acute complications in the post-anaesthesia care unit after infrainguinal surgery for lower limb ischaemia – a prospective observational cohort study

VASA ◽  
2019 ◽  
Vol 48 (1) ◽  
pp. 89-97
Author(s):  
Karin Yeung ◽  
Jonas Peter Eiberg ◽  
Henrik Kehlet ◽  
Eske Kvanner Aasvang
Keyword(s):  
Lower Limb ◽  
Severe Pain ◽  
Observational Cohort Study ◽  
Limb Ischaemia ◽  
Post Anaesthesia Care Unit ◽  
Lower Limb Ischaemia ◽  
Acute Complications ◽  
Observational Cohort ◽  
Anaesthesia Care ◽  
Pacu Stay

Abstract. Background: Arterial surgery for lower limb ischaemia is a frequently performed procedure in patients with severe cardio-pulmonary comorbidities, making them high-risk patients for acute postoperative complications with a need for prolonged stay in the post-anaesthesia care unit (PACU). However, detailed information on complications during the PACU stay is limited, hindering mechanism-based interventions for early enhanced recovery. Thus, we aimed to systematically describe acute complications and related risk factors in the immediate postoperative phase after infrainguinal arterial surgery. Patients and methods: Patients transferred to the PACU after infrainguinal arterial surgery due to chronic or acute lower limb ischaemia were consecutively included in a six-month observational cohort study. Pre- and intraoperative data included comorbidities as well as surgical and anaesthetic technique. Data on complications and treatments in the PACU were collected every 15 minutes using a standardised assessment tool. The primary endpoint was occurrence of predefined moderate or severe complications occurring during PACU stay. Results: In total, 155 patients were included for analysis. Eighty (52 %) patients experienced episodes with oxygen desaturation (< 85 %) and moderate or severe pain occurred in 72 patients (47 %); however, circulatory complications (hypotension, tachycardia) were rare. Preoperative opioid use was a significant risk factor for moderate or severe pain in PACU (59 vs. 38 % chronic vs. opioid naïve patients (P = 0.01). Conclusions: Complications in the PACU after infrainguinal arterial surgery relates to saturation and pain, suggesting that future efforts should focus on anaesthesia and analgesic techniques including opioid sparing regimes to enhance early postoperative recovery.

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