Showing papers by "Robert B. McLafferty published in 2006"
TL;DR: Examination of wound healing and the functional natural history of patients undergoing infrainguinal bypass with reversed saphenous vein for critical limb ischemia (CLI) indicated that extensive pedal necrosis at presentation independently predicted delayed wound healing.
89 citations
TL;DR: Considering the ripple effect due to the number of a patient's FMoFs, surgeons should be aware of the significant impact of even occasional lapses in optimal communication behaviors.
61 citations
TL;DR: An overview about sclerotherapy, ambulatory phlebectomy, and percutaneous venous ablation treatments that can be safely performed in the office and the benefits of forming a clinic dedicated only to venous treatment are present.
Abstract: Many recent developments in the care of venous disease have dramatically changed the options for office-based treatments. Traditionally relegated to patient education, compression, and wound care, office-based care is witnessing a dramatic change in treatment of patients particularly diagnosed with the full spectrum of chronic venous disease. These treatments primarily involve sclerotherapy, ambulatory phlebectomy, and percutaneous venous ablation. Although these procedures can be delivered in a general vascular surgery clinic, more effective and streamlined care may be best provided by forming a specialty vein clinic created specifically for patients with varicose veins or all stages of chronic venous disease. An overview about sclerotherapy, ambulatory phlebectomy, and percutaneous venous ablation treatments that can be safely performed in the office and the benefits of forming a clinic dedicated only to venous treatment are present.
9 citations
TL;DR: A possible association between anticoagulation knowledge and increased HAT interest was seen and should be further studied.
7 citations
TL;DR: Patient selection based on predictors of outcome and lesion characteristics has been a strong part of vascular surgeons performing endovascular peripheral arterial interventions but can also be improved by review of predictor of endov vascular complications.
Abstract: Patient selection based on predictors of outcome and lesion characteristics has been a strong part of vascular surgeons performing endovascular peripheral arterial interventions. The TansAtlantic Inter-Society Consensus (TASC) has defined plaque morphology for iliac and femoropopliteal artery lesions. TASC also outlines other indicators of success including the indication of claudication, proximal lesion location, focal morphology, multivessel run-off, male gender, and no diagnosis of diabetes mellitus or renal failure. This information guides the vascular surgeon as to what lesions may be best treated by endovascular means. Furthermore, outcome of interventions has been linked to types of TASC lesions treated. Other factors, not specifically addressed by TASC may play a vital role in determining who may be at increased risk of failure and alter patient selection for an endovascular intervention. These include calcification load, risk of embolism, tortuosity, artery diameter, and proximity to other structures such aneurysms, side branches, or graft anastomoses. Refining patient selection can also be improved by review of predictors of endovascular complications. Herein, information is provided to improve patient selection based on lesion characteristics and predictors of outcome.
4 citations
TL;DR: Clinical demand for evaluation and treatment of VVs showed little variation between R-V VC and U-VVC, and changes in practice patterns after the establishment of a varicose vein center (VVC) within two tertiary university vascular surgery practices were examined.
3 citations