Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic) A Collaborative Report from the American Association for Vascular Surgery/Society for Vascular Surgery,* Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA Task Force on Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Peripheral Arterial Disease) Endorsed by the American Association of Cardiovascular and Pulmonary Rehabilitation; National Heart, Lung, and Blood Institute; Society for Vascular Nursing; TransAtlantic Inter-Society Consensus; and Vascular Disease Foundation

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ACC/AHA 2005 Practice Guidelines for the Management of Patients With Peripheral Arterial Disease (Lower Extremity, Renal, Mesenteric, and Abdominal Aortic)

Jeffrey L. Anderson, MD, FACC, FAHA, Chair 

Jonathan L. Halperin, MD, FACC, FAHA, Chair-Elect 

Nancy M. Albert, PhD, RN, FAHA

Biykem Bozkurt, MD, PhD, FACC, FAHA

Ralph G. Brindis, MD, MPH, MACC

Lesley H. Curtis, PhD, FAHA

David DeMets, PhD[¶¶][1]

Lee A. Fleisher, MD, FACC, FAHA

Samuel

/pdf/2014-acc-aha-guideline-on-perioperative-cardiovascular-3firuin78y.pdf

2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: A report of the American college of cardiology/American heart association task force on practice guidelines

The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm

Editor's Choice - European Society for Vascular Surgery (ESVS) 2019 Clinical Practice Guidelines on the Management of Abdominal Aorto-iliac Artery Aneurysms.

http://unmhospitalist.pbworks.com/f/ACC+Preoperative+risk+2008.pdf

ACC/AHA 2007 Guidelines on Perioperative Cardiovascular Evaluation and Care for Noncardiac Surgery A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery)

To evaluate the ability of ultrasonographic imaging to detect plaque hemorrhage in carotid atheroma, a study was undertaken that compared pathologic findings to preoperative ultrasonographic findings. Ultrasonography identified two plaque categories based on the heterogeneous and homogeneous echo patterns of the lesions studied. Heterogeneous lesions accounted for 91 percent of intraplaque hemorrhages (30 of 33) and 100 percent of ulcerated lesions (15 of 15). In 41 of 50 specimens (82 percent), ultrasonography correctly identified the presence or absence of plaque hemorrhage. False-negative studies (3 of 50) were due to the minute foci of remote hemorrhages. False-positive studies (6 of 50) resulted from plaques that contained large amounts of lipid or cholesterol. Preoperative ultrasound carotid imaging can be used to detect the histologic characteristics of plaque. Since recent clinicopathologic studies have implicated intraplaque hemorrhage and ulceration in symptomatic carotid disease, this information may be of value in choosing therapy, especially for the asymptomatic patient.

Carotid plaque histology using real-time ultrasonography. Clinical and therapeutic implications

In order to select MLC incompatible one-haplotype related donor-recipient pairs that would achieve better graft survival and in an effort to alter the recipient immune response, 45 patients received three fresh blood transfuions from their prospective kidney donors. Recipient sensitization was evaluated by cross-match testing weekly sera obtained during and after the blood transfusions against donor T- and B-lymphocytes at 5 C (cold) and 37 C (warm). Thirteen (29%) of the 45 potential related recipients developed a positive warm T-cell cross-match or a persistent warm B-cell cross-match to their blood donor and related transplantation was not performed. Thirty-two (71%) patients had an appropriate negative cross-match to their blood donor. Thirty of these patients subsequently received kidneys from their blood donor. Ninety-seven per cent of the kidneys are functioning from one to 25 months with a single graft failure due to a patient discontinuing immunosuppressive medication. In addition to the excellent graft survival there was an unusually low incidence of rejection episodes in the recipients of kidneys from their blood donor so that the posttransplant course paralleled that of HLA-identical siblings. This approach may have future application with two-haplotype mismatched donor-recipient pairs, both related and unrelated.

Deliberate Donor-specific Blood Transfusions Prior to Living Related Renal Transplantation: A New Approach

Late results following operative repair for celiac artery compression syndrome

https://www.jvascsurg.org/article/0741-5214(84)90061-2/pdf

Monitoring with two-dimensional transesophageal echocardiography. Comparison of myocardial function in patients undergoing supraceliac, suprarenal-infraceliac, or infrarenal aortic occlusion.

B ECAVSr of the surgical inaccessibili ty and resistance to radiotherapy of clivus chordomas, the prognosis for pa t ien ts with this lesion has generally been h o p e l e s s . 4,6,13,16,22,24,2s,31,34,37 Nonsurgical t r e a t m e n t of clivus chordomas with radium the r apy 7 and by stereotact ic placement of y t t r i u m 906o has been repo~ed, but surgical r emova l of the tumor , al though usually incomplete, seems to be the best means of pal l ia t ing clinical symptoms . Previous surgical approaches to clivus chordomas include a t ransseptal sphenoidal route, 3 a t ransnasal r o u t e ) 4 an intraoral excision, 11 a t ransoral approach with resection of the lower jaw and soft palate, 35 a transoral t r anspa la ta l approach, 3s,4~ and a subtemporal or subparieto-occipi tal exposure with tentorial splitting, s,44,4s,57 Because these approaches are so often accompanied by meningeal infection 21,3s and occasionally by serious hemorrhage, 21 an approach through the neck would be more desirable. Dur ing recent studies in our laboratory on the cerebral blood flow in the isolated int racrania l circulation in monkeys, we needed to ligate the basi lar artery. This was accomplished by the anter ior surgical app roach through the clivus described by Whi te and Alb in) s T h e ease with which this procedure was accomplished when aided by microins t rumenta t ion (Zeiss dissecting microscope) suggested a possible clinical use. Accordingly, we invest igated the possibility of a similar t ranscl ival operation in man by dissecting 33 cadavers and by anatomical observat ions in living pat ients during radical neck operations for cancer. These prelimin a r y studies enabled us to remove a clivus chordoma employing a transcervical exposure of the clivus through a re t ropharyngeal app roach which has not to our knowledge been previously a t tempted .

Ronald J. Stoney

Papers

Carotid plaque histology using real-time ultrasonography. Clinical and therapeutic implications

Deliberate Donor-specific Blood Transfusions Prior to Living Related Renal Transplantation: A New Approach

Late results following operative repair for celiac artery compression syndrome

Monitoring with two-dimensional transesophageal echocardiography. Comparison of myocardial function in patients undergoing supraceliac, suprarenal-infraceliac, or infrarenal aortic occlusion.

A Transcervical Transclival Approach to the Ventral Surface of the Brain Stem for Removal of a Clivus Chordoma