Showing papers in "Cardiovascular Surgery in 1996"

TL;DR: In this article, the authors identified predicting and aetiological factors of adult respiratory distress syndrome and multiple organ failure after cardiac surgery between January 1984 and December 1993, 38 of the 38 patients that later developed adult respiratory syndrome had low postoperative cardiac output, 12 requiring intra-aortic balloon pump support.

TL;DR: This noninvasive method to assess biomechanical features of abdominal aortic aneurysm has potential to further the understanding of the influences of intraluminal thrombus on aneurYSm disease.

TL;DR: A minimally invasive technique for removal of the saphenous vein has been used in 30 patients undergoing peripheral arterial bypass, venovenous bypass, and a saphenopopliteal fistula and demonstrates the technical feasibility of vein harvest.

TL;DR: Although the natural history of renal artery macroaneurysms is not known with certainty, potential complications include embolization and rupture, and the authors' indications for surgery include symptomatic or enlarging aneurysms and renovascular hypertension.

TL;DR: The ability to deploy a bifurcated system increases the potential for endoluminal treatment of abdominal aortic aneurysm and the number of patients excluded remains excluded at median follow-up of 30 weeks.

TL;DR: The results of the present study suggest that this marked alteration in collagen concentration and proportion may contribute to the impaired diastolic distensibility of the ventricles seen in this group of patients.

TL;DR: Prolonged intensive care unit treatment (> 3 days) contributes to increased health costs and resource utilization, and strategies designed to reduce the incidence should include prevention of stroke, infection and bleeding.

TL;DR: Ligation of the subclavian artery followed by carotid-axillary bypass resulted in a symptom-free left arm after placement of a clavicular compression plate for a fractured left clavicle.

TL;DR: No statistically significant difference emerged from the clinical use of vascular grafts pretreated with antibiotics from the relatively limited series and follow-up, despite a significant prevalence of lymphatic complications and immediate redo surgery in patients with graft infection.

TL;DR: With meticulous technique, duplex scanning is highly accurate in diagnosing acute deep vein thrombosis of symptomatic lower extremities, avoiding contrast venography in over 90% of the cases, even at the tibioperoneal level.

TL;DR: Incompetence of the short saphenous vein was found to be the main source of venous reflux in the popliteal fossa and the level of an incompetent saphenopopliteal junction and the termination of any other incompetent vein in the management of varicose veins recurring after a short sa phenous vein operation was determined.

TL;DR: The sheep is an appropriate animal model for heart valve research and the detailed description provided will be useful to any other group contemplating similar studies.

TL;DR: Patients presenting with end-organ ischemia following radiation therapy can be managed successfully with aggressive surgical revascularization using a broad spectrum of reconstructive techniques.

TL;DR: Between October 1988 and May 1994, all aortoiliac graft infections seen in the authors' service were treated by in situ arterial allografting after resection of any infected graft or tissue.

TL;DR: The data suggest that hypertonic mannitol may have some protective effect in acute ischemia-reperfusion injuries of human extremities and it may decrease the need for fasciotomy and minimize neuromuscular dysfunction.

TL;DR: Intraoperative monitoring with SSEPs accurately identifies cerebral ischemia secondary to carotid clamping as well as patients requiring shunts with use of intraoperative SSEP monitoring, selective shunting may be safely performed in patients with a contralateralcarotid occlusion or a previous stroke.

TL;DR: There was little unanimity regarding the most appropriate intervention for residual stenoses, with opinion split between surgical and percutaneous transluminal angioplasty.

TL;DR: Using the pathological specimen as the 'gold standard', ultrasonography was unable to detect plaque ulceration or haemorrhage and plaque regularity, irregularity, homogeneity and heterogeneity were not consistent with plaque pathology or the clinical presentation.

TL;DR: The prognostic value of the cortical end-diastolic to peak systolic (d/s) velocity ratio was investigated in patients undergoing intervention for renal artery stenosis and it was concluded that a d/s ratio below 0.3 correlates with clinical failure in subsequent treatment of hypertension by renal revascularization.

TL;DR: The etiology of paraplegia after infrarenal aortic surgery is of particular interest since it appears that it is more likely due to interruption of flow to lumbosacral branches of the hypogastric arteries supplying the conus of the spinal cord and/or to division of a low-lying 'conus medullaris artery' rather than to occlusion of the higher-lying great radicularis artery of Adamkiewicz.

TL;DR: The level of blood lipids and apolipoproteins in subjects being screened for abdominal aortic aneurysms have been investigated and cholesterol levels were significantly higher in women than in men and levels of HDL-cholesterol and Apo-AI were significantly lower in patients with an abdominal aortsm than in normal subjects.

TL;DR: Among 1011 patients undergoing infrarenal aortic and infrainguinal vascular surgery in a 90-month period (1986-1993), 29 patients with clinical, angiographic and pathologic evidence of atheroembolism were identified and the iatrogenic and spontaneous groups were identified.

TL;DR: It is suggested that elective abdominal aortic aneurysm repair can be performed with low mortality and morbidity, even in increasing numbers of high-risk patients.

TL;DR: Between August 1986 and March 1993, 124 patients (102 men; mean age of 59 years) underwent myocardial revascularization with the use of at least one free internal mammary artery (FIMA) grafts, which represents 4.5% of the 2725 coronary bypasses performed during the same period.

TL;DR: Rifampicin-impregnated, gelatin-sealed Dacron is successful at reducing the incidence of S. epidermidis vascular graft infection, and other organisms were isolated from 12 infected grafts, most commonly Staphylococcus aureus.

TL;DR: Results suggest that the operative approach and method chosen to restore arterial continuity have less of an impact on outcome, and the primary determinants of outcome are virulence of the infecting organism and the preoperative state of the infection.

TL;DR: In this paper, the authors evaluated the intellectual function of 161 infants and children before and after cardiac surgery, and concluded that cardiac surgery did not impair intellectual function, although cerebral dysfunction might occur if circulatory arrest was >50 min.

TL;DR: Graft replacement remains the procedure of choice for patients with thoracoabdominal aortic aneurysm and a retrospective analysis of 10 years follow-up concluded that there is little information regarding the long-term survival following these major vascular operations.

TL;DR: In an effort to decrease hospital stay and costs and to increase limb salvage, a series of 974 extremities with distal occlusive disease were managed with autogenous distal bypass.

TL;DR: In the treatment of isolated femoral aneurysms better early results were obtained with expanded polytetrafluoroethylene interposition grafts, and the association between femoralAneurysm and abdominalAneurysmal dilatation of the femoral artery was found to be higher in patients with bilateral females compared with those with unilateral lesions.