| Expectations before and Satisfaction after Ultrasound Guided Foam Sclerotherapy for Varicose Veins |
Ultrasound guided foam sclerotherapy (UGFS) is a minimally invasive treatment for varicose veins (VV) whose clinical and cost-effectiveness remains incompletely defined. The aim of the current study was to examine patients' expectations before and satisfaction after UGFS for VV in terms of relief of lower limb symptoms, improvement in appearance, and beneficial effect on life-style.................
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| Treatment of recurrent varicose veins of the great saphenous vein by conventional surgery and endovenous laser ablation |
Varicose vein recurrence of the great saphenous vein (GSV) is a common, costly, and complex problem. The aim of the study was to assess feasibility of endovenous laser ablation (EVLA) in recurrent varicose veins of the GSV and to compare this technique with conventional surgical reintervention.................
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| Treatment of recurrent varicose veins of the great saphenous vein by conventional surgery and endovenous laser ablation |
The propaganda push for flu vaccines has reached a level of absurdity that's just begging to be made fun of. Today, a flu vaccine story appearing in Reuters claimed that injecting pregnant women with flu shots would increase the birth weight of their babies by half a pound. That same story claimed flu shots are so healthy for pregnant women that they also prevent premature births.It even quotes a team of experts who claim that injecting an expectant mother with a flu shot would reduce the hospitalization of her infants, explaining: "Flu vaccine given to women during pregnancy is 85 percent effective in preven...
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| Varicose Veins Today |
Moving towards outpatient intervention ..........
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Varicose veins drug pipeline report from Research and Markets
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Research and Markets (http://www.researchandmarkets.com/research/818d53/varicose_veins_the) has announced the addition of the "Varicose Veins Therapy Area Pipeline Report" report to their offering.
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Tips for treating age-related dermatologic concerns
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Aneurysm Surgery
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Open surgery for aortic aneurysm has been the main treatment for aortic aneurysm for 60 years. The procedure replaces the weakened portion of the aorta with a synthetic graph. This podcast describes how the surgery is performed.
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Debranching for Thoracic and Abdominal Aneurysms
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New developments in vascular surgery permit a less invasive approach to some very complex aneurysms. This paper discusses two subgroups of aneurysms. The first group involves the arch of the aorta, where the blood vessel arise for your brain and arms. The arch of the aorta is high up in your chest, immediately behind the sternum or breastbone. The second group involves the aorta in the abdomen where the blood vessels for the intestine, bowel and kidneys arise. This is called the visceral segment of the aorta. The briefing addresses what surgeons refer to as debranching followed by aortic endografting.
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Penetrating Ulcers of the Aorta
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Penetrating ulcers represent one of several atherosclerotic, degenerative diseases of the aorta. It is relatively more common in the thoracic aorta as compared to the abdominal aorta, but with respect to other degenerative pathologies such as aneurysms, penetrating ulcers occur in less than 15 percent of cases.
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Carotid Artery Stenting
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Carotid artery stenting has emerged as an exciting treatment option for carotid arteries stenosis. From the 1950s when carotid surgery was first introduced, carotid endarterectomy has emerged as a well-supported and well-documented therapy to reduce strokes related to carotid arteries stenosis. As our population has aged and technological advances have occurred, miniaturization for correction of the carotid artery stenosis is now offered through carotid artery stenting.
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Management of Chronic Mesenteric Ischemia
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Chronic mesenteric ischemia is a disease caused by blockages in the mesenteric arteries, that carry blood to the small and large intestines. Ischemia means decreased circulation and it usually develops due to atherosclerosis or hardening of the arteries. Chronic mesenteric ischemia is just one form of peripheral arterial disease (PAD) that can also present with leg pain due to decreased circulation in the legs, with chest pain due to decreased circulation in the heart, or with stroke due to blockages in the arteries of the brain.
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Vascular Surgery Training
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The majority of vascular surgeons feel the field is now different enough from traditional general surgery that independence is needed, in one form or another, from the American Board of Surgery. The proposal for full independence was not successful, but a compromise was reached the opened the way to a Primary Certificate in Vascular Surgery. Vascular surgeons no longer have to be trained in or certified as general surgeons and training programs with five years of core general and advanced vascular surgery training are being established.
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Vascular Surgeon Lifestyles
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A career in vascular surgery allows choices for achieving balance between personal life and work as a vascular surgeon. The choices made are important to be sustainable; and interests and needs may vary at different times in your life. For some individuals, family and personal interests are paramount. For others, home life fits around career. There are many different work settings: academic, Veterans Administration, private practice, hospital employee and HMO employee. Although there is some common ground, each of these different work settings holds certain advantages and disadvantages.
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Options for Careers in Vascular Surgery
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After training in vascular surgery, vascular surgeons can take care of a myriad of patient’s problems with a wide array of treatment plans. The best thing about practicing as a vascular surgeon is that the patients come back to see the same physician over a long period of time, a lifetime actually, with the need for the surgeon to monitor their lifestyle as well as the results of any interventions they perform.
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Profile of a Famous Vascular Surgeon: Juan C. Parodi
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In 1975, a 33 year-old resident at the Cleveland Clinic began a friendship with an 82 year old patient. The patient was recovering from an open abdominal aortic aneurysm (AAA) procedure, and his recovery was protracted. His suffering inspired the young resident to dream about a less-invasive way to repair these aneurysms. Fifteen years later, that same physician, Juan C. Parodi, accomplished what he had envisioned years earlier; he repaired an abdominal aortic aneurysm using an intraluminal graft that was placed through a less invasive transfemoral approach.
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Endovascular Treatment of Dissections
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It’s not uncommon for someone to experience chest or back pain that requires evaluation in an emergency room. While these symptoms can often be the result of cardiac problems, it may also be from a separation of the layers in your major artery: the aorta, and is referred to as an aortic dissection.
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Contraindications for Carotid Stenting
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The role of carotid stenting in the treatment of carotid artery disease remains murky. A recent Society for Vascular Surgery® Clinical Practice guideline published in the Journal of Vascular Surgery® in August 2008 recommends against carotid stenting in all but the most limited situations: that is, the symptomatic patient with high grade stenosis and predicted high perioperative risk based primarily on surgical or anatomic complexity.
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Endovascular Techniques for Ruptured Aortic Aneurysms
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Elective aortic aneurysm repair has evolved over the past decade. Today, the majority of patients are evaluated for endovascular treatment and only those who do not meet the anatomic criteria are offered open surgical reconstruction. More recently, we have extended this technology to patients who present with ruptured abdominal and/or thoracic aortic aneurysms.
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Choosing a Vascular Surgery Fellowship
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Choosing a fellowship is an exciting, albeit stressful time in a young surgeon’s career. An applicant should look for a program that has an adequate volume and distribution of surgical and interventional procedures. That is, infra-renal aortic and thoracic stentgrafts, diagnostic and therapeutic peripheral interventions, open aortic reconstructions, infrainguinal bypass, and carotid-based procedures, including carotid stenting. Each program will have a different distribution as well as an increased participation in either open or endovascular treatments.
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Fenestrated and Branched Endografts
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The past 20 years have seen a gradual shift away from direct open surgery in favor of minimally invasive techniques. The treatment of vascular disease is no exception. Minimally invasive endovascular techniques of aneurysm repair substitute trans-femoral access for direct aortic exposure and stents for sutures.
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Increasing use of Hybrid Procedures
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Persons with advanced PAD and severe symptoms may have multiple areas of blockage from their iliac arteries to the vessels below the knee joint. Traditionally, a bypass to circumvent the iliac lesion would be necessary. Now, with modern technology, such extensive complex disease may require that a minimally invasive approach be performed to open a blood vessel such as the iliac artery to provide blood flow into the lower leg.
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Endovascular Treatment of Thoracoabdominal Aortic Aneurysms
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At the 2007 Vascular Annual Meeting, Timothy A.M. Chuter, DM, Professor of Surgery in Residence at the University of California San Francisco (UCSF) discussed a UCSF study regarding how a modular stent-graft that incorporates multiple caudally-directed branches to the visceral arteries to repair thoracoabdominal aortic aneurysm can offer a safer surgical alternative to open repair.
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