endovenous laser treatment for patients with varicose veins

Objective: To evaluate the clinical effect of endovenous laser treatment [EVLT] for patients with varicose veins

Methods: Our series included 117 patients who underwent EVLT combined with high ligation and stripping since the introduction of the technique in our institution. All EVLT procedures were performed with local skin cooling to prevent skin burns, as well as stripping after exsanguinations to prevent thrombotic phlebitis

Results: A total of 146 limbs in 117 patients were ablated by EVLT. Bilateral EVLT was performed in 29 patients, with the remaining 88 patients undergoing unilateral EVLT. The mean age of the patients was 57 years +/- 12 years [range: 21 years to 80 years], and 56 were male and 61 were female. Follow-up for all patients lasted three to six months. The most common complication was induration and swelling, which was observed in 64 patients, followed by paraesthesia in 27, and skin burns in 12

Conclusion: The treatment with endovenous laser treatment for patients with varicose veins is safe and effective

Recent results of carotid stenting for treatment of extracranial carotid occlusive disease / 中华外科杂志

<p><b>OBJECTIVE</b>To analyze the recent results of CAS performed by vascular surgeons to treat extracranial carotid occlusive disease (ECOD) retrospectively in a single medical center.</p><p><b>METHODS</b>Forty-eight carotid arteries underwent CAS. Procedures were transfemoral. The postoperative follow-up was separated to 2 periods (<or=30 d and >30 d). The mortality and all kinds of complications were analyzed.</p><p><b>RESULTS</b>91.7% of them were men; 8.3% were women; mean age was (70.6 +/- 5.9) years. Preoperative asymptomatic cases were 37.5%; symptomatic cases were 62.5%. Mean internal carotid artery diameter stenosis was (71.2 +/- 14.8)%. 43.8% patients had single preoperative risk factors; two or more of these risk factors were present in 47.9%. In 33.3% cases the contralateral carotid artery had 50% or greater stenosis or was completely occluded. Technical success was achieved in 100%. There were no death, no major or minor stroke but 4.2% TIA. Carotid sinus compression syndrome occurred in 18.8% of patients. At follow-up > 30 days, there had been 4.2% instances of in-stent recurrent stenosis great than 50%, noted by color doppler ultrasound scanning. No stent deformity happened.</p><p><b>CONCLUSION</b>CAS can be preformed safely enough in patients with ECOD at high CEA risk, with lower perioperative morbidity and mortality.</p>

Surgical treatment of acute embolism of the upper extremity / 中华外科杂志

<p><b>OBJECTIVE</b>To study the methods of surgical treatment and the prognosis of acute embolism of the upper extremity.</p><p><b>METHODS</b>Balloon catheter embolectomy through the brachial artery was performed in 18 patients with acute embolism of the upper extremity.</p><p><b>RESULTS</b>Both the pulse of the radial and ulnar artery could be palpated in 8 patients, either the pulse of the radial or ulner artery could be palpated in 9 patients. The temperature of the upper extremity was increased in the patient whose embolectomy was performed in the 6th day after onset of the illness. Three patients died postoperatively.</p><p><b>CONCLUSIONS</b>Embolectomy through the brachial artery is an effective method to treat acute embolism of the upper extremity. Elderly and heart and pulmonary diseases are the high risk factors for postoperative death.</p>