ABSTRACT
A 4-year retrospective review of all cases utilizing arm vein for lower-extremity bypass was undertaken. Thirty-six cases were reviewed. The patients had portions of the basilic or cephalic arm veins, or both, harvested and used as a bypass for limb salvage. Composite grafts using a portion of arm vein were excluded. Information on demographics, risk factors, vascular surgical history, presenting signs and symptoms, surgical complications, patient comfort (arm vs. leg pain), and patency rates was studied. We found that all patients were initially seen with claudication or rest pain, that 22% had gangrenous changes, that there was a male dominance (75%), and that all had previous coronary artery bypass grafts or lower-extremity bypass. Limb salvage rate was 85% at 4 years. Primary patency rate was 71% at 4 years. We conclude that arm vein is a useful and durable conduit for bypass. Patient acceptance and comfort is high.
Subject(s)
Arm/blood supply , Leg/blood supply , Peripheral Vascular Diseases/surgery , Aged , Aged, 80 and over , Arteries/transplantation , Female , Follow-Up Studies , Humans , Male , Middle Aged , Retrospective Studies , Treatment OutcomeABSTRACT
Aneurysms of the peripheral arteries usually involve the femoral or popliteal regions. Although not as common as abdominal aortic aneurysms, they carry a significant morbidity if left untreated. Rupture is a rare complication, but embolization or thrombosis may frequently threaten the viability of the limb. Elective repair of peripheral aneurysms will prevent complications of these lesions. This paper outlines the history, diagnosis, and treatment of peripheral aneurysms with emphasis on nursing care.
Subject(s)
Aneurysm , Femoral Artery , Popliteal Artery , Aneurysm/diagnostic imaging , Aneurysm/surgery , Blood Vessel Prosthesis , Humans , Nursing Assessment , RadiographyABSTRACT
Chronic venous disease represents a spectrum of problems ranging from the merely cosmetic to disabling venous ulcers. Chronic venous insufficiency can result in disfigurement, disability, and a financial burden on the patient and society. Delivery of optimal care of patients with venous disease requires a thorough understanding of this complex system and of current methods of diagnosis and treatment. Successful outcome of treatment depends on appropriate patient selection, meticulous surgery, outstanding nursing care, and patient education.
Subject(s)
Patient Care Planning , Peripheral Vascular Diseases , Chronic Disease , Humans , Peripheral Vascular Diseases/diagnostic imaging , Peripheral Vascular Diseases/nursing , Peripheral Vascular Diseases/therapy , PhlebographySubject(s)
Angiography , Brachial Artery , Embolism/diagnostic imaging , Aged , Embolectomy , Embolism/surgery , Female , HumansABSTRACT
Over the past three to four decades vascular surgery has experienced increasing interest and rapid growth. This surgical specialty continues to show an annual increase in the number of procedures performed, and demonstrates increasing use of innovative technology. The author explains how the angioscope has emerged as a potentially powerful diagnostic tool for today's vascular surgeon. Its implications, complications and the post operative nursing care for the patient undergoing angioscopy will be discussed.
