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Humans , Eponyms , Ehlers-Danlos Syndrome/history , Terminology as TopicABSTRACT
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Humans , Heparin/history , Anticoagulants/history , Thromboplastin/historyABSTRACT
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Humans , Female , Adult , Ehlers-Danlos Syndrome/complications , Endovascular Procedures , Hemorrhagic Disorders/etiology , Hypovolemia/complications , Hemoptysis/etiology , Hemoperitoneum/etiologyABSTRACT
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Humans , Female , Aged , Aneurysm/etiology , Jugular Veins/physiopathology , Venous Thrombosis/complications , Parotitis/etiology , Parotid Neoplasms/diagnosis , Diagnosis, DifferentialABSTRACT
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Humans , Aneurysm/etiology , Jugular Veins/physiopathology , Venous Thrombosis/complications , Diagnosis, DifferentialABSTRACT
Los paragangliomas del cuerpo carotídeo son tumores poco frecuentes, ricamente vascularizados, de crecimiento lento, habitualmente benignos e infrecuentemente secretores de catecolaminas. Actualmente estos tumores son cada vez mejor diagnosticados y catalogados, pero su óptimo tratamiento es controvertido. Teniendo como base una experiencia, durante los últimos 25 años, de 42 pacientes portadores de 47 paragangliomas carotídeos realizamos una propuesta sobre las indicaciones quirúrgicas y seguimiento de estos tumores. Concluimos que en la actualidad existe un cambio del paradigma terapéutico de los paragangliomas del cuerpo carotídeo
Carotid body tumours are rare, richly vascularised, slow-growing, usually benign, and infrequently catecholamine-secreting tumours. The diagnosis and classification of these tumours is improving, but optimal treatment is still controversial. On the basis of experience over the past 25 years, with 42 patients with 47 carotid body tumours we present a proposal on surgical indications and follow-up of these tumours. It is conclude that there is now a change in the therapeutic paradigm of these tumours
Subject(s)
Humans , Male , Female , Algorithms , Carotid Arteries/metabolism , Radiotherapy/methods , Catecholamines/administration & dosage , Leiomyoma/blood , General Surgery/methods , Chondroma/diagnosis , Lung/physiopathology , Carotid Arteries/pathology , Radiotherapy/instrumentation , Catecholamines/therapeutic use , Leiomyoma/metabolism , General Surgery/classification , Chondroma/complications , Lung/blood supplyABSTRACT
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Humans , Male , Aged , History, 19th Century , Aortography/history , Spain , X-Rays , X-Ray Therapy/history , Blood Vessels/cytology , Societies/history , Aortography , X-Ray Therapy , Blood Vessels/anatomy & histology , Societies/ethicsABSTRACT
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Humans , Female , Adult , Stents/classification , Stents/standards , Carotid Artery, External/pathology , Therapeutics/methods , Carotid Body Tumor/complications , Carotid Body Tumor/pathology , Neck Injuries/pathology , Stents/supply & distribution , Stents , Carotid Artery, External/metabolism , Therapeutics , Carotid Body Tumor/diagnosis , Neck Injuries/metabolismABSTRACT
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Humans , Postthrombotic Syndrome/prevention & control , Postthrombotic Syndrome/therapy , Stockings, Compression , Randomized Controlled Trials as Topic , Venous Thrombosis/complicationsABSTRACT
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Humans , Codes of Ethics/trends , Ethical Review/legislation & jurisprudence , Ethics, Research , Ethics, MedicalABSTRACT
INTRODUCCIÓN: En nuestro país no son bien conocidas las causas que originan reclamaciones judiciales en cirugía vascular. OBJETIVO: Determinar situaciones de riesgo que inducen reclamaciones en cirugía de las varices y proponer recomendaciones para su prevención. MATERIAL Y MÉTODOS: Estudio retrospectivo de la documentación de un cirujano vascular sobre los peritajes por él realizados ante reclamaciones judiciales en angiología y cirugía vascular durante 25 años (1990-2015). Conjuntamente, se efectúa una revisión-análisis de la literatura. RESULTADOS: Se encontró un total de 10 peritajes médico-legales por reclamaciones derivadas de enfermedad vascular, lo que supone 0,40 casos/año (1 cada 3 años). Ocho fueron por enfermedad venosa (80%) y 2 por enfermedad arterial (20%). Del total, 8 fueron complicaciones durante o después de la cirugía (80%), 3 de ellas con resultado de muerte (37,5%). La cirugía de las varices motivó 6 demandas: 2 lesiones nerviosas (nervio ciático y nervio safeno), una por stripping de la arteria femoral superficial y 3 por embolia pulmonar mortal. Según nuestra documentación, ningún dictamen judicial condenó al médico. Un demandante recibió indemnización económica. Otro dictamen condenó a la demandante a pagar las costas del juicio. Esta pequeña serie coincide, en gran parte, con las causas de reclamación señaladas en la literatura. CONCLUSIÓN: Comparada con otras especialidades, la cirugía vascular no presenta un alto volumen de reclamaciones. No obstante, dentro de la cirugía vascular, el tratamiento de las varices supone una parcela de alto riesgo. De forma específica, la prevención de la embolia pulmonar es un aspecto de primer orden para evitar reclamaciones médico-legales
INTRODUCTION: The causes of legal claims in vascular surgery are not very well-known in Spain. OBJECTIVE: To identify risk situations that lead to claims in surgery of varicose veins and propose recommendations for prevention. MATERIALS AND METHODS: Retrospective study documenting the expert reports presented by a vascular surgeon on legal claims in angiology and vascular surgery over a 25 year period (1990-2015). A review and analysis of the literature is also made. RESULTS: There were 10 medico-legal claims arising from vascular pathology expert representing 0.40 cases/year (1 every 3 years). Eight were from venous disease (80%) and 2 arterial disease (20%). Of these, 8 were complications during or after surgery (80%), 3 of them resulting in death (37.5%). Varicose vein surgery led to 6 claims: 2 nerve injury (sciatic nerve and saphenous nerve), one by stripping of the superficial femoral artery, and 3 fatal pulmonary embolism. No court ruling sentenced the doctor. An applicant received financial compensation. In another, the applicant was ordered to pay the court costs. This small series coincides largely with the causes of complaints identified in the literature. CONCLUSION: Compared with other specialties, vascular surgery does not have a high volume of claims. However, in vascular surgery, the treatment of varicose veins has several high risks. Specifically, the prevention of pulmonary embolism, is an aspect of the first order to avoid medico-legal claims
Subject(s)
Humans , Male , Female , Varicose Veins/surgery , Vascular Diseases/epidemiology , Vascular Diseases/surgery , Forensic Medicine/legislation & jurisprudence , Forensic Medicine/methods , Law Enforcement/methods , Retrospective Studies , Pulmonary Embolism/prevention & control , Pilot Projects , Vascular Diseases/complications , Vascular Diseases/mortalityABSTRACT
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Humans , Vascular Diseases/diagnosis , Vascular Diseases/history , Vascular Diseases/prevention & control , Quality Improvement , Patient Care/instrumentation , Patient Care/methods , Patient Care , Periodicals as Topic/history , Periodicals as TopicABSTRACT
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Humans , Male , Female , Holidays/history , Pulmonary Embolism/history , Venous Thrombosis/history , Sedentary Behavior , Biographies as Topic , HistoriographyABSTRACT
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Humans , Male , Female , Personnel Selection/methods , Personnel Selection , Internship and Residency , Physicians, Women , Sexism , Students, Medical , SpainABSTRACT
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Aorta, Thoracic/abnormalities , Aorta, Thoracic/surgery , Aorta, Thoracic , Aortic Aneurysm/congenital , Aortic Aneurysm/surgery , Aortic Aneurysm , Stents , Subclavian Artery/abnormalities , Subclavian Artery/surgery , Subclavian Artery , Cardiopulmonary Bypass/methodsABSTRACT
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Humans , Male , Adult , Subclavian Artery/pathology , Subclavian Artery/surgery , Subclavian Artery , Aneurysm/congenital , Aneurysm/complications , Aneurysm/surgery , Paresthesia/complications , Radiography, Thoracic/instrumentation , Radiography, Thoracic/methods , Radiography, Thoracic/trends , Angiography/instrumentation , Angiography/methodsABSTRACT
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Abstracting and Indexing/methods , Abstracting and Indexing/standards , Abstracting and Indexing , Periodicals as Topic/statistics & numerical data , Periodicals as Topic/standards , Journal Impact Factor , Vascular Surgical Procedures/education , Vascular Surgical Procedures/statistics & numerical data , Abstracting and Indexing/history , Abstracting and Indexing/statistics & numerical data , Abstracting and Indexing/trends , Education, Medical/organization & administration , Education, Medical/standards , Societies, Medical/organization & administration , Societies, Medical/standardsABSTRACT
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Female , Humans , Male , Transplantation, Autologous/methods , Femoral Artery/surgery , Femoral Artery , Head and Neck Neoplasms/surgery , Neck/surgery , Neck , Prognosis , Quality of Life , Carotid Artery, External/surgery , Myocardial Revascularization/trendsABSTRACT
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