The Authors describe the interposition vein cuff technique as an adjuvant method to infrainguinal prosthetic bypass grafts. The haemodynamic, mechanical and humoral factors thought to be involved in the beneficial effects of the vein cuff are herein discussed. The results of the main series suggest the use of this method particularly in patients without any available autologous vein conduit requiring a below-knee popliteal or crural reconstruction.
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Phlebology
December 2024
Interventional Vascular Department, Jinan University Affiliated Guangdong Second Provincial General Hospital, Guangzhou, China.
J Anesth
December 2024
Department of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences and Medical School, 1 Kawasumi, Mizuho-Cho, Mizuho-Ku, Nagoya, Aichi, 467-8601, Japan.
Purpose: A peripherally inserted central catheter (PICC) placement often requires ultrasound guidance. Previous studies using an adult blood pressure cuff have suggested that veins do not easily collapse at the tourniquet pressure from diastolic to systolic blood pressure. When inserting a PICC into the basilic vein of the upper arm, a narrow blood pressure cuff should be used as a tourniquet to avoid concealing the puncture site.
View Article and Find Full Text PDFKyobu Geka
September 2024
Department of Cardiovascular Surgery, Kumamoto University, Kumamoto, Japan.
In recent years, percutaneous coronary intervention (PCI) has been performed for left main trunk lesions and severe three-vessel lesions, which were previously considered indications for coronary artery bypass grafting( CABG). As a result, more patients with poorer general conditions or vascular characteristics are being considered for CABG. In the current era of PCI, surgeons are required to achieve high bypass graft patency and to perform anastomosis according to the coronary artery lesion and the characteristics of the bypass graft.
View Article and Find Full Text PDFWorld J Emerg Med
January 2024
Department of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya Aichi 467-8601, Japan.
Background: Ultrasound guidance is commonly used for accessing difficult peripheral veins. For successful access, a tourniquet is required for venodilation. Tourniquets decrease the compressibility and increase the diameter of veins; they also obfuscate artery-vein differentiation on ultrasound.
View Article and Find Full Text PDFCureus
October 2024
Department of Anesthesiology, Uniformed Services University of the Health Sciences, Bethesda, USA.
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