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Related Concept Videos

Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

Varicose Veins II: Diagnostic Studies and Interprofessional Care

Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
Pharmacodynamics in Geriatric Patients: Effects of Age01:27

Pharmacodynamics in Geriatric Patients: Effects of Age

Age-related pharmacokinetic changes are extensively documented, but understanding age-related pharmacodynamic alterations is relatively limited. This knowledge gap can be partly attributed to the complexity of developing appropriate measures of drug responses compared to bioanalytical methods for determining drug concentrations.Most information regarding age-related differences in human pharmacodynamics originates from cross-sectional studies. However, these studies assume that observed mean...
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Venous Thrombosis IV: Nursing Management

Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...

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Related Experiment Video

Updated: Jun 4, 2026

A Rabbit Venous Interposition Model Mimicking Revascularization Surgery using Vein Grafts to Assess Intimal Hyperplasia under Arterial Blood Pressure
07:02

A Rabbit Venous Interposition Model Mimicking Revascularization Surgery using Vein Grafts to Assess Intimal Hyperplasia under Arterial Blood Pressure

Published on: May 15, 2020

[Vascular surgery in the elderly - recommendations for clinical practice].

S Demirel1, A Hyhlik-Dürr1, N Attigah1

  • 1Universitätsklinikum Heidelberg, Klinik für Vaskuläre und Endovaskuläre Chirurgie, Heidelberg, Deutschland.

Zentralblatt Fur Chirurgie
|February 1, 2011
PubMed
Summary

Vascular surgery in octogenarians requires careful consideration. Carotid endarterectomy is preferred for stenosis, while endovascular repair is suitable for abdominal aortic aneurysms, but conservative therapy may be best for some elderly patients.

Related Experiment Videos

Last Updated: Jun 4, 2026

A Rabbit Venous Interposition Model Mimicking Revascularization Surgery using Vein Grafts to Assess Intimal Hyperplasia under Arterial Blood Pressure
07:02

A Rabbit Venous Interposition Model Mimicking Revascularization Surgery using Vein Grafts to Assess Intimal Hyperplasia under Arterial Blood Pressure

Published on: May 15, 2020

Area of Science:

  • Vascular Surgery
  • Geriatric Medicine
  • Evidence-Based Practice

Context:

  • Increasing elderly populations lead to a rise in vascular disorders among patients aged 80 and older.
  • Octogenarians often present with multiple comorbidities, increasing risks associated with anesthesia and surgery.
  • This review focuses on evidence-based indications and outcomes for vascular surgery in the elderly.

Purpose:

  • To provide evidence-based guidelines for vascular surgery in patients over 80 years old.
  • To analyze the impact of advanced age on surgical outcomes for common vascular conditions.
  • To assist primary care physicians in therapeutic decision-making for elderly patients with vascular disease.

Summary:

  • Carotid endarterectomy (CEA) is the gold standard for carotid artery stenosis, superior to best medical treatment and carotid artery stenting (CAS).
  • Endovascular aneurysm repair (EVAR) is preferred for abdominal aortic aneurysms (AAA) with suitable morphology.
  • For elderly patients unfit for open repair with a life expectancy under 4 years, EVAR offers no survival benefit over no intervention; conservative therapy is an option. Infrainguinal revascularization is valuable, except for those over 90.

Impact:

  • Offers practical guidance for managing vascular disorders in the growing elderly population.
  • Highlights the importance of individualized treatment strategies based on patient condition and life expectancy.
  • Aims to improve surgical decision-making and patient outcomes in geriatric vascular care.