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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
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Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...

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Postoperative Ileus Murine Model
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Postoperative Ileus Murine Model

Published on: July 12, 2024

Technical tips for managing difficult iliac access.

Heather Early1, Marvin Atkins

  • 1Texas A&M Health Science Center, Temple, TX, USA.

Seminars in Vascular Surgery
|October 16, 2012
PubMed
Summary

Difficult aorto-iliac access hinders endovascular aortic repair. Preoperative planning, understanding patient factors, and mastering alternative access strategies are crucial for successful treatment and avoiding complications.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Medical Imaging

Background:

  • Iliac artery access is a critical challenge in endovascular aortic repair.
  • Patient-specific factors significantly influence the difficulty of achieving aorto-iliac access.
  • Complications related to aorto-iliac access can limit treatment success.

Purpose of the Study:

  • To outline the challenges associated with aorto-iliac access in endovascular aortic surgery.
  • To provide a treatment algorithm for preventing and managing aorto-iliac complications.
  • To discuss alternative access strategies and emergency procedures.

Main Methods:

  • Review of existing literature on aorto-iliac access challenges.
  • Analysis of patient characteristics predisposing to difficult access.

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  • Development of a treatment algorithm based on anatomical understanding and imaging.

    • Main Results:

    • Difficult aorto-iliac access is a significant barrier to endovascular aortic repair.
    • Preoperative anatomical assessment and patient evaluation are key to successful access.
    • A structured approach can mitigate complications and improve outcomes.

    Conclusions:

    • Thorough preoperative planning, including detailed anatomical review and imaging, is essential for successful endovascular aortic surgery.
    • Recognizing and addressing patient-specific risk factors for difficult access improves procedural safety.
    • Alternative access techniques and bailout strategies are vital for managing challenging cases.