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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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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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Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
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Peripheral Artery Disease III: Interprofessional Care01:27

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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...
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Related Experiment Video

Updated: May 1, 2026

Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
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Revascularization and pediatric aneurysm surgery.

M Yashar S Kalani1, Ali M Elhadi, Wyatt Ramey

  • 1Division of Neurological Surgery, Barrow Neurological Institute, Saint Joseph's Hospital and Medical Center, Phoenix, Arizona.

Journal of Neurosurgery. Pediatrics
|April 22, 2014
PubMed
Summary
This summary is machine-generated.

Cerebral revascularization combined with vessel sacrifice is an effective treatment for large and giant pediatric aneurysms. This approach led to good outcomes in most patients, with no deaths reported.

Keywords:
ACA = anterior cerebral arteryBA = basilar arteryCVA = cerebrovascular accidentEC-IC = extracranial-intracranialGOS = Glasgow Outcome ScaleICA = internal carotid arteryMCA = middle cerebral arteryOA = occipital arteryPCA = posterior cerebral arterySAH = subarachnoid hemorrhageSTA = superficial temporal arteryVA = vertebral arteryVBJ = vertebrobasilar junctionaneurysmbypasscerebral revascularizationclippingcomplexendovascularextracranial-to-intracranialintracranial-to-intracranialvascular disorders

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Area of Science:

  • Neurosurgery
  • Pediatric Neurology
  • Vascular Surgery

Background:

  • Pediatric aneurysms are rare and often large or giant.
  • Many large pediatric aneurysms require complex treatments beyond direct clipping.
  • Limited data exists on managing these complex pediatric aneurysms.

Purpose of the Study:

  • To evaluate the outcomes of treating large and giant pediatric aneurysms.
  • To assess the efficacy of microsurgical revascularization and vessel sacrifice in this population.

Main Methods:

  • Retrospective review of pediatric patients (<18 years) treated with cerebral revascularization and other modalities (1989-2013).
  • Analysis of aneurysm characteristics, treatment procedures, and clinical outcomes.

Main Results:

  • 27 pediatric patients with 29 large/giant aneurysms were treated.
  • 28 revascularization procedures were performed, including various bypass techniques.
  • 26 patients achieved good outcomes (Glasgow Outcome Scale score 4 or 5) at follow-up; no deaths occurred.

Conclusions:

  • Cerebral revascularization is a vital treatment for complex pediatric cerebral aneurysms.
  • This technique offers favorable outcomes for challenging cases in children.