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Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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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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Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
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Percutaneous Large Arterial Access Closure Techniques.

Charles J McGraw1, Ripal T Gandhi1, Geogy Vatakencherry2

  • 1Department of Vascular and Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Hospital, Miami, FL.

Techniques in Vascular and Interventional Radiology
|June 14, 2015
PubMed
Summary
This summary is machine-generated.

Endovascular repair, including percutaneous closure techniques for large-bore arterial access, offers decreased complications and shorter recovery times compared to open surgery for aortic aneurysms and other vascular procedures.

Keywords:
endovascular aneurysm repairpercutaneous large vessel closurepercutaneous repair

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Medical Device Technology

Background:

  • Endovascular repair is now the standard for aortic aneurysms due to lower morbidity and shorter hospital stays.
  • Percutaneous closure of femoral arteries is increasingly preferred over open repair, reducing complications and procedure time.

Purpose of the Study:

  • To describe techniques for closing large-bore arterial access sites used in endovascular aortic aneurysm repair.
  • To highlight the applicability of these techniques to other procedures requiring large-bore arterial access, such as transcatheter aortic valve replacement.

Main Methods:

  • Review of current techniques for large-bore vascular access closure.
  • Focus on suture-mediated closure devices for percutaneous femoral artery repair.

Main Results:

  • Endovascular repair offers excellent clinical outcomes for abdominal and thoracic aortic aneurysms.
  • Percutaneous closure techniques demonstrate reduced complications and procedure times compared to open surgical repair.

Conclusions:

  • Large-bore arterial access closure techniques are crucial for the success of endovascular aortic aneurysm repair.
  • Percutaneous closure methods are a safe and effective alternative to open surgical repair for various vascular interventions.