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Related Concept Videos

Endocarditis IV: Nursing Management01:29

Endocarditis IV: Nursing Management

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Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
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Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

453
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...
453
Endocarditis III: Medical Management01:18

Endocarditis III: Medical Management

334
Infective endocarditis management involves a multifaceted approach encompassing infection prevention, lifestyle modifications, pharmacological therapy, and surgical management.Infection Prevention:Hand Hygiene: Thorough handwashing is crucial to prevent the spread of infection. Hand hygiene should be performed regularly, especially before and after using the restroom.Oral Hygiene: Good oral hygiene is essential. It includes brushing teeth immediately after waking up and before bed, flossing...
334
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

582
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...
582
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

966
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
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Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

764
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
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Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
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Management of Endoleaks.

James Chen1, S William Stavropoulos1

  • 1Division of Interventional Radiology, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania.

Seminars in Interventional Radiology
|September 2, 2015
PubMed
Summary
This summary is machine-generated.

Managing endoleaks after endovascular aneurysm repair (EVAR) is challenging. This review covers current endovascular and surgical techniques for endoleak management, focusing on indications and outcomes.

Keywords:
embolizationendoleakendovascular aneurysm repairinterventional radiology

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Medical Device Technology

Background:

  • Endoleak management is a critical challenge in endovascular aneurysm repair (EVAR).
  • Complex aneurysm anatomy necessitates advanced EVAR techniques and devices.
  • Persistent endoleaks can compromise the success of EVAR.

Purpose of the Study:

  • To review current evidence on endoleak management strategies following EVAR.
  • To outline indications, approaches, and outcomes for various endoleak repair techniques.
  • To provide a comprehensive overview of endoleak treatment options.

Main Methods:

  • Review of existing literature on endoleak management.
  • Analysis of endovascular techniques including defect bridging and embolization.
  • Evaluation of criteria for conversion to open surgical repair.

Main Results:

  • Endovascular techniques are the preferred method for most endoleak repairs.
  • Specific techniques target the endoleak defect, nidus, and associated vessels.
  • Surgical conversion remains a definitive option when endovascular methods fail or are not feasible.

Conclusions:

  • Effective endoleak management is crucial for successful EVAR outcomes.
  • A range of endovascular and surgical options exist for treating endoleaks.
  • Patient selection and technique choice are key to optimizing repair success.