Lower extremity arterial inflow is adversely affected in patients with venous disease  David J. Paolini, MD, Anthony J. Comerota, MD, RVT, Linda S. Jones,

Slides:



Advertisements
Similar presentations
Professionalism and the work-life balance Thomas S. Huber, MD, PhD Journal of Vascular Surgery Volume 60, Issue 4, Pages (October 2014) DOI:
Advertisements

Subhash Thakur, MD, Anthony J. Comerota, MD, FACS, FACC, RVT 
The application of infrared thermography in evaluation of patients at high risk for lower extremity peripheral arterial disease  Chi-Lun Huang, MD, Yen-Wen.
Without prejudice Journal of Vascular Surgery
The application of infrared thermography in evaluation of patients at high risk for lower extremity peripheral arterial disease  Chi-Lun Huang, MD, Yen-Wen.
Comparison of vein valve function following pharmacomechanical thrombolysis versus simple catheter-directed thrombolysis for iliofemoral deep vein thrombosis 
A patient with multiple paradoxical emboli
The care of patients with varicose veins and associated chronic venous diseases: Clinical practice guidelines of the Society for Vascular Surgery and.
Postthrombotic or non-postthrombotic severe venous insufficiency: Impact of removal of superficial venous reflux with or without subcutaneous fasciotomy 
Peter Henke, MD, Bob Kistner, MD, Thomas W
Hyperemic maximal venous outflow unmasks symptomatic lower extremity venous obstruction  David J. Paolini, MD, Linda S. Jones, RVT, Anthony J. Comerota,
A percutaneous arterial closure protocol can decrease complications after endovascular interventions in vascular surgery patients  Philip P. Goodney,
Ali F. AbuRahma, MD, J. David Hayes, MD, Sarah K
Unplanned return to operating room after lower extremity arterial bypass is an independent predictor for hospital readmission  Faisal Aziz, MD, FACS,
Christopher D. Owens, MD, MSc, Nicole Wake, BS, RVT, Michael S
Thrombolysis for deep venous thrombosis
Breakthrough: Arthur Blakemore and Arthur Voorhees, Jr
Ali F. AbuRahma, MD  Journal of Vascular Surgery 
Louis L. Nguyen, MD, MBA, MPH  Journal of Vascular Surgery 
Results of the randomized, placebo-controlled clopidogrel and acetylsalicylic acid in bypass surgery for peripheral arterial disease (CASPAR) trial  Jill.
Long-term safety of cilostazol in patients with peripheral artery disease: The CASTLE study (Cilostazol: A Study in Long-term Effects)  William R. Hiatt,
The first operation on the profunda femoris artery
Jack L. Cronenwett, MD, Christos D. Liapis, MD 
Quantity of clot lysed after catheter-directed thrombolysis for iliofemoral deep venous thrombosis correlates with postthrombotic morbidity  Nina K. Grewal,
Without prejudice Journal of Vascular Surgery
Collateral artery from arteriovenous malformation of the rectum in a patient with peripheral artery disease  Hirotomo Uchiyama, MD, Reiji Hattori, MD,
Postthrombotic morbidity correlates with residual thrombus following catheter-directed thrombolysis for iliofemoral deep vein thrombosis  Anthony J. Comerota,
Insulin use is associated with poor limb salvage and survival in diabetic patients with chronic limb ischemia  Hasan H. Dosluoglu, MD, Purandath Lall,
Infected aneurysm of the thoracic aorta
Changing demographics in patients with vascular disease
The best of times, the worst of times…
Alexander T. Hawkins, MD, MPH, Anthony J. Pallangyo, MD, Ayesiga M
Radiation physics Journal of Vascular Surgery
Derek de Grijs, MD, Pedro Teixeira, MD, Steven Katz, MD 
The adverse effects of race, insurance status, and low income on the rate of amputation in patients presenting with lower extremity ischemia  Mohammad.
Vincent L. Rowe, MD, William Lee, MD, Fred A
Sukgu M. Han, MD, Fred A. Weaver, MD, MMM, Anthony J
Laurent Chiche, MD, Edouard Kieffer, MD  Journal of Vascular Surgery 
Anthony S. Leicht, PhD, Robert G
Mortality in patients with premature lower extremity atherosclerosis
Bypass for chronic ischemia of the upper extremity: Results in 20 patients  Kakra Hughes, MD, Allen Hamdan, MD, Marc Schermerhorn, MD, Anthony Giordano,
Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients  Andrew M. Bakken, MD, Clinton D. Protack,
Reply Journal of Vascular Surgery
Todd R. Vogel, MD, MPH, Robin L. Kruse, PhD 
Distribution and quantification of venous reflux in lower extremity chronic venous stasis disease with duplex scanning  Michael S. Weingarten, MD, FACS,
Lower extremity bypass vs endovascular therapy for young patients with symptomatic peripheral arterial disease  Mauri J.A. Lepäntalo, MD, Rabih Houbballah,
Reviewer Acknowledgment
Great saphenous vein diameter does not correlate with worsening quality of life scores in patients with great saphenous vein incompetence  Kathleen Gibson,
Subhash Thakur, MD, Anthony J. Comerota, MD, FACS, FACC, RVT 
Santiago Chahwan, MD, M. Todd Miller, MD, John P. Pigott, MD, Ralph C
The Society for Vascular Surgery's objective performance goals for lower extremity revascularization are not generalizable to many open surgical bypass.
Daniel J. Martin, MD, Tomas D. Martin, MD, Philip J
Boonprasit Kritpracha, MD, Anthony J. Comerota, MD, 
Endovascular repair of an acute blunt popliteal artery injury
Lower extremity artery stenosis distribution in an unselected elderly population and its relation to a reduced ankle-brachial index  Johan Wikström, MD,
Gregory C. Schmieder, MD, Megan Carroll, BA, BS, Jean M. Panneton, MD 
Tissue (muscle) oxygen saturation (StO2): A new measure of symptomatic lower- extremity arterial disease  Anthony J Comerota, MD, Richard C Throm, BA,
Rebecca Jeanmonod, MD, Chad Lewis, MD  Journal of Vascular Surgery 
Surgical management of severe acute lower extremity ischemia
Sex-based differences in the inflammatory profile of peripheral artery disease and the association with primary patency of lower extremity vein bypass.
The care of the patient with vascular disease
Bhagwan Satiani, MD, MBA, Thomas E. Williams, MD, PhD, Michael R
Hemodynamic deterioration in chronic venous disease
Randall W. Franz, MD, FACS, RVT, Kaushal J
Emily Spangler, Robert W. Chang, Philip P. Goodney 
J. David Neel, MD, Robin L. Kruse, PhD, Viktor Y
Patrick A. Stone, MD, Ali F. AbuRahma, MD, Sarah K. Flaherty, BS 
Results of a single center vascular screening and education program
Association of clinical attributes and treadmill walking performance in patients with claudication due to peripheral artery disease  Eric P. Brass, MD,
The structure and processes of the Pacific Vascular Symposium 6
Presentation transcript:

Lower extremity arterial inflow is adversely affected in patients with venous disease  David J. Paolini, MD, Anthony J. Comerota, MD, RVT, Linda S. Jones, RVT  Journal of Vascular Surgery  Volume 48, Issue 4, Pages 960-964 (October 2008) DOI: 10.1016/j.jvs.2008.05.058 Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 1 Arterial inflow examinations performed at rest and during postocclusive reactive hyperemia (PORH) demonstrated increased resting arterial inflow in patients with primary chronic venous insufficiency (1° CVI). Journal of Vascular Surgery 2008 48, 960-964DOI: (10.1016/j.jvs.2008.05.058) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 2 The increase in arterial inflow volume divided by the time to achieve maximum volumes represents the overall increased arterial inflow. Journal of Vascular Surgery 2008 48, 960-964DOI: (10.1016/j.jvs.2008.05.058) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 3 *P = .008 vs normal resting arterial inflow, and P = .03 vs postthrombotic resting inflow. **P = .01 vs postthrombotic maximum increased inflow, and P = .08 vs 1° CVI maximum increased inflow. ***P = .003 vs postthrombotic overall increased inflow, and P = .01 vs 1° CVI overall increased inflow. Brackets represent standard error of the mean. Journal of Vascular Surgery 2008 48, 960-964DOI: (10.1016/j.jvs.2008.05.058) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 4 *P = .0009 vs postthrombotic hyperemia inflow volume, and P = .15 vs 1° CVI hyperemic inflow volume. Brackets represent standard error of the mean. Journal of Vascular Surgery 2008 48, 960-964DOI: (10.1016/j.jvs.2008.05.058) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions

Fig 5 The P values were non-significant between any groups. Brackets represent standard error of the mean. Journal of Vascular Surgery 2008 48, 960-964DOI: (10.1016/j.jvs.2008.05.058) Copyright © 2008 The Society for Vascular Surgery Terms and Conditions