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Aneurysmal disease of the abdominal aorta was responsible for approximately 16,000 (0.7%) deaths in the United States in 1999. It was the 11th leading cause of death during the same time period for the age range of 65–79 years (National Vital Statistics Reports 2001). The overall incidence is increasing and this is unrelated to the general aging of the population (Cronenwett et al. 2000; Hollier et...
Infrarenal abdominal aortic aneurysm (AAA) disease is a significant cause of mortality in the United States, accounting for over 15,000 deaths annually (Minino et al. 2002). Following FDA approval of commercial stent-graft systems for aortic repair in 1999, a significant proportion of infrarenal AAAs have been repaired using stent-grafts. Despite the popularity of endoluminal repair, traditional open...
Aneurysmal disease of the aorta affects 5% of the adult population in the United States and abdominal aortic aneurysms (AAA) are responsible for approximately 20,000 deaths per year, making it the 10th most common cause of death in males over age of 60 (Prisant and Mondy 2004; Scott et al. 1991; Spurgeon 2004). The majority of aneurysms are asymptomatic, most being diagnosed incidentally during physical...
The application of endarterectomy, or direct removal of a lesion from within an artery, was the first operation performed to restore flow in arterial occlusive disease. Dos Santos performed the first endarterectomy in a superficial femoral artery and termed the operation “disobliteration” and noted the critical role that the anticoagulant heparin had in his success. Jack Wylie at the University of...
Acute or chronic mesenteric ischemic syndromes result from interruption of mesenteric blood flow. Specific symptoms depend on the nature, degree, and duration of blood flow interruption as well as individual differences in specific mesenteric anatomy and collateral development. Typically, elderly patients with multiple atherosclerotic comorbidities are more frequently affected by acute syndromes;...
Operative treatment of patients with renovascular occlusive disease has become somewhat standardized. Although newer diagnostic tests and refined indications for therapeutic interventions have contributed to better surgical results, salutary outcomes have been influenced most by the proficient performance of properly chosen primary procedures by experienced surgeons. The procedures are tailored to...
Amputation is one of the most ancient operations and its principles were well documented by Hippocrates and his successors. In the dark ages, amputation stumps were treated with boiling oil to obtain hemostasis as knowledge of the ligature was lost to this era. Re-discovery of the ligature is usually attributed to Ambroise Paré; the extensive number of lower limb amputations in warfare and the skill...
Cerebrovascular disease is a leading cause of death and disability worldwide. In the United States there are approximately 730,000 strokes per year, and the annual management cost of these, and the 4 million survivors, is approximately $40 billion.
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