Assessment of Quality of Care in Vascular Surgery and the Emergence of Quality Improvement Programs
Publication date: Available online 16 August 2016 Source:Reviews in Vascular Medicine Author(s): Reza Mofidi, Hanafiah Harunarashid, Peng Wong, Simon Milburn A commitment to continuously improve the quality of services provided lies at the heart of clinical practice in the 21st century. Vascular surgery has been going through significant changes through the introduction of new technologies and expanding evidence-base for timing and efficacy of vascular surgical interventions. Consequently, there has been a necessity to improve quality, safety, effectiveness and cost efficiency of systems of care which deliver vascula...
Source: Reviews in Vascular Medicine - August 16, 2016 Category: Cardiology Source Type: research
The Vasculab manoeuvre: simulating walking in venous investigations
Publication date: Available online 11 August 2016 Source:Reviews in Vascular Medicine Author(s): F. Passariello, M. Cappelli, S. Ermini The Vasculab manoeuvre (VA) is a dynamic manoeuvre, specifically designed to study the physio-pathology of the venous calf muscle pump (CMP). It could be defined a simulated “in situ” step and adopts a simplified scheme of the walking step. The patient rolls forward on the leading foot, standing on the toes of both feet (systole, S) and can remain in this position to perform a sustained systole (SS) or can relax, shifting the weight on the other side (diastole, D). VA observations...
Source: Reviews in Vascular Medicine - August 10, 2016 Category: Cardiology Source Type: research
Post-thrombotic syndrome – Recent aspects of prevention, diagnosis and clinical management
Publication date: September 2016 Source:Reviews in Vascular Medicine, Volumes 6–7 Author(s): Takashi Yamaki Post-thrombotic syndrome (PTS) is the most frequent chronic complication of acute deep vein thrombosis (DVT). However, gaps in our current understanding of the risk factors, diagnostic criteria, preventive strategies, and even treatment modalities for PTS prevent clinicians from employing measures that could reduce the occurrence of this disorder and the associated morbidity. This review provides an overview of the important elements of PTS, including recent multifaceted aspects related to its definition, pat...
Source: Reviews in Vascular Medicine - July 27, 2016 Category: Cardiology Source Type: research
Post-thrombotic syndrome －Recent aspects of prevention, diagnosis and clinical management
Publication date: Available online 5 July 2016 Source:Reviews in Vascular Medicine Author(s): Takashi Yamaki Post-thrombotic syndrome (PTS) is the most frequent chronic complication of acute deep vein thrombosis (DVT). However, gaps in our current understanding of the risk factors, diagnostic criteria, preventive strategies, and even treatment modalities for PTS prevent clinicians from employing measures that could reduce the occurrence of this disorder and the associated morbidity. This review provides an overview of the important elements of PTS, including recent multifaceted aspects related to its definition, path...
Source: Reviews in Vascular Medicine - July 26, 2016 Category: Cardiology Source Type: research
Value based healthcare and delivery of vascular surgery services in the United Kingdom
Publication date: September 2016 Source:Reviews in Vascular Medicine, Volumes 6–7 Author(s): Reza Mofidi, Peng Wong, Tracey Gatenby, Simon Milburn Attaining value captures the essence of economic activity organizations. Since inception of the concept, value chains have enhanced value creation in the physical world and resulted in new business opportunities in the virtual domain. Healthcare requires transformational change, in order to achieve the best outcomes. Value based healthcare is an adaptation of structures and processes which are designed to capture value in delivery of healthcare services. The specia...
Source: Reviews in Vascular Medicine - July 26, 2016 Category: Cardiology Source Type: research
Endovascular techniques for the treatment of chronic insufficiency of the lower limb ׳s superficial venous system
Publication date: December 2014 Source:Reviews in Vascular Medicine, Volume 2, Issue 4 Author(s): Miloš D. Pavlović, Sanja Schuller-Petrović Endovenous procedures have nowadays mostly replaced classic surgery in the treatment of superficial venous insufficiency. Over the past 15 years substantial evidence has accumulated for two thermal endovenous procedures (endovenous laser ablation and radiofrequency segmental ablation) and novel methods has been developing with the aim to make the treatments even simpler, safer but equally efficacious as the well established thermal methods. Here we have reviewed principles ...
Source: Reviews in Vascular Medicine - June 17, 2016 Category: Cardiology Source Type: research
Acute mesenteric ischaemia —Challenging the multidisciplinary emergency service
Publication date: March 2015 Source:Reviews in Vascular Medicine, Volume 3, Issue 1 Author(s): Andras Palffy Addressing acute conditions which represent an interface between emergency general and vascular surgery is challenging. One of these conditions is acute mesenteric ischaemia (AMI). AMI is a rare, rapidly progressing, fatal condition. All types of aetiologies call for very different therapies and outcome among the subgroups differ significantly. While the prognosis of acute on chronic thrombosis of the superior mesenteric artery (SMA) and non-occlusive mesenteric ischaemia (NOMI) is generally poor, embolisation...
Source: Reviews in Vascular Medicine - June 17, 2016 Category: Cardiology Source Type: research
Bilateral absence of common iliac artery: Abnormal internal iliac artery during ligation in conservative surgical management of placenta accreta
Conclusion Cesarean section and placenta previa are significant risk factors for placenta accreta whichis associated with high fetomaternal morbidity and mortality. In order to avoid postpartum hemorrhage and fertility loosing hysterectomy, our approach which consists of bilateral hypogastric arterial ligation and transverse compression sutures can be applied succesfully. Proper identification of anatomical variations in pelvic vasculature is essential for surgical and radiological interventions to prevent complications. This article aims at sharing author's experience about usefulness of this surgical procedure in arrest ...
Source: Reviews in Vascular Medicine - June 15, 2016 Category: Cardiology Source Type: research
Chelating agents and antioxidants: Pragmatic approaches for management of Buerger's disease
Publication date: May 2016 Source:Reviews in Vascular Medicine, Volumes 4–5 Author(s): M. Sonal Sekhar, M.K. Unnikrishnan, Gabriel Sunil Rodrigues, Navya Vyas Buerger's disease (BD) is a peripheral vascular disease, the etiology of which was largely unknown until recently. Currently, various studies demonstrated the involvement of heavy metals in tobacco and other source as one of the causative factors. Heavy metals induce vascular dysfunction by inducing high oxidative stress, reducing the activities of endothelial nitric oxide synthase and enhancing the phosphorylation of myosin light chain kinases. Targeti...
Source: Reviews in Vascular Medicine - June 15, 2016 Category: Cardiology Source Type: research
The role of quality of life tools in superficial venous disease
Publication date: May 2016 Source:Reviews in Vascular Medicine, Volumes 4–5 Author(s): S. Zappadu, S. Onida, A.H. Davies, T.R.A. Lane Superficial venous disease (SVD) is a common condition in the Western world, with recognized, negative effects on mood and quality of life (QoL) in those affected. Numerous tools exist to assess QoL in patients with SVD. The aim of this article is to review the literature on the role of QoL assessment tools in this disease group, describing the most commonly used instruments and their relevance, assessing the relationship between clinical and functional assessment tools, deline...
Source: Reviews in Vascular Medicine - June 15, 2016 Category: Cardiology Source Type: research
Publishers note
Publication date: September 2015 Source:Reviews in Vascular Medicine, Volume 3, Issue 3 (Source: Reviews in Vascular Medicine)
Source: Reviews in Vascular Medicine - March 27, 2016 Category: Cardiology Source Type: research
Common features of atherosclerosis and venous disease
Publication date: December 2015 Source:Reviews in Vascular Medicine, Volume 3, Issue 4 Author(s): Jan Piťha Atherosclerosis and venous diseases exert substantial burden on human population including high prevalence and incidence of mortality and disabling morbidity caused by these disorders. In contrast to the traditional belief, current evidence based on physiological and epidemiological findings indicates that atherosclerotic and venous disease share many common features. Pathophysiological mechanisms underlying both diseases is immune system represented by monocytes/macrophages which interact with endothelial lay...
Source: Reviews in Vascular Medicine - March 27, 2016 Category: Cardiology Source Type: research
Factors influencing the success of endovenous laser ablation (EVLA)
Publication date: December 2015 Source:Reviews in Vascular Medicine, Volume 3, Issue 4 Author(s): Giorgio Spreafico, Enrico Bernardi, Patrizia Pavei, Enzo Giraldi (Source: Reviews in Vascular Medicine)
Source: Reviews in Vascular Medicine - March 27, 2016 Category: Cardiology Source Type: research
Raynaud phenomenon
Publication date: May 2016 Source:Reviews in Vascular Medicine, Volumes 4–5 Author(s): I. Silva, G. Teixeira, M. Bertão, R. Almeida, A. Mansilha, C. Vasconcelos Raynaud's phenomenon is a common clinical disorder characterized by recurrent vasospasm episodes of digital arteries, arterioles, pre-capillary and post-capillary venules triggered by exposure to cold or emotional stress. RP can be classified as primary (idiopathic), or secondary to several diseases or conditions. The pathogenesis of RP is still not entirely clear or understood, but recent insights into the pathogenic mechanisms underlying Raynau...
Source: Reviews in Vascular Medicine - March 27, 2016 Category: Cardiology Source Type: research
A comparison of thermal and non-thermal ablation
Publication date: May 2016 Source:Reviews in Vascular Medicine, Volumes 4–5 Author(s): Roshan Bootun, Tristan R.A. Lane, Alun H. Davies Varicose vein disease is common and has an adverse effect on patients. Treatment of the condition has been demonstrated to improve patients' physical well-being and quality of life. Surgical treatment has for a long time been the ‘gold standard’ method until the launch of endovenous thermal ablation towards end of the twentieth century. Indeed, being less invasive and offering the possibility of day-case local anaesthetic procedures, they have gradually become the mainstay ...
Source: Reviews in Vascular Medicine - March 27, 2016 Category: Cardiology Source Type: research
