Relevant bibliographies by topics / Peripheral vascular diseases Diagnosis

Academic literature on the topic 'Peripheral vascular diseases Diagnosis'

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Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Peripheral vascular diseases Diagnosis"

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Nakashima, Rieko, and Yoshinori Inoue. "3. Vascular Laboratory and Diagnosis of Peripheral Arterial Diseases." Nihon Naika Gakkai Zasshi 97, no. 2 (2008): 304–8. http://dx.doi.org/10.2169/naika.97.304.

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Хрыщанович, В. Я. "Diagnosis and Management of Peripheral Artery Diseases." Кардиология в Беларуси, no. 3 (July 13, 2020): 390–408. http://dx.doi.org/10.34883/pi.2020.12.3.009.

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Распространенность заболеваний периферических артерий (ЗПА) во всем мире достигает порядка 200 миллионов человек. Самым частым клиническим проявлением ЗПА является перемежающая хромота, возникающая вследствие недостаточного кровоснабжения пораженной конечности. В настоящем обзоре литературы обобщены и систематизированы последние достижения в области диагностики и лечения пациентов с перемежающей хромотой. Тщательный сбор анамнеза и физикальное обследование являются первоочередными мероприятиями для установления предварительного диагноза и направлены на дифференциацию сосудистых и нейрогенных причин перемежающей хромоты. Лодыжечно-плечевой индекс относится к наиболее часто используемым методам скрининга и диагностики ЗПА. Основу лечения составляют четыре взаимодополняющих подхода: немедикаментозное и лекарственное лечение для купирования симптомов хронической ишемии, фармакотерапия для вторичной профилактики сердечно-сосудистых осложнений, открытая или эндоваскулярная реваскуляризация для увеличения дистанции безболевой ходьбы. Недавнее исследование COMPASS продемонстрировало преимущества комбинированного применения 2,5 мг ривароксабана дважды в день и аспирина в части снижения уровня неблагоприятных сердечно-сосудистых событий, при этом отмечался более высокий риск геморрагических осложнений. На сегодняшний день цилостазол является единственным препаратом, обладающим доказанной терапевтической эффективностью в отношении перемежающей хромоты. Программы лечебной физкультуры под наблюдением врача либо в домашних условиях способствуют улучшению коллатерального кровообращения и увеличивают дистанцию ходьбы без боли. Назначение высоких доз статинов и антитромбоцитарных препаратов абсолютно обосновано всем пациентам с ЗПА. Ингибиторы ангиотензин-превращающего фермента обеспечивают дополнительное снижение кардиоваскулярных рисков, в особенности у пациентов с сахарным диабетом и артериальной гипертензией. The prevalence of peripheral artery disease (PAD) worldwide reaches about 200 million people. The most frequent clinical manifestation of PAD is intermittent claudication, which occurs due to insufficient blood supply to the affected limb. This literature review summarizes and systematizes recent advances in the diagnosis and treatment of patients with intermittent claudication.Thorough case history collection and physical examination are the primary measures for making a preliminary diagnosis, which is aimed at differentiating the vascular and neurogenic causes of intermittent claudication. The ankle-shoulder index is one of the most commonly used methods for screening and diagnosing PAD. The basis of treatment consists of four complementary approaches: non-pharmacological and pharmacological treatment for the relief of symptoms of chronic ischemia, pharmacotherapy for the secondary prevention of cardiovascular complications, open or endovascular revascularization to increase the distance of pain-free walking. A recent COMPASS study demonstrated the benefits of combining 2.5 mg of rivaroxaban twice daily with aspirin in reducing adverse cardiovascular events, however there was a higher risk of hemorrhagic complications. Today, cilostazol is the only drug with proven therapeutic effectiveness against intermittent claudication. Physical therapy programs under the supervision of a doctor or at home help to improve collateral blood circulation and increase the walking distance without pain. The administration of high doses of statins and antiplatelet drugs is absolutely justified in all patients with PAD. Angiotensin converting enzyme inhibitors provide an additional reduction in cardiovascular risks, especially in patients with diabetes and hypertension.
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Heidrich. "Frequency of non-vascular accompanying diseases in patients with peripheral arterial disease." Vasa 33, no. 3 (August 1, 2004): 155–58. http://dx.doi.org/10.1024/0301-1526.33.3.155.

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Background: Since there are so far no relevant figures on the frequency of non-vascular associated diseases in patients with peripheral arterial disease (PAD), an analysis was carried out to determine how frequently co-morbidity is found in such patients. Patients and methods: In the course of a retrospective analysis, 1693 patients (55.4% men, 44.6% women/average 68.6 years) with peripheral arterial diseases (PAD) of Fontaine stage II to IV were examined to find out how often cardiopulmonary, gastrointestinal, haematological, endocrinological, neurological, orthopaedic, urological-nephrological, psychiatric diseases and tumours were seen. Result: Coronary ischaemic heart disease was present in 63.1% of the cases, heart failure existed in 20.7%, hypertension in 57.9%, endocrine and metabolic diseases in 60.4%, gastrointestinal diseases in 14.8%, pulmonary diseases in 14.5%, psychological and behavioural deficiencies in 16.2%, orthopaedic diseases in 21.6%, haematological diseases in 9.0%, urological diseases in 16.9%, chronic renal insufficiency in 7.3% and malignant tumours in 5.8%. Conclusions: The frequency of non-vascular co-morbidity in patients with PAD necessitates systematic interdisciplinary diagnosis prior to any therapy decision to take into account the patient’s associated diseases, life expectancy and current quality of life.
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Szabó, Katalin Judit, Róza Ádány, József Balla, Zoltán Balogh, Zoltán Boda, István Édes, István Fekete, et al. "Advances in the prevention, diagnosis and therapy of vascular diseases." Orvosi Hetilap 153, no. 13 (April 2012): 483–98. http://dx.doi.org/10.1556/oh.2012.29340.

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Atherosclerosis is a systemic disease affecting the coronary, carotid, intracerebral, renal and peripherial arteries. The early morphological and functional impairments could be detected in the second or third decades of life and their progression depend on the number and severity of risk factors and individual susceptility. Although the vascular risk factors (smoking, overweight, age, unhealthy diet, lack of physical exercise, hypertension, diabetes mellitus, chronic kidney disease and dyslipidemia) are the same and common in the different vascular diseases, the present clinical routine artificially classifies the diagnosis and therapy of different vascular diseases into different subfields of medicine with the negative impact of possible polypragmasia. Recently, worldwide health surveys (e.g. REACH registry) have proven the usefulness of a holistic approach in the diagnosis and therapy of multiorgan-affected vascular patients. This review summarizes the multidisciplinary advances and future perspective of vascular diseases. Orv. Hetil., 2012, 153, 483–498.
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Kolesov, S. N. "Thermosemiotic raynaud’s phenomenon for gastrointestinal pathology in children." Medical alphabet 1, no. 8 (March 14, 2019): 51–57. http://dx.doi.org/10.33667/2078-5631-2019-1-8(383)-51-57.

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The results of long-term thermal imaging (TI) studies of local peripheral vegetative-vascular disorders in children with diseases of the gastrointestinal tract are summarized. TI cntena for the diagnosis of different variants of Raynaud's phenomenon depending on the gender and age of patients are formulated.
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Nishikawa, Yuriko, Osamu Fukayama, Takayuki Hoshino, Naondo Takido, and Kunihiko Mabuchi. "Analysis of the Blood Flow in the Finger Tip for the Diagnosis of Peripheral Vascular Diseases." IEEJ Transactions on Electronics, Information and Systems 136, no. 12 (2016): 1779–84. http://dx.doi.org/10.1541/ieejeiss.136.1779.

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Chkheidze, Rati, and Peter Pytel. "What Every Neuropathologist Needs to Know: Peripheral Nerve Biopsy." Journal of Neuropathology & Experimental Neurology 79, no. 4 (March 18, 2020): 355–64. http://dx.doi.org/10.1093/jnen/nlaa012.

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Abstract Peripheral neuropathy is a common disorder with many possible etiologies including metabolic diseases, inflammatory conditions, infections, malignancy, inherited diseases, drugs, and toxins. In most instances, diagnosis and treatment plan can be established based on clinical presentation, family history, laboratory results, genetic testing, and electrophysiological studies. But in some situations, a peripheral nerve biopsy remains a valuable tool. This is especially true in patients with rapidly progressive disease, with atypical presentation or for whom other approaches fail to yield a definitive diagnosis. The pathologic examination starts with basic decisions about specimen triage. A few basic questions help to provide an initial framework for the assessment of a nerve biopsy—is the specimen adequate; are there inflammatory changes; are there vascular changes; is there amyloid; are there changes to axonal density and the Schwann cell-myelin-axon unit. In the appropriate context and with such an approach peripheral nerve biopsies can still represent a clinically helpful test.
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Editorial, Article. "2017 ESC GUIDELINES ON THE DIAGNOSIS AND TREATMENT OF PERIPHERAL ARTERIAL DISEASES, IN COLLABORATION WITH THE EUROPEAN SOCIETY FOR VASCULAR SURGERY (ESVS)." Russian Journal of Cardiology, no. 8 (September 9, 2018): 164–221. http://dx.doi.org/10.15829/1560-4071-2018-8-164-221.

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Document covering atherosclerotic disease of extracranial carotid and vertebral, mesenteric, renal, upper and lower extremity arteries.Endorsed by: the European Stroke Organization (ESO) The Task Force for the Diagnosis and Treatment of Peripheral Arterial Diseases of the European Society of Cardiology (ESC) and of the European Society for Vascular Surgery (ESVS)
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Hammoud, Ahmad, Alexey Tikhomirov, Galina Myasishcheva, Zein Shaheen, Alexander Volkov, Andrey Briko, and Sergey Shchukin. "Multi-Channel Bioimpedance System for Detecting Vascular Tone in Human Limbs: An Approach." Sensors 22, no. 1 (December 26, 2021): 138. http://dx.doi.org/10.3390/s22010138.

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Vascular tone plays a vital role in regulating blood pressure and coronary circulation, and it determines the peripheral vascular resistance. Vascular tone is dually regulated by the perivascular nerves and the cells in the inside lining of blood vessels (endothelial cells). Only a few methods for measuring vascular tone are available. Because of this, determining vascular tone in different arteries of the human body and monitoring tone changes is a vital challenge. This work presents an approach for determining vascular tone in human extremities based on multi-channel bioimpedance measurements. Detailed steps for processing the bioimpedance signals and extracting the main parameters from them have been presented. A graphical interface has been designed and implemented to display the vascular tone type in all channels with the phase of breathing during each cardiac cycle. This study is a key step towards understanding the way vascular tone changes in the extremities and how the nervous system regulates these changes. Future studies based on records of healthy and diseased people will contribute to increasing the possibility of early diagnosis of cardiovascular diseases.
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Antonenko, L. M., N. V. Vakhnina, and D. O. Gromova. "Cognitive impairment, dizziness, and unsteadiness in hypertensive patients." Neurology, Neuropsychiatry, Psychosomatics 12, no. 5 (October 25, 2020): 92–97. http://dx.doi.org/10.14412/2074-2711-2020-5-92-97.

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Hypertension is a widespread disease related to modifiable vascular risk factors for stroke and chronic cerebrovascular diseases. The pathogenetic basis of brain damage in hypertension is cerebral microangiopathy that leads to vascular cognitive impairment (CI), instability, and falls. Microcirculatory changes in the presence of hypertension at the initial stages of cerebrovascular disease occur without visible clinical manifestations of brain damage. Pathogenetically justified treatment used at an early stage of the disease makes it possible to achieve good results in the prevention of vascular brain damage. An important aspect of selecting effective therapy is the competent diagnosis of the causes of dizziness and instability, which can be caused not only by brain damage, but also by peripheral vestibular system diseases. Early diagnosis of vascular CI, selection of adequate therapy, and prevention of their further progression are of great importance. The studies performed have shown the high efficacy of vinpocetine (Cavinton®) that has a multifactorial mechanism of action in the treatment and prevention of CI, dizziness, and instability caused by cerebrovascular disease.
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Dissertations / Theses on the topic "Peripheral vascular diseases Diagnosis"

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Insall, R. L. "Pulse waveforms and transit time from photoelectric plethysmography in the diagnosis of peripheral vascular disease." Thesis, University of Newcastle Upon Tyne, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.309069.

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Outif, Ahmed M. "Measurement of limb vascular volume using nuclear medicine technique : A new physiological approach to the diagnosis of peripheral arterial occlusive disease." Thesis, University of Bristol, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.310638.

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Silva, Rita de Cassia Gengo e. "Validação das características definidoras do diagnóstico de enfermagem: perfusão tissular periférica ineficaz em pacientes com doença arterial obstrutiva periférica sintomática." Universidade de São Paulo, 2010. http://www.teses.usp.br/teses/disponiveis/5/5131/tde-26082010-134117/.

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INTRODUÇÃO: O diagnóstico de enfermagem Perfusão Tissular Periférica Ineficaz (PTPI) e suas características definidoras (CD) ainda não foram validados em pacientes com doença arterial obstrutiva periférica dos membros inferiores (DAOMI), por meio de testes que avaliam a capacidade funcional e a função vascular arterial. OBJETIVO: Validar algumas CD de PTPI em pacientes com DAOMI sintomática e verificar sua importância na determinação desse diagnóstico de enfermagem. CASUÍSTICA E MÉTODO: Foram selecionados 65 pacientes com DAOMI (62,2 + 8,1 anos; 56,9% do sexo masculino; índice tornozelo-braquial - ITB = 0,59 + 0,14), nos quais a PTPI foi diagnosticada mediante a presença de claudicação intermitente e ITB < 0,90, e 17 indivíduos--controle (63,4 + 8,7 anos; 41,2% do sexo masculino; ITB = 1,14 + 0,08). Todos os participantes foram submetidos a exame físico, à medida do ITB, à avaliação de sua capacidade funcional e das propriedades funcionais das artérias. O ITB foi calculado para cada membro inferior, dividindo-se a maior pressão arterial do tornozelo pela maior pressão obtida nos braços; para análise considerou-se o pior ITB. Os pacientes com PTPI secundária à DAOMI foram divididos de acordo com o grau de prejuízo da circulação periférica. A capacidade funcional foi determinada por meio do teste de caminhada de seis minutos (TC6), registrando-se as distâncias percorridas, total e livre de dor. As propriedades funcionais das artérias foram avaliadas em termos da rigidez da parede (VOP C-F e VOP C-R), utilizando-se o Complior®, e da reatividade vascular, com a técnica de ultrassom vascular de alta resolução em condições basais, após manobra de hiperemia reativa e após administração sublingual de nitrato. A hiperemia reativa promove vasodilatação dependente do endotélio e é mediada pelo fluxo (DMF); por sua vez, o nitrato é um doador de óxido nítrico e causa vasodilatação independente do endotélio. RESULTADOS: A prevalência da CD pulsos periféricos ausentes ou filiformes foi maior nos pacientes com PTPI do que nos indivíduos-controle (> 70,0% versus 5,3%, respectivamente, p < 0,0001). Ainda, observou-se que pacientes com PTPI percorreram menores distâncias no TC6 (265,1 + 77,4 versus 354,7 + 42,1 m, p < 0,001) e apresentaram maior VOP C-F (12,2 + 4,0 versus 9,6 + 2,2 m/s, p = 0,016), menor DMF (2,7 + 4,2% versus 6,1 + 5,4%, p = 0,014) e menor dilatação pós- -nitrato (14,3 + 8,4% versus 20,6 + 10,0%, p = 0,019). Na análise individual, verificou-se que a presença das CD associou-se à redução das distâncias percorridas no TC6, total e livre de dor, ao aumento da VOP C-F e a menores DMF e dilatação pós-nitrato. Na análise conjunta, pulsos pedioso e/ou tibial posterior ausentes ou filiformes foram preditivos de: (1) menor capacidade funcional, com redução de 61 metros na distância total percorrida e 124 metros na distância livre de dor; (2) maior rigidez da parede arterial, pois aumentou em 18% a média da VOP C-F; e (3) maior prejuízo da reatividade vascular, evidenciada pela redução de 2,6% na DMF. Além disso, a alteração na amplitude de algum pulso periférico ou sopro na artéria femoral esquerda aumentou 1.024 vezes a chance de ocorrência de PTPI. Observou-se que as distâncias, total e livre de dor, percorridas no TC6, a VOP C-F e a dilatação pós-nitrato associaram-se de forma significativa com o maior prejuízo da circulação periférica, verificado pelo ITB, sendo que o aumento de 1m na distância percorrida livre de dor reduziu em 0,8% (IC 95% = 0,985 - 0,998) a chance de prejuízo grave (ou moderado e grave) da circulação periférica. Já o aumento de 1m/s na VOP C-F elevou essa chance em 23,7% (IC 95% = 1,057 - 1,448). CONCLUSÃO: A CD pulsos periféricos ausentes ou filiformes foi a mais relevante para o diagnóstico de enfermagem PTPI, pois apresentou maior prevalência, associou-se à maior limitação funcional e mostrou forte associação com alterações funcionais das artérias.
INTRODUCTION: The nursing diagnosis Ineffective Peripheral Tissue Perfusion (PTPI) and its defining characteristics (CD) have not yet been validated in patients with peripheral arterial obstructive disease (DAOP) in the lower limbs, through tests that evaluate functional capacity and arterial vascular function. OBJECTIVE: To validate some CD of PTPI in patients with symptomatic DAOP and verify the relevance of these characteristics in determining this nursing diagnosis. METHOD: 65 patients with DAOP were selected (62.2 + 8.1 years; 56.9% male; ankle brachial index - ABI = 0.59 + 0.14), in which PTPI was diagnosed considering the presence of intermittent claudication and ABI <0.90, and 17 control subjects (63.4 + 8.7 years; 41.2% male; ABI = 1.14 + 0.08). All participants were submitted to physical assessment, ABI measurement, evaluation of functional capacity and arteries functional properties. ABI was calculated for each leg, dividing the higher pressure of the ankle by the higher pressure of the arms, whereas the worst ABI was considered. Patients with ABI related to DAOP were split according to the impairment of peripheral circulation. Functional capacity was determined through the six-minute walk test (TC6). Total and pain free distances were recorded. Arteries funcional properties were evaluated in terms of arterial stiffness (C-F PWV and C-R PWV) using the Complior®, and in terms of vascular reactivity using high-resolution ultrasound in basal condition and after reactive hyperemia and sublingual administration of nitrate. Reactive hyperemia promotes endotlhelium dependent vasodilation which is flow mediate (DMF); nitrate is a nitric oxide donor and causes endothelium independent vasodilation. RESULTS: The prevalence of the CD absent or weak peripheral pulses was higher among patients with PTPI compared with control subjects (> 70.0% versus 5.3%, respectively, p < 0.001). Patients with PTPI traveled shorter distances in the TC6 (265.1 + 77.4 versus 354.7 + 42.1 m, p < 0.001), presented higher C-F PWV (12.2 + 4.0 versus 9.6 + 2.2 m/s, p = 0.016), lower FMD (2.7 + 4.2% versus 6.1 + 5.4%, p = 0.014) and lower post nitrate dilation (14.3 + 8.4% versus 20.6 + 10.0%, p = 0.019) than the control group. The individual analysis of CD showed that their presence were associated with reduction in the total and pain free walking distances in TC6, increased C-F PWV, and diminished FMD and post nitrate dilation. The absent or weak dorsalis pedis and/or posterior tibial arterial pulses in the cluster analysis predicted: (1) poor functional capacity, reduction of 61 meters in the total walking distance and 124 meters in the pain free walking distance; (2) higher arterial stiffness, because the average of C-F PWV increased 18%; and (3) greater impairment of vascular reactivity, evidenced by a reduction of 2.6% in the FMD. In addition, alteration in the amplitude of some peripheral pulse or bruit in the left femoral artery increased 1024 times the risk of PTPI. Total and pain free walking distances in the TC6, C-F PWV and the post nitrate dilation were significantly associated with greater impairment of peripheral circulation evaluated through ABI. An increase of 1m of pain free travelled distance reduced the risk of severe (or moderate and severe) impairment of peripheral circulation in 0.8% (CI 95% = 0.985 - 0.998), whereas an increase of 1m/s in the C-F PWV increased the risk by 23.7% (CI 95% = 1.057 - 1.448). CONCLUSION: The CD absent or weak peripheral pulses was the most relevant characteristic determining the nursing diagnosis PTPI because it presented the highest prevalence, was associated with reduced functional capacity, and presented a strong association with arteries functional alteration.
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Sigvant, Birgitta. "Epidemiological aspects of peripheral arterial disease." Stockholm : Department of Molecular Medicine and Surgery, Karolinska Institutet, 2009. http://diss.kib.ki.se/2009/978-91-7409-670-5/.

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Eneroth, Magnus. "Amputation for vascular disease prognostic factors for healing, long-term outcome and costs /." Lund : Lund University, Dept. of Orthopedics, Lund University Hospital, 1997. http://catalog.hathitrust.org/api/volumes/oclc/39752358.html.

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Ögren, Mats. "Vascular morbidity and mortality in men with non-invasively detected peripheral arterial disease results from the prospective population study "Men born in 1914" /." Lund : Dept. of Community Health Sciences and the Dept. of Clinical Physiology, Malmö General Hospital, Lund University, 1994. http://catalog.hathitrust.org/api/volumes/oclc/39693808.html.

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Layman, Hans Richard William. "Tissue Engineering Strategies for the Treatment of Peripheral Vascular Diseases." Scholarly Repository, 2010. http://scholarlyrepository.miami.edu/oa_dissertations/461.

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Peripheral vascular diseases such as peripheral artery disease (PAD) and critical limb ischemia (CLI) are growing at an ever-increasing rate in the Western world due to an aging population and the incidence of type II diabetes. A growing economic burden continues because these diseases are common indicators of future heart attack or stroke. Common therapies are generally limited to pharmacologic agents or endovascular therapies which have had mixed results still ending in necrosis or limb loss. Therapeutic angiogenic strategies have become welcome options for patients suffering from PAD due to the restoration of blood flow in the extremities. Capillary sprouting and a return to normoxic tissue states are also demonstrated by the use of angiogenic cytokines in conjunction with bone marrow cell populations. To this point, it has been determined that spatial and temporal controlled release of growth factors from vehicles provides a greater therapeutic and angiogenic effect than growth factors delivered intramuscularly, intravenously, or intraarterialy due to rapid metabolization of the cytokine, and non-targeted release. Furthermore, bone marrow cells have been implicated to enhance angiogenesis in numerous ischemic diseases due to their ability to secrete angiogenic cytokines and their numerous cell fractions present which are implicated to promote mature vessel formation. Use of angiogenic peptides, in conjunction with bone marrow cells, has been hypothesized in EPC mobilization from the periphery and marrow tissues to facilitate neovessel formation. For this purpose, controlled release of angiogenic peptides basic fibroblast growth factor (FGF-2) and granulocyte-colony stimulating factor (G-CSF) was performed using tunable ionic gelatin hydrogels or fibrin scaffolds with ionic albumin microspheres. The proliferation of endothelial cell culture was determined to have an enhanced effect based on altering concentrations of growth factors and method of release: co-delivery versus sequential. Scaffolds with these angiogenic peptides were implanted in young balb/c mice that underwent unilateral hindlimb ischemia by ligation and excision of the femoral artery. Endpoints for hindlimb reperfusion and angiogenesis were determined by Laser Doppler Perfusion Imaging and immunohistochemical staining for capillaries (CD-31) and smooth muscle cells (alpha-SMA). In addition to controlled release of angiogenic peptides, further studies combined the use of a fibrin co-delivery scaffold with FGF-2 and G-CSF with bone marrow stem cell transplantation to enhance vessel formation following CLI. Endpoints also included lipophilic vascular painting to evaluate the extent of angiogenesis and arteriogenesis in an ischemic hindlimb. Tissue engineering strategies utilizing bone marrow cells and angiogenic peptides demonstrate improved hindlimb blood flow compared to BM cells or cytokines alone, as well as enhanced angiogenesis based on immunohistochemical staining and vessel densities.
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Christman, Sharon Klopfenstein. "Intervention to slow progression of peripheral arterial disease." Connect to this title online, 2003. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1054059524.

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Thesis (Ph. D.)--Ohio State University, 2003.
Title from first page of PDF file. Document formatted into pages; contains xiii, 123 p.; also includes graphics (some col.). Includes bibliographical references (p. 114-123). Available online via OhioLINK's ETD Center
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Lewis, M. H. "Peripheral arterial disease from aetiology to surgical management." Thesis, University of South Wales, 2013. https://pure.southwales.ac.uk/en/studentthesis/peripheral-arterial-disease-from-aetiology-to-surgical-management(7defd31a-6995-4fc7-9302-2fced42b5982).html.

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The work presented includes over thirty peer reviewed published manuscripts based on studies undertaken during my surgical career. As Principal Investigator, I led the study conception/design/data acquisition/analysis/interpretation and was involved with writing the final drafts of all manuscripts prior to their formal submission to high impact factor peer-reviewed specialist journals. The thesis is divided into subsections reflecting my development and different interests within surgery. The subsections start with my learning basic research principles, moving onto clinical problem solving in general surgical dilemmas, followed by a collection of papers in my subspecialty of vascular surgery. The work culminates with a group of papers focused on aneurysmal disease, specifically, abdominal aortic aneurysms (AAA), the clinical impact of which has had a bearing on the introduction of a National AAA Screening Program in Wales in 2013. I conclude these sections with a collection of papers that reflect my long term commitment to surgical training both at regional level (as Secretary and Deputy Chairman to the Higher Surgical Training Committee and Chairman of the Basic Surgical Training Committee) and national level including my involvement with the Four Royal Colleges of Surgeons for the Intercollegiate Examinations in General Surgery. This examination is undertaken at completion of junior surgical training and used to confirm a doctor's competence for safe independent practice as a consultant. In conclusion, over forty years of academic research during my career as a vascular surgeon has provided unique insight into the pathophysiology, treatment and ultimately prevention of artherosclerotic disease. These findings have improved health policies in Wales and significantly reduced patient morbidity and mortality.
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Richardson, Jim. "Living with peripheral vascular disease a one-person case study : a dissertation [thesis] presented in partial fulfilment of the requirements for the Master of Health Science at Auckland University of Technology, December 2002." Full thesis. Abstract, 2002.

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Books on the topic "Peripheral vascular diseases Diagnosis"

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Alonso, Alvaro. Peripheral vascular disease. Sudbury, Mass: Jones and Bartlett Publishers, 2011.

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Alonso, Alvaro. Peripheral vascular disease. Sudbury, Mass: Jones and Bartlett Publishers, 2011.

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Bergan, John J., and Ali F. AbuRahma. Noninvasive peripheral arterial diagnosis. London: Springer, 2010.

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Tŏk-su, Kim, and Orron Dan Eviathar, eds. Peripheral vascular imaging and intervention. St. Louis: Mosby-Year Book, 1992.

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Peripheral vascular disease in primary care. London: Radcliffe Pub., 2011.

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David, McManus, and Fisher Daniel Z, eds. Dx/Rx peripheral arterial disease. Sudbury, Mass: Jones and Bartlett Publishers, 2011.

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Vascular disease: Diagnostic and therapeutic approaches. Minneapolis, MN: Cardiotext, 2011.

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Peripheral vascular sonography: A practical guide. Baltimore: Williams & Wilkins, 1992.

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L, Giyanani Vishan, and Eisenberg Ronald L, eds. Ultrasound atlas of vascular diseases. Stamford, CT: Appleton & Lange, 1999.

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D, Boden Scott, ed. The Aging spine: Essentials of pathophysiology, diagnosis, and treatment. Philadelphia: W.B. Saunders, 1991.

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Book chapters on the topic "Peripheral vascular diseases Diagnosis"

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Bates, Mark C. "Doppler Flow Wire in Peripheral Vascular Disease." In Noninvasive Vascular Diagnosis, 455–60. London: Springer London, 2000. http://dx.doi.org/10.1007/978-1-4471-3837-2_35.

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Segall, Jocelyn A., and Gregory L. Moneta. "Noninvasive Diagnosis of Upper Extremity Vascular Disease." In Noninvasive Peripheral Arterial Diagnosis, 109–21. London: Springer London, 2010. http://dx.doi.org/10.1007/978-1-84882-955-8_12.

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Richmond, Bryan K., and Ali F. AbuRahma. "Overview of Peripheral Arterial Disease of the Lower Extremity." In Noninvasive Vascular Diagnosis, 191–201. London: Springer London, 2000. http://dx.doi.org/10.1007/978-1-4471-3837-2_13.

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AbuRahma, Ali F. "Overview of Noninvasive Vascular Techniques in Peripheral Arterial Disease." In Noninvasive Vascular Diagnosis, 203–12. London: Springer London, 2000. http://dx.doi.org/10.1007/978-1-4471-3837-2_14.

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AbuRahma, Ali F., and John E. Campbell. "Overview of Peripheral Arterial Disease of the Lower Extremity." In Noninvasive Vascular Diagnosis, 261–85. London: Springer London, 2012. http://dx.doi.org/10.1007/978-1-4471-4005-4_20.

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AbuRahma, Ali F., and John E. Campbell. "Overview of Peripheral Arterial Disease of the Lower Extremity." In Noninvasive Vascular Diagnosis, 291–318. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-54760-2_21.

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AbuRahma, Ali F., and John E. Campbell. "Overview of Peripheral Arterial Disease of the Lower Extremity." In Noninvasive Vascular Diagnosis, 449–88. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-60626-8_21.

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AbuRahma, Ali F., and John E. Campbell. "Overview of Peripheral Arterial Disease of the Lower Extremity." In Noninvasive Vascular Diagnosis, 1–40. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-49616-6_21-1.

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Raines, Jeffrey. "Pulse Volume Recording in the Diagnosis of Peripheral Vascular Disease." In Noninvasive Vascular Diagnosis, 231–39. London: Springer London, 2000. http://dx.doi.org/10.1007/978-1-4471-3837-2_16.

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Raines, Jeffrey K., and Jose I. Almeida. "Pulse Volume Recording in the Diagnosis of Peripheral Vascular Disease." In Noninvasive Vascular Diagnosis, 303–10. London: Springer London, 2012. http://dx.doi.org/10.1007/978-1-4471-4005-4_22.

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Conference papers on the topic "Peripheral vascular diseases Diagnosis"

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Elcin, Huseyn. "EARLY IDENTIFICATION OF THE NEUROLOGICAL COMPLICATIONS OF DIABETES MELLITUS." In International Trends in Science and Technology. RS Global Sp. z O.O., 2021. http://dx.doi.org/10.31435/rsglobal_conf/30032021/7474.

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Diabetes mellitus is still a very common disease in the world and affects the daily lives of patients negatively. Diabetes is also known to be associated with neurological diseases such as peripheral nerve diseases, stroke and dementia. Among these, the most common disease is a peripheral nerve disease, and it has been reported that poor diabetic control increases the risk of development and can be prevented by education of the patients. Vascular dementia is more common in patients with diabetes than Alzheimer's disease, and it is thought that cerebrovascular diseases may berelated to cognitive impairment in diabetes. Although the mechanisms by which diabetes affects the brain are not clearly revealed, it is thought that changes in vascular structure, insulin resistance, glucose toxicity, oxidative stress, accumulation of glycation end products, hypoglycemic episodes and amyloid metabolism are effective.The aim of this article is to describe the neurological complications of diabetes and to emphasize the importance of patient education, good diabetes control and early diagnosis in preventing these complications.
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Pittella, Erika, Stefano Pisa, Emanuele Piuzzi, Emanuele Rizzuto, and Zaccaria Del Prete. "Combined impedance plethysmography and spectroscopy for the diagnosis of diseases of peripheral vascular system." In 2017 IEEE International Symposium on Medical Measurements and Applications (MeMeA). IEEE, 2017. http://dx.doi.org/10.1109/memea.2017.7985904.

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Breen, Paul P., Titus Jayarathna, and Gaetano D. Gargiulo. "Live Demonstration: Morphic Sensor for Diagnosis of Peripheral Vascular Disease." In 2019 IEEE Biomedical Circuits and Systems Conference (BioCAS). IEEE, 2019. http://dx.doi.org/10.1109/biocas.2019.8918716.

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Karamchandani, S., M. Y. Dixit, R. K. Jain, and M. Bhowmick. "Application of Neural Networks in the Interpretation of Impedance Cardiovasograms for the Diagnoses of Peripheral Vascular Diseases." In 2005 IEEE Engineering in Medicine and Biology 27th Annual Conference. IEEE, 2005. http://dx.doi.org/10.1109/iembs.2005.1616256.

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Kuprina, N. I., E. V. Ulanovskaya, and V. V. Shilov. "CHANGES IN THE FOREARM VESSELS OF PATIENTS WITH VIBRATION DISEASE AFTER CORONAVIRUS INFECTION." In The 16th «OCCUPATION and HEALTH» Russian National Congress with International Participation (OHRNC-2021). FSBSI “IRIOH”, 2021. http://dx.doi.org/10.31089/978-5-6042929-2-1-2021-1-300-303.

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Abstract. A lot of scientific literature has already been written on the study of the consequences of a new coronavirus infection. The real long-term effects of this disease on population health are yet to be studied in the coming years. Vibration disease is a leading occupational pathology in the Russian Federation, characterized by vegetative-vascular disorders of the extremities and is manifested by cold extremities, cyanosis, paresthesias, and a violation of regional blood circulation. It is necessary to take into account the concomitant chronic diseases in patients who are particularly dangerous in the post-ovoid period. The aim of the study was to study the features of hemodynamics in patients with vibration disease after a new coronavirus infection. In the clinic of occupational pathology, 28 patients were examined with a previously established diagnosis of vibration disease after a coronavirus infection. Ultrasound examination of the arteries and veins of the upper extremities was performed. In patients with ultrasound of the vessels of the upper extremities, moderate expansion of the radial and ulnar veins, insufficiency of the valvular apparatus during functional tests, and increased venous outflow were revealed. There was also an increase in peripheral vascular resistance, which indicates violations of the tonic properties of the vessels of the upper extremities and violations of vasodilation. Inference. In patients with vibration disease in the post-ovoid period, ultrasound examination reveals violations of the tonic properties of blood vessels, venous dyscirculation in the veins of the forearm.
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Terminelli, L., F. Carpignano, J. M. May, S. Merlo, and P. A. Kyriacou. "Photoplethysmography and electrocardiography for real time evaluation of pulse transit time A diagnostic marker of peripheral vascular diseases." In 2014 Fotonica AEIT Italian Conference on Photonics Technologies (Fotonica AEIT). IEEE, 2014. http://dx.doi.org/10.1109/fotonica.2014.6843951.

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Kubala, Matthew, Brooks Hodenfield, Vibha Mavanji, Jeremy Wales, and Jack Doenges. "Design of a Miniaturized, Affordable, and Quantifiable Vascular Doppler." In 2020 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/dmd2020-9080.

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Abstract Peripheral artery disease (PAD) results from atherosclerotic plaque deposition on arterial walls causing reduced blood flow to affected tissue and can result in pain, tissue loss, poor wound healing, limb loss, and death. Diagnosis of PAD and clinical assessment of these patients requires the use of a vascular Doppler device. By emitting an ultrasound signal when placed over an artery and measuring the Doppler shift of the signal reflected from moving blood cells, this device produces an audio output descriptive of several blood flow parameters. As shown through multiple rounds of clinician interviews, current vascular Dopplers are expensive, bulky, and lack objective signal analysis. An improved vascular Doppler offering solutions to these problems was designed and prototyped. This prototype demonstrated a reduction in cost and comparable signal quality compared to Doppler devices currently available, and offered an opportunity for future development of automated signal analysis capabilities.
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Wallace, Don J., Brent Michener, Devasmita Choudhury, Moshe Levi, Padraic Fennelly, Dennis M. Hueber, and Beniamino B. Barbieri. "Results of a 95-subject human clinical trial for the diagnosis of peripheral vascular disease using a near-infrared frequency domain hemoglobin spectrometer." In BiOS '99 International Biomedical Optics Symposium, edited by Britton Chance, Robert R. Alfano, and Bruce J. Tromberg. SPIE, 1999. http://dx.doi.org/10.1117/12.356821.

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Salameh, Elie, Wadih Khoury, Charbel Saade, and Ghanem F. Oweis. "PIV and LIF Measurements in Aortic Dissection Models." In ASME 2017 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2017. http://dx.doi.org/10.1115/imece2017-71426.

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In this work an in-vitro flow experiment is conducted to elucidate the flow behavior in simplified aortic dissection (AD) disease geometries. In AD, the innermost layer of the aortic wall is locally and partially torn allowing blood to flow between the wall layers forming a parallel blood stream in what is known as the false lumen. The aim of this work is to elucidate the disease flow physics, and to provide guidance in diagnostic radiology, particularly contrast injected computed tomography (CT), where understanding flow patterns and mixing behavior is important for accurate diagnosis. In contrast-CT, dye is injected in the peripheral blood stream to illuminate the blood vessels and identify vascular abnormalities. The flow patterns and the dye transport dynamics impact the nature of the CT images and their interpretation. Particle image velocimetry (PIV) is used to quantify the AD flow fields, and laser-induced fluorescence (LIF) is implemented to visualize and assess the mixing behavior of dye in the false and true lumens. Interesting flow patterns are revealed and discussed in the context of their possible contribution to tear expansion and flapping, and to the elevated mean pressure in the false lumen that is reported in the literature.
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Marques, Marina Trombin, Leonardo de Sousa Bernardes, Rafael Zini Moreira da Silva, Matheus Gonçalves Maia, Edson Junior Gonçalves Bechara, Eduardo dos Santos Sousa, Juliana Rodrigues Dias Primo, Vivian Dias Baptista Gagliardi, and Rubens José Gagliardi. "Trousseau Syndrome in a patient on Direct Oral Anticoagulant use: A Case Report." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.508.

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Background: The Three Territory Sign (TTS) is a radiologic marker of ischemic stroke associated with malignant neoplastic diseases (Trousseau Syndrome) and corresponds to a rare stroke etiology. Case Report: Female, 62-year-old patient, with comorbidities of smoking, hypertension and diabetes, presented with a sudden faciobrachial-predominant left hemiparesis settled in the day before the admission. Diagnosed with a metastatic rectal adenocarcinoma seven months before, she underwent a rectosigmoidectomy three months ago and developed deep vein thrombosis, starting anticoagulant therapy with rivaroxaban 20mg daily. A Magnetic Resonance Imaging (MRI) revealed several lesions with restricted diffusion in multiple vascular territories, bilaterally, corresponding to ischemic stroke. Etiologic investigation did not detect signs of cardioembolism, nor significant vessel stenosis or unstable atherosclerotic plaques. In admission, she had a D-dimer level of 11,43μg (0- 0,5μg/mL). Conclusion: The evidence of TTS is about six times more frequent in stroke related to malignancies compared to cardioembolic etiology. The D-dimer is a marker of malignancies in cryptogenic stroke, elevated in 75% of cases. The most common associated neoplasms are pulmonary (40%) and gastrointestinal (33,3%). In the MRI, the lesions can be isolated or gathered, generally small and peripheral. There is no evidence regarding the ideal preventive therapy. It is necessary to reinforce the importance of investigating malignancies in patients presenting with cryptogenic stroke and TTS, a syndrome that is still poorly recognized.
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Reports on the topic "Peripheral vascular diseases Diagnosis"

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FEDOTKINA, S. A., O. V. MUZALEVA, and E. V. KHUGAEVA. RETROSPECTIVE ANALYSIS OF THE USE OF TELEMEDICINE TECHNOLOGIES FOR THE PREVENTION, DIAGNOSIS AND TREATMENT OF HYPERTENSION. Science and Innovation Center Publishing House, 2021. http://dx.doi.org/10.12731/978-0-615-67320-2-4-22.

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Introduction. The economic losses associated with disability due to diseases of the circulatory system, as well as the costs of providing medical care to patients suffering from heart and vascular diseases, are increasing annually. The state preventive measures currently being carried out are of a delayed nature. The results of the medical examination of the population of the Russian Federation in recent years (2015-2019) indicate that the incidence of cardiovascular diseases, including hypertension, is at a fairly high level. In the middle of the last century, the Concept of risk factors for the development of chronic non-communicable diseases were formulated, in the structure of which cardiovascular diseases, including arterial hypertension, occupies one of the primary positions. The concept is based on the results of promising epidemiological studies, and, at present, is a methodological basis for planning and organizing primary prevention of cardiovascular diseases. The purpose of the study. Based on the analysis of literary sources (including foreign ones) containing experience in the use of telemedicine technologies, to assess their significance for the prevention, diagnosis and treatment of hypertension, as well as forecasting improvements in the quality of medical care when adapting to the use of clinical recommendations. Materials and methods. The article provides an analytical review of the use of modern telemedicine technologies in the prevention of hypertension. The results of the study and their discussion. The analysis of literary sources has shown that in the context of the progress of information and telecommunication technologies in the healthcare system, a fundamentally new direction has appeared in the organization and provision of medical care to the population - telemedicine, which will ensure the modern level of prevention, detection and treatment of chronic non-communicable diseases, and also determines positive medical, social and economic performance indicators. To date, updates in the legislative framework of the Russian Federation are aimed at ensuring that medical care with the use of telemedicine technologies is more widespread, taking into account the standards of medical care and clinical recommendations. Conclusion. Based on a review of literature sources, it has been established that the modern solution to the problem of improving the quality of medical care for patients, including those with hypertension, diseases is medical care using telemedicine technologies that prove their medical, social and economic effectiveness.
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