Routine coronary angiography and revascularization in patients with non-ST-segment elevation acute coronary syndromes (NSTEACS) have been shown to be of benefit.1,2 However, these patients are at an increased risk of bleeding due to antiplatelet drugs, anticoagulants and invasive procedures. Major bleeding in patients with NSTEACS has been associated with increased risk of mortality.3-5 Vascula...

Introduction: Neurovascular lesions may cause death or disability. Some of them are operable, but surgical approaches to these lesions are complicated and proper access is crucial. A few numbers of these surgeries occur in every resident education period and their experience for operating these lesions may be quite inadequate. Using new technologies like 3D-restructure of vascular lesion images...

Challenges 2 Femoral Approach 2 Standard of Technical Excellence 2 Technique The fl uoroscopically guided micropuncture access 3 Technical Tips 4 * * Angiography to check the location of femoral entry through a dilator 4 Preparations in obese patients 4 * Directing the needle 4 * If the wire cannot be inserted 5 * Sequential order for arterial and venous puncture 5 * * Kinked wire 5 * * Punctur...

STUDY DESIGN Modern biomaterials and instrumentation have popularised surgery of the thoraco-lumbar spine through an anterior route. The advantage of anterior surgery is that it allows for a direct decompression of the compromised spinal canal. However, the potential for devastating long-term sequelae as a result of complications is high. PURPOSE The aim of this study was to give a general ov...

BACKGROUND Elderly patients with cardiovascular comorbidities are more likely to die before progressing to the need for undergoing hemodialysis; so deferring their predialysis vascular access (VA) surgery has been suggested. However, recent declines in cardiovascular mortality in the US population may have changed this consideration. We assessed whether there has been a parallel decrease in car...

This review examines four imaging modalities; ultrasound (US), digital subtraction angiography (DSA), magnetic resonance imaging (MRI) and computed tomography (CT), that have common or potential applications in vascular access (VA). The four modalities are reviewed under their primary uses, techniques, advantages and disadvantages, and future directions that are specific to VA. Currently, US is...

Department of Surgery, University Hospital Maastricht, The Netherlands, Nephrology, Dialysis and Intensive Care Unit; Lapeyronie University Hospital, Montpellier, France, Department of Diagnostic and Interventional Radiology, Helios Klinikum Wuppertal, University Hospital Witten/Herdecke, Germany, Medical Faculty University of Cologne, Medicine Clinic I, Hospital Merheim, Germany (retired), Dep...

Reference is made to a personal series of vascular accesses for haemodialysis on 273 patients aged 6 months to 70 yr. During the course of 12 years, 533 operations were performed: 109 cannulations of the saphena, 152 by-pass, 251 arteriovenous fistulae (including 22 on patients under 10 yr of age), and 21 "difficult accesses". An assessment of the advantages and disadvantages of the techniques ...

Sustainable vascular or peritoneal access for dialysis is very important patients undergoing therapy, and trouble occasionally involved with unexpected occurrence of complications. Once occurs, therapy might be discontinued followed by a life-threatening state end-stage kidney disease. Bacterial infection, massive bleeding, thrombosis in hemodialysis acute infectious peritonitis chronic encapsu...