Duplex guided dialysis access angioplasty can be performed safely and effectively in the office setting. It offers the advantage of treating the patient without radiation or contrast as well as the assessment of the hemodynamic effects of intervention.
The very elderly hypertensive patients of our study are fundamentally women, of rural origin and without academic studies. The above mentioned hospitalization is attributable directly to the HT in the half of the cases. They are a population of high cardiovascular risk, with previous events cardiac and cerebral-vascular. They confess to realize frequently the hygienic-dietetic strategies recommended. The diuretics are the anti-hypertensive agents most used for the HT. Since it was of waiting for the mortality in this group it is high.
62 CEA were performed from 2 to 280 hours from onset of symptoms (mean 34.2 Ϯ 50.2). No neurological mortality nor stroke recurrence was detected. NIHSS score decreased in all but 4 patients with no new ischemic lesions detected. Mean NIHSS score was 7.05 Ϯ 3.41 on admission and 3.11 Ϯ 3.62 at discharge in the whole group (p Ͻ 0.01). Among factors affecting NIHSS decrease NIHSS score on admission showed the strongest association with the highest decrease in the Ն8 NIHSS score group (NIHSS 4-7 mean 4.95 Ϯ 1.03 preoperatively vs 1.31 Ϯ 1.7 postoperatively, NIHSSՆ8 10.32 Ϯ 1.94 vs 4.03 Ϯ 3.67; p Ͻ 0.001).Conclusions: The presence of a major stroke, or a high NIHSS score, does not contraindicate early surgery. To date, guidelines recommend treatment of symptomatic carotid stenosis within 2 weeks from onset of symptoms in order to minimize the recurrence of stroke. Our results suggest that minimizing the time for intervention not only reduces the risk of recurrence, but it can improve neurological outcome.
Abstracts 9Sor contrast. It also allows for sizing of balloons and stents and assessment of the hemodynamic effects of intervention.
Endovascular intervention has emerged as a fi rst-line therapy for peripheral arterial occlusive disease. Duplex ultrasound has been used for surveillance after vascular interventions and is an integral component for evaluating patients after endovascular procedures. Technical protocols vary; however, most include color fl ow imaging and pulsed Doppler with an emphasis on single plane long-axis imaging. Exclusion of short-axis imaging, however, may miss pathologies involving the medial or lateral vessel wall. This report will describe the importance of imaging in multiple planes for evaluation of the peripheral arteries in patients after endovascular interventions.From the
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