Risk factors for ischemic complications in vascular reconstructive surgeries

Matano, Fumihiro; Murai, Yasuo; Sato, Shun; Koketsu, Kenta; Shirokane, Kazutaka; Ishisaka, Eitaro; Tsukiyama, Atsushi; Morita, Akio

doi:10.1016/j.clineuro.2020.105768

Cited by 3 publications

(2 citation statements)

References 31 publications

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“…We examined clinical and surgical reports as well as radiological imaging. Our series included surgically treated complex cases selected based on complexity criteria from the previous literature [ 2 , 4 , 13 , 16 , 17 , 18 , 19 , 20 , 21 , 22 ], such as the UIATS and Berlin classification [ 3 , 4 , 23 ]. We distinguished “major” and “minor” criteria of complexity: major features were those able to significantly influence the decision-making process for surgery.…”

Section: Methodsmentioning

confidence: 99%

Navigating Complexity: A Comprehensive Approach to Middle Cerebral Artery Aneurysms

Auricchio,

Di Bonaventura,

Marchese

et al. 2024

JCM

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Background: The concept of aneurysm “complexity” has undergone significant changes in recent years, with advancements in endovascular treatments. However, surgical clipping remains a relevant option for middle cerebral artery (MCA) aneurysms. Hence, the classical criteria used to define surgically complex MCA aneurysms require updating. Our objective is to review our institutional series, considering the impacts of various complexity features, and provide a treatment strategy algorithm. Methods: We conducted a retrospective review of our institutional experience with “complex MCA” aneurysms and analyzed single aneurysmal-related factors influencing treatment decisions. Results: We identified 14 complex cases, each exhibiting at least two complexity criteria, including fusiform shape (57%), large size (35%), giant size (21%), vessel branching from the sac (50%), intrasaccular thrombi (35%), and previous clipping/coiling (14%). In 92% of cases, the aneurysm had a wide neck, and 28% exhibited tortuosity or stenosis of proximal vessels. Conclusions: The optimal management of complex MCA aneurysms depends on a decision-making algorithm that considers various complexity criteria. In a modern medical setting, this process helps clarify the choice of treatment strategy, which should be tailored to factors such as aneurysm morphology and patient characteristics, including a combination of endovascular and surgical techniques.

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Section: Methodsmentioning

confidence: 99%

Navigating Complexity: A Comprehensive Approach to Middle Cerebral Artery Aneurysms

Auricchio,

Di Bonaventura,

Marchese

et al. 2024

JCM

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“…Systemic complications include cardiac (AMI, severe arrhythmias, congestive heart failure), pulmonary (accompanied by respiratory failure and requiring medical correction), acute renal failure (which may require replacement therapy by hemodialysis), transient ischemic attack or ACA, deep vein thrombosis and multiple organ failure syndrome [26,27].…”

mentioning

confidence: 99%

Complications associated with the treatment of chronic limb-threatening ischemia

Vykhtiuk,

Orel,

Slabyi

et al. 2023

ZMJ

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The aim of the work is to review current national and foreign specialized literature on various complications associated with the treatment of chronic limb-threatening ischemia. Atherosclerotic lesion of the lower limb arteries is the most common cause of tissue perfusion deficiency of the lower limbs and can lead to their loss. A radical method of treatment for chronic limb-threatening ischemia (CLTI) remains revascularization. Despite the modern possibilities of surgical treatment and many years of experience in such treatment, the percentage of surgical complications is still substantial. The level of providing qualitative care to patients with CLTI consists in the successful correction of the mentioned complications. That is why the analysis of this problem is an urgent issue of modern angiosurgery. Conclusions. Most complications after surgical treatment of atherosclerotic lower limb lesions could cause both a limb loss and a severe systemic disorder development in general. The presented data of the professional literature review of clinical and experimental studies justify the need for an early management of complications associated with surgical treatment of chronic limb-threatening ischemia. It would contribute not only to the limb preservation, but also prevent the occurrence of severe general somatic complications.

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Lesion Trapping with High-Flow Bypass for Ruptured Internal Carotid Artery Blood Blister–Like Aneurysm Has Little Impact on the Anterior Choroidal Artery Flow: Case Series and Literature Review

et al. 2021

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Risk factors for ischemic complications in vascular reconstructive surgeries

Cited by 3 publications

References 31 publications

Navigating Complexity: A Comprehensive Approach to Middle Cerebral Artery Aneurysms

Navigating Complexity: A Comprehensive Approach to Middle Cerebral Artery Aneurysms

Complications associated with the treatment of chronic limb-threatening ischemia

Lesion Trapping with High-Flow Bypass for Ruptured Internal Carotid Artery Blood Blister–Like Aneurysm Has Little Impact on the Anterior Choroidal Artery Flow: Case Series and Literature Review

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