Huber - VascularWeb

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Indications and Treatment • Goal - reverse ischemia/preserve access. • Indications – moderate/severe ischemia. • Multiple (complementary) treatments. *Ischemic neuropathy may not be reversible.
Indications and Treatment • Access ligation. • Correct inflow stenosis. • Flow-limiting (e.g. “banding”). • Proximalization of arterial inflow (PAI). • Ligation of artery distal to anastomosis. • Distal revascularization/interval ligation (DRIL). • Distal revascularization without ligation
Page 1 and 2: Access-related Hand Ischemia Thomas
Page 3 and 4: Introduction • Hand ischemia - mo
Page 5 and 6: Definitions and Classifications •
Page 7 and 8: Pathophysiology and Risk Factors
Page 9: Clinical Presentation and Diagnosis
Page 15 and 16: Indications and Treatment • Clini
Page 17 and 18: Indications and Treatment • Proxi
Page 19: Indications and Treatment • Preop
Page 22 and 23: UF DRIL - Procedures Auto Radioceph
Page 24 and 25: Percentage (%) UF DRIL - Timing of
Page 26 and 27: UF DRIL - Outcome Mortality 3% Morb
Page 28 and 29: UF DRIL - Outcome 1 0.8 * * 0.79 0.
Page 30 and 31: J Vasc Surg 2008;48:926
Page 32 and 33: Summary/Conclusions • Access-rela
Page 34 and 35: Go GATORS
Page 36 and 37: Case Presentation - Continued • S
Page 38 and 39: Case Presentation • HPI - 60 year
Page 41: Case Presentation - Continued • S

Huber - VascularWeb

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