检索结果-内蒙古大学图书馆

The transposed forearm loop arteriovenous fistula: A valuable option for primary hemodialysis access in diabetic patients

引用

ANNALS OF VASCULAR SURGERY 2002年第1期16卷 89-94页

作者： Gefen, JY Fox, D Giangola, G Ewing, DR Meisels, IS St Lukes Roosevelt Hosp Ctr New York NY USA

The distal forearm is the site of first choice for creation of an arteriovenous fistula for hemodialysis. The archetypal procedure, the primary radial-cephalic fistula as described by Brescia, yields excellent functional patency for many patients. Results are much less favorable in patients with diabetes mellitus, for whom non-maturation rates as high as 70% have been reported. This is likely due to inadequate inflow caused by atherosclerotic disease of the forearm arteries in diabetics. Secondary autologous access procedures often involve upper arm configurations such as transposed brachial-basilic fistulas. The present study focuses on a valuable alternative for hemodialysis access in diabetic patients, the transposed forearm loop arteriovenous fistula. Over a 2-year period, 16 forearm loop fistulas were created in 16 diabetic patients who either had a failed radial-cephalic fistula or had arterial anatomy deemed inadequate for wrist fistula formation, In each case, the forearm segment of the basilic or cephalic vein was transposed to form a U-shaped loop and anastomosed to the brachial, proximal radial, or proximal ulnar artery distal to the antecubitai fossa. Functional patency was defined as usability for dialysis. Patency rates were calculated by Kaplan-Meier survival analysis. From our results we determined that the forearm loop fistula is an excellent but underutilized technique that exploits the forearm veins while circumventing the distal arterial supply, thus preserving the upper arm vasculature for future use.

关键词：动脉硬化/并发症动脉硬化/超声检查动静脉转流术外科/方法糖尿病并发症糖尿病血管病变/并发症糖尿病血管病变/超声检查前臂/血液供给前臂/超声检查肾透析/方法回顾性研究治疗结果超声检查多普勒双功能血管未闭老年人老年人 80以上女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

PREOPERATIVE RISK-FACTORS AND AORTA-CORONARY BYPASS GRAFT PATENCY

引用

JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY 1976年第5期72卷 778-783页

作者： BLUMLEIN, SL ANDERSON, AJ BARBORIAK, JJ RIMM, AA WALKER, J FLEMMA, R MED COLL WISCONSIN DEPT PREVENT MED MILWAUKEE WI 53233 USA MED COLL WISCONSIN DEPT PHARMACOL MILWAUKEE WI 53233 USA MED COLL WISCONSIN DEPT MED MILWAUKEE WI 53233 USA MED COLL WISCONSIN DEPT SURG MILWAUKEE WI 53233 USA WOOD VET ADM HOSP SERV RES MILWAUKEE WI USA ST LUKES HOSP MILWAUKEE WI USA

The relationship between graft patency and the presence of presurgical prognostic factors was studied in 636 patients who underwent aorta-coronary bypass operation. There was a positive correlation between vein graft patency and both coronary artery constriction score (P < 0.01) and diastolic blood pressure (P < 0.05). In patients studied up to 1 yr after surgery, high graft patency was associated with both higher diastolic pressures (P < 0.03) and higher cholesterol levels (P < 0.001). High cholesterol levels also were associated with coronary arterial obstruction. In patients studied more than a year after operation, high scores before the operation were associated with improved graft patency (P < 0.03). Short-term prognosis of the graft was related to hemodynamic variables.

关键词：年龄因素心绞痛/并发症血压身高体重心排血量胆固醇/血液缩窄病理性冠状动脉分流术糖尿病血管病变/并发症移植物存活心室/病理生理学心肌梗死/并发症压力预后危险隐静脉/移植吸烟/并发症移植自体甘油三酯类/血液人类

来源：评论

学校读者我要写书评

暂无评论

Cardiovascular disease in cirrhosis - A point-prevalence study in relation to glucose tolerance

引用

AMERICAN JOURNAL OF GASTROENTEROLOGY 1999年第3期94卷 655-662页

作者： Marchesini, G Ronchi, M Forlani, G Bugianesi, E Bianchi, G Fabbri, A Zoli, M Melchionda, N Univ Bologna Policlin S Orsola Dipartimento Med Interna Cardioangiol Epatol I-40138 Bologna Italy Univ Bologna Cattedra Malattie Metab I-40138 Bologna Italy

OBJECTIVE: Impaired glucose tolerance or diabetes are frequently observed in cirrhosis. Overt diabetes was reported to affect long term survival of cirrhotic patients by increasing the risk of hepatocellular failure, without increasing the risk of diabetes-associated cardiovascular events. METHODS: We evaluated the prevalence of cardiovascular disease in 122 patients with cirrhosis, subdivided according to their glucose tolerance. The following parameters were considered: arterial pressure, peripheral vascular disease (ankle to brachial pressure ratio), ischemic heart disease, microalbuminuria, retinopathy. The prevalence of abnormal findings was compared with that observed in 60 randomly selected patients with non-insulin-dependent diabetes and in 40 controls. RESULTS: Noninsulin-dependent diabetic patients and patients with cirrhosis and diabetes were comparable for age, metabolic control, and smoking habits;the duration of diabetes was 5 yr longer for noninsulin-dependent diabetes. In cirrhosis, the prevalence of micro- and peripheral macroangiopathy, as well as coronary heart disease, was not different in relation to glucose tolerance, it was comparable to that of controls, and significantly lower than that observed in noninsulin-dependent diabetes. CONCLUSIONS: Cirrhotic patients, even in the presence of overt diabetes, are at low risk of cardiovascular disease. The low prevalence may be related to shorter duration of diabetic disease, also in relation to reduced life expectancy, as well as to liver disease-induced abnormalities protecting the cardiovascular system from atherosclerosis. (Am J Gastroenterol 1999;94:655-662. (C) 1999 by Am. Cell. of Gastroenterology).

关键词：心血管疾病/并发症糖尿病并发症糖尿病/遗传学糖尿病血管病变/并发症葡糖耐受不良/并发症肝硬化/并发症肝硬化/死亡率前瞻性研究危险因素青少年成年人老年人老年人 80以上女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

AMNIOTIC-FLUID CREATININE IN PREGNANCIES COMPLICATED BY DIABETES

引用

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY 1975年第1期122卷 13-20页

作者： CASSADY, G HINKLEY, C BAILEY, P BLAKE, M YOUNGER, B UNIV ALABAMA MED CTRDEPT PEDIATPERINATAL RES LABUNIV STNBIRMINGHAMAL 35294 UNIV ALABAMA DEPT OBSTETBIRMINGHAMAL 35294

Amniotic fluid (AF) creatinine concentrations, determined in 353 samples from 167 pregnancies complicated by maternal diabetes, are similar to those found at comparable gestation in uncomplicated pregnancy. Added maternal vascular disease significantly raises AF creatinine to such a degree that overestimation of fetal (renal) maturity is a clinical hazard if based solely on this parameter. Relative concentrations of creatinine in AF and maternal plasma (AF/MP ratio) are related to gestational age. Failure of AF creatinine to rise consistently on successive serial samples accompanies an increased risk of perinatal death in the pregnancy complicated by diabetes, four of five deaths in the present series following declines in this measurement.

关键词：羊水/分析阿普加评分肌酸酐/分析肌酸酐/血液糖尿病血管病变/并发症死胎胎儿疾病/流行病学孕龄低血糖症/诊断婴儿死亡率妊娠并发症心血管/并发症糖尿病患者妊娠产前诊断成年人女(雌)性人类婴儿新生妊娠

来源：评论

学校读者我要写书评

暂无评论

Prognostic value of a negative stress echocardiographic study in diabetic patients

引用

AMERICAN HEART JOURNAL 2002年第1期143卷 163-168页

作者： Kamalesh, M Matorin, R Sawada, S Univ Illinois Coll Med Champaign IL 61820 USA Indiana Univ Sch Med Krannert Inst Cardiol Indianapolis IN 46204 USA

Background Diabetic patients have increased cardiovascular morbidity and mortality. We compared the long-term prognostic value of a negative, nonischemic stress echocardiogram in patients with and without diabetes. Methods Two hundred thirty-six consecutive subjects who had stress echocardiography and who were negative for inducible ischemia were included in the study. Baseline cardiac risk factors and cardiac events (cardiac death, nonfatal myocardial infarction, and coronary revascularization) were identified. Results Follow-up was obtained in 233 subjects for a mean duration of 25 months. There were 144 nondiabetic and 89 diabetic patients. At baseline, the diabetic group had a significantly higher incidence of hypertension, hyperlipidemia, and history of coronary artery disease but had a lower incidence of smoking (P < .05). Diabetic patients had a significantly higher incidence of cardiac events (19% vs 9.7%, P = .03) and worse event-free survival (P = .03). There were more nonfatal myocardial infarctions in the diabetic group (6.7% vs 1.4%, P < .05) and a trend toward a higher proportion of hard events (myocardial infarction and cardiac death) in diabetic patients (12.4% vs 5.6%, P = .11). The hard event rate per year of follow-up was 2.7% in nondiabetic and 6.0% in diabetic patients. In diabetic patients, a history of coronary artery disease was the only predictor of cardiac events (R = 0.18, P < .05). Conclusion Compared with nondiabetic patients, diabetic patients with negative stress echocardiograms are at greater risk for cardiac events. This appears to be due to a higher prevalence of established coronary disease in diabetic patients.

关键词：强心药/诊断应用猝死心脏糖尿病血管病变/并发症糖尿病血管病变/超声检查多巴酚丁胺/诊断应用超声心动描记术超声心动描记术压力随访研究高脂血症/并发症高血压/并发症心肌梗死/并发症心肌血管重建术预后女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

AORTOCORONARY BYPASS IN DIABETIC PATIENT

引用

AMERICAN JOURNAL OF CARDIOLOGY 1975年第6期35卷 774-777页

作者： VERSKA, JJ WALKER, WJ WHITE MEM MED CTR DEPT CARDIOVASC & THORAC SURGLOS ANGELESCA WHITE MEM MED CTR DEPT CARDIOLLOS ANGELESCA LOMA LINDA UNIV SCH MEDLOMA LINDACA

One hundred twelve patients undergoing aortocoronary bypass—35 with diabetes of adult onset and 77 without diabetes—were studied to determine whether diabetic patients have additional operative risks and greater operative mortality and whether their coronary disease differs from that of nondiabetic patients. Among the diabetic patients there was a greater prevalence of preoperative unstable angina, prior myocardial infarction and class IV functional disability (New York Heart Association criteria). The major coronary arteries angiographically and at operation appeared similar in both groups. The blood flow rates measured in aortocoronary bypass vein grafts were similar in both groups, raising doubt about the presence of microvascular disease in the myocardium of the diabetic patient. Preliminary follow-up results demonstrated relief of anginal symptoms in 76 percent of diabetic and 78 percent of nondiabetic patients. The operative mortality rate of 9 percent in diabetic and 4 percent in nondiabetic patients occurred among the first 40 patients in the series; no patient in either group has died in the immediate postoperative period during the last 18 months of the study. Aortocoronary bypass should be recommended to diabetic patients with symptomatic coronary arteriosclerosis using the same criteria for operability applied to the nondiabetic population.

关键词：动脉硬化/并发症胆固醇/血液冠状血管造影术冠状动脉分流术/死亡率冠心病/并发症冠心病/死亡率冠心病/放射摄影术糖尿病并发症糖尿病血管病变/并发症随访研究心脏病/遗传学高血压/并发症肥胖症手术后并发症危险吸烟/并发症甘油三酯类/血液女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

Combined iliac angioplasty and infrainguinal revascularization surgery are effective in diabetic patients with multilevel arterial disease

引用

ANNALS OF VASCULAR SURGERY 2001年第1期15卷 67-72页

作者： Faries, PL Brophy, D LoGerfo, FW Akbari, CM Campbell, DR Spence, LD Hook, SC Pomposelli, FB Harvard Univ Beth Israel Deaconess Med Ctr Sch Med Dept SurgDiv Vasc Surg Boston MA 02215 USA Mt Sinai Sch Med Dept Surg Div Vasc Surg New York NY USA

The success of percutaneous transluminal angioplasty (PTA) in the treatment of common and external iliac atherosclerotic lesions has been established for the general population. However, several studies have suggested that the presence of diabetes may reduce the effectiveness of iliac angioplasty, particularly in the setting of limb-threatening ischemia requiring concomitant lower extremity revascularization. This study compared the results of iliac artery PTA performed in conjunction with infrainguinal bypass for limb-threatening ischemia for diabetic (DM) and nondiabetic (non-DM) patients. Between 1991 and 2000, 159 PTA were performed in 126 patients (DM = 99/79%, non-DM = 27/21%) in conjunction with subsequent infrainguinal bypass for limb-threatening ischemia (gangrene = 42%, ulcer = 36%, rest pain = 22%). These patients were followed prospectively using a computerized vascular registry. Stents were placed in 34 (21.4%) cases for suboptimal angioplasty results. In this study the combined use of standard surgical and endoluminal modalities for the treatment of multilevel arterial occlusive disease resulted in excellent cumulative patency and limb salvage rates. The presence of diabetes did not alter these favorable results. Multimodal vascular therapy may be used effectively in diabetic patients with limb-threatening ischemia due to multiple levels of arterial occlusion.

关键词：动脉硬化/并发症动脉硬化/治疗糖尿病血管病变/并发症糖尿病血管病变/治疗髂动脉瘤缺血/并发症缺血/外科学腿/血液供给寿命表支架血管未闭老年人女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

糖尿病与高血压

引用

天津医科大学学报 1984年第2期 79-84页

作者：白家祥

来源：评论

学校读者我要写书评

暂无评论

A diabetic patient with a black penile tip

引用

JOURNAL OF DIABETES AND ITS COMPLICATIONS 1999年第5-6期13卷 316-319页

作者： Kumbkarni, Y Magsino, CH Dandona, P SUNY Buffalo Div Endocrinol Buffalo NY 14260 USA

This is a report of a patient with diabetes mellitus type II who presented with the rare complication of penile gangrene. The gangrene was unilateral and was associated with ipsilateral partial stenosis of the common iliac artery. An angioplasty followed by insertion of a stent, rehydration, and improved diabetic control did not improve the penile lesion, and penile amputation was carried out. In the postoperative period, the patient developed a bilateral basal pneumonia with a significant growth of saprophyte Mycobacterium gordonae from the bronchial aspirate. This is the first reported case of unilateral penile gangrene and also that of Mycobacterium gordonae infection in a patient with diabetes mellitus. (C) 2000 Elsevier Science Inc.

关键词：动脉闭塞性疾病/并发症动脉闭塞性疾病/治疗糖尿病 2型/并发症糖尿病血管病变/并发症坏疽/诊断坏疽/病因学髂动脉阴茎疾病/病因学支架人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

Durability of the dorsalis pedis artery reconstruction in diabetics and nondiabetics: Is there a difference?

引用

ANNALS OF VASCULAR SURGERY 2002年第1期16卷 102-107页

作者： Maharaj, D Ozsvath, KJ Darling, RC Roddy, SP Paty, PSK Krelenberg, PB Chang, BB Lloyd, WE Shah, DM Albany Med Coll Inst Vasc Hlth & Dis Albany NY 12208 USA

Originally thought to be a disadvantaged outflow source, the dorsalis pedis artery is associated with excellent patency and limb salvage in the diabetic population, The aim of this study was to demonstrate that the dorsalis pedis artery is as durable in nonbiabetics as in their diabetic counterparts. During a 21-year period from 1979 to 1999, 299 long lower limb bypasses to the dorsalis pedis artery were performed at our institution. Patient data and outcomes were reviewed from the vascular registry. Statistical analysis and patency rates were compared using chi-squared and log-rank analysis. This study confirms that the dorsalis pedis can be used as an outflow source with durability that is comparable in both diabetics and nondiabetics. No significant difference exists in morbidity, mortality and patency rates. In the nondiabetic, when the dorsalis pedis is the only patent distal vessel, amputation can be avoided if one considers this a suitable option as an outflow source.

关键词：动脉闭塞性疾病/并发症动脉闭塞性疾病/外科学血管假体植入/方法糖尿病并发症糖尿病血管病变/并发症糖尿病血管病变/外科学足/血液供给移植物闭塞血管/病因学隐静脉/外科学治疗结果成年人老年人老年人 80以上女(雌)性人类男(雄)性中年人

来源：评论

学校读者我要写书评

暂无评论

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案：

请选择收藏分类：

通借通还

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：