Bruce L. Gewertz, M. D. , Paul C. Kremser, M. D. , Christopher K

Slides:

Advertisements

Similar presentations

The role of arteriovenous shunts in the pathogenesis of varicose veins Howard C. Baron, M.D., Sebastiano Cassaro, M.D. Journal of Vascular Surgery Volume.

Advertisements

Silent myocardial ischemia monitoring predicts late as well as perioperative cardiac events in patients undergoing vascular surgery Peter F. Pasternack,

The effect of inguinal lymphatic manipulation on regional lymph flow patterns Jeffrey R. Rubin, MD, Lisa B. Eberlin, MD Journal of Vascular Surgery Volume.

Acute mesenteric ischemia after cardiopulmonary bypass

Popliteal artery stenosis caused by a Baker's cyst

Aortic injury occurring after minor trauma in ankylosing spondylitis

Christopher K. Zarins, MD, Rodney A. White, MD, Thomas J. Fogarty, MD

Richard T. Purdy, M. D. , Frederick C. Beyer, M. D. , William D

The accuracy of CT scanning in the diagnosis of abdominal and thoracoabdominal aortic aneurysms George J. Todd, MD, Roman Nowygrod, MD, Alan Benvenisty,

Abdominal aortic pseudoaneurysm after blunt trauma

Surgical management of infected abdominal aortic grafts: Review of a 25-year experience Patrick J. O'Hara, M.D., Norman R. Hertzer, M.D., Edwin G. Beven,

Potential myocardial regeneration with CorMatrix ECM: A case report

A new valvulotome for in situ bypass grafts

Aortic injury occurring after minor trauma in ankylosing spondylitis

Christopher K. Zarins, MD, Rodney A. White, MD, Thomas J. Fogarty, MD

Walter J. Scott, M.D., Bruce L. Gewertz, M.D.

Presidential address: The foundations of modern aortic surgery

Malcolm O. Perry, MD, Richard Kempczinski, MD

Autologous vein–covered stent for the endovascular management of an iliac artery– ureteral fistula: Case report and review of the literature D.Brent Kerns,

Protecting the brain and spinal cord

Milton M. Slocum, MD, John G. Adams, MD, Rosemary Teel, MT, Donald P

Use of duplex imaging to assess suitability of the internal mammary artery for coronary artery surgery Charles C. Canver, MD, John J. Ricotta, MD, Joginder.

Phillip J. Bendick, Ph.D., John L. Glover, M.D.

A late complication of internal carotid artery stenting

S.Amjad Hussain, MD, FRCSC, Ahmet Bayar, MD

Glossopharyngeal nerve injury complicating carotid endarterectomy

Comparison between the transabdominal and retroperitoneal approach for reconstruction of the infrarenal abdominal aorta Gregorio A. Sicard, M.D., Michael.

Renal transplant perfusion during aortoiliac aneurysmectomy

Recreational weight lifting and aortic dissection: Case report

Andris Kazmers, MD, Manuel D. Cerqueira, MD, R.Eugene Zierler, MD

Robert A. McCready, MD, Steven K. Miller, MD, Ronald C

Calvin B. Ernst, MD Journal of Vascular Surgery

Ramesh Lokanathan, MD, FRCS(C), David C. Taylor, MD, FRCS(C)

John Hunter—triumph and tragedy

The Journal of Thoracic and Cardiovascular Surgery

Cardiovascular surgery—The rocket and its stars: Presidential address

The role of a defined protocol for cardiac risk assessment in decreasing perioperative myocardial infarction in vascular surgery T.J. Bunt, MD Journal.

Femorofemoral grafts for lower limb ischemia caused by intra-aortic balloon pump Mark L. Friedell, M.D., Joseph Alpert, M.D., Victor Parsonnet, M.D.,

Stephen G. Lalka, MD, Stephen G. Sawada, MD, Michael C

Dipyridamole-thallium scintigraphy predicts perioperative and long-term survival after major vascular surgery Bruce S. Cutler, MD, Robert C. Hendel,

Dipyridamole thallium 201 scintigraphy to detect coronary artery disease before abdominal aortic surgery Bruce S. Cutler, M.D., Jeffrey A. Leppo, M.D.

Composite sequential bypasses to the ankle and beyond for limb salvage

Spencer W. Galt, MD, Fritz R. Bech, MD, Martha D

Noninvasive carotid artery evaluation following endarterectomy

Research and research funding in vascular surgery

Nitroglycerin to control blood pressure during endovascular stent-grafting of descending thoracic aortic aneurysms Emanuel O. Bernard, MD, Edith R. Schmid,

Peripheral arterial embolization: Doppler ultrasound scan diagnosis

Seizures following subclavian-carotid bypass

Thomas N. Ahlborn, M.D., John D. Birkhoff, M.D., Roman Nowygrod, M.D.

Concomitant renal endarterectomy and aortic reconstruction

Spontaneous thrombosis of iatrogenic femoral artery pseudoaneurysms: Documentation with color Doppler and two-dimensional ultrasonography Joseph P. Johns,

Should patient age be a consideration in carotid endarterectomy?

Acute aortic occlusion – Factors that influence outcome

Blunt traumatic iliac vein laceration without pelvic fracture: A rare entity Bernard Boulanger, MD, FRCS(C), John Green, DO, Aurelio Rodriguez, MD, FACS

Monitoring vascular surgical performance

Chronic digitalis administration alters mesenteric vascular reactivity

Glenn C. Hunter, M.D., Stan N. Carson, M.D.

D. Emerick Szilagyi, MD—An appreciation

Presidential address: The second-generation vascular surgeon

Wayne Reichman, MD, Cornelius Dyke, MD, H. M

Embolic lesions from the subclavian artery causing transient vertebrobasilar insufficiency John J. Ricotta, M.D., Kenneth Ouriel, M.D., Richard M. Green,

George D. Lilly 1906–1988 Journal of Vascular Surgery

James A. DeWeese, MD Journal of Vascular Surgery

Mid-term results of a second generation bifurcated endovascular graft for abdominal aortic aneurysm repair: The French Vanguard trial Jean-Pierre Becquemin,

Christopher K. Zarins, M. D. , Michael A. Zatina, M. D. , Don P

Innominate artery trauma: A thirty-year experience

AneuRx stent graft versus open surgical repair of abdominal aortic aneurysms: Multicenter prospective clinical trial Christopher K. Zarins, MD, Rodney.

Supraclavicular reoperation for neurogenic thoracic outlet syndrome

Thigh claudication due to profunda femoris artery occlusion

Cornelius A. Sullivan, MD, Michael J. Rohrer, MD, Bruce S. Cutler, MD

Presentation transcript:

Transesophageal echocardiographic monitoring of myocardial ischemia during vascular surgery Bruce L. Gewertz, M.D., Paul C. Kremser, M.D., Christopher K. Zarins, M.D., John S. Smith, M.D., John E. Ellis, M.D., Steven B. Feinstein, M.D., Michael F. Roizen, M.D. Journal of Vascular Surgery Volume 5, Issue 4, Pages 607-613 (April 1987) DOI: 10.1016/0741-5214(87)90228-X Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Static images of end-diastolic (A) and end-systolic (B) ventricular cross-sections before and after suprarenal aortic clamping in patient treated with nitroglycerin. Cardiac function was poor before clamping as demonstrated by poor ventricular wall motion and decreased ejection fraction (note large residual ventricular volume at end-systole, preclamp). Cardiac function is actually improved after aortic clamping as nitroglycerin infusion is begun, decreasing preload. Note improved contractility of ventricular wall, decreased end-diastolic volume, and increased ejection fraction (smaller residual ventricular volume at end-systole, postclamp). Journal of Vascular Surgery 1987 5, 607-613DOI: (10.1016/0741-5214(87)90228-X) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 Digitized presentations of left ventricular cross sections in a patient studied immediately before (A) and after (B) aortic root injection of sonicated microbubbles of contrast. Note marked increase in echogenicity of myocardial segments and homogenous perfusion of ventricular free wall. Journal of Vascular Surgery 1987 5, 607-613DOI: (10.1016/0741-5214(87)90228-X) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Left ventricular cross sections before (A) and after (B) infrarenal aortic clamping. Although A is end-diastolic view and B is end-systolic, homogenous perfusion is evident in this patient without segmental wall motion abnormalities. Journal of Vascular Surgery 1987 5, 607-613DOI: (10.1016/0741-5214(87)90228-X) Copyright © 1987 Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions