Presentation is loading. Please wait.

Presentation is loading. Please wait.

Calciphylaxis and nonhealing wounds: The role of the vascular surgeon in a multidisciplinary treatment  Mira Milas, MDa, Ruth L. Bush, MDb, Peter Lin,

Published byHengki Susman Modified over 5 years ago

Similar presentations

Presentation on theme: "Calciphylaxis and nonhealing wounds: The role of the vascular surgeon in a multidisciplinary treatment  Mira Milas, MDa, Ruth L. Bush, MDb, Peter Lin,"— Presentation transcript:

1 Calciphylaxis and nonhealing wounds: The role of the vascular surgeon in a multidisciplinary treatment  Mira Milas, MDa, Ruth L. Bush, MDb, Peter Lin, MDc, Kathy Brown, RNd, Greg Mackay, MDe, Alan Lumsden, MDc, Collin Weber, MDf, Thomas F. Dodson, MDf  Journal of Vascular Surgery  Volume 37, Issue 3, Pages (March 2003) DOI: /mva Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

2 Fig. 1 Characteristic appearance of calciphylaxis wound with superficial ulceration and thick black eschar covering underlying necrotic tissue. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

3 Fig. 2 Arteriogram shows diffuse aortoiliac disease and left superficial femoral artery occlusion in patient with calciphylaxis ulcers of left lower leg. Patient underwent left femoral-popliteal bypass with reversed saphenous vein graft, followed by wound debridement and parathyroidectomy. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

4 Fig. 3 Hyperplasia of all parathyroid glands is prominent in secondary hyperparathyroidism seen in patients with calciphylaxis. Radical resection leaving small parathyroid remnant is guided with intraoperative PTH measurement. Less complete resection risks persistent and recurrent hyperparathyroidism and failure to improve extremity wounds. Parathyroid designations: LL, left lower; LU, left upper; RL, right lower; RU, right upper; SR, subtotal resection. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

5 Fig. 4 Complete ulcer healing was observed in all patients by 4.8 ± 2 months. Two patients, including one shown, needed skin grafting for tissue coverage. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

6 Fig. 5 Multidiscliplinary treatment algorithm for calciphylaxis. Surgical procedures can be coordinated during same hospitalization. Vascular surgeon may also be important in assessing need for initial wound debridement and subspecialty referrals. Journal of Vascular Surgery  , DOI: ( /mva ) Copyright © 2003 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Download ppt "Calciphylaxis and nonhealing wounds: The role of the vascular surgeon in a multidisciplinary treatment  Mira Milas, MDa, Ruth L. Bush, MDb, Peter Lin,"

Similar presentations

John Large, F.R.C.S. (Edin.)  Journal of Vascular Surgery 

John Large, F.R.C.S. (Edin.)  Journal of Vascular Surgery 
Marshall E. Benjamin, MD, E. Jerry Cohn, MD, William A

Marshall E. Benjamin, MD, E. Jerry Cohn, MD, William A
Education in vascular surgery: Critical issues in India

Education in vascular surgery: Critical issues in India
Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease  Joseph P. Archie, PhD, MD  Journal of Vascular.

Axillary-to-carotid artery bypass grafting for symptomatic severe common carotid artery occlusive disease  Joseph P. Archie, PhD, MD  Journal of Vascular.
Mohammad H. Eslami, MDa, Sidhu P

Mohammad H. Eslami, MDa, Sidhu P
Recurrent thromboembolism in patients with vena cava filters

Recurrent thromboembolism in patients with vena cava filters
Ergotism associated with HIV antiviral protease inhibitor therapy

Ergotism associated with HIV antiviral protease inhibitor therapy
Adult moyamoya disease with peripheral artery involvement

Adult moyamoya disease with peripheral artery involvement
Bypass to the perigeniculate collateral vesselsA useful technique for limb salvage: Preliminary report on 22 patients  Xavier Barral, MD, Gholam R. Salari,

Bypass to the perigeniculate collateral vesselsA useful technique for limb salvage: Preliminary report on 22 patients  Xavier Barral, MD, Gholam R. Salari,
Radial artery flow-through graft: A new conduit for limb salvage

Radial artery flow-through graft: A new conduit for limb salvage
Surgical treatment of hemodialysis-related central venous stenosis or occlusion: Another option to maintain vascular access  Javier Eduardo Ferrari Ayarragaray,

Surgical treatment of hemodialysis-related central venous stenosis or occlusion: Another option to maintain vascular access  Javier Eduardo Ferrari Ayarragaray,
Jay K. Bhama, MD, Peter H. Lin, MD, Theodoros Voloyiannis, MD, Ruth L

Jay K. Bhama, MD, Peter H. Lin, MD, Theodoros Voloyiannis, MD, Ruth L
Pharmacomechanical thrombectomy for treatment of symptomatic lower extremity deep venous thrombosis: Safety and feasibility study  Ruth L. Bush, MD, Peter.

Pharmacomechanical thrombectomy for treatment of symptomatic lower extremity deep venous thrombosis: Safety and feasibility study  Ruth L. Bush, MD, Peter.
Brachial artery dilatation after arteriovenous fistulae in patients after renal transplantation: A 10-year follow-up with ultrasound scan  Thomas Eugster,

Brachial artery dilatation after arteriovenous fistulae in patients after renal transplantation: A 10-year follow-up with ultrasound scan  Thomas Eugster,
Persistent sciatic artery and vein: An unusual case

Persistent sciatic artery and vein: An unusual case
Superficial femoral—popliteal veins and reversed saphenous veins as primary femoropopliteal bypass grafts: A randomized comparative study  Martin L. Schulman,

Superficial femoral—popliteal veins and reversed saphenous veins as primary femoropopliteal bypass grafts: A randomized comparative study  Martin L. Schulman,
Challenges of distal bypass surgery in patients with diabetes: Patient selection, techniques, and outcomes  Michael S. Conte, MD  Journal of Vascular.

Challenges of distal bypass surgery in patients with diabetes: Patient selection, techniques, and outcomes  Michael S. Conte, MD  Journal of Vascular.
Percutaneous bedside femorofemoral bypass grafting for acute limb ischemia caused by intra-aortic balloon pump  Peter H. Lin, MD, a, Ruth L. Bush, MD,

Percutaneous bedside femorofemoral bypass grafting for acute limb ischemia caused by intra-aortic balloon pump  Peter H. Lin, MD, a, Ruth L. Bush, MD,
Axillary artery thrombosis in a baseball pitcher

Axillary artery thrombosis in a baseball pitcher
Adjunctive use of the superficial femoral vein for vascular reconstructions  Soma Brahmanandam, MD, MPH, Daniel Clair, MD, James Bena, MS, Timur Sarac,

Adjunctive use of the superficial femoral vein for vascular reconstructions  Soma Brahmanandam, MD, MPH, Daniel Clair, MD, James Bena, MS, Timur Sarac,

Similar presentations

Ads by Google