An increasing number of renal dialysis-dependent patients with Arterio-Venous fistulae are undergoing cardiac surgery.The fistula has important effects on systemic hemodynamics in dialysis patients. The flow is significantly and positively related to cardiac output and cardiac index, and inversely related to pulmonary vascular resistance.Few problems are encountered on cardiopulmonary bypass de...

Entry into and progression of vascular cells through the cell cycle is considered a key event in vascular proliferative diseases. Multiple growth factors and cytokines have been found to regulate vascular cell proliferation. However, the machinery regulating cell cycle represents the "final common pathway" of these signaling cascades and thus provides an attractive therapeutic target for the pr...

Cerebrovascular occlusive disease has been and continues to be a leading cause of death and disability throughout the world. In the United States there a re about 400,000 new strokes each year. 1 Some 90% of strokes are a result of vascular occlusion of the extracranial circulation.2 Surgical treatment of occlusive vascular diseases, principally carotid endarterectomy, has become an accepted me...

AIM We designed a study to estimate the economic impact of CoSeal Surgical Sealant for the prevention of anastomotic bleeding in cardiac and vascular surgery. We also explored the potential economic value of CoSeal as a means of inhibiting the formation of pericardial tissue adhesions. METHODS A Delphi panel of 6 expert vascular and cardiac surgeons provided the assumptions and estimates need...

P.S.D., Clinical Vascular Fellow; A.D.S., Senior Staff Surgeon, Clinical Associate Professor of Surges , University of Michigan Medical School; T.J.N., Senior Staff Surgeon, Division of Vascular Surgery, Department of Surgery, Henry Ford Hospital, Detroit, MI. Copyright © 1999 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, XY 10001, USA. Tel.: +1(212) 760-0888, Ext. 132....

Laparoscopic vascular surgery has not been widely embraced by vascular surgeons because of the specific technical skills needed in performing vascular anastomosis. Robot assisted vascular surgery has shown the possibility to overcome several limitations of laparoscopic vascular surgery in previous studies. We report two cases of robot assisted aortofemoral bypass grafting for aortoiliac occlusi...

BACKGROUND Pathological vascular remodeling in venous bypass grafts (VGs) results in smooth muscle cell (SMC) intimal hyperplasia and provides the substrate for progressive atherosclerosis, the principal cause of late VG failure. Nitric oxide (NO) bioactivity is reduced in VGs, in association with increased vascular superoxide production, but how these features relate to pathological VG remodel...

From May, 1982 to May, 1983, 300 consecutive patients were examined by intravenous digital subtraction angiography (DSA) using the Philips DVI system, which had a 512 X 512 matrix for video-imaging. Of those patients, 160 were diagnosed as having ischemic cerebrovascular disease. Attention was focused on 17 cases who were treated by a extracranial-intracranial (EC-IC) bypass and 5 cases treated...

Case Presentation: Mr P is a 57-year-old construction worker who has had Canadian Cardiovascular Society class III angina for the past 3 months. He has multiple cardiovascular risk factors including smoking, hypertension, dyslipidemia, and diabetes. He is obese and has had a previous laparotomy for a perforated bowel. Coronary angiography revealed triple vessel disease involving the left anteri...