D Bergqvist

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..The overview revealed several methodological problems in the reported studies. CONCLUSIONS: The results can be used as the basis of quality assurance or in decision trees or other models. Better reporting standards are needed...

..The validity of the Swedvasc data was confirmed. Combined cohort and case-control methodology was useful in analysing risk factors for serious perioperative complications...

..The primary objective of this study was to develop a simulation model to assess the cost-effectiveness of different screening strategies for abdominal aortic aneurysms (AAAs) in men...

..001). We conclude that the risk of PE in cancer patients depends not only on the cancer site and spread but also on the histological type. The excess independent risk in pancreatic cancer is intriguing and should warrant further research...

..Such trials are on the way both in Europe and the US, the results being awaited with interest...

..Inclusion in the registry of consecutive patients is important to illustrate generalizability of results obtained in randomized trials. This review discusses the problem with using historical comparisons to draw firm conclusions...

..Although the prevalence of AAA seems to decrease, at least screening of 65-year old males saves lives and is cost-effective. Ultrasonographic screening for AAA in risk populations fulfils the new WHO criteria for screening...

..The aim of the study was to systematically review the literature on vascular injuries caused by acupuncture...

..The use of randomized controlled trials, population based registries, systematic literature research and the recently published IDEAL method are briefly discussed...

..Improvements in patient education and prescribing practices at discharge may be important in further raising compliance levels in high-risk orthopaedic surgery patients...

..In high-risk orthopaedic surgery patients with hospital-initiated prophylaxis, there is a gap between ACCP recommendations, prescribed and actual prophylaxis received, mainly due to inadequate prescription at discharge...

..To systematically review the literature on vascular injuries caused by acupuncture...

..The difficulties compared to introduction of pharmacological treatment are analyzed. Pros and cons with randomized controlled trials and observational studies are listed...

..To analyze the problem of secondary arterioenteric fistulation, a rare but serious complication...

..StepIt is a device for active movement of the foot that simulates normal walking with calf muscle contractions...

..Studies on patients undergoing transurethral resection are lacking. Antifibrinolytic treatment to diminish bleeding does not seem to increase the risk of thrombosis...

..Is it possible by pharmacological methods to attenuate the expansion rate of abdominal aortic aneurysms?..

..Arterioenteric fistulation is a serious complication, associated with a high mortality rate and a high incidence of kidney loss among survivors...

..By early detection through screening, and thereby the possibility to treat before rupture, it has now become possible to decrease the total mortality from the disease in the population...

..To analyze time trends in invasive treatment of renovascular disease in one country...

..It is, however, as important to use randomized design with blinded assessment and combine that with prospective population based registries to be able to analyze generalizability...

..Evidence is accumulating that some in risk groups prolonged prophylaxis is indicated, ie. elective hip surgery, probably hip fracture surgery and probably also patients operated on for abdominal/pelvic cancer...

..to analyze the presentations given at the annual meeting of European Society for Vascular Surgery: topic, geographical distribution, later publication. Three six-year periods from 1989 have been evaluated...

..Prophylaxis may be started post-operatively and the duration of prophylaxis is discussed. The use of prophylaxis in vascular surgery is illustrated with case examples...

..Despite this relatively high risk of VTE, many patients are not prescribed adequate prophylaxis in the pre- or post-operative periods. This article reviews available measures for thromboprophylaxis in light of current guidelines...

..This review will assess the risk of venous thromboembolism in colorectal surgery patients and discuss current evidence-based guidelines and recommendations for prevention of venous thromboembolism...

..There is no specific antidote but if necessary, recombinant activated factor VII can be used. Other side-effects are rare. Fondaparinux is cost saving and sometimes cost neutral when compared with enoxaparin...

..Adequate treatment in case of emergency situations such as serious bleeding should include cessation of treatment and maintenance of adequate diuresis...

..Popliteal vein aneurysm is a rare but potentially problematic disease with a risk of pulmonary embolism...

..Both have been evaluated in extensive research programmes and both have been approved for use in major orthopaedic surgery by the European health care authorities...

..To analyze the effect of low-molecular-weight heparin in abdominal surgery, which carries a significant risk of thrombosis, a risk further increased by cancer...

..To evaluate the collective incidence of, and experience with, aortoenteric fistula after endovascular aortoiliac therapy...

..Previous studies have shown a state of activated coagulation in patients with ruptured AAA. However, there are conflicting results regarding the fibrinolytic response...

..Our findings indicate a potential for directed prevention, but may also imply similarities in etiology...

..We sought to study the effect of various modes of interruption of the spinal cord blood supply on intrathecal oxygenation...

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..To evaluate the effect of low molecular weight heparin (LMWH), dextran 70 and their combination on platelet adhesion and fibrinogen uptake in ePTFE grafts in an experimental sheep model...

..11). The results are consistent with an augmentation of the antithrombotic effect of LMWH by dextran 70. The need for further evaluation of the combined efficacy of LMWH and dextran is apparent from this study...

..CONCLUSIONS: Monitoring of intrathecal PO2 after clamping of the descending aorta correlated with ultrastructural changes in the spinal cord in this pig model...

..To investigate the effect of 100% oxygen ventilation on cerebrospinal fluid (CSF) oxygenation in 11 pigs during thoracic aortic cross-clamping...

..The aim of the present study was to evaluate the impact of preoperative duplex imaging after 7 years, in relation to other risk factors for varicose vein recurrence...

..Research projects giving more information on pathophysiological processes behind expansion and rupture should have priority...

..The goal of this treatment is to achieve a dialysis-free life or a well-controlled blood pressure with reduced risks of cardiovascular complications...

..001). Mortality was 93%. CONCLUSIONS: The incidence and mortality of AOSMA is higher than previously reported from clinical series. There is seldom any suspicion of the diagnosis prior to death...

..To study the epidemiology of vascular injuries, with special focus on iatrogenic vascular injuries (IVIs) and time-trends...

..Ischaemia of the colon is a major challenge in aortoiliac surgery. The aim was to establish an animal model of partial distal colonic ischaemia to study interventional strategies...

..In a case-control study nested in a population-based cohort of patients with proximal DVT, the relationship between PE and body mass index (BMI), thoracic and abdominal subcutaneous (SC) fat thickness was evaluated...

..The purpose of this study was to correlate plasma markers within these systems and skin pathology...

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..Abdominal surgery carries a significant risk of venous thrombosis, a risk further increased in patients with cancer...

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..Thus, even when conditions are optimal there is a certain price to pay for the prevention of ischemic stroke...

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..The need for thromboembolism (TE) prophylaxis during laparoscopic surgery is not well established. The aim of this study was to investigate current TE prophylaxis in patients undergoing laparoscopic cholecystectomy (LC) in Sweden...

..Emerging data indicate that LMWH may improve survival rates in cancer patients with VTE, making this a very important area for future research...

..They have to show their place in the prophylactic arsenal in comparison with low molecular weight heparins (effect, safety, mode of administration, cost-effectiveness)...

..And the hypothesis that mannitol prevents reperfusion injury...

..The aim was to study the epidemiology and outcomes of popliteal artery aneurysm (PA) treated surgically...

..CONCLUSION: dextran 70 and the low molecular weight heparin enoxaparin have the same effect on 90 days femorodistal graft patency, but care must be taken using the dextran to patients with a potential heart insufficiency...

..The aim was to study the three-year incidence of clinically overt VTE events at a university based orthopaedic department with some 3300 operations performed and 15 000 patients treated annually...

..CONCLUSION: Arterio-ureteral fistula is rare and should be suspected in patients with complicated pelvic surgery and massive haematuria, especially where rigid ureteral stents have been placed...

..To study the activation of coagulation and fibrinolysis before, during and after surgical revascularisation in patients with critical limb ischemia (CLI)...

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..The aim was to analyze long-term survival after CEA for asymptomatic stenosis and the impact of risk factors in a population-based study...

..Abdominal surgery for cancer carries a high risk of venous thromboembolism, but the optimal duration of postoperative thromboprophylaxis is unknown...

..The frequency of phlebographical DVTs thus seems to be low despite prophylaxis of questionable efficacy. The D-dimer values, however, suggest that the effects of LC on coagulation/fibrinolysis have a duration of longer than 1 week...

..The mechanisms causing this are not always clear, the incidence is very low. Risk factors are discussed as well as possible precautions to avoid this iatrogenic complication...

..Thrombolysis has been used, both systemic and local, although only in small series. Surgery is indicated when there is peritonitis, when often bowel resection is necessary. Thrombectomy has been used infrequently...

..It is important to identify further risk groups who may be in need of prolonged thromboprophylaxis. Recent data suggest that patients undergoing abdominal/pelvic surgery for malignant diseases belong to such a group...

..The aim of this study was to evaluate the outcome in routine clinical practice in Sweden in a population-based study...

..In conclusion, the current data indicate that rupture of an AAA activates the inflammatory system with a compensatory anti-inflammatory response...

..In conclusion, the present data indicate a proinflammatory response and a proinflammatory to antiinflammatory imbalance in patients with abdominal aortic aneurysm which is dependent by aneurysm size...

..A population-based point-prevalence study was conducted to determine the prevalence of peripheral arterial disease (PAD) in Sweden, with special attention to critical limb ischemia and sex differences...

..The aim of this study was to assess the age- and gender-specific prevalence of IT and its relation to PE in a population-based autopsy cohort...

..To determine cardiovascular comorbidities and use of cardiovascular disease preventive drugs in patients with peripheral arterial disease (PAD), with special attention to sex differences...

..CONCLUSIONS: for a full understanding of how peripheral vascular disease affects the individual, disease specific questions need to be added to generic QOL instruments and measurements of life satisfaction...

..Diabetic patients belong to a special category, in that neuropathy makes it difficult to evaluate pain, and ankle pressure is often falsely high due to medial arterios sclerosis...

..The outcome and prognostic factors after revascularization of acute thromboembolic occlusion of the superior mesenteric artery (SMA) are poorly documented...

..The need for radiotherapy capacity will increase. In addition, half of the treatment equipment will have to be replaced in the next few years...

..Thus, low QOL before screening is a possible risk factor for negative mental effects of diagnosing an AAA by screening...

..The aim of this study was to evaluate risk factors for venous thromboembolism (VTE) and deep vein thrombosis after living donor nephrectomy in a center using extensive preoperative screening and perioperative venous duplex scan...

..To define risk factors associated with the development of abdominal aortic aneurysm (AAA) in a population-based case-control study...

..Iatrogenic vascular injuries during varicose vein surgery are serious. The aim of this study was to investigate their nature and consequences...

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..Morbidity and in-hospital mortality were 18% and 7% respectively. The overall recurrence rate was 70%. It is our belief that a multidisciplinary approach is mandatory for optimal treatment in these patients...

..The incidence of venous thromboembolism after obesity surgery seems to be low, and obesity as a risk factor for thromboembolic disease might have been overestimated in the past...

..An increasing number of studies indicate enoxaparin to be of economic benefit when used for prevention and treatment of venous thromboembolism and treatment of acute coronary symdromes...

..Results from our large clinical trial show the efficacy and safety of a modified dalteparin regimen administered close to the time of total hip arthroplasty...