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ForumDerPsychoanalyse.90150025.eng.abstr
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ForumDerPsychoanalyse.90150025.eng.abstr
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"Bion has created new concepts and signs with the aim to be able to make statements about the formation of thoughts and the thinking of these thoughts systematically . This apparatus serves the sophistication of observation in the clinical situation to realize and to interpret disturbances of thinking . To that it is necessary to perceive and transform archaic ways of communication which become manifest in a changed psychic functioning of the analyst . - In a vignette it is shown how processes of splitting , projection and projective identification as defences against severe anxieties dominated the beginning of an analysis , before through introduction of a K-relationship it became possible to gain some psychic space ."
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ForumDerPsychoanalyse.90150042.eng.abstr
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ForumDerPsychoanalyse.90150042.eng.abstr
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"The Intended-Dynamic Group Therapy , until the unity almost unknown in West-Germany , represented the most important form of therapy in the former GDR . Its development , its conception of the relevant relationship between group-dynamic and psychoanalytic concepts and in particular its reception of psychoanalytic concepts are discussed . This raises the question of defining the position of this therapy form with the focus on the controverse about its proximity to psychoanalytic therapeutical concepts . Even if we take into account that in the GDR there were very reduced possibilities to articulate psychoanalytic and particularly drive concepts , in our view the Intended-Dynamic Group Therapy cannot be considered as a psychoanalytical form of therapy . It represents a specific therapeutical development of the former GDR which is strongly oriented at social norms . It is first of all oriented at the attitude change reached by the group , that means , at the manifest , conscious behaviour of the patient and therefore focusses at the normative level of behaviour regulation in groups in the sense of interactional group therapy . The authors view this form of therapy as a \" historical compromise \" in the field of psychotherapy under the circumstances of the former GDR and in this way they take into account both its advantages and its weaknesses ."
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ForumDerPsychoanalyse.90150058.eng.abstr
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ForumDerPsychoanalyse.90150091.eng.abstr
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ForumDerPsychoanalyse.90150091.eng.abstr
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}
] |
[] |
[] |
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ForumDerPsychoanalyse.90150101.eng.abstr
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"The paper deals with the question of how the biological difference in gender influences the psycho-sexual development : It manifests itself in different positions towards the primary object ( mother ) and towards the secondary object ( father ) , and this means that some development crisis appear at different times for girls than for boys : Early oedipus complex ( which is also referred to as separation crisis ) - mature oedipus complex ( getting unambiguity of the sexual identification ) - puberty ( establishment of genitality ) - adolescence ( search for the love object outside of the family ) . Today the solution of the mature oedipus complex for the girl ( that Freud doubted ) has become possible and the inequality between the sexes that had been produced by society according to the example of the mother-child couple has been partially levelled . The adolescent moratorium is open to both sexes , and sexuality , love and generativity , that the sexes produce together , have been democratized in the course of the cultural change ."
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ForumDerPsychoanalyse.90150151.eng.abstr
|
ForumDerPsychoanalyse.90150151.eng.abstr
|
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"type": "abstract",
"text": [
"In the 1930s hundreds of psychoanalysts emigrated from Central Europe , among them the most important representatives of the new movement . This exodus had a lasting effect on the history of psychoanalysis . We pursue its consequences in the context of two different subjects : The first one describes the influence of the Viennese emigrés on the development and the spread of psychoanalysis in the U.S.A. The Americanization of psychoanalysis led to great successes in the fields of psychoanalytical training , the development of theory , of psychiatry , science and everyday culture , but produced also problematic alterations . In the second part we remember the traumatic experiences of so many and so important psychoanalysts . Psychoanalysis itself could profit from coping with these experiences , but was at the same time damaged by them . Beside increased creativity and productivity the experiences of loss contributed also to stagnation and rigid developments ."
],
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ForumDerPsychoanalyse.90150189.eng.abstr
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ForumDerPsychoanalyse.90150189.eng.abstr
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"There exists not only one psychoanalytic concept of \" separation \" . Instead , it covers a wide range of psychoanalytic constructs , such as separation in Mahler's terms , object loss , castration , the Lacanian model of psychic representation and so forth . The first aim of the present paper is to clarify the various concepts . As will be shown , most psychoanalytic concepts focus on the intrapsychic dimension of separation processes . Nevertheless , the working through of separation experiences is bound to intersubjective experiences as can be shown in reference to the clinical concepts on very early interpersonal pathology and to the contemporary research on infantile development . The intersubjective and intrapsychic perspectives do not contradict , but supplement each other . J. Benjamin has introduced the term \" recognition \" into the psychoanalytic debate . Recognition is a major link between the two perspectives . It is helpful to outline the ethical consequences that can be drawn from the psychoanalytic concepts on \" separations \" ."
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[] |
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ForumDerPsychoanalyse.90150224.eng.abstr
|
ForumDerPsychoanalyse.90150224.eng.abstr
|
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[] |
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ForumDerPsychoanalyse.90150237.eng.abstr
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ForumDerPsychoanalyse.90150237.eng.abstr
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"Psychoanalysis has failed to work out a comprehensive theory of the phobias . While in the older concepts basing directly on Freud the model of the inner conflict dominates , contemporary authors show a broadening use of ego psychological aspects especially coping with ego deficiencies . The phobic mechanism is characterized by displacement and avoidance . The primary anxiety of which the return is constantly feared , is conceived of as a neurophysiologic panic attack or as the consequence of developmental conflicts . The author stresses the reception of contemporary epidemiological and nosological knowledge . The clinical importance of social phobia , widely neglected by psychoanalysis , is presented and a psychodynamic framework for this nosological entity is proposed . For the psychotherapy of all phobias the use of Freud's ( 1919 ) active technique is of basic importance . The possible and partly unavoidable combination of psychotherapy and modern antidepressants is pointed out ."
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ForumDerPsychoanalyse.90150253.eng.abstr
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ForumDerPsychoanalyse.90150253.eng.abstr
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] |
ForumDerPsychoanalyse.90150267.eng.abstr
|
ForumDerPsychoanalyse.90150267.eng.abstr
|
[
{
"id": "ForumDerPsychoanalyse.90150267.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The feeling of disgust is the subject of the following work . After a phenomenological description of disgust the meaning of this feeling within the psychical apparatus is explored . Against the background of various psychoanalytical theories , the mostly sporadic observations of some authors ( e.g. Freud , Klein , Jacobson and Krause ) are interpreted . Lastly a thesis on the meaning of disgust within the psychical apparatus is developed . Disgust and the coupled involuntary reactions serve to protect a fragile ego from decompensation and the restitution of the boundary between in- and outside ."
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0,
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] |
[] |
[] |
[
{
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ForumDerPsychoanalyse.90150287.eng.abstr
|
ForumDerPsychoanalyse.90150287.eng.abstr
|
[
{
"id": "ForumDerPsychoanalyse.90150287.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Freud conducted his self-analysis through , with , and in writing . Writing was an indispensable feature with deepest significance in Freud's self-cure . Such is the author's thesis , and his intention is to elucidate the origins of psychoanalysis , the quality of Freud's genius , and the distinctiveness of that world masterpiece , The Interpretation of Dreams ."
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[] |
[] |
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ForumDerPsychoanalyse.90150304.eng.abstr
|
ForumDerPsychoanalyse.90150304.eng.abstr
|
[
{
"id": "ForumDerPsychoanalyse.90150304.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Mourning and Melancholia is Freud's ( 1917 ) first , and fundamental contribution to the psychoanalytic understanding of normal and pathological mourning , the psychopathology of major affective disorders and the psychodynamic determinants of depression . At the same time , it also marks major developments in psychoanalytic theory at large , particularly the early formulations of the concept of the superego , the fundamental nature of identification processes , and the role of aggression in psychopathology . There are several strikingly original and fundamental propositions in the theory of the psychopathology of depression put forth in \" Mourning and Melancholia \" . These include the central importance of aggression turned against the self when intensely ambivalent object investments are lost ; the role of the superego in this self-directed aggression ; the split in the self revealed in the superego's attack on the ego , and the fusion of another part of the self with an internalized object as the victim of that attack . In what follows , I shall attempt to provide an overview of the development of Freud's ground breaking discoveries regarding depression and identification in \" Mourning and Melancholia \" , and how these ideas are reflected in our current psychoanalytic understanding of depression and of identification and its central role in the build-up of psychic structures ."
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ForumDerPsychoanalyse.90150327.eng.abstr
|
ForumDerPsychoanalyse.90150327.eng.abstr
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"Generalizations about the outcomes of psychotherapy are essentially based on research on brief therapies with quite short follow-up . The present paper is a survey of some of the findings in an effectiveness study of psychoanalysis and long-term psychotherapy , typically psychoanalytically oriented , in private practice . The design was a three-wave panel comprising more than 700 patients . At the end of the third wave , 418 patients in different phases of treatment remained in the sample . Across a reconstructed time scale covering roughly seven years , before , during , and after treatment , the 74 psychoanalysis cases described a very positive development , whereas the development among the 331 psychotherapy cases was moderately positive . The findings emphasize the importance of extended follow-up . When therapist variables are considered , therapeutic experience had complex or mixed associations with patients outcome . Especially positive were high age and many years , in private practice , after licensing . Therapeutic ideals and attitudes divided the therapist group in three subgroups , one of which was characterized by purely classical psychoanalytic views on the values of support , friendliness etc. Therapists in the classically psychoanalytic cluster were found to do poorly with patients in psychotherapy , in contrast to patients in psychoanalysis . It is concluded that psychoanalysis and psychodynamically oriented psychotherapy are qualitatively different ."
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Gefaesschirurgie.00050006.eng.abstr
|
Gefaesschirurgie.00050006.eng.abstr
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[
{
"id": "Gefaesschirurgie.00050006.eng.abstr-passage-0",
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"Abstract Hypertension is a pervasive disease affecting between 10% and 15% of the population . Hypertension is manifested silently by an accelerated rate of atherosclerosis leading to increased incidence of cardiovascular , cerebrovascular , and peripheral vascular morbidities and deaths . Through activation of the renin-angiotensin axis , renovascular disease ( RVD ) accounts for approximately 5% of this hypertensive population . Recently , the relationship between renovascular occlusive disease and progressive renal insufficiency has been delineated and termed ischemic nephropathy . Patients with ischemic nephropathy present with hypertension in conjunction with elevated serum creatinine . It has been estimated that 15% of patients initiating dialysis each year have renovascular disease as the origin of their renal dysfunction . Renal dysfunction is due to a global reduction in renal perfusion , most often as a result of bilateral renal artery occlusive disease , although a mild form of renal insufficiency can be brought on by unilateral occlusive disease due to the effects of the renin-angiotensin system on the contralateral kidney . Historically , treatment of RVD has been centered on interrupting the renin-angiotensin axis and curing the resultant hypertension and its associated morbid disease . Currently , repair efficacy has been realized with concurrent retrieval of excretory renal function and cure of renovascular hypertension ."
],
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] |
[] |
[] |
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"id": "Gefaesschirurgie.00050006.eng.abstr-s9-r3-t2.1-t1.1",
"type": "result_of",
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Gefaesschirurgie.00050014.eng.abstr
|
Gefaesschirurgie.00050014.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050014.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Introduction The TALENT system has made it feasible for the first time to use endovascular stent placement in the treatment of infrarenal aneurysms of the abdominal aorta with neck diameters greater than 26 mm . The following paper presents the experience of 29 German vascular surgical centers using the TALENT system . Materials and Methods Between October 1996 and September 1997 , a total of 123 aortic aneurysms in 122 patients were treated endovascularly . Ninety-five infrarenal aneurysms of the abdominal aorta were treated using bifurcated stents , while in 28 cases tube stents were implanted . In nine cases , tube stents were used to treat aneurysm of the thoracic aorta . A total of 111 patients ( 112 aneurysms ) presented for follow-up . The average proximal diameter of the bifurcated stents in infrarenal aneurysms was 30 mm ( range 24-36 mm ) , while the average iliac stent diameter was 14 mm ( range : 10-20 mm ) . In tube stents , diameters ranged from 24-30 mm in abdominal stents and from 32-40 mm in thoracic stents , respectively . In this series , each stent was individually manufactured for the patient on the basis of findings from computed tomography ( CT ) and calibrated angiography . Results Endovascular treatment of aneurysms was successful technically in 96% of patients . During a follow-up period averaging 4.3 months , the following complications were observed : 5 perioperative death ( 4.1% ) , 4 conversions to open surgical therapy ( 3.3% ) , 7 endoleaks ( 5.7% ) , 2 stent dislocations , 2 iliac stent thromboses , 2 perforations of iliac arteries , 1 inguinal hematoma , and 1 inguinal infection . Conclusions These preliminary findings show that aneurysms with larger neck diameters are amenable to endovascular treatment . Despite the wide distribution of participating vascular surgery centers with varying degrees of experience and many first-time implantations , the results of the present multicenter study hardly differed from those reported in larger series in established institutions . Through the use of larger-diameter stents , up to 50% of all infrarenal aneurysms of the abdominal aorta may be possibly successfully treated using endovascular methods ."
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] |
Gefaesschirurgie.00050020.eng.abstr
|
Gefaesschirurgie.00050020.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050020.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Seven patients , aged 61-85 years with symptomatic infrarenal aortic stenosis caused by arteriosclerosis , were treated with transluminal angioplasty and primary implantation of a Palmaz stent , between 1 April 1996 and 30 June 1998. In one case , a thrombendarteriectomy of the external iliac artery with profundaplsty , in another , angioplasty with stent implantation of the common iliac artery was performed simultaneously . The procedures were technically and clinically successful in all cases . During a mean observation period of 23 months ( minimum 7 months , maximum 33 months ) no obstruction or clinical restenosis occurred . Transluminal angioplasty with stent implantation in segmentary abdominal aortic stenosis represents a less invasive and safe technique with good long-term results ."
],
"offsets": [
[
0,
802
]
]
}
] |
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6,
14
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{
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"stenosis"
],
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77
]
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{
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"text": [
"arteriosclerosis"
],
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{
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"angioplasty"
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"angioplasty"
],
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335,
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]
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{
"id": "Gefaesschirurgie.00050020.eng.abstr-s1-t10",
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"text": [
"stent"
],
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"id": "Gefaesschirurgie.00050020.eng.abstr-s1-t12",
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"artery"
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{
"id": "Gefaesschirurgie.00050020.eng.abstr-s1-t13",
"type": "umlsterm",
"text": [
"aortic stenosis"
],
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{
"id": "Gefaesschirurgie.00050020.eng.abstr-s1-t14",
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"text": [
"iliac artery"
],
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],
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{
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"id": "Gefaesschirurgie.00050020.eng.abstr-s4-t6",
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}
] |
[] |
[] |
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Gefaesschirurgie.00050025.eng.abstr
|
Gefaesschirurgie.00050025.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050025.eng.abstr-passage-0",
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"Purpose : Since its introduction in the 1980s , intraoperative thrombolysis in peripheral arterial occlusion as an additional procedure has been shown to be attractive and effective in reducing limb loss in severe lower-limb ischemia . Although the results are promising additional intraoperative intra-arterial thrombolysis has not been widely used according to the few papers published with approximately 300 patients that have been published from 1985 until now . Are vascular surgeons not acquainted with the intraoperative use of streptokinase , urokinase or tissue plasminogen activator ( rt-PA ) ? We report our own experience , comparing our results with the data available in the literature . Patients and methods : Thirty patients ( 16 men , 14 women , mean age 71 years ) with severe limb-threatening ischemia were treated with operative thromboembolectomy , local thrombendarterectomy or bypass-grafting and , simultaneously , with additional intraoperative thrombolysis . After clot removal or a revascularization procedure and after documentation by angiography , the procedure was accomplished by intra-arterial instillation of rt-PA ( mean dose 10.5 mg Actilyse ) . Perioperatively , patients received systemic anticoagulation with heparin . Results : All but two combined revascularizations resulted in clinical and angiographically documentated restoration of perfusion to the affected limb . Four ( 13% ) major amputations and two ( 7% ) repeat operations due to bleeding complications were necessary during the 30-day postoperative period . Three ( 10% ) patients died postoperatively , but not due to bleeding or operative complications . Conclusion : Intraoperative intra-arterial thrombolytic therapy with rt-PA is an attractive adjunct to catheter thromboembolectomy or to a revascularization procedure in limbthreatening ischemia . Salvage of the limb seems to be increased . We conclude that thrombolysis is effective and safe ."
],
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[
0,
1954
]
]
}
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] |
Gefaesschirurgie.00050033.eng.abstr
|
Gefaesschirurgie.00050033.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050033.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Aim : To investigate the distribution of collagens in experimental microvascular surgery . Material and methods : Autografts ( 4 mm ) of the left common carotid artery in 20 Wistar rats were harvested up to 4 weeks after surgery . The specimens were investigated immunohistochemically for the demonstration and distribution of collagen III and IV . Results : The demonstration and distribution pattern of collagens was a function of the accuracy of each single suture . In the intima , the organisation and amount of collagen IV was directed to the lumen and dependent on the distance and vitality of the vessel segments . The media had in its axis direction the lowest reparative potential for regenerating the continuity break . The adventitia formed a thick cuff around the anastomosis , in which collagen III and IV-positive vasa vasorum had grown in a circular fashion . The marked myointimal hyperplasia in the area around the anastomosis and in the entire autograft was made up of collagen-positive extracellular matrix . Conclusions : Our results support the demand for a careful and atraumatic suture technique in microvascular surgery . The identification of collagens in rat vessels is a valuable tool for studying wound healing in experimental microsurgery ."
],
"offsets": [
[
0,
1270
]
]
}
] |
[
{
"id": "Gefaesschirurgie.00050033.eng.abstr-s1-t1",
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"text": [
"distribution"
],
"offsets": [
[
25,
37
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0520511"
}
]
},
{
"id": "Gefaesschirurgie.00050033.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"collagens"
],
"offsets": [
[
41,
50
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009325"
}
]
},
{
"id": "Gefaesschirurgie.00050033.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"surgery"
],
"offsets": [
[
81,
88
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038894"
},
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"db_id": "C0038895"
}
]
},
{
"id": "Gefaesschirurgie.00050033.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"methods"
],
"offsets": [
[
104,
111
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025663"
},
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}
]
},
{
"id": "Gefaesschirurgie.00050033.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"Autografts"
],
"offsets": [
[
114,
124
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040736"
}
]
},
{
"id": "Gefaesschirurgie.00050033.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"artery"
],
"offsets": [
[
161,
167
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0003842"
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[] |
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] |
Gefaesschirurgie.00050038.eng.abstr
|
Gefaesschirurgie.00050038.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050038.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Abstract In the following , the advantages of the ultracision ( UC ) over conventional surgical technique are described . A total of 40 applications in vascular surgery are analyzed ( aortic aneurysms , ileofemoral or femoropopliteal reconstruction , lymphatic fistula ) after gaining experience in minimally invasive and open visceral surgery . Preparation with UC was accomplished better than by conventional technique . The postoperative follow-up did not reveal any complications . Preparation with UC reduces tissue damage and combines different techniques into one step ( cutting , coagulation , coaptation , cavitation ) ."
],
"offsets": [
[
0,
629
]
]
}
] |
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"surgery"
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{
"id": "Gefaesschirurgie.00050038.eng.abstr-s2-t7",
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"text": [
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"id": "Gefaesschirurgie.00050038.eng.abstr-s2-t8",
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"id": "Gefaesschirurgie.00050038.eng.abstr-s4-t1",
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"postoperative"
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"text": [
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[] |
[] |
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}
] |
Gefaesschirurgie.00050042.eng.abstr
|
Gefaesschirurgie.00050042.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050042.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Traumatic injuries mimicking Raynaud's disease may result in aneurysm formation or isolated arterial thrombosis . This poorly recognized entity has also been termed hypothenar hammer syndrome ( HHS ) . In the following report , a 40-year-old patient is described whose history is typical for HHS and indicative of the syndrome . Particular emphasis is placed on diagnosis , operative and conservative procedures , and methodology ."
],
"offsets": [
[
0,
431
]
]
}
] |
[
{
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"text": [
"injuries"
],
"offsets": [
[
10,
18
]
],
"normalized": [
{
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"db_id": "C0175677"
},
{
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"db_id": "C0021501"
}
]
},
{
"id": "Gefaesschirurgie.00050042.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"disease"
],
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[
39,
46
]
],
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{
"db_name": "UMLS",
"db_id": "C0012634"
}
]
},
{
"id": "Gefaesschirurgie.00050042.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"aneurysm"
],
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[
61,
69
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0002940"
}
]
},
{
"id": "Gefaesschirurgie.00050042.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"thrombosis"
],
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[
101,
111
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040053"
}
]
},
{
"id": "Gefaesschirurgie.00050042.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"Traumatic injuries"
],
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[
0,
18
]
],
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{
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"db_id": "C0043251"
}
]
},
{
"id": "Gefaesschirurgie.00050042.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"syndrome"
],
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[
183,
191
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039082"
}
]
},
{
"id": "Gefaesschirurgie.00050042.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"patient"
],
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[
242,
249
]
],
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"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "Gefaesschirurgie.00050042.eng.abstr-s3-t2",
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"text": [
"history"
],
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[
269,
276
]
],
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{
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},
{
"db_name": "UMLS",
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}
]
},
{
"id": "Gefaesschirurgie.00050042.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"syndrome"
],
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[
318,
326
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0039082"
}
]
},
{
"id": "Gefaesschirurgie.00050042.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"diagnosis"
],
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[
362,
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]
],
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{
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"db_id": "C0011900"
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]
},
{
"id": "Gefaesschirurgie.00050042.eng.abstr-s4-t2",
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"procedures"
],
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[] |
[] |
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] |
Gefaesschirurgie.00050049.eng.abstr
|
Gefaesschirurgie.00050049.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050049.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In median avcuate ligament syndrome , compression of the celiac artery is caused by an abnormally low insertion of the median arcuate ligament in the presence of normally located celiac and superior mesenteric arteries . A lot of controversy exists concerning the indication for operation and the best mode of treatment . Depending on the presence and quality of collateral pathways , the symptoms vary considerably . We report a rare case of arcuate ligament syndrome with two-vessel involvement . In such cases surgical treatment seems to offer substantial benefit . Usually transsection of the compressing arcuate ligament is sufficient . Bypass procedures should remain limited to cases in which transsection does not enable a significant increase in splanchnic blood flow ."
],
"offsets": [
[
0,
778
]
]
}
] |
[
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"ligament"
],
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18,
26
]
],
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]
},
{
"id": "Gefaesschirurgie.00050049.eng.abstr-s1-t2",
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"text": [
"syndrome"
],
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},
{
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"type": "umlsterm",
"text": [
"artery"
],
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64,
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{
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"ligament"
],
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]
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{
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"text": [
"arteries"
],
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]
},
{
"id": "Gefaesschirurgie.00050049.eng.abstr-s1-t6",
"type": "umlsterm",
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],
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{
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"text": [
"operation"
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[
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]
},
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},
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"id": "Gefaesschirurgie.00050049.eng.abstr-s4-t3",
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{
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"db_name": "UMLS",
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}
]
}
] |
[] |
[] |
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Gefaesschirurgie.00050056.eng.abstr
|
Gefaesschirurgie.00050056.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050056.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The classic operation for treatment of a truncal varicosity affecting the long saphenous vein consists in resection of the region where the saphenous and the iliac and epigastric vessels come together and complete or partial removal of the vascular trunk . The Babcock technique is used for stage IV and for secondary truncal varicosity in the postthrombotic syndrome , while partial resection is reserved for stages I-III up to the distal point of insufficiency . In suitable cases the invagination method and cryoresection are optimal alternatives to stripping . In contrast , the Moszkowicz operation is hardly used any more because of the dangers of relapse and of phlebothrombosis . The Chiva method never became established in Germany : it is based ultimately on Trendelenberg's concept of surgery , which was abandoned almost 100 years ago . Even if an external valvuloplasty is used the varicose trunk of the vein is left in place , and the result of the procedure should still be checked by means of phlebographic documentation and by monitoring of the long-term results . Intraluminal coagulation with radiowave energy combined with resection of the junction of the saphenous and epigastric vessels seems to promise an extension of the spectrum of methods available , but wide experience of its application is still lacking ."
],
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[
0,
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]
}
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] |
[] |
[] |
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}
] |
Gefaesschirurgie.00050077.eng.abstr
|
Gefaesschirurgie.00050077.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050077.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The therapy of limb-threatening ischaemia is still a matter of controversy . The aim of this retrospective study was to determine whether the transcutaneous approach is an alternative to open surgery . We investigated and compared surgical and percutaneous interventional methods in the treatment of both embolic and thrombotic vascular occlusions in patients with pre-existing arteriosclerotic disease with the aim of establishingtherapy guidelines for the therapy of acute limb ischaemia . From 1994 to 1997 , a total of 197 patients with acute limb ischaemia were treated . Of 80 patients with embolic occlusions , 23 ( 28.8% ) were treated using percutaneous interventional methods , while the remaining 57 ( 71.2% ) underwent surgery . There was no significant difference in the rate of limb salvage between the groups treated using the transcutaneous approach ( 86% ) and open surgery ( 88% ) . In 117 patients with thrombotic occlusions and pre-existing arteriovascular disease , percutaneous treatment was successful in 61% of the 38 patients selected for percutaneous treatment and in 62% of patients undergoing surgery . Another 26 patients underwent additional interventional measures intraoperatively . The rate of limb salvage was 62% for the surgical group as a whole . Percutaneous mechanical thrombectomy represents a viable therapeutic alternative to surgical or surgical-interventional modalities , particularly in those patients with occlusions consisting of soft , embolic material and in those with occlusions occurring in infrapopliteal vessels . An interdisciplinary approach to defining the indications for each of these methods should be taken based on the individual patient's clinical and angiographic findings . Additional intraoperative endovascular procedures increase the range of therapeutic options and permit optimal revascularization of vessels both proximal and distal to the site of occlusion ."
],
"offsets": [
[
0,
1931
]
]
}
] |
[
{
"id": "Gefaesschirurgie.00050077.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"therapy"
],
"offsets": [
[
4,
11
]
],
"normalized": [
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[] |
[] |
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Gefaesschirurgie.00050086.eng.abstr
|
Gefaesschirurgie.00050086.eng.abstr
|
[
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"Abstract Corrective vascular surgery of the SSS is not indicated in cases in which angiography has revealed retrograde blood flow in the vertebral artery in the presence of high-grade stenosis or occlusion of the subclavian artery . Primary complaints requiring therapy have to be present . Symptoms due to the reduced blood perfusion of the brain are regularly present . Brachial ischemia is rarely an indication for vascular intervention . Re-insertion of the subclavian artery into the common carotid artery a. carotis communis ( SCT ) is an appropriate procedure to re-establish orthograde blood flow in the arm and brain . It is , however , possible that the therapeutic aim is thwarted due to hemodynamic changes in the area of the origin of the vertebral artery . The cerebral neurological symptoms are efficiently eliminated by re-insertion of the vertebral artery . The early and late results of this operation were analyzed in a patient population of 31 patients . The operative result needed revision in two cases , with a successful outcome in one case . The primary patency rate was 96.77% . After a mean follow-up period of 48.5months ( 4-106 ) 24 patients were examined again , with all reconstructions that had postoperatively been patent functioning well . The re-insertion technique offers the same benefits as are emphasized by the literature recommending SCT ( no prosthetic material to be used , preventing typical complications due to alloplastic material - carrying out only one anastomosis which is hemodynamically favorable , eliminating the source of embolism with regard to the brain , short operation and clamping times ) . In addition , vertebral re-insertion is the only method which enables simultaneous correction of concurrent pathological vascular changes of the proximal vertebral artery - such as the arteriosclerotic plaque , age-dependenting elongation und kinking or ( mostly ) inborne kcoiling . Thus , an intervention according to Kieffer is to be considered the method of first choice for patients with SSS showing no brachial symptoms ( 90 % ) ( 6.7 ) . For patients with brachial symptoms , a combined re-insertion and SCT is to be recommended . Here the SCT is carried out distally to the primary re-inserted vertebral artery during the same surgical intervention ."
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] |
Gefaesschirurgie.00050091.eng.abstr
|
Gefaesschirurgie.00050091.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050091.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Greater saphenous vein is the preferred graft material for below knee bypass . In the case of absent autologous vein , modified human umbilical vein ( HUV ) is used less frequently than synthetic grafts . To assess long-term graft patency and degenerative changes , the second generation of modified human umbilical vein graft was chosen for below knee femoropopliteal bypass when autologous vein was not available . Fifty-five below knee femoropopliteal bypasses were performed in 54 patients . In most cases the operation was performed for critical leg ischemia , disabling claudication , or severe acute ischemia . In 25% of patients , previous ipsilateral bypass had been performed . In no case was ipsilateral greater saphenous vein suitable . Early graft thrombosis occurred in 30.9% of patients . In 65% , revision with thrombectomy was successful . Primary ( secondary ) patency rate was 55.2% ( 75 . 5% ) with a limb salvage rate of 88.3% after 48 months . After a maximal follow-up of 57.4 months , duplex scanning could not demonstrate significant aneurysmal graft degeneration . Good graft patency and duplex scan results justify continued use of the second generation of modified human umbilical vein in peripheral bypass surgery when autogenous vein is not suitable ."
],
"offsets": [
[
0,
1281
]
]
}
] |
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[] |
[] |
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Gefaesschirurgie.00050099.eng.abstr
|
Gefaesschirurgie.00050099.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050099.eng.abstr-passage-0",
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"text": [
"Abstract In a retrospective study we examined whether it is possible to achieve better results in carotid artery surgery with a new operative technique called \" no-touch-isolation technique \" in combination with intraoperative angiography than with conventional operative techniques . Patients and methods : In 1997 and 1998 , 80 patients who were operated on using this new operative technique were compared with a group of 144 patients who had undergone conventional carotid endarterectomy . The new aspect of the no-touch-isolation technique is that the whole operation strategy aims to avoid possible intraoperative and postoperative embolism . At first , the internal carotid artery is exposed and clamped distally to the stenotic plaque very atraumatically . The operation was then continued without an intraluminal shunt . At the end of the operation the result was checked by means of an intraoperative angiography . If any suggestion of a possible embolism , such as tears of the intima , were seen , an intraoperative revision was carried out until all thrombembolic material was removed . Results : The two groups were not different regarding age , sex , symptoms , degree of stenosis and risk factors nor did any significant differences exist in the operative technique used for endarterectomy ( with or without patch , eversions-TEA , etc. ) . The group operated on with the no-touch-isolation technique had significantly longer operation- times ( 110 min vs 90 min ) and also significantly longer clamping times ( 38.7 min vs 28.2 min ) than the group operated on using conventional technique . The postoperative results , however , were still better . There were significantly fewer neurological deficits ( 4.1% vs 9.3% ) . Conclusion : The no-touch-isolation technique in combination with intraoperative angiography is a very safe method of treatment in patients with symptomatic stenosis of the internal carotid artery with a more than 70% degree of stenosis ."
],
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Gefaesschirurgie.00050105.eng.abstr
|
Gefaesschirurgie.00050105.eng.abstr
|
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"Abstract An aortocaval fistula ( ACF ) involving the abdominal aorta is an uncommon sequela of spontaneous aneurysmal rupture into the adjacent vena cava . Despite the well-characterized physiologic effects the diagnosis is often delayed or overlooked . In this paper , 15 such cases among our own patients from the the years 1970 to 1997 are reviewed . The interval from presumed occurrence to diagnosis ranged from 3 h to 3 weeks . Just one patient was admitted with a complete and correct diagnosis . Back and/or abdominal pain was present in 13 ( 87% ) patients . A pulsating tumor could be found in 11 cases ( 73% ) . The presence of a typical abdominal bruit ( 67% ) was the most reliable physical finding . Signs of a hemorrhagic shock could be seen in all six patients with an acute ACF . In nine patients with a chronic ACF the sequelae of the left-to-right shunt were predominant : CHF ( n=7), severe edema of the lower extremities ( n=7), and signs of renal insufficiency ( n=6). Two patients died before the scheduled operation , one of cardiac arrest and one due to pulmonary emboli ) . Thirteen patients were treated surgically : 12 survived , one developed pneumonia due to infection with Proteus and died . The diagnosis of ACF is dependent on the recognition of its clinical features . The dramatic picture of a patient with pain , a pulsating abdominal mass , machinaey murmur , signs of a hemorrhagic shock or high output cardiac failure is pathognomonic for an aortocaval fistula . Early diagnosis and immediate operative treatment is the key to successful management of this highly lethal condition ."
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] |
[] |
[] |
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] |
Gefaesschirurgie.00050112.eng.abstr
|
Gefaesschirurgie.00050112.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050112.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The recommended infusion time for i.v. prostaglandin E 1 ( PGE1) therapy is 2 or 3 h , depending on the dose . The aim of the present multicentre study was to investigate , for the first time , whether the dose of 60 µg PGE1 is effective and well tolerated with shorter infusion times . A total of 118 patients with intermittent claudication and a pain-free walking distance between 50 and 200 m ( 3 km/h , 12% ) were randomized to receive an i.v. infusion of 3 ampoules Prostavasin ( 60 µg PGE1) administered for either 1 or 2 h , once a day for 4 weeks . Primary variables were pain-free walking distance as well as safety , determined by the frequency of adverse events and the course of blood pressure . The efficacy was comparable in the two groups . In the 1-h infusion group , the pain-free walking distance increased from 87 to 135 m , and in the 2-h group from 88 to 147 m , while the absolute walking distance increased from 124 to 200 m and from 147 to 238 m , respectively . The differences between the two groups were not significant , although an analysis of subgroups with initial pain-free walking distances of less than 80 m indicated a significant difference in favour of the 2-h PGE1 infusion ( increase in walking distance 58 m as compared with 22 m ) . Course of blood pressure and frequency of adverse events were comparable in the two groups . Altogether , in intermittent claudication both the 1-h and the 2-h PGE1 infusion show comparably good results in terms of efficacy and safety . Patients with an initial pain-free walking distance of less than 80 m seem to reveal a major benefit after a 2-h PGE1 infusion ."
],
"offsets": [
[
0,
1639
]
]
}
] |
[
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"time"
],
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29
]
],
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}
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},
{
"id": "Gefaesschirurgie.00050112.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"prostaglandin"
],
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39,
52
]
],
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{
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}
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]
},
{
"id": "Gefaesschirurgie.00050112.eng.abstr-s1-t4",
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"text": [
"prostaglandin E"
],
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39,
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],
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{
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},
{
"id": "Gefaesschirurgie.00050112.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"PGE1"
],
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[
220,
224
]
],
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{
"db_name": "UMLS",
"db_id": "C0002335"
}
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},
{
"id": "Gefaesschirurgie.00050112.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"times"
],
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]
],
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[] |
[] |
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] |
Gefaesschirurgie.00050118.eng.abstr
|
Gefaesschirurgie.00050118.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050118.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Lymphatic fistula is one of the most common complications after vertebral surgery of the distal segment . We compared the number of lymphatic fistulas after reconstructions of the distal vertebral artery ( VA ) in two periods : 1985-1991 and 1992-1997 . Since 1992 , we ligated every structure suspected to be a lymph vessel . From 1985 to 1997 , a total number of 361 operations on the distal VA were performed : 105 operations on the right and 256 on the left side . In the first period , 133 distal VA reconstructions were performed out of which 7 patients ( 5.2% ) showed a lymphatic fistula . In the second period , 228 distal VA reconstructions were performed out of which 6 patients ( 2.6% ) suffered from a lymphatic fistula . We were able to decrease the complications of lymphatic fistulas from 5.2% to 2.6% in the past . On one hand this is due to the growing experience of the performing surgeon and on the other hand due to the application of a ligature to any lymph vessel ."
],
"offsets": [
[
0,
988
]
]
}
] |
[
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"text": [
"fistula"
],
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10,
17
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016169"
}
]
},
{
"id": "Gefaesschirurgie.00050118.eng.abstr-s1-t2",
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"text": [
"complications"
],
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44,
57
]
],
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}
]
},
{
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"surgery"
],
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74,
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]
],
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]
},
{
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"fistulas"
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{
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{
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"lymph"
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}
]
},
{
"id": "Gefaesschirurgie.00050118.eng.abstr-s3-t2",
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"vessel"
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{
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{
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{
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{
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{
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[] |
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Gefaesschirurgie.00050130.eng.abstr
|
Gefaesschirurgie.00050130.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050130.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Operative treatment for chronic venous insufficiency has existed for more than a century . Selective dissection of perforating veins as a causal treatment originated with the work of Cockett in 1953. Since then , less invasive techniques for dissection of Cockett's perforating veins have been developed . So long as no tissue induration is present , extrafascial operations have the advantage . These include not only the classical method of May , but also minimally invasive methods such as those propagated by Klapp , Bassi and Feuerstein . In recent years , significant progress has been made in surgical treatment of severe insufficiency of Cockett's perforating veins with dermolipofasciosclerosis and leg ulcer . The intrafascial technique avoids the extensive tissue trauma of earlier times , with its concomitant risk of severely disturbed wound healing . Today's method of choice is endoscopic dissection following the recommendations of Hauer and Fischer . Hach's operation retains value as a smaller-scale and less expensive technique ."
],
"offsets": [
[
0,
1048
]
]
}
] |
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Gefaesschirurgie.00050147.eng.abstr
|
Gefaesschirurgie.00050147.eng.abstr
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"Abstract Patient satisfaction plays an increasing part in the analysis of the outcome of medical treatment . The aim of the study was to compare health-related quality of life in patients with abdominal aortic aneurysm after endovascular or conventional surgery . A total of 40 patients were included ( 20 treated by endovascular and 20 by conventional surgery ) . A questionnaire with 28 items similar to the SF-36 was answered during scheduled appointments . On the third postoperative day , the conventionally treated patients were more frequently confined to bed ( 80% vs. 32% ) and complained of intervention-related pain ( 90% vs. 42% ) and incisional pain ( 26% vs. 15% ) ; 55% of the patients suffered from obstipation ( vs. 5% of the endovascular group ) . Furthermore , the preoperative psychological stress seemed to be intensified . In comparable percentage , both the endovascular and conventionally treated patients were limited in social activities perioperatively . Sexual dysfunction was more frequent in the conventional group ( 33% vs. 13% three months postoperative ) . In addition , the conventionally treated patients were more limited in their physical activities ( 25% vs. 40% ) and had more fear of ambulation ( 35% vs. 6% ) . The patients treated by an endovascular approach complained about frequent examinations ( 39% vs. 5% ) that were often related to X-ray exposure ( 67% vs. 20% ) . All of the conventionally operated patients had a sense of improvement ( vs. 89% of the endovascular group ) ; nevertheless only 28% felt completely healthy , compared to 11% of the endovascular treated patients . Advantages of the endovascular treated patients were \" short hospital stay \" , \" decreased pain \" , \" smaller scars \" , and a \" shorter confinement to bed \" . After intervention the conventionally treated patients were more limited in almost all quality-of-life aspects . After 3 months , differences between the groups decreased except for sexual dysfunction and limited physical activities . The patients treated by endovascular surgery complained more about frequent X-ray examinations than the conventionally treated group ."
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[] |
[] |
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}
] |
Gefaesschirurgie.00050154.eng.abstr
|
Gefaesschirurgie.00050154.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050154.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Ischemic preconditioning ( IP ) , using one or more brief periods of ischemia before a sustained ische- mia , represents a new approach in reducing ischemia-induced skeletal muscle damage . The aim of this study was to investigate the effect of IP on skeletal muscle function after 3 h ischemia and 2 h reperfusion in a rodent model . IP protocols using one , two , or three preconditioning cycles of 10 min ischemia and 10 min reperfusion each , were compared to non-preconditioned controls . IP was found to significantly improve force , performance , endurance , and contractility of postischemic skeletal muscle . The efficacy of IP- induced protection was correlated with the number of preconditioning cycles . Preconditioning with three cycles resulted in a more effective protection as compared to one or two cycles . Altogether , this study describes the efficacy of IP in improving post-ischemic muscle function and the need of more than one IP cycle to achieve this improvement . The respective clinical potential warrants further exploration ."
],
"offsets": [
[
0,
1054
]
]
}
] |
[
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"Ischemic"
],
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0,
8
]
],
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}
]
},
{
"id": "Gefaesschirurgie.00050154.eng.abstr-s1-t2",
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"periods"
],
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[
58,
65
]
],
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{
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}
]
},
{
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"text": [
"ischemia"
],
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[
69,
77
]
],
"normalized": [
{
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]
},
{
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"muscle"
],
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180
]
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{
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],
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},
{
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"text": [
"skeletal muscle"
],
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165,
180
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]
},
{
"id": "Gefaesschirurgie.00050154.eng.abstr-s2-t2",
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"muscle"
],
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[
260,
266
]
],
"normalized": [
{
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]
},
{
"id": "Gefaesschirurgie.00050154.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"function"
],
"offsets": [
[
267,
275
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0031843"
}
]
},
{
"id": "Gefaesschirurgie.00050154.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"ischemia"
],
"offsets": [
[
286,
294
]
],
"normalized": [
{
"db_name": "UMLS",
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},
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] |
[] |
[] |
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{
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{
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}
] |
Gefaesschirurgie.00050159.eng.abstr
|
Gefaesschirurgie.00050159.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050159.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Large multicenter studies have recently provided long-term results substantiating the superiority of surgical as compared to conservative therapy for symptomatic and asymptomatic extracranial internal carotid stenoses of more than 70% . These results led to an increase in the frequency of thromboendarterectomies ( TEA ) . However , indications are limited by the perioperative complication rate . This explains the need for a reliable method of immediate intraoperative quality control . The present prospective study investigates the value of microvascular Doppler sonography ( MDS ) in carotid TEA . Of 39 patients who underwent carotid TEA of symptomatic ( n=19) or asymptomatic ( n=20) carotid stenosis , more than 70% were submitted to both intraoperative angiography ( IOA ) and MDS . The sensitivity and specificity of the two techniques were compared in the light of the intraoperative findings . IOA has a higher sensitivity in demonstrating minimal sacciform pouch , which , however , is not therapeutically relevant . In other respects , both methods are of equal value . There were no therapeutically relevant false negative results by MDS . It appears to be advisable to apply MDS routinely in cases of carotid TEA . Intraoperative angiography should be performed in patients in whom changes detected by MDS require morphologic confirmation ."
],
"offsets": [
[
0,
1357
]
]
}
] |
[
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"surgical"
],
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[
101,
109
]
],
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{
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}
]
},
{
"id": "Gefaesschirurgie.00050159.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"therapy"
],
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[
138,
145
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0087111"
},
{
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}
]
},
{
"id": "Gefaesschirurgie.00050159.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"multicenter studies"
],
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[
6,
25
]
],
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{
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"db_id": "C0282439"
}
]
},
{
"id": "Gefaesschirurgie.00050159.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"frequency"
],
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[
277,
286
]
],
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{
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}
]
},
{
"id": "Gefaesschirurgie.00050159.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"thromboendarterectomies"
],
"offsets": [
[
290,
313
]
],
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{
"db_name": "UMLS",
"db_id": "C0162363"
}
]
},
{
"id": "Gefaesschirurgie.00050159.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"TEA"
],
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[
316,
319
]
],
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{
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}
]
},
{
"id": "Gefaesschirurgie.00050159.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"complication"
],
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[] |
[] |
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Gefaesschirurgie.00050166.eng.abstr
|
Gefaesschirurgie.00050166.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050166.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Abstract There is little commercial medical software available for department management in the field of vascular surgery . The database VasoDat was created as an eventual study of vascular surgery 10 years ago . In the meantime it has been autonomously developed into an integral part of daily life in our department . With its relational structure it covers all routine procedures in the department with an intense working stability . Instruments have been developed for optimizing the department's organization and for supporting scientific works . Statistical functions have been added . Data exchange with other systems at the moment is restricted to the program \" Quality management in carotid surgery \" of the DGG ( German Society of Vascular Surgery ) , and linking to the practising program PatiO and the accompanying private liquidation . Adding tools for image storing , visual report documentation , and linking with other computer systems is possible . Extensions for supporting the management of budgets and resources , e.g. , in managing operative capacity , were developed in order to provide adequate time results and department controls ."
],
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]
}
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] |
[] |
[] |
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] |
Gefaesschirurgie.00050174.eng.abstr
|
Gefaesschirurgie.00050174.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050174.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Infrainguinal arterial reconstruction for intermittent claudication has been discouraged because of fear of bypass graft failure , significant perioperative complications , and limb loss . This may be worse than the natural history of the disease . In our study , we retrospectively evaluated all infrainguinal bypass procedures performed in the past 10 years ."
],
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0,
361
]
]
}
] |
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] |
[] |
[] |
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Gefaesschirurgie.00050181.eng.abstr
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Gefaesschirurgie.00050181.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050181.eng.abstr-passage-0",
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[] |
[] |
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Gefaesschirurgie.00050188.eng.abstr
|
Gefaesschirurgie.00050188.eng.abstr
|
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{
"id": "Gefaesschirurgie.00050188.eng.abstr-passage-0",
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"Abstract A rare cause of painful swelling of the knee cavity can be an aneurysm of the popliteal vein . Only 28 cases are reported in the literature . We treated a 20-year-old male patient who underwent three arthroscopies , one operation and one MRI ; finally , phlebography detected a popliteal vein aneurysm and a malformation of the deep venous system of the popliteal and proximal calf veins . To avoid the threat of pulmonary embolism a resection of the aneurysm with interposition of a venous autograft was performed . Twelve months after the operation the patient is free of symptoms with a patent autograft ."
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] |
[] |
[] |
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] |
Gefaesschirurgie.00050192.eng.abstr
|
Gefaesschirurgie.00050192.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050192.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Spontaneous rupture und false aneurysms of the non-arteriosclerotic aorta are rare . We report on a 53-year-old patient with false aneurysm due to covered rupture of the thoraco abdominal aorta following sarcoidosis initially repaired by semicircumferential aortic end-to-end anastomosis . After 6 months local recurrence occurred and the afflicted aorta was replaced by autologous arterial graft , transferring the right iliac artery as aortic patch . The iliac reconstruction was performed by PTFE interposition . There was no specific therapy for sarcoidosis . At 1 year follow-up there was no recurrence and the patient is free of symptoms ."
],
"offsets": [
[
0,
645
]
]
}
] |
[
{
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"text": [
"rupture"
],
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[
12,
19
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035955"
}
]
},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"aneurysms"
],
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[
30,
39
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0002940"
}
]
},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"aorta"
],
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[
68,
73
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0003483"
}
]
},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"Spontaneous rupture"
],
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[
0,
19
]
],
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{
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"db_id": "C0035956"
}
]
},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"false aneurysms"
],
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[
24,
39
]
],
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{
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"db_id": "C0162868"
}
]
},
{
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"patient"
],
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119
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}
]
},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"aneurysm"
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{
"id": "Gefaesschirurgie.00050192.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"rupture"
],
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155,
162
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}
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},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"aorta"
],
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[
188,
193
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0003483"
}
]
},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"sarcoidosis"
],
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[
204,
215
]
],
"normalized": [
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"db_name": "UMLS",
"db_id": "C0036202"
}
]
},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"false aneurysm"
],
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[
125,
139
]
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},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s2-t7",
"type": "umlsterm",
"text": [
"abdominal aorta"
],
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178,
193
]
],
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"db_id": "C0003484"
}
]
},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s3-t1",
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"text": [
"recurrence"
],
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},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"aorta"
],
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]
},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s3-t3",
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"text": [
"graft"
],
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"db_id": "C0332835"
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{
"id": "Gefaesschirurgie.00050192.eng.abstr-s3-t4",
"type": "umlsterm",
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"right"
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{
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"type": "umlsterm",
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{
"id": "Gefaesschirurgie.00050192.eng.abstr-s3-t6",
"type": "umlsterm",
"text": [
"iliac artery"
],
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[
422,
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]
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"db_id": "C0020887"
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},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s4-t1",
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"text": [
"PTFE"
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"therapy"
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},
{
"id": "Gefaesschirurgie.00050192.eng.abstr-s5-t2",
"type": "umlsterm",
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"sarcoidosis"
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{
"id": "Gefaesschirurgie.00050192.eng.abstr-s6-t1",
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"recurrence"
],
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}
] |
[] |
[] |
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] |
Gefaesschirurgie.00050219.eng.abstr
|
Gefaesschirurgie.00050219.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050219.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Cerebral perfusion reserve may be determined by assessing changes in cerebral blood flow using vasodilators . Transcranial Doppler ( TCD ) may be used to measure cerebral blood flow speed in response to such stimuli . The aim of this study was to analyze cerebral vasoreactivity in patients with high-grade carotid stenosis and to determine the short- and long-term effects of desobliteration . A total of 40 patients had bilateral preoperative studies done and 24 were re-evaluated 1 year later . The preoperative vasomotor capacity using TCD with CO2 was 57% +/- 45. Hemodynamic reserve did not decrease significantly in the early postoperative period on the operated hemisphere , and 1 year later hemodynamic reserve had increased to to 102% +/- 80% . Contralateral reactivity also improved . One year later patients with unilateral stenosis ( n=11) presented with a restitution of reactivity to 65% +/- 46% after initial postoperative ipsilateral decrease from 51% +/- 35% to 48% +/- 38% . Patients with bilateral stenoses ( n=9) demonstrated an initial decrease from 70% +/- 60% to 48% +/- 21% and a significant rise to 115% +/- 77% 1 year later ( P=0.02). Both the significant postoperative increase in the cerebral vasomotor capacity in patients with bilateral carotid stenoses registered in both hemispheres and long-term improvement in patients with unilateral stenosis underline the effectivity of carotid desobliteration in antiembolic prophylaxis and in cerebral blood flow increase , irrespective of the symptomatology ."
],
"offsets": [
[
0,
1533
]
]
}
] |
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},
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"type": "location_of",
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},
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"id": "Gefaesschirurgie.00050219.eng.abstr-s8-r10-t6.1-t5.1",
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},
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"arg2_id": "Gefaesschirurgie.00050219.eng.abstr-s8-t4",
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}
] |
Gefaesschirurgie.00050225.eng.abstr
|
Gefaesschirurgie.00050225.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050225.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Purpose The treatment of aortic aneurysms with endovascular stent graft prostheses is receiving increasing attention . Concerns still remain regarding the long-term results of endovascular aortic endografting . The most troublesome problems have been blood leakages around the graft system with continued risk of aneurysm rupture . The shrinkage of the aneurysm sack as a good sign of excluded aneurysm is discussed controversially . The aim of our study was to evaluate contrast-enhanced color duplex ultrasound scans ( CECDU ) in detecting endoleaks ."
],
"offsets": [
[
0,
553
]
]
}
] |
[
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
[
12,
21
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"aneurysms"
],
"offsets": [
[
32,
41
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0002940"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"stent"
],
"offsets": [
[
60,
65
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038257"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"graft"
],
"offsets": [
[
66,
71
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0332835"
},
{
"db_name": "UMLS",
"db_id": "C0040733"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"prostheses"
],
"offsets": [
[
72,
82
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0525024"
},
{
"db_name": "UMLS",
"db_id": "C0175649"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"attention"
],
"offsets": [
[
107,
116
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0004268"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"aortic aneurysms"
],
"offsets": [
[
25,
41
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0003486"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"blood"
],
"offsets": [
[
251,
256
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0005767"
},
{
"db_name": "UMLS",
"db_id": "C0005768"
},
{
"db_name": "UMLS",
"db_id": "C0005835"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"graft"
],
"offsets": [
[
277,
282
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0332835"
},
{
"db_name": "UMLS",
"db_id": "C0040733"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"risk"
],
"offsets": [
[
305,
309
]
],
"normalized": [
{
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"db_id": "C0035647"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"aneurysm"
],
"offsets": [
[
313,
321
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0002940"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"rupture"
],
"offsets": [
[
322,
329
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035955"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s3-t6",
"type": "umlsterm",
"text": [
"risk of"
],
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[
305,
312
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035647"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"aneurysm"
],
"offsets": [
[
353,
361
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0002940"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"sign"
],
"offsets": [
[
377,
381
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0220912"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"aneurysm"
],
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[
394,
402
]
],
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{
"db_name": "UMLS",
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}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"aim"
],
"offsets": [
[
438,
441
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0108800"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"color"
],
"offsets": [
[
489,
494
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0009393"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"ultrasound"
],
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[
502,
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]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0220934"
},
{
"db_name": "UMLS",
"db_id": "C0041618"
},
{
"db_name": "UMLS",
"db_id": "C0041621"
}
]
},
{
"id": "Gefaesschirurgie.00050225.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
"ultrasound scans"
],
"offsets": [
[
502,
518
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0041618"
}
]
}
] |
[] |
[] |
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"type": "uses",
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{
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{
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{
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{
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{
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{
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{
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{
"id": "Gefaesschirurgie.00050225.eng.abstr-s1-r12-t7.1-t1.1",
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{
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},
{
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},
{
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},
{
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{
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{
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},
{
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{
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{
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}
] |
Gefaesschirurgie.00050232.eng.abstr
|
Gefaesschirurgie.00050232.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050232.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Intraoperative complications can be divided into three categories on the basis of the time of their occurrence : Group I - Problems associated with access ; group II : introduction of the endovascular stent ( a : release of the main segment , b : anchoring the second limb ) ; and group III : incidence of primary endoleaks ."
],
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[
0,
325
]
]
}
] |
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{
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"complications"
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15,
28
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]
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{
"id": "Gefaesschirurgie.00050232.eng.abstr-s1-t2",
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"time"
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}
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{
"id": "Gefaesschirurgie.00050232.eng.abstr-s1-t3",
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"occurrence"
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100,
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},
{
"id": "Gefaesschirurgie.00050232.eng.abstr-s1-t4",
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"stent"
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{
"id": "Gefaesschirurgie.00050232.eng.abstr-s1-t5",
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"release"
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213,
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{
"id": "Gefaesschirurgie.00050232.eng.abstr-s1-t6",
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"limb"
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"id": "Gefaesschirurgie.00050232.eng.abstr-s1-t7",
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"incidence"
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{
"id": "Gefaesschirurgie.00050232.eng.abstr-s1-t8",
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[
0,
28
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{
"db_name": "UMLS",
"db_id": "C0021890"
}
]
}
] |
[] |
[] |
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{
"id": "Gefaesschirurgie.00050232.eng.abstr-s1-r1-t5.1-t8.1",
"type": "affects",
"arg1_id": "Gefaesschirurgie.00050232.eng.abstr-s1-t5",
"arg2_id": "Gefaesschirurgie.00050232.eng.abstr-s1-t8",
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{
"id": "Gefaesschirurgie.00050232.eng.abstr-s1-r2-t5.1-t8.1",
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"id": "Gefaesschirurgie.00050232.eng.abstr-s1-r3-t1.1-t8.1",
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"id": "Gefaesschirurgie.00050232.eng.abstr-s1-r8-t5.1-t1.1",
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}
] |
Gefaesschirurgie.00050241.eng.abstr
|
Gefaesschirurgie.00050241.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050241.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Abstract An infection with the human immunodeficiency virus ( HIV ) leads to a large variety of complications affecting almost every organ system . With the increasing numbers of HIV infections , some authors have reported an occasional association between an infection with HIV and arterial aneurysm . However , complications affecting the vascular system demanding surgical intervention are rare ."
],
"offsets": [
[
0,
399
]
]
}
] |
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{
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"infection"
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"db_id": "C0021311"
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{
"id": "Gefaesschirurgie.00050241.eng.abstr-s1-t3",
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"human"
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]
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{
"id": "Gefaesschirurgie.00050241.eng.abstr-s1-t4",
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"text": [
"immunodeficiency"
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37,
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"db_id": "C0021051"
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{
"id": "Gefaesschirurgie.00050241.eng.abstr-s1-t5",
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"virus"
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"db_id": "C0042776"
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"db_id": "C0521026"
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{
"id": "Gefaesschirurgie.00050241.eng.abstr-s1-t6",
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"text": [
"HIV"
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"db_id": "C0019682"
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{
"id": "Gefaesschirurgie.00050241.eng.abstr-s1-t7",
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"complications"
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"db_name": "UMLS",
"db_id": "C0009566"
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{
"id": "Gefaesschirurgie.00050241.eng.abstr-s1-t8",
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"human immunodeficiency virus"
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31,
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{
"id": "Gefaesschirurgie.00050241.eng.abstr-s2-t1",
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"HIV"
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{
"id": "Gefaesschirurgie.00050241.eng.abstr-s2-t2",
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"text": [
"infections"
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[
183,
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"db_id": "C0021311"
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{
"id": "Gefaesschirurgie.00050241.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"association"
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237,
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"db_id": "C0004083"
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{
"id": "Gefaesschirurgie.00050241.eng.abstr-s2-t4",
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"text": [
"infection"
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{
"id": "Gefaesschirurgie.00050241.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"HIV"
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[
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278
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"db_name": "UMLS",
"db_id": "C0019682"
}
]
},
{
"id": "Gefaesschirurgie.00050241.eng.abstr-s2-t6",
"type": "umlsterm",
"text": [
"aneurysm"
],
"offsets": [
[
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] |
Gefaesschirurgie.00050246.eng.abstr
|
Gefaesschirurgie.00050246.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050246.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Proximal anastomotic pseudoaneurysm following aortobifemoral grafting is a rare event and , due to the potential for rupture , operative repair is mandatory . We report on a 72-year-old patient with a 6.7 cm anastomotic pseudoaneurysm following aortobifemoral bypass grafting for aortoiliac occlusive disease 10 years earlier . The aneurysm was repaired endoluminally with insertion of a bifurcated stent graft that was introduced after bilateral femoral artery cut-down . The limbs of the stent graft were placed into the previous prosthesis . The patient was well 3 months after the operation , and contrast-enhanced spiral CT scanning demonstrated complete exclusion of the aneurysm . Since reoperation for a proximal anastomotic pseudoaneurysm is hazardous , endoluminal repair may be a therapeutic alternative for selected patients ."
],
"offsets": [
[
0,
838
]
]
}
] |
[
{
"id": "Gefaesschirurgie.00050246.eng.abstr-s1-t1",
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"text": [
"pseudoaneurysm"
],
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[
21,
35
]
],
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{
"db_name": "UMLS",
"db_id": "C0600384"
}
]
},
{
"id": "Gefaesschirurgie.00050246.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"grafting"
],
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[
61,
69
]
],
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{
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"db_id": "C0040732"
},
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}
]
},
{
"id": "Gefaesschirurgie.00050246.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"rupture"
],
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[
117,
124
]
],
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{
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"db_id": "C0035955"
}
]
},
{
"id": "Gefaesschirurgie.00050246.eng.abstr-s1-t4",
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"text": [
"repair"
],
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137,
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{
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"patient"
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{
"id": "Gefaesschirurgie.00050246.eng.abstr-s2-t2",
"type": "umlsterm",
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"pseudoaneurysm"
],
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"id": "Gefaesschirurgie.00050246.eng.abstr-s6-r2-t6.1-t2.1",
"type": "affects",
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},
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"id": "Gefaesschirurgie.00050246.eng.abstr-s6-r3-t5.1-t6.1",
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},
{
"id": "Gefaesschirurgie.00050246.eng.abstr-s6-r4-t1.1-t2.1",
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},
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"id": "Gefaesschirurgie.00050246.eng.abstr-s6-r7-t2.1-t6.1",
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},
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{
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}
] |
Gefaesschirurgie.00050251.eng.abstr
|
Gefaesschirurgie.00050251.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050251.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Aneurysms of the upper extremity are rare . We present a case on isolated aneurysms of the brachial artery . A 45-year-old patient received an end-end fashioned Brescia-Cimino fistula ( radial artery , cephalic vein ) 13 years ago because of end-stage renal disease due to glomerulonephritis . The AV fistula thrombosed 4 months after successful kidney transplantation . The symptom of the aneurysms was compression of the ulnar nerve . The aneurysmatically altered brachial artery was resected and blood flow was reestablished by interpositioning reversed autologous saphenous vein . In our series of kidney transplant patients , this case is unique ."
],
"offsets": [
[
0,
652
]
]
}
] |
[
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"Aneurysms"
],
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[
0,
9
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0002940"
}
]
},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"extremity"
],
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[
23,
32
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0015385"
}
]
},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"upper extremity"
],
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[
17,
32
]
],
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{
"db_name": "UMLS",
"db_id": "C0003792"
}
]
},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"aneurysms"
],
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[
74,
83
]
],
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{
"db_name": "UMLS",
"db_id": "C0002940"
}
]
},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"artery"
],
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[
100,
106
]
],
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{
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}
]
},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s2-t3",
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"text": [
"brachial artery"
],
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[
91,
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],
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"db_id": "C0006087"
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"patient"
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{
"id": "Gefaesschirurgie.00050251.eng.abstr-s3-t2",
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"fistula"
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176,
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]
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{
"id": "Gefaesschirurgie.00050251.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"artery"
],
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[
193,
199
]
],
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{
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}
]
},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"vein"
],
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[
211,
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]
],
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{
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"db_id": "C0042449"
}
]
},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"disease"
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]
},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s3-t6",
"type": "umlsterm",
"text": [
"glomerulonephritis"
],
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[
273,
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]
],
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"db_id": "C0017658"
}
]
},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s3-t7",
"type": "umlsterm",
"text": [
"radial artery"
],
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"db_id": "C0162857"
}
]
},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s3-t8",
"type": "umlsterm",
"text": [
"renal disease"
],
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},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s3-t9",
"type": "umlsterm",
"text": [
"end-stage renal disease"
],
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[
242,
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],
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},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s4-t1",
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"text": [
"fistula"
],
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301,
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},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s4-t2",
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"kidney"
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{
"id": "Gefaesschirurgie.00050251.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"transplantation"
],
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]
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]
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{
"id": "Gefaesschirurgie.00050251.eng.abstr-s4-t4",
"type": "umlsterm",
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"kidney transplantation"
],
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"id": "Gefaesschirurgie.00050251.eng.abstr-s5-t1",
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"symptom"
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]
},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s5-t2",
"type": "umlsterm",
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"aneurysms"
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]
},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"nerve"
],
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[
429,
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]
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]
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{
"id": "Gefaesschirurgie.00050251.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
"ulnar nerve"
],
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{
"id": "Gefaesschirurgie.00050251.eng.abstr-s6-t1",
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{
"id": "Gefaesschirurgie.00050251.eng.abstr-s6-t2",
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{
"id": "Gefaesschirurgie.00050251.eng.abstr-s6-t3",
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"vein"
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{
"id": "Gefaesschirurgie.00050251.eng.abstr-s6-t4",
"type": "umlsterm",
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"brachial artery"
],
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{
"id": "Gefaesschirurgie.00050251.eng.abstr-s6-t5",
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"saphenous vein"
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{
"id": "Gefaesschirurgie.00050251.eng.abstr-s7-t1",
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"id": "Gefaesschirurgie.00050251.eng.abstr-s7-t2",
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"transplant"
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"id": "Gefaesschirurgie.00050251.eng.abstr-s7-t4",
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"kidney transplant"
],
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]
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"db_name": "UMLS",
"db_id": "C0022671"
}
]
}
] |
[] |
[] |
[
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s1-r1-t3.1-t1.1",
"type": "location_of",
"arg1_id": "Gefaesschirurgie.00050251.eng.abstr-s7-t3",
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{
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{
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{
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{
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{
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{
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},
{
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},
{
"id": "Gefaesschirurgie.00050251.eng.abstr-s3-r10-t4.1-t8.1",
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] |
Gefaesschirurgie.00050255.eng.abstr
|
Gefaesschirurgie.00050255.eng.abstr
|
[
{
"id": "Gefaesschirurgie.00050255.eng.abstr-passage-0",
"type": "abstract",
"text": [
"\" Chronic venous insufficiency \" is the name for a pathologic condition in which the blood can no longer be pumped from the veins in the legs in adequate quantities when the normal conditions of daily living apply . The reflux progresses from the principal veins back through the smallest venules into the region of the microcirculation and ultimately takes its toll on the tissue metabolism . Typical clinical characteristics that can be confirmed with the aid of a simple objective measuring process are the most suitable basis for staging principles ."
],
"offsets": [
[
0,
554
]
]
}
] |
[
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],
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40,
44
]
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]
},
{
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"pathologic"
],
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{
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"blood"
],
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}
]
},
{
"id": "Gefaesschirurgie.00050255.eng.abstr-s1-t4",
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"veins"
],
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]
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{
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"text": [
"legs"
],
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]
],
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{
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],
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10,
30
]
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},
{
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"Chronic venous insufficiency"
],
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2,
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{
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"veins"
],
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]
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]
},
{
"id": "Gefaesschirurgie.00050255.eng.abstr-s2-t2",
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"text": [
"venules"
],
"offsets": [
[
289,
296
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0042520"
}
]
},
{
"id": "Gefaesschirurgie.00050255.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"microcirculation"
],
"offsets": [
[
320,
336
]
],
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{
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"db_id": "C0025962"
}
]
},
{
"id": "Gefaesschirurgie.00050255.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"tissue"
],
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[
374,
380
]
],
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},
{
"id": "Gefaesschirurgie.00050255.eng.abstr-s2-t5",
"type": "umlsterm",
"text": [
"metabolism"
],
"offsets": [
[
381,
391
]
],
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{
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"db_id": "C0025519"
},
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}
]
},
{
"id": "Gefaesschirurgie.00050255.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"aid"
],
"offsets": [
[
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461
]
],
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"db_id": "C0021588"
},
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]
},
{
"id": "Gefaesschirurgie.00050255.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"objective"
],
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474,
483
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0018017"
}
]
}
] |
[] |
[] |
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] |
Gefaesschirurgie.70020005.eng.abstr
|
Gefaesschirurgie.70020005.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020005.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Abdominal aortic aneurysm repair in patients 80 years of age and older ( 82.3 +/- 2.0 years ) was performed in 51 patients over a period of 10 years from 1985 to 1995 ; 34 of these patients underwent elective aneurysm repair and 17 emergency operations for rupture . Of these 51 patients , 50 cases were reviewed for long-term survival , and 44 case reports were reviewed for preoperative risk factors , postoperative complications , discharge to nursing homes and duration of hospitalisation . After 30 days , the mortality for asymptomatic or symptomatic intact aneurysm repair was 5.9% ; in the case of emergency repair for rupture the mortality was 64.7% . After elective operations 9.4% of the patients were discharged to nursing homes . All patients who survived emergency operations went on to live normal lives in their previous housing areas . The survival probability was 81% for 1 year , 56% for 3 years , and 42% for 5 years . After surviving the emergency operation , life expectancy was similar to the group of elective aneurysm repair . The analysis did not show any risk factors with predictive value for long-term survival after elective surgery . The results justify elective abdominal aneurysm repair in octogenarians . Even in the case of aneurysm rupture every patient should be operated on . The mortality in elective surgery did not differ very much from that of other patients younger than 80 years old , and life expectancy after surgery was similar to the general population of 80 years of age and older ."
],
"offsets": [
[
0,
1531
]
]
}
] |
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[] |
[] |
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] |
Gefaesschirurgie.70020018.eng.abstr
|
Gefaesschirurgie.70020018.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020018.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Vascular injury by irradiation seldom occurs . Particularly at risk are the iliac and femoral arteries after radiation therapy of lower abdominal tumors . The problem of vascular reconstruction is explained in a case report about a 78-year-old female patient , who received an extra-anatomic iliofemoral crossover bypass after radiation-induced occlusion of her left iliac artery . Because of an infection with a deep ulcer in the left femoral region , the extra-anatomic iliofemoral bypass was removed and vascular reconstruction was performed by a lateral aortofemoral reconstruction . The ulcer was treated by a fasciocutaneous flap ."
],
"offsets": [
[
0,
637
]
]
}
] |
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"db_id": "C0038925"
}
]
}
] |
[] |
[] |
[
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s1-r1-t2.2-t1.2",
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},
{
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s1-r3-t2.2-t1.1",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s2-r1-t6.1-t4.1",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s2-r2-t2.1-t7.1",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s2-r3-t1.1-t7.1",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s2-r4-t4.1-t3.1",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s2-r5-t2.1-t4.1",
"type": "location_of",
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"arg2_id": "Gefaesschirurgie.70020018.eng.abstr-s3-t4",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s2-r6-t1.1-t4.1",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s2-r7-t3.1-t4.1",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s2-r8-t4.1-t7.1",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s2-r9-t1.1-t7.1",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s2-r10-t7.1-t4.1",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s2-r11-t6.1-t7.1",
"type": "location_of",
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"arg2_id": "Gefaesschirurgie.70020018.eng.abstr-s2-t7",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s2-r12-t1.1-t4.1",
"type": "evaluation_of",
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"arg2_id": "Gefaesschirurgie.70020018.eng.abstr-s3-t4",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s3-r1-t1.1-t4.1",
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"arg2_id": "Gefaesschirurgie.70020018.eng.abstr-s3-t4",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s4-r1-t2.1-t1.1",
"type": "degree_of",
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"arg2_id": "Gefaesschirurgie.70020018.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s4-r2-t1.1-t2.1",
"type": "degree_of",
"arg1_id": "Gefaesschirurgie.70020018.eng.abstr-s5-t1",
"arg2_id": "Gefaesschirurgie.70020018.eng.abstr-s5-t2",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s4-r3-t2.1-t1.1",
"type": "associated_with",
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"arg2_id": "Gefaesschirurgie.70020018.eng.abstr-s5-t1",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s4-r4-t1.1-t2.1",
"type": "associated_with",
"arg1_id": "Gefaesschirurgie.70020018.eng.abstr-s5-t1",
"arg2_id": "Gefaesschirurgie.70020018.eng.abstr-s5-t2",
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},
{
"id": "Gefaesschirurgie.70020018.eng.abstr-s5-r1-t2.1-t1.1",
"type": "location_of",
"arg1_id": "Gefaesschirurgie.70020018.eng.abstr-s5-t2",
"arg2_id": "Gefaesschirurgie.70020018.eng.abstr-s5-t1",
"normalized": []
}
] |
Gefaesschirurgie.70020027.eng.abstr
|
Gefaesschirurgie.70020027.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020027.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report the successful treatment of an iatrogenic AV fistula between the common iliac artery and the inferor vena cava in a 68-year-old man . This fistula developed 10 years after dorsal laminectomy surgery . A covered stent graft was successfully implanted in the common iliac artery via a transfemoral approach , occluding the fistula ."
],
"offsets": [
[
0,
340
]
]
}
] |
[
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-t1",
"type": "umlsterm",
"text": [
"treatment"
],
"offsets": [
[
25,
34
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0087111"
},
{
"db_name": "UMLS",
"db_id": "C0039798"
}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"fistula"
],
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[
55,
62
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016169"
}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"artery"
],
"offsets": [
[
88,
94
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0003842"
}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"cava"
],
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[
116,
120
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0521083"
}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-t5",
"type": "umlsterm",
"text": [
"man"
],
"offsets": [
[
138,
141
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025266"
},
{
"db_name": "UMLS",
"db_id": "C0024554"
}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-t6",
"type": "umlsterm",
"text": [
"iliac artery"
],
"offsets": [
[
82,
94
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0020887"
}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-t7",
"type": "umlsterm",
"text": [
"vena cava"
],
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[
111,
120
]
],
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{
"db_name": "UMLS",
"db_id": "C0042460"
}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"fistula"
],
"offsets": [
[
149,
156
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0016169"
}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"laminectomy"
],
"offsets": [
[
189,
200
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0022983"
}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"surgery"
],
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[
201,
208
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038894"
},
{
"db_name": "UMLS",
"db_id": "C0038895"
}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"stent"
],
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[
221,
226
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0038257"
}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"graft"
],
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[
227,
232
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0332835"
},
{
"db_name": "UMLS",
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}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"artery"
],
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[
280,
286
]
],
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{
"db_name": "UMLS",
"db_id": "C0003842"
}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"fistula"
],
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[
331,
338
]
],
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{
"db_name": "UMLS",
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}
]
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"iliac artery"
],
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[
274,
286
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0020887"
}
]
}
] |
[] |
[] |
[
{
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"type": "location_of",
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},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-r2-t3.1-t4.1",
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"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-r3-t1.1-t5.2",
"type": "associated_with",
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},
{
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"type": "associated_with",
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"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t1",
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},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-r5-t5.2-t4.1",
"type": "part_of",
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"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-r6-t1.1-t5.1",
"type": "associated_with",
"arg1_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t1",
"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t5",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-r7-t7.1-t1.1",
"type": "location_of",
"arg1_id": "Gefaesschirurgie.70020027.eng.abstr-s1-t7",
"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-r8-t5.2-t4.1",
"type": "property_of",
"arg1_id": "Gefaesschirurgie.70020027.eng.abstr-s1-t5",
"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-r9-t5.1-t1.1",
"type": "associated_with",
"arg1_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t5",
"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t1",
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},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-r10-t3.1-t1.1",
"type": "location_of",
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"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-r11-t5.1-t1.1",
"type": "performs",
"arg1_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t5",
"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-r12-t1.1-t4.1",
"type": "affects",
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"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s1-r13-t7.1-t4.1",
"type": "part_of",
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"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s2-r1-t3.2-t3.1",
"type": "issue_in",
"arg1_id": "Gefaesschirurgie.70020027.eng.abstr-s2-t3",
"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s2-r2-t2.1-t3.1",
"type": "method_of",
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"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s2-r3-t1.1-t3.1",
"type": "issue_in",
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"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t3",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s2-r4-t2.1-t1.1",
"type": "associated_with",
"arg1_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t2",
"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t1",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s2-r5-t1.1-t2.1",
"type": "associated_with",
"arg1_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t1",
"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t2",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s3-r1-t1.1-t4.1",
"type": "treats",
"arg1_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t1",
"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s3-r3-t2.1-t4.1",
"type": "location_of",
"arg1_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t2",
"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s3-r4-t5.1-t4.1",
"type": "location_of",
"arg1_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t5",
"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s3-r5-t2.2-t4.1",
"type": "location_of",
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"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t4",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s3-r6-t5.1-t2.1",
"type": "surrounds",
"arg1_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t5",
"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t2",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020027.eng.abstr-s3-r7-t2.1-t5.1",
"type": "developmental_form_of",
"arg1_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t2",
"arg2_id": "Gefaesschirurgie.70020027.eng.abstr-s3-t5",
"normalized": []
}
] |
Gefaesschirurgie.70020030.eng.abstr
|
Gefaesschirurgie.70020030.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020030.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We present the case of a 31-year-old man with known Behçet disease . Abdominal pain led to the diagnosis of tandem aneurysm of the infrarenal abdominal aorta . Complete resection and interposition tube grafting were carried out . During the operation we found signs of inflammation of the terminal ileum in addition . Histologically the aortic wall showed a defect , loss of elastic fibres of the media and vasculitis of the vasa vasorum . The problems encountered in the diagnosis and treatment of arterial Behçet disease are discussed with reference to the literature . Possible surgical procedures are presented . Our patient was not treated with adjuvant immunosuppressive therapy , whose efficacy is in any case disputed , because of the intestinal involvement ."
],
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[] |
[] |
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] |
Gefaesschirurgie.70020035.eng.abstr
|
Gefaesschirurgie.70020035.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020035.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Intraoperative transluminal angioplasty ( ITA ) has considerably broadened the spectrum of vascular surgical reconstruction , fulfils the requirements of minimally invasive therapy and has thus experienced a rapid development within the past few years . Whereas the indications and clinical results have been described adequately in the literature , reports on the procedural management of ITA are rare . One of the basic prerequisites of this method is the correct and nontraumatic implantation of the vascular access sheath at the proper location . In the following , the technique of ortho- and retrograde sheath implantation , either through the vessel itself or through a vascular graft , is described in detail . By respecting particular standards for sheath introduction , ischaemia time and vessel wall injury during ITA can be kept to a minimum . The importance of the chronology of vascular reconstruction to angioplasty is also elucidated . In addition , the advantages and disadvantages of sheath implantation compared with direct vessel puncture are demonstrated . In spite of new developments , including intraluminal fixation of the sheath with an expandable balloon , the \" ideal \" angioplasty access sheath is , as yet , not available ."
],
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]
}
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] |
[] |
[] |
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] |
Gefaesschirurgie.70020057.eng.abstr
|
Gefaesschirurgie.70020057.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020057.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Regarding the etiology of thoracic outlet syndrome ( TOS ) , congenital bone and/or fibromuscular anomalies , positional characteristics and trauma play a role . Signs and symptoms are extremely variable , depending on whether the compression of the plexus , of the artery or of the vein is predominant . In the clinical examination the AEST test is of utmost importance . The visualization of the subclavian artery and vein by DAS in different positions is mandatory . Less than 5% of the patients show a subclavian artery aneurysm , but 76% have obstructions of digital arteries . Every patient , must undergo a neurological examination including the measuring of the proximal ulnar and median nerve conduction times . Anatomical lesions of the subclavian artery , reduction of the proximal nerve conduction times and high-degree venous compression as well as disabling pain during the night with abuse of analgesics are absolute indications for the decompression of the neurovascular bundle . This is achieved by the transaxillary exarticulation of the first rib together with a cervical rib and fibromuscular bands if present . The results of the primary operation are favourable : completely painfree 85% , markedly improved 12% , unchanged or worse 3% . The results of operations for persisting and recurrent TOS are disappointing : completely painfree 48% , markedly improved 31% , but 21% unchanged or worse ."
],
"offsets": [
[
0,
1417
]
]
}
] |
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Gefaesschirurgie.70020065.eng.abstr
|
Gefaesschirurgie.70020065.eng.abstr
|
[
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"id": "Gefaesschirurgie.70020065.eng.abstr-passage-0",
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"text": [
"Chronic hypoperfusion of the hypogastric arteries due to aortoiliac surgery leads to a complex of symptoms well known as Lerich's syndome . In contrast , acute ischemia of the pelvic arterial tree leads to lethal complications [ 2 , 4 , 5 , 9 , 10 , 12 , 13 ] . Acute interruption of the hypogastric perfusion mainly occurs after aortoiliac surgery or after selective transcatheter embolisation of the internal iliac artery for control of pelvic bleeding [ 1 , 8 ] . Several complications may occur after total occlusion : urinary bladder necrosis [ 6 ] , left colon ischemia , spinal cord ischemia [ 10 ] , nerve palsy , necrosis of the rectum and gluteal musculature [ 2 , 11-13 ] . Despite adequate therapy , mortality is over 70% [ 2 ] . We report the case of a 66-year-old patient who survived after acute occlusion of the iliac arteries with gluteal necrosis following replacement of the infrarenal aorta with an aortobiiliacal graft ."
],
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] |
[] |
[] |
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] |
Gefaesschirurgie.70020069.eng.abstr
|
Gefaesschirurgie.70020069.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020069.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Background : Inferior vena cava ( IVC ) thrombosis is reported to be rare . Most commonly , treatment consists of conventional anticoagulation , often combined with caval interruption . Venous thrombectomy for IVC thrombosis has rarely been performed . Material and methods : Seventy patients ( 35 male , 35 female , mean age 36 +/- 17.2 years , range 11-73 years ) with IVC thrombosis ( unilateral iliofemoral + caval thrombosis 36 , bilateral iliac thrombosis 30 , others 4 ) underwent transperitoneal caval thrombectomy and/or transfemoral venous thrombectomy in a 15-year period ( 1980-1994 ) . The suspected underlying cause of the DVT could be identified in 78.6% . Three patients suffered from septic DVT , 1 from ischemic thrombosis . A previous , less successful treatment had been performed elsewhere in 25.7% of cases . Thirty-two patients ( 45.7% ) were admitted with pulmonary embolism . Early results : In 64 patients transfemoral venous thrombectomy with AV fistula was performed , with an additional transabdominal approach in 41 patients . Six patients underwent caval thrombectomy alone . Three patients ( 4.3% ) died perioperatively . Intraoperative pulmonary embolization ( PE ) occurred in 3 patients ( 4.3% ) , in one of whom it was fatal . Early unilateral rethrombosis developed in 16 patients ( 22.8% ) ; 12 were rethrombectomized , 9 successfully . Postoperative caval patency could be established in 87.1% of cases . Late results : Fifty-eight patients ( 82.9% ) were followed up ( mean follow-up time 44 +/- 35 months , range 3-120 months ) . Three patients died during follow-up . Of 47 patients ( 69 extremities , time to operation > 1 year ) 17.4% had no PTS , 40.6% a mild , 30.4% a moderate and 11.6% a severe PTS ( 7.2% with stasis ulcer ) . Conclusion : IVC thrombosis is a rare but , due to the high risk of PE , a life-threatening disease . Transabdominal and/or transfemoral venous thrombectomy ( with AV fistula ) is a safe , reliable and occasionally life-saving treatment . Patency of the IVC can be established in most cases . Intraoperative embolization is rare . Follow-up results are satisfactory , long-term caval patency is good , peripheral postphlebitic sequela are frequent ."
],
"offsets": [
[
0,
2225
]
]
}
] |
[
{
"id": "Gefaesschirurgie.70020069.eng.abstr-s1-t1",
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"text": [
"cava"
],
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[
27,
31
]
],
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{
"id": "Gefaesschirurgie.70020069.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"thrombosis"
],
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40,
50
]
],
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},
{
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"vena cava"
],
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[
22,
31
]
],
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},
{
"id": "Gefaesschirurgie.70020069.eng.abstr-s1-t4",
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"text": [
"Inferior vena cava"
],
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[
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31
]
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{
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"treatment"
],
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101
]
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]
},
{
"id": "Gefaesschirurgie.70020069.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"anticoagulation"
],
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[
127,
142
]
],
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"db_id": "C0003209"
},
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}
]
},
{
"id": "Gefaesschirurgie.70020069.eng.abstr-s2-t3",
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"anticoagulation"
],
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127,
142
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]
},
{
"id": "Gefaesschirurgie.70020069.eng.abstr-s3-t1",
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"thrombectomy"
],
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193,
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]
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Gefaesschirurgie.70020078.eng.abstr
|
Gefaesschirurgie.70020078.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020078.eng.abstr-passage-0",
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"Purpose . In 1993 , we adopted conventional thoracic and abdominal prosthetic grafting and tailored aortoplasty ( TAP ) of the thoraco-abdominal aortic segment III/IV in chronic-expanding type B aortic dissection ( CEAD ) to achieve 2 primary goals : 1. reduction of renal/visceral and spinal cord ischemic time ; 2. safe and secure reperfusion of all critical aortic branches for prevention of major complications , i . e . paraplegia , kidney failure , and intestinal infarction . Methods . Among 71 thoracoabdominal aortic reconstructions since 1993 , 5 CEAD patients ( median age 47.8 yr , mean CEAD- 6.5 cm , 4 with Marfan Syndrome ) underwent TAP . Selection criteria are : 1. CEAD- > 5 cm 2. expansion rate > =5 mm/6 months 3. involvement of the critical aortic segment III/IV . TAP consists of : 1. left posterolateral aortotomy from Th 8 - L 2 , 2. excision of the intraaortic dissection membrane ( s ) 3. aortic closure to a diameter of 3 cm to reduce wall tension . Results . All 5 patients survived without any major complications , particularly no paraplegia . Mean cross-clamping was 43 min . After 7 months , 1 patient was successfully repaired due to false aneurysm at the distal thoracic graft suture line . After mean follow-up of 2.4 years , CT-angiography revealed a stable TAP segment ( mean aortic- 3.2 cm ) in 4 patients and one re-expanded TAP segment ( from 4 cm after 24 months up to 7 cm ) without signs of re-dissection . Conclusion . Our 4-year-results ( 1 ) corroborate the Johns Hopkins data . Although one re-expanded TAP segment is disquieting , we found the short-term gains so rewarding to strongly advocate the tailored approach as a principle means of avoiding paraplegia in this extremely high risk group of patients ."
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] |
[] |
[] |
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] |
Gefaesschirurgie.70020095.eng.abstr
|
Gefaesschirurgie.70020095.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020095.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Revascularization in cases of recurrent occlusions following aorto-iliac vascular reconstructions , particular in high-risk patients , poses a therapeutic dilemma . We report the case of a 78-year-old female patient who presented - after multiple vascular reconstructions of iliac and femoral arteries - with Leriche syndrome , resulting critical limb ischemia and concomitant coronary and lung disease . Due to the high surgical and anesthetic risk we implanted an axillo-bifemoral PTFE graft . The preoperative angiography of the supraaortic branches revealed a high-grade stenosis of the right subclavian artery in the presence of a previously implanted carotid-subclavian bypass on the left . This stenosis was dilated and then stented by way of the proximal end of the axillo-bifemoral graft , which in turn was distally anastomosed to the right popliteal and left deep femoral artery . Postoperative angiography verified a good run-off and satisfactory vascular status was obtained . Duplex sonography 6 months after surgery showed a good flow and the patient was free of symptoms . These results demonstrate that , combined with intraoperative stent application , an axillo-bifemoral graft can be implanted with good results ."
],
"offsets": [
[
0,
1233
]
]
}
] |
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] |
Gefaesschirurgie.70020101.eng.abstr
|
Gefaesschirurgie.70020101.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020101.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The chronic compression syndrome of the crural fascia is defined as a new pathological entity . Multifactorial influences lead to hardening of the connective tissue of the crural fascia , which then in turn determines the further course of the disease . The main symptom is leg ulcer , which is as yet incurable . By means of crural fasciectomy , the ulcers could be cured in 17 of 18 patients , some of whom had endured several decades of failed conservative therapy ; the treatment of the last patient has not yet been completed . The follow-up time ranged from 10 to 36 months ( mean 14.6 months ) . Crural fasciectomy affects the underlying cause of the disease by significantly reducing the pathologically raised pressures within the compartments from 21.1 mmHg in the lying and 62.5 mmHg in the standing position to 15.5 mmHg and 34.5 mmHg respectively ( p = 0.172 and p = 0.003 respectively ) ."
],
"offsets": [
[
0,
901
]
]
}
] |
[
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] |
[] |
[] |
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}
] |
Gefaesschirurgie.70020126.eng.abstr
|
Gefaesschirurgie.70020126.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020126.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A 52-year-old male patient developed a secondary aorto-enteric fistula 33 months after implantation of an infrarenal Dacron tube graft . The correct preoperative diagnosis was established by endoscopy and abdominal computed tomography . After removal of all infected prosthetic material , the intestinal wall was repaired , followed by in situ replacement of a new graft , which was covered by the major omentum . In this report we discuss diagnostic procedures and surgical management of aorto-enteric fistulae , especially in situ replacement and extra-anatomic revascularization ."
],
"offsets": [
[
0,
583
]
]
}
] |
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18
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},
{
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{
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"text": [
"secondary"
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]
},
{
"id": "Gefaesschirurgie.70020126.eng.abstr-s1-t4",
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"text": [
"fistula"
],
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63,
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{
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"implantation"
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{
"id": "Gefaesschirurgie.70020126.eng.abstr-s1-t6",
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"Dacron"
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{
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]
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{
"id": "Gefaesschirurgie.70020126.eng.abstr-s3-t1",
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"graft"
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[] |
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Gefaesschirurgie.70020130.eng.abstr
|
Gefaesschirurgie.70020130.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020130.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Aim of the study : The technique of eversion endarterectomy ( EEA ) of the internal carotid artery ( ICA ) is routinely used to treat severe , symptomatic or asymptomatic ICA stenosis at the vessel origin . ICA stenosis surgery is performed both to improve cerebral circulation and to eliminate a possible source of embolism . Discrepant examination findings are indicative of a so-called pseudo-occlusion of the ICA . The aim of this study was to give an updated survey of the literature on ICA pseudo-occlusion and to present our own cases with reference to the necessary diagnostic measures , the surgical procedure and the morbidity/mortality . Material and method : From June 1995 to June 1996 , 112 patients were surgically treated for severe carotid stenoses or occlusions ( pseudo-occlusions ) by a total of three vascular surgeons . In the preoperative evaluation , we observed four patients , i . e . three men and one women aged 44 to 67 years , with discrepant cerebral perfusion findings . The mean age of all patients with carotid revascularization was 58.5 years . Results and conclusions : All patients with the finding of a carotid pseudo-occlusion were submitted to exploratory exposure and , in the case of retrograde flow , were revascularized by eversion EEA . All clinical courses were uneventful , and good regression of the neurological symptoms was observed in two patients in stage III ( minor stroke ) and IV ( complexed stroke ) . Appling strict indication criteria , eversion EEA for pseudo-occlusion of the ICA is an excellent treatment modality with low morbidity that serves to prevent further cerebrovascular ischemic states ."
],
"offsets": [
[
0,
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]
]
}
] |
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] |
Gefaesschirurgie.70020138.eng.abstr
|
Gefaesschirurgie.70020138.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020138.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Patients with pAOD who are considered inoperable sometimes can be operated upon successfully when paramalleolar and isolated tibial arterial segments are present and revascularization seems possible . These vessels must be searched by additional examinations , including surgical exploration . Availability of a good quality vein and careful surgical technique are the primary conditions for good results . Using the \" in situ \" technique for grafting , we were able to achieve a limb salvage rate of over 70% by discharge from the hospital in 16 selected patients . In directly compared cases the segmental revascularizations show better results than pedal reconstructions ."
],
"offsets": [
[
0,
675
]
]
}
] |
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{
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{
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] |
[] |
[] |
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},
{
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}
] |
Gefaesschirurgie.70020144.eng.abstr
|
Gefaesschirurgie.70020144.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020144.eng.abstr-passage-0",
"type": "abstract",
"text": [
"This paper reports our experience in surgery for hemodialysis access . In the period from 1983 to 1995 , 728 operative procedures for hemodialysis access shunts were carried out . These were performed in 391 patients . A total of 599 shunts were placed as the primary form of access , including 423 autologous fistulas in the forearm and 144 in the upper arm . Additionally , 30 PTFE grafts were placed . As proposed , we have seen good functional results of the Brescia-Cimino-fistula in the forearm . Shunts in the upper arm show similar results but a higher rate of complications . PTFE grafts are associated with multiple complications and show a significantly lower rate of patency ."
],
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[
0,
688
]
]
}
] |
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]
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"hemodialysis"
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{
"id": "Gefaesschirurgie.70020144.eng.abstr-s4-t2",
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"PTFE"
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{
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{
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"complications"
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],
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{
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"db_id": "C0009566"
}
]
}
] |
[] |
[] |
[
{
"id": "Gefaesschirurgie.70020144.eng.abstr-s1-r2-t1.1-t2.1",
"type": "issue_in",
"arg1_id": "Gefaesschirurgie.70020144.eng.abstr-s8-t1",
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},
{
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"type": "method_of",
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},
{
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},
{
"id": "Gefaesschirurgie.70020144.eng.abstr-s2-r2-t3.1-t1.1",
"type": "affects",
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{
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},
{
"id": "Gefaesschirurgie.70020144.eng.abstr-s2-r4-t2.1-t1.1",
"type": "affects",
"arg1_id": "Gefaesschirurgie.70020144.eng.abstr-s8-t2",
"arg2_id": "Gefaesschirurgie.70020144.eng.abstr-s8-t1",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020144.eng.abstr-s4-r1-t4.1-t1.1",
"type": "location_of",
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},
{
"id": "Gefaesschirurgie.70020144.eng.abstr-s4-r2-t3.1-t1.1",
"type": "location_of",
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"normalized": []
},
{
"id": "Gefaesschirurgie.70020144.eng.abstr-s5-r1-t2.1-t1.1",
"type": "produces",
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"normalized": []
},
{
"id": "Gefaesschirurgie.70020144.eng.abstr-s7-r1-t1.1-t2.1",
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},
{
"id": "Gefaesschirurgie.70020144.eng.abstr-s8-r1-t2.1-t1.1",
"type": "produces",
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"normalized": []
},
{
"id": "Gefaesschirurgie.70020144.eng.abstr-s8-r2-t2.1-t3.1",
"type": "location_of",
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"arg2_id": "Gefaesschirurgie.70020144.eng.abstr-s8-t3",
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},
{
"id": "Gefaesschirurgie.70020144.eng.abstr-s8-r3-t1.1-t3.1",
"type": "affects",
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"arg2_id": "Gefaesschirurgie.70020144.eng.abstr-s8-t3",
"normalized": []
}
] |
Gefaesschirurgie.70020150.eng.abstr
|
Gefaesschirurgie.70020150.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020150.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A 36-year-old patient experienced spontaneous pain in the left side together with the symptoms of intermittent claudication . Investigation revealed left renal infarction as well as dissection of the pelvic arteries on both sides due to fibromuscular dysplasia of the intimal type . One year after implantation of an aorto-bifemoral bypass , the patient is symptom free . The patient's remaining renal artery continues to show no signs of pathological changes ."
],
"offsets": [
[
0,
461
]
]
}
] |
[
{
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]
},
{
"id": "Gefaesschirurgie.70020150.eng.abstr-s1-t4",
"type": "umlsterm",
"text": [
"intermittent claudication"
],
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},
{
"id": "Gefaesschirurgie.70020150.eng.abstr-s2-t1",
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"infarction"
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"arteries"
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"id": "Gefaesschirurgie.70020150.eng.abstr-s3-t3",
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},
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{
"id": "Gefaesschirurgie.70020150.eng.abstr-s4-t3",
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}
] |
[] |
[] |
[
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"type": "associated_with",
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{
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{
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{
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{
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"type": "evaluation_of",
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}
] |
Gefaesschirurgie.70020154.eng.abstr
|
Gefaesschirurgie.70020154.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020154.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The surgical treatment of varicous veins demands complete exclusion of the primary recirculation circuit . The diagnosis is made on the basis of the clinical and ultrasound symptoms , on i.e. morphologic and functional signs . If there is saphenous vein agreement between them , phlebography will yield no additional information concerning the strategy for operation . The prospective comparative examination of non-invasive diagnostic methods versus phlebography shows different results in 12% of cases for the great saphenous vein and in 3% for the small with a correction of the operative procedure . In 10 cases of incomplete trunk varicosis , only one diagnosis was correct with non-invasive measures . This leads to the conclusion that phlebography should be done at the time of the preoperative examination if there are differences between the clinical and ultrasound symptoms ."
],
"offsets": [
[
0,
885
]
]
}
] |
[
{
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"surgical"
],
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4,
12
]
],
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{
"id": "Gefaesschirurgie.70020154.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"treatment"
],
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13,
22
]
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]
},
{
"id": "Gefaesschirurgie.70020154.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"veins"
],
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35,
40
]
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{
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"db_id": "C0042449"
}
]
},
{
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"text": [
"recirculation"
],
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83,
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{
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"surgical treatment"
],
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{
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"type": "umlsterm",
"text": [
"diagnosis"
],
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111,
120
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{
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"type": "umlsterm",
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},
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"db_id": "C0041621"
}
]
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"type": "umlsterm",
"text": [
"symptoms"
],
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173,
181
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}
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},
{
"id": "Gefaesschirurgie.70020154.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"signs"
],
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219,
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],
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},
{
"id": "Gefaesschirurgie.70020154.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"vein"
],
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249,
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]
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]
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{
"id": "Gefaesschirurgie.70020154.eng.abstr-s3-t2",
"type": "umlsterm",
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"phlebography"
],
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],
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},
{
"id": "Gefaesschirurgie.70020154.eng.abstr-s3-t3",
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"operation"
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]
},
{
"id": "Gefaesschirurgie.70020154.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"saphenous vein"
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"type": "umlsterm",
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"diagnostic"
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425,
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{
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{
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"vein"
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{
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"procedure"
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]
},
{
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],
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]
},
{
"id": "Gefaesschirurgie.70020154.eng.abstr-s4-t7",
"type": "umlsterm",
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"operative procedure"
],
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]
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{
"id": "Gefaesschirurgie.70020154.eng.abstr-s5-t1",
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{
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}
]
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],
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}
]
}
] |
[] |
[] |
[
{
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"type": "affects",
"arg1_id": "Gefaesschirurgie.70020154.eng.abstr-s6-t2",
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},
{
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"type": "location_of",
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},
{
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"type": "affects",
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},
{
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"type": "affects",
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},
{
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"type": "location_of",
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},
{
"id": "Gefaesschirurgie.70020154.eng.abstr-s1-r6-t1.1-t5.1",
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},
{
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"type": "measures",
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},
{
"id": "Gefaesschirurgie.70020154.eng.abstr-s2-r2-t1.2-t2.3",
"type": "measures",
"arg1_id": "Gefaesschirurgie.70020154.eng.abstr-s5-t1",
"arg2_id": "Gefaesschirurgie.70020154.eng.abstr-s2-t2",
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
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},
{
"id": "Gefaesschirurgie.70020154.eng.abstr-s5-r1-t1.1-t2.1",
"type": "measures",
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},
{
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},
{
"id": "Gefaesschirurgie.70020154.eng.abstr-s6-r2-t1.1-t3.3",
"type": "measures",
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},
{
"id": "Gefaesschirurgie.70020154.eng.abstr-s6-r3-t3.1-t2.1",
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"arg2_id": "Gefaesschirurgie.70020154.eng.abstr-s6-t2",
"normalized": []
}
] |
Gefaesschirurgie.70020187.eng.abstr
|
Gefaesschirurgie.70020187.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020187.eng.abstr-passage-0",
"type": "abstract",
"text": [
"We report on 7534 carotid artery reconstructions performed during a 14-month period . The clinical data from 141 surgical centres participating in the quality control program of the German Society for Vascular Surgery were collected and statistically analyzed according to predetermined criteria . The large amount of the large data enabled an analysis of diagnosis and treatment of carotid lesions in Germany as well as an early evaluation of quality management as defined by the law . Observance of anonymity and data protection guarantee the validity of the study . The results reported are comparable with those of other major international reports . Overall mortality was 0.7% . Minor and major complications were observed in 12.8% of cases . In comparison with the literature the rate of neurological events ( 4.5% ) was low . The stroke was transitory in 2.9% and permanent in 1.6% of cases . The risk profile of the patient was a more important factor for morbidity and mortality than the operation technique . Patients with high ASA risk scores showed higher mortality , and patients in clinical stages III and IV had higher neurological morbidity ."
],
"offsets": [
[
0,
1158
]
]
}
] |
[
{
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],
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26,
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},
{
"id": "Gefaesschirurgie.70020187.eng.abstr-s1-t2",
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"period"
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]
],
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]
},
{
"id": "Gefaesschirurgie.70020187.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"carotid artery"
],
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[
18,
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],
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"db_id": "C0162859"
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]
},
{
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"surgical"
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{
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Gefaesschirurgie.70020196.eng.abstr
|
Gefaesschirurgie.70020196.eng.abstr
|
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"This is an overview of publications concerning the risk of amaurosis fugax ( AF ) as a sign of cerebrovascular insufficiency and the risk of cerebral infarction in patients presenting with this symptom . AF is characterized by a sudden , painless , monocular loss of vision that typically lasts between 1 and 15 min . The patient frequently describes his vision as \" dark \" or \" dim \" and , generally , vision returns to normal immediatly after such an attack . The most common causes of AF are embolism , hemodynamics , or vasospasm . In 66% of cases the source of embolism was not detectable , in 27% it was likely to be caused by a carotid artery lesion , whereas a cardioembolic event was likely to be the source in only 2% . Most recent studies show that in patients with severe carotid stenosis ( 70% - 99% ) and AF as the first presenting symptom , there is a 16% risk of stroke within a period of 2 years . This stroke risk is lower than in patients with transient ischemic attack as the presenting symptom , who are at a risk of 43% of stroke within 2 years . The risk of early mortality in older patients with AF is three to five times higher than in age-matched controls , with myocardial infarction as the major cause of death . In conclusion , the occurrence of AF carries a considerable risk of cerebral stroke and AF is a marker of generalized vascular disease ."
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] |
Gefaesschirurgie.70020201.eng.abstr
|
Gefaesschirurgie.70020201.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020201.eng.abstr-passage-0",
"type": "abstract",
"text": [
"According to a part of the health structure reform law which has created fixed rates for certain treatments , all German hospitals were obliged to use the new reimbursement method starting in 1996 at the latest . We have analysed our peripheral bypasses performed in 1995 for differences between the old and new reimbursement method . The new method causes income losses for the hospital of 187,009 . 05 DM in total and 1,532 . 86 DM on average per hospital stay . The biggest problem is that most of these income losses are caused by 44 femorocrural vein bypasses , performed for limb salvage . For this sub-group the loss would have been nearly 131,000 DM . If there is no compensation for these income losses , the continuation of bypass surgery at the present level , both in quantity and in quality , is endangered ."
],
"offsets": [
[
0,
821
]
]
}
] |
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{
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{
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"limb"
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{
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}
]
}
] |
[] |
[] |
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{
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"type": "isa",
"arg1_id": "Gefaesschirurgie.70020201.eng.abstr-s2-t2",
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},
{
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{
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},
{
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"arg2_id": "Gefaesschirurgie.70020201.eng.abstr-s8-t1",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s1-r6-t2.1-t3.1",
"type": "carries_out",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s1-r7-t2.1-t5.1",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s1-r8-t3.1-t2.1",
"type": "uses",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s1-r9-t2.2-t5.1",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s1-r10-t2.1-t5.1",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s1-r11-t2.2-t2.1",
"type": "affects",
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"arg2_id": "Gefaesschirurgie.70020201.eng.abstr-s8-t2",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s1-r12-t2.2-t2.1",
"type": "isa",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s1-r13-t2.1-t2.2",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s3-r1-t3.1-t1.2",
"type": "produces",
"arg1_id": "Gefaesschirurgie.70020201.eng.abstr-s8-t3",
"arg2_id": "Gefaesschirurgie.70020201.eng.abstr-s7-t1",
"normalized": []
},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s3-r2-t3.1-t1.1",
"type": "produces",
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"normalized": []
},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s5-r1-t2.1-t1.1",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s5-r2-t2.1-t1.2",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s6-r1-t3.1-t2.1",
"type": "adjacent_to",
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"arg2_id": "Gefaesschirurgie.70020201.eng.abstr-s8-t2",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s6-r2-t1.1-t3.1",
"type": "measurement_of",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s6-r3-t2.1-t3.1",
"type": "adjacent_to",
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"arg2_id": "Gefaesschirurgie.70020201.eng.abstr-s8-t3",
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},
{
"id": "Gefaesschirurgie.70020201.eng.abstr-s8-r1-t1.1-t3.1",
"type": "issue_in",
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"arg2_id": "Gefaesschirurgie.70020201.eng.abstr-s8-t3",
"normalized": []
}
] |
Gefaesschirurgie.70020208.eng.abstr
|
Gefaesschirurgie.70020208.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020208.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The correlation between angiography and vascular resistance measured during surgery is still controversial . Peripheral resistance in 40 infra-inguinal reconstructions was measured using a new method which integrates pressure and flow measurement into a temporary bypass system . Data are therefore collected under maximal physiological conditions using the patients ' own blood and pulsatile blood flow . The angiographies were scored according to the recommendations of the Ad Hoc Committee on Reporting Standards , Society for Vascular Surgery , International Society for Cardiovascular Surgery ( SVS/ISCVS ) . To estimate the association between angiography and resistance both simple cor-relation and multiple regression analyses were computed . The overall correlation coefficient was rs = 0.34 ( P 0.05 ) . Multiple regression analysis only revealed a prospective model for the popliteal artery . The results indicated that there is a poor correlation between angiography and peripheral resistance ."
],
"offsets": [
[
0,
1006
]
]
}
] |
[
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s1-t1",
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"angiography"
],
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[
24,
35
]
],
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]
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{
"id": "Gefaesschirurgie.70020208.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"surgery"
],
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83
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}
]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s1-t3",
"type": "umlsterm",
"text": [
"vascular resistance"
],
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[
40,
59
]
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{
"db_name": "UMLS",
"db_id": "C0042380"
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]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"method"
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193,
199
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"db_id": "C0025663"
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{
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]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"pressure"
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217,
225
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{
"id": "Gefaesschirurgie.70020208.eng.abstr-s2-t3",
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"measurement"
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246
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]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s2-t4",
"type": "umlsterm",
"text": [
"Peripheral resistance"
],
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109,
130
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},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"patients"
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[
358,
366
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],
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"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"blood"
],
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[
373,
378
]
],
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{
"db_name": "UMLS",
"db_id": "C0005767"
},
{
"db_name": "UMLS",
"db_id": "C0005768"
},
{
"db_name": "UMLS",
"db_id": "C0005835"
}
]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"blood"
],
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393,
398
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{
"db_name": "UMLS",
"db_id": "C0005835"
}
]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s4-t1",
"type": "umlsterm",
"text": [
"angiographies"
],
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[
410,
423
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}
]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"recommendations"
],
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453,
468
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],
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},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s4-t3",
"type": "umlsterm",
"text": [
"Standards"
],
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]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s4-t4",
"type": "umlsterm",
"text": [
"Society"
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518,
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},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s4-t5",
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539,
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]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s4-t6",
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"Society"
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563,
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]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s4-t7",
"type": "umlsterm",
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"Surgery"
],
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590,
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]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s4-t8",
"type": "umlsterm",
"text": [
"Vascular Surgery"
],
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530,
546
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],
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"db_id": "C0042381"
}
]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s4-t9",
"type": "umlsterm",
"text": [
"Cardiovascular Surgery"
],
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[
575,
597
]
],
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"db_name": "UMLS",
"db_id": "C0038897"
}
]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"association"
],
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[
630,
641
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0004083"
}
]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"angiography"
],
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[
650,
661
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],
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"db_name": "UMLS",
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}
]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"cor-relation"
],
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689,
701
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"db_id": "C0018787"
}
]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
"regression"
],
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[
715,
725
]
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"db_id": "C0034979"
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]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s5-t5",
"type": "umlsterm",
"text": [
"analyses"
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734
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{
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]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s5-t6",
"type": "umlsterm",
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"regression analyses"
],
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[
715,
734
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],
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{
"db_name": "UMLS",
"db_id": "C0034980"
}
]
},
{
"id": "Gefaesschirurgie.70020208.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"overall"
],
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[
755,
762
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0282416"
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]
},
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Gefaesschirurgie.70020215.eng.abstr
|
Gefaesschirurgie.70020215.eng.abstr
|
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{
"id": "Gefaesschirurgie.70020215.eng.abstr-passage-0",
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"Rupture of the carotid artery wall is a very rare postoperative complication . Mainly ruptures of vein patches are described in the literature . This paper reports on a 51-year-old patient with elective endarterectomy of the left internal carotid artery using V-Y technique . On day 8 after operation , the carotid bulb ruptured . The suture line was not involved . The rupture was due to local wall necrosis , as verified by histologic examination . In an emergency procedure the necrotized tissue was resected and repaired using a Dacron patch . Postoperatively the patient showed paresis of the left recurrent nerve but fortunately did not suffer any other neurological deficit ."
],
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0,
682
]
]
}
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] |
[] |
[] |
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] |
Gefaesschirurgie.70020218.eng.abstr
|
Gefaesschirurgie.70020218.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020218.eng.abstr-passage-0",
"type": "abstract",
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"Presently , the use of r-hirudin is limited to those indications in which the use of heparin has expected disadvantages , for example , in patients with deficiency of antithrombin III as an inborn syndrome and in those with secondary consumption following severe disturbances of coagulation . Hirudin can save lifes in patients with heparin-induced thrombocytopenia type II . The systemic infusion therapy can be controlled by aPTT or better by Ecarin-time . After an arterial reconstruction operation , the danger of late bleeding must be excluded . When using r-Hirudin in fluid for local flushing of the vessel wall , one must take care to prevent a systemic effect . A particular danger is that overdosage can be induced in patients with renal failure and pharmacological antidote is yet known ."
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Gefaesschirurgie.70020222.eng.abstr
|
Gefaesschirurgie.70020222.eng.abstr
|
[
{
"id": "Gefaesschirurgie.70020222.eng.abstr-passage-0",
"type": "abstract",
"text": [
"This report describes the method of endoscopic subfascial dissection of perforating veins ( SEPS ) and the combination of this method with endoscopic fasciotomy . Based on the results of a retrospective study ( 140 legs , 1983 - 1984 ) and a prospective study ( 56 legs , 1987 - 1989 ) the instruments have been developed in an optimal manner and the strategy of treatment has been standardized . The two major advantages are that precise preoperative localization of the individual perforating veins can be dispensed with and that the method can also be applied to an florid venous ulcer without the massive healing problems otherwise to be expected . The method is basically not indicated in cases of widespread and deep-seated necrosis and extended fasciitis , especially if ankylosis of the ankle is also present . For all other cases of advanced chronic venous insufficiency with ( multiple ) incompetent perforating veins and trophic disturbances including ulcus cruris , however , ESDP , possibly in combination with endoscopic fasciotomy , is the method of choice ."
],
"offsets": [
[
0,
1073
]
]
}
] |
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] |
[] |
[] |
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] |
Gefaesschirurgie.80030003.eng.abstr
|
Gefaesschirurgie.80030003.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030003.eng.abstr-passage-0",
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"Angioplasty and stenting for the treatment of internal carotid artery lesions have hitherto only been carried out with reluctance . However , the number of reports is increasing . Pilot studies have confirmed the technical feasibility of the procedure and shown amazingly low complication rates in some cases . Preliminary communications on a few controlled studies have reported a higher rate of cerebral complication but the results are still regarded as encouraging . An upward learning curve , which should be associated with declining complication rates , and the avoidance of surgery are the desired goals . Some authors already conclude that any carotid lesion can be dilated and regarded angioplasty as an acceptable or even a better alternative to carotid endarterectomy . Although phase I studies have not yet been completed , angioplasty is increasingly being recommended and performed . Randomized studies have been proposed but for the most part rejected on the grounds that there is insufficient information on angioplasty , that angioplasty itself must be regarded as a \" blind \" procedure leaving embolic complications to chance , that the complication rate is too high compared with the gold standard endarterectomy and that the procedure has not yet progressed beyond the experimental stage . However , the results already obtained in prospective studies so far are suf-ficient . As a less invasive and faster procedure , claimed - but not yet proved - to have a lower complication rate , angioplasty and/or stenting of the internal carotid artery are already being increasingly performed and this trend will continue in the future . Only randomized studies with the active participation of vascular surgeons treating comparable patient groups will provide answers to the still unresolved questions . Randomized ( multicenter ) studies are necessary and should therefore be performed ."
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Gefaesschirurgie.80030014.eng.abstr
|
Gefaesschirurgie.80030014.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030014.eng.abstr-passage-0",
"type": "abstract",
"text": [
"There is no doubt about the superiority of autologous vein bypasses over artificial grafts for below-knee reconstructions . With respect to above-knee bypasses this advantage of the autologous vein bypass has yet to be proven . In order to clarify this , we performed a prospective randomized multicenter study in which 63 patients received PTFE grafts and 54 patients received autologous vein bypasses . No statistically significant differences , according to the primary and secondary patency rates , could be observed 1 and 3 years postoperatively . Considering these figures , we recommend PTFE as the material of choice for above-knee reconstructions , so that the great saphenous vein is preserved for potential below-knee reconstructions or for an aortocoronary bypass ."
],
"offsets": [
[
0,
777
]
]
}
] |
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"vein"
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54,
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]
],
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},
{
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"grafts"
],
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]
],
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},
{
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"vein"
],
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},
{
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"proven"
],
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"patients"
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{
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"PTFE"
],
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{
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"patients"
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},
{
"id": "Gefaesschirurgie.80030014.eng.abstr-s3-t5",
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"vein"
],
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[
389,
393
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}
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},
{
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"multicenter study"
],
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{
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"secondary"
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]
},
{
"id": "Gefaesschirurgie.80030014.eng.abstr-s5-t1",
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"PTFE"
],
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},
{
"id": "Gefaesschirurgie.80030014.eng.abstr-s5-t2",
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},
{
"id": "Gefaesschirurgie.80030014.eng.abstr-s5-t3",
"type": "umlsterm",
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"above-knee"
],
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{
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},
{
"id": "Gefaesschirurgie.80030014.eng.abstr-s5-t5",
"type": "umlsterm",
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"saphenous vein"
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{
"id": "Gefaesschirurgie.80030014.eng.abstr-s5-t6",
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"text": [
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{
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]
}
] |
[] |
[] |
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},
{
"id": "Gefaesschirurgie.80030014.eng.abstr-s5-r2-t4.1-t6.1",
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"arg2_id": "Gefaesschirurgie.80030014.eng.abstr-s5-t6",
"normalized": []
},
{
"id": "Gefaesschirurgie.80030014.eng.abstr-s5-r3-t4.1-t3.1",
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},
{
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},
{
"id": "Gefaesschirurgie.80030014.eng.abstr-s5-r5-t4.1-t1.1",
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"arg2_id": "Gefaesschirurgie.80030014.eng.abstr-s5-t1",
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},
{
"id": "Gefaesschirurgie.80030014.eng.abstr-s5-r6-t5.1-t6.1",
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},
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"arg2_id": "Gefaesschirurgie.80030014.eng.abstr-s5-t3",
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},
{
"id": "Gefaesschirurgie.80030014.eng.abstr-s5-r8-t5.1-t1.1",
"type": "produces",
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{
"id": "Gefaesschirurgie.80030014.eng.abstr-s5-r9-t3.1-t6.1",
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Gefaesschirurgie.80030020.eng.abstr
|
Gefaesschirurgie.80030020.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030020.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Four cases of arterial vascular injuries in connection with endoprosthetic joint replacement are reported . The injuries were manifested as hemorrhage , ischemia or development of pseudoaneurysm . All complications occurred in the absence of infection . The diagnostic and therapeutic strategy is described ."
],
"offsets": [
[
0,
308
]
]
}
] |
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"injuries"
],
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]
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{
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"injuries"
],
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112,
120
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}
]
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{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-t2",
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"hemorrhage"
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140,
150
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{
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"ischemia"
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153,
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]
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"development"
],
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165,
176
]
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},
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}
]
},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-t5",
"type": "umlsterm",
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"pseudoaneurysm"
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180,
194
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{
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{
"id": "Gefaesschirurgie.80030020.eng.abstr-s3-t2",
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"complications"
],
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[
201,
214
]
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"db_name": "UMLS",
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}
]
},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s3-t3",
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"infection"
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242,
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258,
268
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{
"id": "Gefaesschirurgie.80030020.eng.abstr-s4-t2",
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"therapeutic"
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[
273,
284
]
],
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{
"db_name": "UMLS",
"db_id": "C0039796"
}
]
}
] |
[] |
[] |
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{
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{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r3-t3.1-t4.1",
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},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r8-t1.1-t3.1",
"type": "degree_of",
"arg1_id": "Gefaesschirurgie.80030020.eng.abstr-s4-t1",
"arg2_id": "Gefaesschirurgie.80030020.eng.abstr-s3-t3",
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},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r9-t1.1-t4.1",
"type": "evaluation_of",
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},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r10-t5.1-t4.1",
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},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r11-t5.1-t1.1",
"type": "degree_of",
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},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r12-t4.1-t3.1",
"type": "result_of",
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},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r13-t3.1-t1.2",
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},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r14-t3.1-t1.1",
"type": "associated_with",
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"arg2_id": "Gefaesschirurgie.80030020.eng.abstr-s4-t1",
"normalized": []
},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r15-t4.1-t1.2",
"type": "result_of",
"arg1_id": "Gefaesschirurgie.80030020.eng.abstr-s2-t4",
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},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r16-t1.1-t5.1",
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"normalized": []
},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r17-t1.1-t1.2",
"type": "associated_with",
"arg1_id": "Gefaesschirurgie.80030020.eng.abstr-s4-t1",
"arg2_id": "Gefaesschirurgie.80030020.eng.abstr-s2-t1",
"normalized": []
},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r18-t1.1-t4.1",
"type": "result_of",
"arg1_id": "Gefaesschirurgie.80030020.eng.abstr-s4-t1",
"arg2_id": "Gefaesschirurgie.80030020.eng.abstr-s2-t4",
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},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r19-t1.1-t3.1",
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},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r20-t1.1-t5.1",
"type": "degree_of",
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"arg2_id": "Gefaesschirurgie.80030020.eng.abstr-s2-t5",
"normalized": []
},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r21-t5.1-t1.2",
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},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s2-r22-t3.1-t1.1",
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{
"id": "Gefaesschirurgie.80030020.eng.abstr-s3-r1-t2.1-t1.1",
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},
{
"id": "Gefaesschirurgie.80030020.eng.abstr-s3-r2-t1.1-t2.1",
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"arg2_id": "Gefaesschirurgie.80030020.eng.abstr-s4-t2",
"normalized": []
}
] |
Gefaesschirurgie.80030024.eng.abstr
|
Gefaesschirurgie.80030024.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030024.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The use of somato-sensory evoked potentials ( SEP ) in supraaortal reconstructions has been well accepted . However , reports about incidence and clinical significance of ischaemic SEP alterations differ widely . In a prospective study we registered SEP alterations during 482 operations done on 419 patients between 1 July 1994 , and 31 December 1996. Incidence , risk factors and clinical relevance were investigated . In only 1.7% of cases SEP examination was inadequate . During 406 operations SEP were altered minimally or not at all . Significant changes were dedected during 65 interventions ( 13.5% ) . The clinical outcome was poor when alteration was found during carotid dissection ( five events , three deficits ) . Cross-clamping ischaemia was the common reason for alterations ( 81.5% ) ; they were generally reversible after shunting and without clinical significance . As risk factor for cross-clamping ischaemia , only contralateral carotid occlusion was identified ."
],
"offsets": [
[
0,
984
]
]
}
] |
[
{
"id": "Gefaesschirurgie.80030024.eng.abstr-s1-t1",
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"text": [
"use"
],
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[
4,
7
]
],
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"db_id": "C0042153"
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},
{
"id": "Gefaesschirurgie.80030024.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"evoked potentials"
],
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[
26,
43
]
],
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{
"db_name": "UMLS",
"db_id": "C0015214"
}
]
},
{
"id": "Gefaesschirurgie.80030024.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"incidence"
],
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[
132,
141
]
],
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"db_name": "UMLS",
"db_id": "C0220856"
},
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"db_name": "UMLS",
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}
]
},
{
"id": "Gefaesschirurgie.80030024.eng.abstr-s2-t2",
"type": "umlsterm",
"text": [
"ischaemic"
],
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[
171,
180
]
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"db_name": "UMLS",
"db_id": "C0022116"
}
]
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{
"id": "Gefaesschirurgie.80030024.eng.abstr-s3-t1",
"type": "umlsterm",
"text": [
"operations"
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[
277,
287
]
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"db_id": "C0543467"
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}
]
},
{
"id": "Gefaesschirurgie.80030024.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"patients"
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[
300,
308
]
],
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"db_name": "UMLS",
"db_id": "C0030705"
}
]
},
{
"id": "Gefaesschirurgie.80030024.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"Incidence"
],
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[
353,
362
]
],
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{
"db_name": "UMLS",
"db_id": "C0220856"
},
{
"db_name": "UMLS",
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}
]
},
{
"id": "Gefaesschirurgie.80030024.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"risk"
],
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[
365,
369
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035647"
}
]
},
{
"id": "Gefaesschirurgie.80030024.eng.abstr-s3-t5",
"type": "umlsterm",
"text": [
"prospective study"
],
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[
218,
235
]
],
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"db_name": "UMLS",
"db_id": "C0033522"
}
]
},
{
"id": "Gefaesschirurgie.80030024.eng.abstr-s3-t6",
"type": "umlsterm",
"text": [
"risk factors"
],
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[
365,
377
]
],
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{
"db_name": "UMLS",
"db_id": "C0035648"
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]
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{
"id": "Gefaesschirurgie.80030024.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"operations"
],
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[
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"db_name": "UMLS",
"db_id": "C0543467"
},
{
"db_name": "UMLS",
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}
]
},
{
"id": "Gefaesschirurgie.80030024.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"dissection"
],
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[
682,
692
]
],
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{
"db_name": "UMLS",
"db_id": "C0012737"
}
]
},
{
"id": "Gefaesschirurgie.80030024.eng.abstr-s8-t1",
"type": "umlsterm",
"text": [
"ischaemia"
],
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[
743,
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[] |
[] |
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Gefaesschirurgie.80030030.eng.abstr
|
Gefaesschirurgie.80030030.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030030.eng.abstr-passage-0",
"type": "abstract",
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"Background . Traditional open surgical management of popliteal arterio-venous fistula is both technically difficult and troublesome . Endovascular exclusion by transluminally placed stented grafts is a potentially less invasive new therapeutic option . Case report . A large popliteal arterio-venous fistula was diagnosed in a 26-year-old football player 5 years after a traumatic knee-joint injury with open repair of the ruptured anterior cruciale ligament . From the clinical aspect , a significant increase in leg volume and an enlargement of heart size were noticed . Therapy . After vascular surgeons and radiologists had established an interdisciplinary consensus , the endovascular approach was indicated . A Palmaz stent-anchored PTFE graft was percutaneously implanted via the femoral anterograde sheath access . A second endograft was implanted after 6 months to hemostatically exclude a persistent fistula . After 12-month follow-up , the stentgraft was still patent , and the patient was well and alive without any sign of leckage . Conclusion . The endoluminal implantation of stented grafts is a new therapeutic option in the management of chronic popliteal arterio-venous fistula ."
],
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0,
1197
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]
}
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] |
[] |
[] |
[
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},
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] |
Gefaesschirurgie.80030037.eng.abstr
|
Gefaesschirurgie.80030037.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030037.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Rupture of the aorta is a life threatening situations . The genesis of the alteration of the aortic wall is not very important for the prognosis , but it well influence the outcome . One of the rare causes of aortic rupture is aortitis . At the time of beginning of the illness the symptoms are not characteristic and are difficult to diagnose . In this article a case of aortic rupture secondary to aortitis is reported . The operative methods are discussed ."
],
"offsets": [
[
0,
460
]
]
}
] |
[
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s1-t1",
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"text": [
"Rupture"
],
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[
0,
7
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0035955"
}
]
},
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"aorta"
],
"offsets": [
[
15,
20
]
],
"normalized": [
{
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}
]
},
{
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"type": "umlsterm",
"text": [
"life"
],
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[
26,
30
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0376558"
}
]
},
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s2-t1",
"type": "umlsterm",
"text": [
"prognosis"
],
"offsets": [
[
135,
144
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0033325"
}
]
},
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s3-t1",
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"text": [
"causes"
],
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[
199,
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]
],
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{
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"db_id": "C0015127"
}
]
},
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s3-t2",
"type": "umlsterm",
"text": [
"rupture"
],
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[
216,
223
]
],
"normalized": [
{
"db_name": "UMLS",
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}
]
},
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s3-t3",
"type": "umlsterm",
"text": [
"aortitis"
],
"offsets": [
[
227,
235
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0003509"
}
]
},
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s3-t4",
"type": "umlsterm",
"text": [
"aortic rupture"
],
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[
209,
223
]
],
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"db_name": "UMLS",
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}
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},
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s4-t1",
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"text": [
"time"
],
"offsets": [
[
245,
249
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0040223"
}
]
},
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"symptoms"
],
"offsets": [
[
282,
290
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0683368"
}
]
},
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s5-t1",
"type": "umlsterm",
"text": [
"rupture"
],
"offsets": [
[
379,
386
]
],
"normalized": [
{
"db_name": "UMLS",
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}
]
},
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s5-t2",
"type": "umlsterm",
"text": [
"secondary"
],
"offsets": [
[
387,
396
]
],
"normalized": [
{
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"db_id": "C0027627"
},
{
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}
]
},
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s5-t3",
"type": "umlsterm",
"text": [
"aortitis"
],
"offsets": [
[
400,
408
]
],
"normalized": [
{
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"db_id": "C0003509"
}
]
},
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s5-t4",
"type": "umlsterm",
"text": [
"aortic rupture"
],
"offsets": [
[
372,
386
]
],
"normalized": [
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}
]
},
{
"id": "Gefaesschirurgie.80030037.eng.abstr-s6-t1",
"type": "umlsterm",
"text": [
"methods"
],
"offsets": [
[
437,
444
]
],
"normalized": [
{
"db_name": "UMLS",
"db_id": "C0025663"
},
{
"db_name": "UMLS",
"db_id": "C0025664"
}
]
}
] |
[] |
[] |
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] |
Gefaesschirurgie.80030042.eng.abstr
|
Gefaesschirurgie.80030042.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030042.eng.abstr-passage-0",
"type": "abstract",
"text": [
"After correct operation varicose veins do not really recur . A recurrence is seen when a disease reappears at the same location after it has been cured . In this sense , the correct exclusion of the primary recirculation circuit results in the healing of this disease . If a secondary popliteal and femoral insufficiency has developed already surgical treatment was undertaken too late . The operation improves the conditions of the blood flow in the deep venous system , but whether the condition will normalize depends on different factors . The lesions of the deep veins with antegrade or retrograde insufficiency of the blood flow are responsible for the development of different varicose veins . Therefore the patient has to be treated life long . In special cases valve reconstruction may be possible . Very important are compressive therapy with stockings and bandages , balneotherapy and exercise treatment ."
],
"offsets": [
[
0,
916
]
]
}
] |
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{
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] |
[] |
[] |
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] |
Gefaesschirurgie.80030065.eng.abstr
|
Gefaesschirurgie.80030065.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030065.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Many different mechanisms contribute to the etiopathogenesis of the so-called diabetic foot syndrome . Among chronic complications , the diabetic foot syndrome is one of the most frequent causes of hospitalization . The relative risk of diabetic patients requiring an amputation is up to 45 times greater than in normal subjects . Sensory neuropathy , ischemia , and infection are the principal pathogenetic factors in the diabetic foot syndrome . In most cases , a painless trauma is the initial condition that leads to an ulcer . In this article , an overview of the different causes , clinical manifestations , and treatment options for a multidisciplinary team are discussed ."
],
"offsets": [
[
0,
680
]
]
}
] |
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] |
[] |
[] |
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Gefaesschirurgie.80030072.eng.abstr
|
Gefaesschirurgie.80030072.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030072.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Background . Aneurysms of the extracranial carotid artery are very rare . Indications for surgical therapeutic intervention , surgical techniques , perioperative complications and long-term results after operative reconstruction during an observation period of 16 years were analyzed . Patient collective . Continuous clinical follow-up of 36 patients ( mean age : 60.2 years , range : 30-79 years ) who underwent 41 carotid artery reconstructions due to aneurysm of the extracranial carotid arteries between 1980 and 1996. Postoperative investigation included physical and neurological examination and telephone interviews . Clinical symptoms . Fifteen patients presented with pulsatile cervical tumors , 53% of these patients had experienced an episode of cerebral ischemia prior to surgery . Anatomical localization and OP-techniques . Isolated aneurysms of the internal carotid artery ( type I , end-to-end anastomosis , interposition , n=14) extensive long distance aneurysms of the internal carotid artery ( type II , n=7, interposition ) , aneurysms of the carotid bifurcation ( type III , n=13, direct suture , patch-plasty ) combined aneurysm of the internal and common carotid artery ( type IV , n=4, interposition ) , isolated aneurysm of the common carotid artery ( type V , n=3, interposition ) . Postoperative complications . After 3 of 41 carotid reconstructions a cerebral ischemia was encountered ( TIA , n=1, PRIND n=1, minor stroke n=1). In nine cases , perioperative cranio-facial nerve palsies were detected . Six nerve palsies were temporary , while three were permanent . Long-term results . One year , 5 years and 10 years after surgery 100% , 94% and 80.8% of the patients are alive and 97.5% , 88.7% and 78.8% , respectively , have not experienced an ipsilateral ischemic stroke . Conclusion . Surgical intervention for extracranial carotid aneurysm is a safe procedure with good long-term results . The risk of a permanent neurological deficit is low ( 2.4% ) . Permanent cranio-facial nerve palsies were detected in 7.3% of patients ."
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Gefaesschirurgie.80030088.eng.abstr
|
Gefaesschirurgie.80030088.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030088.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In contrast to carotid endarterectomy , the indication for vertebral surgery is not standardized . In a prospective study including 44 patients , it was investigated whether extended diagnostics help in making the decision as to whether operative treatment should be given . The diagnostic procedures included DSA , CCT , MRI , 24 h ECG , otoneurological , and neurological examination , and ultrasonic flow measurement . We compared the diagnostic results before and after surgery with the subjective symptoms of the patients . Two different surgical procedures were used : transposition of the vertebral artery to the CCA or graft implantation between CCA and atlas loop . In the follow up period ( 6 - 9 months ) , 72% of the patients had improved or were without complaints . The validity of the applied diagnostic parameters relating to a successful operation were disappointing especially the ultrasonic flow measurement . In our opinion , exact anamnesis and sufficient angiography are decisive for the indication of vertebral surgery ."
],
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]
]
}
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] |
[] |
[] |
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] |
Gefaesschirurgie.80030092.eng.abstr
|
Gefaesschirurgie.80030092.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030092.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Introduction : Clinical neurologic stage and digital subtraction angiography ( DSA ) of stenoses of extracerebral arteries are the gold standard for the indication for internal carotid artery ( ICA ) thrombend arterectomy ( TEA ) . Patients and materials : We included patients with unilateral ICA stenosis ( 36 men and two women ; age , 55-85 years ; average age , 71 years ) in a prospective study to validate the preoperative estimation of plaque morphology according to color coded duplex sonography ( CCDS ) and B-mode sonography ( BS ) by postoperative histopathologic findings in the plaque cylinders derived from TEA in the eversion technique . Results : The estimation of the degree of ICA stenosis was an average of 5% below the angiographically and histopathologically determined value . The sensitivity ( 90% ) and specificity rates ( 94% ) of CCDS with respect to plaque inhomogeneity were higher than those of DSA findings ( sensitivity , 15% ; specificity , 83.3% ) . A higher degree of plaque inhomogeneity was not associated with a higher degree of stenosis ( p=0.85). No significant correlation between the degree of ICA stenosis and the clinical neurologic stage was found ( p=0.94). The relationship between plaque inhomogeneity and the occurrence of neurologic deficiencies was highly significant ( p 0.001 ) . Discussion and conclusion : The relevance of this relationship is currently being discussed . With the high accuracy of CCDS and BS with respect to plaque inhomogeneity with a positive predictive value of 94.7% and its potential relevance in terms of clinical stage , ultrasound findings might improve the indication process for prophylactic surgery of the carotid artery ."
],
"offsets": [
[
0,
1705
]
]
}
] |
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] |
Gefaesschirurgie.80030101.eng.abstr
|
Gefaesschirurgie.80030101.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030101.eng.abstr-passage-0",
"type": "abstract",
"text": [
"This case report shows the symptoms , aetiology and surgical treatment of a rare disease , Werner's syndrome ( progeria adultorum ) . This patient suffered from diffuse calcification of the vascular system with critical limb ischaemia and occlusions of the popliteal artery and the postpopliteal trifurcation . The arterial reconstruction consisted of a femorotibial venous bypass . Only in the proximal third of the anterior tibial artery was it possible to demonstrate a short vessel segment with less calcification . The anterior tibial artery was the only vessel suitable for reanastomosis . The postoperative course was uneventful and the graft patency was verified by computed tomographic angiography without the use of contrast medium . With this type of imaging , flow and configuration of the bypass and of the anastomoses could be demonstrated . In general , the prognosis of Werner's syndrome is fatal as a result of general arteriosclerosis ; collateralization and regeneration of the arterial vessel system is insufficient ."
],
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]
}
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] |
[] |
[] |
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] |
Gefaesschirurgie.80030107.eng.abstr
|
Gefaesschirurgie.80030107.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030107.eng.abstr-passage-0",
"type": "abstract",
"text": [
"A case history of a 60-year-old man presenting with a contained rupture of the left common iliac artery is presented . After successful exclusion of the pseudoaneurysm using a covered stent , mycotic rupture at the aortic bifurcation necessitated emergency aortic ligation and axillobifemoral grafting . Endovascular stent grafts are not suitable for treating pseudoaneurysms of a potentially mycotic origin ."
],
"offsets": [
[
0,
409
]
]
}
] |
[
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"history"
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7,
14
]
],
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}
]
},
{
"id": "Gefaesschirurgie.80030107.eng.abstr-s1-t2",
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"man"
],
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]
},
{
"id": "Gefaesschirurgie.80030107.eng.abstr-s1-t3",
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"rupture"
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71
]
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},
{
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],
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{
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},
{
"id": "Gefaesschirurgie.80030107.eng.abstr-s1-t6",
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"iliac artery"
],
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},
{
"id": "Gefaesschirurgie.80030107.eng.abstr-s2-t1",
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"pseudoaneurysm"
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{
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},
{
"id": "Gefaesschirurgie.80030107.eng.abstr-s2-t3",
"type": "umlsterm",
"text": [
"rupture"
],
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[] |
[] |
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}
] |
Gefaesschirurgie.80030110.eng.abstr
|
Gefaesschirurgie.80030110.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030110.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In the pathogenesis of chronic venous insufficiency dynamic venous hypertension is crucial . The causes are changes in the venous blood flow . We differentiate between retrograde and antegrade flow insufficiency . The retrograde type is seen in cases of loss of the valve system in postthrombotic syndrome with complete recanalization , or in congenital malformations . The antegrade type is found in various diseases . Antegrade and retrograde pressphlebography in combination with duplex imaging is suitable for diagnostic purposes . Knowledge of the pathologic conditions facilitates decisions concerning surgical treatment in chronic venous insufficiency ."
],
"offsets": [
[
0,
660
]
]
}
] |
[
{
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"pathogenesis"
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7,
19
]
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]
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{
"id": "Gefaesschirurgie.80030110.eng.abstr-s1-t2",
"type": "umlsterm",
"text": [
"hypertension"
],
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]
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{
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]
},
{
"id": "Gefaesschirurgie.80030110.eng.abstr-s1-t3",
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"text": [
"venous insufficiency"
],
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{
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"text": [
"chronic venous insufficiency"
],
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{
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"blood"
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{
"id": "Gefaesschirurgie.80030110.eng.abstr-s4-t3",
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"text": [
"congenital"
],
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{
"id": "Gefaesschirurgie.80030110.eng.abstr-s4-t4",
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],
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{
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},
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"text": [
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{
"id": "Gefaesschirurgie.80030110.eng.abstr-s7-t1",
"type": "umlsterm",
"text": [
"Knowledge"
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"text": [
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"id": "Gefaesschirurgie.80030110.eng.abstr-s7-t3",
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"id": "Gefaesschirurgie.80030110.eng.abstr-s7-t5",
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},
{
"id": "Gefaesschirurgie.80030110.eng.abstr-s7-t6",
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"text": [
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]
},
{
"id": "Gefaesschirurgie.80030110.eng.abstr-s7-t7",
"type": "umlsterm",
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[] |
[] |
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Gefaesschirurgie.80030132.eng.abstr
|
Gefaesschirurgie.80030132.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030132.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Vascular surgery continues to be one of the few surgical specialties for which there is no accompanying medical specialty . While I recognize the emerging specialty of vascular medicine , its orientation is almost exclusively toward research and its numbers are small . To date , it has had little impact on vascular practice patterns . Thus , the vascular surgeon must be familiar with the broad body of literature which refers to the entire vascular system , and by no means be limited to the technical aspects of surgery alone ."
],
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[
0,
531
]
]
}
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[] |
[] |
[
{
"id": "Gefaesschirurgie.80030132.eng.abstr-s1-r1-t1.2-t5.1",
"type": "method_of",
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{
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{
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"type": "method_of",
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},
{
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"type": "affects",
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"id": "Gefaesschirurgie.80030132.eng.abstr-s2-r3-t3.1-t1.2",
"type": "measures",
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},
{
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},
{
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"type": "measures",
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},
{
"id": "Gefaesschirurgie.80030132.eng.abstr-s2-r6-t2.1-t1.1",
"type": "issue_in",
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"normalized": []
},
{
"id": "Gefaesschirurgie.80030132.eng.abstr-s4-r2-t1.1-t2.1",
"type": "issue_in",
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"arg2_id": "Gefaesschirurgie.80030132.eng.abstr-s4-t2",
"normalized": []
}
] |
Gefaesschirurgie.80030140.eng.abstr
|
Gefaesschirurgie.80030140.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030140.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Purpose : Discussion in the literature of peripheral nerve lesions after surgical treatment is based mainly on orthopedic surgery or on ischemic syndromes . There is no information about the frequency of nerve lesions after revascularization of the lower limb . Methods : Between 1992 and 1996 , 436 patients underwent peripheral arterial revascularization , including 147 cases of deep revascularization , 127 supra-genicular femoro-popliteal bypasses , 116 infra-genicular femoro-popliteal bypasses and 56 femoro-crural bypasses . Mean patient age was 70.5 +/- 5.8 years ; 182 patients were female and 254 were male . There was a 38% rate ( 166/436 ) of reoperation . All patients were examined based on anamnestic information and a detailed clinical neurological investigation , including the methods of Weber and Moberg . Results : We found eleven patients ( 4% ) with peripheral nerve lesions after the primary operation . After the reoperation 55 patients ( 33% ) had nerve lesions . Conclusions : Peripheral nerve lesions with sensory disturbance were present in 15% of our patients on discharge from hospital . They had mainly dysesthesia and hypesthesia but no kind of motor dysfunction . In our opinion , detailed preoperative information is very important because of the risk of sensitive nerve lesions ."
],
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"nerve"
],
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53,
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] |
Gefaesschirurgie.80030145.eng.abstr
|
Gefaesschirurgie.80030145.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030145.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In 70 patients a catheter was implanted in the popliteal fossa for repetitive block of the sciatic nerve in order to treat ischemic pain of the leg . At variable , individually determined time intervals of 4 - 12 h doses of 10 ml bupivacaine 0.25% or 0.5% were administered to 66 patients . In 4 patients a higher volume was injected . Good or excellent analgesia was obtained in 93% . Motoric deficits were seen in 2 of 3 patients . Improvement in perfusion caused by the blocking of sympathetic fibers was noticed in 5 of 17 patients . Technical complications occurred more often than with epidural regional techniques . The block of the popliteal sciatic nerve is of low risk and easy to perform . It is an effective alternative for symptomatic treatment of ischemic pain of the foot and lower leg ."
],
"offsets": [
[
0,
802
]
]
}
] |
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"nerve"
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{
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"ischemic"
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] |
[] |
[] |
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] |
Gefaesschirurgie.80030158.eng.abstr
|
Gefaesschirurgie.80030158.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030158.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In the stage of acute cerebro-vascular insufficiency , operative treatment is of higher risk because no recommendations are available concerning diagnostic and therapeutic procedures . In the years 1995 and 1996 , 876 operations on carotid arteries were performed . Twenty-seven cases , i.e. 3.1% , were in a neurologically unstable stage of cerebro-vascular insufficiency . Three patients died due to their neurological deficit . Two other patients developed a completed stroke in spite of an immediate operation . In 10 cases an improvement of the neurological disorders was observed , and 12 patients showed a complete recovery . This means a complication rate of 18.5% . The results of operative treatment under unstable neurological conditions are promising . Extensive diagnosis with duplex ultrasound and cranial CT scan is mandatory . Surgical intervention alone is not sufficient for a positive outcome . Close cooperation between diagnostic , conservative and operative medicine is of vital importance ."
],
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[
0,
1013
]
]
}
] |
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}
] |
[] |
[] |
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"type": "conceptual_part_of",
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{
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] |
Gefaesschirurgie.80030165.eng.abstr
|
Gefaesschirurgie.80030165.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030165.eng.abstr-passage-0",
"type": "abstract",
"text": [
"From 1992 to 1994 a total of 224 patients were retrospectively analyzed with respect to peripheral nervous lesions after carotid desobliteration . Besides a stroke rate of 1.3% and a mortality of 0.9% , 19 patients ( 8.5% ) with nervous lesions were identified . Only branches from cerebral nerves and the cervical plexus were affected , being in close topographic relationship to the operative region . Of these lesions 47.4% were completely and three lesions partially reversible . Additionally , five patients who had suffered transient ischemic attack were examined ; one patient presented with postoperative convulsions and one with a hemineglect following hemodynamic infarction . The clinical presentations of the nervous lesions are discussed with regard to their anatomic topography in the operation area ."
],
"offsets": [
[
0,
815
]
]
}
] |
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{
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"nervous"
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{
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"stroke"
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{
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"text": [
"mortality"
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{
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{
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},
{
"id": "Gefaesschirurgie.80030165.eng.abstr-s5-t2",
"type": "umlsterm",
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"transient"
],
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}
] |
[] |
[] |
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] |
Gefaesschirurgie.80030170.eng.abstr
|
Gefaesschirurgie.80030170.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030170.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Hemodynamically relevant stenoses of the thoracic and suprarenal aorta in atherosclerotic patients are extremely rare . This entity is different from in-flammatory aortic arch lesions or from infrarenal atherosclerotic stenoses . In a 55-year-old woman suf-fering from hypertension and bilateral arterial occlusive disease , multiple calcified subtotal stenoses of the aorta are diagnosed , suggesting \" coral reef atherosclerosis \" . Based on this example , the thoracoabdominal bypass in a retropancreatic position is compared to a retroperitoneal thoracoabdominal transaortic endarterectomy ."
],
"offsets": [
[
0,
595
]
]
}
] |
[
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"aorta"
],
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65,
70
]
],
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}
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},
{
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"patients"
],
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]
],
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}
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{
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"aortic arch"
],
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[
164,
175
]
],
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{
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},
{
"id": "Gefaesschirurgie.80030170.eng.abstr-s3-t1",
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"woman"
],
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252
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],
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{
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{
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{
"id": "Gefaesschirurgie.80030170.eng.abstr-s3-t6",
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},
{
"id": "Gefaesschirurgie.80030170.eng.abstr-s3-t7",
"type": "umlsterm",
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"arterial occlusive disease"
],
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{
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"db_id": "C0014098"
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]
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] |
[] |
[] |
[
{
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"type": "associated_with",
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{
"id": "Gefaesschirurgie.80030170.eng.abstr-s3-r12-t4.1-t5.1",
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{
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{
"id": "Gefaesschirurgie.80030170.eng.abstr-s3-r15-t1.1-t2.1",
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}
] |
Gefaesschirurgie.80030176.eng.abstr
|
Gefaesschirurgie.80030176.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030176.eng.abstr-passage-0",
"type": "abstract",
"text": [
"The following report concerns a 52-year-old patient suffering from coronary disease , who underwent coronary surgery in a department of heart- and vascular surgery . The implantation of a femoropopliteal bypass with anastomosis in the first popliteal segment was done during the same operation due to a long-distance occlusion of the superficial femoral artery on the right side . Some months later the patient consulted us , complaining of severe pain in his right leg and an immensly reduced walking distance . The arteriography showed an arteriovenous fistula of the right leg after implantation of a femoropopliteal bypass . The cause for this was an anastomosis of the distal part of the bypass with the popliteal vein . The patient underwent surgery again with ligature of the distal part of the bypass and reanastomosis with the original popliteal artery in the first segment . The arteriography done during the operation then showed correct conditions . Afterwards the distance the patient could walk was prolonged and he was without pain ."
],
"offsets": [
[
0,
1048
]
]
}
] |
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"surgery"
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{
"id": "Gefaesschirurgie.80030176.eng.abstr-s2-t3",
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{
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{
"id": "Gefaesschirurgie.80030176.eng.abstr-s3-t4",
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{
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"id": "Gefaesschirurgie.80030176.eng.abstr-s4-t1",
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{
"id": "Gefaesschirurgie.80030176.eng.abstr-s4-t2",
"type": "umlsterm",
"text": [
"fistula"
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{
"id": "Gefaesschirurgie.80030176.eng.abstr-s4-t4",
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"id": "Gefaesschirurgie.80030176.eng.abstr-s4-t5",
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{
"id": "Gefaesschirurgie.80030176.eng.abstr-s4-t6",
"type": "umlsterm",
"text": [
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"id": "Gefaesschirurgie.80030176.eng.abstr-s5-t2",
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"id": "Gefaesschirurgie.80030176.eng.abstr-s5-t3",
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"id": "Gefaesschirurgie.80030176.eng.abstr-s6-t3",
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{
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"type": "umlsterm",
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{
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]
}
] |
[] |
[] |
[
{
"id": "Gefaesschirurgie.80030176.eng.abstr-s1-r1-t4.2-t6.1",
"type": "associated_with",
"arg1_id": "Gefaesschirurgie.80030176.eng.abstr-s1-t4",
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"normalized": []
},
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},
{
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"normalized": []
},
{
"id": "Gefaesschirurgie.80030176.eng.abstr-s1-r4-t2.1-t1.1",
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"normalized": []
},
{
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"normalized": []
},
{
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},
{
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{
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},
{
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Gefaesschirurgie.80030180.eng.abstr
|
Gefaesschirurgie.80030180.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030180.eng.abstr-passage-0",
"type": "abstract",
"text": [
"APC resistance was first discovered in 1993. It is the most frequent cause of thrombophilia in Europe and North America . In more than 90% of cases , the underlying cause of APC resistance is a single point mutation in the factor V gene . Heterozygous patients have a between five- and ten-fold higher risk of developing venous thrombosis , while in homozygous patients the risk is increased up to between 50- and 100-fold . Where there is a previous history of thrombosis , a careful investigation of the coagulation system , in particular a determination of the APC ratio , is recommended prior to surgery . In patients with APC resistance , a body-weight-specific thrombosis prophylaxis with heparin is recommended . Heterozygous patients only need anticoagulation when additional risk conditions are present , while homozygous patients with thromboembolic disease should be anticoagulated over a long period of time . Primary varicosis of the saphenous system should be treated promptly by surgery to minimize the additional risk of thrombotic complications ."
],
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]
]
}
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Gefaesschirurgie.80030205.eng.abstr
|
Gefaesschirurgie.80030205.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030205.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Perhaps the most important event in relation to the vascular and lymphovenous group of malformations has been the development of a classification which is useful to physicians , patients , and parents . The broad classification consists of hemangiomas and vascular malformations ; the latter group is further subdivided into venous , arteriovenous , and lymphovenous malformations [ 5 , 11 ] . Hemangiomas are present at or just after birth in 40% of infants . They grow rapidly and involute slowly ; there is increased endothelial cell activity . Venous malformations are present at birth in 70% of cases ; they grow with the child and have a normal rate of endothelial cell turnover . Lymphovenous malformations occur at an early age and may or may not resolve . Arteriovenous malformations are usually progressive . The treatment is a combination of embolization and surgery ."
],
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]
}
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[] |
[] |
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Gefaesschirurgie.80030218.eng.abstr
|
Gefaesschirurgie.80030218.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030218.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Although deep vein thrombosis now has a better prognosis than in the era before anticoagulation , a number of patients remain in whom ulcus cruris cannot be adequately controlled by conservative treatment . The case report of a 50-year-old woman with stage III chronic venous insufficiency associated with the post-thrombotic syndrome is presented . Progress in imaging techniques and functional diagnostics of the post-thrombotic syndrome make a reliable differentiation of the chronic venous insufficiency possible with respect to obstruction or reflux . If conservative treatment fails , autological valve transplantation is described as a suitable reconstructive management method in the treatment of reflux . Following this report , the results and limitations of this method are discussed ."
],
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[
0,
796
]
]
}
] |
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] |
[] |
[] |
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Gefaesschirurgie.80030226.eng.abstr
|
Gefaesschirurgie.80030226.eng.abstr
|
[
{
"id": "Gefaesschirurgie.80030226.eng.abstr-passage-0",
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"The stage-oriented treatment of stem varicosis is the operation method of choice . Nowadays , partial stem varicosis , which is an earlier stage of the disease , leads to operative treatment more frequently than 10 years ago ; thus a sufficient vein stump remains after surgical treatment . After surgery on a group of 1000 patients , we examined the stumps for patency , the occurrence of varicose changes , for their availability in the long term , and the sufficiency of their length for aortocoronary or peripheral bypass surgery . The treatment of insufficient perforant veins was also included in the surgical therapy , as well as postoperative sclerotherapy of remaining lateral veins . With a follow-up period of up to 33 months postoperatively , the results show a high patency rate in the remaining stumps ( 97% ) , as well as a high sufficiency rate ( 94% ) , with a mean graft length of 29.4 cm . Thus these stumps constitute a good natural graft for future vascular reconstructions . This study supports the call for the stage-oriented surgical treatment of stem varicosis ."
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[] |
[] |
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Gefaesschirurgie.80030235.eng.abstr
|
Gefaesschirurgie.80030235.eng.abstr
|
[
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"Diagnosis of a thrombosis in the peripheral veins can now be made with almost 100% certainty using either phlebography or duplex sonography . A correct diagnosis depends on the expertise of the examiner . Both methods are available throughout Germany . Although both are equally suitable for primary diagnostic investigations , duplex sonography has assumed an important role due to the fact that it is not invasive . Phlebography is vital if there are specific issues that need to be clarified . This applies if invasive treatment methods are being considered , if an expert opinion is required or if scientific issues need to be determined . Discrepancy between clinical findings and the results of duplex sonography also constitutes an important indication for phlebography . In many institutions , both methods are used in a \" golden partnership \" in cases in which it is important to obtain comprehensive records ."
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[] |
[] |
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Gefaesschirurgie.90040005.eng.abstr
|
Gefaesschirurgie.90040005.eng.abstr
|
[
{
"id": "Gefaesschirurgie.90040005.eng.abstr-passage-0",
"type": "abstract",
"text": [
"In surgical procedures associated with high blood loss , such as vascular and cardiac operations , differential diagnosis and therapy of perioperative hemorrhage are of special importance . Preoperative screening for patients at high risk of bleeding and in particular for those with qualitative platelet disorders [ drug-induced platelet disorders ( in particular ASS ) , von Willebrand's disease and other congenital platelet disorders ] is effective in minimizing blood loss . Bleeding in acute medical emergencies or during emergency operations may require treatment without specific investigations being performed in advance . Therefore , simple schemes are essential for the rapid management of acute hemostatic problems . The aim of this paper was to address the diagnostic and therapy of hemorrhagic diathesis focusing mainly on diagnosis and therapy of hemorrhagic diathesis due to blood platelet disorders and blood coagulation disorders and preoperative identification of patients at increased risk of bleeding ."
],
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0,
1023
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]
}
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Gefaesschirurgie.90040013.eng.abstr
|
Gefaesschirurgie.90040013.eng.abstr
|
[
{
"id": "Gefaesschirurgie.90040013.eng.abstr-passage-0",
"type": "abstract",
"text": [
"Varicophlebitis is the most important acute complication of a varicosed long and/or short saphenous vein . The initial extent and progression of the ascending varicophlebitis can be determined , either by duplex scanning or phlebography . By ascending , an extensive thrombus can enter the deep veins through the respective junctional valve ( in the groin or at the knee ) or via insufficient perforating veins . In view of pulmonary embolism as a possible complication , a clinically relevant classification of this syndrome appears useful . Stage I includes varicophlebitis without involvement of the respective junctional valve or deep veins . In stage II , the cranial portion of the thrombus has reached the respective junctional valves of the long or short shapenous vein . In stage III , the thrombus has entered the deep veins via these valves . In stage IV , the thrombus has reached the deep system via insufficient perforating veins . Stages I and IV should be treated conservatively , and the varicous veins should not be excised until after the acute phase . Stage II and III should be considered an indication for immediate surgery . The surgical strategy consists of crossectomy , resection of the saphenous vein without stripping , radical excision of all varicous veins and ligature of insufficient perforating veins . In stage III , the thrombectomy of the deep veins using the Fogarthy procedure must be carried out before any other measures are taken . The surgical strategy is similar for the short saphenous vein . In stage I disease , early surgery to alleviate local pain and infection , thus hindering recurrence and decreasing morbidity , should be considered ."
],
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]
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] |
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