22 research outputs found

    Influence of Conversion and Anastomotic Leakage on Survival in Rectal Cancer Surgery; Retrospective Cross-sectional Study

    Get PDF

    Regulation of arteriogenesis: Mechanistic studies and options for therapeutic intervention

    Get PDF
    The studies included in this thesis demonstrated a preclinical murine model to study neovascularization in vivo and subsequently a number of potential targets to stimulate therapeutic neovascularization. This thesis contributes to a better insight into mechanisms underlying post-ischemic neovascularization and offers new therapeutic perspective to current treatment strategies for patients with critical limb ischemia. Whether stagnated blood flow recovery after an occlusive event is due to restricted pre-existing collateral bed or due to decreased collateral remodeling, we are now closer to a tailor made treatment available for each patient with peripheral arterial disease.LUMC / Geneeskunde Repositoriu

    A comparison of the Doppler-derived maximal systolic acceleration versus the ankle-brachial pressure index or detecting and quantifying peripheral arterial occlusive disease in diabetic patients

    No full text
    Aim The aim of this study was to assess the diagnostic accuracy of the Doppler derived maximal systolic acceleration (ACC(max)) as a novel technique for evaluating peripheral arterial occlusive disease (PAOD) in patients with diabetes mellitus, who are known for a falsely elevated ankle-brachial index (ABI). Methods. In this retrospective analysis ACC(max) was measured at ankle level in a series of 163 consecutive patients referred to the vascular laboratory for initial assessment of PAOD. Patients were classified according to the presence or absence of diabetes. In the non-diabetic patients PAOD was defined as ABI 10 m/s(2) was found to be highly predictive for the exclusion of PAOD (negative predictive value 95%). In addition, the ACC(max) cut-off value of <6.5 m/s(2) was highly predictive for the detection of PAOD (positive predictive value 99%). A strong quadratic association was found between ACC(max) and ABI in the non-diabetic group (R-2=0.85). In the diabetic patients R-2 values were 0.81 and 0.79 after ABI and TBI measurement respectively. Conclusion. DUS-derived ACC(max) an accurate marker that could offer significant benefits for the diagnosis of PAOD, especially in diabetic patients.Vascular Surger
    corecore