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Biomedical subjects

E Einarsson

Publications and source records attributed to E Einarsson.

26 records · Page 2Linked to original sources
PubMed1981

Femoral vein pressure measurements for evaluation of venous function in patients with postthrombotic iliac veins.

Fifty patients with postthrombotic disease were examined by phlebography and by bilateral femoral vein pressure measurements. The degree of obstruction to venous flow was best evaluated by measuring the pressure elevation and pressure difference after exercise and the time required for these parameters to return to pre-exercise levels; pressures during rest and exercise were less conclusive indicators of obstruction. Good correspondence was found between femoral vein pressure and the severity of postthrombotic symptoms, while phleboraphy provided largely morphologic, rather than functional, information. We, therefore, consider it important to determine femoral vein pressure during and after exercise to evaluate the significance of postthrombotic iliac vein disease.

Adult↗
PubMed1978

Synthetic arterial grafts. III. The outcome in 22 patients with synthetic axillofemoral bypass grafts.

During the 4-year period 1973--76, 22 patients were operated upon with axillofemoral bypass grafts at the Department of Surgery in Lund. They were high-risk patients with severe ischaemia of the leg or previous graft infections. Fourteen of the 22 grafts were well-functioning after the longest observation time of 32 months. The operative procedure is described and postoperative compliations are reviewed. The axillofemoral bypass reconstruction is recommended as an alternative for this category of patients in whom the conventional aortic bifurcation graft is unsuitable.

Aged↗
PubMed1977

Infection complications after thrombectomy in deep venous thrombosis.

In acute iliofemoral vein thrombosis thrombectomy with a temporary AV-fistula is an alternative treatment to induced fibrinolysis and anticoagulation. Reviewing our results we have found an extremely high incidence of wound infections. In 36 patients thrombectomy with temporary AV-fistula has been performed. 31% of these had a postoperative wound infection. The mean hospital stay for the infected patients was 25 days compared to 10 days for the non-infected patients. In 26 patients a second, elective operation with closure of the AV-fistula was performed. 15% of these patients developed postoperative wound infection. The mean hospital stay for the infected patients was 18 days compared to 5 days for the non-infected patients.

Adult↗
PubMedDate not supplied

Etiologic spectrum in acute iliofemoral venous thrombosis.

To identify common etiologies and allow a selective and effective management of acute iliofemoral venous thrombosis, 128 patients treated surgically (97 cases) or medically (31 patients) were analysed regarding possible underlying conditions. Chart review revealed that prolonged immobilization (25%), recent surgery (20%), and neoplasm (16%) were the most frequent etiologic factors. No underlying cause was detected in 34% of the patients, but more than one possible etiology were recorded in 29% of the patients. Chronic compression of the iliac vein was present in at least 13% of the operated cases. The multifactorial etiologic spectrum in iliofemoral thrombosis is basically the same as in calf vein thrombosis. Iliac vein compression, childbearing and perhaps estrogen intake seem to be more often associated with iliofemoral thrombosis. Initial survey regarding underlying causes permits tailored management for the individual patient. Surgical treatment is often successful but thrombi that develop secondary to chronic vein obstruction or neoplasm are preferably treated conservatively.

Adolescent↗
PubMedDate not supplied

Thrombectomy and temporary AV-fistula in iliofemoral vein thrombosis. Technical considerations and early results.

Seventy patients with iliofemoral vein thrombosis were operated on with thrombectomy and a temporary arteriovenous fistula (AVF). Diagnosis was always verified with a three-stage venography. The result of the treatment was evaluated with arteriovenography before closing the AVF at a second operation. The AVF stayed patent in 85% and occluded in 15% of the evaluated 60 legs. In patients with patent AVF the common femoral and iliac veins were normal in 37% and in 51% there was a stenosis in either of these veins. Occlusion of the veins in spite of patent AVF was found in 12%. No major pulmonary embolism occurred. The most common complication was wound infection (26%). Technical details of the operative procedure experienced from this study are stressed in the paper.

Adolescent↗
PubMedDate not supplied

The temporary arteriovenous fistula in venous reconstructive surgery.

The role of the temporary AV-fistula in venous reconstructive surgery is described. The objectives are: increase of blood flow in the proximal thrombectomised vein or in the venous graft; prevention of immediate re- or graft thrombosis; provide time for endothelial healing; promote development of collaterals in case of occlusion. The management of acute ilio-femoral venous thrombosis with thrombectomy and temporary AV-fistula is presented with results of 120 operations. No mortality due to fatal pulmonary embolism. In the prospective randomised study comparing surgery with conservative treatment follow-up demonstrated 76% patent iliac veins in operated group compared to 35% in the conservative group. Ten patients with iliac vein obstruction had immediate reconstruction with PTFE graft and AV-fistula. Three grafts are still functioning after 7, 15 and 56 months respectively.

Adolescent↗