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V Paredero del Bosque

Publications and source records attributed to V Paredero del Bosque.

11 recordsLinked to original sources
PubMedDate not supplied

Intraoperative assessment of carotid endarterectomy.

In our experience intraoperative arteriography in carotid endarterectomy is very effective in detecting residual small lesions after surgery. There were no neurosurgical complications due to arteriography. The interpretation of the surgical results is objective since the criteria are the same as those used to assess preoperative arteriography. Different intraoperative assessment methods to control carotid endarterectomy are also analysed.

Angiography↗
PubMedDate not supplied

Iliac arteriovenous fistula as a complication of lumbar disc surgery. Report of two cases and review of literature.

Vascular lesions following surgery of the lumbar disc are very infrequent, and exceptionally an arteriovenous fistula can developed. An important proportion of the reported cases were previously diagnosed as deep venous thrombosis, because this kind of pathology was not suspected. Postsurgical arteriovenous fistula produces severe haemodynamic disturbances, and congestive heart failure will develop if they are left to their natural course without intervention. Arteriovenous fistula should be suspected in the post-operative period of the lumbar disc surgery if congestive heart failure appears, accompanied by swelling of one or both lower limbs. Early surgery is the treatment of choice in order to prevent the congestive heart failure, and to preserve the normal function of the lower extremities. The technical choice seems to be the closure of the orifice of the fistula through the arterial lumen, together with appropriate arterial reconstruction.

Adult↗
PubMedDate not supplied

Surgical treatment of the thoraco-abdominal aneurysms.

Three thoraco-abdominal aneurysms treated surgically are presented. They were operated between July 1975 and February 1978. The different surgical-techniques are emphasized, which in turn allow us to comment on the complications that these types of patients may have. All our three patients were operated following the "Retrograde Revascularization Technique" proposed by Dubost. We think that the ischemic time of the visceral arteries is less than following the more simplified, less time consuming and perhaps less traumatic "Graft Inclusion and Direct Vessel Reattachment Crawford-Technique". The incidence of paraplegia can be reduced by maintaining normal blood pressure and reattaching intercostal and lumbar arteries to the graft. Two of our patients survived without presenting any complication in the last four years. The third died in the immediate postoperative period, due to insoluble coagulation problems after massive blood transfusion during surgery.

Adult↗