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5 results on '"Gautam Agarwal"'

3. Arterial Revascularization for Upper Extremity Ischemia in Patients with Chronic Kidney Disease

Author

Jeremy A. Warren, Gautam Agarwal, and James J. Wynn

Subjects
medicine.medical_specialty, business.industry, medicine.medical_treatment, Ischemia, General Medicine, Revascularization, medicine.disease, Arterial occlusion, Surgery, medicine.anatomical_structure, Forearm, Arterial Occlusive Diseases, medicine, Hemodialysis, business, Kidney disease, Artery
Abstract

Surgical revascularization of the upper extremity is uncommon, comprising only 4 to 18 per cent of all vascular surgical interventions. Patients with renal failure have higher rates of atherosclerotic cardiovascular and peripheral arterial disease resulting from chronic inflammation, endothelial damage associated with hemodialysis, and vascular trauma. Upper extremity arterial disease with chronic ischemia may be underrecognized in these patients. We reviewed our experience with upper extremity revascularization in patients with renal failure presenting with chronic ischemia. Four patients with longstanding chronic kidney disease developed chronic severe ischemia affecting the forearm or hand. All had previous dialysis access in the symptomatic arm, although none had a functional ipsilateral access at the time of presentation. All patients had successful revascularization with resolution of symptoms and patent bypass grafts at follow up. There was one death 4 months postoperatively and one patient has not returned for follow up. Patients with renal failure with symptomatic upper extremity arterial occlusion should be considered for revascularization of the infrabrachial arteries.

Published
2009
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4. Limited surgical exposure with retrograde stenting to address isolated high-grade proximal common carotid artery stenosis involving the ostia

Author

Mohamad Masoumy, John S. Beatty, and Gautam Agarwal

Subjects
Male, medicine.medical_specialty, Carotid Artery, Common, Treatment outcome, Preoperative care, Risk Assessment, Severity of Illness Index, Sampling Studies, Preoperative Care, Medicine, Vascular Patency, Humans, Minimally Invasive Surgical Procedures, Carotid Stenosis, Intraoperative Care, medicine.diagnostic_test, business.industry, Endovascular Procedures, Follow up studies, Common Carotid Artery Stenosis, Carotid sinus, Angiography, General Medicine, Middle Aged, Surgery, Carotid artery.common, medicine.anatomical_structure, Carotid Sinus, Treatment Outcome, Stents, Radiology, business, Follow-Up Studies
Published
2014

5. Arterial revascularization for upper extremity ischemia in patients with chronic kidney disease

Author

Jeremy A, Warren, Gautam, Agarwal, and James J, Wynn

Subjects
Adult, Male, Brachial Artery, Arterial Occlusive Diseases, Ultrasonography, Doppler, Middle Aged, Catheters, Indwelling, Treatment Outcome, Ischemia, Renal Dialysis, Arm, Humans, Kidney Failure, Chronic, Female, Vascular Surgical Procedures, Follow-Up Studies, Retrospective Studies
Abstract

Surgical revascularization of the upper extremity is uncommon, comprising only 4 to 18 per cent of all vascular surgical interventions. Patients with renal failure have higher rates of atherosclerotic cardiovascular and peripheral arterial disease resulting from chronic inflammation, endothelial damage associated with hemodialysis, and vascular trauma. Upper extremity arterial disease with chronic ischemia may be underrecognized in these patients. We reviewed our experience with upper extremity revascularization in patients with renal failure presenting with chronic ischemia. Four patients with longstanding chronic kidney disease developed chronic severe ischemia affecting the forearm or hand. All had previous dialysis access in the symptomatic arm, although none had a functional ipsilateral access at the time of presentation. All patients had successful revascularization with resolution of symptoms and patent bypass grafts at follow up. There was one death 4 months postoperatively and one patient has not returned for follow up. Patients with renal failure with symptomatic upper extremity arterial occlusion should be considered for revascularization of the infrabrachial arteries.

Published
2009

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