Xiaolei Sun

Dr.
  • Function: Specialist
  • Speciality: Vascular Surgery
  • Country: CN
  • Working place: Affiliated Hospital of Southwest Medical University, CN

Activities

Comment on Jun 29, 2018

Xiaolei Sun commented on presentation Venous arterialisation for no option CLI: Limflow procedure.

»What a case presented. Thank Dr. Michael Lichtenberg. As for the pain and edema after the venous arterialisation, in my opinion, it is due to the pathological cause of ischemia reperfusion injury with a mount of temporary release of inflammatory factors. The better with the revascularization, the worse with the edema. Thus, some anti-inflammatory drug might be a good option, such as glucocorticoid once or twice.«
Comment on Jun 29, 2018

Michael Lichtenberg commented on presentation Venous arterialisation for no option CLI: Limflow procedure.

»Two important questions. Because of the massive venous filling after the procedure a significant edema in these patients is usually seen which causes pain. Leg elevation and bed rest for 2-3 days together with pain medication is recommended during this initial phase. Anticoagulation (Vit. K antagonist) plus at least one antplatelet medication (preferable Clopidogrel) is standard after the procedure.«
Comment on Jun 28, 2018

Theodosios Bisdas commented on presentation Venous arterialisation for no option CLI: Limflow procedure.

»Michael thank you for this excellent video. I have two questions about the postoperative course: 1. These patients develop severe pain after the revascularization, probably due to the hyperemia. Have you seen also the same problem in your patients? Do you have any specific recommendation? 2. What is the postoperative anticoagulation in those patients?«
Poll 01/03/2019 – 31/03/2019

The chronic mesenteric ischemia

Patient’s characteristics

 

Gender: Female

Age: 69 years old

Comorbidity: Arterial hypertension, Dyslipidemia, coronary heart disease (DES deployment 2 years ago)

Symptoms:  Postprandial pain

Previous abdominal operations: None

DUS: Occlusion of the superior mesenteric artery

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Poll 01/03/2019 – 31/03/2019

The chronic mesenteric ischemia

Patient’s characteristics

 

Gender: Female

Age: 69 years old

Comorbidity: Arterial hypertension, Dyslipidemia, coronary heart disease (DES deployment 2 years ago)

Symptoms:  Postprandial pain

Previous abdominal operations: None

DUS: Occlusion of the superior mesenteric artery

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