A term of art referring to the likelihood that a particular patient can withstand the rigours of a particular procedure and benefit therefrom Poor surgical candidate diseases Poorly controlled diabetes, hypertension, bleeding disorders, prior MI, severe emphysema, terminal cancer, advanced AIDS, etc.
If the bleeding source is unclear or if the patient is a poor surgical candidate, the use of visceral arteriography has been advocated to identify intraluminal leakage of contrast medium or vascular disease and, at the same time, to provide control of the gastrointestinal bleeding with embolization or selective infusion of vasopressin (8).
As the patient also had underlying hypertension and ischaemic heart disease, making him a poor surgical candidate, but was haemodynamically stable with no contraindication to aortic stenting, the decision was made to undertake an endovascular repair of the thoracic pseudo-aneurysm.
As more patients are diagnosed earlier, non-invasive treatment options, such as CyberKnife radiosurgery, become even more important, especially since many of these patients are smokers and are poor surgical candidates given associated advanced lung and heart disease.
With the installation of a second CyberKnife System, we will be able to meet this increasing demand for precise radiosurgical treatment throughout the body and to treat a wider array of patients, including those who were previously considered inoperable or poor surgical candidates due to old age and associated medical condition, and those who seek an alternative to surgery," said Professor Federico Colombo M.