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Tanaka Eiichi - - 2011
BACKGROUND: We have already reported the feasibility, safety, and excellent long-term results of distal pancreatectomy with en-bloc celiac axis resection (DP-CAR) for locally advanced pancreatic body cancer. An international standard for the surgical technique of DP-CAR has yet to be established. METHODS: DP-CAR was carefully performed in 42 patients in ...
Odenwald Tobias - - 2011
The last decade has generated enormous advances in the diagnostic and therapeutic possibilities for diseases of the pulmonary valve. There have been advances in all age groups from fetus to adult, with not only the development of novel treatments (fetal interventions, new surgical strategies and percutaneous pulmonary valve implantation), but ...
Tsiflikas Ilias - - 2011
OBJECTIVES: The aim of this study was to evaluate time efficiency and diagnostic reproducibility of an advanced vessel analysis software for diagnosis of carotid artery stenosis. MATERIAL AND METHODS: 40 patients with suspected carotid artery stenosis received head and neck DE-CTA as part of their pre-interventional workup. Acquired data were ...
Pua Uei - - 2011
Advanced Endovascular Aortic Repair (EVAR) refers to devices and techniques used for endografting of aortic aneurysms that are considered anatomically unsuitable for conventional EVAR. Customised devices and modified use of conventional EVAR devices now overcome challenging landing zones. Fenestrated and branch devices, together with chimney and periscope techniques can be ...
Yevzlin Alexander S - - 2011
The impact of renal artery stenosis (RAS) and resulting ischemic nephropathy on kidney function has been well described. Based on several recent randomized, multicenter trials that revealed limitations to the utility of nonselective renal artery intervention, the general nephrology community has recently taken a conservative stance on this disease state. ...
Avritscher Rony - - 2011
The goal of transcatheter arterial infusion is to achieve better tumor response by delivering chemotherapy directly into the arterial bed supplying a neoplasm. The rationale behind such therapy relies on the potentially increased tumoricidal effect afforded by higher local concentrations of the infused chemotherapic agent(s) combined with longer tissue exposure ...
Sabri Saher S - - 2011
Balloon-occluded retrograde transvenous obliteration (BRTO) is an endovascular technique used as a therapeutic adjunct or alternative to transjugular intrahepatic shunts (TIPS) in the management of gastric varices. Occlusion balloons are strategically placed to modulate flow within the gastrorenal or gastrocaval shunt to allow stagnation of the sclerosant material within the ...
Kurisu Satoshi - - 2011
Background:  The transradial approach has several pitfalls that include problems regarding the radial puncture and difficulties with the catheter technique. We evaluated whether external side-compression of radial artery was helpful to yield the success rate for advancement of guidewires under the presence of side branches or arterial tortuosity. Methods and ...
Ionita C N - - 2011
The self-expanding V-POD is a second-generation flow-diverting device with a low-porosity PTFE patch on a self-expanding microstent. The authors evaluated this device for the treatment of elastase-induced aneurysms in rabbits. Three V-POD types (A, circumferential patch closed-cell stent [n = 9]; B, asymmetric patch closed-cell stent [n = 7]; and ...
Davies Mark G - - 2011
Thoracoabdominal aneurysm repair is undergoing a paradigm shift. The evolution of branched and fenestrated grafts has expanded the use of endografts to the visceral aorta and the arch of the aorta and broadened the spectrum of patients who can now be considered suitable for endografting. In turn, these advances have ...
Sentürk Tunay - - 2011
Coronary stent dislodgement or embolization before deployment is a rare but serious complication in interventional cardiology. A 60-year-old male presented with unstable angina five years after coronary artery bypass surgery. There was a stenosis (70%) in the obtuse marginal branch of the circumflex artery. During percutaneous coronary intervention, a sirolimus-eluting ...
Ramlawi Basel - - 2011
The aortic root is often affected by aneurysmal degeneration of the ascending aorta or dissection. It is important for the clinician to be familiar with current guidelines and recommendations for detection, monitoring, and intervention of the aneurysmal aortic root. Timely surgical referral to an experienced aortic center allows for close ...
Sakakura Kenichi - - 2011
An 88-year-old male was referred to our medical center for the treatment of severe angina pectoris. Coronary angiography revealed severely calcified tight stenosis in the left main (LM), the left circumflex (LCX) ostium, and the proximal portion of the left anterior descending (LAD) artery (Medina 1, 1, 1). We performed ...
Xu Xue-Feng - - 2011
Pulmonary arterial hypertension (PAH) is diagnosed as a sustained elevation of pulmonary arterial pressure to more than 25 mm Hg at rest or to more than 30 mm Hg with exercise. PAH is an intrinsic disease of the pulmonary vascular smooth muscle and endothelial cells in association with plexiform lesions, medial thickening, concentric laminar ...
Booher Anna M - - 2011
Thoracic aortic enlargement is an increasingly recognized condition that is often diagnosed on imaging studies performed for unrelated indications. The risk of unrecognized and untreated aortic enlargement and aneurysm includes aortic rupture and dissection which carry a high burden of morbidity and mortality. The etiologies underlying thoracic aortic enlargement are ...
Gandhi Sanjay - - 2011
Tremendous advances have been made in the endovascular treatment of lower-extremity arterial occlusive disease. New technology has enabled operators to successfully revascularize patients with complex arterial occlusive disease. This article summarizes the latest advances in endovascular therapy of aortoiliac and femoral arteries and reviews the clinical outcomes and costs associated ...
Chowdhury Ujjwal K - - 2011
We report a new technique for closure of sinus venosus atrial septal defect with high partial anomalous pulmonary venous connection. This technique consisted of preservation of the atriocaval junction, advancement of the posterior rim of the atrial septal defect anterosuperiorly and enlargement of the superior caval vein using right atrial ...
Rockman Caron - - 2011
Current treatment guidelines of symptomatic and asymptomatic carotid stenosis are based on studies performed over a decade ago. Since that time, significant advances have been made in medical management, namely high dose statin therapy and improved antiplatelet agents, and in carotid interventions, namely the advent of carotid artery stenting. Especially ...
Kwon Oh Young - - 2011
An infected aortic aneurysm, or mycotic aneurysm, is a rare arterial dilatation due to destruction of the infected vessel wall. Common pathogens resulting in an infected aortic aneurysm are Salmonella and Clostridium species, as well as Staphylococcus aureus; Morganella morganii, on the other hand, is very rare. An infected abdominal ...
Takeda Ikuko - - 2011
Midventricular obstructive hypertrophic cardiomyopathy (MOHC) is a rare form of cardiomyopathy that was demonstrated to have caused embolic stroke in two patients. In both cases, the embolic sources of stroke were thrombi in an apical aneurysm caused by turbulent stasis of blood flow and subsequent injury of myocardial endocardium. Even ...
Jackson Shaun P - - 2011
The formation of blood clots-thrombosis-at sites of atherosclerotic plaque rupture is a major clinical problem despite ongoing improvements in antithrombotic therapy. Progress in identifying the pathogenic mechanisms regulating arterial thrombosis has led to the development of newer therapeutics, and there is general anticipation that these treatments will have greater efficacy ...
Ghasemzadeh Nima - - 2011
Objective. This paper illustrates the evolution of our knowledge of the arterial pulse from ancient times to the present. Several techniques for arterial pulse evaluation throughout history are discussed. Methods. Using databases including Worldcat, Pubmed, and Emory University Libraries' Catalogue, the significance of the arterial pulse is discussed in three ...
Kalangos Afksendiyos A Division of Cardiovascular Surgery, University Hospitals and Medical Faculty of Geneva, Geneva, - - 2011
Mitral valve dysfunction is not always amenable to repair, and may necessitate valve replacement. An alternative to standard mechanical and biological prostheses is the use of homografts. The following manuscript and videos describe our surgical approach to mitral valve replacement with a complete mitral homograft in a cadaveric heart model.
Higuchi Takuya - - 2010
A 75-year-old man developed persistent dysphagia 2 months after successful total arch replacement with a long elephant trunk (ET) for a distal arch aneurysm. Enhanced computed tomography revealed not only complete thrombosis of the distal arch aneurysm, but also rapid expansion of another downstream aortic aneurysm with esophageal compression. Thoracic ...
Kim Sang-Dong - - 2011
Abdominal aortic false aneurysms in patients with Behcet's disease have been reported frequently and repaired successfully by various procedures; however, anastomotic false aneurysms have often been reported to occur after the operation. In this article, we report a case of four-time repetitive, recurrent suprarenal abdominal aortic false aneurysm ruptures that ...
Rumstadt B - - 2010
HISTORY AND ADMISSION FINDINGS: A 54-year-old patient presented with acute abdominal pain that had started after having a bowel movement. INVESTIGATIONS AND DIAGNOSIS: Ultrasound examination revealed free intraabdominal fluid with no signs of organ rupture. CT-scan showed a peripherally located ruptured aneurysm of a branch of the superior mesenteric artery. ...
Hyhlik-Dürr A - - 2010
There are increasing numbers of elective surgeries not only for abdominal aortic aneurysm repair but also for emergencies because of ruptured aneurysms (rAAA). Mortality rates of rAAA up to 40-50% have remained unchanged for years. Because of the elevated incidence of complications in rAAA, the overall mortality is at least ...
Goergen Craig J CJ Department of Bioengineering, Stanford University, Stanford, California 94305-5431, USA. - - 2010
To develop methods to quantify cyclic strain, motion, and curvature of the murine abdominal aorta in vivo. C57BL/6J and apoE(-/-) mice underwent three-dimensional (3D) time-of-flight MR angiography to position cardiac-gated 2D slices at four locations along the abdominal aorta where circumferential cyclic strain and lumen centroid motion were calculated. From ...
Lath Nikesh R - - 2011
We present the case of a 101-year-old female who was successfully operated for an open elective repair of a symptomatic 9 cm abdominal aortic aneurysm. This is the oldest case reported in the literature for elective open abdominal aortic aneurysm repair with successful outcome. This case raises an important ethical ...
McKenna A J - - 2012
Conventional open repair of inflammatory abdominal aortic aneurysms (IAAA) remains challenging through the presence of extensive peri-aortic inflammation and fibrosis which makes dissection and vascular control difficult with a risk of inadvertent injury to adjacent visceral structures such as the ureters, duodenum, inferior vena cava, left renal vein and sigmoid ...
Muehling Bernd M - - 2011
To study the expression pattern of resistin in abdominal aortic aneurysms and to correlate its plasma levels to aneurysm size and statin therapy. From 25 patients on regular and 38 patients without statin therapy tissue specimen and plasma samples were obtained for analysis. Demographic data, past medical history, and body ...
Tanaka Satofumi - - 2010
A 76-year-old man with a history of multiple laparotomies and severe coronary artery disease was referred to our hospital after the sudden development of pain and numbness in the lower extremities. Computed tomography showed a thrombosed abdominal aortic aneurysm and diffuse aortic atherosclerosis; compatible with a "shaggy aorta." A good ...
Guérin M - - 2010
We report the case of a patient presenting a very painful livedo of the lower back as well as paraparesis revealing a complicated abdominal aortic aneurysm. A 61-year-old man was referred to our emergency unit for sudden lower back pain and weakness of the lower limbs. He had a large ...
Trollope Alexandra F AF The Vascular Biology Unit, School of Medicine and Dentistry, James Cook University, Douglas Campus, Townsville, QLD 4811, - - 2011
Abdominal aortic aneurysm (AAA) and atherosclerosis are common causes of mortality and morbidity in an aging population. Angiogenesis is believed to contribute to the development and progression of these diseases. Angiopoietins (angpts) are known to be important regulators of angiogenesis. Angpts can also influence inflammation and have been shown to ...
Bellows Patricia H - - 2010
Spontaneous aneurysmal regression is a rare event, having been observed only in association with arteritides or immunosuppression following solid-organ transplantation. In particular, the spontaneous regression of an aortic aneurysm, to our knowledge, has never been documented. We report a case of a 46-year-old, HIV-positive, African-American man who developed an asymptomatic ...
Moulakakis Konstantinos G - - 2010
Thrombosis of an abdominal aortic aneurysm is a rare devastating complication with an estimated mortality rate of 50%. Simultaneous acute pain, pallor and coldness of the lower limbs, mottling from the level of iliac crests or umbilicus, paraplegia and absence of femoral pulses are all manifestations of a sudden and ...
Makatsori Aikaterini - - 2010
We report a case of macroscopic hematuria secondary to an aneurysm of the internal iliac artery. An 84-year-old male presented to our department with a 12-hour history of painless gross hematuria. Cystoscopy showed decreased expansion suggesting compression from outside the bladder. At the point of compression, increased vascularization was noted ...
Ferruzzi J - - 2011
The abdominal aorta (AA) in older individuals can develop an aneurysm, which is of increasing concern in our ageing population. The structural integrity of the ageing aortic wall, and hence aneurysm, depends primarily on effective elastin and multiple families of oriented collagen fibres. In this paper, we show that a ...
Ozgüner Gülnur - - 2011
This study aimed to determine the location and morphometric development of the fetal abdominal aorta and the iliac arteries. The study was carried out between 1996 and 2008 on 172 spontaneously aborted human fetuses (76 males and 96 females) aged between 9 and 40 weeks. None of the fetuses had ...
West Charles A CA - - 2010
Inflammatory aortic aneurysms are unusual vascular lesions and most commonly involve the infrarenal segment of the abdominal aorta. These complex aneurysms represent a challenge to the vascular surgeon and become even more difficult as the extent of the aneurysm and size of the inflammatory mass increase. Although well described, few ...
Ellis Harold - - 2010
Aneurysms of the abdominal aorta, usually due to arteriosclerosis, have been long recognised as presenting a formidable challenge to the surgeon. At first symptomless, the aneurysm then presents as a pulsatile swelling. Once it reaches about 6 cm in diameter, it is at risk of rupture, and this danger increases ...
Soman Seethu - - 2010
Compression of celiac artery by median arcuate ligament (MAL) may cause abdominal symptoms. This study looked at the prevalence of this finding in asymptomatic persons. Abdominal angiograms of 155 healthy asymptomatic voluntary kidney donors aged 18-65 years, done as part of the standard pretransplant work up, were reviewed retrospectively. Celiac ...
Abdul-Hussien Hazem - - 2010
There is remarkable controversy over the processes driving abdominal aneurysm growth. The inherent limitations of animal and human studies hamper elucidation of the key inflammatory and proteolytic processes. Human data are largely derived from surgical specimens that typically reflect the final stages of the disease process and thus do not ...
Nishibe T - - 2010
AIM: The genesis of abdominal aortic aneurysms is associated with remodeling of the vascular wall by angiogenesis as well as proteolysis. Vascular endothelial growth factor (VEGF) is known to be a regulator of angiogenesis and to simultaneously stimulate elastolytic proteinases. We analyzed the expression and localization of VEGF in human ...
Yamamoto Hiroshi - - 2010
We describe a patient with aortic occlusion due to false-lumen expansion after repair of abdominal aortic rupture in acute type B aortic dissection. A 70-year-old man presented to a nearby hospital with severe lower back pain, and was subsequently referred to our hospital with a diagnosis of abdominal aortic rupture. ...
Hagendoorn Jeroen - - 2010
Primary infected, ruptured aortic aneurysms remain a rare and challenging clinical problem. Surgical treatment includes a range of options such as extra-anatomic bypass grafting and debridement with secutive in situ graft placement with autologous, bovine, and prosthetic grafts. Recently, endovascular treatment for infected abdominal aortic aneurysms has been reported with ...
Uysal I I - - 2010
Numerous variations of the abdominal aorta were observed during a routine dissection of the abdominal region in a 60-year-old male cadaver in the Department of Anatomy, Meram Faculty of Medicine, Selcuk University, Turkey. In the present case, a common inferior phrenic trunk arose from the abdominal aorta and then divided ...
Kim Moon-Kyu - - 2010
STUDY DESIGN: A descriptive cadaveric study measuring arterial tension. OBJECTIVE: Anterior lumbar surgery is technically challenging due to perioperative vascular complications. Many studies suggest approaches based on the anatomy of the abdominal vessel for safe vascular mobilization. However, the tension in the vascular structure is also important for adequate exposure ...
Bergqvist David - - 2010
This paper deals with aneurysmal disease, primarily when localized in the abdominal aorta. It is based on the Olof Rudbeck lecture 2009. Aneurysm is a localized widening of an artery, and its definition has become an important issue today when the disease is in focus for screening programmes. Aetiology and ...
Budde R P J - - 2010
OBJECTIVES: To estimate the influence of information on the coronary arteries obtained from routine thoraco-abdominal CT angiography (CTA) on pre-operative clinical management in abdominal aortic aneurysm (AAA) patients. METHODS: Twenty-eight AAA patients underwent pre-operative thoraco-abdominal electrocardiography (ECG)-gated 64-detector-row CTA to evaluate aortic pulsatility for prosthesis size matching. Retrospectively, the coronaries ...
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