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de Vries Margreet R - - 2012
The current study describes the incidence and phenotype of plaque rupture complications in murine vein grafts. Since matrix metalloproteinases (MMPs) are highly involved in atherosclerotic plaque vulnerability and plaque rupture, we hypothesized that this model can be validated by overexpression of the MMP inhibitor TIMP-1. First we studied 47 vein ...
Hajsadeghi Shokoufeh S Department of Cardiology, Rasoul-e-Akram Hospital, Tehran University of Medical Sciences, Tehran, - - 2012
Osteogenesis imperfecta (OI) as an inherited connective tissue disorder can affect all tissues that contains type I collagen. Well-known cardiac complications of this disease such as aortic root dilatation, aortic regurgitation and mitral valve prolapse have been rarely reported in the literature. Coronary artery aneurysm is a rare cardiac complication ...
Frech Andreas - - 2012
Abdominal aortic aneurysms represent both an individual risk of mortality and a socioeconomic burden for health care systems worldwide, but screening is not performed in all countries. Here, the authors summarize the pros and cons of screening to reduce abdominal aortic aneurysm-related mortality.
Pershad Ashish - - 2011
The GuideLiner catheter (Vascular Solutions, Inc.) is a monorail guiding catheter extension that serves to facilitate stent delivery and is approved for providing extra support and coaxial guide engagement. The objective of this manuscript is to familiarize interventionalists with this new device, describe its versatile uses, and its limitations with ...
Mardini Joëlle - - 2011
Current practice guidelines recommend that pulmonary blastomycosis be treated with antifungal agents such as amphotericin B and itraconazole. Echinocandins are not recommended because of poor in vitro activity against Blastomyces dermatitidis and lack of supporting clinical data. We report a case of chronic pulmonary blastomycosis treated successfully with caspofungin.
Luna Michael - - 2011
The Guideliner catheter (Vascular Solutions, Minneapolis, Minnesota) is a novel, rapid exchange catheter that allows deep vessel intubation. We describe 21 patients in whom the Guideliner catheter (7 French in 76% and 6 French in 24%) was used to facilitate equipment delivery (n=14) or vessel engagement (n=7). Pressure dampening upon ...
Murphy John Conleth - - 2011
Performing Percutaneous Coronary Intervention (PCI) in arteries with complex anatomy remains a clinical problem. In particular tortuosity within a coronary vessel is frequently encountered and can hamper delivery of balloons or stents to coronary stenoses. This has led to the development of a number of adjuvant devices to assist stent ...
Naylor A Ross - - 2011
Year 2011 sees the publication of US guidelines that recommend expanding indications for carotid artery stenting into "average-risk" patients, whereas guidelines from Australia/New Zealand largely do not. This article reviews the status of invasive treatment of carotid disease and highlights 2 controversial issues that were not really addressed in these ...
Holden Andrew - - 2011
The role of endovascular treatment of atherosclerotic renal artery disease is uncertain, particularly after the publication of the Angioplasty and Stenting for Renal Artery Lesions trial and other randomized trials. These trials have shown that nonselective treatment of patients with renal artery stenosis does not result in a benefit when ...
Piñero González de la Peña P - - 2011
OBJECTIVES: To evaluate the relation between the material retrieved from distal filters after carotid angioplasty and stenting and the development of ischemic brain lesions in diffusion-weighted imaging (DWI). To determine the influence of demographic, clinical, and procedural variables in the pathogenesis of emboli and in ischemia after carotid angioplasty and ...
Iadanza Alessandro - - 2011
We describe an acute coronary syndrome due to thrombosis of an aortic coronary bypass graft, treated with percutaneous coronary intervention, bivalirudin and a combined technique of thrombectomy and distal embolic protection system.
Stehouwer Marco C - - 2011
The use of minimized extracorporeal circuits (MECC) in cardiac surgery is an important measure to increase the biocompatibility of cardiopulmonary bypass during coronary artery bypass grafting (CABG). These circuits eliminate volume storage reservoirs and bubble traps to minimize the circuit. However, the reduction in volume may increase the risk of ...
Antoine Radcliffe A - - 2011
Patients diagnosed with primary or metastatic liver cancer face a daunting future that is complicated by limited treatment options. Percutaneous hepatic perfusion is a novel approach to chemotherapy delivery that offers significant benefits over contemporary modalities. Percutaneous hepatic perfusion is a procedure in which a chemotherapeutic agent is administered at ...
Piecuch J - - 2011
The placement of an inferior vena cava (IVC) filter is a therapeutic method for selected patients with deep venous thrombosis and pulmonary embolism. However, insertion and placement of the filter may be associated with certain complications. For instance, retroperitoneal hematoma resulting from perforation of the wall by the filter is ...
Welle Mary Kay MK Department of Nursing, Saint Mary's College, Notre Dame, Indiana, - - 2011
Venous thromboembolism (VTE) is a significant cause of morbidity and mortality in trauma. What is known regarding VTE prophylaxis has been extrapolated from nontrauma data. Optimal methods of VTE prevention for trauma remain controversial and unknown. Trauma patients are unique and heterogeneous rendering many forms of treatment inappropriate. The most ...
Jassar Arminder S - - 2011
  Inferior vena cava (IVC) filter placement is recommended for acute proximal deep venous thrombosis if anticoagulation is contraindicated. A 52-year-old man presented with weakness, dyspnea, syncope, and renal failure 8 months after IVC filter placement. Imaging revealed migration of the IVC filter to the right ventricle. Endovascular retrieval was ...
Hassen S - - 2011
See also Tan M, Velthuis SI, Westerbeek RE, van Rooden CJ, van der Meer FJ, Huisman MV. High percentage of non-diagnostic compression ultrasonography results and the diagnosis of ipsilateral recurrent proximal deep vein thrombosis. J Thromb Haemost 2010; 8: 848-50; Tan M, Huisman MV. High percentage of non-diagnostic compression ultrasonography ...
Khoo Steven W - - 2011
While the use of duplex ultrasound (DUS) in the diagnosis of vascular disease has been established, its role in vascular procedures continues to expand. More powerful and portable technology has helped to overcome real and perceived barriers to the use of DUS. Familiarity with Doppler and ultrasound physics is helpful ...
Malgor Rafael D - - 2011
Anatomic variations of the inferior vena cava (IVC) are found in 3-5% of the population. IVC duplication is a well-known anatomic variation that is important when relevant procedures are being planed. Therefore, the identification of IVC anomalies should be checked prior to pertinent interventions. We report two cases of dual ...
Takayama Katsutoshi - - 2011
The Carotid WALLSTENT (CWS) and Filter-Wire EZ (FWEZ) embolic protection devices for use in carotid arterial stenting (CAS) were newly approved for national health insurance coverage in Japan in April 2010. This article describes our initial experience of CAS using the CWS and FWEZ. A group of 14 patients (12 ...
de Gregorio Miguel Ángel - - 2011
INTRODUCTION: Fibrinolysis is recommended in several consensus documents for the treatment of a haemodynamically unstable massive pulmonary embolism (HUMPE). MATERIAL AND METHODS: A total of 111 patients were treated in a single centre from January 2001 to December 2009. They were 55 males and 56 females diagnosed with HUMPE (systolic ...
Babis George C - - 2011
We conducted a thorough search of all the English language literature and carried out a meta-analysis in an attempt to reveal potential differences on the incidence of deep vein thrombosis (DVT) and pulmonary embolism (PE) between one stage bilateral and unilateral total hip replacements, and to provide, if possible, recommendations ...
Yim Nam Yeol - - 2011
The Tempofilter II is a widely used temporary vena cava filter. Its unique design, which includes a long tethering catheter with a subcutaneous anchor, facilitates the deployment and retrieval of the device. Despite this, the Tempofilter II has been used only in the inferior vena cava of patients with lower ...
Izaki Kenta - - 2010
A 57-year-old woman with a history of diabetes mellitus underwent simultaneous pancreas-kidney transplantation. The pancreaticoduodenal graft was implanted in the right iliac fossa. The donor's portal vein was anastomosed to the recipient's inferior vena cava (IVC). Seven days after the surgery, a thrombus was detected in the graft veins. Percutaneous ...
Bollati Mario - - 2010
A 29-year-old woman with two mechanical valve prostheses was referred to our institution for sudden and self-resolved diplopia 2 weeks after childbirth. From the beginning of pregnancy, nadroparin was started instead of warfarin. The echocardiogram performed at hospital admission revealed a severe aortic prosthesis regurgitation due to incomplete leaflet apposition ...
Gupta Naren - - 2011
Current data suggest microembolization to the brain may result in long-term cognitive dysfunction despite the absence of immediate clinically obvious cerebrovascular events. We reviewed a series of patients treated electively with carotid endarterectomy (CEA), carotid artery stenting (CAS) with distal filters, and carotid stenting with flow reversal (FRS) monitored continuously ...
Greenfield Lazar J - - 2010
The Greenfield filter was the result of collaboration between a surgeon and a petroleum engineer. Originally it was a component of a catheter management approach to massive pulmonary embolism. Industry support allowed further technical improvements and long-term patient followup studies.
Backes Jeffrey - - 2010
This article describes a case of a 26-year-old man presenting with left knee pain of 1 week's duration, fever, and acute onset of shortness of breath the day of admission. An arthrocentesis of the knee joint was grossly positive for methicillin-resistant Staphylococcus aureus. A left lower extremity venous duplex showed ...
Porter David - - 2010
Iliofemoral deep venous thrombosis (DVT) secondary to congenital caval abnormalities is uncommon but should be suspected in younger patients presenting with bilateral DVT. Prior reports have described thrombolytic therapy and angioplasty for noncongenital caval occlusion and intraluminal recanalization for suspected congenital caval obstruction. A novel case is described of a ...
Crisp Jonathan G - - 2010
Compression ultrasonography of the lower extremity is an established method of detecting proximal lower extremity deep venous thrombosis when performed by a certified operator in a vascular laboratory. Our objective is to determine the sensitivity and specificity of bedside 2-point compression ultrasonography performed in the emergency department (ED) with portable ...
Naik Ami - - 2010
Iliac vein compression syndrome (CS) is a rare cause of deep venous thrombosis. It is caused by an anatomic anomaly in which the right common iliac artery overlies the left common iliac vein causing mechanical compression. Subsequent endothelial changes within the vessels have the potential to spur thrombus formation. Aggressive ...
Sleep Joseph - - 2010
Gaseous microemboli have been associated with post operative neurological deficits in patients undergoing cardiopulmonary bypass. Creating an optimal perfusion system that minimizes microemboli production and has enhanced abilities to sequester entrained air during the bypass procedure has been an important focus. This study examines the air-handling capabilities of a cardiopulmonary ...
Lynch John E - - 2010
Gaseous emboli may be introduced into the bypass circuit both from the surgical field and during perfusionist interventions. While circuits provide good protection against massive air embolism, they do not remove gaseous microemboli (GME) from the bypass circuit. The purpose of this preliminary study is to assess the incidence of ...
Lin Peter H - - 2010
Deep vein thromboses (DVT) along with its clinical sequelae represent a major health care challenge in our society. An acute massive DVT can result in pulmonary embolism resulting in sudden death. Although oral or systemic anticoagulation therapy may minimize thrombus propagation, it remains ineffective in removing thrombus burden and consequently ...
Moini Majid - - 2010
We hypothesized that interrupting the connection between superficial and deep veins of the upper extremity at the elbow for creation of hemodialysis arteriovenous fistulas (AVFs), in addition to adequate dilation of the elbow veins, will reduce the risk of steal syndrome and venous hypertension. In this prospective study over a ...
Seong Seok-Woo - - 2010
Deep vein thrombosis (DVT) is a predisposing condition of pulmonary embolism which can be fatal. Usually, DVT is found in the lower extremities. However, DVT can be occurred in the upper extremities. The usual predisposing conditions of the upper extremity DVT include insertion of central venous catheters and pacemaker wires. ...
Korsten-Reck U - - 2010
HISTORY AND ADMISSION FINDINGS: Two trained long-distance runners, aged 53 and 58 years, respectively, presented (independently) at our outpatient department because of an acute reduction in physical performance after considerable exertion. Neither had specific clinical symptoms, particularly no dyspnea. INVESTIGATIONS: Neither patient had abnormal findings on physical examination, such as ...
Ho Wai Khoon - - 2010
Venous thromboembolism, comprising deep vein thrombosis (DVT) and pulmonary embolism, is common in Australia and is associated with high morbidity. This article provides a summary of the risk factors for DVT of the lower limb and discusses the diagnosis of the condition using a diagnostic algorithm incorporating clinical assessment, D-dimer ...
Goldhaber Samuel Z - - 2010
Risk factors for venous thromboembolism (VTE) are often modifiable and overlap with risk factors for coronary artery disease. Encouraging our patients to adopt a heart-healthy lifestyle by abstaining from cigarettes, maintaining lean weight, limiting red meat intake, and controlling hypertension might lower the risk of pulmonary embolism and deep vein ...
Joshi Mukund C - - 2010
Deep vein thrombosis in children is rare and is often secondary to a predisposing condition. Staphylococcal sepsis following furunculosis and complicated by deep vein thrombosis and septic pulmonary emboli in a fourteen-yr-old boy is presented. He was managed successfully with antibiotics and anticoagulation.
Gabrielli Roberto - - 2010
We report the case of a 42-year-old man with pleuritic chest pain, shortness of breath, and associated tachycardia. Three months before, he had been treated for similar features with the diagnosis of pulmonary emboli. Computed tomography scan showed multiple bilateral pulmonary emboli. He had no clinical evidence of deep venous ...
Musil Dalibor - - 2010
We present a 55-year-old man with acute migrating thrombophlebitis and deep vein thrombosis of muscle veins in both calves indicating occurrence of acute myelomonocytic leukemia. Thrombosis of superficial and deep veins of the lower limbs arose in spite of the adequate anticoagulation therapy with warfarin.
Olowoyeye O A - - 2010
OBJECTIVES: To highlight the usefulness of duplex ultrasonography in assessing patients with clinical features suggestive of DVT in this environment. PATIENTS AND METHODS: A total of seventy patients (44 males and 26 females, aged 15-85 years) with a clinical diagnosis of deep venous thrombosis (DVT) were seen between September 2005 ...
Pianta Marcus J - - 2011
Late complications of thrombosis of the deep veins in the region between the popliteal vein termination and the confluence of the common iliac veins and inferior vena cava (suprapopliteal deep-vein thrombosis) are common and often unrecognized by those responsible for the initial management. Pharmacomechanical-assisted clearance of the thrombus at the ...
Lookstein Robert A - - 2010
Deep vein thrombosis is a condition that affects hundreds of thousands of patients each year. The major complications include pulmonary embolus with the potential for loss of life and post-thrombotic syndrome with the potential for loss of function of the limb. Extensive clinical research over the last 40 years has ...
Casian D - - 2010
The free-floating thrombus (FFT) represents a particular form of deep vein thrombosis with extremely high potential of fatal pulmonary embolism. The purpose of the study was to evaluate the early results of aggressive surgical approach to FFT. During the period 2005-2008 years FFT was diagnosed in 13 patients. Demographic characteristics ...
Liu Fang - - 2010
Patients with acute iliofemoral deep venous thrombosis often sustain severe postthrombotic complications resulting from venous obstruction and valve incompetence. Conventional anticoagulation prevents thrombus extension, fatal pulmonary embolism, and recurrence of the DVT but can only minimally minimize the postthrombotic complications. Whether early thrombus removal significantly reduces the postthrombotic morbidity is ...
Chan Wee-Shian - - 2010
Prospective studies of nonpregnant patients have demonstrated that most deep vein thromboses of the lower extremity originate in the calf veins and progress proximally, but the anatomic distribution of thromboses in pregnant patients is unclear. An understanding of the anatomic distribution of deep vein thrombosis in pregnancy has important implications ...
Acikel Sadik - - 2010
We report a 36-year-old woman with a 1-year history of systemic lupus erythematosus who was admitted with acute onset of dyspnea and chest pain. She presented with a classic medical history of antiphospholipid antibody syndrome, including spontaneous abortion, deep venous thrombosis, and clinical manifestations of lupus activation. The differential diagnosis ...
Yiee Jenny H - - 2010
Knowledge of penile embryology and anatomy is essential to any pediatric urologist in order to fully understand and treat congenital anomalies. Sex differentiation of the external genitalia occurs between the 7th and 17th weeks of gestation. The Y chromosome initiates male differentiation through the SRY gene, which triggers testicular development. ...
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