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Cires Giancarlo - - 2011
Treatment of complex thoracic aortic pathology increasingly requires coverage of one or more aortic arch vessels. Endovascular debranching with a chimney technique can reduce or eliminate the need for surgical bypass. In this study, we evaluate our initial experience with planned endovascular debranching of the aortic arch. During a 13-month ...
Gan Hui-Li - - 2011
OBJECTIVE: The study objectives were to characterize the prognostic perspectives of pulmonary artery sarcoma and to investigate the effect of distal embolectomy on the prognosis of surgical treatment of pulmonary artery sarcoma. METHODS: Nine patients with pulmonary artery sarcoma were surgically treated at Anzhen Hospital, and the data were retrospectively ...
Witiw Christopher D - - 2011
BACKGROUND AND IMPORTANCE:: Type A intradural arteriovenous fistulas (AVF) of the sacral filum terminale are rare lesions fed primarily by the distal anterior spinal artery (ASA). The artery is frequently too narrow or tortuous for endovascular obliteration and direct surgical resection of the fistula requires an invasive sacrectomy. We present ...
Srivastava Vinit K - - 2011
Subarachnoid hemorrhage is associated with a number of cerebral insults as a result of cerebral vasospasm. Various pharmacological and non-pharmacological techniques are used for relief of cerebral vasospasm. Papaverine, either intraarterially or intracisternally, is advocated for management of vasospasm; however, its use is associated with a number of complications. The ...
Güresir Erdem - - 2011
BACKGROUND: The objective was to assess the surgical results in complex middle cerebral artery (MCA) aneurysms. METHODS: From 1999 to 2009 the data of 330 patients with ruptured and unruptured MCA aneurysms were included into a prospective database. Degree of aneurysm occlusion and clinical outcomes were analysed after 271 surgical ...
Greelish James P - - 2011
We propose a simplified anatomic classification for pulmonary emboli that algorithmically differentiates those who might be best treated with surgical pulmonary embolectomy (type A) from those best treated medically (type B). We hypothesized that patients with type A pulmonary emboli treated with immediate surgical embolectomy demonstrate superior long-term survival compared ...
Mohammadian Reza - - 2011
INTRODUCTION: The most serious complications of carotid artery stenting (CAS) are related to the release of particles into the cerebral circulation. Although embolic protection devices may reduce the incidence of cerebral embolization, their use may be associated with additional complications including spasm or dissection. In this report, we present our ...
Baxi Khanjan - - 2011
Inferior vena cava (IVC) occlusion may have widely varying clinical presentations that overlap with congenital IVC anomalies. Nevertheless, appropriate diagnosis, including differentiation from congenital absence, is mandatory. Endovascular therapy of chronic occlusions appears to yield results comparable to those of open repair. We report a case of infrahepatic IVC occlusion ...
Nigro Gianluigi - - 2011
We report the first documented case of distal thromboembolism originating from an abdominal aortic aneurysm (AAA) after a blunt trauma. A 72-year-old man with a known 6.2 cm AAA was brought to our emergency department with signs of bilateral acute limb ischemia developing immediately after an accidental fall. The occlusion ...
Morochovic Radoslav - - 2011
Abstract. We present the case of a 55-year-old woman who sustained a left femoral neck fracture which was managed by insertion of a dynamic hip screw. Six hours after surgery, distension appeared in the left lower quadrant of her abdomen associated with a decline in haemoglobin concentration and clinical signs ...
Mersa B - - 2011
For many years there has been reluctance to use kidneys having multiple arteries of <2 mm diameter, especially where they supply the lower pole. The usage of these kidneys has increased using microsurgical anastomosis techniques. We reviewed the anastomotic techniques among renal transplantations with multiple arteries. Between January 2008 and ...
Martín-Reyes Roberto - - 2011
Coronary atherosclerotic aneurysms (CAA) are a very uncommon finding in patients presenting with coronary artery disease. In order to prevent spontaneous vessel rupture in patients presenting with large CAA, these patients are frequently treated with the implantation of a stent-graft. However, these devices have a high rate of restenosis, which ...
Setacci C - - 2011
Carotid artery disease is among the most common causes of stroke, and stroke is the third leading cause of death in industrialized countries. Thus the personal health and socioeconomic burden of carotid artery disease is significant. Carotid artery disease accounts for approximately 5-12% of new strokes in patients amenable to ...
Rubio E - - 2011
The incidence of fungal complications is frequent among liver transplanted subjects. Between March 1986 and June 2009, we performed 670 liver transplants in 593 patients, including 61% males and an overall average age of 46. The incidence of arterial complications in our center was 5.3% (32/593 patients), including 24 (75%) ...
Yamada Shunsuke - - 2011
Video-assisted right basal segmentectomy was successfully performed on a 72-year-old man with an anomalous pulmonary artery. Multidetector row angiography showed the A7 branch arising from the right main pulmonary artery proximal to the branches of the superior trunks, lying under the middle bronchus, and reaching segment S7. Metastatic tumor (diameter ...
Pua Uei - - 2011
To describe early experience with the use of iliac branch grafts (IBGs) in aortoiliac aneurysm repair. From July 2007 to August 2009 (25 months), 14 patients (13 men, one woman) with a mean age of 70.1 years (range, 59.3-80.0 y) were treated with IBGs. Indications were abdominal aneurysm with common ...
Prasad Anand - - 2011
With the advent of modern thin-strut coronary stents, there is potential for damage to the stent structure during delivery. Fraying of the stent during unsuccessful attempts at lesion passage can be particularly problematic as re-entry into the guiding catheter may not be possible. Familiarity with techniques to retrieve damaged stents ...
Hailong Ge - - 2011
Objective: The study is to test the efficacy of triptolide-coated stent on anti-inflammatory and inhibiting intimal hyperplasia in preventing restenosis. Methods: A total of 15 triptolide-coated stents (TCSs), 12 drug-eluting stents (DESs), and 12 bare metal stents (BMSs) were deployed in porcine coronary arteries. Coronary angiography, histopathologic and inflammatory markers ...
Droc Ionel - - 2011
Abstract Endovascular aneurysm repair (EVAR) is an attractive alternative to open surgical approach in treating abdominal aortic aneurysms (AAA). In Nuerenberg in our 14-year experience of 1502 cases (ending December 2007) we used 13 different endografts. The median follow-up was 41 months (1.0-98) and the AAA had a mean diameter ...
DI Dong-Mei - - 2011
According to the literature, only a small proportion of occurrences regarding penetrating trauma of the thoracic aorta can be treated successfully. Herein we reported our experience of a recent rescue of such a patient in a countryside hospital lacking advanced instruments for cardiopulmonary bypass operations. A 20-year-old male was admitted ...
Donas K P - - 2011
Endovascular repair of infrarenal abdominal aortic or aortoiliac aneurysms (EVAR) using currently available stent-grafts has proven to be a safe, effective, and durable method with great acceptance among vascular surgeons. Comparison of elective EVAR versus "open" elective abdominal aortic aneurysm (AAA) repair showed significant advantages for EVAR in terms of ...
Hussain Sajjad - - 2011
A lady with aortitis syndrome developed in-stent restenosis (ISR) of the innominate artery stent and critical stenosis of right internal carotid artery. The therapeutic challenge was gaining access to the carotid vessel, after treating the innominate artery ISR and all the while using distal protection to circumvent potential cerebral embolism. ...
Tolenaar Jip L - - 2011
Abstract Purpose: To present a case of percutaneous fenestration of a type B aortic dissection after endovascular aneurysm repair (EVAR). Case Report: An 82-year-old patient with an earlier conventionally inserted aortobi-iliac prosthesis presented with a proximal anastomotic pseudoaneurysm, which was excluded successfully by EVAR. Standard follow-up computed tomographic angiography (CTA) ...
Margey Ronan - - 2011
Cerebrovascular disease remains a leading cause of morbidity, mortality, and health care expenditure in the United States. Approximately 80% of strokes are ischemic in origin, with 20% to 25% due to atherosclerotic disease of the carotid artery. It is well established that untreated, symptomatic carotid stenosis confers a 25% risk ...
Shi Enyi - - 2011
The objective was to report our experience with a simplified procedure of ascending aorta and hemiarch replacement with a stent-graft elephant trunk in type A dissections. The efficacy of innominate artery cannulation was investigated. From January 2007 to January 2010, 46 patients (35 men, 11 women; mean age, 52.7 ± ...
Vallejo Nadia - - 2011
The objective of this study is to examine contemporary management of primary mycotic aortic aneurysms in a single center. We have previously reported the management of mycotic aortic aneurysms in 15 patients between 1991 and 2001, and we hypothesized that management would change in the light of the evolution of ...
Melinek Judy - - 2011
A 38-year-old woman with a 2-year history of chronic neck pain radiating down her right arm underwent radiological and neurological evaluations, which revealed no anatomical cause for her pain. She sought alternative therapies including intramuscular heparin injections. Following a right occipital injection of heparin, cyanocobalamin, and lidocaine, she had a ...
Lim Jihe - - 2011
Intracranial pseudoaneurysm (IPA) is a rare disease entity associated with blunt trauma or penetration injury and less likely surgical or endovascular procedure. Decision of the therapeutic option is difficult and challenging in the treatment of iatrogenic pseudoaneurysm from the middle cerebral artery (MCA) that is necessary to maintain. We report ...
Coskun Mesut - - 2011
Purpose. To report a case of dacryocystitis that progressed to orbital abscess resulting in the rare complication of central retinal artery occlusion. ?Methods. A patient without any other known health problems presented with dacryocystitis complicated by orbital cellulitis, orbital abscess, and finally central retinal artery occlusion despite medical treatment.?Results. After ...
Cho Charles J - - 2011
Typical angiographic finding of polyarteritis nodosa (PAN) shows aneurysms in small- and medium-size arteries, which can assist in diagnosis. Mimics of vasculitis share similar angiographic and clinical manifestations with PAN, making diagnosis confusing. We report 2 patients admitted with hemobilia, one of whom had vasculitis and case of the other ...
- - 2011
To the Editor: Kaiser et al. (Dec. 9 issue)(1) shed important light on the issue of the safety and efficacy of drug-eluting stents in large coronary arteries. The characteristics of the patients and their lesions were very well matched between the groups, as disclosed in detail in the article. However, ...
Babic Srdjan - - 2011
PURPOSE: To study the initial and long-term results of angioplasty and primary stenting for the treatment of chronic total occlusion (CTO) of the subclavian artery (SA). MATERIALS AND METHODS: From January 1999 to February 2010, 56 patients (25 men with a mean age of 58 ± 8 years) underwent endovascular treatment for CTO ...
Brederlau Jörg - - 2011
Trauma is the leading cause of death in children over one year of age. Even with optimal field care, blunt chest trauma with hemoptysis is a potentially fatal injury due to exsanguination or arterial air embolism. Most often, cardiovascular collapse that is unresponsive to therapy develops shortly after endotracheal intubation ...
Christiansen Evald H - - 2011
To the Editor: Kaiser et al. (Dec. 9 issue)(1) shed important light on the issue of the safety and efficacy of drug-eluting stents in large coronary arteries. The characteristics of the patients and their lesions were very well matched between the groups, as disclosed in detail in the article. However, ...
Aminian Adel - - 2011
To the Editor: Kaiser et al. (Dec. 9 issue)(1) shed important light on the issue of the safety and efficacy of drug-eluting stents in large coronary arteries. The characteristics of the patients and their lesions were very well matched between the groups, as disclosed in detail in the article. However, ...
Izgi Cemil - - 2011
To the Editor: Kaiser et al. (Dec. 9 issue)(1) shed important light on the issue of the safety and efficacy of drug-eluting stents in large coronary arteries. The characteristics of the patients and their lesions were very well matched between the groups, as disclosed in detail in the article. However, ...
van Bemmel Marnix W - - 2011
To the Editor: Kaiser et al. (Dec. 9 issue)(1) shed important light on the issue of the safety and efficacy of drug-eluting stents in large coronary arteries. The characteristics of the patients and their lesions were very well matched between the groups, as disclosed in detail in the article. However, ...
Yamamoto Hiroshi - - 2011
BACKGROUND: Rupture of an iliac artery aneurysm is rare but could be catastrophic unless it is treated with an appropriate strategy. We reviewed our 10-year institutional experience in treating iliac artery aneurysms to elucidate the effectiveness of open surgical repair strategies for ruptured iliac artery aneurysms in terms of short- ...
Azéma L - - 2011
OBJECTIVE: The common femoral artery (CFA) is an unusual location for endovascular repair (ER). We report the early results after ER of the CFA in a single centre. DESIGN: This is a cohort study. MATERIALS/METHODS: From 2006 to 2008, ER of the CFA was proposed to 36 patients (mean age ...
Wu Xin - - 2011
Takayasu's arteritis (TA) is a chronic vasculitis involving the aorta and its main branches, the pulmonary arteries, and the coronary tree. Here we report a case of TA complicated by severe stenosis of the left coronary ostium with multivessel brachiocephalic involvement. A combination of these abnormalities could complicate underlying illness ...
Leong Tan Glenn Wei - - 2011
BACKGROUND: Thoracic aortic injury from blunt trauma is a life-threatening condition with significant mortality and morbidity with open surgical repair. Endovascular means of treatment is emerging as an attractive and less invasive option. We report our experience with endovascular stent-graft repair for blunt traumatic thoracic aorta injury. METHODS: Between January ...
Zhang Yewei - - 2011
OBJECTIVE: To explore the use of superior mesenteric vein-caval-right atrium Y shunt (SMV-CV-RA Y shunt) as a treatment for Budd-Chiari syndrome (B-CS) with a long stenotic segment of IVC ≥2 cm and complete obstruction of all major hepatic veins with no compensating hypertrophy of the small hepatic veins that drain ...
Ong Sea Hing - - 2011
Transcatheter aortic valve implantation (TAVI) is rapidly becoming an accepted treatment option for a selected group of high risk or inoperable patients with severe aortic stenosis. However, this procedure is not without complications. We report a case of acute type A aortic dissection due to balloon aortic valvuloplasty during TAVI ...
Sawada Takahiro - - 2011
Although an ascending aortic thrombus is a rare finding, it may cause major embolic complications. We report a case of a 58-year-old male who suffered from cerebral and left renal infarctions due to emboli from a giant thrombus in the ascending aorta. The thrombus was demonstrated by computed tomography and ...
Dorweiler B - - 2011
OBJECTIVE: Aim of the study was to evaluate the long-term patency of bypass grafts used to treat occlusive and aneurysmal disease of the visceral arteries. METHODS: A retrospective analysis of our vascular surgery database identified 30 patients (11 men, mean age 59 ± 14 years) who underwent 32 operations for ...
Bartkowiak Marek - - 2011
67-year-old female patient was referred to our clinic for coronary artery bypass graft and severe mitral regurgitation (MR) treatment. The patient had a history of coronary disease and MR treated in 2007 with a CARILLON device. Left mammary and saphenous vein were used to graft the diseased coronaries. MR was ...
Ohta Hajime - - 2011
Object The objective of this study was to evaluate endovascular stent therapy for carotid artery dissections (CADs). Methods Retrospective review of data at Millard Fillmore Gates Hospital identified 43 patients with 44 CADs (intracranial and/or extracranial) treated with carotid artery (CA) stent placement between January 2000 and June 2009. Results ...
Hechtman Jaclyn F - - 2011
Aortic thrombi are commonly present in atherosclerotic and aneurysmatic aortas. Thrombus formation in an aorta with or focal atherosclerosis in a patient without risk factors is rare. A 63-year-old woman with dementia and hypothyroidism presented with hypotension and respiratory distress. Work-up revealed leukocytosis, sinus tachycardia, and proximal small bowel obstruction. ...
Aslam Mohammad Shakil - - 2011
We describe the case of a 38-year-old woman who presented with symptoms of chest pain and shortness of breath that had worsened over the previous 6 months and was found to have a large pseudoaneurysm (PSA) of the thoracic aorta. She underwent surgical repair of aortic coarctation at the age ...
Zhang Bin - - 2011
Coronary chronic total occlusions (CTO) remain one of the most challenging lesions in percutaneous coronary intervention (PCI). Retrograde approach is an advanced PCI technique and can improve success rate in CTO intervention. Although success rate of this technique is high in experienced hands, there are still limitations in this approach, ...
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