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van der Kolk A G - - 2011
It is still unclear whether residual defects seen after carotid endarterectomy (CEA) have clinical consequences. We investigated prevalence of residual defects in the carotid artery and their possible impact on clinical and Duplex ultrasound (DUS) follow-up. Sixty-five patients who had undergone CEA were prospectively examined with 1-3 month postoperative computed ...
Pagni Sebastian - - 2011
BACKGROUND: The diagnosis of thoracic aortic mobile thrombus (TAMT) is rare and is usually made after debilitating embolic events. The optimal treatment strategy is unknown. We report 14 patients with TAMT and aim to better define the role of early (less than 2 weeks) surgical thrombectomy. METHODS: Between February 1996 ...
Yarlioglues Mikail - - 2011
Coronary artery dissection is an uncommon but potentially serious complication in percutaneous coronary interventions. We treated a 53-year-old female patient with right coronary spasm, which was misdiagnosed as a coronary lesion. The coronary spasm resolved with nitrate administration, but proximal coronary dissection developed during angiography. It progressed anterograde and led ...
Kim Tae-Hoon - - 2011
Few reports have been published on the outcomes of endovascular therapy in chronic total occlusion of the aorta. Endovascular treatment was attempted in 49 patients (40 men and nine women; aged 64.1 ± 10.9 years) with infrarenal aortic occlusion between January 1995 and December 2009. The first attempt at wire ...
Coscas Raphael - - 2011
Juxtarenal aortic aneurysms (JAA) can be successfully treated by fenestrated/branched endografts (FBE), but with significant cost and a long manufacturing process. "Chimney" grafts (CG) have been advocated as a cheaper and immediately available alternative. Because scant data are available, the aim of this study was to report our early experience ...
Malik Amer M - - 2011
BACKGROUND AND PURPOSE: Acute ischemic stroke due to tandem occlusions of the extracranial internal carotid artery and intracranial arteries has a poor natural history. We aimed to evaluate our single-center experience with endovascular treatment of this unique stroke population. METHODS: Consecutive patients with tandem occlusions of the internal carotid artery ...
Han Daniel K - - 2011
Mycobacterium tuberculosis is a rare cause of mycotic aortic aneurysms, which have been classically treated with a combination of antimycobacterial medical therapy and open surgery. Endovascular therapy has been gaining popularity as an alternative to open surgery for mycotic aneurysms. We report a case of a tuberculous mycotic aneurysm of ...
Keshelava Grigol - - 2011
Superficial venous aneurysms of the lower extremities are considered rare and their clinical significance is poorly defined. The pulmonary embolism arising from superficial venous aneurysms has been previously reported. In this article, we report two cases of great saphenous vein aneurysm that resulted in pulmonary embolism. Current treatment consists of ...
Silvestrini Mauro - - 2011
The aim of this 12-month prospective study was to establish whether severe internal carotid artery stenosis is associated with faster progression of the cognitive impairment in patients with Alzheimer's disease (AD). Four hundred and eleven patients with AD underwent extracranial carotid Doppler ultrasound evaluation. Cerebrovascular reactivity to hypercapnia was measured ...
Dahdouh Ziad - - 2011
Some severe calcified coronary lesions may resist the advancement of the stent despite rotational atherectomy and balloon predilation, when used via the transradial approach due to a lack of support of the guiding catheter and may require switching to the femoral approach. The latter is known to have better support ...
Iida Yasunori - - 2011
BACKGROUND: Revascularization of aortic arch vessels was performed with thoracic endovascular aortic repair (TEVAR) to preserve the endoprosthesis landing zone in 19 high-risk patients. METHODS: The operative procedure used was a bypass or transposition involving the common carotid and subclavian arteries. Homemade fenestrated stent-grafts, deployed in landing zone 0, were ...
Rich Norman M - - 2011
This article provides a brief historical review of treatment of vascular trauma. Although methods for ligation came into use in the second century, this knowledge was lost during the Dark Ages and did not come back until the Renaissance. Many advances in vascular surgery occurred during the Balkan Wars, World ...
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- ...
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