Search Results
Results 351 - 400 of 1303
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Toyofuku Mamoru - - 2011
Aims: Lesion location might influence the efficacy of the bifurcation two-stent approach relative to the one-stent approach. Methods and results: One-year outcomes after sirolimus-eluting stent (SES) implantation with the two-stent approach were compared to those with the one-stent approach in left main coronary artery (LMCA) bifurcation (945 lesions) and in ...
Drazin Doniel - - 2011
While endovascular techniques play a significant and expanding role in the management of basilar trunk aneurysms, open surgical clipping remains necessary in select cases. Expanded endonasal transclival approaches offer the advantage of direct access and visualization of the midline vertebrobasilar system, benefits ideally suited to a basilar trunk aneurysm. A ...
Samaniego Edgar A - - 2011
BACKGROUND AND PURPOSE: To describe a case of successful intracranial angioplasty and stenting of a symptomatic middle cerebral artery (MCA) stenosis using a transcervical approach. METHODS: A 73-year-old woman presented with several ischemic strokes in the left MCA distribution. A diagnostic cerebral angiogram demonstrated more than 80% stenosis of her ...
Noblett Karen L - - 2011
INTRODUCTION AND HYPOTHESIS: The primary objective was to determine the feasibility of a vaginal approach to sacrocolpopexy using a cadaver model. Secondary objectives were to measure the distance from the vaginal introitus to the sacrum and distances of the sacral fixation elements to other vital structures. METHODS: Fourteen fresh-frozen cadavers ...
Dunn Gavin P - - 2011
OBJECTIVE: To examine whether multiple aneurysms located in the anterior cerebral artery (ACA), middle cerebral artery (MCA), or internal carotid artery (ICA) could be treated through single-stage, ipsilateral dual craniotomies. METHODS: Investigators reviewed records of nine patients who underwent dual ipsilateral craniotomies through one incision for surgical treatment of multiple ...
Ho Anthony M-H AM Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Shatin, NT, Hong Kong - - 2012
Cannulation of the internal jugular vein (IJV) is traditionally performed using the central-longitudinal approach. Pneumothorax, carotid artery puncture, and failure to cannulate are uncommon, but by no means rare, complications. Ultrasound (US) guidance for IJV cannulation has reduced but not eliminated such complications. We herein introduce a new approach, coined ...
Lupaşcu Cristian - - 2011
Pancreaticoduodenectomy is the best treatment for the patients with malignant tumors of the pancreatic head. However, the procedure is also recommended in some benign pancreatic tumors. The posterior approach allows early dissection of the superior mesenteric artery, portal vein and retroportal pancreatic lamina, before any pancreatic or digestive transection. We ...
Zuo Xiangrong - - 2011
Iptakalim is a new ATP-sensitive potassium (KATP) channel opener, and it inhibits the proliferation of pulmonary arterial smooth muscle cells (PASMCs) and pulmonary vascular remodeling. However, the underlying mechanism remains unclear. In the present study, we found that iptakalim significantly decreased pulmonary artery pressure, inhibited pulmonary ariery remodeling and PKC-α ...
Etienne Pierre-Yves - - 2011
Techniques for transcatheter aortic valve implantation involve manipulation of the native aortic valve and the aortic arch. As a result, excellent technical outcomes of this technique remain counterbalanced by a level of neurologic complications that remain unacceptably high. We present here a report of a new potential combined approach to ...
Edgard-Rosa Grégory - - 2011
Study Design. Prospective studyObjective. To describe a midline anterior approach to the lumbar spine from the right side, below the aortic bifurcation to L5S1 and by mobilizing the vena cava from right to left between L2 and L5. Feasibility and complication rate related to the approach have been studied.Summary of ...
Syed Mubin I - - 2012
Subclavian stenting can be extremely difficult in a hostile type II aortic arch (with acute angulation of the subclavian artery origin) or type III aortic arch. This case illustrates use of a low-profile system to gain through-and-through (flossing) access through the brachial artery to facilitate stenting via the femoral approach. ...
Latson Larry A - - 2011
Surgical approaches to a single ventricle with absent infrahepatic segment of the inferior vena cava include a bidirectional Glenn and separate hepatic venous connection to the pulmonary arteries. If sites of insertion into the pulmonary arteries are widely separated, hepatic flow is directed to only one lung. Pulmonary arteriovenous malformations ...
Seifert Volker - - 2011
BACKGROUND: The management of complex paraclinoid aneurysms is still challenging. In this article we describe our approach to paraclinoid aneurysms, which has evolved over several years, using an exclusively intradural approach. METHOD: All procedures are done under continuous electrophysiological monitoring. A standard pterional approach is used to access the paraclinoid ...
Mewhort Holly E - - 2011
We describe a case of complete endovascular repair of the ascending aorta using a transfemoral approach. A 59-year-old man with a history of two previous sternotomies experienced an ascending aortic pseudoaneurysm arising from the graft-to-graft anastomosis of a previous DeBakey type I aortic dissection repair. A custom-made Zenith TX2 (William ...
Aykut Koray - - 2011
Abstract  Aim: We investigated the short and mid-term outcome of the transseptal approach to the mitral valve during multivalvular surgery. Methods: Within a three-year period ending in May 2010, we used the transseptal approach in performing mitral valve surgery in 62 patients. Procedures performed were: mitral valve replacement and tricuspid ...
Kim Sung-Kwan - - 2011
To evaluate the usefulness of percutaneous aspiration thromboembolectomy (PAT) via a transbrachial approach in patients with acute upper limb ischemia. From July 2004 to March 2008, eleven patients with acute upper limb ischemia were enrolled in this study. They were initially treated with thrombolysis (n = 1), PAT (n = ...
Volpicelli Giovanni - - 2012
Bedside focused echocardiography diagnosis of massive pulmonary embolism during cardiac arrest is mainly based on the detection of a dilated right ventricle, while the lack of compressibility of a deep vein of the lower limbs confirms diagnosis in doubtful cases. We describe a case of unusual sonographic signs in a ...
Arcidi Joseph M JM - - 2011
OBJECTIVE: Reoperative sternotomy to address mitral valve pathology carries substantial risk, especially with patent bypass grafts or an aortic valve prosthesis. We previously reported our early experience with minimally invasive right thoracotomy and peripheral cannulation as an alternative strategy, and we recently reviewed our cumulative 15-year hospital outcomes with this ...
Hoshiyama Koki - - 2011
Currently introduced retrograde approach may increase the success rate of percutaneous coronary interventions on chronic total occlusion (CTO) lesion. This article describes a case of CTO in the left circumflex artery (LCX), which did not allow the regular retrograde approach to deliver a guide wire. At first, a guide wire ...
O'Brien Noel - - 2011
Treatment of thoracoabdominal aortic aneurysms has traditionally been by means of open surgery, but in recent years endovascular approaches have emerged as a viable and perhaps superior alternative. Some confusion appears to exist in discussions in the literature regarding the exact definition of the various types of thoracoabdominal aneurysm depending ...
Syed Mubin I - - 2011
An adult male with nutcracker syndrome was treated successfully by placement of a self-expanding stent in the left renal vein via a right internal jugular vein approach with a provocative Valsalva maneuver. Previous case reports have described renal vein stenting for this condition via common femoral vein approach. However, this ...
Trehan Vijay - - 2011
Advancements in both pharmacological and mechanical approaches have taken place to deal with thrombus-containing lesions in the coronary tree. We describe a case wherein a totally occluded large ectatic right coronary artery with a large thrombus burden was successfully revascularized by a combined pharmacological-mechanical approach, resulting in complete disappearance of ...
Park Soonchan - - 2011
Since we reported about a landmark technique to reopen an occluded subclavian artery, we have faced difficulty in using protection devices in the vertebral artery to protect against thromboembolism from the reversed steal phenomenon after angioplasty and stenting. Therefore, we are presenting an optimal solution in using a protection device ...
Fang Hsiu-Yu - - 2011
A 79-year-old female was admitted to the hospital complaining of frequent chest pain. She was diagnosed with a non-ST segment elevation myocardial infarction. A thallium scan, echocardiogram, and angiography showed a left anterior descending artery chronic total occlusion. Externalization of retrograde wire was performed and replaced with a rota-floppy wire. ...
Lensvelt Mare M A - - 2011
The endoluminal femoropopliteal bypass is a minimally invasive treatment modality for occlusive superficial femoral artery disease. Technical failure of endovascular treatment of chronic total occlusions is often caused by the inability to re-enter the true lumen. Re-entry devices have a high technical success-rate, but increased procedural costs. We describe an ...
Gotte J M - - 2011
We report the case of a 75-year-old patient diagnosed with severe aortic stenosis and two-vessel coronary artery disease. Due to multiple comorbidities including chronic renal insufficiency, stroke and pulmonary hypertension (EuroSCORE: 34 %; STS mortality risk: 14.9 %), he was not a candidate for conventional aortic valve surgery. He underwent a novel ...
Lee Sungwon - - 2011
Isolated persistent left superior caval vein is a rare anomaly of the systemic venous return. We describe an unsuccessful pacemaker implantation through the right subclavian vein, which later turned out to be due to a venous anomaly. This case and some other cases show that with the help of a ...
Suh Jon - - 2011
A retrograde approach through collateral channels is thought to improve the success rate of percutaneous coronary intervention for chronic total coronary occlusion (CTO). Among CTO lesions, the in-stent chronic total reocclusion (ISR-CTO) is a subset with an unsatisfactory outcome despite repeated procedures. Various strategies and techniques are required to improve ...
Ramlawi Basel - - 2011
Aortic arch procedures have traditionally involved complex surgery with increased risk of mortality and morbidity. Throughout the last decade, however, novel and safe surgical approaches aimed at debranching the great vessels with definitive aortic arch repair have been developed. Currently, hybrid arch procedures allow for open or minimally invasive aortic ...
Quinney Brenton Ellisor - - 2011
Mycotic aneurysms are difficult clinical cases that can be approached by several methods. Debridement of infected tissue with in situ or extra-anatomic bypass is the traditional treatment. In poor operative candidates or reoperative cases, endovascular therapies can be an alternative. We present a 9-year-old with an ascending aortic mycotic aneurysm ...
Chien Shao-Ju - - 2011
OBJECTIVE: A transpulmonary arterial approach to repair type I ventricular septal defect is the standard. However, the possible adverse effect on the pulmonary valve by this technique has not been investigated. METHODS: A retrospective study reviewing type I ventricular septal defect repair from January 1991 to May 2010 was conducted. ...
Makino Ayako - - 2011
The pulmonary circulation is a low resistance and low pressure system. Sustained pulmonary vasoconstriction and excessive vascular remodeling often occur under pathophysiological conditions such as in patients with pulmonary hypertension. Pulmonary vasoconstriction is a consequence of smooth muscle contraction. Many factors released from the endothelium contribute to regulating pulmonary vascular ...
Kurata Akira - - 2011
Object The transvenous approach via the inferior petrosal sinus (IPS) is commonly used as the most appropriate for carotid-cavernous fistula (CCF) or cavernous sinus sampling. However, sometimes the IPS is not accessible because of anatomical problems and/or complications, therefore an alternative route is needed. In this paper, the authors present ...
Grenon S Marlene - - 2011
Effective endovascular treatment requires successful vascular access to reach the targeted lesion. When the targeted lesion is infrainguinal in location, the vascular access options include the ipsilateral antegrade femoral approach, the contralateral retrograde femoral approach, or the transbrachial approach. The contralateral retrograde femoral route remains the most commonly used approach ...
Butera Gianfranco - - 2011
Objectives: To evaluate the management of aneurysms associated with aortic coarctation by covered stent deployment. Aortic aneurysm formation complicating aortic coarctation carries a risk of rupture with high mortality rate. Surgical repair has a significant mortality and may be associated with central nervous system injury, including paraplegia. Transcatheter intervention alternatively ...
Campbell Michael J - - 2011
Spontaneous abdominal aortic dissection (AAD) with retrograde thoracic extension is an extremely rare occurrence with a high mortality. Abdominal aortic dissection can be associated with an abdominal aortic aneurysm (AAA) and the presence of an AAD with an AAA mandates surgical intervention because of a high rate of rupture. We ...
Furukawa Nobuyuki - - 2011
An isolated cleft of the mitral valve leaflet is rare cause of mitral regurgitation in adults. We report a successful minimally invasive mitral valve repair for severe mitral regurgitation caused by an isolated cleft of the anterior mitral leaflet. During the operation, we found a large cleft measuring 5 × ...
Fouilloux Virginie - - 2011
Left atrial decompression for patients under extracorporeal membranous oxygenation is sometimes mandatory, but it may be technically difficult. We describe a safe and minimally invasive technique to perform this while placing a small cannula antegradely in the pulmonary artery trunk.
Kan Chung-Dann - - 2011
The bi-atrial approach "in-situ" technique of vertical confluence to the left atrial repair avoids the risks of anastomosis site kinking and twisting for infracardiac-type total anomalous pulmonary venous connection reconstruction, but how to obtain the adequate left atrial orifice size is an important issue. Herein, we describe our vertical confluence ...
Vyas Chirayu - - 2011
Percutaneous transvenous mitral commissurotomy (PTMC) using Inoue technique through a right femoral vein approach (RFVA) is well established. Left femoral vein approach (LFVA) is traditionally contraindicated because of certain technical issues. We report a case of PTMC successfully done through this unusual approach, which should be reserved exclusively for cases ...
Cárdenes Rubén - - 2011
A new automatic approach for saccular intracranial aneurysm isolation is proposed in this work. Due to the inter- and intra-observer variability in manual delineation of the aneurysm neck, a definition based on a minimum cost path around the aneurysm sac is proposed that copes with this variability and is able ...
Dillman Jonathan R - - 2011
Vascular rings and pulmonary slings are congenital anomalies of the aortic arch/great vessels and pulmonary arteries, respectively, that commonly present early during infancy and childhood with respiratory and/or feeding difficulties. The diagnosis of these conditions frequently utilizes a multi-modality radiological approach, commonly utilizing some combination of radiography, esophagography, CT angiography ...
Masuda Naoki - - 2011
A 76-year-old male was admitted to our hospital for effort angina pectoris. His coronary computed tomography and coronary angiography revealed anomalous origins of the left anterior descending artery (LAD) from the proximal right coronary artery (RCA) and the left circumflex coronary artery (LCX) from the separate ostium in the right ...
Patel Tejas - - 2011
Development of a catheter knot is uncommon but still a matter of concern for a catheterizing cardiologist. There are only a few case reports of percutaneous catheter unknotting in the literature. We describe for the first time a case of catheter unknotting in a radial artery using a simple technique ...
Omran A S AS Department of Cardiac Sciences. King Abdulaziz Cardiac Center, National Guard Health Affairs, Saudi - - 2011
Mitral regurgitation (MR) is defined as the loss of the smooth and adequate trimming closure of the mitral valve, which results in the reflux of blood from the left ventricle into the left atrium during systole. The functional competence of the mitral valve relies on the proper and coordinated interaction ...
Hamzeh G - - 2011
The authors report a case of a neonate that was operated on with the diagnosis of right aortic arch and aberrant left subclavian artery and anomalous origin of right pulmonary artery from ascending aorta. Computed tomography (CT) scan suggested double aortic arch and cardiac catheterization suggested anomalous origin of right ...
Yashar Parham - - 2011
The treatment of basilar apex aneurysms has progressively become more minimalistic in nature. Although initial coil embolizations were geared towards those aneurysms with a favorable neck to dome ratio, wide necked aneurysms have also been increasingly treated by the endovascular route. Several techniques have been described in the stent assisted ...
Londoño Juan C - - 2011
Chronic total occlusions remain a technical challenge for interventional cardiologists. This group of lesions carries a decreased rate of success and continues to be an important reason for surgical revascularization. Recently, retrograde percutaneous coronary intervention of total occlusions via epicardial and septal perforators was introduced as an alternative approach when ...
Gooneratne Thushan Dhananja - - 2011
A 65-year-old woman, recently diagnosed with diabetes, presented with fever and a warm, pulsatile, tender mass over the medial aspect of her left thigh. She gave a history of diarrhea two weeks earlier. All lower limb pulses were present. CRP was 18.3 mg/l with evidence of neutrophil leukocytosis. Contrast angiography demonstrated ...
Reddy Ramachandra C - - 2011
Off pump coronary artery bypass grafting remains an important technique particularly in the care of high-risk patients. Consistently successful adoption of this technique requires a cooperative team approach and standardization across all phases of patient care. This review describes our approach to off pump coronary surgery.
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