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Takeda Akihiro A Department of Obstetrics & Gynecology, Gifu Prefectural Tajimi Hospital, Tajimi, Gifu, Japan. Electronic address: - - 2014
Uterine artery pseudoaneurysm is a rare potentially life-threatening complication after myomectomy. Its clinical characteristics and management, and the outcomes of subsequent pregnancy, are not well understood. The purpose of this study was to clarify these important issues. Retrospective analysis of a case series of uterine artery pseudoaneurysm detected after laparoscopic-assisted ...
Sarno Laura L Department of Neuroscience, Reproductive and Dentistry Sciences, University Federico II, Naples, - - 2014
To assess if there is a relationship between maternal Body Mass Index and Umbilical Artery Doppler velocimetry in physiologic pregnancies. Healthy pregnancy women, referred to our center at or before 32 weeks of gestation, were recruited. According to Body Mass Index, they were divided into underweight (BMI <18.5), normal weight (BMI ...
Ashford Eric J EJ Department of Anesthesiology, University of Kentucky, College of Medicine, 800 Rose St., Lexington, KY 40536, USA. Electronic address: - - 2014
A multidisciplinary approach to the preterm delivery of a preeclamptic parturient with severe left ventricular (LV) noncompaction and pulmonary hypertension using transesophageal echocardiography (TEE) as a monitor of hemodynamic status in lieu of a pulmonary artery catheter during general anesthesia for Cesarean section is presented. This case adds to the ...
Minas Vasileios V Department of Obstetrics and Gynaecology, Wirral University Teaching Hospital, Wirral, CH49 5 PE, UK, - - 2014
The management of women with abnormally invasive placenta remains one of the most challenging aspects of obstetric care. Various surgical and interventional radiological techniques have been developed to limit the risk of massive haemorrhage at caesarean section. Here we describe our experience with three such cases that required caesarean hysterectomy ...
Robinson Luke L Department of Orthopaedic Surgery, University of Louisville School of Medicine, Louisville, KY, USA. Electronic address: - - 2014
Open reduction and internal fixation of the clavicle is used to treat displaced fractures of the midshaft of the clavicle. Complications of operative intervention include injuries to major neurovascular structures including the subclavian artery and vein. Unlike other surgical approaches, palpation or visualization of the deep neurovascular structures at risk ...
Juneja Sunil K SK Department of Obstetrics and Gynaecology, Dayanand Medical College and Hospital, Ludhiana, Punjab, - - 2014
Peripartum hysterectomy was the gold standard to save a woman with persistent obstetrical bleeding, but compromised the menstrual and reproductive functions. Bilateral internal iliac artery ligation (BIAL) is a potentially effective, fertility preserving means of controlling pelvic hemorrhage, but with surgical and anesthetic risks and low success. Angiographic embolization has ...
Guedes-Martins Luís - - 2014
Despite the known effects of neuraxial blockade on major vessel function and the rapid decrease in uterine vascular impedance, it is unclear how the blockade affects the utero-placental circulation in the near-term. We hypothesize that among women with chronic hypertension, a loss of sympathetic tonus consequent to spinal block may ...
Mari L L Department of Veterinary Sciences for Health, Animal Production and Food Safeness V.E.S.P.A., Faculty of Veterinary Medicine, University of Milan, Milan, - - 2014
Detailed knowledge of the vascular anatomy is important for improving surgical approaches to the liver. Twelve canine livers were skeletonized to describe the anatomy of their portal and hepatic veins in details. Our data suggest that the liver can be divided into two sections, three divisions, seven lobes and two ...
El Amrani Mehdi M 1 Department of Gastrointestinal Surgery and Transplantation, Lille University and Hospital, France ; 2 Department of Pathology, 3 Department of Radiology, 4 Gastroenterology Unit, Hôpital Huriez, Lille University and Hospital, - - 2014
A replaced right hepatic artery (RHA) is the most common anatomical variation in pancreatic surgery. The RHA is frequently encountered and can be problematic in pancreatic carcinoma. The preservation of the RHA is necessary to avoid ischemic complications but can impact margins resection in pancreaticoduodenectomy (PD). We report a case ...
Iida T T Division of Hepato-Biliary-Pancreatic and Transplant Surgery, Department of Surgery, Graduate School of Medicine, Kyoto University, Kyoto, - - 2014
Hepatic arterial reconstruction during living donor liver transplantation (LDLT) is a very delicate and technically complicated procedure. Post-LDLT hepatic arterial complications are associated with significant morbidity and mortality. We retrospectively analyzed the details of postoperative hepatic arterial complications in 673 consecutive adult LDLT recipients between January 1996 and September 2009. ...
Bilger A A Service d'Anesthésie-Réanimation, Hôpital de Hautepierre, Strasbourg, France. Electronic address: - - 2014
We report the case of a 36-year-old woman with inferior vena cava thrombosis and extensive pulmonary embolism six days after a severe postpartum haemorrhage. She had undergone caesarean section with bleeding managed by massive transfusion, hysterectomy, and two attempts at uterine artery embolization. Systemic thrombolysis and catheter-directed thrombolysis in intensive ...
Uchiyama Hideaki H 1 Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan. 2 Address correspondence to: Hideaki Uchiyama, Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu, University, Fukuoka, 812-8582, - - 2014
Hepatic grafts used in living donor liver transplantation (LDLT) sometimes have two or more arteries, in which surgeons are required to perform complex arterial reconstruction. The aim of the current study was to demonstrate whether selecting living donor liver grafts with double or triple arteries yielded the same outcomes as ...
Ezhumalai Babu B Department of Cardiology, Sri Venkateshwaraa Medical College Hospital and Research Centre, Puducherry, India. Electronic address: - - 2014
There are not many studies describing the prevalence and pattern of "coronary artery disease" (CAD) in women undergoing "coronary angiography" (CAG). Hence, uncertainty thrives with regard to the angiographic prevalence and pattern of CAD in women. Our objective was to study the prevalence and pattern of CAD among women undergoing ...
Iswanto Sucandy S Department of Surgery, Abington Memorial Hospital, Abington, Pennsylvania, - - 2014
Delayed intra-abdominal bleeding related to hepatic artery pseudoaneurysm is a potentially lethal complication after pancreaticoduodenectomy for pancreatic cancer. Locally advanced tumors, which result in vessel erosion or extensive operative skeletonization, may contribute to weakness of the arterial wall. Reoperation is often technically difficult with high rate of mortality; therefore, alternative ...
Violari Elena G EG Department of Radiology, Interventional Radiology Service, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA, - - 2014
No systemic agents that are known to be effective for the treatment of solid-pseudopapillary neoplasm (SPN) are available. We report the prolonged and sustained control of metastatic pancreatic SPN to the liver using hepatic arterial embolization (HAE), where a total of 13 HAE sessions were performed over a 6-year period.
Hayashi H H Division of Cancer Medicine, Department of Gastroenterologic Surgery, Graduate School of Medical Science, Kanazawa University, Kanazawa, Japan. Electronic address: - - 2014
Anatomical variations around the hepatoduodenal ligament greatly influence surgical procedures and the difficulty of operations. Here, we report the case of a deceased donor with midgut malrotation (MgM) and anatomical variation. We also present an anatomical comparison between MgM and normal cases. The donor, a male in his 60s, was ...
Makabe Kenji K Department of Surgery, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, Iwate, 020-8505, - - 2014
The important point in safely performing laparoscopic hepatectomy (LH) is to control bleeding. The aims of this study were: (i) to assess the bleeding reduction effect by occlusion of the hepatic artery in LH; and (ii) to evaluate the risk of carbon dioxide (CO2 ) gas embolism (GE) in the ...
Kline Timothy L TL Departments of Radiology, Mayo Clinic College of Medicine, Rochester, MN, - - 2014
The liver differs from other organs in that two vascular systems deliver its blood - the hepatic artery and the portal vein. However, how the two systems interact is not fully understood. We therefore studied the microvascular geometry of rat liver hepatic artery and portal vein injected with the contrast ...
Singh Badal B Department of Anatomy, M. L. N. Medical College, Allahabad, Uttar Pradesh, - - 2014
Vascular anomalies are frequently encountered in abdomen. But they are usually asymptomatic and diagnosed accidently during angiography or surgery leading into severe complications. Thus knowledge of angioarchitecture in abdomen, whether normal or variant, is considered prerequisite for successful, uncomplicated surgeries and interventional radiology. This case report describes one of such ...
Ardeleanu V - - 2014
In classical anatomic variants, the proper hepatic artery (PHA)continues the common hepatic artery (CHA) after the gastroduodenal artery (GDA) detaches itself and divides into theright hepatic artery (RHA) and left hepatic artery (LHA), theproper hepatic artery being located to the left of the hepatocholedochalduct (HCD). This paper presents an abnormalpositioning ...
Wan Chih-Chen CC Department of Radiology, Shuang Ho Hospital, Taipei Medical - - 2014
This case focused on a 66-year-old woman, who was a hepatitis B carrier with Barcelona Clinic Liver Cancer stage B hepatocellular carcinoma (HCC). She had a history of left hepatectomy and three transcatheter arterial chemoembolization (TACE) procedures for her recurrent HCCs. Recently, she underwent the fourth course of TACE (a ...
De Baere T T Département de Radiologie Interventionnelle, Institut Gustave-Roussy, 39, rue Camille-Demoulins, 94905 Villejuif, - - 2014
The principle underlying administration of hepatic arterial chemotherapy (HACT) is to increase the local concentration of cytotoxic chemotherapy while limiting systemic toxicity. The chemotherapy agent is infused into the hepatic artery distal to branches that serve the stomach, duodenum, and pancreas. The intra-arterial catheter is connected to a subcutaneously implanted ...
Ogi Takahiro T Department of Radiology, Kanazawa University Graduate School of Medical Science, 13-1 Takaramachi, Kanazawa 920-8640, Japan. Electronic address: - - 2014
To evaluate the feasibility and effectiveness of transcatheter embolization by forcible intraarterial injection of a mixture of ethylene vinyl alcohol copolymer (EVAL) and ethanol under microballoon occlusion compared with conventional transcatheter arterial embolization methods in nontumoral swine liver. Nine swine were divided into three groups: embolization with EVAL/ethanol mixture (EVAL ...
Powerski Maciej J MJ Department of Radiology, Charité - Universitätsmedizin Berlin, Berlin, - - 2014
Prior to radioembolization (RE) treatment of malignant liver lesions, many interventionalists occlude the right gastric artery (RGA), the cystic artery (CA), and the gastroduodenal artery (GDA) to prevent radioactive microspheres from entering non-target vessels. To systematically analyze anatomic variants of arteries that are important to know for the interventional radiologist ...
Ramachandran Priya P Department of Pediatric Surgery, Kanchi Kamakoti Child Trust Hospital and Child Trust Medical Research Foundation, 12A, Nageswara Road, Nungambakkam, Chennai, 600034, India, - - 2014
Congenital arterioportal fistulae in the liver are rare malformations which can lead to portal hypertension. We report a hepatic arterioportal fistula in a neonate who presented with intestinal hypoperfusion. Computerised tomography angiography showed a fistulous communication between the left hepatic artery and portal vein with hypoperfusion of small and large ...
Wang Hong H Department of Ultrasound, West China Hospital of Sichuan University, Chengdu, - - 2014
The rhesus monkey liver disease model provides useful information for hepatic research, as studies of hepatic hemodynamics in humans are rare. A 3-9 MHz high-frequency linear transducer (iU22, Philips Medical Systems, Royal Philips Electronics, The Netherlands) was used to obtain ultrasonograms of the livers of 28 normal rhesus monkeys (16 ...
Mendes Vanessa Marron VM Université Libre de Bruxelles (ULB), 1000 Brussels, - - 2014
The vascular anatomy of the liver is subjected to many variations. Aberrant hepatic artery is not an uncommon finding during visceral surgery; however, topographic variations are less reported in the literature. Prebiliary artery crossing anteriorly to the common hepatic duct was firstly reported in 1984. We present here a case ...
Higashiyama Hiroshi H Department of Surgery, Shinko Hospital, Kobe, Japan. Electronic address: - - 2013
Dissecting hepatic artery aneurysm caused by an isolated spontaneous celiac artery dissection is a life-threatening condition with only 5 cases reported previously. We report a successful resection and revascularization of all affected arteries with an inferior mesenteric vein graft in a 59-year-old asymptomatic man with a large dissecting common and ...
Polguj MichaƂ - - 2013
Familiarity with the different anatomical variations of the arterial supply of the gallbladder and liver is of great importance in all hepatobiliary surgical procedures. A complex anomaly of the hepatobiliary arterial system, which has never been reported before, was found during anatomical dissection of a 73-year-old male Caucasian cadaver. The ...
Morishita Naoki - - 2013
A 48-year-old man with locally advanced pancreatic cancer underwent combined treatment with gemcitabine and proton radiation therapy. Because of subsequent obstruction of the common bile duct, a metallic biliary stent was placed and he received further gemcitabine chemotherapy. During chemotherapy, he developed an acute abdomen with a sudden-onset of tarry ...
Niknam Ramin R Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, - - 2013
Acute cholangitis (AC) is commonly observed in general practice with different causes. We report a case of recurrent AC caused by anomaly of the right hepatic artery, as a rare underlying condition.
Pereira Fernanda Maria Fernández - - 2013
In hepatosplenic schistosomiasis occurs diffuse hepatic fibrosis associated with venous congestion of the portal system resulting in hepatosplenomegaly. It can produce digestive hemorrhage caused by rupture of esophageal and stomach varices or peptic gastroduodenal mucosal lesions. To study the effects of splenectomy and ligature of the left gastric vein on ...
Celik Mine M Department of Anesthesiology and Reanimation, Atatürk University Faculty of Medicine, Erzurum, - - 2013
Mitral stenosis is the most important and common cardiac complication seen during pregnancy. Conception is discouraged in cases where pulmonary hypertension develops during the course of mitral stenosis. Successful general and regional anaesthetic interventions have been reported in some cases of severe pulmonary hypertension. We present our experiences with anaesthetic ...
Julka Karan D - - 2013
Liver grafts can at times have two hepatic arterial stumps. This can result in a dilemma whether to reconstruct single or both the arteries. Hepatic artery (HA) thrombosis is the most dreaded complication in pediatric living donor liver transplantation (LDLT) as it can result in biliary complications and subsequent graft ...
Tam Alda L - - 2013
The VX2 rabbit model of liver cancer is commonly used to evaluate the efficacy of locoregional anticancer therapy and knowledge of the hepatic arterial anatomy in the rabbit is important for catheter-directed experiments. To describe the normal anatomy and anatomic variations of the celiac axis and hepatic artery in the ...
Yagi Yoshida Rie - - 2013
Abstract Massive hemobilia caused by hepatic artery pseudoaneurysm is an uncommon but potentially fatal complication that can occur after biliary intervention. Previous intervention or surgery, atherosclerotic disease, inflammation and even anatomic variants may make the pseudoaneurysm inaccessible to transcatheter approach, therefore it is not always feasible. The present report describes ...
Fatic Nikola - - 2013
This paper reviews an interesting but unusual case related to a common hepatic artery aneurysm presented 30 years after Billroth's II resection. A 65 year-old male with epigastric pain 10 kg of weight loss in the final six months was referred at our attention. Computed tomography revealed the presence of ...
Chhabra Rajiv - - 2013
To determine the association of coronary artery calcification with hepatic steatosis in asymptomatic volunteers. The study group comprised 400 asymptomatic volunteers, enrolled from April 1, 2011, to September 30, 2012, without known coronary artery disease who were self-referred for screening noncontrast computed tomography to determine coronary calcium score (CCS). Computed ...
Sofue Keitaro - - 2013
A 68-year-old man with cholangiocarcinoma underwent percutaneous transhepatic portal embolization to expand the indication for hepatic resection. Selective right posterior portography revealed an intrahepatic portosystemic venous shunt (IPSVS) connecting the segment VII branch to the right hepatic venous branch. An infusion of 50 % glucose solution was given to occlude the ...
Akamatsu Nobuhisa - - 2013
Background: Recent advances in liver surgery have highlighted the effect of splenic circulation on hepatic circulation with regard to the hepatic arterial buffer response. The aim of the present study was to investigate the actual hemodynamic effect of splenic artery embolization/ligation and splenectomy on hepatic circulation in an in-vivo experimental ...
Lone Reyaz Ahmed - - 2013
We report on an emergent use of hepatic-to-azygous vein connection using a 10-mm polytetrafluoroethylene graft in a 6-year-old girl who developed acute thrombosis of an extracardiac graft conduit from the hepatic veins to the pulmonary arteries. She had left atrial isomerism, interrupted inferior vena cava with azygous continuation, and had ...
Miraglia Roberto - - 2013
Hepatic artery thrombosis is a major problem after pediatric liver transplantation. Ischemia caused by hepatic artery thrombosis results in severe biliary and parenchymal damage and is associated with high rates of graft loss and mortality. We present a case-based pictorial essay to illustrate the role of minimally invasive treatment in ...
Dinan David - - 2013
Replaced right hepatic artery is a well-described normal anatomical variant, not previously associated with acute or chronic abdominal symptoms or long-term sequelae. We report a 15-year-old girl presenting with nearly a decade of symptoms secondary to external compression of the proximal duodenum by the ventral passage of a replaced right ...
Nayak Satheesha Badagabettu - - 2013
Vascular variations in and around the porta hepatis are common. A sound knowledge of possible variations at these sites is vital for surgeons during laparoscopic cholecystectomy and surgical resection of the liver lobes. We report the case of several variations of the hepatic and cystic arteries in which, the common ...
Marubashi Shigeru - - 2013
In partial liver transplantation, reconstruction of the hepatic artery is technically highly demanding and the incidence of arterial complications is high. We attempted to identify the risk factors for anastomotic complications after hepatic artery reconstruction and examined the role of multidetector-row computed tomography (MDCT) in the evaluation of the reconstructed ...
Kayaci Selim S Department of Neurosurgery, Faculty of Medicine, Recep Tayyip Erdogan University, Rize, Turkey. Electronic address: - - 2013
The purpose of this study is to examine the perforating arteries (PAs) in the proximal part of the posterior inferior cerebellar artery (PICA) for surgical approaches to the brain stem and fourth ventricle, and to stress their importance in microsurgical procedures. Twenty-six adult cadaver obtained from routine autopsies were used. ...
Cavalcante Rafael Noronha - - 2013
Hepatic artery aneurysms are uncommon and account for 20% of visceral aneurysms. Some authors consider endovascular procedures as the first line treatment for most hepatic artery aneurysms, being the conventional surgery reserved for unstable ruptured aneurysms or if the anatomy is unsuitable for endovascular repair. In this report, we describe ...
Odabasi Mehmet - - 2013
Abstract Hepatic artery aneurysms are responsible for 12% to 20% of all visceral arterial aneurysms. Because most patients are asymptomatic, this disease is generally diagnosed incidentally during radiologic examination. Aneurysm rupture develops in 14% to 80% of cases, depending on the aneurysmatic segment's diameter and location, as well as other ...
Wadhwa Surbhi - - 2013
Variations in celiac and hepatic vasculature are common and reported in one in five individuals. We report a rare case of a retroportal proper hepatic artery arising from a celiac trunk with quadruple branching associated with an intraperitoneal duodenum, pancreas and ascending colon. In addition, accessory left hepatic artery arose ...
Munene Gitonga - - 2013
BACKGROUND: The role of portal vein embolization to increase future liver remnant (FLR) is well-established in the treatment of colorectal liver metastases. However, the role of hepatic vein embolization is unclear.Case report: A patient with colorectal liver metastases received neoadjuvant chemotherapy prior to attempted resection. At the time of resection ...
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