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Results 501 - 550 of 2153
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Kang Ho-Jun - - 2013
Keyhole craniotomy is a modification of pterional craniotomy that allows for use of a minimally invasive approach toward cerebral aneurysms. Currently, mini-pterional (MPKC) and supraorbital keyhole craniotomies (SOKC) are commonly used. In this study, we measured and compared the geometric configurations of surgical exposure provided by MPKC and SOKC. Nine ...
Ruano Rodrigo - - 2013
Objectives To estimate the accuracy of the quantitative lung index and contralateral lung area for prediction of the neonatal outcome in isolated congenital diaphragmatic hernia in comparison to other available prediction models. Methods Between January 2004 and December 2010, 108 fetuses with isolated (82 left-sided and 26 right-sided) congenital diaphragmatic ...
Cheng Ye - - 2013
The shape and position of the cavernous segment of the internal carotid artery (CSICA) are complicated, which makes the surgeries around it difficult. There were many reports about the primary event of internal carotid artery injury resulting in hemorrhage during transsphenoidal resection of pituitary tumors. The anatomical relationship between CSICA ...
Chiu Kuan-Ming - - 2013
For cardioplegia delivery and removing air from the aorta in minimally invasive mitral valve operations, we would like to propose a cost-effective pigtail method. The 8F pigtail punctures the aorta, delivers cardioplegia, and stays in place for removing air from the aorta. We then slide its tip out of the ...
Clevert D A - - 2013
PURPOSE: To evaluate the feasibility of the classification of endoleaks following endovascular aortic aneurysm repair using the time-to-peak of the contrast agent in CEUS examinations. MATERIAL AND METHODS: In this retrospective study, a cohort of 171 patients with a total of 489 CEUS follow-up examinations after EVAR were included. In ...
Sadasivan Chander - - 2013
Endovascular coiling of cerebral aneurysms remains limited by coil compaction and associated recanalization. Recent coil designs which effect higher packing densities may be far from optimal because hemodynamic forces causing compaction are not well understood since detailed data regarding the location and distribution of coil masses are unavailable. We present ...
Yan Tristan D - - 2013
Considered a standard part of aortic arch surgery, hypothermia can sufficiently reduce cerebral metabolic demand to permit reasonable periods of circulatory arrest. Yet despite its ubiquitous application and critical importance, temperature classification in hypothermic circulatory arrest is still without clear definition. The following Consensus from experts in high-volume aortic institutions ...
García Alberto - - 2013
The study of the mechanical properties of swine carotids has clinical relevance because it is important for the appropriate design of intravascular devices in the animal trial phases. The inelastic properties of porcine carotid tissue were investigated. Experimental uniaxial cyclic tests were performed along the longitudinal and circumferential directions of ...
Foin Nicolas N International Centre for Circulatory Health, Imperial College London, London, United Kingdom. - - 2013
Left main stenting is increasingly performed and often involves deployment of a single stent across vessels with marked disparity in diameters. Knowing stent expansion capacity is critical to ensure adequate strut apposition after post-dilatation of the stent has been performed. Coronary stents are usually manufactured in only two or three ...
Pereira V M VM Interventional Neuroradiology Unit, Neuroradiology Service, University Hospital of Geneva, Geneva, Switzerland. - - 2013
Ruptured cerebral arteriovenous malformations (AVMs) usually require treatment to avoid re-bleeding. Depending on the angioarchitecture and center strategy, the treatment can be surgical, endovascular, radiosurgical or combined methods. The classic endovascular approach is transarterial, but sometimes it is not always applicable. The transvenous approach has been described as an alternative ...
Teli Chandrika Gurulingappa CG Assistant Professor, Department of Anatomy, Meenakshi Medical College and R.I. , Kanchipuram, Tamilnadu, India - - 2013
To reveal the variations of the iliolumbar artery and the iliolumabar veins and their correlation with the surrounding important structures. We dissected the iliolumbar region bilaterally in 20 formalin-fixed adult cadavers. The diameter of the iliolumbar artery at its origin, its length up to the branching point, the distance between ...
Joshi M D - - 2013
BACKGROUND AND PURPOSE:Novel angiographic grading scales for the assessment of intracranial aneurysms treated with flow-diverting stents have been recently developed because previous angiographic grading scales cannot be applied to these aneurysms. The purpose of this study was to evaluate the inter- and intraobserver variability of the novel O'Kelly Marotta grading ...
Kroszczynski Andrzej C - - 2013
BACKGROUND: Transforaminal epidural steroid injection (TFESI) is a widely utilized interventional pain technique for radicular pain. Although the six o'clock position of the pedicle in the so-called "safe triangle" has been used as a target location, there have been a number of reported catastrophic complications of this procedure, including paraplegia. ...
Jones Anne - - 2013
BACKGROUND: Obstructive sleep apnoea-hypopnoea syndrome (OSAHS) is associated with increased cardiovascular morbidity and mortality. Our study examined arterial stiffness and endothelial function in subjects with OSAHS with no known cardiovascular disease compared to well-matched controls. METHODS: Twenty subjects with OSAHS (defined as apnoea-hypopnoea index [AHI] ⩾15 and Epworth Sleepiness Scale ...
Arepally Aravind - - 2013
PURPOSE: To demonstrate in a porcine model that reflux during embolotherapy can be relatively quantified (ie, as embolization efficiency) and that nontarget embolization can be eliminated by using an antireflux microcatheter. MATERIALS AND METHODS: Renal artery embolization was performed with radiopaque tantalum microspheres (concentration of 1 g/20 mL) in three ...
Pierre L L Department of Cardiothoracic Surgery, Skåne University Hospital, Lund University, Lund, - - 2013
The method of ex vivo lung perfusion (EVLP) has been suggested as a reliable means of differentiating between "good" and "poor" pulmonary grafts in marginal donors as, when grafts identified as good by this method are transplanted, the results do not differ from those using lungs fulfilling standard criteria. The ...
Ijichi Takeshi - - 2013
Minimizing catheter size can reduce bleeding complications in coronary angiography (CAG). We herein report extreme slender "needle size" (19-G) coronary diagnostic catheterization using a new 3-Fr diagnostic catheter by sheathless method. A 58-year-old man having effort angina underwent coronary angiography. The 3-Fr Ikari Left (IL) diagnostic catheter, which is equal ...
Hull Jeffrey E - - 2013
OBJECTIVE: The goal of this research was to compare side-to-side (STS) and end-to-side (ETS) anastomoses in a computer model of the arteriovenous fistula with computational fluid dynamic analysis. METHODS: A matrix of 17 computer arteriovenous fistula models (SolidWorks, Dassault Systèmes, France) of artery-vein pairs (3-mm-diameter artery + 3-mm-diameter vein and 4-mm-diameter ...
He Yizheng - - 2013
INTRODUCTION: In patients with programmable CSF shunt valves, the risk of unintentional valve adjustment associated with the environmental magnetic influence is ever present. We tested whether the iPad 3 with Smart Cover is capable of changing the setting of individual programmable valves ex vivo using direct fluoroscopic visualization. METHODS: The ...
Bellofiore Alessandro A Department of Biomedical Engineering, University of Wisconsin-Madison, 2146 Engineering Centers Building, 1550 Engineering Drive, Madison, WI 53706, - - 2013
The right ventricle (RV) is a pulsatile pump, the efficiency of which depends on proper hemodynamic coupling with the compliant pulmonary circulation. The RV and pulmonary circulation exhibit structural and functional differences with the more extensively investigated left ventricle (LV) and systemic circulation. In light of these differences, metrics of ...
Bueschel Philip - - 2013
BACKGROUND: Aneurysms of visceral arteries are rare, but in case of rupture, they are potentially life threatening. In addition, there is a broad spectrum of the anatomic variability for the arterial supply of the liver. METHODS: Based on a real but very rare clinical case, including its diagnostic management and ...
Schelfaut Sebastiaan - - 2013
STUDY DESIGN:: A case report of rotational vertebral artery syndrome (RVAS) and surgical treatment. OBJECTIVE:: To illustrate a safe treatment option of RVAS with diminished risk of iatrogenic damage to the vertebral artery. SUMMARY OF BACKGROUND DATA:: RVAS is an uncommon cause of symptomatic transient vertebrobasilar insufficiency induced by physiologic ...
Fujimoto Motoaki - - 2013
OBJECTIVES: Endovascular treatment with the Wingspan Stent is frequently associated with in-stent restenosis at the curved portion, leading to late-phase stroke. To explore the cause of stroke complications after treatment with the Wingspan Stent, we simulated the biomechanical responses at a curved arterial segment using the finite element method. METHODS: ...
Nusmeier A - - 2013
BACKGROUND: /st>The transpulmonary thermodilution (TPTD) technique is widely used in clinical practice for measuring cardiac output (CO). This study was designed to investigate the influence of various levels of pulmonary oedema on the reliability of CO measurements by the TPTD method. METHODS: /st>In 11 newborn lambs pulmonary oedema was induced ...
Ou Ming-Ching - - 2013
PURPOSE: To evaluate the efficacy of estimating the volume of spleen embolized in partial splenic embolization (PSE) by measuring the diameters of the splenic artery and its branches. MATERIALS AND METHODS: A total of 43 liver cirrhosis patients (mean age, 62.19±9.65 years) with thrombocytopenia were included. Among these, 24 patients ...
Hamidi-Manesh Laila - - 2013
BACKGROUND: Transcatheter balloon aortic valvuloplasty has become the first-line treatment for critical or severe aortic stenosis in neonates in many centers. Aortic regurgitation following balloon aortic valvuloplasty remains a major concern. An optimal balloon size to aortic annulus ratio in order to minimize aortic regurgitation postprocedure, while relieving the obstruction, ...
Pfenniger Alois - - 2013
Most medical implants run on batteries, which require costly and tedious replacement or recharging. It is believed that micro-generators utilizing intracorporeal energy could solve these problems. However, such generators do not, at this time, meet the energy requirements of medical implants.This paper highlights some essential aspects of designing and implementing ...
Matsubara Shigeki S Departments of Obstetrics and Gynecology, Jichi Medical University, Shimotsuke, Japan. - - 2013
For cesarean hysterectomy with placenta previa accreta, "universally achievable" measures are required. We propose eight measures: (i) placement of intra-iliac arterial occlusion balloon catheters; (ii) placement of ureter stents; (iii) "holding the cervix" to identify the site to be transected; (iv) uterine fundal incision; (v) avoidance of uterotonics; (vi) "M ...
Abou Taam Salam - - 2013
BACKGROUND: Aortic clamping time needed to carry out anastomosis during aortic surgery is one of the major predictive factors of morbidity/mortality. Because of the difficulties inherent in this technique, the duration of aortic clamping can be increased significantly with laparoscopy, which may explain why this kind of surgery is not ...
Wong Dennis T L - - 2013
BACKGROUND: Coronary computed tomography angiography (CCTA) has limited specificity for predicting functionally significant stenoses. Recent studies suggest that contrast gradient attenuation along an arterial lesion, or transluminal attenuation gradient (TAG), may provide assessment of functional significance of coronary stenosis. The use of 320-detector row computed tomography (CT), enabling near isophasic, ...
Huded Vikram - - 2013
A 54-year-old man presented with recurrent episodes of transient ischemic attacks and acute stroke secondary to a floating thrombus in the right vertebral artery (VA) with narrowing of the right VA. He was initially treated medically with anticoagulation, antiplatelets and statins but developed multiple fresh infarcts. He was then referred ...
Fukazawa Keiji - - 2013
OBJECTIVE: While rupture of cerebral aneurysms typically occurs at the fragile wall at the apex or pole, some aneurysms rupture through the body or the neck. The purpose of this study was to clarify the association between aneurysm rupture points and hemodynamic features through the use of computational fluid dynamics ...
Unzué Leire - - 2013
The optimal percutaneous treatment strategy for coronary bifurcation lesions is still unknown. Several dedicated coronary bifurcation stents, such as the Tryton Side Branch Stent (TM) (Tryton Medical, Durham, NC, USA) have been developed to improve clinical outcomes. We present a double bifurcation lesion case treated with two Tryton sidebranch stents, ...
Ito Joji - - 2013
OBJECTIVES: We evaluated the utility of novel simulator for off-pump coronary artery bypass grafting for surgical residents. METHODS: The novel simulator system "BEAT, YOUCAN" has 2 components. (1) A pink disposable silicone vessel model having a 3-layer structure mimicking the internal mammary artery. The disposable silicone vessels mimicking the coronary ...
Yokoyama Shinya - - 2013
We report a successful one-stage biventricular repair of truncus arteriosus communis with interrupted aortic arch in a neonate. This newborn girl was diagnosed with truncus arteriosus communis type III-B (Congenital Heart Surgeons Society classification) by the echocardiography and three-dimensional computed tomography. We present a new reconstructive approach for such heart ...
Guneyli Serkan - - 2013
To investigate possible protrusions through stent cells, and the factors affecting protrusions after carotid angioplasty and stenting (CAS). This ex-vivo clinical study was performed between July 2010 and August 2011 at the Department of Radiology, Ege University School of Medicine, Izmir, Turkey. After approval by the Institutional Board, 15 successive ...
Claiborne Thomas E - - 2013
Calcific aortic valve disease is the most common and life threatening form of valvular heart disease, characterized by stenosis and regurgitation, which is currently treated at the symptomatic end-stages via open-heart surgical replacement of the diseased valve with, typically, either a xenograft tissue valve or a pyrolytic carbon mechanical heart ...
Lee Won-Jeong - - 2013
The purpose of this study was to evaluate the relationship of pulmonary function impairment (PFI) and coronary artery calcification (CAC) by multi-detector computed tomography (MDCT), and the effect of pneumoconiosis on CAC or PFI. Seventy-six subjects exposed to inorganic dusts underwent coronary artery calcium scoring by MDCT, spirometry, laboratory tests, ...
Sait Doğan Mehmet - - 2013
Aim To evaluate the eficacy of the Cardiac Magnetic Resonance Perfusion (CMRP) method in detection of Coronary Artery Disease (CAD) by comparing CMRP indings with the results of Coronary Computed Tomography Angiography (CCTA) or Catheter Coronary Angiography (CCA). Methods Thirty one patients in whom CMRP was performed along with CCTA ...
Mahnken Andreas H - - 2013
BACKGROUND: Aortic thrombi in the ascending aorta or aortic arch are rare but are associated with a relevant risk of major stroke or distal embolization. Although stent grafting is commonly used as a treatment option in the descending aorta, only a few case reports discuss stenting of the aortic arch ...
Bassano Carlo - - 2013
Several methods have been proposed to avoid cerebral damage during aortic arch surgery. Antegrade, bilateral, selective cerebral perfusion is probably the most efficient one, although it has some drawbacks, such as air or particulate embolism risk, limitation in operative field visibility, and interactions with surgical maneuvers. We describe a surgical ...
Teitelbaum Aaron A AA Schulich Heart Centre, Sunnybrook Health Sciences Centre, 2075 Bayview Avenue, Toronto, ON, - - 2013
Percutaneous revascularisation of chronic total occlusions (CTO) is limited by failure of guidewire crossing. Neovascularisation within the proximal CTO segment may be important for guidewire crossing and dramatically declines in CTO beyond six weeks of age. The aims of the current study were to determine whether local delivery of a ...
Bozkurt A - - 2013
Woven coronary artery is an extremely rare and not clearly defined congenital malformation in which the epicardial coronary artery is divided into multiple thin channels. These multiple channels merge again into a normal conduit. This anomaly is a benign condition because there is normal blood flow after the anomalous segment ...
Yuan Li-Jun - - 2013
OBJECTIVE: Whether the regional elastic arteries is stiffened in preeclampsia has less been investigated. This study was aimed to characterize in vivo the carotid arterial intima-media thickness (IMT) and mechanical properties in women with preeclampsia by employing a radio-frequency ultrasound technique. METHODS: Twenty-two preeclampsia women and 28 age- and gestational-week ...
Prabhu Somnath J - - 2013
BACKGROUND: Percutaneous arterial closure devices have increasingly entered clinical practice to assist in achieving femoral arterial access site hemostasis. Prior studies have demonstrated the safety and efficacy of several arterial closure devices in adults. OBJECTIVE: To evaluate the efficacy of using an arterial closure device in children. MATERIALS AND METHODS: ...
Canaud Ludovic - - 2013
OBJECTIVE: Poor aortic arch apposition increases the risk of technical failure after thoracic endovascular repair. The aim of this study was to assess the conformability of the latest generation of thoracic stent grafts in relation to the degree of device oversizing and aortic arch angulation. METHODS: A benchtop pulsatile flow ...
Bredahl K - - 2013
OBJECTIVE: No standardised ultrasound procedure to obtain reliable growth estimates for abdominal aortic aneurysms (AAA) is currently available. We investigated the feasibility and reproducibility of a novel approach controlling for a combination of vessel wall delineation and cardiac cycle variation. DESIGN: Prospective comparative study. METHODS: Consecutive patients (N = 27) with an ...
Arkudas Andreas A Department of Plastic and Hand Surgery, University of Erlangen Medical Center, Erlangen, Germany. - - 2013
In this study, the angiogenetic effect of sintered 45S5 Bioglass® was quantitatively assessed for the first time in the arteriovenous loop (AVL) model. An AVL was created by interposition of a venous graft from the contralateral side between the femoral artery and vein in the medial thigh of eight rats. ...
Gutierrez Jose - - 2013
BACKGROUND AND PURPOSE: Dolichoectasia (DE) is a vasculopathy that consists of abnormal elongation and dilatation of arteries. The objective of this study is to evaluate the frequency of DE in an unselected population and assess different diagnostic methods. METHODS: The Northern Manhattan Study is a multiethnic population based cohort of ...
Tachibana Kazutoshi - - 2013
In mitral valvuloplasty, the saline injection test is commonly employed. However, discrepancies in regurgitation between the naked eye findings during the saline injection test and the postoperative echocardiographical findings are noted. Here, we describe a technique that allows direct transatrial evaluation of the valve in the fully loaded, beating heart ...
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