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Chaudhuri Maitri M Department of Pediatric Cardiology, Manipal Hospital, 98 Old Airport Road, Bangalore, 560017, Karnataka, India, - - 2014
A 36-hour-old term neonate presented with refractory cardiogenic shock and multi-organ dysfunction. On suspecting coarctation of aorta, intravenous prostaglandin was started but without any benefit. Echocardiography revealed isolated anomalous origin of right pulmonary artery from ascending aorta causing massive aortic steal, supra-systemic pulmonary arterial hypertension (PAH), multi-organ dysfunction and right ...
Bowles Emma E Neuro Intensive Care Unit, Derriford Hospital, - - 2014
A cerebral aneurysm is a weak or thin spot on a blood vessel in the brain that swells and fills with blood. Rupture of a cerebral aneurysm, known as aneurysmal subarachnoid haemorrhage, is a medical emergency and is associated with increased mortality. This article explores the anatomy and physiology of ...
Kontopodis Nikolaos N Department of Vascular Surgery, University of Crete Medical School, Heraklion, - - 2014
Abdominal aortic aneurysms are a common health problem and currently the need for surgical intervention is determined based on maximum diameter and growth rate criteria. Since these universal variables often fail to predict accurately every abdominal aortic aneurysms evolution, there is a considerable effort in the literature for other markers ...
Alani Anas A Department of Cardiology, Harbor-UCLA Medical Center, Los Angeles, - - 2014
Although invasive coronary angiography has been the gold standard for evaluating coronary artery disease (CAD), it should not be routinely performed as an initial test to assess CAD in subjects with suspected CAD by the recent guidelines, due to cost, invasiveness, and measurable risk. Coronary computed tomography angiography (CCTA) is ...
Sonneveld Michelle A H MA Department of Hematology, Erasmus University Medical Center, Rotterdam, The - - 2014
Von Willebrand Factor (VWF) plays an important role in hemostasis by mediating platelet adhesion and aggregation. Ultralarge VWF multimers are cleaved by ADAMTS13 in smaller, less procoagulant forms. An association between high VWF levels and cardiovascular disease has frequently been reported, and more recently also an association has been observed ...
Hashim Peter W PW Section of Cardiac Surgery, Yale University School of Medicine, New Haven, - - 2014
Mitral valve operations are increasingly performed through minimally invasive approaches such as the right anterior minithoracotomy. To facilitate exposure with this technique, a diaphragmatic suture may be implemented. We describe a liver laceration caused by the diaphragmatic suture in minithoracotomy mitral repair and its successful nonoperative management with arterial embolization.
Coccheri S S Cardiovascular Medicine, University of Bologna, Italy - - - 2014
Arteries, veins and capillaries share the property to host the "endothelial organ", an ubiquitous structure lining the surface of the entire circulatory tree. Endothelial cells and their supporting elements as the basement membrane, the intracellular matrix, and the surface covering glycocalyx, although displaying significant regional differences, maintain a common response ...
Malik Jan J 1 Third Department of Internal Medicine, First Faculty of Medicine, Charles University in Prague, Prague - Czech - - 2014
Stenosis is the most frequent vascular access complication and is responsible for access thrombosis and thus long-term patency limitation. Regular arteriovenous graft (AVG) examination by ultrasonography and preemptive balloon angioplasty prolong AVG cumulative patency according to some, but by far not all trials. This was why the routine use of ...
Kusztal Mariusz M Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw - - - 2014
A profound knowledge of vascular anatomy and an understanding of vascular access functionality with respect to possible complications are critical in selecting the site for arteriovenous anastomosis. Outline of vasculature variations of the upper limb with prevalence reported in literature of at least 1%, which may affect access creation, is ...
Sánchez-Zuriaga Daniel D Department of Anatomy and Human Embryology, Universitat de València, Av. Blasco Ibáñez, 15, 46010, València, Spain, - - 2014
We report a very unusual case of variant coronary artery anatomy, discovered during anatomical dissection in a medical school. The heart from a very advanced age donor was dissected using classic anatomical techniques RESULTS: The right coronary artery showed a superdominant pattern, extending beyond the crux of the heart and ...
Groth Alexandra - - 2014
Pulmonary hypertension is an "umbrella term" used for a spectrum of entities resulting in an elevation of the pulmonary arterial pressure. Clinical symptoms include dyspnea and fatigue which in the absence of adequate therapeutic intervention may lead to progressive right heart failure and death. The pathogenesis of pulmonary hypertension is ...
Yorke Janelle J University of Manchester, Manchester, - - 2014
Little is known about the impact of living with pulmonary hypertension. This paper reports data exploring the experience of living with pulmonary hypertension. Qualitative, semistructured, one-to-one interviews were conducted in participants' homes to understand their experiences of living with pulmonary hypertension. Thematic analysis was used to identify codes and generate ...
Cesmebasi Alper A Department of Anatomical Sciences, School of Medicine, St. George's University, Grenada, West - - 2014
The adrenal veins may present with a multitude of anatomical variants, which surgeons must be aware of when performing adrenalectomies. The adrenal veins originate during the formation of the prerenal inferior vena cava (IVC) and are remnants of the caudal portion of the subcardinal veins, cranial to the subcardinal sinus ...
Spadaccio C C University Hospital UZ Leuven, Cardiovascular Diseases and Cardiac Surgery Departments, Leuven, Belgium - - - 2014
Synthetic grafts have been widely used in cardiac and vascular surgery since the mid1970s. Considering the relative lack of randomized clinical trials or systematic analyses in the field of prosthetic large vessel diameter replacement, we reviewed the literature on the longterm performance and surgical management of complications of Dacron® grafts ...
Katsanos Konstantinos K Department of Interventional Radiology, Guy's and St. Thomas' Hospitals, NHS Foundation Trust, Kings' Health Partners, London, SE1 7EH, UK, - - 2014
This is a Standards of Practice document endorsed by CIRSE. The authors performed a literature review and provide recommendations and quality improvement guidelines based on the most recent and highest level of evidence available to date on the field of Superficial Femoral and Popliteal Artery Angioplasty and Stenting. Standards for ...
Koo Bon-Kwon BK Department of Internal Medicine and Cardiovascular Center, Seoul National University - - 2014
Revascularization of coronary artery stenosis should be based on objective evidence of ischemia. Fractional flow reserve (FFR) is an invasive physiologic index that can be easily measured in the cardiac catheterization laboratory to assess the functional significance of coronary stenosis. FFR-guided revascularization strategy has been proven to be better than ...
Zhang Yi Y aDepartment of Cardiology, Shanghai Tenth People's Hospital, Tongji University School of Medicine, Shanghai, China bParis Descartes University; AP-HP; Diagnosis and Therapeutic Center, Hôtel-Dieu, Paris, France cCentre for Epidemiological Studies and Clinical Trials, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, - - 2014
Predictive value of arterial stiffness in cardiovascular disease has been recognized for many decades. Carotid-femoral pulse wave velocity (cfPWV), as a noninvasive measurement, has been recommended as a gold standard of arterial stiffness, and we believe that this surrogate of arterial stiffness has been refined to the point that its ...
Kamenskiy Alexey V AV Department of Surgery, University of Nebraska Medical Center, 987690 Nebraska Medical Center, Omaha, NE, 68198-7690, USA, - - 2014
The biomechanics of large- and medium-sized arteries influence the pathophysiology of arterial disease and the response to therapeutic interventions. However, a comprehensive comparative analysis of human arterial biaxial mechanical properties has not yet been reported. Planar biaxial extension was used to establish the passive mechanical properties of human thoracic (TA, ...
Kawasaki Raymond R Advocate Medical Group/ Midwest Heart Foundation, Hoffman Estates, - - 2014
Although atrioesophageal fistula formation (AEF) is a well known, albeit rare, catastrophic complication of atrial fibrillation radiofrequency ablation procedures, there is less data regarding this complication using the cryoballon technique. We report on three cases of AEF as a complication of cryoballoon pulmonary vein isolation at three different institutions with ...
Lee Darrin J DJ Department of Neurological Surgery, University of California, Davis, Sacramento, California, - - 2014
Superior sagittal sinus (SSS) thrombosis has high morbidity and mortality, and urgent recanalization is critical for severe cases. Standard endovascular techniques for thrombolysis and thrombectomy use retrograde venous access, an approach that may be unsuccessful in cases with extensive firm clot burden involving the dural sinuses distal to the SSS. ...
Mine Benjamin B Department of Diagnostic and Interventional Neuroradiology, Erasme University Hospital, Route de Lennik 808, 1070 Brussels, - - 2014
Endovascular approach is now the first option for the treatment of most intracranial aneurysms (IA). However, remaining limitations are the suboptimal stability of aneurysm occlusion and the treatment of complex IA. The use of conventional and flow diverter stents has partially addressed these limitations. Nevertheless, as intraluminal devices, stents require ...
Zong Yu Y From the Department of Otorhinolaryngology Head and Neck Surgery, Ren Ji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, People's Republic of China; and †Institution of Otorhinolaryngology of Shanghai Jiaotong University, Shanghai, People's Republic of - - 2014
The purpose of this study was to locate the constant anatomic landmarks for anterior skull base surgery via endoscopic transnasal approach in Chinese subjects. Eight cases of adult skull specimens (all Chinese) were dissected by the endoscopic transnasal approach. The relationships of the anatomic landmarks under endoscopic view were characterized. ...
Lazaro Lionel E LE Hospital for Special Surgery, New York, NY, United States; New York Presbyterian Hospital, New York, NY, United States; Weill Medical College of Cornell University, New York, NY, United States. Electronic address: - - 2014
Iatrogenic disruption of the patellar vascular supply has been identified as a possible contributing factor to the commonly reported patellofemoral complications following total knee arthroplasty (TKA). We performed an anatomic cadaveric study evaluating the extra-osseous vascular anatomy of the patella, and correlated our findings to routine TKA surgical dissection to ...
Ashour Ramsey - - 2014
In this article, the indications for, technical principles of, and complications/outcomes after Onyx cerebral aneurysm embolization are reviewed.
Hart Robert G RG McMaster University and Population Health Research Institute, Hamilton, ON, Canada. Electronic address: - - 2014
Cryptogenic (of unknown cause) ischaemic strokes are now thought to comprise about 25% of all ischaemic strokes. Advances in imaging techniques and improved understanding of stroke pathophysiology have prompted a reassessment of cryptogenic stroke. There is persuasive evidence that most cryptogenic strokes are thromboembolic. The thrombus is thought to originate ...
Mongé Michael C MC Division of Cardiovascular-Thoracic Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, - - 2014
A communication between the right pulmonary artery (RPA) and the left atrium is a rare congenital anomaly that presents with cyanosis and heart failure. We describe the surgical repair of an RPA to left atrial fistula using cardiopulmonary bypass in a neonate. Advanced imaging (computed tomography scan) guided the surgical ...
Talwar Sachin S Department of Cardiothoracic & Vascular Surgery, All India Institute of Medical Sciences, New Delhi, - - 2014
Since the anterior translocation of the pulmonary arteries in relation to the aorta (Lecompte maneuver) was first described in 1981, its indications have continued to expand. In this review, we discuss the physiological basis and the expanding indications for this maneuver.
Frösen Juhana J Neurosurgery Research Group, Biomedicum Helsinki, Helsinki, Finland, - - 2014
Subarachnoid hemorrhage or intracerebral hemorrhage caused by rupture of a saccular intracranial aneurysm (sIA) is often fatal and causes significant loss of productive live years in addition to significant mortality. Around 3.5 % of the middle aged otherwise healthy population carries unruptured sIAs. Many sIAs never rupture, and since their prophylactic ...
Ketelsen D D Diagnostic and Interventional Radiology, University Hospital - - 2014
Since the introduction of endovascular aneurysm repair (EVAR) in 1991, the endovascular therapy with newest stent grafts has assumed a prominent role in the clinical management of abdominal aortic aneurysms (AAA) with a superior perioperative mortality of EVAR and an equivalent mid-term outcome, compared to open surgery. Newest techniques using ...
Ní Ghriallais Ríona - - 2014
Physiological loads which act on the femoropopliteal artery, in combination with stenting, can lead to uncharacteristic deformations of the stented vessel. The overall goal of this study was to investigate the effect of various stented cases on the deformation characteristics of the SFA using an anatomically accurate, three dimensional finite ...
Kotsia Anna A Dallas VA Medical Center (111A), 4500 South Lancaster Road, Dallas, TX 75216 USA. - - 2014
Percutaneous coronary intervention (PCI) of a chronic total occlusion (CTO) can be challenging when a bifurcation is present at the distal cap. We describe a case of combined use of the antegrade and retrograde approach for preserving a distal cap bifurcation during CTO PCI.
Rahpeyma Amin A Oral and Maxillofacial Diseases Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, - - 2014
The horizontal bony canal in the lateral maxillary wall is the site of anastomosis between the arterial branches from the posterior superior alveolar artery (PSAa) and the infraorbital artery. This anatomic structure is known as the 'alveolar antral artery'. We performed a literature review. The anatomic location of the alveolar ...
Tsilimparis Nikolaos N Department of Vascular Medicine, University Heart Center, Hamburg, - - 2014
Purpose : To describe a simple and quick technique for converting a Zenith bifurcated stent-graft to an aortouni-iliac device for emergency treatment of hemorrhage when a suitable marketed stent-graft is not readily available. Technique : The technique is described in an emergent case involving a 72-year-old man presenting with an ...
Austin Eric D ED 1 Department of Pediatrics, Vanderbilt University, Nashville, - - 2014
Pulmonary vascular dysfunction (PVD) precedes the onset of clinical signs and symptoms of pulmonary arterial hypertension (PAH). PAH is defined by the elevation of pulmonary arterial pressure, which often progresses to right ventricular (RV) dysfunction and failure. PAH affects subjects of all ages, and is associated with diverse medical conditions, ...
Georgakarakos Efstratios E 1 Department of Vascular Surgery, "Democritus" University of Thrace, University Hospital of Alexandroupolis, - - 2014
Purpose : To describe technical challenges encountered using the Ovation endograft for abdominal aortic aneurysms and suggest tips and maneuvers for successful management. Technique : Deployment of the Ovation's unsupported main body is often associated with the anteroposterior arrangement of the limb gates instead of the usual side-by-side configuration, rendering ...
Bischoff M S MS Department of Vascular and Endovascular Surgery Ruprecht-Karls University Heidelberg, Germany - - - 2014
Endovascular repair has revolutionized the treatment of infrarenal aortic aneurysms. However, its application is still limited in patients with challenging access conditions such as small-caliber vessels, iliac tortuosity, excessive calcification or occlusive disease. The underlying manuscript addresses the crucial role of preoperative access vessel evaluation and summarizes recent developments in ...
Etz D C DC Department of Cardiac Surgery, Leipzig Heart Center University of Leipzig, Leipzig, Germany - - - 2014
For more than half a century ischemic spinal cord injury (SCI) and consecutively permanent paraplegia remained the most devastating complication after open and endovascular thoracoabdominal aortic aneurysm (TAAA) repair. Various neuroprotective strategies (e.g., motor-/somatosensory evoked potential monitoring and cerebrospinal fluid drainage) used as adjuncts have lowered the SCI; maybe most ...
Gallala S S Imeldaziekenhuis, Bonheiden, Belgium - - - 2014
The purpose of this article was to obtain a more clear view in the management of popliteal artery aneurysms (PAAs). When do we need to treat it and how is it best treated? After going through multiple review articles and case reports concerning this matter, we came to the following ...
Tonolini Massimo M Department of Radiology, "Luigi Sacco" University Hospital, Via G.B. Grassi 74, 20157 Milan - - - 2014
Aortocaval fistula represents a rare, life-threatening complication of abdominal aortic aneurysm that needs emergency surgical treatment. The presentation couples that of a rupturing aneurysm with other more characteristic features resulting from the massive arteriovenous shunt. Early recognition and emergency surgical treatment are essential in reducing mortality and morbidity. Prompt investigation ...
Savchenko A S AS Program in Cellular and Molecular Medicine, Boston Children's Hospital, Boston, MA, USA; Department of Pediatrics, Harvard Medical School, Boston, MA, - - 2014
A growing health problem, venous thromboembolism (VTE), including pulmonary embolism (PE) and deep vein thrombosis (DVT), requires refined diagnostic and therapeutic approaches. Neutrophils contribute to thrombus initiation and development in experimental DVT. Recent animal studies recognized neutrophil extracellular traps (NETs) as an important scaffold supporting thrombus stability. However, the hypothesis ...
Moreira Ricardo R 1 Department of Tissue Engineering and Textile Implants, Institute of Applied Medical Engineering, Helmholtz Institute, RWTH Aachen University , Aachen, Germany - - 2014
Mitral valve regurgitation together with aortic stenosis is the most common valvular heart disease in Europe and North America. Mechanical and biological prostheses available for mitral valve replacement have significant limitations such as the need of a long-term anticoagulation therapy and failure by calcifications. Both types are unable to remodel, ...
Haworth Kevin J KJ Division of Cardiovascular Health and Disease, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio, - - 2014
Although coil embolization is known to prevent rebleeding from acutely ruptured cerebral aneurysms, the underlying biological and mechanical mechanisms have not been characterized. We sought to determine if microcoil-dependent interactions with thrombus induce structural and mechanical changes in the adjacent fibrin network. Such changes could play an important role in ...
Crosswhite Patrick P Department of physiology, college of medicine, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, - - 2014
Pulmonary arterial hypertension (PAH) is characterized by a persistent elevation of pulmonary arterial pressure and pulmonary arterial remodeling with unknown etiology. Current therapeutics available for PAH are primarily directed at reducing the pulmonary blood pressure through their effects on the endothelium. It is well accepted that pulmonary arterial remodeling is ...
Desai Chirag S CS Medstar Georgetown Transplant Institute, Washington, - - 2014
Undue tension on the donor vessels during organ procurement is associated with intimal dissection, which can form the nidus for the thrombosis of the hepatic artery (HA) and graft loss. According to the U.S. OPTN database 143 grafts were discarded in the last 15 years due to vascular damage during ...
Li Wilson W WW Department of Cardiothoracic Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, - - 2014
Prophylactic use of vascularized flaps to buttress and reinforce bronchial or oesophageal closure is nowadays the preferred approach in high-risk cases, especially for extended resections with tracheobronchial reconstructions or after neoadjuvant chemoradiotherapy. However, the majority of these options and techniques are described for an approach through a thoracotomy. Due to ...
Fukuda Hitoshi H Department of Neurological Surgery, Weill Cornell Medical College, Cornell University, New York, NY, USA; Department of Neurosurgery, Kyoto University School of Medicine, Kyoto, Kyoto, - - 2014
Surgical clipping for upper basilar artery (BA) trunk aneurysms has become less common since the popularization of endovascular therapy. However, when endovascular therapy is not feasible, direct open surgery is still the treatment of choice. The anterior transpetrosal approach (ATP) is most often used to safely treat these aneurysms. We ...
Bourantas Christos V CV From the Department of Interventional Cardiology, ThoraxCenter, Erasmus Medical Center, Rotterdam, The Netherlands (C.V.B., P.W.S.); and International Centre for Circulatory Health, National Heart and Lung Institute, Imperial College London, London, United Kingdom - - 2014
Transcatheter aortic valve replacement emerged ≈20 years ago and changed the landscape of structural interventional cardiology. The first experiments in animal models provided proofs of the concept and the substrate for the first percutaneous valve implantation in patients. The initial promising results in a clinical setting drew the attention of ...
Jia Guanghong G Division of Endocrinology, Diabetes, and Metabolism, Mo., USA ; Diabetes Cardiovascular Center, Mo., USA ; Harry S. Truman Memorial Veterans Hospital, Columbia, Mo., - - 2014
Vascular disease is the leading cause of morbidity and mortality in the Western world, and vascular function is determined by structural and functional properties of the arterial vascular wall. Cardiorenal metabolic syndrome such as obesity, diabetes, hypertension, kidney disease, and aging are conditions that predispose to arterial stiffening, which is ...
Al Kindi Adil H AH Division of Cardiothoracic Surgery, Department of Surgery, Sultan Qaboos University Hospital, - - 2014
Aortic arch aneurysm is a relatively rare entity in cardiac surgery. Repair of such aneurysms, either in isolation or combined with other cardiac procedures, remains a challenging task. The need to produce a relatively bloodless surgical field with circulatory arrest, while at the same time protecting the brain, is the ...
Tuffaha Sami H SH Department of Plastic and Reconstructive Surgery, The Johns Hopkins Medical Institutions, Baltimore, - - 2014
Penile transplantation may provide improved outcomes as compared to autogenous phalloplastic reconstruction. The optimal approach to vascularizing penile allografts is unknown. In penile replantation typically only the dorsal arteries are repaired, but utilizing the cavernosal and external pudendal arteries may improve erectile function and shaft skin perfusion, respectively. The authors ...
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