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Assefa Dagnachew D Respiratory Center for Children, Goryeb Children's Hospital, Atlantic Health System, Morristown, New - - 2014
As there are no evidence based guidelines for the diagnosis and/or management of pulmonary nodules in children, there is an over reliance on the adult based algorithms when dealing with pulmonary nodules in children. We present our experience of pediatric patients evaluated for incidentally found pulmonary nodules. Retrospective chart review ...
Ong Peter P aCardiovascular Sciences Research Centre, Division of Clinical Sciences bClinical Trials Unit, St George's University of London, London, UK cDepartment of Cardiology dInstitute for Clinical Chemistry, Robert-Bosch-Krankenhaus, Stuttgart, - - 2014
To assess whether epicardial and microvascular coronary artery spasm in response to acetylcholine (ACH) is associated with markers of inflammation, platelet stimulation, and endothelial activation in patients with angina and unobstructed coronary arteries. Patients with angina pectoris despite angiographically normal coronary arteries represent a diagnostic and therapeutic challenge. Both impaired ...
Franzoni Letícia de Campos Lde C Letícia de Campos Franzoni, Fábio da Silva Yamashiro, Laís Augusti, Lívia Alves Amaral Santos, Mariana de Souza Dorna, Júlio Pinheiro Baima, Talles Bazeia Lima, Carlos Antonio Caramori, Giovanni Faria Silva, Fernando Gomes Romeiro, Internal Medicine Department, Gastroenterology Division, Botucatu Medical School, UNESP, 18 618 970 Botucatu, Sao Paulo, - - 2014
Hepatic encephalopathy (HE) is a cognitive disturbance characterized by neuropsychiatric alterations. It occurs in acute and chronic hepatic disease and also in patients with portosystemic shunts. The presence of these portosystemic shunts allows the passage of nitrogenous substances from the intestines through systemic veins without liver depuration. Therefore, the embolization ...
Soliman D D Department of Anaesthesia, Surgical Intensive Care, Prehospital Emergency Medicine and Pain Therapy, Basel, Switzerland; Department of Anaesthesiology, Kasr El-Aini University Hospital, Cairo University, Cairo, - - 2014
The clinical value of the estimation of systolic pulmonary artery pressure, based on Doppler assessment of peak tricuspid regurgitant velocity using transoesophageal echocardiography, is unclear. We studied 109 patients to evaluate the feasibility of obtaining adequate Doppler recordings, and compared Doppler estimates with values measured using a pulmonary artery catheter ...
Jensen-Kondering U U Department of Radiology and Neuroradiology, University Hospital Schleswig-Holstein, Campus - - 2014
Purpose: Spontaneous dissection of the internal carotid artery (CAD) is an increasingly recognized cause for stroke especially in young and middle-aged patients. We hypothesized that non-enhanced cranial computed tomography (NECCT) can visualize the subpetrous carotid wall hematoma and thus enable identification of patients with CAD. Materials and Methods: We retrospectively ...
Maréchaux Sylvestre S INSERM U 1088, Université de Picardie, Amiens, France Université Lille Nord de France, GCS-Groupement des Hôpitaux de l'Institut Catholique de Lille/Faculté de médecine et de maïeutique, Université Catholique de Lille, Lille 59000, - - 2014
The Food and Drug Administration (FDA) criteria for diagnosis of drug-induced valvular heart disease (DIVHD) are only based on the observation of aortic regurgitation ≥ mild and/or mitral regurgitation ≥ moderate. We sought to evaluate the diagnostic value of FDA criteria in a cohort of control patients and in a ...
Wang Yihua Y Department of Neurosurgery, Qilu Hospital of Shandong University, Qingdao, Shandong 266000, P.R. China ; Department of Neurosurgery, The Second Hospital of Shandong University, Jinan, Shandong 250033, P.R. - - 2014
The current study aimed to summarise the clinical features and classifications of vertebral artery dissecting aneurysms (VADAs) to optimise strategies for endovascular interventional therapy. The clinical features and results of 31 inpatients with VADA were retrospectively analysed. The aneurysms were classified according to their location and association between the aneurysm ...
Bastante Teresa T Cardiac Department, Hospital Universitario de La Princesa, Madrid, - - 2014
Acute coronary syndromes (ACS) frequently result from the rupture or erosion of a vulnerable coronary plaque, with associated intracoronary thrombosis. ACS also may occur in patients with angiographically normal coronary arteries. Some of these patients, however, still have angiographically silent underlying coronary artery disease. In this setting, subtle atherosclerotic changes ...
Tsialtas Dimitri D Department of Medicine, University of Parma, - - 2014
Preoperative cardiac assessment may essentially contribute to estimate the operative risk in vascular surgery.This study was undertaken to depict the clinical conditions and cardiac status in patients before elective major vascular surgery. 143 patients with asymptomatic critical aortic abdominal aneurysm, 119 with high-grade carotid stenosis, and 138 with advanced symptomatic ...
Kervancioglu Selim S Gaziantep University, Faculty of Medicine Gaziantep, - - 2014
Bleeding is one of the most common and most important complications of percutaneous nephrolithotomy (PCNL), which is mainly controlled with conservative treatment options. Transcatheter arterial embolization is required in less than 1 % of the patients undergoing PCNL. There are only a few studies about endovascular treatment of vascular complications ...
Ahmadi Zargham Hossein ZH Lung Transplantation Research Center, National Research of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. zarghamahmadi@hotmail.com, - - 2014
Aortobronchial (AB) fistula is a rare disease, which is presented with massive hemoptysis; lethal if not treated. It should be suspected in any patient who presents with massive hemoptysis and had previous thoracic aortic surgery, but even it may be seen in patients without any history of operation on the ...
Ko Jeong Min JM 0000-0002-8996-5786 Department of Radiology, Collage of Medicine, The Catholic University of Korea, St. Vincent's Hospital, Suwon, - - 2014
This study assessed main pulmonary artery diameter of patients with anthracofibrosis. Patients with anthracofibrosis and CT scans were evaluated after exclusion of patients with co-existing disease. We measured the diameter of the main pulmonary artery (PAD) and ascending aorta (AD) and calculated the pulmonary artery to aorta ratio (APR). The ...
Garnock-Jones Karly P KP Springer, Private Bag 65901, Mairangi Bay, 0754, Auckland, New Zealand, - - 2014
Riociguat (Adempas(®)), a soluble guanylate cyclase stimulator, is a new, first-in-class drug approved for the treatment of patients with chronic thromboembolic pulmonary hypertension (CTEPH) [inoperable or persistent/recurrent following surgery] or pulmonary arterial hypertension (PAH). It has been designated an orphan medicine by the European Medicines Agency and the US FDA. ...
Northcutt Ashley A Department of Surgery, Louisiana State University Health Sciences Center, Shreveport, LA, - - 2014
This study was conducted to investigate the progression of lower extremity ischemia following kidney transplantation to iliac artery in patients with peripheral arterial disease. A retrospective chart review of all renal transplant patients completed at a university teaching medical center from January 2006 to December of 2011 was performed. A ...
Sharples Alistair A Vascular Surgery Department, Royal Shrewsbury Hospital, Shrewsbury, UK - - 2014
True infrainguinal vein graft aneurysms are reported infrequently in the literature. We sought to identify the true incidence of these graft aneurysms after popliteal aneurysm repair and identify factors which may increase the risk of such aneurysms developing. Using a prospectively compiled database, we identified patients who underwent a popliteal ...
Wang Yongshi Y Shanghai Institute of Medical Imaging, Zhongshan Hospital, Fudan University, Shanghai, 200032, - - 2014
Bicuspid aortic valve (BAV) exhibits a clinical incline toward aortopathy, in which aberrant tensile and shear stress generated by BAV can induce differential expression of matrix metalloproteinases (MMPs) and their endogenous tissue inhibitors (TIMPs). Whether stenotic BAV, which exhibits additional eccentric high-velocity flow jet upon ascending aorta and further worsens ...
Rümenapf Gerhard G Gefäßzentrum Oberrhein, Diakonissen-Stiftungs-Krankenhaus, Speyer, - - 2014
A patient with limb-threatening diabetic foot syndrome in whom relevant peripheral arterial occlusive disease is proven should receive arterial revascularization as soon as possible to avoid major amputation. However, 3 conditions may make it impossible to effectively restore limb perfusion: the patient will not profit from arterial revascularization owing to ...
Likes Kendall K Department of Vascular and Endovascular Surgery, Johns Hopkins Medical Institutions, Baltimore, - - 2014
Patients with neurogenic thoracic outlet syndrome (NTOS) may have signs and symptoms of arterial compromise without thrombosis or aneurysm. To evaluate these patients' presentation, duration of signs and symptoms, and outcomes of immediate surgical operation. Demographic and clinical data for patients with NTOS and signs and symptoms of arterial compromise ...
Zhao Zhen-Gang ZG Department of Cardiology, West China Hospital, Sichuan University, 37 Guoxue Road, 610041 Chengdu, - - 2014
Transcatheter aortic valve implantation (TAVI) is an established therapeutic option for high-risk patients with tricuspid aortic valve stenosis. Historically, the presence of a bicuspid aortic valve (BAV) has been regarded as a contraindication to TAVI, on the basis of putative concerns about the associated risks of elliptical deployment, accelerated leaflet ...
Doersch Karen M KM 1Department of Surgery, Texas A&M Health Science Center/Baylor, Scott and White Health Center, Temple, TX 2Department of Surgery, Division of Cardiothoracic Surgery, Baylor, Scott and White Temple Clinic, Temple, - - 2014
This case report concerns a patient status post left ventricular assist device(LVAD) placement that was complicated by new onset severe aortic valve insufficiency. After almost two years with his device, the patient had a syncopal episode and had worsening aortic valve regurgitation on echocardiography. The patient underwent an aortic valve ...
Idrees Mm M Division of Pulmonary Medicine, Department of Medicine, PSMMC, Riyadh, Saudi - - 2014
The main objective of this study is to describe patients' clinical characteristics and physiological and hemodynamic parameters at the time of diagnosis in a pulmonary hypertension center in Saudi Arabia. This study reports the results from a single pulmonary hypertension specialized center in Riyadh, Saudi Arabia, namely Prince Sultan Medical ...
Wibmer Thomas T Department of Internal Medicine II, University Hospital of Ulm, Ulm, - - 2014
Pulse transit time (PTT) is generally assumed to be a surrogate marker for blood pressure changes and arterial stiffness. The aim was to evaluate whether pulmonary PTT (pPTT) may be noninvasively measured by Doppler echocardiography and whether it might be valuable for detecting pulmonary hemodynamic and vascular alterations. We defined ...
Khawaja Muhammed Z MZ King's College London, British Heart Foundation Centre of Research Excellence, Cardiovascular Division, The Rayne Institute, London, United - - 2014
The management of coronary artery disease in the context of severe aortic stenosis in patients at increased surgical risk is an increasingly relevant problem in the transcatheter aortic valve implantation (TAVI) era. We review the current data on percutaneous coronary intervention (PCI) in TAVI patients and discuss how it has ...
Stefanini Giulio G GG Department of Cardiology, Bern University Hospital, Bern, - - 2014
Coronary artery disease (CAD) and aortic valve stenosis (AS) are frequently coexisting. It has been reported that CAD is present in 40% of patients with AS undergoing surgical aortic valve replacement, and in up to 60% of patients with AS undergoing transcatheter aortic valve implantation (TAVI). Elderly patients with CAD ...
Li Minghua M Department of Radiology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, No.600, Yishan Rd, 200233, Shanghai, - - 2014
To evaluate the incidence and diagnostic performance of reverse attenuation gradient (RAG) sign in patients with coronary stent occlusion. We retrospectively included patients with suspected restenosis who underwent both coronary computed tomography angiography (CCTA) and invasive coronary angiography (ICA) within 2 weeks. Stent occlusion at CCTA was defined as (1) complete ...
Goldstein Rachel Y RY Department of Pediatric Orthopaedics, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA - - 2014
There is little information available on the anatomic location of the vertebral artery in pediatric patients undergoing a posterior cervical arthrodesis involving the first cervical vertebra (C1). The purpose of this study was to define how far laterally one can safely dissect posteriorly without risk to the vertebral artery in ...
Gu Yuanyuan Y Department of Neurology, Zhengzhou People's Hospital, Zhengzhou, Henan, - - 2014
To investigate the co-prevalence of coronary artery disease (CAD) and carotid stenosis and to determine predictors related to CAD in Chinese patients with paroxysmal atrial fibrillation (PAF), presenting without previously diagnosed or excluded CAD. Consecutive patients with PAF were recruited. CAD was evaluated using multislice computed tomography. Intima-media thickness (IMT) ...
Morisaki Akimasa A Department of Cardiovascular Surgery, Osaka City General Hospital, Osaka, Japan - - 2014
In mitral valve repair, removal of mitral annular calcification (MAC) is necessary to secure the artificial ring but may cause rupture of the left ventricle or injury to the circumflex coronary artery. We experienced 3 cases of mitral valve regurgitation with extensive MAC. Patient 1, an 83-year old woman, had ...
Casullo Joseph J 1 Both authors: Department of Diagnostic Radiology, Montreal General Hospital, McGill University Health Center, 1650 Cedar Ave, Montreal, QC H3G 1A4, - - 2014
OBJECTIVE. The purpose of this study was to show the arrangement and connections of the bronchopulmonary veins (i.e., vessels draining the bronchi, bronchioles, and pleura in patients with chronic superior vena cava (SVC) or left brachiocephalic vein (LBCV) obstruction using CT. MATERIALS AND METHODS. Contrast-enhanced CT scans of the chest ...
Kouznetsov Evgueni E Department of Radiology, CHUM, Montréal, Québec, - - 2014
Object In patients with posterior fossa arteriovenous malformations (AVMs) who present with hemorrhage, feeding artery aneurysms are often the source of bleeding. The aim of this study was to evaluate the relative proportions of cases of infra- and supratentorial AVMs in which patients presented with prenidal aneurysm rupture. The management ...
Sakao Seiichiro S Dept of Respirology (B2), Graduate School of Medicine, Chiba University, Chiba, Japan. Victoria Johnson Center for Obstructive Lung Diseases and Pulmonary and Critical Care Medicine Division, Virginia Commonwealth University, Richmond, VA, USA. - - 2014
The loss of pulmonary vessels has been shown to be related to the severity of pulmonary hypertension in patients with chronic obstructive pulmonary disease (COPD). The severity of hypoxaemia is also related to pulmonary hypertension and pulmonary vascular resistance in these patients, suggesting that the hypoxic condition probably plays an ...
Chen Qiang Q Department of Cardiovascular Surgery (QC, G-CZ, HC, L-WC, Y-NH, Y-DC); and Department of Anesthesia, Union Hospital, Fujian Medical University, Fuzhou, Fujian, P.R. China - - 2014
The objective of this study was to investigate whether the α agonist dexmedetomidine has the ability to attenuate hypoxemia in pediatric patients undergoing palliative pulmonary artery reconstruction.From January 2009 to January 2013, a total of 25 pediatric patients with Tetralogy of Fallot, pulmonary atresia (ventricular septal defect), or persistent truncus ...
Cho Yeon Jin YJ Department of Radiology, Seoul National University College of Medicine, Institute of Radiation Medicine, Seoul National University Medical Research Center, and Clinical Research Institute, Seoul National University Hospital, Seoul 110-744, - - 2014
To evaluate the feasibility of percutaneous access via the recanalized paraumbilical vein for varix embolization. Between July 2008 and Jan 2014, percutaneous access via the recanalized paraumbilical vein for varix embolization was attempted in seven patients with variceal bleeding. Paraumbilical vein puncture was performed under ultrasonographic guidance, followed by introduction ...
Thorat Ashok A Chang-Gung Transplantation Institute, Department of Liver and Transplantation Surgery, Chang-Gung Memorial Hospital, College of Medicine, Chang-Gung University, Taoyuan, - - 2014
Hepatic artery pseudoaneurysm after liver transplantation is an uncommon but potentially lethal complication. Early diagnosis and treatment are essential to avoid life-threatening hemorrhage in these patients. We herein report the case of three patients who developed hepatic artery pseudoaneurysms after living donor liver transplantation. Two patients presented with massive duodenal ...
Kim Jae-Gyum JG Department of Neurology, Korea University College of Medicine, Korea University Anam Hospital, Republic of - - 2014
Headache may be a warning sign of subsequent stroke in patients with vertebral artery dissection (VAD). Even though the headache characteristics of VAD have been described predominantly in patients with extracranial VAD and neurological complications, headache semiology is not well known in patients with uncomplicated intracranial vertebral artery dissection (ICVAD). ...
Khajali Zahra Z Rajaei Cardiovascular Medical & Research Center, Iran University of Medical Sciences, Tehran, Iran, - - 2014
Treatment of prosthetic heart valve thrombosis using intravenous thrombolytics, although an acceptable alternative to surgery, is not complication free, and the literature has a dearth of data on the subject. This study analyzed the results of fibrinolytic treatment (FT) among a single-center group of patients with mechanical pulmonary valve thrombosis. ...
Chavent Adrien A Departments of Neuroradiology - - 2014
The authors present the cases of 3 patients with ruptured perforator aneurysms of the posterior circulation. Patients were 39, 55, and 59 years old. None of the patients had relevant past medical or family history. All presented with World Federation of Neurosurgical Societies Grade I and Fisher Grade 2 or ...
Gülcü Aytaç A Department of Radiology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey. Electronic address: - - 2014
Clinical management strategy and the best treatment option of free floating thrombus (FFT), detected in patients with acute ischemic cerebrovascular diseases is still uncertain due to the rarity of these conditions. Recent studies emphasize that FFT within cerebral vessels may not be a surgical emergency since complete dissolution without any ...
Clerico C C Service de chirurgie de la main, hôpital Saint-Roch, rue Pierre-Devoluy, 06000 Nice cedex 3, France. Electronic address: - - 2014
Vascular complications of wrist arthroscopy are rare. We report the case of a 42-year-old male patient with a history of hemophilia who had a ganglion located where the radial pulse is taken that had been causing him pain for five months. After infusion of Exacyl (antifibrinolytic agent), the ganglion was ...
Finn Matthew M Department of Cardiology, Columbia University Medical Center, New York, NY. Electronic address: - - 2014
In recent years, experience with transcatheter aortic valve implantation has led to improved outcomes in elderly patients with severe aortic stenosis (AS) who may not have previously been considered for intervention. These patients are often frail with significant comorbid conditions. As the prevalence of AS increases, there is a need ...
Ollikainen Eliisa E From the Doctoral Program in Biomedicine, Doctoral School in Health Sciences, University of Helsinki (EO); Neurosurgery Research Group (EO, RT, JF, PH, JH, MN) and Wihuri Research Institute (EO, SL, PTK), Biomedicum; Department of Neurosurgery, Helsinki University Central Hospital (JH, MN), Helsinki; and Department of Neurosurgery, Kuopio University Hospital (JF), Kuopio, - - 2014
Chronic inflammation contributes to remodeling, degeneration, and rupture of saccular intracranial artery aneurysms. Mast cells are important proinflammatory and proangiogenic cells in chronic inflammatory vascular diseases. Here we studied mast cells and neovascularization in 36 intraoperatively resected aneurysms using histology and immunohistochemistry and analyzed the clinical characteristics of the aneurysms ...
Olschewski Andrea A Ludwig Boltzmann Institute for Lung Vascular Research, Graz, Austria; Experimental Anesthesiology, Department of Anesthesia and Intensive Care Medicine, Medical University of Graz, Austria. Electronic address: - - 2014
The pulmonary circulation is a low pressure, low resistance, high flow system. The low resting vascular tone is maintained by the concerted action of ion channels, exchangers and pumps. Under physiological as well as pathophysiological conditions, they are targets of locally secreted or circulating vasodilators and/or vasoconstrictors, leading to changes ...
Uthayakumaran Kalaichelvan K Consultant, Department of Cardiology, Institute of Cardio-Vascular Diseases, Madras Medical Mission, Chennai, India. Electronic address: - - 2014
To assess the technical challenges in percutaneous coronary intervention of Anomalous right coronary artery arising from the left sinus of valsalva. Between year 2008 and 2012, a total of 17 patients underwent PCI for an angiographically significant lesion in the right coronary artery of an anomalous origin in the LSOV. ...
Robinson Jeffrey C JC Program in Translational Lung Research, Division of Pulmonary Sciences and Critical Care Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, United States ; - - 2014
The pathologic hallmark of pulmonary arterial hypertension is pulmonary vascular remodeling - characterized by endothelial cell proliferation, smooth muscle hypertrophy, and perivascular inflammation - ultimately contributing to increased pulmonary arterial pressures. Several recent studies have observed that iron deficiency in patients with various forms of pulmonary arterial hypertension is associated ...
Ayala-Lopez N N Department of Pharmacology and Toxicology, Michigan State University, East Lansing, MI - - 2014
The sympathetic nervous system and its neurotransmitter effectors are undeniably important to blood pressure control. We made the novel discovery that perivascular adipose tissue (PVAT) contains significant concentrations of catecholamines. We hypothesized that PVAT contains sufficient releasable catecholamines to affect vascular function. HPLC, isometric contractility, immunohistochemistry, whole animal approaches and ...
Lin Huili H AtlantiCare Medical Center, Pomona, New Jersey, - - 2014
A patient with Turner syndrome presented with shortness of breath with exertion. Three-dimensional transesophageal echocardiogram revealed a bicuspid aortic valve with severe aortic stenosis. There were multiple masses attached to the aortic valve and tricuspid valve, which mimicked vegetations. The patient underwent aortic and tricuspid valve replacement. Histology revealed papillary ...
Song Howard K - - 2014
The long-term outcomes of aortic valve-sparing (AVS) root replacement in Marfan syndrome (MFS) patients remain uncertain. The study aim was to determine the utilization and outcomes of AVS root replacement in MFS patients enrolled in the Registry of Genetically Triggered Thoracic Aortic Aneurysms and Cardiovascular Conditions (GenTAC). At the time ...
Chang Edward I EI Department of Plastic and Reconstructive Surgery, The University of Texas MD Anderson Cancer Center, Houston, - - 2014
When recipient veins for free-flap breast reconstruction are unavailable or inadequate, vein grafts or cephalic vein transposition (CVT) an option to provide alternate venous outflow. There are no comparative data to elucidate the indications and outcomes for each. We hypothesize that the CVT is as reliable as vein grafts when ...
Winner Marshall W MW 3rd Ohio State University, Davis Heart and Lung Research Institute, Columbus, - - 2014
Iron has been implicated in atherogenesis and plaque destabilization, whereas less is known about iron-related proteins in this disease. We compared ex vivo quantities with in vivo vessel wall T2*, which is a noncontrast magnetic resonance relaxation time that quantitatively shortens with increased tissue iron content. We also tested the hypothesis that ...
Kazemzadeh Gholam Hossein GH From the *Department of Vascular Surgery, and †Nuclear Medicine Research Center, Faculty of Medicine, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, - - 2014
Chylous reflux is described as the backflow of chyle through the varicose lymphatics with incompetent lymph valves and leakage of the lymph. The valves in the dilated, varicose, tortuous lymph vessels become incompetent, and as a result, the lymph blended with chyle, reflux into the lower limbs or the genitalia. ...
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