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Lee Chanhung Z CZ Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, California, - - 2014
The review highlights recent data regarding the safety and efficacy of endovascular treatment of cerebrovascular disease and concerns in anesthesia management. Ongoing trials, including the Barrow Ruptured Aneurysm Trial and the International Subarachnoid Aneurysm Trial II, are aimed at improving understanding of the applicability of the International Subarachnoid Aneurysm Trial ...
De Caridi Giovanni G Cardiovascular and Thoracic Department," Policlinico G. Martino" Hospital, University of Messina, Messina, - - 2014
Takayasu arteritis is a form of large vessel granulomatous vasculitis affecting often young or middle-aged women, especially of Asian descent. It mainly affects the aorta and its branches. Primary malignancies, such as leiomyosarcoma of the aorta are extremely rare. This report discuss the exceptional and concomitant association of Takayasu arteritis ...
Harris Donald G DG Division of General Surgery, Department of Surgery. University of Maryland School of - - 2014
Penetrating injuries to the aorta usually result in immediate, life-threatening hemorrhage. Because these lesions are typically either fatal or identified and controlled surgically, chronic pseudoaneurysms after penetrating aortic trauma are rare. Most of these patients present with rupture or local complications, and management prior to the endovascular era has historically ...
Benedetto Filippo F Vascular Surgery, Policlinico Universitario "G.Martino" of - - 2014
We report the case of a 58-years old man presented with bleeding ulcer of the left arm caused by a high-flow, type C arteriovenous malformation, feed by branches from both the subclavian arteries. He had been previously treated with AVM sclerotherapy, embolization, humeral artery endografting and open surgery. We urgently ...
Singla Veenu V Radiodiagnosis, Assistant Professor, Department of Radiodiagnosis, PGIMER, Chandigarh. Electronic address: - - 2014
Chronic contained rupture of the aorta is a rare condition that may present with varied patient symptomatology. We present a case of contained rupture of an abdominal aortic aneurysm causing vertebral erosion in an elderly male patient who had chronic backache and presented to the emergency services with a recently ...
Silveira Pierre Galvagni PG Universidade Federal de Santa - - 2014
A ruptured abdominal aortic aneurysm (RAAA), complicated by an aorto-caval fistula(ACF), is usually associated with high morbidity and mortality during open operative repair. We report a case of endovascular treatment of an RAAA with ACF. After accessing both common femoral arteries, a bifurcated aortic stentgraft was placed. Subsequently, we accessed ...
Komatsu Shohei S Department of Surgery, Yodogawa Christian Hospital, Osaka, Japan. Electronic address: - - 2014
Hemobilia is an unusual and potentially catastrophic cause of gastrointestinal bleeding. Although hepatic artery aneurysm is a cause of hemobilia, non-traumatic cases are infrequently reported. Herein we describe the case of a giant hepatic artery aneurysm requiring hepatectomy because of repeated hemobilia in a patient with Marfan syndrome. A 53-year-old ...
Kakisis John D JD Department of Vascular Surgery, Athens University Medical School, "Attikon" Hospital, Athens, Greece. Electronic address: - - 2014
To present a case of a wandering stent within the pulmonary circulation that was managed conservatively with the "wait-and-see" strategy. Accidental dislodgement of a left brachiocephalic vein stent into the left lower lobe pulmonary artery occurred in an 83-year-old patient suffering from end stage renal disease during placement of a ...
Psacharopulo Daniele D Vascular and Endovascular Surgery Unit, Mauriziano Umberto I Hospital, Turin, Italy. Electronic address: - - 2014
We report a case of abdominal endograft proximal collapse, due to acute type B aortic dissection, in a patient previously treated with EVAR for an infrarenal AAA. Patient underwent axillo-bifemoral bypass grafting, in emergency. The post-operative CT scan showed re-expansion of the occluded endograft. The patient died after two days, ...
Jariwala Ujjval U Johns Hopkins University School of Medicine, Baltimore, MD; Greater Baltimore Medical Center, Towson, - - 2014
Coronary artery fistulas (CAF) are rare and mostly congenital anomalous connections between a coronary artery and a cardiac chamber or great vessel. Most CAFs are small, asymptomatic, and found incidentally during cardiac imaging. However, they can lead to serious complications including myocardial infarction, congestive heart failure, arrhythmias, or fistula rupture. ...
Sun W W Department of Neurology, Jinling Hospital, Southern Medical University, Nanjing, - - 2014
Susceptibility-weighted imaging (SWI) is a high spatial resolution technique that can indirectly demonstrate increased cerebral oxygen extraction. Our aim was to assess whether asymmetric cortical vessel sign (ACVS) on SWI could be associated with early neurological deterioration (END) as well as 90-day unfavorable outcome in patients with acute ischaemic stroke. ...
Lauric Alexandra A Cerebrovascular and Endovascular Division, Department of Neurosurgery, Tufts Medical Center, Tufts University School of Medicine, 800 Washington Street, Boston, MA 02111, - - 2014
Although high-impact hemodynamic forces are thought to lead to cerebral aneurysmal change, little is known about the aneurysm formation on the inner aspect of vascular bends such as the internal carotid artery (ICA) siphon where wall shear stress (WSS) is expected to be low. This study evaluates the effect of ...
Kanmanthareddy Arun A Division of Cardiovascular Diseases and Bloch Heart Rhythm Center, Cardiovascular Research Institute, University of Kansas Hospital and Medical Center, 3901 Rainbow Boulevard MS 4023, Kansas City, KS, 66160-7200, - - 2014
The prevalence and predictors of atrial tachyarrhythmias (ATa) in patients with pulmonary hypertension (PH) is less well understood. We performed a retrospective study including 311 patients with PH, confirmed by right heart catheterization in our center between 2007 and 2011. Baseline characteristics, clinical, echocardiographic, and hemodynamic data were collected and ...
Dammann Philipp P Department of Neurosurgery, University Hospital Essen, University of Duisburg-Essen, Hufelandstrasse 55, 45122, Essen, Germany, - - 2014
The rupture of an intracranial aneurysm leads to subarachnoid hemorrhage (SAH). To prevent SAH, unruptured lesions can be treated by either endovascular or microsurgical approach. Due to their complex anatomy, middle cerebral artery (MCA) aneurysms represent a unique subgroup of intracranial aneurysms. Primary objective was to determine radiological and clinical ...
Philips Cyriac Abby CA Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India; Department of Radiology, Institute of Liver and Biliary Sciences, New Delhi, - - 2014
We present a rare case of spontaneous trans-splenic shunt and intra-splenic collaterals in a patient with liver cirrhosis and portal hypertension. The shunt and presence of cirrhosis and portal hypertension was incidentally detected by abdominal computed tomographic imaging during evaluation for abdominal pain. There has been a single report on ...
Cheng Xiao Qing XQ Department of Medical Imaging, Jinling Hospital, Clinical School of Medical College, Nanjing University, Nanjing, Jiangsu Province, PR - - 2014
The Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS) trial indicated that most patients with symptomatic intracranial atherosclerosis are not good candidates for percutaneous transluminal angioplasty and stenting (PTAS) because of a higher complication risk than with conservative treatment. However, enrollment of SAMMPRIS patients was ...
Xue Yuguo Y Interventional Department, Beijing Anzhen Hospital, Capital Medical University, Beijing Institute of Heart, Lung and Blood Vascular Diseases, Beijing, - - 2014
The objective of the present study was to evaluate short- and mid-term outcomes of the left subclavian artery (LSA) chimney stent implantation (LSACSI) during thoracic endovascular aortic repair (TEVAR), and to summarize our experience with this technique. From June 2010 to September 2012, 59 patients (49 men; mean age of ...
Barone-Rochette Gilles G Department of Cardiology, University Hospital, Grenoble, France; INSERM U1039, Bioclinic Radiopharmaceutics Laboratory, Grenoble, France. Electronic address: - - 2014
Non-invasive methods allow the evaluation of structural and functional arterial abnormalities. So far, no study has focused on the comparison of vascular parameters by type of cardiovascular event. In this pilot study, cardiovascular risk factors, carotid parameters, carotid-to-femoral pulse wave velocity (PWV), brachial flow-mediated dilation and ambulatory blood pressure were ...
Weymann Alexander A Department of Cardiothoracic Transplantation & Mechanical Circulatory Support, Royal Brompton and Harefield NHS Foundation Trust, London, - - 2014
Central extracorporeal life support (ECLS) is an effective treatment method of cardiogenic shock patients with or without lung failure. However, complications like infection and bleeding are common. The classical implantation approach requires full sternotomy, mobilization of the heart, with the well-known risks of bleeding and mediastinal infections. We present our ...
Johnson Jeremiah J Department of Neurosurgery, University of Miami Miller School of Medicine, Miami, Florida, - - 2014
Posterior spinal artery (PSA) aneurysms are a rare cause of subarachnoid hemorrhage (SAH). The commonly abused street drug 3,4-methylenedioxymethamphetamine (MDMA) or 'Ecstasy' has been linked to both systemic and neurological complications. A teenager presented with neck stiffness, headaches and nausea after ingesting 'Ecstasy'. A brain CT was negative for SAH ...
Pasteur-Rousseau Adrien A Hôpital Lariboisière, Paris, France adrien.pasteur@inserm.fr - - 2014
Coronary artery aneurysm may cause coronary artery rupture, thromboembolism or haemodynamic problems related to compression. We report the case of a 68-year old man who was referred to an intensive cardiological care unit for recurrence of ventricular tachycardia. Coronary angiography revealed two large aneurysms of the mid-right coronary artery. A ...
Mondel Prabath Kumar PK Interventional Neuroradiology, Seth G.S. Medical College and K.E.M. Hospital, Mumbai, Maharashtra, - - 2014
A 43-year-old man presented with acute subarachnoid hemorrhage. He was investigated and found to have a rare posterior condylar canal dural arteriovenous fistula (DAVF). DAVFs of the posterior condylar canal are rare. Venous drainage of the DAVF was through a long, tortuous, and aneurysmal bridging vein. We describe the clinical ...
Meyer Guy G Division of respiratory and intensive care, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France; Université Paris Descartes, Sorbonne Paris Cité, 75006 Paris, France. Electronic address: - - 2014
Pulmonary embolism can be life threatening and difficult to diagnose as signs and symptoms are not specific. European guidelines recommend stratification of pulmonary embolism by risk of early mortality. Patients with suspected pulmonary embolism should be assessed for clinical probability of pulmonary embolism using a validated risk score. A low ...
Pathak Ranjan R Department of Internal Medicine, Reading Health System, West Reading, Pennsylvania - - - 2014
Central venous catheterization is a commonly used procedure to gain access to the central circulation. Although ultrasound guidance decreases the complication rates, arterial puncture may still occur. Failure to recognize this early may lead to devastating complications such as thrombosis and embolic stroke. We discuss the factors associated with increased ...
Portugaller Rupert H RH Department of Vascular and Interventional Radiology, University Clinic of Radiology, Medical University Graz (MUG), Graz - - - 2014
In dialysis access fistulas and grafts, percutaneous transluminal angioplasty (PTA) is frequently followed by restenosis development, which results in repeated periodical re-interventions. The technique of drug-eluting balloon (DEB) angioplasty has shown promising results in the treatment of femoropopliteal arteriosclerotic lesions. In contrast to arteriosclerotic arteries, dialysis access vessels host unfavorable ...
Akkan Koray K Department of Radiology, School of Medicine, Gazi University, Besevler, Ankara - - - 2014
We report on the endovascular management of hemorrhage with stent-graft due to a misplaced central venous catheter in the vertebral artery (VA) during percutaneous internal jugular vein catheterization in a child. A 16-year-old female was presented with the diagnosis of familial Mediterranean fever related chronic renal insufficiency. An attempt was ...
Conrotto F F Division of Cardiology, "Città della Salute e della Scienza" Hospital, Turin, Italy - - - 2014
The degree of inflammation within the atherosclerotic plaque can be detect non--invasively by positron emission tomography (PET) with 18F--fluorodeoxyglucose (18F--FDG). The incidence of aortic plaques with 18F--FDG increased uptake in octogenarians with aortic stenosis is unknown. Aim of this study was to evaluate the frequency of inflamed aortic atherosclerotic plaques ...
Esposito Andrea A Vascular and Endovascular Surgery Division, Department of Surgery "Paride Stefanini", University of Rome, Rome, Italy - - 2014
Duodenal obstruction caused by abdominal aortic aneurysm was first described by Osler in 1905 and is named "aortoduodenal syndrome." This condition has always been treated by open surgical repair. We report the first case of aortoduodenal syndrome successfully treated by endovascular aneurysm repair. A 74-year-old male patient referred to our ...
Banks Dalia A DA University of California, San Diego, San Diego, CA, USA - - 2014
Chronic thromboembolic pulmonary hypertension (CTEPH) results from recurrent or incomplete resolution of pulmonary embolism. CTEPH is much more common than generally appreciated. Although pulmonary embolism (PE) affects a large number of Americans, chronic pulmonary thromboembolic hypertension remains underdiagnosed. It is imperative that all patients with PH be screened for the ...
Rogal Shari S SS Shari S Rogal, Division of Gastroenterology, Hepatology and Nutrition, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, United - - 2014
Spontaneous splenorenal shunts in the absence of cirrhosis have rarely been reported as a cause hyperammonemia with encephalopathy. Several closure techniques of such lesions have been described. Here we report a case of a patient with no history of liver disease who developed significant confusion. After an extensive workup, he ...
Benaissa Azzedine A Departments of Neuroradiology, CHU de Reims, Reims, France. Electronic address: - - 2014
Aneurysm recanalization is a main concern after endovascular treatment of intracranial aneurysms. But to date, no systematic analysis of the risk factors affecting its occurrence has been conducted in a large series of patients. Analysis of Recanalization after Endovascular Treatment of intracranial Aneurysm (ARETA) is a multicenter, prospective trial whose ...
Alsara Osama O Department of Internal Medicine, Division of General Internal Medicine, Michigan State University, East Lansing, MI, USA. Electronic address: - - 2014
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is an uncommon type of congenital coronary anomaly. In adults, the clinical picture of ALCAPA varies widely between being asymptomatic, presenting similarly to other heart diseases, or as malignant arrhythmias. Patients who have cardiac arrest are usually young ...
Madanat-Harjuoja L M LM Finnish Cancer Registry, Helsinki, - - 2014
HSCT is associated with a high risk of late morbidity. The aim of this study was to evaluate the frequency, time frame, risk factors, and possible etiology of pulmonary dysfunction following allogeneic HSCT in childhood. We evaluated the pulmonary function of 51 HSCT patients (>6 yr), by including FVC and FEV1 ...
Chen Ko-Kang KK Division of Plastic and Reconstructive Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung, - - 2014
Distal fingertip replantation is associated with good functional and aesthetic results. Venous anastomosis is the most challenging procedure. For replantation with an artery anastomosis-only procedure (no venous anastomosis), some protocols have been designed to relieve venous congestion involve anticoagulation and the creation of wounds for persistent bleeding. This report presents ...
Bellemann Nadine N Department of Diagnostic and Interventional Radiology, University Hospital Heidelberg, INF 110, 69120 Heidelberg, Germany. Electronic address: - - 2014
We evaluated the technical success and clinical efficacy of stent-graft implantation for the emergency management of acute hepatic artery bleeding. Between January 2010 and July 2013, 24 patients with hemorrhage from the hepatic artery were scheduled for emergency implantation of balloon expandable stent-grafts. The primary study endpoints were technical and ...
Cannarile Pierpaolo P Department of Cardiology, Le Scotte Hospital, Viale Bracci, 31, 53100, Siena, Italy, - - 2014
We report a very rare case of a heart transplanted man with angiographic documentation of multiple congenital fistulae arising from both coronary arteries and draining into main pulmonary artery. A transthoracic echocardiogram and right heart catheterization were also performed, to assess the functional importance of the shunt. We also carried ...
Saura Daniel D Cardiac Imaging Unit, Cardiology Department, University Hospital "Virgen de la Arrixaca", Murcia, - - 2014
To assess the feasibility and reliability of aortic valve area (AVA) planimetry by means of three-dimensional transesophageal echocardiography (3DTEE) as compared with the transthoracic echocardiogram (TTE) calculation of AVA, to determine the systematic deviations between measurements, and to describe the distribution of mean systolic in relation with 3DTEE anatomical AVA. ...
Murai Yasuo Y Department of Neurosurgery, Nippon Medical - - 2014
Confirming the patency of the proximal parent and distal artery is necessary in cerebral aneurysm surgery. To understand the relationship between the parent and distal arteries of the aneurysm, the blood vessels running through the subarachnoid space should be extensively dissected, which is time consuming. To examine the efficacy of ...
Nishio Mayu M Cardiovascular Division, Osaka Police - - 2014
Background:Theslow-flow or no re-flow phenomenon has been associated with distal embolization, especially of plaque debris, and with unfavorable clinical outcomes. Therefore, we examined the association between the coronary computed tomography angiography (CCTA) findings of the target lesion and distal embolization during percutaneous coronary intervention (PCI).Methods and Results:Consecutive patients (n=55: 18 unstable angina, ...
da Luz P L PL Divisão de Cardiologia Clínica, Instituto do Coração (Incor), Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, - - 2014
Observational studies suggest there are clinical benefits to moderate red wine (RW) consumption. However, the effects on coronary vasculature and overall lifestyle are unclear. We investigated whether a lifestyle of regular long-term RW consumption is associated with changes in coronary plaque burden, calcium score, carotid intima/media thickness, endothelial function, and ...
Rolls Alexander Eric AE Imperial Vascular Unit, Imperial College Healthcare NHS Trust, London, United - - 2014
To provide a technical description of robot-assisted uterine artery embolization and to investigate the safety and feasibility of the Magellan (Hansen Medical, Mountain View, California, USA) robotic catheter in this complex arterial bed. Five women (mean age, 48.8 y) underwent robot-assisted bilateral uterine artery embolization over a 10-month period using ...
Ponte Marta M Serviço de Cardiologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, Vila Nova de Gaia, Portugal. Electronic address: - - 2014
We present the case of a 47-year-old man with hypertension for over 20 years, referred to our hospital due to mild aortic dilatation detected on a transthoracic echocardiogram. On physical examination weak lower limb pulses and a blood pressure differential of >50 mmHg between arms and legs were detected. Complete ...
Rodrigues Patrícia P Cardiology, Centro Hospitalar do Porto, Porto, Portugal. Electronic address: - - 2014
Dyspnea and hypoxemia are among the most common symptoms and signs that need to be assessed in clinical practice. This case illustrates how simple steps in history taking and physical examination can be crucial for diagnosis. We present a patient with intermittent hypoxemia, initially attributed to a pulmonary infection. However, ...
Ameloot K K Department of Cardiology, Ziekenhuis Oost-Limburg, Genk, Belgium. Electronic address: - - 2014
Thermodilution continuous cardiac output measurements (TDCCO) by pulmonary artery catheter (PAC) have not been validated during therapeutic hypothermia in post-cardiac arrest patients. The calculated cardiac output based on the indirect Fick principle (FCO) using pulmonary artery blood gas mixed venous oxygen saturation (FCO-BG-SvO2) is considered as the gold standard. Continuous ...
Tykocki Tomasz T Department of Neurosurgery, Institute of Psychiatry and Neurology, Warsaw, Poland. Electronic address: - - 2014
The aim of the study was to examine the correlation between various morphometric factors of the posterior circulation aneurysms with the severity of neurological status and radiological extend of subarachnoid haemorrhage (SAH). 105 patients with ruptured posterior circulation aneurysms (IAs) were retrospectively analyzed in the study. The neurological status was ...
Bobylev Dmitry D Department of Cardiothoracic, Transplantation and Vascular Surgery, Hannover Medical School, Hannover, - - 2014
Background This study we evaluate our results for surgical treatment of thoracic aortic aneurysms in patients with congenital heart disease. Patients and Methods Fifty patients aged between 12 and 71 years were treated for 51 thoracic aortic aneurysms. Forty-four of the patients developed aneurysms in the ascending aorta and seven developed aneurysms ...
Rivera Rodrigo R Neuroradiology Department, Instituto de Neurocirugia, Dr. Asenjo, Jose Manuel Infante 553, Providencia, Santiago, Chile, - - 2014
The formation of the ophthalmic artery (OA) is a complex process with two different proposed embryological steps for its development. Several anatomical variants have been described. We present a very unusual origin of the ophthalmic artery from the basilar trunk, in a 45-year-old male with a history of pontine hemorrhagic ...
Tan Terence T Department of Neurosurgery, St Vincent's Hospital Melbourne, Fitzroy, Victoria, - - 2014
The authors report the first case of vasogenic cerebral edema due to a cell-mediated hypersensitivity reaction to a nickel-containing aneurysm clip. The patient initially presented for elective clipping of a right middle cerebral artery aneurysm, and on long-term follow-up she demonstrated relapsing-remitting cerebral edema. Four years post-aneurysm clipping, she underwent ...
Galzerano Giuseppe G Department of Medicine, Surgery and Neuroscience, Vascular and Endovascular Surgery Unit, University of Siena, Siena, Italy - - 2014
Arterovenous grafts (AVGs) present a feasible solution for creating a vascular access in patients who are unsuitable for autogenous fistula (AVF). The aim of this study is to assess the prevention rate of vein stenosis, placing a graft on an arterialized vein (GAV) instead of an anastomized AVG in a ...
Mascitelli Justin R JR Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, - - 2014
Cervical-petrous internal carotid artery (CP-ICA) pseudoaneurysms are rare and have different etiologies, presentations, and treatment options. A middle-aged patient with a history of chronic otitis media presented with acute otorrhagia and was found to have a left-sided CP-ICA pseudoaneurysm. The patient was a poor surgical candidate with difficult arterial access. ...
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