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Hamamoto Masaki M Department of Cardiovascular Surgery, JA Hiroshima General Hospital, Hiroshima, Japan - - 2014
We describe a new technique of prosthesis-preserving aortic root replacement for patients who have previously undergone aortic valve replacement. With preservation of the mechanical prosthesis, we implant a Gelweave Valsalva graft using double suture lines. The first suture line is made between the sewing cuff of the mechanical valve and ...
Pearce Benjamin J - - 2014
Preservation of internal iliac flow is an important consideration to prevent ischemic complications during EVAR. We sought to determine the suitability of aortoiliac aneurysms for off-the-shelf iliac branched systems currently in clinical trial. Patients undergoing AAA repair from 2004-2013 at two institutions were reviewed. Centerline diameters and lengths of aortoiliac ...
Georgiadis G S GS Department of Vascular Surgery, Demokritus University of Thace, University General Hospital of Alexandroupolis, Greece. - - 2014
Endovascular aortic aneurysm repair with the Endurant(™) stent-graft system has been shown to be safe and effective in high-risk surgical patients with complex suprarenal and/or infrarenal abdominal aortic aneurysm anatomy. The wireformed M-shaped stent architecture and proximal springs with anchoring pins theoretically permit optimal sealing in shorter and more angulated ...
Saboo Sachin S SS 1 Department of Radiology, Applied Imaging Science Laboratory, Brigham and Women's Hospital and Harvard Medical School, 75 Francis St, L1 ASB-1, Boston, MA - - 2014
OBJECTIVE. The purpose of this article is to describe the evaluation of congenital coronary artery fistulas (CAFs) with MDCT angiography with ECG gating (MDCTA), including the clinical manifestations, scanning techniques, differential diagnosis, and other imaging methods that may be used. CONCLUSION. Congenital CAFs are rare coronary artery anomalies of termination. ...
Rangel-Castilla Leonardo L Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, - - 2014
We present the case of a 26-year-old female patient who had two episodes of sudden, left, upper and lower extremity paresthesias and weakness, which resolved completely after 5 months. After recovery, she presented for evaluation. Imaging demonstrated a C3-C6 intra- and extra-axial arteriovenous malformation (AVM) with spinal cord compression and ...
Tuchek Chad A CA Goodman Campbell Brain and Spine and Indiana University Department of Neurological Surgery, Indianapolis, - - 2014
Spinal dural arteriovenous fistula (dAVF) is an acquired abnormal arterial-to-venous connection within the spinal dura with a wide range of clinical presentations and natural history. Spinal dAVF occurs when a radicular artery makes a direct anomalous shunt with a radicular vein within the dura of the nerve root sleeve. Spinal ...
Abruzzo Todd A TA Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA Mayfield Clinic, Cincinnati, Ohio, - - 2014
To develop a reproducible technique for selective ophthalmic artery infusion chemotherapy (SOAIC) that is technically efficacious in children with unfavorable patterns of ophthalmic artery (OA) flow. Initially, all SOAIC was performed with intention to treat using a standard selective OA (microcatheter) infusion technique (sSOAIC). Temporary balloon occlusion (TBO) of the ...
Massmann A A Department of Diagnostic and Interventional Radiology, Saarland University Medical Center, Homburg/Saar, Germany - - 2014
A minimal-invasive interventional technique for recanalization of complex chronic central venous total occlusions is described to overcome difficulties in case of failure of common approaches. We present a patient with a central venous occlusion that caused severe venous congestion of her upper extremity and significant impairment of her forearm hemodialysis ...
Memeo Riccardo R Hopital Henri Mondor, Université de Paris Est, Creteil, - - 2014
Arterial injury remains a common complication during organ procurement, with negative effects on postoperative morbidity and graft survival. We describe a simple technique that helps surgeons avoid vascular injuries during isolated liver procurement (without pancreas). This simple technique has been used in 200 liver procurements without any arterial injuries.
Ullery Brant W BW Division of Vascular Surgery, Stanford University, Stanford, - - 2014
To describe successful endovascular repair of a complex chronic aorto-iliac dissection facilitated by a unique endovascular fenestration technique at the proximal neck. A 57-year-old male presented with disabling lower extremity claudication and a remote history of medically-treated type B aortic dissection. Computed tomographic angiography demonstrated a complex dissection with 7.1-cm ...
Doi Kiyoshi K Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan. Electronic address: - - 2014
Extensive aortic valve endocarditis requires thorough debridement of the paravalvular tissue, and reconstruction of the destroyed aortic root can be technically difficult. In the present report, we describe a simple technique for aortic root reconstruction. In this technique, a doughnut-shaped bovine pericardial sheet (skirt) is attached to the proximal end ...
Hanaoka Jun J Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Shiga, Japan. Electronic address: - - 2014
The authors present a case of a 66-year-old male presenting with a superior sulcus tumor and severe hypoxemia due to bilateral multiple pulmonary arteriovenous fistulas. The unilateral pulmonary arterial occlusion test was useful before surgery because it enabled evaluation of the feasibility and safety of intraoperative pulmonary artery clamp and ...
Manoly Imthiaz I Adult Congenital Heart Disease Unit, Central Manchester University Hospitals Foundation Trust, Manchester, United Kingdom. Electronic address: - - 2014
Acute aortic valve regurgitation due to thrombosed prosthetic valve can present as a surgical emergency. This article reports a successful and unusual management of a young pregnant female patient who presented with acute aortic valve regurgitation due to a thrombosed mechanical aortic valve. As the patient had previous multiple cardiac ...
Franciozi Carlos Eduardo da Silveira CE Department of Orthopaedics and Traumatology, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, Brazil; Knee Institute, Heart Hospital, São Paulo, Brazil. Electronic address: - - 2014
To compare the outside-in transtibial lateral and medial approaches for posterior cruciate ligament (PCL) reconstruction regarding the guidewires and popliteal artery integrity. Twenty-two human cadaveric knees were used. A PCL tibial aimer was arthroscopically placed within the PCL footprint through the anteromedial portal for the medial approach and through the ...
Kotsia Anna P AP Dallas VA Medical Center (111A), 4500 South Lancaster Road, Dallas, TX 75216 USA. - - 2014
Epicardial collateral perforation is a serious complication of retrograde chronic total occlusion percutaneous coronary intervention. We describe two cases of epicardial collateral perforation that were successfully sealed with local thrombin injection.
Wiechmann Bret N BN Vascular & Interventional Physicians, Gainesville, FL; North Florida Regional Medical Center, Gainesville, FL; University of Florida, Gainesville, FL. Electronic address: - - 2014
Tibiopedal artery access is being used with increasing frequency as an alternative access to facilitate procedural success in lower extremity arterial intervention. This technique is usually employed in the setting of critical limb ischemia and tibial artery intervention, but it may offer potential practical advantages for popliteal artery and even ...
Hendricks Nicholas J NJ Department of Radiology, University of Virginia, Charlottesville, - - 2014
Retrograde access techniques involve the addition of a retrograde access into the distal target vessel to aid in recanalization of chronic total occlusions. Many patients with critical limb ischemia are also poor surgical candidates because of comorbidities or lack of suitable landing zone for bypass procedures. This approach may be ...
Forcillo Jessica J Department of Cardiac Surgery, Montreal Heart Institute, Université de Montréal, Quebec, - - 2014
We describe our technique for the Ross procedure using a total root technique without any foreign material for autograft support. We insist on technical principles, based on the surgical anatomy of the aortic and pulmonary root, aimed at optimizing aortic root dynamics while ensuring long-term stability of the autograft root.
Wehman Brody B Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, Maryland, - - 2014
We describe a new technique for treatment of shunt thrombosis in infants with complex anatomical defects. A 2-month-old girl with Tetralogy of Fallot underwent placement of a modified Blalock-Taussig shunt (MBTS) at day of life (DOL) 6 with revision at DOL 20. Following this surgery, the patient became hypotensive and ...
Zhou Weimin - - 2014
Aneurysms of an aberrant splenic artery originating from the superior mesenteric artery (SMA) are extremely rare; however, they are clinically important because possible rupture could be catastrophic. The methods of treatment for this condition include surgical resection, minimally invasive techniques (include laparoscopic technique) and endovascular therapy. The purpose of this ...
Magro Elsa E Laboratoire d'anatomie, Faculté de médecine, CHU Brest, Avenue Camille Desmoulin, 29200, Brest, France, - - 2014
In order to contribute some new elements to the discussion on the organization of the vertebral veins inside the transverse canal, we compared two dissection techniques: injection/dissection and injection/corrosion. The aim of this study was to compare these two techniques to study the vertebral veins, and also to emphasize the ...
Shen Xun X Neurosurgical Department, China Meitan General Hospital; Beijing, China - - - 2014
This study evaluated the results of endovascular embolization of multiple intracranial aneurysms. A retrospective hospital chart and radiograph review were made of all patients with multiple intracranial aneurysms seen between March 2010 and January 2011. Ten patients presented with subarachnoid hemorrhage, four with mass effect, two with brain ischemia and ...
Puri Ajit S AS Division of Neuroimaging and Intervention, Department of Radiology and New England Center for Stroke Research, University of Massachusetts; Worcester, MA, USA - - - 2014
Onyx is a non-adhesive polymer used for embolization of arteriovenous malformations and dural arteriovenous fistulas (DAVFs). The limiting factor for Onyx embolization is usually the amount of microcatheter reflux, which can be safely tolerated. The dual microcatheter technique, compliant balloon use proximally and the use of the dual lumen Scepter ...
Shin Hee Sup HS Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine; Seoul, Korea - - - 2014
Retrograde stenting via the contralateral vertebral artery (VA) is a safe and effective treatment for posterior inferior cerebellar artery (PICA) aneurysm. Many methods, including tip shaping and the looping technique, have been attempted as ways to cross the vertebrobasilar (VB) junction. Here, we introduce an alternative method using a Snare ...
Park Soonchan S Department of Radiology, Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea Department of Radiology, Kyung Hee University Hospital at Gangdong, School of Medicine, Kyung Hee University, Seoul, - - 2014
Simultaneous use of balloon catheters with embolic materials can cause unwanted rupture of the balloon occlusion catheters, which might cause a serious problem. Therefore, knowledge of the compatibility of occlusion balloon catheters with liquid embolic materials is important in various interventional procedures. To determine the compatibility of occlusion balloon catheters ...
Pittiruti Mauro M Department of Surgery, Catholic University Hospital, Rome - - - 2014
Few randomized studies have investigated the impact of valved and non-valved power-injectable peripherally inserted central catheters (PICCs) in terms of incidence of occlusion, infection, malfunction and venous thrombosis. We have prospectively compared three types of third-generation polyurethane PICCs. One hundred and eighty adult patients candidate to chemotherapy were randomized into ...
Avila Jacob O JO Department of Emergency Medicine, University of Tennessee College of Medicine Chattanooga, Emergency Heart-Stroke Center, Erlanger Medical Center, Chattanooga, TN. - - 2014
Ultrasound guidance is now the standard of care when placing a central venous catheter (CVC), resulting in decreased complications and increased first-pass success rates. However, even with ultrasound guidance being used for the initial venipuncture, misplacement of a CVC in either an unwanted vein or in an artery still occurs. ...
Heng Wee Ling WL National Cardiovascular Homograft Bank, National Heart Centre Singapore, Singapore, Singapore, - - 2014
Iliac artery and vein homografts are critical for revascularization in living-donor liver transplantation. Since 2010, National Cardiovascular Homograft Bank and National University Hospital have collaborated in the pioneer endeavor of banking iliac vessel homografts for such surgeries in Singapore. This article aims to demonstrate that the processing, decontamination and cryopreservation ...
Chen Yong Y Department of Interventional Radiology, Nanfang Hospital, Southern Medical University, No. 1838, North of Guangzhou Avenue, Guangzhou City, Guangdong Province, China, - - 2014
Bifurcation stenoses after end-to-side anastomosis of transplant renal artery (TRA) and external iliac artery (EIA), including stenoses at the anastomosis and the iliac artery proximal to the TRA, are rare. In the present article, we report two successfully managed cases of bifurcation stenoses after end-to-side anastomosis of the TRA and ...
Dai Jian J Department of Cardiology, Shu Guang Hospital Bao Shan Branch, Shanghai University of Traditional Chinese Medicine, Shanghai, - - 2014
When patients who have previously undergone coronary artery bypass graft surgery develop ischemia symptoms that cannot be controlled by optimal medical therapy, repeat revascularization is indicated. The revascularization strategy should be based on individual clinical and anatomical characteristics. We report here a challenging patient who presented with recurrent stable angina ...
Mustapha J A JA Department of Medicine, Metro Health Hospital, Michigan State University, College of Osteopathic Medicine, MI. Electronic address: - - 2014
Tibial arterial disease represents the final frontier in the battle against critical limb ischemia (CLI). Isolated infrapopliteal (IP) disease is mainly seen in the elderly (>80 years old), diabetic, and dialysis-dependent patients with CLI. With the development and evolution of catheter-based technology, endovascular therapy (mainly balloon angioplasty) has become the ...
Durst Christopher R CR Departments of Radiology and Medical Imaging - - 2014
Object The endovascular treatment of wide-necked aneurysms can be technically challenging due to distal coil migration or impingement of the parent vessel. In this paper, the authors illustrate an alternative method for the treatment of wide-necked intracranial aneurysms using a dual microcatheter technique. Methods The authors' first 100 consecutive patients ...
Matoussevitch V V Department of Vascular Surgery, University of Cologne, Köln, Germany. Electronic address: - - 2014
Proximalization of arteriovenous inflow (PAI) is an established technique for treating patients with access-induced hand ischemia. However, a prosthetic graft, used as arterial inflow, could minimize the benefits of a purely native fistula. In this study, a new PAI technique is reported, which avoids the use of prosthetic grafts in ...
Edwards Andrew A The Ritchie Centre, Monash Institute of Medical Research-Prince Henry Institute, Melbourne, Australia; Perinatal Services, Monash Medical Centre, Melbourne, Australia; Fetal Cardiac Unit, Monash Medical Centre, Melbourne, - - 2014
We aimed to assess feasibility of using a percutaneous transhepatic cardiac catheterisation technique to perform fetal pulmonary valvuloplasty and valvulotomy under ultrasound guidance at mid-gestation. In 13 mid-gestation fetal lambs without cardiac pathology, percutaneous transhepatic cardiac catheterization was used to position a coronary angioplasty catheter within the pulmonary valve. The ...
Robles Campos Ricardo R Unidad de Cirugía Hepática, Departamento de Cirugía, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España. Electronic address: - - 2014
Associating liver partition and portal vein ligation for staged hepatectomy (ALPPS) achieves the hypertrophy of the future liver remnant in seven days. We achieved the same hypertrophy placing a tourniquet in the parenchimal transection line associating a right portal vein ligation (associating liver tourniquet and right portal vein ligation for ...
Jeon Byung-Joon BJ From the *Department of Plastic Surgery, Korea University Medical Center, Ansan-si; †Gangnam Jaejun Hand and Plastic Clinic, Pyeongtaek-si; ‡Department of Plastic Surgery, Gwang Myeong Seong-Ae General Hospital, Gwangmyeong-si, Gyeonggi-do; and §Department of Plastic Surgery, Inha University School of Medicine, Incheon, Republic of - - 2014
Successful venous anastomosis is one of the most important factors in fingertip replantation. Volar veins in the fingertip course proximally in a random pattern, which makes it difficult to find out the exact locations. Although dorsal veins in the lateral nail fold have constant location and adequate diameter for anastomosis, ...
Takahashi Akihiko A Department of Cardiology, Sakurakai Takahashi Hospital, 5-18-1 Oikecho, Sumaku, Kobe, Hyogo 654-0026, Japan. Electronic address: - - 2014
The mother and child technique with a deep-seated 4F Kiwami catheter has been reported to be effective for delivering stents to complex lesions. To assess the feasibility and efficacy of a novel 4.5F child catheter for deep insertion and stent deployment into the distal coronary artery for the treatment of ...
Matalanis George G Department of Cardiac Surgery, Austin Hospital, University of Melbourne, Melbourne, Australia. Electronic address: - - 2014
Although current developments in aortic arch replacement have demonstrated progressively improving mortality, cerebral morbidity remains significant. We describe a "branch-first" technique that avoids circulatory arrest and profound hypothermia, yielding excellent survival and low cerebral morbidity. From September 2005 to February 2014, 64 patients underwent the "branch-first" technique for aortic arch ...
Smeds Matthew R - - 2014
Endovascular aneurysm repair requires a suitable anatomy for placement of covered stent grafts, which includes a non-aneurysmal distal landing zone within the common iliac arteries. Patients with iliac artery aneurysms, thus, are often not candidates for this minimally invasive repair, as extension of the graft to an appropriate site would ...
Senay Sahin S Department of Cardiovascular Surgery, Acıbadem University School of Medicine, Istanbul, Turkey - - 2014
Robotic surgical techniques allow surgeons to perform mitral valve surgery. This procedure has gained acceptance, particularly for mitral valve repair in degenerative mitral disease. However, mitral repair may not always be possible, especially in severely calcified mitral valve of rheumatic origin. This study demonstrates the basic concepts and technique of ...
Tang Gilbert H L GH Section of Cardiothoracic Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, - - 2014
To review the contemporary practice in total arch replacement (TAR) by using the trifurcated graft technique. The evolution of the trifurcated graft technique in total arch replacement is described. Axillary artery perfusion with antegrade cerebral perfusion (ACP) is routinely performed, with systemic deep hypothermia based on the anticipated interval of ...
Garg Vinay V Division of Cardiac Surgery, St Michael's Hospital, University of Toronto, Toronto, Ontario, - - 2014
To demonstrate a novel, reproducible, and effective method of direct innominate artery cannulation using a 14F pediatric venous cannula to establish antegrade cerebral protection (ACP) in patients undergoing aortic surgery that requires an open distal anastomosis or hemiarch replacement. We reviewed prospectively gathered data on all patients who had undergone ...
Pokharel Yashashwi Y Section of Cardiovascular Research, Department of Medicine, Baylor College of Medicine, Houston, TX, USA; Center for Cardiovascular Disease Prevention, Methodist DeBakey Heart and Vascular Center, Houston, TC, USA. Electronic address: - - 2014
Retired National Football League (NFL) players were reported to have high prevalence of cardiovascular risk factors. Lipoprotein Associated Phospholipase A2 (LpPLA2) has shown to be associated with cardiovascular disease in the general population, but it is unknown whether such an association exists in retired NFL players. Our objective was to ...
Bubb Kristen J KJ From the William Harvey Research Institute, Barts and The London School of Medicine and Dentistry, Queen Mary University of London (K.J.B., S.L.T., R.S.B., A.J.H.); and Centre for Clinical Pharmacology, University College London (J.P., L.H.C., R.J.M.), London, United - - 2014
Pulmonary hypertension (PH) is a life-threatening disorder characterized by increased pulmonary artery pressure, remodeling of the pulmonary vasculature, and right ventricular failure. Loss of endothelium-derived nitric oxide (NO) and prostacyclin contributes to PH pathogenesis, and current therapies are targeted to restore these pathways. Phosphodiesterases (PDEs) are a family of enzymes ...
Kim Young-Su YS Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, - - 2014
For the surgical management of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA), there have been various techniques that reduce the tension and kinking of the coronary artery during reimplantation to the aorta. The aim of this study is to describe the results of our modified ...
Azari Ali A Department of Cardiac Surgery, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran ; Cardiovascular Research Center, Ghaem Hospital, School of Medicine, Mashhad University of Medical Sciences, Iran ; Atherosclerosis Prevention Research Center, Imam Reza Hospital, School of Medicine, Mashhad University of Medical Sciences, - - 2014
We report a modified technique for pulmonary endarterectomy (PEA) on a 67-year-old man with chronic thromboembolic pulmonary hypertension (CTEPH) who presented with dyspnea. He was referred to our medical center for coronary artery bypass grafting. CTEPH had not been detected in his first visit to another medical center, but upon ...
Kim Jin Kwon JK Department of Neurosurgery, Eulji University Eulji Hospital, Seoul, - - 2014
The Sundt encircling clip was developed to repair defects of the vessel wall. With the advent of microvascular techniques, most parts of the damaged vessel wall during aneurysm surgery can be repaired by primary closure or by the bypass technique. However, these methods are not always successful. Here, we illustrate ...
Toczek Marta M a Department of Biochemistry , Medical University of Gdańsk , Gdańsk , - - 2014
Enzymes of extracellular nucleotide catabolism, such as ecto-nucleoside triphosphate diphosphohydrolase (eNTPD), ecto-5'-nucleotidase (e5NT) and ecto-adenosine deaminase (eADA), control extracellular concentrations of adenine nucleotides and adenosine, furthermore in that way regulate inflammation, immune response, and platelets aggregation. In valves, disturbances of these processes may lead to their dysfunction and calcification. The ...
Bierbach Benjamin B Department of Cardiovascular Surgery, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, - - 2014
Visceral malperfusion after coronary artery bypass grafting (CABG) results in high morbidity and mortality. This study was designed to evaluate the effect of CABG performed by surgical techniques on visceral perfusion and function. Pigs (n = 28) were studied in four groups: I. Sham; II. Off-pump coronary artery bypass grafting ...
Weisel Friederike Christine FC Universities of Giessen and Marburg Lung Center, Member of the German Lung Center (DZL), Justus-Liebig-University Giessen, Giessen, - - 2014
Pulmonary hypertension (PH) is a life-threatening disease characterized by vascular remodeling and increased pulmonary vascular resistance. Chronic alveolar hypoxia in animals is often used to decipher pathways being regulated in PH. Here we aimed to investigate whether 1) chronic hypoxia-induced PH in mice can be reversed by reoxygenation and 2) ...
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