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https://www.readbyqxmd.com/read/28814595/bleeding-ectopic-duodenal-varix-use-of-a-new-microvascular-plug-mvp-device-along-with-transjugular-intrahepatic-portosystemic-shunt-tipss
#1
Richa Bhardwaj, Gaurav Bhardwaj, Erik Bee, Raffi Karagozian
Ectopic varices (ECV) occur along the gastrointestinal (GI) tract outside the common variceal sites and represent 2%-5% of all GI variceal bleeds with mortality rates up to 40%. Management is challenging because of inaccessibility and increased risk of rebleeding. We report what is to our knowledge the first clinical use of a new microvascular plug (MVP) with transjugular intrahepatic portosystemic shunt (TIPSS) for a bleeding duodenal varix (DV). A 68-year-old man presented with melena. Endoscopy demonstrated a grade II varix in the second part of the duodenum with red wale sign...
August 16, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28806621/traumatic-common-hepatic-artery-injury-causing-isolated-right-hepatic-ischemia-due-to-a-left-accessory-artery-a-case-report
#2
Eduardo Fernandes, Corrado Pedrazzani, Marielia Gerena, Ellen Omi
INTRODUCTION: Hepatic arterial liver flow is renowned for its redundancy. Previous studies have demonstrated that the common hepatic artery is not essential for liver survival. We present a case of a 31year-old involved in a high-speed motor vehicle accident whose liver survived thanks to the presence of an accessory hepatic artery. PRESENTATON OF THE CASE: We present the case of a 31year-old male who sustained a traumatic injury of the proper hepatic artery following a motor vehicle accident...
August 8, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28803678/laparoscopic-partial-nephrectomy-with-prior-superselective-embolisation-as-treatment-for-giant-renal-angiomyolipoma
#3
A Husillos Alonso, D Subirá Ríos, E Bolufer Moragues, I Lopez Díez, I Moncada Iribarren, C González Enguita
OBJECTIVE: Cases of giant renal angiomyolipoma (>9cm) are a therapeutic challenge due to their low frequency and large size. The treatment objective for patients with renal angiomyolipoma should be complete tumour extirpation, with a nephron-sparing surgical technique, without complications and using a minimally invasive approach. MATERIAL AND METHODS: We present 3 cases of giant angiomyolipoma (10 12 and 14cm) treated with a combined approach: superselective embolisation and subsequent laparoscopic partial nephrectomy, in 3 separate hospitals...
August 10, 2017: Actas Urologicas Españolas
https://www.readbyqxmd.com/read/28781160/transarterial-embolisation-for-congenital-renal-arteriovenous-malformations-improves-clinical-condition-even-with-partial-obliteration
#4
T-W Sheng, Y-C Wong, C-H Wu, L-J Wang
AIM: To evaluate the efficacy and safety of transarterial embolisation (TAE), used to treat congenital renal arteriovenous malformations (CRAVMs). MATERIALS AND METHODS: The medical records were searched retrospectively to identify patients who underwent TAE to treat CRAVM from January 2003 to August 2015. Patient demographics, clinical presentations, and imaging findings were reviewed. TAE outcomes, including complete or partial obliteration, clinical success, complications, renal function changes, and relapse of symptoms or signs after the final TAE, were assessed...
August 3, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28779950/value-of-the-portal-venous-phase-in-evaluation-of-treated-hepatocellular-carcinoma-following-transcatheter-arterial-chemoembolisation
#5
A Lam, D Fernando, C C Sirlin, M Nayyar, S C Goodwin, D K Imagawa, C Lall
AIM: To evaluate the utility of the portal venous phase on multiphasic computed tomography (CT) after treatment of hepatocellular carcinoma (HCC) with trans-arterial chemoembolisation (TACE). MATERIALS AND METHODS: This was a retrospective review of patients who underwent TACE for HCC between 1 April 2012 and 21 December 2014, with appropriate multiphasic, pre- and post-procedural CT examinations. The maximum non-contrast, arterial phase, and portal venous phase attenuation values of the tumour and tumour bed were evaluated within a region of interest (ROI), with values adjusted against background hepatic parenchyma...
August 2, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28774761/degree-and-duration-of-functional-improvement-on-long-term-follow-up-of-spinal-dural-arteriovenous-fistulae-occluded-by-endovascular-and-surgical-treatment
#6
Andrew J Durnford, Jonathan Hempenstall, Ahmed R Sadek, Jonathan Duffill, Nijaguna Mathad, John Millar, Owen C Sparrow, Diederik O Bulters
BACKGROUND: Long-term outcome following occlusion of spinal dural arteriovenous fistulas (SDAVF) is poorly understood and based on small series reporting predominantly short-term outcome. It is unclear what degree of improvement occurs and is sustained. We describe long-term outcome following occlusion. METHODS: Single centre cohort study of SDAVF patients identified from a prospective database. Outcome assessed by modified Aminoff and Logue disability scales, modified Rankin scale (mRS) and patient reported outcomes at presentation and long-term follow-up...
July 31, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/28772280/comment-on-transarterial-chemo-embolisation-of-hepatocellular-carcinoma-impact-of-liver-function-and-vascular-invasion
#7
Teh-Ia Huo, Po-Hong Liu, Chia-Yang Hsu
No abstract text is available yet for this article.
August 3, 2017: British Journal of Cancer
https://www.readbyqxmd.com/read/28772278/reply-to-comment-on-transarterial-chemo-embolisation-of-hepatocellular-carcinoma-impact-of-liver-function-and-vascular-invasion-%C3%A2
#8
Iman Waked, Philip J Johnson
No abstract text is available yet for this article.
August 3, 2017: British Journal of Cancer
https://www.readbyqxmd.com/read/28764144/variant-anatomy-of-the-hepatic-vasculature-importance-in-hepatobiliary-resections
#9
Sarika Rachel Tigga, Sandeep Saluja, Virendra Budhiraja, Rakhi Rastogi
A variant anatomy of the hepatic vasculature has a clinically significant role in hepatobiliary transplantation, resection, tumour embolisation as well as in extrahepatic abdominal surgeries involving the stomach, pancreas or gall bladder. During routine cadaveric dissection, we observed a case of unusually small calibre hepatic artery proper. An accessory hepatic artery was seen emerging from the superior mesenteric artery to the right hepatic lobe along with an accessory hepatic vein from the right hepatic lobe that drained directly into the inferior vena cava...
June 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28758761/-malignant-fibrous-histiocytoma-as-a-rare-cause-of-acute-limb-ischemia
#10
J Pobehová, M Zavacká, P Závacký, P Pobeha, M Koščo, M Frankovičová
Malignant fibrous histiocytoma (MFH) represents a rare malignant affection of heart and aorta. Its clinical presentation depends on the localisation, size, degree of invasion and metastasis. Previously, relatively few cases of acute tumour mass embolisation into the visceral and limb arterial system were described in the literature. In the present case study we describe a case of acute ischemia of both lower extremities caused by thromboembolic mass of MFH cells. According to literary sources this tumour type is characterized by poor prognosis as it was in the case of our patient...
2017: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/28738492/-percutaneous-transluminal-septal-myocardial-ablation-by-microsphere-embolisation-for-a-patient-with-hypertrophic-obstructive-cardiomyophthy
#11
G Q Lin, M F Wu, J M Lin
No abstract text is available yet for this article.
July 24, 2017: Zhonghua Xin Xue Guan Bing za Zhi
https://www.readbyqxmd.com/read/28735254/how-should-i-treat-an-edwards-sapien-3-aortic-valve-embolisation-during-a-transaortic-transcatheter-aortic-valve-implantation
#12
Stephane Fournier, Pierre Monney, Christian Roguelov, Enrico Ferrari, Eric Eeckhout, Olivier Muller, Andras Durko, Nicolas M Van Mieghem, Arie Pieter Kappetein, Ronan Margey
No abstract text is available yet for this article.
July 20, 2017: EuroIntervention
https://www.readbyqxmd.com/read/28728536/postnatal-delayed-exacerbation-of-dural-sinus-malformation-associated-with-brainstem-cavernous-malformations-a-case-report
#13
Katsuhiro Mizutani, Tomoru Miwa, Takenori Akiyama, Tokunori Kanazawa, Hideaki Nagashima, Kei Miyakoshi, Yasunari Niimi, Kazunari Yoshida
Dural sinus malformation (DSM) is a rare paediatric vascular malformation characterised by abnormal dilation of the posterior dural sinus. Owing to its rarity, the pathophysiology of DSM has not been fully elucidated. We report a case of prenatally diagnosed DSM with an unusual clinical course. We detected DSM in a male foetus in the 26th week of gestation by using foetal ultrasonography. Although the DSM regressed during the foetal stage and the arteriovenous shunt was insignificant in the neonate, the shunt rapidly developed four months after birth...
January 1, 2017: Interventional Neuroradiology
https://www.readbyqxmd.com/read/28712008/acute-lower-gastrointestinal-haemorrhage-outcomes-and-risk-factors-for-intervention-in-949-emergency-cases
#14
Kheng-Seong Ng, Natasha Nassar, Deanne Soares, Patrick Stewart, Marc A Gladman
PURPOSE: Outcomes of acute lower gastrointestinal haemorrhage (ALGIH) are mostly derived from studies performed in the sub-acute/elective rather than the emergency department (ED) setting. The aims of this study were to determine the incidence and outcomes of patients presenting to a tertiary hospital ED with ALGIH and to identify associated clinicopathological risk factors. METHOD: A retrospective observational cohort study of consecutive patients presenting with ALGIH to a tertiary hospital ED was performed...
July 15, 2017: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/28710233/venobiliary-fistula-with-haemobilia-a-rare-complication-of-percutaneous-liver-biopsy
#15
Rotimi Ayoola, Parth Jamindar, Renee Williams
We describe a case of a 36-year-old man with a history of chronic hepatitis C who presented with abdominal pain 3 days after undergoing a percutaneous ultrasound-guided liver biopsy. Initial investigations revealed a venobiliary fistula with haemobilia and obstructive jaundice with direct bilirubin peaking at 9.2 mg/dL. He underwent an endoscopic retrograde cholangiopancreatography with sphincterotomy and stent placement, bilirubin decreased to 3.7 mg/dL, and the patient was discharged. The patient returned with recurrent abdominal pain and upper gastrointestinal bleeding with haemoglobin of 8...
July 14, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28710195/marantic-endocarditis-and-paraneoplastic-pulmonary-embolism
#16
Tiago Lobo Ferreira, Rosa Alves, Tiago Judas, Maria F Delerue
Cancer is frequently associated with a hypercoagulable state. Almost 15% of patients with cancer will suffer a thromboembolic event during their clinical course. The aetiology of this hypercoagulable state is multifactorial and includes procoagulant factors associated with malignancy as well as the host's inflammatory response. Cancer-associated thrombophilia can present as venous thromboembolism, migratory superficial thrombophlebitis, arterial thrombosis, disseminated intravascular coagulation, thrombotic microangiopathy and rarely non-bacterial thrombotic endocarditis (NBTE)...
July 14, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28709918/unroofed-coronary-sinus-syndrome-an-easily-corrected-congenital-anomaly-but-more-diagnostic-suspicions-are-needed
#17
Changcheng Chen, Lili Xu, Yi Xu, Ping Li, Shuo Liu, Bin You
BACKGROUND: Unroofed coronary sinus syndrome (URCSS) is a spectrum of cardiac anomalies in which part (partial type) or the entire common wall (complete type) between the coronary sinus (CS) and left atrium is absent. It is commonly associated with a persistent left superior vena cava (PLSVC). The PLSVC can even anomalously connect to the left atrium in complete type anomaly. URCSS has been reported to be associated with delayed diagnosis and life-threatening cerebral injury. The purpose of the present study was to review our experience with surgical correction of this often-concealed malformation and discuss methods for reducing diagnostic omission...
June 22, 2017: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/28705404/midterm-results-of-internal-iliac-artery-aneurysm-embolization
#18
A Pirvu, N Gallet, S Perou, F Thony, J-L Magne
OBJECTIVE: We describe the immediate and midterm results of endovascular treatment of isolated internal iliac artery aneurysms (IIAA). METHODS: This was a retrospective single center study. From 2005 to 2014, data from 20 consecutive patients who had an embolisation for an isolated atherosclerotic internal iliac artery aneurysm underwent an endovascular treatment. We retrospectively evaluated the technical aspects and outcomes. RESULTS: The mean aneurysm diameter was 42mm (range 30-97mm)...
May 2017: J Med Vasc
https://www.readbyqxmd.com/read/28703270/acute-myocardial-infarction-due-to-embolisation-from-the-thrombosed-coronary-artery-fistula-between-the-right-coronary-artery-and-the-left-atrium
#19
Rafał Wolny, Jerzy Pręgowski, Krzysztof Cyran, Adam Witkowski
No abstract text is available yet for this article.
2017: Kardiologia Polska
https://www.readbyqxmd.com/read/28694247/a-case-of-unprovoked-precarious-patent-foramen-ovale-protuberance
#20
H Z R McConkey, M Ghosh-Dastidar, S R Redwood, V Bapat
This is a case of a precarious thrombotic mass straddling a patent foramen ovale which had already embolised to the pulmonary circulation. The diagnosis was initially deceptive and management challenging. LEARNING POINTS: Echocardiography is mandated and can change management in haemodynamically unstable patients with pulmonary emboli.Pulmonary embolism can be life-threatening.The authors propose that urgent cardiac surgery is the safest treatment in the setting of highly mobile, large volume, intra-cardiac thrombus...
September 2017: Echo Research and Practice
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