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Noora Rafeek, Rajeswaran Rangasami, Kamakshi Dhanraj, Santhosh Joseph
Juvenile giant fibroadenoma is a very rare breast disease affecting young girls of premenarche and adolescent ages. It is a benign fibroepithelial tumour characterised by stromal and epithelial proliferation that causes rapidly growing breast mass. Bilateral symmetrical involvement is extremely rare. In this article, we describe this entity in a girl aged 13 years who presented with bilateral gigantically enlarged breasts. Ultrasonography and MRI showed large, multilobulated masses involving both breasts entirely...
October 6, 2016: BMJ Case Reports
Claire L Shovlin, Trishan Patel, James E Jackson
Pulmonary AVM embolisation appears to improve nosebleed severity for nearly one in six people with HHT
April 2016: ERJ Open Research
Bhagya Suneeta Meegada, Anupam Jena, S V Ramana Murthy, Haribabu N
No abstract text is available yet for this article.
January 2016: Journal of the Association of Physicians of India
M S Bischoff, K Meisenbacher, B Schmack, M Tanner, H Goldschmidt, C Kasperk, A Hyhlik-Dürr, D Böckler
The underlying case report describes the successful endovascular prevention of an aortic injury by a bone cement skid after kyphoplasty. The intervention was performed in order to prohibit fatal aortic rupture or embolisation and underlines the role of vascular surgery techniques in interdisciplinary clinical networks.
October 5, 2016: Der Orthopäde
Hamed Asadi, Hong Kuan Kok, Seamus Looby, Paul Brennan, Alan O'Hare, John Thornton
PURPOSE: This study aims to identify factors influencing outcome in brain arteriovenous malformations (BAVM) treated with endovascular embolisation. We also assessed the feasibility of using machine learning techniques to prognosticate and predict outcome and compared this to conventional statistical analyses. METHODS: A retrospective study of patients undergoing endovascular treatment of BAVM over a 22-year period in a national neuroscience centre was performed...
September 28, 2016: World Neurosurgery
Amanda R Townsend, Li Chia Chong, Christos Karapetis, Timothy J Price
Liver metastases are often the dominant site of metastatic disease in colorectal cancer. Selective internal radiation therapy (SIRT) involves embolising radiolabeled spheres (SIR-Spheres) into the arterial supply of the liver. This review assesses the effectiveness and toxicity of SIRT in the treatment of metastatic colorectal cancer liver metastasis when given alone or with systemic or regional hepatic artery chemotherapy. We reviewed only randomised controlled trials comparing SIRT and chemotherapy (systemic and/or regional) with chemotherapy alone, or comparing SIRT alone with best supportive care...
September 10, 2016: Cancer Treatment Reviews
Chris W Piercecchi, Julio C Vasquez, Stephen J Kaplan, Jordan Hoffman, John D Puskas, Jacob DeLaRosa
We present a rare late complication after inferior vena cava filter (IVC) placement. A 52-year-old woman with an IVC presented with sudden onset of chest pain. Cardiac catheterisation and echocardiography revealed an embolised IVC filter strut penetrating the right ventricle. Endovascular retrieval was considered but deemed unsafe due to proximity to the right coronary artery and concern for migration to pulmonary circulation. Urgent removal of the strut was performed via sternotomy. The postoperative course was uneventful...
September 5, 2016: Heart, Lung & Circulation
Hilwati Hashim, A Sobri Muda, Aida Abdul Aziz, Zuhanis Abdul Hamid
INTRODUCTION: Embolisation has long been used as an adjunct to surgical resection in the treatment of brain arteriovenous malformation (bAVM). The most commonly used embolic material, n-butylcyanoacrylate glue, requires experience and skill to handle its quick and unpredictable flow and polymerisation. A new liquid embolic agent, ethylene vinyl alcohol copolymer (Onyx), is less adhesive and polymerises slowly, which provides better control for radiologists performing embolisation. OBJECTIVE: To report our experience in embolisation using Onyx alone or in combination with histoacryl for bAVM embolisation in our tertiary referral centre...
July 2016: Malaysian Journal of Medical Sciences: MJMS
M Leško Ml, I Guňka, M Lojík, D Krajíčková
: Free-floating thrombus in the internal carotid artery is a rare clinical finding. Only case reports and small cohorts of patients are described in the literature. The authors present a case report of a patient with ischemic stroke due to arterio-arterial embolisation from ulcerated internal carotid artery stenosis with a free-floating thrombus. Initially, the patient was treated with anticoagulants, resulting in total dissolution of the free-floating thrombus based on ultrasound documentation, without any further symptomatic embolisation...
2016: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
O Anis, I Pascoli, F Viganò, F Manganello, A Candiotto, S Berardi, E Busato
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
J Gevaerd Martins, D Gaudenti, F Crespo, D Ganesh, U Verma
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
S Kim, J Shin
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
F Forlani, G Orlando, F Foti, T Izzo, G Minneci, G Calì
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
Claudia Villanueva, Mathew Doyle, Jessica Berger, Gary Fermanis, Derek Glenn
Massive mediastinal tumours are rare in clinical practice and complete surgical resection may be associated with serious complications. Preoperative angiography and embolisation are valuable adjuncts in the management of giant tumours to decrease perioperative blood loss, provide a clear operative field and facilitate complete resection. We report the safe use of preoperative embolisation which facilitated excision via clamshell incision, of a highly vascular massive anterior mediastinal tumour with an unusual final diagnosis...
August 30, 2016: Heart, Lung & Circulation
Hirotada Suzuki, Hironori Takahashi, Madoka Kimura, Hiroyasu Nakamura, Rie Usui, Shigeki Matsubara
No abstract text is available yet for this article.
September 13, 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Margarida Barreto Cortes, Vitor Teixeira, Samuel Raimundo Fernandes, Fernanda Rego
The authors present a case of a man with Haemophilus parainfluenzae endocarditis complicated with embolisation to the central nervous system. The patient had no evidence of endocarditis by transoesophageal and transthoracic echocardiograms at baseline, but shortly after developed large mitral valve vegetations with valve rupture. The case highlights how rapidly structural valve damage can ensue despite good clinical and laboratorial antibiotic response.
2016: BMJ Case Reports
Tom De Beule, Jan Vranckx, Peter Verhamme, Veerle Labarque, Marie-Anne Morren, Inge Fourneau, Geert Maleux
BACKGROUND: The technical and clinical outcomes of catheter-directed embolization for peripheral arteriovenous malformations (AVM) using Onyx® (ethylene-vinyl alcohol copolymer) are not well documented. The purpose of this study was to retrospectively assess the safety, technical outcomes and clinical outcomes of catheter-directed Onyx® embolisation for the treatment of symptomatic peripheral AVMs. PATIENTS AND METHODS: Demographics, (pre-)interventional clinical and radiological data were assessed...
September 6, 2016: VASA. Zeitschrift Für Gefässkrankheiten
Mónica Furlano, Yaima Barreiro, Teresa Martí, Carme Facundo, César Ruiz-García, Iara DaSilva, Nadia Ayasreh, Cristina Cabrera-López, José Ballarín, Elisabet Ars, Roser Torra
We report the case of a 32-year-old male diagnosed with TSC2/PKD1 contiguous gene syndrome, presenting with tuberous sclerosis (TS) and autosomal dominant polycystic kidney disease simultaneously. He progressed to end-stage renal disease and received a kidney transplant at the age of 12. The native kidneys presented angiomyolipomas (AML), which are common benign tumours in patients with TS. Seventeen years after transplantation, he presented with abdominal pain, anaemia and a retroperitoneal haematoma, the latter caused by renal AML bleeding...
August 29, 2016: Nefrología: Publicación Oficial de la Sociedad Española Nefrologia
C Gaudon, J Soussan, G Louis, V Moutardier, E Gregoire, V Vidal
PURPOSE: The objective of this study was to evaluate the effectiveness of endovascular treatment in patients presenting with late hemorrhage after pancreatectomy (LPPH). MATERIAL AND METHOD: Between 2008 and 2012, 53 percutaneous arterial procedures were performed in 42 patients with LPPH. There were 27 men and 15 women (mean age, 61.8 years±14.5 [SD]; range: 19-81 years). Clinical and technical success along with frequency of complications associated with the use of different endovascular techniques in patients with and without arterial anatomical variation were assessed...
August 31, 2016: Diagnostic and Interventional Imaging
M P Senthilkumar, N Battula, Mtpr Perera, R Marudanayagam, J Isaac, P Muiesan, S P Olliff, D F Mirza
Introduction Symptomatic hepatic-artery pseudoaneurysm (HAP) after bile-duct injury (BDI) is a rare complication with a varied (but clinically urgent) presentation. Methods A prospectively maintained database of all patients with BDI at laparoscopic cholecystectomy (LC) referred to a tertiary specialist hepatobiliary centre between 1992 and 2011 was searched systematically to identify patients with a symptomatic HAP. Care and outcome of these patients was studied. Results Eight (6 men) of 236 patients with BDI (3...
September 2016: Annals of the Royal College of Surgeons of England
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