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https://www.readbyqxmd.com/read/27911263/contrast-enhanced-us-guided-percutaneous-biopsy-of-anterior-mediastinal-lesions
#1
Dong Yi, Mao Feng, Wang Wen Ping, Ji Zheng Biao, Pei Li Fan
PURPOSE: We aimed to explore the value of contrast-enhanced ultrasonography (CEUS) in guidance of percutaneous biopsy of anterior mediastinal lesions. METHODS: Ninety patients with solitary anterior mediastinal lesions (55 males, 35 females; mean age, 46±4 years) were included. Patients were randomly divided into CEUS group (n=45) and conventional ultrasonography (US) group (n=45). Real-time US-guided core needle (16 G) percutaneous biopsies were performed in all lesions...
December 2, 2016: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
https://www.readbyqxmd.com/read/27896904/contrast-induced-encephalopathy-following-cardiac-catheterization
#2
Roberto Spina, Neil Simon, Romesh Markus, David Wm Muller, Krishna Kathir
OBJECTIVES: To describe the epidemiology, pathophysiology, clinical presentation, and management of contrast-induced encephalopathy (CIE) following cardiac catheterization. BACKGROUND: CIE is an acute, reversible neurological disturbance directly attributable to the intra-arterial administration of iodinated contrast medium. METHODS: The PubMed database was searched and all cases in the literature were retrieved and reviewed. RESULTS: 52 reports of CIE following cardiac catheterization were found...
November 29, 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/27894584/pre-expanded-internal-mammary-artery-perforator-flap
#3
REVIEW
Stacy Wong, James D Goggin, Nicholas D Webster, Michel H Saint-Cyr
Internal mammary artery (IMA)-based pedicled perforator flaps can be used to reconstruct defects of the neck and anterior chest wall. Pre-expansion causes a possible delay phenomenon, improves flap survival, and decreases donor site morbidity. It also increases the area that can be covered. Pre-expanding can allow for perforator flaps that require a shorter arc of rotation. The pre-expanded internal mammary artery perforator (IMAP) flap is an excellent option for patients who have undergone multiple failed reconstructions and require large amounts of soft tissue while lacking other donor sites...
January 2017: Clinics in Plastic Surgery
https://www.readbyqxmd.com/read/27878548/contemporary-use-of-arterial-and-venous-conduits-in-coronary-artery-bypass-grafting-anatomical-functional-and-clinical-aspects
#4
REVIEW
G Cuminetti, S Gelsomino, S Curello, R Lorusso, J G Maessen, J C A Hoorntje
Although the benefits of using the left internal mammary artery to bypass the left anterior descending artery (LAD) have been extensively ascertained, freedom from major cardiovascular events and survival after coronary artery bypass grafting (CABG) also correlate with the completeness of revascularisation. Hence, careful selection of the second-best graft conduit is crucial for CABG success. The more widespread use of saphenous vein grafts contrasts with the well-known long-term efficacy of multiple arterial grafting, which struggles to emerge as the procedure of choice due to concerns over increased technical difficulties and higher risk of postoperative complications...
November 22, 2016: Netherlands Heart Journal
https://www.readbyqxmd.com/read/27866054/comparison-of-mirna-signature-versus-conventional-biomarkers-before-and-after-off-pump-coronary-artery-bypass-graft
#5
Fatemeh Pourrajab, Fereshteh Torkian Velashani, Masoud Khanaghaei, Seyedhossein Hekmatimoghaddam, Mahdi Rahaie, Mohamad Reza Zare-Khormizi
Circulating levels of microRNAs (miRNAs) and their expression patterns are supposed to serve as signatures for diagnosis or prognosis of cardiovascular events. The present study aimed at determining if there is any correlation between the release pattern of 2 miRNAs and the plasma levels of conventional biomarkers cardiac troponin I (cTnI), creatine kinase (CK) and uric acid (UA) in patients undergoing their first off-pump coronary artery bypass graft (OCABG). Seventy OCABG patients (69% men, aged 59.2±8.2years) were enrolled...
November 10, 2016: Journal of Pharmaceutical and Biomedical Analysis
https://www.readbyqxmd.com/read/27842711/-radiation-related-heart-toxicity-update-in-women
#6
S Marlière, E Vautrin, C Saunier, A Chaikh, I Gabelle-Flandin
Breast cancer is a common diagnosis in women and thus women are at risk of radiation-induced heart disease, in particular during radiotherapy for left breast cancer and when the internal mammary chain is included. Rates of major cardiac events increase with younger age at the time of irradiation, diagnosis before 1990s, higher radiation doses, coexisting cardiovascular risk factors and adjuvant cardiotoxic chemotherapy. Radiation-induced heart disease comprises a spectrum of cardiac pathologies, including pericardial disease, cardiomyopathy, coronary artery disease and valvular disease...
December 2016: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/27824958/the-value-of-exercise-spet-for-the-detection-of-coronary-artery-steal-syndrome-secondary-to-unligated-major-side-branch-of-left-internal-mammary-artery
#7
Osman Beton, Hakki Kaya, Ozan Kandemir, Buket Alibazoglu, Haluk Alibazoglu, Ercan Karabey, Okan Onur Turgut, Mehmet Birhan Yilmaz
OBJECTIVE: The clinical significance of unligated major left internal mammary artery (LIMA)-side branches (SB) remains controversial in patients with previous coronary artery bypass graft (CABG) surgery. The aim of this study was to investigate the clinical significance of unligated major LIMA-SB by using exercise myocardial perfusion imaging (MPI) with single-photon emission tomography. SUBJECTS AND METHODS: We conducted a retrospective analysis of 2819 consecutive patients who underwent diagnostic angiography...
November 8, 2016: Hellenic Journal of Nuclear Medicine
https://www.readbyqxmd.com/read/27806560/topical-vasodilator-response-is-significantly-higher-in-skeletonized-internal-mammary-artery
#8
Nida Butt, Sarah Hamid, Mujtaba Hussain, Ali Alam, Hala Soomro, Tahreem Ahmad, Madiha Ahmed, Ekta Golani, Janta Devi Ukrani, Faisal Iftikhar, Rehmat Tufail, Maha Begg, Samar Saleem, Ayyaz Alam Sultan, Rohail Jameel, Waqas Shahnawaz, Zohaib Farrukh, Asadullah Khan
AIM: Coronary artery bypass graft surgery is the gold standard for the treatment of multi-vessel and left main coronary artery disease. However, there is considerable debate that whether left internal mammary artery (IMA) should be taken as pedicled or skeletonized. This study was conducted to assess the difference in blood flow after application of topical vasodilator in skeletonized and pedicled IMA. METHODS: In this study, each patient underwent either skeletonized (n=25) or pedicled IMA harvesting (n=25)...
September 28, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27801306/the-use-of-bilateral-internal-mammary-arteries-for-coronary-revascularization-in-patients-with-copd-is-it-a-good-idea
#9
Yasser Yehia Hegazy, Ralf Sodian, Wael Hassanein, Amr Rayan, Juergen Ennker
BACKGROUND: The use of bilateral internal mammary arteries (BIMA) is limited worldwide, especially in patients with chronic obstructive pulmonary disease (COPD). Thus, we assessed the safety of the use of BIMA in COPD patients. METHODS: From cohorts of 8846 patients operated on at our center for primary isolated multi-vessel coronary bypass operations between 2002 and 2012, we studied two propensity-matched groups of patients with COPD who received either single internal mammary artery and saphenous vein grafts (SIMA group: 137 patients) or exclusively BIMA (BIMA group: 137 patients)...
October 31, 2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/27789070/corrigendum-to-internal-mammary-artery-injury-during-central-venous-catheter-insertion-for-tpn-rare-but-fatal-nutrition-26-2010-849-851
#10
(no author information available yet)
No abstract text is available yet for this article.
January 2017: Nutrition
https://www.readbyqxmd.com/read/27782984/determining-the-cost-of-incidental-findings-for-patients-undergoing-preoperative-planning-for-abdominally-based-perforator-free-flap-breast-reconstruction-with-computed-tomographic-angiography
#11
Shailesh Agarwal, Jordan Talia, Peter S Liu, Adeyiza O Momoh, Jeffrey H Kozlow
BACKGROUND: Computed tomographic angiography is increasingly used during surgical planning for abdominally based microvascular breast reconstruction. Cost-analysis studies have demonstrated a benefit to the use of computed tomographic angiography, although the secondary costs of incidental findings have not been previously reported. This study investigates the cost of computed tomographic angiography, taking into account the cost of incidental findings found during imaging. METHODS: Patients undergoing preoperative computed tomographic angiography in preparation for autologous abdominally based breast reconstruction from July of 2010 through May of 2014 were included in this study...
November 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27763977/the-origins-of-deltopectoral-flaps-and-the-pectoralis-major-myocutaneous-flap
#12
Kun Hwang
The aim of this paper was to review the origins and history of deltopectoral flaps and the pectoralis major myocutaneous flap.The first published paper on the deltopectoral flap was written by Aymard in 1917. He described raising a medially based fasciocutaneous flap from the shoulder skin, which was then tubed and used for staged nasal reconstruction. Conley introduced the laterally based deltopectoral flap, which was supplied by the lateral thoracic and thoracocranial branches. Bakamjian used a medially based deltopectoral flap for pharyngoesophageal reconstruction; this was an axial flap based medially on the intercostal perforating vessels of the internal mammary artery...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27760987/left-internal-mammary-artery-graft-stenosis-and-post-angioplasty-restenosis-follow-up-through-multi-slice-cardiac-computed-tomography-angiography
#13
George Kassimis, Nikant Sabharwal, Niket Patel, Adrian P Banning
No abstract text is available yet for this article.
December 2016: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/27758851/multimodality-approach-in-the-diagnosis-and-management-of-bilateral-giant-juvenile-breast-fibroadenoma
#14
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
https://www.readbyqxmd.com/read/27757357/reconstruction-after-anterior-chest-wall-keloid-resection-using-internal-mammary-artery-perforator-propeller-flaps
#15
Rei Ogawa, Shimpei Ono, Satoshi Akaishi, Teruyuki Dohi, Takeshi Iimura, Junichi Nakao
: It is difficult to completely resect huge anterior chest wall keloids and then close the wound directly. We report here our retrospective analysis of our case series of patients with such keloids who underwent reconstruction with internal mammary artery perforator (IMAP) pedicled propeller flaps and then received postoperative high-dose-rate superficial brachytherapy. METHODS: All consecutive patients with large/severe keloids on the anterior chest wall who underwent keloid resection followed by reconstruction with IMAP-pedicled propeller flaps and then high-dose-rate superficial brachytherapy in our academic hospital were identified...
September 2016: Plastic and Reconstructive Surgery. Global Open
https://www.readbyqxmd.com/read/27751508/subepicardial-hematoma-after-percutaneous-coronary-intervention
#16
Raúl Alberto Borracci, Natalia Ayala, Paola Renes, Norberto Gustavo Allende
BACKGROUND: Coronary artery perforation associated to cardiac tamponade is an uncommon life-threatening complication of percutaneous coronary intervention, and the occurrence of subepicardial or intramyocardial hematoma without hemopericardium is even rarer. CLINICAL CASE: We describe the case of a 72 year-old woman with a subepicardial hematoma after percutaneous coronary intervention, who required urgent left internal mammary artery graft to anterior descending artery surgery...
October 14, 2016: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/27751328/anaortic-off-pump-bilateral-internal-mammary-grafting-in-severe-left-ventricular-dysfunction-case-report
#17
Kamales Kumar Saha, Saurab Goel, Ajay Kumar, Kakalee K Saha
A 64 years old male diabetic patient with ejection fraction of 16% and renal dysfunction underwent off-pump CABG using both in situ internal mammary artery grafts. Left internal mammary artery was used to bypass left anterior descending artery and right internal mammary artery was used as composite graft. Patient had uneventful recovery and left ventricular ejection fraction improved to 34% within 8 months after surgery. In presence of left ventricular dysfunction, both internal thoracic artery grafting should be preferred for better patency rate and flow reserve...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27751326/rare-case-of-proximal-coronary-plaque-regression-after-distal-arterial-grafting
#18
George Jose Valooran, Shiv Kumar Nair, Krishnan Chandrasekharan
The metabolically active endothelium of arterial grafts is reported to slow the atherosclerotic process in the distal coronary territories to which they are grafted with improved patency. The literature on arterial grafting causing proximal plaque regression is scant. We report here a case of proximal left anterior descending artery (LAD) plaque regression following distal arterial grafting with a left internal mammary arterial (LIMA) graft to LAD. This rarely documented regression resulted in "stringing" of the arterial graft, while there was a significant progression of atherosclerotic disease in the right coronary with patent venous graft and de novo lesion in circumflex territory necessitating percutaneous coronary intervention, in spite of aggressive medical therapy...
September 2016: Indian Heart Journal
https://www.readbyqxmd.com/read/27746421/effect-of-using-bilateral-internal-mammary-artery-on-long-term-survival%C3%A3-reply
#19
Satoshi Itoh, Naoyuki Kimura, Hideo Adachi, Atsushi Yamaguchi
No abstract text is available yet for this article.
October 14, 2016: Circulation Journal: Official Journal of the Japanese Circulation Society
https://www.readbyqxmd.com/read/27746420/effect-of-using-bilateral-internal-mammary-artery-on-long-term-survival
#20
Orhan Gokalp, Yuksel Besir, Hasan Iner, Levent Yilik, Gamze Gokalp, Ali Gurbuz
No abstract text is available yet for this article.
October 14, 2016: Circulation Journal: Official Journal of the Japanese Circulation Society
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