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Low limb angio

K M Coovadia, M-Y Chothia, S G Baker, J G Peter, P C Potter
BACKGROUND: Hereditary angio-oedema (HAE) is an autosomal dominant condition caused by a deficiency in the C1-esterase inhibitor protein, resulting in increased bradykinin release. It presents clinically with recurrent attacks of angio-oedema, commonly affecting the limbs, face, upper airway and gastrointestinal tract. Little is known about this condition in sub-Saharan Africa. OBJECTIVES: To analyse and report on the clinical presentation and treatment of patients with HAE in the Western Cape Province, South Africa...
March 28, 2018: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
Hui Dong, Meng Peng, Xiongjing Jiang, Wuqiang Che, Yubao Zou, Bo Xu, Yuejin Yang, Runlin Gao
OBJECTIVES: To investigate the perioperative and long-term outcomes of endovascular therapy for Angio-sealTM -related acute limb ischemia. BACKGROUND: Currently, limited data are available on the optimal treatment strategy for Angio-sealTM -related acute lower limb ischemia. METHODS: The prospectively maintained patient database of our institution was retrospectively searched to identify all patients who developed acute lower limb ischemia after use of the Angio-SealTM and received endovascular treatment from January 2010 to February 2016...
March 2017: Catheterization and Cardiovascular Interventions
Long Zhe Guo, Tae-Hee Kim, Seongho Han, Sung-Whan Kim
BACKGROUND: Although stem cells have been regarded as a promising therapeutic option, the marginal therapeutic effects of stem cells are limitations that must be overcome for the development of effective cell therapy. This study sought to identify the angio-vasculogenic properties of endothelial differentiated mesenchymal stem cells (MSCs) and to determine whether these cells are effective for vascular repair. METHODS AND RESULTS: Adipose MSCs were cultured for 10 days under endothelial cell (EC) culture conditions...
2016: Circulation Journal: Official Journal of the Japanese Circulation Society
Soulier V, Righini M, Perrier A
No diagnostic strategy for pulmonary embo- lism (PE) during pregnancy is based on strong evidence and unanimously accepted. Clinical scores are not validated. The diagnostic yield of the non radiating tests is low: D-dimer is rarely negative in pregnant women and lower limb venous compression ultrasonography is poorly sensitive. Nevertheless, they are still recommended as first line exams. The radia- ting exams (ventilation-perfusion scintigra- phy and thoracic angio-CT) have an equiva- lent diagnostic yield (more than 90%)...
October 22, 2014: Revue Médicale Suisse
P Loskot, J Baxa, T Hájek, J Valenta
INTRODUCTION: Due to the need for alternative arterial grafts suitable for the reconstruction of the coronary bloodstream, we conducted a morphological analysis of the descending branch of the lateral circumflex femoral artery (DBLCFA) using an AGCT scan. MATERIAL AND METHODS: Not only anatomical variations and the quantitative representation of sclerotic changes, but also the presence of a collateral system in the event of significant stenosis of the pelvic and femoral artery system were analysed...
June 2014: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Kaffer Kara, Philip Kahlert, Amir A Mahabadi, Björn Plicht, Alexander Y Lind, Detlev Longwitz, Matthias Bollow, Raimund Erbel
PURPOSE: To compare complication rates of a collagen-based vascular closure device (VCD) in patients with vs. without significant peripheral artery disease (PAD). METHODS: A total of 382 patients (268 men; mean age 64.6±10.8 years) undergoing either an endovascular procedure of the lower limb (PAD group, n=132) or a percutaneous coronary intervention (PCI group, n=250) via a common femoral artery access were enrolled in this prospective study if hemostasis was achieved using the collagen-based Angio-Seal...
February 2014: Journal of Endovascular Therapy
R Mattassi, M Vaghi
Congenital vascular bone syndrome (CVBS) is an abnormal enhancement or reduction of growth in long bones due to pathologic circulation during childhood. Several authors have described these clinical pictures with limb lengthening; well known are Klippel and Trenaunay and Parkes-Weber. Later, Servelle and Martorell also described cases of limb length difference, but with shortening of the pathologic limb. The mechanism of limb overgrowth is probably due to the effect of A-V shunts, while shortening occurs due to mechanical compression on bones by dysplastic vessels or flow reduction...
2007: Phlebology
G Lundberg, F Luo, H Blegen, B Kalin, E Wahlberg
We sought an animal model able to discriminate metabolic and angiogenic processes in limb ischemia. For that we modified and evaluated a rat model of severe unilateral limb ischemia at rest. A two-stage surgical procedure entailing left femoral artery ligation preceded by interruption of collateral vessels originating from the infra-renal aorta and left iliac arteries was performed in Sprague-Dawley rats. The model was evaluated for up to 8 weeks with a transit-time flow meter, a laser Doppler perfusion imager, microspheres, arteriography and histology...
September 2003: European Surgical Research. Europäische Chirurgische Forschung. Recherches Chirurgicales Européennes
O F Cormaci, G Carrà, V Sangrigoli, N Lazzara, C Zari, G Mattisi, S Cavallaro
BACKGROUND: Venous thromboembolic disease is a recurring reason for death, it is often well-known but sometimes misunderstood. The right treatment for this pathology should not follow one approach only, but several strategies with respect to the seriousness and extension of the several clinical pictures. In particular the pharmacological therapy tries to find the balance between risks and benefits. It is well-known that a weak treatment may cause an increase in the risk of the pathology extension or of recurrence; on the other hand, a therapy exceeding the well known ranges exposes to important hemorrhagic risk...
March 1998: Minerva Cardioangiologica
T Schmitz-Rode, G Alzen, R W Günther
PURPOSE: The clinical evaluation of digital subtraction angiography with carbon dioxide using a newly developed low-tech CO2 dosage and injection system. METHOD AND PATIENTS: The hand-held system (CO2 angio set) consists of a dosage chamber in connection with a special stopcock to apportion the gas. By optimising injection volume and pressure steady gas flow characteristics are approximated. A safety design prevents unintentional gas injection. CO2 arteriographies were performed on 185 patients...
July 1997: RöFo: Fortschritte Auf Dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
G H White, W Yu, J May, M S Stephen, R C Waugh
PURPOSE: The aim of this study was to determine the feasibility of endoluminal grafting of aneurysms using a new design of nonstented endograft. METHODS: Initial studies were undertaken in bench models and by implantation of endografts into animal vessels. Between May 1992 and June 1994, endoluminal repair of aneurysms was undertaken in 47 patients (44 male, 3 female). A new balloon-expandable endoluminal graft was developed and has now been studied in 25 of these 47 cases...
September 1994: Journal of Endovascular Surgery: the Official Journal of the International Society for Endovascular Surgery
J von Schönfeld, T Olbricht, N Breuer
For two years a 19-year-old patient had been complaining of recurrent abdominal symptoms consisting of severe colicky pain, nausea, vomiting and diarrhoea. Occasionally he noticed concomitant subcutaneous swellings in the limbs. There were no swellings in the face or the region of the upper airway. The symptoms occurred once or twice a month, spontaneously receding within 3-4 days. These signs and symptoms indicated hereditary angio-oedema. Serum concentration of C1-esterase inhibitor was normal (13 mg/dl), but its serum activity was reduced to 16% (normal range 80-125%)...
June 21, 1991: Deutsche Medizinische Wochenschrift
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