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https://www.readbyqxmd.com/read/29155195/unreliability-of-the-duplex-scan-in-diagnosing-corporeal-venous-occlusive-disease-cvod-in-young-healthy-males-with-erectile-deficiency-ed
#1
Giorgio Cavallini, Carlo Maretti
OBJECTIVE: To define the role of cavernosal venous occlusive dysfunction (CVOD) as the only cause of erectile dysfunction (ED). MATERIALS AND METHODS: Patients meeting the CVOD criteria without any risk factors for organic ED were randomized into 2 groups; the end diastolic velocity (EDV), peak systolic velocity (PSV) and resistive index (RI) of their cavernosal arteries were assessed using color duplex Doppler ultrasound (CDDU) after intracavernous injection of Alprostadil 10 mcg (ICI)...
November 16, 2017: Urology
https://www.readbyqxmd.com/read/29102862/reno-portal-shunt-for-liver-transplant-an-alternative-inflow-for-recipients-with-grade-iii-iv-portal-vein-thrombosis-tips-for-a-better-outcome
#2
Mustafa Nazzal, Yifei Sun, Obi Okoye, Laurence Diggs, Neil Evans, Tamara Osborn, Kambiz Etesami, Chintalapati Varma
INTRODUCTION: Portal vein thrombosis (PVT) poses an extremely difficult problem in cirrhotic patients who are in need of a liver transplant. The prevalence of PVT in patients with cirrhosis ranges from 0.6% to 26% Nery et al. (2015) [1]. The presence of PVT is associated with more technically difficult liver transplant and in certain cases can be a contraindication to liver transplant. The only option for these patients with extensive PVT would be a multi-visceral transplant, the later unfortunately has a much higher morbidity and mortality compared to liver only transplant Smith et al...
October 12, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/29075528/ultrasound-diagnostics-of-a-spontaneous-arteriovenous-fistula-of-the-head-and-neck
#3
Maria Vadimovna Zakharkina, Andrey Olegovich Chechetkin, Marina Victorovna Krotenkova, Rodion Nikolaevich Konovalov
An arteriovenous fistula is an abnormal connection between the arterial and venous systems. In the literature, there are well-described ultrasound findings of iatrogenic arteriovenous fistula as a potential complication from percutaneous transarterial or transvenous procedures. The most important sign is direct visualization of the fistula in the place of the access site. It is necessary to look for secondary signs of arterialization of the veins, which can suggest a diagnosis of an arteriovenous fistula. However, the accuracy and diagnostic quality of duplex scanning in the diagnostics of a congenital or spontaneous arteriovenous fistula of the head and neck area in adults have been poorly described in the literature...
September 2017: Journal of Ultrasonography
https://www.readbyqxmd.com/read/28992753/pelvic-vein-embolisation-of-gonadal-and-internal-iliac-veins-can-be-performed-safely-and-with-good-technical-results-in-an-ambulatory-vein-clinic-under-local-anaesthetic-alone-results-from-two-years-experience
#4
Mark S Whiteley, Chiyinde Lewis-Shiell, Sophia I Bishop, Eluned L Davis, Tim J Fernandez-Hart, Previn Diwakar, David Beckett
Objectives Pelvic vein embolisation is increasing in venous practice for the treatment of conditions associated with pelvic venous reflux. In July 2014, we introduced a local anaesthetic "walk-in walk-out" pelvic vein embolisation service situated in a vein clinic, remote from a hospital. Methods Prospective audit of all patients undergoing pelvic vein embolisation for pelvic venous reflux. All patients had serum urea and electrolytes tested before procedure. Embolisation coils used were interlock embolisation coils (Boston Scientific, USA) as they can be repositioned after deployment and before release...
January 1, 2017: Phlebology
https://www.readbyqxmd.com/read/28987316/bypass-for-symptomatic-in-stent-carotid-restenosis
#5
Francesco Stilo, Pasqualino Sirignano, Nunzio Montelione, Wassim Mansour, Laura Capoccia, Vincenzo Catanese, Francesco Spinelli, Francesco Speziale
BACKGROUND: To evaluate early and long-term outcomes of symptomatic patients treated for in-stent carotid restenosis (ISR) with carotid bypass (CB). METHODS: Data were retrospectively collected from a prospectively compiled database on patients treated with CB in two high-volume Italian centers between 2008 and 2016, for symptomatic high-grade ISR after CAS. After carotid endarterectomy and stent removal, a greater saphenous vein (GSV) was preferentially employed as the graft; when the GSV was not accessible, a 6mm polytetrafluoroethylene (PTFE) graft was implanted...
December 15, 2017: International Journal of Cardiology
https://www.readbyqxmd.com/read/28958477/duplex-scan-and-histologic-assessment-of-acute-renal-injury-in-a-kidney-kidney-crosstalk-swine-experimental-model
#6
Anna Paula W Baptista Sincos, Angela Mazzeo, Igor Rafael Sincos, Felipe Coelho Neto, Nelson Wolosker, Ricardo Aun, Katia R M Leite, Vitoria Penido de Paula, Oskar G Kaufmann
OBJECTIVE: The objective of this study was to identify the effect of two left renal vasculature occlusion strategies on the duplex ultrasound-assessed rheology and histology of the contralateral kidney. METHODS: Pigs were randomly assigned to one of two groups: left renal artery-only clamping (A group, n = 8) or left renal artery and vein clamping (AV group, n = 9). Bilateral renal parenchymal biopsy specimens were taken every 10 minutes for 90 minutes. Duplex ultrasound resistive index (RI) and pulsatility index (PI) were measured...
September 25, 2017: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/28876425/concomitant-testicular-infection-by-zika-virus-and-schistosoma-mansoni-in-a-brazilian-young-boy
#7
Leonardo Souza Alves, Cesar Estanislau, Lucio Barreto, Francisco Batista, Nivaldo Toppa
Sumary The identification of a escrotal mass without pain or report of trauma should be investigated to rule out scrotal cancer. We report the case of a young Brazilian boy who underwent orchiectomy after magnetic resonance imaging (MRI) and duplex scan (DS) indicating a high possibility of cancer. Blood exams ruled out the possibility of cancer. Testicular biopsy was not indicated. After surgery the diagnostic was extensive orchiepididymitis by Schistosoma. In endemic areas orchiepididymis by Schistosoma should be investigate to avoid unnecessary surgeries...
June 2017: Revista da Associação Médica Brasileira
https://www.readbyqxmd.com/read/28856334/technique-of-duplex-scanning-for-selection-of-optimal-peripheral-anastomosis-site-for-distal-bypass
#8
H Komai, H Sakashita, N Miyama, N Yamamoto
INTRODUCTION: Selection of the optimal anastomosis site is essential for obtaining good results from distal bypass. Herein, a unique, precise technique that uses pre-operative duplex scanning for selecting this site is presented. TECHNICAL SUMMARY: Before distal bypass surgery, duplex scanning is performed to assess patency and flow. Use of the venous preset mode and controlling the slant function allows visualisation of colour Doppler flow inside the arteries, thus enabling selection of the best segment for anastomosis...
2017: EJVES Short Rep
https://www.readbyqxmd.com/read/28854778/nocturnal-leg-symptoms-are-not-associated-with-specific-patterns-of-superficial-venous-insufficiency
#9
Lisa F Fronek, Nisha J Bunke, Helane S Fronek
BACKGROUND: Certain nocturnal symptoms such as leg cramping (LC) and restless leg symptoms (RLS) are found in patients with venous disease.1 This study investigates the relationship between nocturnal symptoms and anatomic locations of superficial venous insufficiency. METHODS: A retrospective review of 371 consecutive patients presenting to a venous disease practice over a 1-year period was conducted. Patients underwent comprehensive assessment including standardized duplex scans...
August 30, 2017: International Angiology: a Journal of the International Union of Angiology
https://www.readbyqxmd.com/read/28813774/pulmonary-embolism-caused-by-popliteal-vein-aneurysm-a-case-report
#10
Kevin Marquez, Kalyan Chakravarthy Potu, Chad Laurich, Randall Lamfers
In this case report, we describe an unusual episode of bilateral submassive pulmonary embolism (PE) caused by a popliteal vein aneurysm (PVA). The development of PE stems from many risk factors including obesity (BMI³ 30 kg/m2), hypertension, cigarette smoking (greater than 25 cigarettes per day), increasing age, surgery, immobility, malignancy, and inherited thrombophilia. A PVA is a rare but significant cause of PE. A 28-year-old male presented to the emergency department with progressive shortness of breath...
March 2017: South Dakota Medicine: the Journal of the South Dakota State Medical Association
https://www.readbyqxmd.com/read/28762907/-subpopulation-composition-of-cd4-t-lymphocytes-as-factor-contributing-to-the-progression-of-atherosclerosis-of-carotid-arteries
#11
A Yu Filatova, E A Pylaeva, A V Potekhina, A K Osokina, O A Pogorelova, M I Tripoten, T V Balakhonova, S I Provatorov, E A Noeva, E A Klesareva, O I Afanasieva, T I Arefieva
AIM: to assess prognostic significance of blood content of regulatory and effector T-lymphocytes for progression of atherosclerosis (AS) of carotid arteries. MATERIAL AND METHODS: We enrolled in this study 33 men with various severity of carotid AS. Carotid artery duplex scan was done at admission and in 1 year after enrollment. AS progression was defined as appearance of novel stenosis in common or internal carotid artery or more or equal 5% increase of preexisting stenosis...
April 2017: Kardiologiia
https://www.readbyqxmd.com/read/28757054/late-dacron-patch-inflammatory-reaction-after-carotid-endarterectomy
#12
M Alawy, W Tawfick, M ElKassaby, A Shalaby, M Zaki, N Hynes, S Sultan
OBJECTIVE: The aim was to analyse the incidence and presentation of carotid patch inflammatory reactions following carotid endarterectomy (CEA). METHODS: This was a cohort study using a prospectively maintained database. All patients who underwent elective CEA at a tertiary vascular centre between 2002 and 2016 were included. Computed tomography scan angiogram, duplex scan, and leucocyte scintigraphy were used to assess patients with suspected inflammatory patch complications...
October 2017: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28745669/-stenosis-of-the-carotid-artery-in-women-with-ischemic-stroke-and-markers-of-inflammation
#13
A N Sumin, I N Kukhareva, Yu A Kolmykova, M V Ott, N I Vodopyanova, O A Trubnikova, A V Kovalenko, A G Chernobai, V Yu Pavlova, B M Doronin
AIM: To assess the relationship between the severity of stenosis of the carotid arteries, the level of female sex hormones and markers of subclinical inflammation in women with ischemic stroke (IS). MATERIAL AND METHODS: Two hundred and eleven women (mean age 68.9±9.23 years) were examined. A history of cardiovascular disease, previous cardiovascular events, type and subtype of stroke were recorded. Neurological status was assessed using neurological scales. Atherosclerosis was diagnosed by color duplex scanning of brachiocephalic arteries and laboratory testing (estradiol, markers of subclinical inflammation)...
2017: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
https://www.readbyqxmd.com/read/28731380/first-experience-of-performing-hybrid-operations-in-chronic-venous-obstructions-of-iliofemoral-segments-in-patients-with-postthrombotic-syndrome
#14
Anatoly Pokrovsky, Igor Ignatyev, Evgeny Gradusov
OBJECTIVE: To assess the first results of hybrid operations in chronic venous obstructions of iliofemoral segments in patients with postthrombotic syndrome (PTS). METHODS: Hybrid operations (open endovenectomy from the common femoral vein with arteriovenous fistula creation and iliac vein stenting) were performed in 12 patients diagnosed with PTS. All of the patients were diagnosed with severe chronic venous insufficiency. The degree of manifestations of PTS was assessed by means of the Villalta score 7 months before and after the surgical intervention...
October 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28684644/two-otherwise-healthy-young-brothers-present-with-intermittent-claudication-just-a-coincidence
#15
Thomas Clifford, Jonathan Moore
Popliteal artery entrapment syndrome (PAES) is a recognised cause of lower limb peripheral arterial disease in young adults. We describe the cases of two otherwise healthy brothers who presented with the condition 5 years apart. The first brother, who is also the first author of this case report, presented aged 19 with worsening, right-sided, exercise-induced lower leg pain and transient foot pallor. Imaging confirmed PAES and irreversible localised arterial damage. Surgery was performed to release the entrapment and resect the section of diseased artery...
July 6, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28675951/impact-of-cilostazol-administration-on-femoropopliteal-in-stent-restenosis
#16
Yusuke Tomoi, Yoshimitsu Soga, Osamu Iida, Masahiko Fujihara, Kenji Ando
PURPOSE: To investigate whether administering cilostazol after treatment for femoropopliteal in-stent restenosis (ISR) can have a positive impact on recurrent ISR (Re-ISR). METHODS: The database of a multicenter, retrospective, observational registry was interrogated to identify 338 consecutive patients (mean age 72.3±8.8 years; 148 men) who underwent endovascular therapy for femoropopliteal ISR in 379 limbs from January 2010 to December 2014. Ninety-seven patients (103 limbs) who received cilostazol after the initial stent implantation procedure were excluded...
July 1, 2017: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/28661601/-impact-of-plestazol-preparation-on-hyperplasia-of-inter-vascular-layer-in-the-patients-suffering-obliterating-atherosclerosis-of-the-lower-extremities-arteries-after-reconstructive-operations
#17
P I Nikuhinikov, A N Bytsay, L I Lysak, A I Yatsenko, A V Abramenko
In the clinic 60 patients were examined, in whom reconstructive operations on the main arteries were performed for obliterating atherosclerosis (OA) of the lower extremities vessels. Efficacy of impact of Plestazol (in a 200 mg/day dose) on neointima hyperpla- sia was studied. Clopidogrel (75 mg/day) was administered to patients of comparative group. Effective criteria for estimation of the migration-proliferation disorders state in endothelial dysfunction are concentration of the intercellular adhesion molecules (ICAM) and the basic factor of the fibroblasts growth (FGFb); morphological disorders in hyperplastic reactions of neointima - determination of thickness of "intima-media" complex in accordance to the ultrasound duplex scanning data...
August 2016: Klinichna Khirurhiia
https://www.readbyqxmd.com/read/28631699/-lower-extremity-venous-diseases-in-primary-knee-osteoarthritis
#18
O M Lesnyak, E V Zubareva, M G Goncharova, D M Maksimov
AIM: To establish a possible association between knee osteoarthritis (OA) and lower extremity venous diseases ((LEVDs) on the basis of thorough clinical and instrumental studies. SUBJECTS AND METHODS: A case-control study recruiting 40-60-year-old women was conducted. A study group included 85 women with knee OA; a control group consisted of 50 women without this condition. The patients of both groups underwent assessment of complaints and goal-directed objective examination to identify joint diseases and chronic LEVDs, knee X-ray study, and duplex scanning of the lower extremity veins...
2017: Terapevticheskiĭ Arkhiv
https://www.readbyqxmd.com/read/28594813/-open-thrombectomy-in-acute-iliofemoral-venous-thrombosis
#19
A V Pokrovskiĭ, I M Ignat'ev, E G Gradusov, R A Bredikhin
AIM: The study was aimed at assessing efficacy of open thrombectomy in acute iliofemoral venous thrombosis. PATIENTS AND METHODS: From January 2012 to December 2016, a total of 37 patients underwent transfemoral thrombectomy for acute iliofemoral venous thrombosis. The Control Group consisted of 24 patients receiving standard anticoagulant therapy. Six patients were subjected to a hybrid operation consisting in thrombectomy supplemented with stenting of the residual compression stenosis of the left common iliac vein (CIV)...
2017: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
https://www.readbyqxmd.com/read/28593884/transposition-of-subclavian-artery-is-it-the-appropriate-choice
#20
Nikola Lazovski, Sasko Jovev, Dusan Babic, Srdjan Babic, Omer Dzemali
INTRODUCTION: To present patients with symptomatic subclavian artery disease and treatment possibility. CASE REPORT: A 53-year-old female was admitted with vertigo and left arm claudication. Duplex-scan and MSCT arteriography verified subclavian artery occlusion. After the endovascular treatment failure, the patient was switched to surgical treatment - subclavian artery transposition. After the successful surgical treatment, the patient was discharged on the second postoperative day...
March 1, 2017: Prilozi (Makedonska Akademija Na Naukite i Umetnostite. Oddelenie za Medicinski Nauki)
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