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https://www.readbyqxmd.com/read/29719911/proper-choice-of-vessels-for-supermicrosurgery-training-an-experimental-animal-study
#1
Yooseok Ha, Seung Han Song, Nak Heon Kang, Sang-Ha Oh
BACKGROUND:  Reconstruction using supermicrosurgery, a technique of microneurovascular anastomosis for smaller vessels (< 0.8 mm), has become popular. Experimental animal studies for supermicrosurgery training have been reported; however, there have been few studies performed according to vessel diameter and pedicle length. In this study, the external diameters of four vessels (femoral, superficial epigastric, axillary, and common thoracic) and pedicle length of two flaps (superficial epigastric and common thoracic-long thoracic) were measured...
May 2, 2018: Journal of Reconstructive Microsurgery
https://www.readbyqxmd.com/read/29707377/transaxillary-uniportal-video-assisted-thoracoscopic-surgery-for-right-upper-lobectomy
#2
Yaxing Shen, Yong Zhang, Jianchao Sun, Jianying Gu, Yunfeng Yuan, Qun Wang
Uniportal video-assisted thoracic surgery (VATS) was growing popular since its first introduction. Based on the conventional uniportal VATS, we modified the technique and introduced transaxillary uniportal VATS lobectomy in this case report. In March 2017, transaxillary uniportal VATS was firstly attempted on a patient suffering from right upper lobe lesion at the Department of Thoracic Surgery, Zhongshan Hospital, Fudan University. A 4-cm single incision was made at the fossa axillaris paralleled to the skin folds, to which a soft wound protector was applied to reach the third intercostal space along the anterior axillary line...
March 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29701407/creative-vascular-access-construction-in-same-patient
#3
Pedro Pinto Sousa, Paulo Almeida, Pedro Sá Pinto, Rui Almeida
INTRODUCTION: Creating and maintaining a functional vascular access(VA) is a critical factor in the survival of a dialysis patient. However, it will not function forever, implying a creative attitude from the vascular surgeon either to maintain its functionality or built a new one wherever possible, being it autologous or synthetic. METHODS: Describe the VA history of a 59years-old male with morbid obesity and end-stage chronic kidney disease. RESULTS: His VA construction started in2012 with failed attempts in both forearms until a functional brachiocephalic artery-venous fistula(AVF) in the right upper limb was achieved, but was deemed to ligation as severe venous hypertension secondary to central venous disease related to CVC use...
July 2017: Revista Portuguesa de Cirurgia Cardio-torácica e Vascular
https://www.readbyqxmd.com/read/29696329/first-rib-resection-for-thoracic-outlet-syndrome-the-robotic-approach
#4
Gregor J Kocher, Adrian Zehnder, Jon A Lutz, Juerg Schmidli, Ralph A Schmid
OBJECTIVE: First rib resection is a well-recognized treatment option for thoracic outlet syndrome (TOS). In case of a vascular insufficiency that can be provoked and/or progressive neurologic symptoms without response to conservative treatment, surgical decompression of the space between the clavicle and the first rib is indicated. The aim of this paper is to present our experience with a new minimally invasive robotic approach using the da Vinci Surgical System®. METHODS: Between January 2015 and October 2017, eight consecutive first rib resections in seven patients were performed at our institution...
April 25, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29684173/axillary-vein-access-with-or-without-venography-is-this-the-dilemma-in-the-ultrasounds-era-authors-reply
#5
Fabien Squara, Julien Tomi, Didier Scarlatti, Guillaume Theodore, Pamela Moceri, Emile Ferrari
No abstract text is available yet for this article.
April 18, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/29684125/axillary-vein-access-with-or-without-venography-is-this-the-dilemma-in-the-ultrasounds-era
#6
Francesco De Sensi, Gennaro Miracapillo, Luigi Addonisio, Marco Breschi, Francesco Paneni, Alberto Cresti, Ugo Limbruno
No abstract text is available yet for this article.
April 18, 2018: Europace: European Pacing, Arrhythmias, and Cardiac Electrophysiology
https://www.readbyqxmd.com/read/29658209/upper-extremity-deep-vein-thrombosis-symptoms-diagnosis-and-treatment
#7
REVIEW
Jaber Mustafa, Ilan Asher, Zev Sthoeger
Upper extremity deep vein thrombosis (UEDVT) is defined as thrombosis of the deep venous system (subclavian, axillary, brachial, ulnar, and radial veins), which drains the upper extremities. It can be caused by thoracic outlet anatomic obstruction, such as Paget-Schroetter syndrome, (primary) or by central intravenous catheters (secondary). UEDVT may be asymptomatic or present with acute severe pain and arm swelling. Clinical suspicion should be confirmed by diagnostic imaging procedures such as duplex ultrasound, computed tomography scan, or magnetic resonance imaging...
January 2018: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29651026/development-of-a-mouse-model-for-the-visual-and-quantitative-assessment-of-lymphatic-trafficking-and-function-by-in-vivo-imaging
#8
Yoshihisa Yamaji, Shinsuke Akita, Hidetaka Akita, Naoya Miura, Masaki Gomi, Ichiro Manabe, Yoshitaka Kubota, Nobuyuki Mitsukawa
Methods for quantitative analysis of long distance lymphatic transport of nanoparticles in live animals are yet to be established. We established a mouse model for analysis of time-dependent transport just beneath the abdominal skin to investigate lymph node-to-lymph node trafficking by in vivo imaging. For this purpose, popliteal lymph nodes (PLNs) as well as efferent and afferent lymphatic vessels, marginal veins, and feeding blood vessels were surgically resected to change the lymphatic flow from footpad injections...
April 12, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29642728/tunnelling-a-midline-catheter-when-the-traffic-light-shifts-from-yellow-to-green
#9
Adam Fabiani, Lorella Dreas, Gianfranco Sanson
INTRODUCTION: A safe, largely used practice for difficult venous access patients is positioning a catheter in deeper veins under ultrasound guide. However, the risk of complications is increased when there is a high catheter-to-vein ratio or when the insertion site is in a zone with particular anatomical/physiological characteristics. CASE DESCRIPTION: A 60-year-old woman admitted to a post-operative intensive care unit after cardiac surgery had a complicated post-operative course...
April 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29592529/a-novel-technique-of-axillary-vein-puncture-involving-peripherally-inserted-central-venous-catheters-for-a-small-basilic-vein
#10
Fumito Saijo, Yoshinobu Odaka, Mitsuhisa Mutoh, Yu Katayose, Hiromi Tokumura
PURPOSE: Peripherally inserted central venous catheters are some of the most useful devices for vascular access used globally. Peripherally inserted central venous catheters have a low rate of fatal mechanical complications when compared to non-tunnel central venous catheters. However, as peripherally inserted central venous catheter access requires a smaller vein, there is a high risk of thrombosis. The axillary vein (confluence of the basilic and brachial veins) can serve as an access for cannulation...
March 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29582679/does-the-real-time-ultrasound-guidance-provide-safer-venipuncture-in-implantable-venous-port-implantation
#11
İlknur Yıldırım, Ayşe Çiğdem Tütüncü, Süleyman Bademler, İlker Özgür, Mukaddes Demiray, Hasan Karanlık
AIM: To examine whether the real-time ultrasound-guided venipuncture for implantable venous port placement is safer than the traditional venipuncture. METHODS: The study analyzed the results of 2153 venous ports placed consecutively from January 2009 to January 2016. A total of 922 patients in group 1 and 1231 patients in group 2 were admitted with venous port placed using the traditional landmark subclavian approach and real-time ultrasound-guided axillary approach, respectively...
March 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29576872/pfo-closure-in-high-risk-patient-with-paradoxical-arterial-embolism-deep-vein-thrombosis-pulmonary-embolism-and-factor-v-leiden-genetic-mutation
#12
A Parikh, T P Vacek
Occurrence of paradoxical arterial embolism may cause the first symptoms in patients with a coexisting hypercoagulable state and patent foramen ovale (PFO). This can result in significant morbidity and mortality depending on the location of the embolism. The risks and benefits of closure of small PFOs have not been well elucidated in prior studies. We describe a patient with a history of Factor V Leiden heterozygosity who presented with left arm pain secondary to arterial embolism. The patient was a 51-year-old male who initially presented to the emergency department after awaking from sleep with progressive, severe, burning left arm pain...
March 2018: Oxford Medical Case Reports
https://www.readbyqxmd.com/read/29552239/paget-schroetter-syndrome-with-bilateral-pulmonary-emboli
#13
Garrison Glavich, Jeffrey Gourley, Victor Fong
Paget-Schroetter syndrome, also known as effort thrombosis, is a relatively rare disease process characterized by primary thrombosis to the subclavian and axillary veins. It usually presents in younger individuals, commonly affecting the dominant side upper extremity, and the diagnosis relies on a combination of imaging, laboratory tests, and clinical presentation. Upper extremity deep vein thrombosis can also lead to pulmonary emboli, as in this case of a 20-year-old female discovered to have right sided Paget-Schroetter syndrome...
February 2018: Radiology case reports
https://www.readbyqxmd.com/read/29529963/vein-rupture-by-arrow-trerotola-percutaneous-thrombolytic-device-in-a-treatment-of-thrombosed-arteriovenous-graft
#14
Yong Kook Hong, Kyung Hoon Kang, Tae Hwan Kim, Hee Chul Yang
INTRODUCTION: We report a case of vein rupture by Arrow-Trerotola percutaneous thrombolytic device (Trerotola PTD) during a treatment of thrombosed arteriovenous graft (AVG). CASE DESCRIPTION: A 77-year-old woman with a problem of thrombosed AVG underwent an endovascular treatment including a procedure of angioplasty of axillary vein. After angioplasty of axillary vein, we found a newly developed thrombus in axillary vein and performed thrombolysis using an over-the-wire 7F Trerotola PTD...
March 1, 2018: Journal of Vascular Access
https://www.readbyqxmd.com/read/29523722/ultrasound-evaluation-of-the-respiratory-changes-of-the-inferior-vena-cava-and-axillary-vein-diameter-at-rest-and-during-positive-pressure-ventilation-in-spontaneously-breathing-healthy-volunteers
#15
Keamogetswe Molokoane-Mokgoro, Lara Nicole Goldstein, Mike Wells
INTRODUCTION: Ultrasound assessment of the inferior vena cava (IVC) has gained favour in aiding fluid management decisions for controlled, mechanically ventilated patients as well as in non-mechanically ventilated, spontaneously breathing patients. Its utility in spontaneously breathing patients during positive pressure non-invasive ventilation has not yet been determined. The use of the axillary vein, as an alternative option to the IVC due to its ease of accessibility and independence from intra-abdominal pressure, has also not been evaluated...
May 2018: Emergency Medicine Journal: EMJ
https://www.readbyqxmd.com/read/29522875/predicting-technical-success-after-fistuloplasty-an-analysis-of-176-procedures
#16
Kamran Mohiuddin, David C Bosanquet, Nafi Dilaver, Anthony Davies, Christopher G Davies
BACKGROUND: Significant stenoses in arteriovenous fistulae (AVFs) or arteriovenous grafts (AVGs) with limitation of flow and dialysis inadequacy should prompt consideration for fistuloplasty. We sought to identify fistulae, lesions, and patient-specific variables, which predict for outcomes after fistuloplasty. METHODS: Data were extracted retrospectively from a renal access database from 2011 to 2016 of patients undergoing fistuloplasty. Demographics, comorbidities, outcomes of intervention, and flow rates documented on preintervention and postintervention duplex were collected...
March 6, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29503552/comparison-between-the-long-axis-in-plane-and-short-axis-out-of-plane-approaches-for-ultrasound-guided-vascular-catheterization-an-updated-meta-analysis-and-trial-sequential-analysis
#17
Chao Liu, Zhi Mao, Hongjun Kang, Xin Hu, Shengmao Jiang, Pan Hu, Jie Hu, Feihu Zhou
Background: A long-axis in-plane (LA-IP) approach and a short-axis out-of-plane (SA-OOP) approach are the two main approaches used in ultrasound (US)-guided vascular catheterization. However, the efficacy and safety of these approaches remain controversial. Therefore, we performed this meta-analysis to compare the two techniques in vascular catheterization. Materials and methods: Relevant studies were searched in PubMed, Embase, and the Cochrane Library databases from database inception until August 2017...
2018: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/29500894/variations-of-the-cephalic-vein-anterior-to-the-clavicle-in-humans
#18
Sadanori Kameda, Osamu Tanaka, Hayato Terayama, Teruhisa Kanazawa, Reinii Sakamoto, Shuhei Tetsu, Kou Sakabe
BACKGROUND: Clinicians should understand that jugulocephalic vein variants may be occasionally found. This study aims to classify jugulocephalic vein variants and obtain their frequency. MATERIALS AND METHODS: We investigated anatomical variants of the cephalic vein in 55 human cadavers during a gross anatomy course at our medical school. RESULTS: The percentage of jugulocephalic veins that pass through the anterior part of the clavicle and anastomose to the jugular vein as per previous studies and our study was approximately 2 to 5%...
March 3, 2018: Folia Morphologica (Warsz)
https://www.readbyqxmd.com/read/29483434/-local-control-by-mastectomy-in-advanced-breast-cancer-with-liver-metastasis-after-chemotherapy-radiotherapy-and-hyperthermia-a-case-report
#19
Mariko Ishizuka, Yu Tsubota, Aiko Ueda, Noriko Sueoka, Katsuhiro Yoshikawa, Daigo Yamamoto
Advanced breast cancer has a poor prognosis compared to early breast cancer; however, quality of life and radical operation can be improved in some case by using multidisciplinary treatment. A 54-year-old woman was examined at the hospital because of an enlarging tumor in the left breast. She was aware of a lump for 3 years. Results of the initial examination indicated invasive ductal carcinoma with liver metastasis. She first received chemotherapy(AC followed by weekly paclitaxel). After 4 courses of weekly paclitaxel, computed tomography revealed axillary lymph nodes involved in the axillary vein...
February 2018: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/29477681/surgical-missteps-in-the-management-of-venous-thoracic-outlet-syndrome-which-lead-to-reoperation
#20
Meena M Archie, Johnathon C Rollo, Hugh A Gelabert
BACKGROUND: Surgical management of spontaneous subclavian thrombosis due to venous thoracic outlet syndrome (vTOS) results in durable relief of symptoms. The need to reoperate is rare. We report our experience with reoperation for vTOS. METHODS: Patients evaluated for vTOS between 1996 and 2016 were identified in a prospective database. Data recorded included demographics, initial presentation, initial surgery, recurrent presentation, reoperation, and final outcomes...
May 2018: Annals of Vascular Surgery
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