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https://www.readbyqxmd.com/read/27900766/contemporary-management-of-carotid-blowout-syndrome-utilizing-endovascular-techniques
#1
Nauman F Manzoor, Rod P Rezaee, Abhishek Ray, Cameron C Wick, Kristine Blackham, David Stepnick, Pierre Lavertu, Chad A Zender
OBJECTIVES/HYPOTHESIS: To illustrate complex interdisciplinary decision making and the utility of modern endovascular techniques in the management of patients with carotid blowout syndrome (CBS). STUDY DESIGNS: Retrospective chart review. METHODS: Patients treated with endovascular strategies and/or surgical modalities were included. Control of hemorrhage, neurological, and survival outcomes were studied. RESULTS: Between 2004 and 2014, 33 patients had 38 hemorrhagic events related to head and neck cancer that were managed with endovascular means...
November 30, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27895457/tracheo-innominate-artery-fistula-surgical-primary-closure-of-the-artery-defect-a-successful-treatment-of-a-potential-catastrophe
#2
F Caushi, A Xhumari, P Gjergo
No abstract text is available yet for this article.
January 2016: Hippokratia
https://www.readbyqxmd.com/read/27891422/panvascular-disease-in-familial-hypercholesterolaemia-treated-with-endovascular-simultaneous-bilateral-carotid-stenting
#3
Anand Alurkar, Lakshmi Sudha Prasanna Karanam, Shripal Shah, Pandurang Mare
Familial Hypercholesterolaemia (FH) is a monogenic autosomal dominant disorder affecting 1 in 500 individuals. We report a case of 32-year-old female with FH, previously not on any treatment, who presented with recurrent bilateral Middle Cerebral Artery (MCA) territory strokes and dyspnoea on exertion due to severe panvascualar disease involving descending aorta, innominate, subclavian, common carotid, internal carotid and coronary vessels. Her complete clinical work up was done and was started on lipid lowering drug treatment and low calorie diet...
October 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27881689/acute-type-a-aortic-dissection-treated-using-a-tubular-stent-graft-in-the-ascending-aorta-and-a-multibranched-stent-graft-in-the-aortic-arch
#4
Tilo Kölbel, Christian Detter, Sebastian W Carpenter, Fiona Rohlffs, Yskert von Kodolitsch, Sabine Wipper, Herrmann Reichenspurner, E Sebastian Debus, Nikolaos Tsilimparis
PURPOSE: To describe the combined use of a tubular stent-graft for the ascending aorta and an inner-branched arch stent-graft for patients with acute type A aortic dissection. TECHNIQUE: The technique to deploy these modular, custom-made stent-grafts is demonstrated in 2 patients with acute DeBakey type I aortic dissections and significant comorbidities precluding open surgery. Both emergent procedures were made possible by the availability of suitable devices manufactured for elective repair in other patients...
November 23, 2016: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/27866675/hemodynamics-of-patient-specific-aorta-pulmonary-shunt-configurations
#5
Senol Piskin, H Firat Altin, Okan Yildiz, Ihsan Bakir, Kerem Pekkan
Optimal hemodynamics in aorta-pulmonary shunt reconstruction is essential for improved post-operative recovery of the newborn congenital heart disease patient. However, prior to in vivo execution, the prediction of post-operative hemodynamics is extremely challenging due to the interplay of multiple confounding physiological factors. It is hypothesized that the post-operative performance of the surgical shunt can be predicted through computational blood flow simulations that consider patient size, shunt configuration, cardiac output and the complex three-dimensional disease anatomy...
November 11, 2016: Journal of Biomechanics
https://www.readbyqxmd.com/read/27866536/-in-vivo-and-in-vitro-experimental-studies-of-remote-digital-control-endovascular-robotic-system-in-interventional-angiography
#6
J Y Tan, L Q Jia, W H Shi, Z Y Tian, J D Tong, Y Deng, B Yu
Objective: To investigate the feasibility of the remote control endovascular robotic system in interventional angiography. Method: The endovascular robotic system Heifetz™ and the matched steerable catheter Mirage™ were used to cannulate all the target vessels in the vascular model and cerebral arteries originated from the aorta of Bama mini-pigs under fluoroscopic guidance. The technical success rate, cannulation time and exposure dose were all collected and compared with the result of using conventional techniques...
November 15, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/27827564/endovascular-treatment-of-brachiocephalic-artery-war-related-injury
#7
Camille Choufani, Olivier Aoun, Amélie Mlynski, Guillaume Boddaert, Xavier de Kerangal, Charles Pierret
INTRODUCTION: Injuries to the innominate artery are rare, but potentially fatal. Early diagnosis and treatment may avoid life-threatening complications. Endovascular surgery often has lower morbidity and mortality rates than conventional surgery. CLINICAL CASE: We reported the case of a 28-year-old Yemenite soldier who presented with a shrapnel-related chest puncture wound following a shell explosion in Djibouti causing a 5 mm pseudoaneurysm of the innominate artery without associated complications...
November 9, 2016: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/27825809/tracheo-innominate-artery-fistula
#8
L Machado, A Mansilha
No abstract text is available yet for this article.
December 2016: European Journal of Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/27815450/results-from-a-nationwide-registry-on-scalloped-thoracic-stent-grafts-for-short-landing-zones
#9
Emma van der Weijde, Olaf J Bakker, Ignace F J Tielliu, Clark J Zeebregts, Robin H Heijmen
PURPOSE: To report the perioperative results and short-term follow-up of patients treated with scalloped thoracic stent-grafts. METHODS: A multicenter registry in the Netherlands captured data on 30 patients (mean age 68 years; 17 men) with thoracic aortic pathology and a short (<20 mm) proximal or distal landing zone who received a custom-made scalloped stent-graft between January 2013 and February 2016. Patients were treated for saccular (n=13) aneurysms, fusiform (n=9) aneurysms, pseudoaneurysms (n=4), or chronic type B dissections (n=4)...
November 3, 2016: Journal of Endovascular Therapy
https://www.readbyqxmd.com/read/27796532/endovascular-and-hybrid-trauma-management-evtm-for-blunt-innominate-artery-injury-with-ongoing-extravasation
#10
Linda Bilos, Artai Pirouzram, Asko Toivola, Mårten Vidlund, Soon Ok Cha, Tal Hörer
Innominate artery (IA) traumatic injuries are rare but life-threatening, with high mortality and morbidity. Open surgical repair is the treatment of choice but is technically demanding. We describe a case of blunt trauma to the IA with ongoing bleeding, treated successfully by combined (hybrid) endovascular and open surgery. The case demonstrates the immediate usage of modern endovascular and surgical tools as part of endovascular and hybrid trauma management.
October 28, 2016: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27777481/right-aortic-arch-with-aberrant-left-innominate-artery-arising-from-kommerell-s-diverticulum
#11
Ângela Faistauer, Felipe Soares Torres, Carlo Sasso Faccin
We report a case of an uncommon thoracic aorta anomaly-right aortic arch with aberrant left innominate artery arising from Kommerell's diverticulum-that went undiagnosed until adulthood.
July 2016: Radiologia Brasileira
https://www.readbyqxmd.com/read/27763270/release-of-tracheal-compression-by-innominate-artery-aneurysm
#12
Yojiro Koda, Hirohisa Murakami, Hitoshi Matsuda, Nobuhiko Mukohara
No abstract text is available yet for this article.
August 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27744319/residual-tracheobronchial-malacia-after-surgery-for-vascular-compression-in-children-treatment-with-stenting%C3%A2
#13
Paola Serio, Raffaella Nenna, Valentina Fainardi, Laura Grisotto, Annibale Biggeri, Roberto Leone, Luigi Arcieri, Marco Di Maurizio, Denise Colosimo, Roberto Baggi, Bruno Murzi, Lorenzo Mirabile, Fabio Midulla
OBJECTIVES: Surgery for vascular anomalies can occasionally fail to relieve symptoms, especially when severe tracheobronchial malacia persists. We studied outcomes in children who underwent airway stenting for severe post-surgical airway malacia and tested known clinical and surgical prognostic factors. METHODS: Among 257 children evaluated for tracheobronchial vascular compression, we reviewed the clinical charts for the 59 patients (23%) who underwent surgery...
October 15, 2016: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/27742818/a-clinical-protocol-for-goal-directed-cerebral-perfusion-during-aortic-arch-surgery
#14
Matthew S Mosca, George Justison, T Brett Reece
OBJECTIVE: The optimal strategy to deliver antegrade cerebral perfusion for cerebral protection during hypothermic circulatory arrest has not been established. The purpose of this review was to present our current clinical protocol utilizing selective antegrade cerebral perfusion during aortic arch surgery and to compare it to other published experience. CLINICAL PROTOCOL: Since 2013, our clinical protocol for aortic arch surgery has evolved to using selective antegrade cerebral perfusion via the innominate artery, moderate hypothermia, and ancillary strategies such as goal-directed perfusion (GDP)...
October 14, 2016: Seminars in Cardiothoracic and Vascular Anesthesia
https://www.readbyqxmd.com/read/27729153/successful-conservative-management-of-a-rare-complication-of-tracheostomy-extensive-posterior-tracheal-false-pouch
#15
Jennifer F Ha, Waseem Ostwani, Glenn Green
INTRODUCTION: With the advent of improved neonatal and pediatric intensive care management, tracheostomy is increasingly performed in children requiring prolonged ventilation. Even though tracheostomy is generally a safe procedure, there remains mortality and morbidity associated with it. OBJECTIVE: We report a rare complication of a tracheostomy tube resulting in extensive erosion and posterior tracheal false pouch secondary to a large tracheostomy tube and high positive end expiratory pressure in a 12-month-old infant...
November 2016: International Journal of Pediatric Otorhinolaryngology
https://www.readbyqxmd.com/read/27669999/risk-assessment-of-high-lying-innominate-artery-with-neck-surgery
#16
Qian Cai, Honglei Zhu, Taihui Yu, Xiaoming Huang, Faya Liang, Ping Han, Peiliang Lin
CONCLUSION: A high-lying innominate artery (the upper edge of the innominate artery across the anterior midline of the trachea located 2 cm above the suprasternal notch), a rare situation, may produce disturbance to related anterior cervical tracheal surgery and even cause serious complications. OBJECTIVES: High-lying innominate artery is a high risk factor in anterior cervical tracheal surgery. Pre-operative assessment via imaging technique can help to familiarize the artery and reduce the related disturbance to the surgery...
September 27, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27585203/hybrid-interventional-treatment-of-iatrogenic-innominate-artery-aneurysm-in-a-child
#17
Konrad Paczkowski, Ireneusz Haponiuk, Maciej Chojnicki, Grażyna Brzezińska-Rajszys
An iatrogenic aneurysm of an innominate artery is an extremely rare complication, especially in children. Nevertheless, this pathology was diagnosed in a child given palliative care with chronic respiratory insufficiency and a history of encephalitis requiring permanent ventilation at home via a tracheal tube.A nine-year-old girl with colitis ulcerosa and a history of hemorrhagic encephalitis, with chronic home ventilation therapy, was admitted in an emergency setting because of massive bleeding from the upper respiratory tract and the area surrounding the tracheotomy...
2016: Heart Surgery Forum
https://www.readbyqxmd.com/read/27565589/resolution-of-ischemic-symptoms-after-percutaneous-angioplasty-for-a-symptomatic-subclavian-artery-stenosis
#18
Leszek Wrotniak, Anna Kabłak-Ziembicka, Agnieszka Rosławiecka, Piotr Musiałek, Paweł Bogacki, Mariusz Trystuła, Krzysztof Żmudka, Tadeusz Przewłocki
OBJECTIVE: A minor part of patients with subclavian or innominate artery occlusive disease (subclavian artery stenosis [SAS]) experience symptoms of vertebrobasilar insufficiency, upper extremity exertional ischemia (UEEI), or cardiac ischemia owing to subclavian-coronary steal (SCS) in some instances. The study aimed to assess the impact of percutaneous transluminal angioplasty (PTA) of symptomatic SAS on symptom resolution and to determine factors related with SAS recurrence. METHODS: Symptom resolution and incidence of restenosis (RS) were evaluated for up to 15 years in patients who had undergone successful PTA of SAS...
September 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27558114/early-and-mid-term-results-of-the-chimney-technique-in-the-repair-of-aortic-arch-pathologies
#19
Junjie Zou, Yuanyong Jiao, Xiwei Zhang, Jun Jiang, Hongyu Yang, Hao Ma
PURPOSE: To examine the safety, feasibility, and mid-term efficacy of the chimney technique for aortic arch pathologies. METHODS: From February 2011 to December 2014, a total of 35 patients (30 men; mean age 54.3 ± 14.1 years) with aortic arch pathologies underwent thoracic endovascular aortic repair combined with chimney stents. The indication was a proximal landing zone <1.5 cm. Follow-up was performed at 3, 6, and 12 months and then yearly thereafter...
November 2016: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27556148/the-central-sport-model-extracorporeal-membrane-oxygenation-using-the-innominate-artery-for-smaller-patients-as-bridge-to-lung-transplantation
#20
Scott Chicotka, Erika B Rosenzweig, Daniel Brodie, Matthew Bacchetta
Venoarterial extracorporeal membrane oxygenation (VA ECMO) may be used in patients with advanced cardiac or pulmonary failure. Arterial cannulation via the femoral arteries is suboptimal in many clinical scenarios due to associated complications and the potential for differential hypoxemia between the upper and lower body. To address these concerns, we typically use an upper body configuration (sport model) with right internal jugular and axillary or subclavian artery cannulation to allow a safe and durable means of providing VA ECMO support without differential hypoxemia...
August 22, 2016: ASAIO Journal: a Peer-reviewed Journal of the American Society for Artificial Internal Organs
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