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https://www.readbyqxmd.com/read/27846776/infective-spondylodiscitis-in-patients-on-maintenance-hemodialysis-a-case-series
#1
Yueh-An Lu, Hsiang-Hao Hsu, Huang-Kai Kao, Chia-Hui Lee, Shen-Yang Lee, Guan-Hsing Chen, Cheng-Chieh Hung, Ya-Chung Tian
Infective spondylodiscitis is a rare disease. This case review describes the clinical course, risk factors, and outcomes of adult patients on maintenance hemodialysis who presented with infective spondylodiscitis at a single medical center in Taiwan. There were 18 cases (mean age: 64.9 ± 10.8 years) over more than 10 years. Analysis of underlying diseases indicated that 50% of patients had diabetes, 55.6% had hypertension, 55.6% had coronary artery disease, 22.2% had congestive heart failure, 22.2% had a cerebral vascular accident, 16...
November 16, 2016: Renal Failure
https://www.readbyqxmd.com/read/27690837/cervical-spine-fracture-with-vertebral-artery-dissection
#2
Joshua P Halfpap, Aaron A Cho, Michael D Rosenthal
A 51-year-old man presented to a direct-access physical therapy clinic with persistent neck pain for 5 days after a fall in shallow water while surfing. Based on "dangerous mechanism of injury" from the Canadian cervical spine rule as being a high risk factor, the physical therapist ordered radiographs of the cervical spine, which were suggestive of a more serious injury. Computed tomography suggested and magnetic resonance imaging confirmed vertebral artery dissection. J Orthop Sports Phys Ther 2016;46(10):929...
October 2016: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/27665410/-polycystic-kidney-disease-and-kidney-transplantation
#3
X Tillou, M-O Timsit, F Sallusto, T Culty, G Verhoest, A Doerfler, R Thuret, F Kleinclauss
OBJECTIVES: To perform a state of the art about autosomal dominant polykystic kidney disease (ADPKD), management of its urological complications and end stage renal disease treatment modalities. MATERIAL AND METHODS: An exhaustive systematic review of the scientific literature was performed in the Medline database (http://www.ncbi.nlm.nih.gov) and Embase (http://www.embase.com) using different associations of the following keywords (MESH): "autosomal dominant polykystic kidney disease", "complications", "native nephrectomy", "kidney transplantation"...
September 21, 2016: Progrès en Urologie
https://www.readbyqxmd.com/read/27634411/a-33-year-old-man-with-atypical-chest-pain
#4
Alastair J Moss, Marc R Dweck, Andrew D Flapan
CLINICAL INTRODUCTION: A 33-year-old man with no history of coronary artery disease presented to the rapid access cardiology clinic with an episode of atypical anginal chest pain. He had a 15 pack-year history of smoking and a family history of myocardial infarction under the age of 55. Physical examination and exercise ECG testing were unremarkable. On assessment in the cardiology clinic, blood sampling was notable for an elevated high-sensitivity troponin I of 61 ng/L (99% upper reference level, 34 ng/L)...
September 15, 2016: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/27577264/coronary-artery-fistulas-case-series-and-literature-review
#5
Christina Karazisi, Peter Eriksson, Mikael Dellborg
Congenital coronary artery fistulas are rare anomalies. As coronary angiography and multidetector computed tomography have become more accessible, they have been increasingly used in the investigation of chest pain and heart failure. Coronary artery fistulas are often an incidental finding, which raises the question of how patients with this condition should be managed. Intervention with either transcatheter closure or surgical closure is often technically possible. Many patients are asymptomatic early after closure...
August 30, 2017: Cardiology
https://www.readbyqxmd.com/read/27568119/does-the-routine-availability-of-ct-derived-ffr-influence-management-of%C3%A2-patients-with%C3%A2-stable-chest%C3%A2-pain-compared-to-ct%C3%A2-angiography%C3%A2-alone-the-ffrct-ripcord-study
#6
Nicholas P Curzen, James Nolan, Azfar G Zaman, Bjarne L Nørgaard, Ronak Rajani
OBJECTIVES: This study sought to determine the effect of adding computed tomography-derived fractional flow reserve (FFRCT) data to computed tomography angiographic (CTA) data alone for assessment of lesion severity and patient management in 200 patients with chest pain. BACKGROUND: Invasive and noninvasive tests used in the assessment of patients with angina all have disadvantages. The ideal screening test for patients presenting for the first time with chest pain would describe both coronary anatomy and the presence of ischemia and would be readily accessible, low cost, and noninvasive...
October 2016: JACC. Cardiovascular Imaging
https://www.readbyqxmd.com/read/27489718/delayed-presentation-of-a-carotid-pseudoaneurysm-following-penetrating-neck-trauma
#7
Abdullah Alfawaz, Xiaoyi Li, Stefan Kénel-Pierre, Jane Yang, Jorge Rey, Handel Robinson
OBJECTIVE: Penetrating carotid trauma in a hemodynamically stable patient invariably presents with a pseudoaneurysm on initial imaging. Although extremely rare, delayed pseudoaneurysm formation has been reported. The purpose of this paper is to define this rare entity and propose a diagnostic and treatment plan. METHODS: We present a case of delayed presentation of carotid pseudoaneurysm following penetrating neck trauma. A systematic review of the literature was performed...
2016: SAGE open medical case reports
https://www.readbyqxmd.com/read/27473777/the-impact-of-vascular-surgery-wound-complications-on-quality-of-life
#8
Edward A McGillicuddy, C Keith Ozaki, Samir K Shah, Michael Belkin, Allen Hamdan, Neal Barshes, Mark Wyers, Louis Nguyen
OBJECTIVE: In addition to traditional surgical outcomes, perioperative quality of life is being scrutinized as a patient-centric metric. As part of a prospective study in a contemporary surgical cohort, subjective health states were examined in context of postoperative wound complications (WCs). We hypothesized that WCs negatively affect quality of life. METHODS: The EuroQol (EQ)-5D subjective health state data, comprising five domains with 1 (good) to 3 (poor) ordinal scoring, plus visual analog score, were collected at the day of surgery and at 2 and 4 weeks of follow-up in a study evaluating silver-eluting dressings in 500 patients at three centers...
July 26, 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/27464456/transarterial-embolization-of-a-spontaneous-intraorbital-arteriovenous-fistula-with-n-bca-glue
#9
Angelos A Konstas, Daniel B Rootman, Peter A Quiros, Ian B Ross
Arteriovenous fistulae of the orbit are exceedingly rare. They are high-flow vascular malformations involving a fistula from the ophthalmic artery to one of the draining ophthalmic veins. Presenting symptoms can mimic those of carotid cavernous fistulae or of ophthalmic venous varices, and include diplopia, proptosis, chemosis, decreased visual acuity, and retro-orbital pain. Very few case reports are published on the treatment of this aggressive vascular malformation, and they uniformly describe techniques involving a transvenous access for the embolization of the fistula...
July 21, 2016: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/27449460/bailouts-to-lima-damage-for-avoiding-conversion-in-minimal-access-coronary-procedures
#10
Thanos Athanasiou, Hutan Ashrafian, Leanne Harling, Roberto P Casula
Minimally invasive and robotic coronary revascularization strategies offer less pain, fewer adverse events, better cosmesis, and speedier recovery. These procedures are vulnerable to left internal mammary artery (LIMA) injury that may require a full sternotomy, which eliminates the benefits of minimally invasive procedures. We present a management protocol to avoid conversion to sternotomy in minimally invasive cases based on the location of the LIMA injury at proximal, mid, and distal locations. By applying axillary bypass, LIMA extension, and repair over a shunt approaches, our protocol can be used as a successful bailout to LIMA damage in minimally invasive coronary cases...
August 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27399556/358%C3%A2-adoption-of-a-radial-first-approach-for-diagnostic-cerebral-angiography-a-feasibility-study
#11
Samir Sur, Brian Michael Snelling, Dileep Yavagal, Eric C Peterson
INTRODUCTION: Widely adopted by interventional cardiology, radial access has seen slower adoption in neurointerventional procedures despite its proven increased safety and patient satisfaction. Based on our positive initial experience with radial access, as well as increased patient satisfaction, we adopted a "radial first" policy for diagnostic angiography. We present our initial experience transitioning from the traditional transfemoral approach to a radial-first approach. METHODS: Procedural data were reviewed from 103 consecutive transradial diagnostic cerebral angiograms performed between November 2015 and February 2016...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27397447/anesthetic-implications-of-subxiphoid-coronary-artery-bypass-surgery
#12
Murali Chakravarthy, Muralimanohar Veerappa, Vivek Jawali, Nischal Pandya, Jayaprakash Krishnamoorthy, Geetha Muniraju, Antony George, Jitumoni Baishya
BACKGROUND: Minimal invasive surgeries are carried out to benefit the patient with less pain, blood loss, mechanical ventilation and hospital stay; a smaller scar is not the aim. Minimal invasive cardiac surgeries are carried out via small sternotomy, small thoracotomy and via robotic arms. Subxiphoid route is a novel method and avoids sternotomy. AIM: This case series is an attempt to understand the anesthetic modifications required. Secondly, whether it is feasible to carry out subxiphoid coronary artery bypass surgery...
July 2016: Annals of Cardiac Anaesthesia
https://www.readbyqxmd.com/read/27314677/angiographic-study-of-upper-limb-vascularization-in-a-large-cohort-of-hemodialysis-patients-with-critical-hand-ischemia
#13
Roberto Ferraresi, Jorge Acuña-Valerio, Matteo Ferraris, Marco Fresa, Meneme Hamade, Gian B Danzi, Roberto Gandini, Giovanni Mauri
BACKGROUND: Critical hand ischemia (CHI) is a not rare condition in patients with end-stage-renal-disease on hemodialysis (HD), and presents devastating consequences due to its impact on life quality. In HD patients CHI may be related to three main conditions: obstruction of the big upper limb arteries, obstruction of the small hand and finger arteries, and the steal effect of a hemodialysis access. The aim of this study was to describe the angiographic pattern of upper limb vascularization and associated cardiovascular risk factors, in a large cohort of consecutive HD patients with CHI studied in our center...
December 2016: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/27116905/a-novel-anesthetic-technique-for-pevar
#14
Stuart A Harlin, Ruth A Grissom, Christopher LeCroy, Susan M Pouliot, Scott A Harlin
BACKGROUND: Percutaneous endovascular aneurysm repair (PEVAR) continues to evolve. Device profiles continue to decline, further reducing the physiological insult of the procedure. Anesthesia, however, has not evolved with a large proportion of patients continuing to receive general anesthesia for their increasingly less invasive procedures. We report on a novel anesthetic technique providing outstanding anesthesia in patients undergoing PEVAR in an outpatient setting. The total anesthesia used was remarkably cost effective...
July 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/26984915/a-vessel-preserving-surgical-hip-dislocation-through-a-modified-posterior-approach-assessment-of-femoral-head-vascularity-using-gadolinium-enhanced-mri
#15
Peter K Sculco, Lionel E Lazaro, Edwin P Su, Craig E Klinger, Jonathan P Dyke, David L Helfet, Dean G Lorich
BACKGROUND: Surgical hip dislocation allows circumferential access to the femoral head and acetabulum and is utilized in the treatment of intra-articular hip disorders. Surgical hip dislocation is currently performed with a trochanteric osteotomy that reliably preserves the femoral head arterial supply; however, trochanteric nonunion or painful hardware requiring removal may occur. In a cadaveric model, using gadolinium-enhanced magnetic resonance imaging (MRI) and gross dissection, we evaluated whether modifications to the posterior approach preserve the femoral head arterial supply after a posterior surgical hip dislocation...
March 16, 2016: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/26965917/transarterial-embolization-of-hypervascular-tumors-using-trisacryl-gelatin-microspheres-embosphere-a-prospective-multicenter-clinical-trial-in-japan
#16
Keigo Osuga, Yasuo Nakajima, Miyuki Sone, Yasuaki Arai, Yoshihiro Nambu, Shinichi Hori
PURPOSE: To evaluate the feasibility and safety of transarterial embolization (TAE) using trisacryl gelatin microspheres (TGMs) for hypervascular tumors. MATERIALS AND METHODS: This was a prospective multicenter clinical trial involving five institutions. TAE using TGMs was performed for hypervascular tumors in various locations. The primary endpoint was the technical success. The secondary endpoints included catheter accessibility, preservation of the feeding arteries, local tumor response based on the Response Evaluation Criteria in Cancer of the Liver (RECICL) and adverse events related to TAE based on the Common Terminology Criteria for Adverse Events, version 4...
May 2016: Japanese Journal of Radiology
https://www.readbyqxmd.com/read/26891768/ultrasound-treatment-of-neurological-diseases-current-and-emerging-applications
#17
REVIEW
Gerhard Leinenga, Christian Langton, Rebecca Nisbet, Jürgen Götz
Like cardiovascular disease and cancer, neurological disorders present an increasing challenge for an ageing population. Whereas nonpharmacological procedures are routine for eliminating cancer tissue or opening a blocked artery, the focus in neurological disease remains on pharmacological interventions. Setbacks in clinical trials and the obstacle of access to the brain for drug delivery and surgery have highlighted the potential for therapeutic use of ultrasound in neurological diseases, and the technology has proved useful for inducing focused lesions, clearing protein aggregates, facilitating drug uptake, and modulating neuronal function...
March 2016: Nature Reviews. Neurology
https://www.readbyqxmd.com/read/26874446/aneurysmal-bone-cyst-a-19-case-series-managed-by-percutaneous-sclerotherapy
#18
F Batisse, A Schmitt, T Vendeuvre, D Herbreteau, C Bonnard
INTRODUCTION: Sclerotherapy offers an alternative to surgery for the treatment of aneurysmal bone cyst (ABC). The main objective of the present study was to assess the radiological efficacy of sclerotherapy in terms of ossification on MRI. Secondary objectives were to assess clinical efficacy on pain evaluation and to analyze recurrence and complications according to type of sclerosing agent and intraoperative imaging technique. MATERIALS AND METHODS: Between 2006 and 2014, 19 patients (7 females, 12 males, aged 3 to 17 years) with ABC treated by sclerotherapy were included...
April 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/26871987/renal-arteriovenous-shunts-clinical-features-imaging-appearance-and-transcatheter-embolization-based-on-angioarchitecture
#19
Miyuki Maruno, Hiro Kiyosue, Shuichi Tanoue, Norio Hongo, Shunro Matsumoto, Hiromu Mori, Yoshiko Sagara, Junji Kashiwagi
Renal arteriovenous (AV) shunt, a rare pathologic condition, is divided into two categories, traumatic and nontraumatic, and can cause massive hematuria, retroperitoneal hemorrhage, pain, and high-output heart failure. Although transcatheter embolization is a less-invasive and effective treatment option, it has a potential risk of complications, including renal infarction and pulmonary embolism, and a potential risk of recanalization. The successful embolization of renal AV shunt requires a complete occlusion of the shunted vessel while preventing the migration of embolic materials and preserving normal renal arterial branches, which depends on the selection of adequate techniques and embolic materials for individual cases, based on the etiology and imaging angioarchitecture of the renal AV shunts...
March 2016: Radiographics: a Review Publication of the Radiological Society of North America, Inc
https://www.readbyqxmd.com/read/26721002/microvascular-decompression-for-trigeminal-neuralgia
#20
Shahbaz Ali Khan, Baynazir Khan, Abdul Aziz Khan, Ehtisham Ahmed Khan Afridi, Shakir Mehmood, Gul Muhammad, Iqbal Hussain, Khalid Khan Zadran, Sajid Nazir Bhatti
BACKGROUND: Trigeminal Neuralgia (TGN) is the most frequently diagnosed type of facial pain. In idiopathic type of TGN it is caused by the neuro-vascular conflict involving trigeminal nerve. Microvascular decompression (MVD) aims at addressing this basic pathology in the idiopathic type of TGN. This study was conducted to determine the outcome and complications of patients with idiopathic TGN undergoing MVD. METHODS: In a descriptive case series patients with idiopathic TGN undergoing MVD were included in consecutive manner...
July 2015: Journal of Ayub Medical College, Abbottabad: JAMC
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