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Takayuki Nishimoto, Yukihiro Bonkohara, Hironori Murakami
Anomalous retroaortic left brachiocephalic vein( ARLBV) is a rare vascular abnormaly, usually asossiated with congenital heart diseases. We present a very rare case of Stanford type A acute aortic dissection associated with ARLBV. A 70-year-old man was referred to our hospital complaining of worsening back pain and chest pain. Computed tomographic angiogram showed Stanford type A acute aortic dissection from the ascending aorta to the distal abdominal aorta. Furthermore, systemic venous anomalies were revealed...
February 2019: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Kazuhiro Suzuki, Osamu Yamashita, Hidetoshi Tsuboi
An 82-year-old woman visited the hospital with the chief complaint of dyspnea on light exertion. Computed tomography (CT) showed a coronary artery aneurysm and coronary arteriovenous fistulas. The pulmouary flow/systemic flow (Qp/Qs) ratio was 1.4, and the left-to-right shunt rate was 31%.Two anomalous vessels were identified. One arose from the right coronary artery, formed an aneurysm, and drained into the coronary sinus, while the other originated from the distal circumflex branch and drained directly into the coronary sinus...
February 2019: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Noriyoshi Yashiki, Tsuyoshi Yachi, Keiichi Kimura
A 40-year-old female was injured in a car accident while driving. Computed tomography confirmed a dissection localized to the distal aortic arch and hematoma around the area. Severe liver damage with surrounding extravasation was also confirmed. Furthermore, multiple rib fractures and lumbar spine fracture were apparent. Thoracic endovascular aortic repair( TEVAR) was performed after transcatheter arterial embolization to treat the liver injury. As both the iliac and femoral arteries were narrow, the internal iliac artery was transected peripherally and used as an access route...
February 2019: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Nusrat Bano, Rahila Ikram
This retrospective study reports impact of diabetes on incidence rate of dose limiting symptoms of neurological toxicity and chemotherapy induced peripheral neuropathy (CIPN). Post-surgical colorectal cancer (CRC) patients with metastatic disease, treated with four different schedules of FOLFOX were included in this study. Neurological adverse effects were assessed by CTC v2.0. The incidence rate of adverse neurological symptoms in CRC patients, clinically diagnosed with diabetes (n=6) were compared with non-diabetic CRC patients (n=32)...
January 2019: Pakistan Journal of Pharmaceutical Sciences
Kei Hosoda, Hiroaki Mieno, Akira Ema, Hideki Ushiku, Marie Washio, Ildae Song, Masahiko Watanabe, Keishi Yamashita
BACKGROUND: Conventional laparoscopic and open distal gastrectomy procedures have inherent limitations such as restricted movement of straight forceps and tremor of the tip of the devices that can potentially be overcome using robotic distal gastrectomy (RDG). This single-institutional phase II trial aimed to evaluate the safety and feasibility of RDG with lymph node dissection for clinical stage IA gastric cancer. METHODS: The study included patients with clinical stage IA gastric cancer in the lower two-thirds of the stomach considered to be curatively resected via distal gastrectomy...
February 14, 2019: Journal of Surgical Research
Robert G Hauser, Jay Sengupta, Edward J Schloss, Larissa I Stanberry, Moses K Wananu, Raed Abdelhadi
BACKGROUND: Internal insulation breaches (IBR) may result ICD lead failure and adverse clinical events. Concerns exist that the Durata lead may be prone to IBR. OBJECTIVE: Assess Durata failures in the FDA MAUDE database and compare them to failures in MAUDE for Endotak Reliance (ER) and Sprint Quattro Secure (QS) leads. METHODS: We searched the MAUDE database from 2008-2018 for IBR and other failure modes. Included were explanted leads whose manufacturers found an insulation or conductor defect not caused by extrinsic factors...
February 14, 2019: Heart Rhythm: the Official Journal of the Heart Rhythm Society
Nisa Gül Amuk, Erol Karsli, Gokmen Kurt
OBJECTIVE: Comparison of dental measurements between conventional plaster models, digital models obtained by impression scanning and plaster model scanning. PURPOSE: To evaluate and to compare the accuracy and reliability of tooth size, arch width and Bolton tooth size discrepancy measurements on 3 Dimensional (3D) digital models obtained by plaster dental model scanning, dental impression scanning and conventional plaster models. MATERIAL AND METHODS: This study was carried out on the maxillary and mandibular dental models of 25 patients with Angle Class I molar relationship and minimal crowding...
February 13, 2019: International Orthodontics
Umito Kuwashima, Ryohei Takeuchi, Hiroyuki Ishikawa, Mikio Shioda, Yasuharu Nakashima, Steffen Schröter
OBJECTIVE: The aim of this study is to evaluate, by computed tomography (CT), whether different torsional changes occur in the tibia following a lateral closed wedge high tibial osteotomy (CWHTO) versus a medial open wedge high tibial osteotomy (OWHTO) procedure. It was hypothesized that the distal fragment of the tibia would show greater internal rotation after CWHTO. METHODS: Thirty knees from 25 patients who underwent HTO were enrolled. Fifteen knees of 14 patients who underwent CWHTO and 15 knees of 11 patients who received OWHTO were match-paired...
February 13, 2019: Knee
Philipp Poxleitner, Pit Jacob Voss, David Steybe, Stefan Schlager, Steffen Schwarz, Marc Anton Fuessinger, Rainer Schmelzeisen, Marc Metzger
INTRODUCTION: Fractures of the mandibular condyle are reported to account for 9 %-45 % of all mandibular fractures. There has been a long lasting controversy on the superiority of different treatment options with endoscopic-assisted transoral approaches gaining increasing attention in recent years. In this article, we report the application of a newly developed osteosynthesis plate for an auto reposition, reconstruction and rigid fixation of condylar process fractures. MATERIAL AND METHODS: We present 6 cases of uni- or bilateral fractures of the condylar process treated with a transoral open reduction and rigid fixation using an auto reposition plate...
February 4, 2019: Journal of Cranio-maxillo-facial Surgery
Casper Falster, Simon Stockmann Poulsen, Arne Michael Storaas, Henrik Morville Schroeder, Jesper Hoeg Vinther, Moustapha Kassem, Uffe Joergensen
BACKGROUND: Bone fractures are a common cause of hospital admission. Currently, treatment consists of conservative regimens or operation. However, regenerative medicine introduces a possible new addition to established treatments. Evidence suggests that application of autologous mesenchymal stem cells can enhance bone regeneration, by differentiating into osteoblasts. This study investigates whether mesenchymal stem cells, isolated from bone marrow in sites of trauma or osteoarthritis, exhibit reduced proliferation and osteogenic differentiation in-vitro, compared to stem cells isolated from non-traumatic and non-osteoarthritic sites...
February 13, 2019: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
C Koutserimpas, K Raptis, A Mari, A Kotsirakis
Chronic osteomyelitis represents a challenging to treat clinical entity. A case of a whole femur chronic osteomyelitis, definitely treated with total femur resection and a positioning of a modular megaprosthesis in 2 stages is presented. An 81-year-old female, with hip hemiarthroplasty and internal fixation plate of the distal femur presented with signs and symptoms of femur osteomyelitis. Based on the clinical, radiologic and laboratory findings, the diagnosis of chronic femur osteomyelitis was established...
January 2019: Il Giornale di Chirurgia
Xiangdong Wang, Guohui Tang, Mingchu Li
BACKGROUND: The location of the origin of the PICA is highly variable. An extracranial origin PICA from the vertebral artery(VA) is not rare. But, the PICA originated extradurally at the point at which the VA ascends between the transverse foramina of C-2 and C-1 is one very rare anatomic variant. Double origin PICA (DOPICA) is another one very rare anatomic variant observed in 1% to 4% of patients in which 2 PICA branches converge distally. CASE DESCRIPTION: We present an rare cadaveric anatomy case which both the PICAs originated extradurally between the vertebrae C1 and C2, simultaneously exist right double origin PICA ...
February 13, 2019: World Neurosurgery
Dominik Grieb, Martin Schlunz Hendann, Waleed Brinjikji, Katharina Melber, Bjoern Greling, Heinrich Lanfermann, Friedhelm Brassel, Dan Meila
BACKGROUND AND PURPOSE: The direct aspiration first pass technique (ADAPT) using distal access catheters (DAC) has proven to be an effective and safe endovascular treatment strategy of acute ischemic stroke with large vessel occlusions (LVO). However, data about direct aspiration using DAC in M2 segment occlusions is limited. We assess the safety and efficacy of DACs in acute M2 occlusions using ADAPT with large bore (5 French /6 French) aspiration catheters as the primary method for endovascular recanalization...
February 13, 2019: Journal of Neuroradiology. Journal de Neuroradiologie
Tetsuya Tsujikawa, Toshiki Tasaki, Naoko Hosono, Tetsuya Mori, Akira Makino, Yasushi Kiyono, Paolo Zanotti-Fregonara, Takahiro Yamauchi, Hidehiko Okazawa
BACKGROUND: Bone marrow failure syndrome (BMFS) is a heterogeneous group of disorders associated with single- or multiple-lineage cytopenia and failure of normal hematopoiesis. We assessed the feasibility of integrated PET/MRI with 3'-deoxy-3'-18 F-fluorothymidine (18 F-FLT) to assess the pathophysiology of whole-body bone marrow for the diagnosis and monitoring of BMFS. Twenty-five consecutive patients with BMFS underwent a pre-treatment 18 F-FLT PET/MRI scan. They included 7 patients with aplastic anemia (AA), 16 with myelodysplastic syndrome (MDS), and 2 with myeloproliferative neoplasms (MPNs), primary myelofibrosis (MF), and secondary [post-essential thrombocythemia (post-ET)] MF...
February 15, 2019: EJNMMI Research
Giovanni Marchegiani, Marco Ramera, Elena Viviani, Fabio Lombardo, Adam Cybulski, Marco Chincarini, Giuseppe Malleo, Claudio Bassi, Giulia A Zamboni, Roberto Salvia
PURPOSE: The use of intra-abdominal drains after major surgical procedures represents a well-established but controversial practice. No data are available regarding both the occurrence and the potential impact of their postoperative accidental dislocation. The aim of this study is to assess the actual rate of dislocation of intra-abdominal drains postoperatively and to evaluate its clinical impact. METHODS: This is a prospective observational study using major pancreatic surgery as a model...
February 15, 2019: Langenbeck's Archives of Surgery
Mohamed H G Khalaf, Sejal Chowdhary, B Joseph Elmunzer, Puja Sukhwani Elias, Donald Castell
BACKGROUND: Due to its smooth muscle relaxing properties, peppermint oil (PO) may relieve dysphagia and chest pain due to esophageal motility disorders. AIM: To explore the impact of PO on dysphagia and/or chest pain in patients referred for motility testing. METHODS: Patients initiated on PO for dysphagia and/or chest pain from 2013 to 2016 were identified. We excluded patients with obstructing esophageal lesions, patients lost to follow-up, and those with preexisting cardiac conditions...
February 15, 2019: Digestive Diseases and Sciences
Noboru Oyachi, Takaki Emura, Fuminori Numano, Tomoko Tando, Tomohiro Saito, Yusuke Goto
BACKGROUND: Non-occlusive mesenteric ischemia (NOMI) is a rare and severe pathological condition that can cause intestinal necrosis without mechanical obstruction of the mesenteric artery. NOMI often develops during the treatment of severe disease in elderly patients and mostly occurs in the intestine supplied by the superior mesenteric artery (SMA). We experienced a 12-year-old patient with NOMI that was segmentally localized in the ascending colon and rectum during encephalitis treatment...
February 15, 2019: Surgical Case Reports
Ke Li, Mo Saffarini, Jeremy Valluy, Marie-Charlotte Desseroit, Yannick Morvan, Norbert Telmon, Etienne Cavaignac
PURPOSE: Unexplained pain and stiffness after total knee arthroplasty (TKA) often result from mismatch between implant geometry and knee morphology, which depends on patient size, sex, and ethnicity. This study aimed to determine whether size, sex, or ethnicity are independently associated with distal femoral morphology in healthy Caucasian and Asian knees, and to compare anatomic ratios to those of commercially available TKA implants. METHODS: Two series of computed tomography (CT) angiograms from France (264 knees) and China (259 knees) were used to digitize osteometric landmarks at the level of the femoral epicondyles, to measure anteroposterior (AP) and mediolateral (ML) dimensions at the anterior, posterior, medial, and lateral zones...
February 15, 2019: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Etienne Xavier Keller, Steeve Doizi, Luca Villa, Olivier Traxer
PURPOSE: To present attributes of currently available flexible ureteroscopes to define the best flexible ureteroscope for upper tract urothelial carcinoma (UTUC) treatment. MATERIALS AND METHODS: Scopus and Medline databases were searched for articles relating to performance of flexible ureteroscopes. A consensus for final inclusion of articles judged to be relevant for UTUC treatment was reached between the authors. Instrument characteristics were extracted from manufacturers' product brochures...
February 15, 2019: World Journal of Urology
James Thomas Patrick Decourcy Hallinan, Wilbur Wang, Mini N Pathria, Edward Smitaman, Brady K Huang
This article will review the anatomy and common pathologies affecting the peroneus longus muscle and tendon. The anatomy of the peroneus longus is complex and its long course can result in symptomatology referable to the lower leg, ankle, hindfoot, and plantar foot. Proximally, the peroneus longus muscle lies within the lateral compartment of the lower leg with its distal myotendinous junction arising just above the level of the ankle. The distal peroneus longus tendon has a long course and makes two sharp turns at the lateral ankle and hindfoot before inserting at the medial plantar foot...
February 15, 2019: Skeletal Radiology
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