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Scaling Laws for Vascular Buckling, Axial and Circumferential: Applications to Pulse Wave Velocity 轴向和周向血管屈曲的标度规律:脉冲波速的应用
Pub Date : 2017-06-29 DOI: 10.4172/2329-6925.1000322
P. Greene
Background: Scaling laws for cylindrical column buckling are reviewed, applicable to the cardio-vascular system arteries or veins of various thicknesses to diameter ratios. Methods: Critical buckling load scales as (hr/L^2) for axial loads, (h/r)^3 for compressive circumferential loads, and ( h/r)^0.5 for pulse wave velocity. Results: Arteries and veins are most susceptible to buckling failure in collapsible tube mode when circumferential hoop stress exceeds external pressure. Conclusions: Applications include alternating positive (+) and negative (-) wall stresses to investigate the onset of plastic yielding, fatigue, creep, and pulse wave velocity, all relevant to aneurisms, venous thrombosis, hypertension, and arterial sclerosis.
背景:综述了适用于不同厚径比的心血管系统动脉或静脉的圆柱柱屈曲的标度规律。方法:轴向载荷为(hr/L^2),周向压缩载荷为(h/r)^3,脉冲波速为(h/r)^ 0.5。结果:在可折叠管模式下,当周向环向应力超过外压时,动脉和静脉最容易发生屈曲破坏。结论:应用包括交替的正(+)和负(-)壁应力来研究塑性屈服、疲劳、蠕变和脉搏波速度的发生,这些都与动脉瘤、静脉血栓形成、高血压和动脉硬化有关。
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引用次数: 0
Neurovascular Compression Syndrome after Coiling Intracranial Aneurysm 颅内动脉瘤盘绕后的神经血管压迫综合征
Pub Date : 2017-06-29 DOI: 10.4172/2329-6925.1000319
R. Backhaus, L. Kremmler, L. Kirzinger, C. Wendl, F. Schlachetzki
Objectives: Endovascular treatment of intracranial aneurysms using detachable coils is an established method by interventional radiologists. Next to prevention of subarachnoidal hemorrhage, prospective and retrospective studies have shown relief of symptoms caused by the mass effect of the aneurysm following this treatment. Patients and methods: We present cases of endovascular treated intracranial aneurysms in patients developing focal neurological symptoms due to a local perianeurysmal inflammation. Furthermore, we review the literature to increase awareness of this complication, its pathophysiology and therapeutic options. Results: Only rare cases of local perianeurysmal inflammation have been reported in literature. Clinical symptoms are heterogenous, up to focal seizures or symptoms of acute hydrozephalus. Pathophysiological, thrombembolism, local inflammatory and mass are possible aetiological factors. However, overall long-term prognosis is good. Conclusion: Neurovascular compression syndrome after intracraniel aneurysm coiling is a rare and possibly delayed complication. With regard to various causes, diagnostic and therapeutic options should be considered.
目的:利用可拆卸线圈在血管内治疗颅内动脉瘤是介入放射科医师公认的一种方法。除了预防蛛网膜下腔出血外,前瞻性和回顾性研究表明,在这种治疗后,由动脉瘤肿块效应引起的症状得到缓解。患者和方法:我们报告了因局部动脉瘤周围炎症而出现局灶性神经系统症状的颅内动脉瘤患者的病例。此外,我们回顾文献,以增加对这种并发症的认识,其病理生理和治疗选择。结果:文献报道的局部动脉瘤周围炎症病例很少。临床症状是异质的,可达局灶性发作或急性脑积水症状。病理生理、血栓形成、局部炎症和肿块是可能的病因。然而,总体长期预后良好。结论:颅内动脉瘤盘绕后神经血管压迫综合征是一种罕见的迟发性并发症。对于各种原因,应考虑诊断和治疗方案。
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引用次数: 1
Endovascular Aneurysm Repair (EVAR) of an Infra-Renal Abdominal Aortic Aneurysm (AAA) in a Young Patient with Systemic Lupus Erythematosus (SLE) 年轻系统性红斑狼疮(SLE)患者肾下腹主动脉瘤(AAA)的血管内动脉瘤修复(EVAR)
Pub Date : 2017-06-29 DOI: 10.4172/2329-6925.1000320
N. Ng, C. T. Tec
Aortic aneurysms are a rare cardiovascular complication of Systemic Lupus Erythromatosus (SLE) and the true incidence is unknown. This case report shares our experience with a 40 year old lady suffering from SLE whose Abdominal Aortic Aneurysm (AAA) was treated successfully with endovascular aneurysm repair (EVAR). To the author’s knowledge, the use of EVAR for AAA in SLE patients has not been reported in available literature. The pathogenesis and differences in aneurysmal disease in patients with SLE is also discussed.
主动脉瘤是系统性红斑狼疮(SLE)中一种罕见的心血管并发症,其真实发病率尚不清楚。本病例报告与我们分享了一位40岁的SLE女性患者的经验,她的腹主动脉瘤(AAA)通过血管内动脉瘤修复(EVAR)成功治疗。据作者所知,目前尚无文献报道在SLE患者中使用EVAR治疗AAA。本文还讨论了SLE患者动脉瘤性疾病的发病机制和差异。
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引用次数: 1
The Study of Correlation between Diurnal Blood Pressure with Nocturnal Oxygen Desaturation and Nitrite Production in Subjects with Obstructive Sleep Apnea (OSA) 阻塞性睡眠呼吸暂停(OSA)患者昼夜血压与夜间氧饱和度及亚硝酸盐生成的相关性研究
Pub Date : 2017-06-14 DOI: 10.4172/2329-6925.1000317
H. Tran-Van, Anh Vo-Thi-Kim, S. Duong-Quy
Background: Endothelial dysfunction is often present in subjects with obstructive sleep apnea (OSA) on walking up. Although the intermittent hypoxia has been suggested as a main cause of endothelial dysfunction in these subjects, the precise mechanism of this event is still unclear. The aim of this study was to demonstrate the correlation between the level of hypoxia during sleep with arterial blood pressure and plasma concentration of nitrite. Methods: Non-smoker subjects were included in a cross-sectional study. They underwent systolic and diastolic blood pressure (SBP and DBP) measured at bed before sleep and on walking up, overnight polysomnography (PSG), and measurement of nitrite in plasma from peripheral blood at walking up. Results: Sixty-five subjects with mean age of 58 ± 12 years were included in this study. The male-female ratio was 0.9 and BMI was 23.3 ± 3.4 kg/m2. The mean of systolic BP and diastolic BP post-PSG of subjects with SpO2<93% was significantly higher than subjects with SpO2 ≥ 93% (P<0.05 and P<0.01; respectively). The mean SpO2 and nadir SpO2 of subjects with SpO2<93% were significantly lower than subjects with SpO2 ≥ 93% (90 ± 4% vs. 94 ± 2% and 73 ± 9% vs. 88 ± 8%; P<0.05 and P<0.01; respectively). The level of apnea-hypopnea index in subjects with SpO2<93% was significantly higher than that in subjects with SpO2 ≥ 93% (P<0.01). The concentration of NO2- in peripheral blood of subjects with SpO2<93% was significantly lower than that in subjects with SpO2 ≥ 93% (P<0.01). There were the significant correlations between nadir SpO2 and NO2- with SBP and DBP on walking up. Conclusion: Endothelial dysfunction is a crucial event in subjects with OSA, especially for whom with obstructive sleep apnea. This event might be linked to the diurnal increase of peripheral blood pressure. The concentration of NO2- in plasma measuring on walking up might be a relevant marker of endothelial dysfunction during sleep.
背景:阻塞性睡眠呼吸暂停(OSA)患者起床时常出现内皮功能障碍。虽然间歇性缺氧已被认为是这些受试者内皮功能障碍的主要原因,但这一事件的确切机制尚不清楚。本研究的目的是证明睡眠时缺氧水平与动脉血压和血浆亚硝酸盐浓度之间的相关性。方法:非吸烟者被纳入横断面研究。他们在睡觉前和起床时接受收缩压和舒张压(SBP和DBP)测量,夜间多导睡眠图(PSG)测量,并在起床时测量外周血血浆中的亚硝酸盐。结果:共纳入65例受试者,平均年龄58±12岁。男女之比为0.9,BMI为23.3±3.4 kg/m2。SpO2<93%组psg后收缩压和舒张压均值显著高于SpO2≥93%组(P<0.05和P<0.01);分别)。SpO2<93%组的平均SpO2和最低点SpO2显著低于SpO2≥93%组(90±4% vs. 94±2%和73±9% vs. 88±8%);P<0.05和P<0.01;分别)。SpO2<93%组呼吸暂停低通气指数水平显著高于SpO2≥93%组(P<0.01)。SpO2<93%组外周血NO2-浓度显著低于SpO2≥93%组(P<0.01)。最低点SpO2和NO2-与行走时收缩压和舒张压有显著相关性。结论:内皮功能障碍是阻塞性睡眠呼吸暂停患者的重要事件,尤其是阻塞性睡眠呼吸暂停患者。这一事件可能与外周血压逐日升高有关。起床时血浆NO2-浓度的测定可能是睡眠时内皮功能障碍的一个相关标志。
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引用次数: 1
Some Risk Factors for Hypertension of Khmer People Aged From 25 to 64 Years in Tra Vinh Province, Viet Nam 越南特拉荣省25 - 64岁高棉人高血压的危险因素
Pub Date : 2017-06-14 DOI: 10.4172/2329-6925.1000318
Tap Nguyen-Van, B. Nguyen-Thanh, Huong Tran Van
A cross-sectional study was conducted on 1,200 Khmer people aged 25-64 years living in Tra Vinh province to propotion of hypertension some related factors. 30 communes (clusters) were selected by probability proportional to size (PPS) method, evaluating their risk factors of coronary artery disease (CAD) in the next 10 years using Framingham scale in face-to-face interviews. Results showed that propotion of hypertension was 33.5%, inside, having 37.3% people don’t know that they are getting hypertension disease. About some risk factors: 83.6% of participants had diet with less fat, 26.2% had adequate fruit and vegetable consumption, 10.6% had less-salt diet, 85.2% were non-alcohol abuse, 62.5% were non-smokers and 79.3% had moderate physical activity. About coronary artery disease: 79.7% of respondents have low risk, 16.3% with moderate risk and 4.0% with high risk of CAD in the next 10 years according to Framingham scale. The risk increases proportionally to the age and higher among men than women.
对居住在特拉荣省的1200名25-64岁高棉人进行了促进高血压相关因素的横断面研究。采用概率与规模比例法(PPS)选择30个社区(聚类),采用Framingham量表进行面对面访谈,评估其未来10年发生冠心病(CAD)的危险因素。结果表明:高血压患病率为33.5%,其中37.3%的人不知道自己患有高血压。关于一些危险因素:83.6%的参与者饮食低脂肪,26.2%的参与者有足够的水果和蔬菜消费,10.6%的参与者有较少的盐饮食,85.2%的参与者不酗酒,62.5%的参与者不吸烟,79.3%的参与者有适度的体育锻炼。关于冠状动脉疾病:根据Framingham量表,未来10年冠心病低危者占79.7%,中度危者占16.3%,高危者占4.0%。这种风险与年龄成比例地增加,男性的风险高于女性。
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引用次数: 0
Multidisciplinary Approach in the Management of Head and Neck Vascular Malformations 多学科方法治疗头颈部血管畸形
Pub Date : 2017-06-09 DOI: 10.4172/2329-6925.1000316
L. Ponzo, G. Orabona, G. Iaconetta, F. Astarita, G. Leone, R. Cuocolo, L. Ugga, F. Briganti, L. Califano
Purpose: Arteriovenous malformations (AVM) of the head and neck are rare anomalies, but often present with significant haemorrhage or cosmetic defects. The purpose of this study is to determine the effectiveness of embolization of each type of vascular malformation. Methods: A retrospective review was performed between January 2009 to June 2015 on 36 patients who were diagnosed vascular malformations in the head and neck regions and were referred to our department for transarterial or percutaneous embolization before the surgical approach. Results: All 26 AVM were embolized with a transarterial approach: 18 with Onyx, 8 with a combination of PVA and coils. All patients with an AVM had a single endovascular approach. All 10 venous-lymphatic malformations were treated with a percutaneous sclerotherapy with ethanol injection. Complete healing was obtained in 30 patients (83%). In 6 (17%) there was a recurrence with necessity of a retreatment, 4 at 6 months, 2 at 12 months. Conclusion: Transarterial embolization and percutaneous scleroterapy is a safe treatment for artero-venous malformations before the surgical treatment. A multidisciplinary approach is fundamental to reduce the bleeding risks, the time of the surgical intervention and favouring a lesser demolitive approach particularly in large vascular malformations. Surgical complications occurred in 6 patients (17%); all of them developed infections of the surgical wounds; 3 of these developed necrosis of the skin flap used for the reconstruction with subsequent dehiscence. No other complications including sepsis, hemorrhages, cranial nerve palsies or neuropathies occurred.
目的:头颈部动静脉畸形(AVM)是一种罕见的畸形,但通常表现为明显的出血或外观缺陷。本研究的目的是确定栓塞治疗各种血管畸形的有效性。方法:回顾性分析2009年1月至2015年6月在我科诊断为头颈部血管畸形并行经动脉或经皮栓塞手术的患者36例。结果:26例AVM均经动脉栓塞:18例采用Onyx栓塞,8例采用PVA和线圈联合栓塞。所有AVM患者均采用单一血管内入路。所有10例静脉淋巴畸形均采用经皮乙醇注射硬化治疗。30例患者(83%)获得完全愈合。6例(17%)复发,需要再治疗,4例6个月,2例12个月。结论:手术前经动脉栓塞加经皮硬化治疗是一种安全的动静脉畸形治疗方法。多学科的方法是减少出血风险的基础,手术干预的时间和倾向于较小的破坏性方法,特别是在大血管畸形。发生手术并发症6例(17%);所有患者均出现手术伤口感染;其中3例用于重建的皮瓣坏死,随后出现开裂。无其他并发症,包括败血症、出血、脑神经麻痹或神经病变。
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引用次数: 3
Staged Hybrid Repair for Acute Type B Aortic Dissection of Right-Sided Aortic Arch 右侧主动脉弓急性B型主动脉夹层分阶段复合修复术
Pub Date : 2017-06-07 DOI: 10.4172/2329-6925.1000315
Takanori Shibukawa, Takashi Yamauchi, T. Masai
Right-sided aortic arch is rare and the reported type B aortic dissection with this pathology has been limited. We report a case of staged hybrid surgical repair using short frozen elephant trunk for this pathology. The computed tomography after 3 month confirmed the shrinkage of aneurysm diameter and thrombosis of false lumen.
右侧主动脉弓是罕见的,报告的B型主动脉夹层与这种病理是有限的。我们报告一例分期混合手术修复使用短冷冻象鼻对这种病理。3个月后计算机断层扫描证实动脉瘤直径缩小,假腔血栓形成。
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引用次数: 0
Rare Outcome of LecompteâÂÂs Maneuver: SVC Compression due to Retro Aortic Innominate Vein LecompteÃⅱÂÂs手术的罕见结果:主动脉无名静脉逆行压迫SVC
Pub Date : 2017-05-29 DOI: 10.4172/2329-6925.1000314
R. Kalra, R. Joshi, R. Joshi, Neeraj Aggarwal
The impact of Lecompte’s maneuver on superior vena cava (SVC) has never been mentioned before. We think that in certain anatomical subsets, Lecompte’s maneuver can result in superior vena cava narrowing. We present a case report of patient with Tetralogy of Fallot with absent pulmonary valve with retro-aortic innominate vein who developed SVC thrombosis after Lecompte’s maneuver.
勒孔特手术对上腔静脉(SVC)的影响从未被提及。我们认为在某些解剖亚群中,lecomte的操作可以导致上腔静脉狭窄。我们报告一例法洛四联症合并肺动脉瓣缺失伴主动脉后无名静脉,经勒孔特手术后发生SVC血栓形成的病例。
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引用次数: 1
The Prevalence of, Hypertension and Diabetes in Ogugu, Ogbagebe and Ofabo, Ofu and Olamaboro Lga, Kogi State, Nigeria: A Report 尼日利亚科吉州奥古古、奥巴贝比和奥弗博、奥夫和奥拉马博罗州的高血压和糖尿病患病率:一份报告
Pub Date : 2017-05-29 DOI: 10.4172/2329-6925.1000313
A. Abu
Urinalysis, Malaria Parasite test, blood pressure checks and body mass index was calculated for the people of Ogugu, Ogbegebe and Ofabo Communities, diagnoses made and drugs administered. 356 Persons benefited from this scheme out of which 25 (7.02%) were children and 331 (92.97%) adults. 95 suffered from high blood pressure (26.69%) with the highest being 250/120 mmhg, 11 were diabetic (3.09%).
对Ogugu、Ogbegebe和Ofabo社区的人们进行了尿液分析、疟疾寄生虫检测、血压检查和体重指数计算,并进行了诊断和用药。356人受益于该计划,其中25人(7.02%)是儿童,331人(92.97%)是成年人。高血压95例(26.69%),最高为250/120 mmhg,糖尿病11例(3.09%)。
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引用次数: 0
Forehead Pseudoaneurysm after Falling Down: A Case Report 跌倒后额头假性动脉瘤1例
Pub Date : 2017-05-19 DOI: 10.4172/2329-6925.1000312
J. Kuo, T. Pao
Forehead pseudoaneurysm after falling down is a rare condition. We report a case of a patient with a 2-month history of a forehead growing mass after falling down and bumping her right forehead. The 3-dimensional computed tomography (CT) angiography showed a hyperdense lesion with internal enhancing focus and supplying by one small branch of right superficial temporal artery (STA). Surgical resection of the pseudoaneurysm with coagulation of the feeding artery was performed. However, there was profuse bleeding complication while drainage tube removal, an emergent explored surgical hemostasis was done. In this article, in addition to presenting the clinical course of an unusual case, we wanted to give emphasis to that ligation of the proximal and distal vessels are necessary while surgical resection of the pseudoaneurysm.
跌落后的前额假性动脉瘤是一种罕见的疾病。我们报告一个病例的患者与2个月的历史后,一个额头增长肿块跌倒和碰撞她的右前额。三维CT血管造影显示病灶高密度,内有增强病灶,由右侧颞浅动脉(STA)一小支供应。手术切除假性动脉瘤并凝血供血动脉。但在拔除引流管时出现大量出血并发症,采取紧急探查性手术止血。在这篇文章中,除了介绍一个不寻常病例的临床过程外,我们还想强调在手术切除假性动脉瘤时,结扎近端和远端血管是必要的。
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引用次数: 0
期刊
Journal of Vascular Medicine & Surgery
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