Pub Date : 2017-12-27DOI: 10.4172/2329-6925.1000353
Miguel Bouzas Cardaci, L. Rémont, C. Ponté, B. Houte, C. Vazquez
Although the prevalence of mesenteric artery stenosis is high, symptomatic chronic mesenteric ischemia (CMI) is rare; the collateral network in the mesenteric circulation serves to prevent most cases of ischemia. The number of affected vessels is the major determinant in CMI development and most subjects with single vessel mesenteric stenosis do not develop ischemic complaints.
{"title":"Revascularization by Percutaneous Transluminal Angioplasty for Chronic Mesenteric Ischemia: Results and One-Year Follow-up in a Single Center","authors":"Miguel Bouzas Cardaci, L. Rémont, C. Ponté, B. Houte, C. Vazquez","doi":"10.4172/2329-6925.1000353","DOIUrl":"https://doi.org/10.4172/2329-6925.1000353","url":null,"abstract":"Although the prevalence of mesenteric artery stenosis is high, symptomatic chronic mesenteric ischemia (CMI) is rare; the collateral network in the mesenteric circulation serves to prevent most cases of ischemia. \u0000The number of affected vessels is the major determinant in CMI development and most subjects with single vessel mesenteric stenosis do not develop ischemic complaints.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81987061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-20DOI: 10.4172/2329-6925.1000e121
S. Duong-Quy
Vascular medicine deals with any/all discrepancies related to the structural and functional aspects of vessels (veins and arteries). Owing to the multifaceted physiological association of blood and lymph vessels, the discrepancies caused due to their improper functioning are also diverse. Some of the most common examples correspond to pathological complications of dysfunction of blood circulation system as well as immunological implications of improper circulation of non-hemoglobin blood components. The involved treatment strategy can be ranged from administration of pharmaceutical therapies in combination with invasive surgeries.
{"title":"Editor's Note: Vascular Medicine and Surgery (Vol 5 Iss 4)","authors":"S. Duong-Quy","doi":"10.4172/2329-6925.1000e121","DOIUrl":"https://doi.org/10.4172/2329-6925.1000e121","url":null,"abstract":"Vascular medicine deals with any/all discrepancies related to the structural and functional aspects of vessels (veins and arteries). Owing to the multifaceted physiological association of blood and lymph vessels, the discrepancies caused due to their improper functioning are also diverse. Some of the most common examples correspond to pathological complications of dysfunction of blood circulation system as well as immunological implications of improper circulation of non-hemoglobin blood components. The involved treatment strategy can be ranged from administration of pharmaceutical therapies in combination with invasive surgeries.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75251572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-17DOI: 10.4172/2329-6925.1000351
M. Blose
Vascular dementia (VAD), a disabling loss of cognitive function caused by cerebrovascular disease [1], is the second most common cause of dementia in the USA [2]. In fact, around 15-20% of all dementia cases are caused by cerebrovascular disease after Alzheimer’s disease (AD). VAD has a prevalence of 1.5% in the general population, occurring almost exclusively in elderly adults. Understanding the causes and risks associated with the disease will help physicians provide treatment and support for patients as well as caretakers.
{"title":"Vascular and Subcortical Dementia","authors":"M. Blose","doi":"10.4172/2329-6925.1000351","DOIUrl":"https://doi.org/10.4172/2329-6925.1000351","url":null,"abstract":"Vascular dementia (VAD), a disabling loss of cognitive function caused by cerebrovascular disease [1], is the second most common cause of dementia in the USA [2]. In fact, around 15-20% of all dementia cases are caused by cerebrovascular disease after Alzheimer’s disease (AD). VAD has a prevalence of 1.5% in the general population, occurring almost exclusively in elderly adults. Understanding the causes and risks associated with the disease will help physicians provide treatment and support for patients as well as caretakers.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79607788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-17DOI: 10.4172/2329-6925.1000349
A. Mano, T. Nishimura, T. Murata, M. Kawata, Jun Tanaka, K. Takeda, Jyoji Ishikawa, H. Fujimoto, K. Harada, S. Kyo
The use of durable continuous-flow device for right ventricular (RV) remains limited and is evolving to date. We experienced a patient with corrected transposition of great arteries (CC-TGA) who needed ventricular assist device (VAD) for end-stage heart failure, was properly treated by Jarvik 2000 implantation in anatomical right ventricular.
{"title":"Jarvik 2000 Implantation in Anatomical Right Ventricle on Patient with Corrected Transposition of Great Arteries","authors":"A. Mano, T. Nishimura, T. Murata, M. Kawata, Jun Tanaka, K. Takeda, Jyoji Ishikawa, H. Fujimoto, K. Harada, S. Kyo","doi":"10.4172/2329-6925.1000349","DOIUrl":"https://doi.org/10.4172/2329-6925.1000349","url":null,"abstract":"The use of durable continuous-flow device for right ventricular (RV) remains limited and is evolving to date. We experienced a patient with corrected transposition of great arteries (CC-TGA) who needed ventricular assist device (VAD) for end-stage heart failure, was properly treated by Jarvik 2000 implantation in anatomical right ventricular.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89790994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-17DOI: 10.4172/2329-6925.1000350
N. Espinola-Zavaleta, Moisés Levinstein-Jacinto, J. Quinones, Manuel de la Llata-Romero
This is a clinical case of an 83-years-old woman referred to our hospital for the occurrence of chest pain and syncope, related to an intense emotional stress in the previous three months and an before the acute coronary syndrome. At admission, the electrocardiogram showed S-T segment elevation from V1-V3 and deep inversion of the T-wave in V4-V6, and an increase in troponin I level (6.4 ng/mL). Echocardiogram showed midapical segment akinesia with left ventricular dysfunction. Basal segments were hypercontractile and there was evidence of left ventricular outflow tract (LVOT) obstruction with an end-systolic peak gradient of 99 mmHg. Regression of the LVOT obstruction was detected at third day. Three weeks after admission a serial two-dimensional echocardiography and nuclear medicine studies showed a complete regression of the left ventricular wall motion abnormalities with an improvement of systolic function.
{"title":"Transient Left Ventricular Outflow Obstruction in Tako Tsubo- Syndrome: A Case Report","authors":"N. Espinola-Zavaleta, Moisés Levinstein-Jacinto, J. Quinones, Manuel de la Llata-Romero","doi":"10.4172/2329-6925.1000350","DOIUrl":"https://doi.org/10.4172/2329-6925.1000350","url":null,"abstract":"This is a clinical case of an 83-years-old woman referred to our hospital for the occurrence of chest pain and syncope, related to an intense emotional stress in the previous three months and an before the acute coronary syndrome. At admission, the electrocardiogram showed S-T segment elevation from V1-V3 and deep inversion of the T-wave in V4-V6, and an increase in troponin I level (6.4 ng/mL). Echocardiogram showed midapical segment akinesia with left ventricular dysfunction. Basal segments were hypercontractile and there was evidence of left ventricular outflow tract (LVOT) obstruction with an end-systolic peak gradient of 99 mmHg. Regression of the LVOT obstruction was detected at third day. Three weeks after admission a serial two-dimensional echocardiography and nuclear medicine studies showed a complete regression of the left ventricular wall motion abnormalities with an improvement of systolic function.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82111926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-17DOI: 10.4172/2329-6925.1000341
A. M. Cobos, A. F. H. Valencia, G. Avendaño, L. Palafox, R. García, Jose Luis Navarro Olverea, F. Campos
This review tries to describe in a didactical and practical manner the advantages of a combined approach, showing in two cases that Endovascular Therapy and Microsurgical Brain Surgery, can work together, as the best procedure, trying to save resources, time and complications that occur when both strategies work separately. There are reports in different countries about the combination of therapies. Several years ago, we treated many patients working in a conventional surgical room, with some limitations, but recently we have been working in a hybrid surgical room, making the diagnosis, surgical and endovascular treatment in one step. As we know in vascular diseases, saving time is mandatory, and we have improved our own outcomes in ruptured brain aneurysms, and when embolization and surgical resection has been needed for arteriovenous malformations (AVMs).
{"title":"AVM’s and Aneurysms, Hybrid Brain Vascular Surgery: A Case Report","authors":"A. M. Cobos, A. F. H. Valencia, G. Avendaño, L. Palafox, R. García, Jose Luis Navarro Olverea, F. Campos","doi":"10.4172/2329-6925.1000341","DOIUrl":"https://doi.org/10.4172/2329-6925.1000341","url":null,"abstract":"This review tries to describe in a didactical and practical manner the advantages of a combined approach, showing in two cases that Endovascular Therapy and Microsurgical Brain Surgery, can work together, as the best procedure, trying to save resources, time and complications that occur when both strategies work separately. There are reports in different countries about the combination of therapies. Several years ago, we treated many patients working in a conventional surgical room, with some limitations, but recently we have been working in a hybrid surgical room, making the diagnosis, surgical and endovascular treatment in one step. As we know in vascular diseases, saving time is mandatory, and we have improved our own outcomes in ruptured brain aneurysms, and when embolization and surgical resection has been needed for arteriovenous malformations (AVMs).","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89589040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-10-17DOI: 10.4172/2329-6925.1000346
J. Krupiński
{"title":"Whole-Brain Vasculature Reconstruction","authors":"J. Krupiński","doi":"10.4172/2329-6925.1000346","DOIUrl":"https://doi.org/10.4172/2329-6925.1000346","url":null,"abstract":"","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90958232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-09-20DOI: 10.4172/2329-6925.1000338
M. E. Teker, B. İnan, Öznur İnan
Introduction: Ischemia is a condition in which the circulation fails to provide the oxygen and other metabolites required by the tissue, and to eliminate the waste products. Reperfusion is the recovery of blood flow and oxygen to a hypoxic tissue. The aim of this study is to investigate the effect of flaxseed (L. Usitatissimum) in a hyper cholesterolemic rat model of lower extremity ischemia-reperfusion injury.Material and method: 38 female Wistar rats weighing 200 to 250 grams were used in the study. The rats were assigned into 4 groups as follows: Group 1 (control, normal diet, n:8); Group 2 (40 mg/kg fed by body lignan complex, n:10), Group 3: (fed by 0.1% cholesterol containing diet, n:10), Group 4 (fed by 0.1% cholesterol containing diet+40 mg/kg body lignan complex, n:10). Ischemia was modeled by performing ligation of the left femoral artery using 6/0 prolene for two hours followed by two hours of perfusion and the blood flow was measured throughout the process in all groups by Doppler ultrasonography.Results: In Group 3, serum total cholesterol and triglyceride levels were higher compared to subjects in Group 1, Group 2 and Group 4 (p 0.05).Conclusion: The present study shows that flaxseed reduces the ischemia-reperfusion injury that occurs in femoral artery endothelium and gastrocnemius muscle following femoral artery occlusion-reperfusion in rats. The main findings in support of this conclusion include the significantly lower serum total cholesterol, LDL-cholesterol and triglyceride values in rats fed by flaxseed compared to hyper-cholesterolemic rats that were given flaxseed. In addition, assessment of the femoral artery endothelium and gastrocnemius muscle samples using the immunohistochemical method revealed significantly lower edema and neutrophil infiltration in rats fed by flaxseed.
{"title":"Investigation of the Impact of Flaxseed ( Linum Usitatissimum ) on the Lower Extremity Ischemia/Reperfusion Injury in a Hypercholesterolemic Rat Model","authors":"M. E. Teker, B. İnan, Öznur İnan","doi":"10.4172/2329-6925.1000338","DOIUrl":"https://doi.org/10.4172/2329-6925.1000338","url":null,"abstract":"Introduction: Ischemia is a condition in which the circulation fails to provide the oxygen and other metabolites required by the tissue, and to eliminate the waste products. Reperfusion is the recovery of blood flow and oxygen to a hypoxic tissue. The aim of this study is to investigate the effect of flaxseed (L. Usitatissimum) in a hyper cholesterolemic rat model of lower extremity ischemia-reperfusion injury.Material and method: 38 female Wistar rats weighing 200 to 250 grams were used in the study. The rats were assigned into 4 groups as follows: Group 1 (control, normal diet, n:8); Group 2 (40 mg/kg fed by body lignan complex, n:10), Group 3: (fed by 0.1% cholesterol containing diet, n:10), Group 4 (fed by 0.1% cholesterol containing diet+40 mg/kg body lignan complex, n:10). Ischemia was modeled by performing ligation of the left femoral artery using 6/0 prolene for two hours followed by two hours of perfusion and the blood flow was measured throughout the process in all groups by Doppler ultrasonography.Results: In Group 3, serum total cholesterol and triglyceride levels were higher compared to subjects in Group 1, Group 2 and Group 4 (p 0.05).Conclusion: The present study shows that flaxseed reduces the ischemia-reperfusion injury that occurs in femoral artery endothelium and gastrocnemius muscle following femoral artery occlusion-reperfusion in rats. The main findings in support of this conclusion include the significantly lower serum total cholesterol, LDL-cholesterol and triglyceride values in rats fed by flaxseed compared to hyper-cholesterolemic rats that were given flaxseed. In addition, assessment of the femoral artery endothelium and gastrocnemius muscle samples using the immunohistochemical method revealed significantly lower edema and neutrophil infiltration in rats fed by flaxseed.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84871979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-29DOI: 10.4172/2329-6925.1000332
Marie-José de Hartog-Dikhoff, Liu-Noor Overweg, W. Stooker
Introduction: Arteriosclerosis of the ascending aorta is increasingly encountered in cardiac surgical patients as patients accepted for cardiac surgery get older. We evaluated the effect of introducing preoperative Chest CAT scan in the preoperative work-up for cardiac surgery concerning the change in strategy. Materials and methods: From May 1st 2015 until October 1st 2015 all patients of 70 years and older as well as younger patients with peripheral vascular disease presented in the heart team and accepted for surgery received a preoperative Chest CAT scan. We evaluated in which patients the initially established treatment was changed. Furthermore we investigated which patients had a stroke after surgery. Results: 583 patients were discussed in the Heart Team during the study period. 290 patients were accepted for surgery. 195 patients fitted the criteria for a CAT scan. In this group in 18 patients (9.2%) the treatment was changed because of severe calcification of the ascending aorta or peripheral cannulation site. None of the 272 patients who underwent surgery had a stroke. Conclusion: Preoperative Chest Cat scan gives essential information concerning the calcification of the ascending aorta and should be recommended in the preoperative work-up at least in elderly patients and patients with peripheral vascular disease.
{"title":"The Role of Preoperative Chest CAT Scan in Cardiac Surgical Patients","authors":"Marie-José de Hartog-Dikhoff, Liu-Noor Overweg, W. Stooker","doi":"10.4172/2329-6925.1000332","DOIUrl":"https://doi.org/10.4172/2329-6925.1000332","url":null,"abstract":"Introduction: Arteriosclerosis of the ascending aorta is increasingly encountered in cardiac surgical patients as patients accepted for cardiac surgery get older. We evaluated the effect of introducing preoperative Chest CAT scan in the preoperative work-up for cardiac surgery concerning the change in strategy. Materials and methods: From May 1st 2015 until October 1st 2015 all patients of 70 years and older as well as younger patients with peripheral vascular disease presented in the heart team and accepted for surgery received a preoperative Chest CAT scan. We evaluated in which patients the initially established treatment was changed. Furthermore we investigated which patients had a stroke after surgery. Results: 583 patients were discussed in the Heart Team during the study period. 290 patients were accepted for surgery. 195 patients fitted the criteria for a CAT scan. In this group in 18 patients (9.2%) the treatment was changed because of severe calcification of the ascending aorta or peripheral cannulation site. None of the 272 patients who underwent surgery had a stroke. Conclusion: Preoperative Chest Cat scan gives essential information concerning the calcification of the ascending aorta and should be recommended in the preoperative work-up at least in elderly patients and patients with peripheral vascular disease.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76791229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-08-29DOI: 10.4172/2329-6925.1000330
Y. Lee, L. Miyakawa, M. Bergman, Robert L. Smith
This is a rare case of a peripherally inserted central catheter (PICC) that was found to be in the pericardiacophrenic vein on a post-procedure chest X-ray. An 82-year-old man was admitted to the medical ICU for severe sepsis with shock and a PICC was placed for vasopressor support. Malpositioning of a central venous catheter can lead to catastrophic results including, perforation, pericardial effusion and tamponade.
{"title":"PICCand#8217;ing Your Way into the Pericardium: A Potential Catastrophic Complication of a PICC Line","authors":"Y. Lee, L. Miyakawa, M. Bergman, Robert L. Smith","doi":"10.4172/2329-6925.1000330","DOIUrl":"https://doi.org/10.4172/2329-6925.1000330","url":null,"abstract":"This is a rare case of a peripherally inserted central catheter (PICC) that was found to be in the pericardiacophrenic vein on a post-procedure chest X-ray. An 82-year-old man was admitted to the medical ICU for severe sepsis with shock and a PICC was placed for vasopressor support. Malpositioning of a central venous catheter can lead to catastrophic results including, perforation, pericardial effusion and tamponade.","PeriodicalId":17397,"journal":{"name":"Journal of Vascular Medicine & Surgery","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91525099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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