Su1625 The Length of a Malignant Stenosis on Preoperative CT-Scan Is Not Associated With the Clinical Success or Complications of Self-Expandable Colorectal Stents Results of a Retrospective, Single-Center Series

Purpose: To report a single-center experience with the use of a custom-made Candy-Plug (CP) for distal false-lumen (FL) occlusion in subacute and chronic aortic dissection (AD). Materials and Methods: A retrospective single-center analysis was conducted on consecutive patients with subacute and chronic AD who were treated with a custom-made CP for distal FL occlusion using 3 design generations (CP I to CP III) from October 2013 to September 2019. Results: A custom-made CP was used in 57 patients. Of these, 34 patients (29 males, mean age 62±10 years) were treated with a CP I vs 23 patients (16 males, mean age 59±17 years) with CP II/III. Technical success was achieved in 57 (100%) patients. Clinical success was achieved in 54 (95%) patients; 33 (97%) in CP I group vs 21 (91%) patients in CP II/III group, p=0.116. The mean hospital stay was 10±8 days (9±5 days in CP I group vs 13±9 days in CP II/III, p=0.102). The 30-day computed tomography angiography (CTA) confirmed successful CP placement at the intended level in all patients within both groups. Early complete FL occlusion was achieved in 50 (88%) patients; 30 (88%) patients in CP I group vs 20 (87%) in CP II/III group, p=0.894. Follow up CTA was available in 44 (77%) patients. Of these; 30/34 (88%) patients in CP I group with mean follow-up 29±17 months) vs. 14/23 (61%) patients with mean follow-up 14±5 months in CP II/III group. Thoracic aortic remodeling was achieved in 34/44 (77%) patients; 25/30 (83%) patients in CP I group vs 9/14 (64%) patients in CP II/III group, p=0.197. The aneurysm size remained stable in 9/44 (20%) patients; 5/30 (17%) patients in CP I group vs 4/14 (29%) patients in CP II/III group, p=0.741. The thoracic aneurysm increased size was seen in 1/44 (2%) patient. This patient was in CPII/III group. Conclusion: CP technique using custom-made devices is technically feasible with a low mortality and morbidity, and a high rate of aortic remodeling. Both, the original design (CP I) and newer designs with a self-closing central sleeve (CP II and CP III) showed similar excellent outcomes.

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The utility of brain CT scan modality in the management of dizziness at the emergency department: A retrospective single-center study

Annals of Medicine and Surgery ◽

10.1016/j.amsu.2021.102220 ◽

2021 ◽

pp. 102220

Author(s):

Khaled Z. Alawneh ◽

Liqaa A. Raffee ◽

Ahmad A. Oqlat ◽

Ammar A. Oglat ◽

Majdi Al Qawasmeh ◽

...

Keyword(s):

Emergency Department ◽

Ct Scan ◽

Single Center ◽

Brain Ct ◽

Single Center Study ◽

Brain Ct Scan ◽

Center Study

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Management of the Orbital Floor in Silent Sinus Syndrome

American Journal of Rhinology ◽

10.1177/194589240301700206 ◽

2003 ◽

Vol 17 (2) ◽

pp. 97-100 ◽

Cited By ~ 50

Author(s):

Robert D. Thomas ◽

Scott M. Graham ◽

Keith D. Carter ◽

Jeffrey A. Nerad

Keyword(s):

Ct Scan ◽

Maxillary Sinus ◽

Current Trend ◽

Ct Scanning ◽

Volumetric Analysis ◽

Orbital Floor ◽

Second Stage ◽

Silent Sinus Syndrome ◽

Orbital Floor Reconstruction ◽

Preoperative Ct

Background Enophthalmos in a patient with an opacified hypoplastic maxillary sinus, without sinus symptomatology, describes the silent sinus syndrome. A current trend is to perform endoscopic maxillary antrostomy and orbital floor reconstruction as a single-staged operation. A two-staged approach is performed at our institution to avoid placement of an orbital floor implant in the midst of potential infection and allow for the possibility that enophthalmos and global ptosis may resolve with endoscopic antrostomy alone, obviating the need for orbital floor reconstruction. Methods A retrospective review identified four patients with silent sinus syndrome evaluated between June 1999 and August 2001. Patients presented to our ophthalmology department with ocular asymmetry, and computerized tomography (CT) scanning confirmed the diagnosis in each case. Results There were three men and one woman, with ages ranging from 27 to 40 years. All patients underwent endoscopic maxillary antrostomy. Preoperative enophthalmos determined by Hertel's measurements ranged from 3 to 4 mm. After endoscopic maxillary antrostomy, the range of reduction in enophthalmos was 1–2 mm. Case 2 had a preoperative CT scan and a CT scan 9 months after left endoscopic maxillary antrostomy. Volumetric analysis of the left maxillary sinus revealed a preoperative volume of 16.85 ± 0.06 cm3 and a postoperative volume of 19.56 ± 0.07 cm3. This represented a 16% increase in maxillary sinus volume postoperatively. Orbital floor augmentation was avoided in two patients because of satisfactory improvement in enophthalmos. In the other two patients, orbital reconstruction was performed as a second-stage procedure. There were no complications. Conclusion Orbital floor augmentation can be offered as a second-stage procedure for patients with silent sinus syndrome. Some patients’ enophthalmos may improve with endoscopic antrostomy alone.

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EP-1169: Preoperative CT scan in tumor bed delineation after breast conserving surgery and oncoplasty

Radiotherapy and Oncology ◽

10.1016/s0167-8140(17)31605-5 ◽

2017 ◽

Vol 123 ◽

pp. S635

Author(s):

T. Saxena ◽

V. Goel ◽

G. Kadyaprath ◽

D. Arora ◽

A.K. Verma ◽

...

Keyword(s):

Ct Scan ◽

Breast Conserving Surgery ◽

Tumor Bed ◽

Preoperative Ct

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Preoperative CT Scan for Nasal Surgery

Basic Open Rhinoplasty ◽

10.1007/978-3-030-61827-8_7 ◽

2021 ◽

pp. 109-139

Author(s):

Fabio Meneghini

Keyword(s):

Ct Scan ◽

Nasal Surgery ◽

Preoperative Ct

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Correlation between preoperative CT scan and lung metastases according to surgical approach in patients with colorectal cancer

Cirugía Española ◽

10.1016/j.ciresp.2020.12.012 ◽

2021 ◽

Author(s):

Jorge Hernández ◽

Laureano Molins ◽

Juan J. Fibla ◽

Ángela Guirao ◽

Juan J. Rivas ◽

...

Keyword(s):

Colorectal Cancer ◽

Ct Scan ◽

Surgical Approach ◽

Lung Metastases ◽

Preoperative Ct

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Reading a preoperative CT scan to guide complex abdominal wall reconstructive surgery

Hernia ◽

10.1007/s10029-021-02548-9 ◽

2022 ◽

Author(s):

S. T. Adams ◽

D. Slade ◽

P. Shuttleworth ◽

C. West ◽

M. Scott ◽

...

Keyword(s):

Ct Scan ◽

Abdominal Wall ◽

Reconstructive Surgery ◽

Preoperative Ct

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Trephine Craniotomy versus Burr Hole Drainage for Chronic Subdural Hematoma—An Institutional Analysis of 156 Patients

Indian Journal of Neurotrauma ◽

10.1055/s-0040-1713461 ◽

2020 ◽

Vol 17 (02) ◽

pp. 110-120

Author(s):

Ramesh Chandra Vemula ◽

B. C.M. Prasad ◽

Venkat Koyalmantham ◽

Kunal Kumar

Keyword(s):

Ct Scan ◽

Recurrence Rate ◽

Subdural Hematoma ◽

Surgical Intervention ◽

Chronic Subdural Hematoma ◽

Burr Hole ◽

P Value ◽

First Choice ◽

Significant Difference ◽

Preoperative Ct

Abstract Introduction Some neurosurgeons believe that doing a trephine craniotomy (TC) decreases the chance of recurrence in chronic subdural hematoma (cSDH). But this is not supported by any evidence. Methods A retrospective analysis of patients who were operated for cSDH from 2014 to 2019 at our institute was done. Factors causing recurrence were studied. Results A total of 156 patients were operated in the given period, among which 88 underwent TC and 68 patients underwent burr hole drainage (BHD) for evacuation of cSDH. All patients underwent two trephines or two burr holes placed according to the maximum thickness of the hematoma. Rate of recurrence in trephine group was 12.5% and in burr-hole group was 11.76% and was not statistically significant. Significant factors for recurrence included nontraumatic cSDH, anticoagulant use, presence of membranes, preoperative computed tomography (CT) showing iso- or mixed-density subdural collection and SDH volume > 60 mL. There was selection bias for the procedure. Patients with subdural membranes were preferentially taken for TC as the percentage of subdural membrane found intraoperatively was significantly greater in trephine group (51.1%) than burr-hole group (17.6%) (p value < 0.001).When all the patients who showed membranes in CT scan were excluded, there was no statistical difference in the base line characteristics of both the groups. After excluding the patients with membranes in preoperative CT scan, there was no significant difference in recurrence rate between the two groups.In TC group with membranes, 8 out of 45 had recurrence, whereas in burr-hole group with membranes, 8 out of 12 had recurrence. This difference was statistically significant. (p value < 0.001). Conclusion Surgical intervention in both modalities improves patient outcome with an overall recurrence rate of 12.17%. In the absence of any identifiable membranes in preoperative CT scan, BHD is the preferred surgical intervention. We prefer TC as first choice for patients with membranes in CT scan.

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