Ischemia and functional status of the left arm and quality of life after left subclavian artery coverage during stent grafting of thoracic aortic diseases

Background: Ankylosing spondylitis (AS) is a chronic progressive inflammatory disease leading to functional limitations and subsequently impaired quality of life (QoL). Despite the fact that QoL was recognized as a significant perception, it was excluded from the core domains (defined by the Assessment of Spondyloarthritis International Society), because of ambiguity of measurement choice. Aim: To assess QoL in patients with AS using a generic; Short Form-36 (SF-36) and a diseasespecific; Ankylosing Spondylitis quality of life (ASQoL) instruments and to explore its relationship to the clinical characteristics, disease activity, functional status, and radiographic severity. Methods: A total of 47 AS patients who fulfilled modified New York criteria were included. Disease activity, functional status, spinal mobility, and radiographic severity were assessed by Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI), Bath AS Metrology Index (BASMI) and Bath AS Radiology Index (BASRI) respectively. SF-36 and ASQoL instruments evaluated Qol. Results: Physical health was more affected especially in patients with peripheral arthritis by SF-36 (p=0.008) and ASQoL (p=0.022) scores. Both SF-36 total and ASQoL scores correlated significantly with BASDAI (r = -0.329, p = 0.024 and r = 0.420, p = 0.003), BASFI (r = -0.399, p = 0.005 and r = 0.513, p=0.001) and BASMI (r = -0.382, p = 0.008 and r = 0.482, p= 0.001) respectively. Conclusion: QoL was impaired in AS patients with highest impact on physical health especially in association with peripheral arthritis. SF-36 and ASQol have a comparable achievement in the evaluation of QoL in AS patients and both physical function and spinal mobility were identified as predictors of poor QoL.

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Three-stage approach to resection of left pancoast tumour with spinal and major vessel involvement

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa384 ◽

2020 ◽

Vol 2020 (12) ◽

Author(s):

Alison M Wallace ◽

George D Oreopoulos ◽

Yoga R Rampersaud ◽

Thomas K Waddell

Keyword(s):

Quality Of Life ◽

Left Subclavian Artery ◽

Neoadjuvant Chemoradiotherapy ◽

Oncologic Outcome ◽

Successful Outcome ◽

Team Collaboration ◽

Major Vessel ◽

Vertebral Bodies ◽

Vessel Involvement

Abstract Here we describe the successful outcome of a complex and challenging resection of a left-sided pancoast tumour involving the left subclavian artery and vertebral bodies. The resection was performed following neoadjuvant chemoradiotherapy in a multi-staged fashion involving multiple teams including thoracic surgery, plastic surgery, neurosurgery and vascular surgery. Each operation was less than 6 h, without complication, and the patient was discharged within 1 week of each procedure. This case report highlights the importance of multidisciplinary team collaboration and planning in order to achieve a successful oncologic outcome and a good quality of life following treatment of these challenging tumours. The patient had a good functional outcome and no evidence of recurrence 1.5 years later.

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Comorbidity of Fibromyalgia in Primary Knee Osteoarthritis: Potential Impact on Functional Status and Quality of Life [Corrigendum]

Open Access Rheumatology Research and Reviews ◽

10.2147/oarrr.s267971 ◽

2020 ◽

Vol Volume 12 ◽

pp. 125-126

Author(s):

Marwa Yahia Mahgoub ◽

Basant Mohamed Elnady ◽

Haytham Sayed Abdelkader ◽

Raghdaa Abdelkhaleq Abdelhalem ◽

Waleed Ahmed Hassan

Keyword(s):

Quality Of Life ◽

Knee Osteoarthritis ◽

Functional Status ◽

Potential Impact

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Complications after Endovascular Repair of Type B Aortic Dissection

Journal of Endovascular Therapy ◽

10.1177/152660280200900616 ◽

2002 ◽

Vol 9 (6) ◽

pp. 822-828 ◽

Cited By ~ 25

Author(s):

Reinhard S. Pamler ◽

Thomas Kotsis ◽

Johannes Görich ◽

Xaver Kapfer ◽

Karl-Heinz Orend ◽

...

Keyword(s):

Aortic Dissection ◽

Stent Graft ◽

Subclavian Artery ◽

Left Subclavian Artery ◽

Type B ◽

Type B Aortic Dissection ◽

Stent Grafting ◽

Stent Graft Implantation ◽

Graft Implantation

Purpose: To outline the complications encountered after endoluminal treatment in patients with type B aortic dissection. Methods: Between 1999 and 2001, 14 patients (12 men; mean age 60.3 years, range 39–79) with isolated type B aortic dissection (13 chronic, 1 acute) underwent aortic stent-grafting. Three patients with chronic dissection presented an acute clinical picture and were managed emergently. The left subclavian artery was intentionally covered by the prosthesis in 9 patients. Follow-up studies were performed at 6-month intervals. Results: Stent-graft implantation was technically successful in all patients, but incomplete sealing (endoleak) of the entry site required additional proximal stent-graft implantation in 4. The left subclavian artery remained patent in 5 patients. Secondary conversion was required in 3 patients: 2 for acute type A dissection resulting from injury to the aortic arch by Talent endografts and a sustained hemorrhage (left hemothorax). In another patient, a secondary intramural hematoma subsided spontaneously. Anterior spinal artery syndrome in 1 patient persisted at 1 month. No bypass was necessary for the 9 patients with the covered left subclavian arteries. Mean follow-up was 14 months (range 1–23). Conclusions: Stent-grafting is feasible in patients with type B aortic dissection, although it is associated with a considerable rate of complications. Frank reporting of these sequelae for a variety of stent-grafts is of paramount importance to clarifying the limitations of the method.

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