VASCULAR STATUS AND PHYSIOLOGICAL PREGNANCY

BackgroundCausal relationships between vascular factors and late-life depression are controversial.AimsTo investigate prospective associations between risk factors for vascular disease and incidence of late-life depression.MethodOf 661 community participants aged 65 years or over, without depression at baseline, 521 (79%) were re-evaluated 2 years later. At baseline and follow-up, a diagnostic interview for depression was carried out and information on vascular status, disability and cognitive function was gathered.ResultsPre-existing heart disease, incident stroke and lower baseline high-density lipoprotein cholesterol level were significantly associated with incidence of late-life depression, independently of disability and cognitive function.ConclusionsThese results provide some support for a vascular aetiology of late-life depression. However, important risk factors for cerebrovascular disease such as hypertension and diabetes were not implicated, and the associations with lipid levels might still be explained by affective states earlier in life.

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Choroidal vascularity index: an enhanced depth optical coherence tomography-based parameter to determine vascular status in patients with proliferative and non-proliferative macular telangiectasia

International Ophthalmology ◽

10.1007/s10792-021-01917-8 ◽

2021 ◽

Author(s):

Buğra Karasu ◽

Ali Rıza Cenk Celebi

Keyword(s):

Optical Coherence Tomography ◽

Optical Coherence ◽

Macular Telangiectasia ◽

Vascular Status

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Survival of a Free Jejunal Flap with Early Venous Obstruction

Plastic Surgery Case Studies ◽

10.1177/2513826x211022486 ◽

2021 ◽

Vol 7 ◽

pp. 2513826X2110224

Author(s):

Ryo Yamochi ◽

Toshiaki Numajiri ◽

Syoko Tsujiko ◽

Hiroko Nakamura ◽

Daiki Morita ◽

...

Keyword(s):

Head And Neck ◽

Oral Intake ◽

Superior Thyroid Artery ◽

Head And Neck Reconstruction ◽

Venous Obstruction ◽

Flap Survival ◽

Flap Transfer ◽

Neck Reconstruction ◽

Free Jejunal Flap ◽

Vascular Status

Free jejunal flap transfer is common in head and neck reconstruction, but necrosis remains a complication. A 77-year-old man underwent total pharyngo-laryngo-esophagectomy, bilateral neck dissection, and free jejunal flap transfer. We anastomosed 3 arteries (facial, transverse cervical, and superior thyroid) and 1 vein (jejunal) because the recipient site’s arterial status was poor. On day 2, ultrasonography and visualization revealed that the anastomosed vein was obstructed in the cranial jejunum but the remainder was viable. The region recovered by day 7 and the patient began oral intake on day 30. Ultrasonography revealed that the anastomosed jejunal vein showed no waveform, the facial and transverse cervical arteries showed arterial waveforms, and the superior thyroid artery showed a retrograde venous waveform. The flap had survived because the blood exited through the superior thyroid artery and vein. Thus, additional vascular and arterial anastomoses are options for free flap survival if the vascular status is poor.

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Tumor vascular status controls oxygen delivery facilitated by infused polymerized hemoglobins with varying oxygen affinity

PLoS Computational Biology ◽

10.1371/journal.pcbi.1008157 ◽

2020 ◽

Vol 16 (8) ◽

pp. e1008157

Author(s):

Donald A. Belcher ◽

Alfredo Lucas ◽

Pedro Cabrales ◽

Andre F. Palmer

Keyword(s):

Oxygen Delivery ◽

Oxygen Affinity ◽

Vascular Status

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Non-inflammatory aortoiliac aneurysm with ureteral obstruction and consequent hydronephrosis: Case report

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh1202091b ◽

2012 ◽

Vol 140 (1-2) ◽

pp. 91-93

Author(s):

Srdjan Babic ◽

Djordje Radak ◽

Predrag Matic ◽

Vladimir Kovacevic ◽

Dario Jocic

Keyword(s):

Ureteral Obstruction ◽

Retroperitoneal Fibrosis ◽

Obstructive Uropathy ◽

Elevated Serum ◽

Multislice Ct ◽

Domestic Literature ◽

Aortoiliac Aneurysm ◽

Ct Findings ◽

Atherosclerotic Aneurysm ◽

Vascular Status

Introduction. The natural course of abdominal aneurysms is progressive expansion, rupture, embolisation, thrombosis and compression of the visceral organs. The majority of papers report that inflammatory aortic and iliac aneurysms are associated with perianeurysmal and retroperitoneal fibrosis that ultimately results in the structural compromise of the urinary tract. Ureteral obstruction occurs in 20% to 71% of cases and approximately one half of these patients will present with obstructive uropathy. Most patients with inflammatory aneurysm are symptomatic, with elevated serum inflammatory markers, and characteristic multislice CT findings including a thickened aortic wall and a mass of periaortic inflammatory tissue. Case Outline. A 70-year-old man was admitted at the Vascular Surgery Clinic ?Dedinje?, Belgrade, because of ultrasonically verified asymptomatic aortoiliac aneurysm. Multisclice CT findings showed left urethral dilatation and hydronephrosis secondary to extrinsic ureteral obstruction due to aortoiliac aneurysm. CT findings, laboratory tests and finally, histopathologic examination showed atherosclerotic aneurysm without inflammation and retroperitoneal fibrosis. The patient was successfully treated with surgical resection of the aneurysm and aortobiiliac reconstruction with ?Y? prosthesis. Conclusion. We present a rare case of ureteral obstruction secondary to atherosclerotic aneurysm which, to our knowledge, has not been previously described in the domestic literature. A successful operative repair was performed. Postoperative course was uneventful and the patient was discharged on the seventh day after the surgery with normal vascular status and renal function.

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