scholarly journals Endovascular Management of Middle Aortic Syndrome Presenting with Uncontrolled Hypertension

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Owen S. Glotzer ◽  
Kathryn Bowser ◽  
F. Todd Harad ◽  
Sandra Weiss
Keyword(s):  
Open Surgery ◽  
Unusual Case ◽  
Case Series ◽  
Uncontrolled Hypertension ◽  
Endovascular Management ◽  
Vascular Disorder ◽  
Middle Aortic Syndrome ◽  
Surgical Bypass ◽  
Endovascular Approach

Middle Aortic Syndrome is a rare vascular disorder consisting of narrowing or stenosis of the distal thoracic or abdominal aorta. It is described in the literature in the form of case studies and case series. The authors present an unusual case of Middle Aortic Syndrome attributed to Takayasu’s arteritis in a 60-year-old female who presented to the emergency department with uncontrolled hypertension. Traditional intervention involves open surgical bypass. This case study reviews the published literature on this rare syndrome and illustrates a successful alternative to open surgery through an endovascular approach.

scholarly journals A Case Report of Middle Aortic Syndrome: A Rare Vascular Disorder

2013 ◽  
Vol 6 (1) ◽  
pp. 60-62
Author(s):  
Naresh Chandra Mandal ◽  
MF Hossain ◽  
AA Mamun ◽  
NK Dey ◽  
MN Sabah ◽  
...  
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Life Expectancy ◽  
Abdominal Aorta ◽  
Lower Limb ◽  
Aortic Coarctation ◽  
Uncontrolled Hypertension ◽  
Vascular Disorder ◽  
Descending Thoracic Aorta ◽  
Middle Aortic Syndrome

The middle aortic syndrome (MAS) is rare (about 0.5-2% of all the cases of aortic coarctation) vascular disorder characterized by severe narrowing in the descending thoracic aorta, abdominal aorta, or both. It can be congenital or acquired due to several conditions.MAS may present clinically as uncontrolled hypertension, abdominal angina or lower limb claudication. Surgical treatment is effective in controlling symptom and improves life expectancy. Cardiovascular Journal Volume 6, No. 1, 2013, Page 60-62 DOI: http://dx.doi.org/10.3329/cardio.v6i1.16117

Endovascular Solutions for Iliac and Lower Extremity Junctional Injuries

2017 ◽  
Vol 1 (1) ◽  
pp. 22-27
Author(s):  
Edwin R Faulconer ◽  
Rachel M Russo ◽  
Anders J Davidson ◽  
Meryl A Simon ◽  
Erik S DeSoucy ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Open Surgery ◽  
Management Strategies ◽  
Balloon Occlusion ◽  
Vascular Injuries ◽  
Endovascular Management ◽  
Review Of The Literature ◽  
Junctional Zone ◽  
Endovascular Interventions ◽  
Direct Pressure

Hemorrhage is the second leading cause of death in trauma and non-compressible torso hemorrhage is the leading cause of preventable death within this population. Vascular injuries to the pelvis and lower extremity junctional zone may be difficult to control with direct pressure and complex to approach with open surgery. Endovascular interventions such as balloon occlusion, stenting and embolization are potential alternatives or adjuncts to traditional open surgery in patients with blunt or penetrating vascular injuries to the pelvis. This review of the literature will outline contemporary endovascular management strategies for iliac and junctional zone injuries.

scholarly journals Endovascular management of recurrent hemarthrosis of the knee: a case series

2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Richard Pow ◽  
Brett Fritsch ◽  
Richard Waugh ◽  
Chris Rogan
Keyword(s):  
Case Series ◽  
Endovascular Management

scholarly journals An unusual case of aggressive malignant spread of epithelioid hemangioendothelioma

Rare Tumors ◽  
2021 ◽  
Vol 13 ◽  
pp. 203636132110108
Author(s):  
Ashley D Hickman ◽  
Evandro D Bezerra ◽  
Anja C Roden ◽  
Matthew T Houdek ◽  
Jonathan D Barlow ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Soft Tissue ◽  
Multimodal Treatment ◽  
Unusual Case ◽  
Case Reports ◽  
Case Series ◽  
Epithelioid Hemangioendothelioma ◽  
Vascular Neoplasm ◽  
Pulmonary Imaging ◽  
Low Incidence

Epithelioid hemangioendothelioma (EHE) is a rare vascular neoplasm which typically originates from liver, lung, or bone. Due to the low incidence of disease, the most effective treatment is not easily studied and much of the information known about EHE has been learned through case reports and case series. In this case, we will present an uncommon form of primary soft tissue EHE with local recurrence, bone metastasis, and lymphangitic spread to the lungs leading to respiratory failure. Imaging of the chest was atypical for EHE with intraseptal thickening and hilar lymphadenopathy. Respiratory failure was progressive despite aggressive multimodal treatment. This case highlights an unusually aggressive recurrence and metastasis of primary soft tissue EHE with atypical pulmonary imaging findings.

An unusual ischaemic presentation of thrombosed intracranial mycotic aneurysm with subsequent subarachnoid haemorrhage

2020 ◽  
Vol 13 (10) ◽  
pp. e237044
Author(s):  
Patrick Brown ◽  
Daniel Fulks
Keyword(s):  
Clinical Outcome ◽  
Subarachnoid Haemorrhage ◽  
Mycotic Aneurysm ◽  
Unusual Case ◽  
Endovascular Management ◽  
Coil Embolisation ◽  
Vessel Occlusion ◽  
Aneurysmal Rupture ◽  
Excellent Clinical Outcome

We present an unusual case of acute ischaemic stroke secondary to thrombosed mycotic aneurysm with subsequent early aneurysmal rupture and subarachnoid haemorrhage, successfully treated with endovascular coil embolisation of the thrombosed segment. Imaging correlates are presented demonstrating successful endovascular management despite vessel occlusion precluding angiographic visualisation of the aneurysmal segment. Imaging and clinical follow-up is provided demonstrating durable occlusion and excellent clinical outcome with full functional recovery.

FIRST CASE SERIES OF VENOUS SINUS STENTING IN IIH PATIENTS IN WALES

2015 ◽  
Vol 86 (11) ◽  
pp. e4.113-e4
Author(s):  
Gauhar Abbas Malik ◽  
Yogish Joshi
Keyword(s):  
Intracranial Hypertension ◽  
Case Series ◽  
Headache Disorder ◽  
Venous Sinus ◽  
First Line ◽  
Venous Stenting ◽  
First Case ◽  
Sinus Stenosis

BackgroundIdiopathic Intracranial Hypertension (IIH), is defined by increased cerebral spinal fluid (CSF) pressure in the absence of other causes of intracranial hypertension. There has been recent interest in the role of intracranial venous sinus stenosis in IIH. The raised pressures in IIH are argued to worsen by the secondary appearance of the venous sinus stenosis.Objective5 patients have undergone endovascular pressure measurement in Wales and their clinical details including history, examination, initial management, neuroimaging pre- and post venous stenting, and follow-up (6–24 months) to provide the first case study of patients undergoing Venous sinus stenting in Wales.Methods5 patients with IIH refractory to first line treatments underwent venography and manometry and 4 patients underwent stenting of the venous sinuses after this procedure had shown a pressure gradient proximal to stenosis in the lateral sinuses.ResultsThree patients were rendered asymptomatic, two were improved including one patient unmasking a different headache disorder following treatment.ConclusionsStenting in venous stenosis provides a further treatment option to patients refractory to first line treatments with IIH. This case series highlights in selected cases treatment is promising with good outcomes.

Concomitant origin of the anterior or posterior spinal artery with the feeder of a spinal dural arteriovenous fistula (SDAVF)

2016 ◽  
Vol 9 (4) ◽  
pp. 405-410 ◽  
Author(s):  
Yudhi Adrianto ◽  
Ku Hyun Yang ◽  
Hae-Won Koo ◽  
Wonhyoung Park ◽  
Sung Chul Jung ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Arteriovenous Fistula ◽  
Open Surgery ◽  
Dural Arteriovenous Fistula ◽  
Spinal Dural Arteriovenous Fistula ◽  
Posterior Spinal Artery ◽  
Lumbar Level ◽  
Scale Scores ◽  
Complete Obliteration ◽  
Endovascular Approach

Background/objectiveThe concomitant origin of the anterior spinal artery (ASA) or the posterior spinal artery (PSA) from the feeder of a spinal dural arteriovenous fistula (SDAVF) is rare and the exact incidence is not known. We present our experience with the management of SDAVFs in such cases.MethodsIn 63 patients with SDAVF between 1993 and 2015, the feeder origin of the SDAVF was evaluated to determine whether it was concomitant with the origin of the ASA or PSA. Embolization was attempted when the patient did not want open surgery and an endovascular approach was regarded as safe and possible. The outcome of the procedure was evaluated as complete, partial, or no obliteration. The clinical outcome was evaluated by Aminoff–Logue (ALS) gait and micturition scale scores.ResultsNine patients (14%) had a concomitant origin of the ASA or PSA with the feeder. There were two cervical, five thoracic, and two lumbar level SDAVFs. A concomitant origin of the feeder was identified with the ASA (n=7) and PSA (n=2). Embolization was performed in four patients and open surgery was performed in five. Embolization resulted in complete obliteration in three patients and partial obliteration in one. Using the ALS gait and micturition scale, the final outcome improved in six while three cases remained in an unchanged condition over 2–148 months.ConclusionsThe concomitant origin of the ASA or PSA with the feeder occurs occasionally. Complete obliteration of the fistula can be achieved either by embolization or open surgery. Embolization can be carefully performed in selected patients who are in a poor condition and do not want to undergo open surgery.

scholarly journals MEDICAL MANAGEMENT OF TINEA INFECTION THROUGH SHODHANA AND SHAMANA – A CASE SERIES

2021 ◽  
Vol 9 (9) ◽  
pp. 2029-2036
Author(s):  
Asha A Bhat ◽  
Prashanth A S
Keyword(s):  
Case Series ◽  
Skin Condition ◽  
Wilcoxon Rank Sum Test ◽  
Common Skin ◽  
Skin Conditions ◽  
Almost All ◽  
Continuous Use ◽  
Present Case Study

Skin is one of the most beautiful organs God has ever blessed to anyone. Everyone craves for beautiful skin and makes all possible efforts to make it glow. To achieve this, they are engaged in continuous use of creams, moist- urizers and other cosmetic articles which lead to immediate or long-term skin issues. Itching being the predomi- nant symptom of these cosmetic issues make people highly embarrassed in society. In Ayurveda, almost all skin conditions are explained under one umbrella called Kushta. It is broadly classified into Mahakushta and Kshudra- kushta1. Dadru Kushta one among the Kshudra Kushta is the most common skin condition accounts for 20% in all consultation in general practice2. North Karnataka is well known for its hot and humid conditions making its population at risk of many Tinea infections. Kandu, Raga and Atasi Pushpa Sankashavat Mandala are the cardi- nal features of Dadru3. In the present case study, 40 patients of Dadru Kushta were taken according to inclusion criteria. The combined effect of both Shodhana and Shamana was assessed. Keywords: Dadru Kushta, Aupasargika, Anushangi, Wilcoxon Rank Sum Test

scholarly journals Radiological Classification and Clinical Results of Arthroscopic and Open Surgical Release for Elbow Osteoarthritis: A Two-Center Comparative Case Series

2021 ◽  
Author(s):  
Masahiro Tatebe ◽  
Akimasa Morita ◽  
Toshikazu Kurahashi ◽  
Hitoshi Hirata
Keyword(s):  
Range Of Motion ◽  
Open Surgery ◽  
Arthroscopic Surgery ◽  
Intraclass Correlation ◽  
Case Series ◽  
Clinical Results ◽  
Ectopic Ossification ◽  
Surgery Group ◽  
Elbow Osteoarthritis ◽  
Group A

Abstract Background This study aimed to compare the image classification and clinical results in cases of debridement arthroplasty for elbow osteoarthritis and to compare between open and arthroscopic surgery performed at two independent facilities. Methods Of the 51 patients who underwent surgery for elbow osteoarthritis performed by two doctors, 36 patients whom we were able to observe for more than 6 months were included. One doctor performed open surgery at one hospital, while another doctor performed arthroscopic surgery at the other hospital. There were 15 cases of open surgery (group O) and 21 cases of arthroscopic surgery (group A). All patients were examined for the range of motion, Hand20 score, and pain. The degree of osteoarthritis was examined using the Broberg and Morrey classification and Hastings and Rettig classification. The intra- and interobserver degree of agreement of the two classifications were analyzed using intraclass correlation coefficients.ResultsThe range of motion improved in both groups. There were no significant differences between the two groups with respect to incidence of ulnar symptoms, operation time, postoperative Hand20 score, postoperative pain, and degree of radiological osteoarthritis. The intra- and interobserver degree of agreement for radiological classifications were moderate to substantial and moderate, respectively. There was no correlation between the clinical results and radiological classifications. One patient in group A showed ectopic ossification but no serious complications or adverse events, such as nerve damage, were observed in either group. ConclusionsAt the time of the final follow-up, nearly the same results were observed in both groups. No relationship was found between symptoms and radiological osteoarthritis classification scores. Level of EvidenceTreatment study Level III

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