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  • Subclavian Steal Syndrome

    He subsequently underwent staged left upper extremity arterial thromboembolectomy followed by definitive revascularization via carotid-subclavian bypass.[ncbi.nlm.nih.gov] After successful treatment with percutaneous transluminal angioplasty, the patient developed dizziness.[ncbi.nlm.nih.gov] PURPOSE: To analyze the immediate and long-term outcomes of endovascular stenting vs. extrathoracic surgical bypass for subclavian steal syndrome.[ncbi.nlm.nih.gov] Inflow obstruction of the right subclavian and common carotid arteries poses significant risks since right cerebral and right upper limb arterial blood supply depends on collateral[jmedicalcasereports.com] , Harvard Medical School Department of Medicine, Massachusetts General Hospital, Harvard Medical School Department of Radiology, Massachusetts General Hospital, Harvard Medical[ncbi.nlm.nih.gov] Arterial access was at the brachial artery through surgical exposure (n 6), or radial artery percutaneously (n 3).[ncbi.nlm.nih.gov] […] of the proximal subclavian artery or the innominate artery.[ncbi.nlm.nih.gov] The cuff should be quickly released and any augmentation of flow should be monitored by TCD.[clicktocurecancer.info] , Haaglanden Medical Centre, The Hague, The Netherlands. 3 Department of Neurosurgery, Haaglanden Medical Centre, Lijnbaan 32, 2512 VA, The Hague, The Netherlands. 4 Department[ncbi.nlm.nih.gov] A physical examination was notable for blood pressures of 150/70 mm Hg in the right arm and 80/60 mm Hg in the left arm, with weak brachial and radial pulses on the left side[nejm.org]

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  • Thoracic Outlet Syndrome

    This is a unique case of an anomalous artery and its accompanying vein causing direct compression to the upper brachial plexus causing TOS.[ncbi.nlm.nih.gov] All venous cases were managed with transaxillary first rib resection followed by postoperative venography and percutaneous angioplasty when required.[ncbi.nlm.nih.gov] This systematic review and meta-analysis summarizes and compares the outcomes and major complications of the surgical procedures for the 3 types of TOS: arterial, venous,[ncbi.nlm.nih.gov] We report a case of right-sided chylothorax and present a brief review on the treatment of postoperative chylothorax. [Indexed for MEDLINE] Free full text[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[nlm.nih.gov] We report the case of a 12-year-old girl whose presenting symptoms--an absent radial pulse and Raynaud's phenomenon of the right hand--could be easily mistaken for a vasculitis[ncbi.nlm.nih.gov] It allows good posterior trimming of the first rib, release of brachial plexus, and an aesthetically pleasing result, especially in female patients.[ncbi.nlm.nih.gov] Primary subclavian-axillary vein thrombosis: the relative roles of thrombolysis, percutaneous angioplasty, stents, and surgery.Semin Vasc Surg. 1998;11(2):91-5. 40.[tmj.ro] He had a large step off of the right clavicle with a medialisation of the right shoulder.[ncbi.nlm.nih.gov] The initial treatment for TOS typically consists of physical therapy, pain relief measures including medication and occasionally blood thinning medications in case a clot[uncmedicalcenter.org]

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  • Atrial Septal Defect 9

    Typically, an atrial septal defect results in blood going from the left upper chamber of the heart to the right upper chamber known as shunting of blood.[myheart.net] Hijazi CRC Press , 20.03.2007 - 672 Seiten Percutaneous Interventions for Congenital Heart Disease is written for pediatric cardiologists specializing in interventional cardiology[books.google.de] The surgical mortality rate increases with increasing age and pulmonary artery pressures.[emedicine.medscape.com] right atrium caused.[marmur.com] […] the severity of heart failure with medical treatment.[nejm.org] Holt-Oram syndrome, first described in 1960, is characterized by varying degrees of radial aplasia and abnormal cardiac septation, most classically an ostium secundum ASD.[clinicaladvisor.com] During her first pregnancy, she was diagnosed with an ASD (ostium secundum type) with pulmonary arterial hypertension.[link.springer.com] N Engl J Med 340:839–846 PubMed CrossRef Google Scholar Gohra H, Fujimura Y, Ito H et al. (1998) Granulocyte elastase release and pulmonary hemodynamics in patients with atrial[link.springer.com] He was referred for percutaneous closure.[invasivecardiology.com] The device is then deployed and tested by pushing and pulling on the cable to confirm stability prior to release of the device. 6 , 7 Successful closure Successful closure[dovepress.com]

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  • Atrial Septal Defect

    ) into the right upper chamber of the heart (right atrium).[mayoclinic.org] Abstract Background Percutaneous device closure of an ostium secundum atrial septal defect is associated with excellent outcomes and cosmetic results but at the cost of occasional[ncbi.nlm.nih.gov] […] of an elderly female patient with moderate-to-severe mitral regurgitation who underwent MitraClip procedure, with postprocedural course remarkable for the development of right-to-left[ncbi.nlm.nih.gov] […] therapy alone (medical-therapy group).[doi.org] Holt-Oram syndrome, first described in 1960, is characterized by varying degrees of radial aplasia and abnormal cardiac septation, most classically an ostium secundum ASD.[clinicaladvisor.com] Conversely, an atrial septal defect rarely presents late as pulmonary artery hypertension.[ncbi.nlm.nih.gov] We carried out percutaneous femoral vein puncture, used a specialized delivery sheath during operation, and closed the ASD by releasing an occluder.All 20 patients experienced[ncbi.nlm.nih.gov] KEYWORDS: Atrial septal defect; cyanosis; double-chambered right ventricle[ncbi.nlm.nih.gov] The occluders were released with the help of TEE. Results The atrial septal defect closure was successfully completed in 134 cases.[ncbi.nlm.nih.gov] Percutaneous closure of fenestrated ASD occluder (ASO) has not yet been reported.[ncbi.nlm.nih.gov]

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  • Interatrial Communication

    The atrial septum is the wall of tissue and muscle between the upper two chambers (atria) of the heart. An atrial septal defect (ASD) is a hole in this wall.[gosh.nhs.uk] We describe our experience with intracardiac echocardiography during the percutaneous closure of atrial septal defects in adult patients. Methods.[revespcardiol.org] […] by surgical closure of the defect.[nejm.org] The degree of right atrium dilatation indicates the severity of the restriction.[ncbi.nlm.nih.gov] Medical Tourism is also called as Medical Travel, Health Tourism, Health Travel and Medical Value Travel.[healthbase.com] Peripheral pulmonary vasodilatation due to higher oxygen saturation in pulmonary arteries in the case of transposition of the great arteries could be one possible cause.[ncbi.nlm.nih.gov] After market release of the smaller 8F catheter, this has become even less of a concern.[cdt.amegroups.com] An absent or weak radial pulse on the side of the thoracotomy suggests a classical Blalock-Taussig shunt. A sternotomy scar usually indicates complete repair.[omicsonline.org] […] as the right-to-left shunt is abolished by closure of the atrial septal defect (ASD).[ncbi.nlm.nih.gov] Chest auscultation classically reveals an ejection systolic murmur heard at the left upper sternal border, attributed to increased flow across the pulmonary valve rather than[radiopaedia.org]

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  • Humerus Fracture

    Contusions A biceps contusion is a bruising of the Biceps Brachii muscle in the upper arm.[sportsinjuryclinic.net] Excellent reduction was noted after closed reduction and crossed percutaneous pinning.[ncbi.nlm.nih.gov] […] treatment, avoiding surgical complications and decreasing the hospital stay.[ncbi.nlm.nih.gov] After three months of conservative treatment without any obvious improvement, an operative exploration of the right radial nerve was conducted.[ncbi.nlm.nih.gov] The risk is highest for complications in patients with multiple-part fracture types and those with medical comorbidities that disrupt bone healing.[orthopaedicsone.com] We describe the sonographic findings of an entrapped radial nerve and review the literature regarding diagnosis and treatment of entrapped radial nerve in cases of humeral[ncbi.nlm.nih.gov] Axillary artery injury was associated with increased length of stay, costs and mortality, but it did not affect discharge disposition.[ncbi.nlm.nih.gov] There is no statistical difference between an in situ release and all anterior transpositions, except for submuscular. Copyright 2012 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov] Cubital tunnel release and anterior transposition of the ulnar nerve were required to reach full recovery. Long-term outcome was excellent.[ncbi.nlm.nih.gov] An abdominal exam revealed a 10-cm mass in the right lower quadrant that was thought to originate from the uterus.[ncbi.nlm.nih.gov]

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  • Arteriovenous Fistula

    CONCLUSIONS: We reported an extremely rare case of cerebellar pAVF presenting as bilateral upper cerebellar hemorrhage.[ncbi.nlm.nih.gov] Tech ID: 28837 / UC Case 2017-135-0 Invention Novelty This implantable medical device can be used to create an arteriovenous fistula (AVF) percutaneously, in a clinic based[techtransfer.universityofcalifornia.edu] There were no neurologic deficits related to the surgical procedure.[ncbi.nlm.nih.gov] All rights reserved.[ncbi.nlm.nih.gov] At Lahey Hospital & Medical Center, we have extensive experience and worldwide recognition in treating these lesions.[lahey.org] There was a dilated superficial vein at the level of the distal right radial artery, with a palpable thrill at the access site (figure 1A).[heartasia.bmj.com] Abstract Congenital renal artery aneurysm is uncommon. Moreover, renal artery aneurysm concomitant with a congenital renal arteriovenous fistula is extremely rare.[ncbi.nlm.nih.gov] BACKGROUND: To evaluate early and mid-term outcomes of Freeway paclitaxel-releasing balloons (Eurocor GmbH, Bonn, Germany) in hemodialysis patients with recurrent stenosis[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[medlineplus.gov] INTRODUCTION: Marked arterial adaptation is critical in permitting and sustaining the increased blood flow within an arteriovenous fistula (AVF).[ncbi.nlm.nih.gov]

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  • Trigeminal Neuralgia

    CONCLUSIONS: The pulsatile flow at the posteromedial part of the cavernous sinus might have compressed the upper aspect of the Gasserian ganglion, causing TN.[ncbi.nlm.nih.gov] RESULTS: Precise instructions for successful reproduction of percutaneous procedures in NWR were described.[ncbi.nlm.nih.gov] procedures, and evaluated postoperative effect after 3-month follow-up.[ncbi.nlm.nih.gov] […] and VAS in right TN patients were assessed.[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[nlm.nih.gov] In 31 TN patients and 16 healthy controls, multi-tensor tractography was used to extract DTI-derived metrics-axial (AD), radial (RD), mean diffusivity (MD), and fractional[ncbi.nlm.nih.gov] The offending artery was identified as the trigeminocerebellar artery.[ncbi.nlm.nih.gov] Surgical options: For trigeminal nerve pain unrelieved by medication, surgery may be an option.[rush.edu] Glutamate released from glial cells synchronizes neuronal activity in the hippocampus . J Neurosci. 2004 ;24: 6920 - 6927 . Google Scholar Crossref Medline ISI 19.[doi.org] CASE PRESENTATION: Two patients with drug-resistant symptomatic epilepsy treated with chronic VNS experienced stimulation-related pain in the lower and upper jaw and teeth[ncbi.nlm.nih.gov]

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  • Patent Foramen Ovale

    When a baby is born, the pressure in the left upper chamber becomes higher than the pressure in the right upper chamber, and it pushes the two walls together, closing the[sharecare.com] Using International Classification of Diseases, Ninth Revision, Clinical Modification codes, we identified patients who underwent percutaneous transcatheter PFO closure within[ncbi.nlm.nih.gov] Surgical intervention in low to intermediate risk is probably the best option associated with fewer complications of recurrent embolic events than both thrombolysis and anticoagulation[ncbi.nlm.nih.gov] […] fusion of the septum primum and septum secundum with its base opening into the right atrium.[ncbi.nlm.nih.gov] Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.[nlm.nih.gov] In the embodiment shown, tissue anchor 70 includes respective radially extensible portions 74, 75, and tissue anchor 72 includes respective radially extensible portions 76[google.td] KEYWORDS: coronary artery embolism; forensic science; hypercoagulable syndromes; manner of death; paradoxical embolism; patent foramen ovale[ncbi.nlm.nih.gov] The IVC compression maneuver consisted of manual compression 5 cm to the right of the epigastric region and depressed the abdominal wall by 5 cm for 30 sec and compression release[ncbi.nlm.nih.gov] Various treatments have been used, such as anti-coagulation and thrombolytic therapy, vena cava filter, percutaneous thrombectomy and surgical embolectomy.[ncbi.nlm.nih.gov] Therefore by cutting the pulled state release wire 108 or removing the operation portion 149 from the pulled state release wire 108 , the end of the pulled state release wire[google.cm]

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  • Fibromuscular Dysplasia

    BACKGROUND: We present a case series of upper extremity fibromuscular dysplasia (UE FMD) consisting of 22 patients from two tertiary referral centers focusing on clinical[ncbi.nlm.nih.gov] We attempted percutaneous transluminal renal angioplasty in 89 patients with hypertension and renal-artery stenosis (including 51 with atheromatous and 31 with fibromuscular[ncbi.nlm.nih.gov] Surgical revascularization of bilateral renal artery stenosis due to fibromuscular dysplasia.[urologyannals.com] All rights reserved.[ncbi.nlm.nih.gov] At Tufts Medical Center the patient is at the center of everything that we do.[tuftsmedicalcenter.org] […] implantation; brachial artery/pathology; carotid artery diseases/pathology; differential diagnosis; fibromuscular dysplasia/diagnosis/etiology/therapy; interventional cardiology; radial[ncbi.nlm.nih.gov] , iliac, subclavian, and visceral arteries.[ncbi.nlm.nih.gov] […] xTier3 ,xEventDate null,dSubscriptionType null,xCopyright No,xPackagedConversions ,dSubscriptionAlias null,xStorageRule ,dpName null,xDepartment Science Operations,dStatus RELEASED[professional.heart.org] Abstract A 46-year old male patient was admitted with a history of an extremely painful right upper arm, associated with unilateral clubbing.[ncbi.nlm.nih.gov] Abstract We attempted percutaneous transluminal renal angioplasty in 89 patients with hypertension and renal-artery stenosis (including 51 with atheromatous and 31 with fibromuscular[doi.org]

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