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BackgroundAbdominal aorticaneurysm (AAA) is a localized bulge of the abdominal aorta, which mainly manifests as a pulsatile mass in the abdomen. Once an abdominal aorticaneurysm ruptures, the patient's life is seriously endangered. Surgery is the preferred treatment for abdominal aorticaneurysm.
Initial causality was assessed by inverse variance weighting (IVW), followed by sensitivity analyses using MR-Egger regression, weighted median, and Multiple Effectiveness Residual Sums and Outliers (MR-PRESSO) method.
Ruptured abdominal aorticaneurysms (rAAA) remain one of the most clinically challenging and technically complex emergencies in contemporary vascular surgery practice. Despite these advances, current postoperative outcomes remain sobering since morbidity and mortality rates ranging from 25%-50% persist among modern published series.
Objective This study aims to review the application of deep learning techniques in the imaging diagnosis and treatment of aorticaneurysm (AA), focusing on screening, diagnosis, lesion segmentation, surgical assistance, and prognosis prediction. Results Deep learning models demonstrated significant advancements in AA management.
Bronchial artery aneurysm (BAA) is a rare and fatal condition that requires immediate treatment. In the present case, a 76-year-old hypertensive woman was admitted with dizziness and diagnosed with an unruptured bronchial artery aneurysm, which was treated by transcatheter arterial embolization and aortic stent-graft.
Webinar Latin Heart Rounds Series: Rounds on a Patient with Ascending AorticAneurysm and Arch Involvement dkaczmarek Wed, 10/11/2023 - 11:22 December 15, 2023 Image Join us on December 15, when experts will provide up-to-date insight on the management of patients with aortic root and ascending aorticaneurysm involving the aortic arch.
ObjectiveTo evaluate the effect of malnutrition assessed by the Geriatric Nutritional Risk Index (GNRI) on major adverse cardiac and cerebrovascular events (MACCE) in the elderly patients after endovascular aorticaneurysm repair (EVAR).Materials The primary outcome was MACCE. Malnutrition status was assessed by the GNRI.
Open repair of thoracoabdominal aorticaneurysm (TAAA) was characterized by significant risk of postoperative mortality and morbidity. The aim of this study was to determine the perioperative predictors of ear.
Objective The objective of this study was to perform a network meta-analysis (NMA) to assess the efficacy and safety of three different surgical interventions- open surgical repair (OSR), hybrid surgical repair (HSR), and endovascular repair (EVAR)- for the treatment of thoracoabdominal aorticaneurysms (TAAAs).
Inverse probability weighting was used to assess the impact of IVUS on a composite outcome of repeat aortic intervention or death. IVUS was associated with a lower risk of the primary outcome at 30-days (hazard ratio, 0.80 [95% CI, 0.730.89];P<0.001) and 6-months (hazard ratio, 0.93 [95% CI, 0.870.99];P=0.022) for all-comers.
1, 2024 — Researchers at UTHealth Houston have identified genetic variants linked to a rare form of bicuspid aortic valve disease that affects young adults and can lead to dangerous and potentially life-threatening aortic complications. tim.hodson Wed, 09/04/2024 - 15:53 Sept.
"Combined with the flexibility, strength and deployment accuracy I've always trusted with the device, the new lower profile will enable me to treat most of my complex cases with a 6 or 7 Fr device, reducing the risk of access complications while bringing trusted VBX Stent Graft outcomes to more of my patients." Currently in the U.S.,
ObjectiveThis study aims to summarize the clinical experience of using Hem-o-lok clips for the closure of the left subclavian artery (LSA) stump in patients with acute Stanford type A aortic dissection.MethodsClinical data were collected from 96 patients with acute type A aortic dissection admitted to our hospital from January 2020 to December 2022.
BackgroundThe risk of limb graft occlusion (LGO) after endovascular aneurysm repair (EVAR) is increased by severe tortuosity of the iliac artery. The primary outcomes were the incidence of limb occlusion and technical success during the follow-up period. In contrast, group B consisted of those who did not receive a BMS.
Introduction:Uncomplicated Stanford type B acute aortic dissection is traditionally managed with strict blood pressure control. Computed tomography images were analyzed at various time points till four years postoperatively by measuring the aortic, true lumen, and false lumen diameters at four levels.
We have studied whether NCA is also a predictor of poorer outcomes in patients undergoing coronary artery bypass grafting (CABG). The primary outcome was a combination of TIA/stroke, acute myocardial infarction, new revascularization procedure, or death. The secondary outcome added the need for LEAD revascularization or AAA surgery.
BackgroundSupravalvar aortic stenosis (SVAS) is a characteristic feature of Williams–Beuren syndrome (WBS). Finally, we evaluated overlap between the genes/pathways identified here and those ascertained through larger aortic disease/trait genome‐wide association studies. Journal of the American Heart Association, Ahead of Print.
Identifying new targeted therapeutic approaches has become a priority of biomedical research to improve patient outcomes and quality of life. Cardiovascular disease (CVD) represents the leading cause of mortality and disability all over the world.
The clinical manifestations of this genetic condition include congenital mydriasis, patent ductus arteriosus, stroke, and/or aorticaneurysms or dissections among many others. This highlights the need for clinical tools that can assess these difficulties with quantitative methods to guide therapies and improve functional outcomes.
CT angiogram chest: no aortic dissection or pulmonary embolism. Repeat CT angio chest (not CT coronary, unclear what protocol) showed possible LAD aneurysm and thrombus. Smith Major Learning Point: The worst risk factor for a bad outcome in OMI is young age because cardiologists cannot believe that a young person can have an OMI.
1,2 ASCVD causes or contributes to conditions that include coronary artery disease (CAD), cerebrovascular disease, and peripheral vascular disease (inclusive of aorticaneurysm).3 Atherosclerotic cardiovascular disease (ASCVD), caused by plaque buildup in arterial walls, is one of the leading causes of disability and death worldwide.1,2
such Q-waves are associated with larger MI and worse outcomes (2. An intra-aortic balloon pump was placed, and the patient was taken for immediate surgical repair but did not survive. Additionally , these patients have a high incidence of LV aneurysm with mural thrombus. Very unlikely. Raitt et al.), Armstrong et al.),
An elderly patient with a ruptured abdominal aorticaneurysm: Formal ECG Interpretation (final read in the chart!) : "Inferior ST elevation, lead III, with reciprocal ST depression in aVL." It is highly associated with proximal LAD occlusion or severe left main ACS and with bad outcomes. What do you think?
The scientific statement, Sex Differences in Peripheral Vascular Disease, summarizes current knowledge of the differences between men and women with PVD; highlights disparities in risk factors, screening, treatment and outcomes; and outlines key research priorities to mitigate these disparities and promote health equity.
Objective Aortic dissection and aorticaneurysm rupture are aortic emergencies and their clinical outcomes have improved over the past two decades; however, whether this has translated into lower mortality across countries remains an open question. in the UK, 2.66 in Japan, 0.76 in the USA, and 0.67
Women undergoing cardiac surgery have been historically recognized to carry higher periprocedural mortality risk. We aimed to investigate the influence of sex on clinical presentation, perioperative, and long-.
male) without cardiovascular disease and with proteomics measurements, we examined the primary composite outcome of fatal and nonfatal coronary heart disease, stroke, or heart failure (major adverse cardiovascular events), as well as additional secondary cardiovascular outcomes.
Look for Vascular Etiology -- think of these while doing H and P: --Bleeding: ruptured AAA, GI bleed, ruptured ectopic pregnancy, other spontaneous bleed such as mesenteric aneurysms. Aortic Dissection, Valvular (especially Aortic Stenosis), Tamponade. heart auscultation (aortic stenosis); c. orthostatic vitals b.
BackgroundFormation of local type aorticaneurysm years after surgical repair of coarctation (CoA) occurs in 10% of patients independent of the surgical technique and is a potentially life-threatening condition if left untreated with a high risk of aortic rupture.
BackgroundRupture of an abdominal aorticaneurysm (AAA) is a life-threatening emergency, with untreated cases nearing a 100% mortality rate. Emergency surgery included extracorporeal subclavian-femoral bypass and aneurysm resection. Imaging revealed a saccular infra-renal AAA rupture with an infected retroperitoneal hematoma.
BackgroundLoeysDietz syndrome (LDS) is a clinically and genetically heterogeneous, autosomal dominant aorticaneurysm syndrome with widespread systemic involvement. After the age of 16 months, widening of the aortic root was observed via echocardiography. We present the case of a 16.5-year-old
There are no Q-waves to suggest old inferior MI, or inferior aneurysm as the etiology of the ST Elevation. Smith : "decompensation" of aortic stenosis might have initiated this entire cascade. What "initiates" the aortic stenosis cascade? The scan showed a bicuspid aortic valve with severe stenosis and coronary artery disease.
When there are QS-waves, one should always think about LV aneurysm, but ST to QRS ratio and T-wave to QRS ratio are far too large and not compatible with left ventricular aneurysm. Larger shunt volume means less blood exiting the left ventricle through the aortic valve and lower cardiac output. This ECG shows a lot of "acuity".
No thoracic aortic hematoma, aneurysm or dissection. A paradox in the literature: All trials of very early intervention for NSTEMI which do not exclude patients with persistent chest pain show that intervention in < 2 hours results in a better outcome. CT Angio Chest IMPRESSION 1. No pulmonary embolism is identified.
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