Umar Sadat

....

..Peripheral arterial embolism from a malignant tumour is an uncommon manifestation of a neoplasm. Here, we present a case of acute upper limb ischemia due to an embolus originating from primary lung malignancy invading the left atrium...

..To compare the results of emergency open repair of acute (ruptured or symptomatic intact) abdominal aortic aneurysms with that of endovascular repair...

..We present a literature review of published animal and human studies on ischemic postconditioning, focusing on the advances made in understanding this phenomenon since its inception and the relevant clinical applications...

..In this Review, we focus on the various noninvasive imaging techniques that are being used for morphological and functional assessment of carotid atheromatous plaques in the clinical setting...

..An interesting case of an intravenous drug abuser who had endovascular management of an arteriovenous fistula and concomitant pseudoaneurysm, resulting from recurrent puncture of the femoral artery is reported in this study...

..Available scoring systems provide a good means of assessment. However, significant improvement is required to enhance the overall quality of health-related Web sites...

..The treatment of unusual metachronous ruptured aneurysms in a patient with hemophilia A with factor VIII inhibitor is presented, and the outcomes of endovascular and open operations are discussed...

....

..This is because of the non-availability of long term data about graft patency rates...

..This review suggests that locoregional anesthesia can improve postoperative outcomes following EVAR by reducing hospital stay, ICU stay, mortality, and morbidity, although other factors may also have some influence...

..This meta-analysis of the three RCTs that have compared topical negative pressure with conventional treatment in patients with lower limb ulcers found that it significantly reduced healing times and increased the number of healed wounds...

..This review describes different signaling pathways involved in acute ischemic preconditioning in detail...

..Aneurysms of the peroneal artery are infrequent and consist mainly of pseudoaneurysms...

..Mediastinal pancreatic pseudocyst is a rare complication of acute or chronic pancreatitis...

..Although chest drain insertion during coronary artery bypass grafting is a fairly standard procedure, however it may result in extremely rare complications...

..Though long term data about graft patency rates is not yet available, the endovascular approach appears to be a useful minimally invasive technique in situations where open repair is either difficult or not feasible...

..This systematic review provides up-to-date information about the management of splenic artery aneurysms in pregnancy...

..Various clinical studies have been reported investigating the nephroprotective role of statins. In this article, we review relevant clinical studies reported in 2010...

..Benign tumors are a rare cause of gastrointestinal hemorrhage of which angioleiomyomas constitute a very small minority. They have been reported in literature to present with volvulus, bleeding or intussusceptions...

..This may have significant clinical implications since, by blocking this process, reversal of the atherosclerotic process may be possible...

..To report a randomized clinical trial designed to determine if remote ischemic preconditioning (IP) has the ability to reduce renal and cardiac damage following endovascular aneurysm repair (EVAR)...

..A number of comparative series have been published but, to date, there has been no meta-analysis comparing outcomes following stenting as opposed to open surgery...

..This trial could not confirm that remote IP reduces renal injury following elective open aneurysm surgery...

..Reoperation is, however, common in MFS, and minimally invasive techniques may provide a bridging role or alternative solution when revisiting the hostile surgical field...

..Biomechanical stresses play an important role in determining plaque stability. Quantification of these simulated stresses can be potentially used to assess plaque vulnerability and differentiate different patient groups...

..Plaque component-dependent stress analysis has the potential of identifying the critical nature of various plaque components...

..To present an economic evaluation of endovascular versus open surgical repair of ruptured abdominal aortic aneurysms (AAA)...

..This study aims to characterize the healing process of ruptured FC by assessing the lumen conditions, quantified by the lumen curvature and roughness, using in vivo carotid cardiovascular magnetic resonance (CMR)...

..In the next few years, a number of large randomized clinical trials will clarify its role. Issues regarding anatomical suitability, techniques, perioperative care, and service provision need to be addressed in order to optimize outcomes...

..To compare the perioperative morbidity and mortality following endovascular aneurysm repair (EVAR) with a bifurcated stent-graft versus an aortomonoiliac stent-graft combined with a femorofemoral crossover graft...

..The purpose of the present study was to use finite element analysis (FEA) to compare the stress profiles of hemorrhagic and non-hemorrhagic profiles...

..Accordingly, a systematic review and meta-analysis of the current evidence base for closed suction drainage following surgical lower limb revascularization was undertaken...

..33). Equivocal changes in RBP and ACR levels by both treatments seem to indicate that either is equally effective in affording renal protection...

..However, further studies are required to look at long-term graft patency following minimally invasive vein harvest as this remains a major concern...

..We conducted a retrospective study to determine the incidence and clinical associations of atrial fibrillation following open elective abdominal aortic aneurysm repair as well as its effect on prognosis...

..Local mechanical environments around neovessels and their relevant pathophysiologic significance have not yet been examined...

..We undertook a systematic review and meta-analysis to compare morbidity associated with these 2 techniques...

..97). There were no adverse events related to the preconditioning protocol. Remote ischemic preconditioning appears safe in patients with CEA. Large-scale trials are required to determine whether RIPC confers clinical benefits...

..So, remote ischemic preconditioning will decrease graft-related complications after surgical infrainguinal revascularization...

..Using lumen irregularity as a method of identifying vulnerable plaque sites by referring to the lumen shape is a novel and simple method, which can be used for mechanics-based plaque vulnerability assessment...

..Biomechanical assessment of carotid plaques using high-resolution MRI can help examine the relationship between the timing of carotid plaque symptomology and maximum simulated plaque stress concentration...

..This article summarizes the key aspects of endovascular aneurysm repair and different techniques of endovascular stenting...

..A recent meta-analysis demonstrated that renal infarction is more common with suprarenal fixation, but the effect on renal function remains unclear...

..The aim of this study was to assess its value in predicting mortality and morbidity after open elective abdominal aortic aneurysm (AAA) repair...

..PH, which is prevalent and consistent in such plaques, may be a better indicator of plaque vulnerability during that period...

..Traditionally, such patients were managed by active observation and repeated clinical assessment over a period of time. More recently, the use of early laparoscopy has been advocated...

..Remote ischemic preconditioning is easily performed and likely to prove highly cost-effective. large-scale trials of the technique are warranted in patients undergoing major vascular surgery...

..However, in order to make accurate predictions, the computational model must be based on the loading-free geometry. A shrinkage procedure can be used to obtain the computational start shape...

..Parameter studies investigating the effect of morphologic factors on the critical biomechanical stresses and limitations of current simulation models are also reviewed...

..This unusual case highlights the potential for serious adverse cardiovascular sequelae of Cushing disease and the need for awareness of such complications in this patient group...

....

..Each year more than 110,000 people in England suffer from a stroke which costs the National Health Service (NHS) over GBP2.8 billion. Thus, it is imperative that patients at risk be screened for underlying carotid artery atherosclerosis...

..The long-term complications after implantation of a prosthetic mesh in inguinal hernia repair remain a concern. Recent development of new mesh materials has resulted in meshes with lower weight (LW) and with better biocompatibility...

..The study aim was to evaluate the available literature comparing mitral valve repair (MVRep) versus mitral valve replacement (MVR) in the elderly population, and to provide a pooled analysis regarding this issue...

....

..Stress analysis at FC(MIN) and LC(MAX) should be used for a refined mechanical risk assessment of atherosclerotic plaques, since material failure at either site may result in rupture...

..Previous magnetic resonance (MR) ex vivo studies have shown that diffusion-weighted imaging (DWI) can detect lipid-rich necrotic core (LR/NC) and fibrous cap. This study aims to establish if this is achievable in vivo...

..Stretch is a mechanical parameter, which has been proposed previously to affect the biological activities in different tissues. This study explored its utility in determining plaque vulnerability...

..To provide a specific review and meta-analysis of the available evidence for continuous wound infusion of local anaesthetic agents following midline laparotomy for major colorectal surgery...

..It should replace serum creatinine as the standard index of renal function before open abdominal aortic aneurysm repair...

..We assessed this increased risk and the role of revascularization by undertaking a systematic review and meta-analysis of the literature...

..Successful repair of the pseudoaneurysm was undertaken by endovascular technique with marked resolution of hoarseness after 1 year of follow-up...

..This review concentrates on the mechanism, current management and identification of risk factors that can predispose to this rare but potentially life threatening complication...

..9%. The 12-month mortality rate was 14.2%. Endovascular repair shows encouraging short-term results. It is associated with significantly less mortality and morbidity, but long-term results need to be further investigated...

....

..The aim of this study was to compare all in-hospital mortality for ruptured abdominal aortic aneurysms (rAAAs) before and after the establishment of an emergency EVAR (eEVAR) service...

..In addition to these surgical techniques, various aspects of medical management for renal, cardiac and hepatic transplant recipients undergoing AAA repair are discussed...

..This process may delay surgery and some aneurysms may rupture prior to intervention. The aim of this study was to quantify these delays...

....