• BACKGROUND: Obstructive jaundice has various causes, and one of the rarest is pancreaticoduodenal artery aneurysm (PDAA), which is often associated with celiac axis stenosis caused by median arcuate ligament syndrome (MALS). (bvsalud.org)
  • The clinical manifestations reflect the arteries involved and most commonly include hypertension caused by renal-artery stenosis (RAS) or strokes from carotid artery disease. (medscape.com)
  • CTA with maximum intensity projection (MIP) and quantitative measurement of stenosis is an accurate noninvasive technique for diagnosing fibromuscular dysplasia/stenosis of the visceral arteries, regardless of the etiology. (medscape.com)
  • Fibromuscular dysplasia (FMD) is a noninflammatory, nonatherosclerotic arterial disease of the medium-sized arteries throughout the body, which could lead to arterial stenosis, occlusion, aneurysm, and dissection. (medscape.com)
  • We report a case of a giant renal artery pseudoaneurysm (9.4-cm diameter) with severe left flank pain and a syncopal attack in a young woman who did not control high blood pressure for a couple of years. (biomedcentral.com)
  • Renal artery pseudoaneurysm is a rare vascular lesion that arises when an arterial injury occurs within the kidney [ 1 ]. (biomedcentral.com)
  • The computed tomography (CT) scan confirmed a large retroperitoneal hematoma from a giant (9.4-cm diameter) left renal artery pseudoaneurysm, which extended through a gap in the anterior renal fascia from a left perirenal hematoma (Figure 1 ). (biomedcentral.com)
  • Active bleeding from the left renal artery pseudoaneurysm was detected at the time of the angiogram (Figure 2 ). (biomedcentral.com)
  • Left renal angiography showed a pseudoaneurysm on a branch of the left renal artery. (biomedcentral.com)
  • Distal splenic artery embolization is preferred in cases of focal vascular injury (e.g. vessel truncation, pseudoaneurysm, focal extravasation) (Bessoud and Denys 2004 ). (springeropen.com)
  • 2009 ). PSAE may also be performed outside the setting of trauma such as in cases of splenic artery aneurysm/pseudoaneurysm and in post liver transplant splenic artery steal syndrome (Loffroy et al. (springeropen.com)
  • BF Ab can be determined theoretically using Doppler ultrasound by subtracting BF in the bilateral proximal femoral arteries (FAs) from BF in the upper abdominal aorta (Ao) above the coeliac trunk. (biomedcentral.com)
  • This 52-year-old man presented with pain in the left upper quadrant and was found to have a 3.2-cm aneurysm of the distal splenic artery. (medscape.com)
  • Histology of the resected splenic artery revealed intimal fibroplasia. (medscape.com)
  • A short thick vein formed by union of the superior mesenteric vein and the splenic vein. (lookformedical.com)
  • the inferior mesenteric vein empties into the splenic vein, the superior mesenteric vein joins the splenic vein to form the portal vein. (lookformedical.com)
  • those stable patients with moderate to severe splenic injuries (grade III-V) benefit from endovascular splenic artery embolization. (springeropen.com)
  • Two widely used embolization approaches are proximal and distal splenic artery embolization. (springeropen.com)
  • Proximal splenic artery embolization decreases the perfusion pressure in the spleen but allows for viability of the spleen to be maintained via collateral pathways. (springeropen.com)
  • Finally, we review potential complications of splenic artery embolization. (springeropen.com)
  • when splenic preservation is done without adjunctive splenic artery embolization, failure (defined as the need for subsequent splenectomy) is seen in approximately 40% of high grade injuries compared to 2% when embolization has been performed (Banerjee et al. (springeropen.com)
  • Endovascular splenic artery embolization can be performed distally or proximally depending on the injury pattern. (springeropen.com)
  • 1975 ). In cases of multifocal injury or when no focal angiographic abnormality is identified, but CT has demonstrated injury, proximal splenic artery embolization (PSAE) is performed (Imbrogno and Ray 2012 ). (springeropen.com)
  • Purpose: To report a prospective, nonrandomized pilot study to determine whether fibrin glue aneurysm sac embolization at the time of endovascular aneurysm repair (EVAR) is a safe and effective procedure to primarily prevent type II endoleaks. (slideshare.net)
  • mean age 73.867.8 years, range 64-86) with degenerative infrarenal abdominal aortic aneurysm underwent EVAR with bifurcated stent-grafts and fibrin glue injection into the aneurysm sac at the conclusion of the endovascular procedure. (slideshare.net)
  • J Endovasc Ther 2007;14:176-183 Key words: abdominal aortic aneurysm, endovascular repair, stent-graft, type II endoleak, fibrin glue, sac embolization ¤ ¤ With an increasing demand for less invasive procedures, endovascular aneurysm repair (EVAR) of abdominal aortic aneurysms (AAA) has emerged as a therapeutic alterna- tive to conventional surgery, leading to new complications and, consequently, to the de- velopment of specific techniques for their resolution. (slideshare.net)
  • Background: Although endovascular aneurysmal repair (EVAR) is a preferred treatment for abdominal aortic aneurysm (AAA) owing to its low invasiveness, its impact on the local hemodynamics has not been fully assessed. (nagoya-u.ac.jp)
  • We are one of the few centres in Malaysia providing both open aortic repair and percutaneous complex Thoracic Endovascular Aortic Aneurysm Repair (TEVAR), Endovascular Aortic Aneurysm Repair (EVAR) and EndoSuture Aneurysm Repair (ESAR) combined with our homegrown aneurysm coiling technique (Malaya technique). (umgeneralsurgery.my)
  • Additionally, whenever feasible, Dr. Coselli has utilized endovascular technology to repair aortic aneurysms, because many limited aneurysms may be repaired by using thoracic stent-grafts. (bcm.edu)
  • Fibromuscular dysplasia (FMD) is an uncommon angiopathy of uncertain etiology associated with heterogeneous histologic changes that may affect the carotid and vertebral circulation, visceral arteries, and peripheral arteries. (medscape.com)
  • [ 2 ] Disease manifestations depend on the arterial bed involved: most often, the extracranial carotid or vertebral arteries are associated with headache (generally migraine-type), pulsatile tinnitus , neck pain, or dizziness, whereas the renal arteries are often associated with hypertension. (medscape.com)
  • More severe symptoms such as transient ischemic attack (TIA) , stroke , ruptured aneurysm , or a carotid or vertebral artery dissection can develop in patients with cerebrovascular FMD. (medscape.com)
  • This non-invasive test shows the anatomy of the carotid vertebral and subclavian artery, blood flow in vessels, narrowing or blockage of vessel and the degree of blockage, presence and location of plaque, Up to 90% of ischemic strokes originate from the carotid arteries and this simple non-invasive test can save many lives with early detection of disease. (rochesterregional.org)
  • Fibromuscular dysplasia (FMD) is an arterial disease of unknown etiology typically affecting the medium and large arteries of young to middle-aged women. (medscape.com)
  • The splanchnic system receives nearly 30% of the cardiac output through three large arteries: the coeliac and the superior and inferior mesenteric arteries. (biomedcentral.com)
  • Note the multiple saccular dilatations of the internal carotid artery between the first and second cervical vertebrae. (medscape.com)
  • Diagram representing the 3 major characteristic angiographic patterns seen in fibromuscular dysplasia of the internal carotid artery. (medscape.com)
  • CTA may display the pathognomonic string of beads appearance of the internal carotid artery. (medscape.com)
  • On the contrary, an endoleak that is present in the setting of a shrinking aneurysm sac does not need to be treated, even though its impact on long-term outcome following EVAR is unknown. (slideshare.net)
  • Assessment: 4D flow MRI covering the abdominal aorta and bilateral common iliac arteries and the corresponding stent-graft (SG) lumen was performed before and after EVAR. (nagoya-u.ac.jp)
  • Doppler interrogation of the distal AA beyond the IMA typically demonstrates a biphasic flow pattern, including a systolic anterograde wave and an early DR. The systolic wave has a lower velocity, whereas the DR often has a higher velocity and longer duration than in the proximal AA. (emedicalacademy.com)
  • 8) A bifurcated graft of the neo-graft was anastomosed to the common iliac arteries first, followed by reattachments of the left renal artery, superior mesenteric artery and celiac axis without aortic cross-clamp. (authorea.com)
  • Imaging in the arterial phase can be performed to evaluate mesenteric ischemia, aortic dissection, or aneurysm, and can also be used to improve visualization of the pancreas in patients with upper abdominal pain. (radiologykey.com)
  • Scans for hyperemergent conditions such as ruptured aneurysm, aortic dissection, or high-grade bowel obstruction with suspected ischemia should not be delayed for administration of oral contrast. (radiologykey.com)
  • [ 1 ] Bowel ischemia is mainly a disease of old age caused by atheroma of mesenteric vessels. (medscape.com)
  • Vascular services deal with imaging of the body's network of blood vessels, which includes the arteries, veins and capillaries that carry blood to and from the heart. (rochesterregional.org)
  • No sign of invasion of the hepatic pedicle or of the superior mesenteric vessels were observed. (spandidos-publications.com)
  • Neuropsychiatric referral: combivir generique prix carefully if the wound or lifted and the gold-standard imaging is now having an anterior superior mesenteric vessels. (solepost.com)
  • Pulse wave Doppler interrogation of the proximal AA typically demonstrates a triphasic pattern including a prominent anterograde systolic wave with rapid acceleration and deceleration time, a low-velocity early diastolic reversal (DR), and low-velocity anterograde flow that may persist throughout diastole. (emedicalacademy.com)
  • Next, the thoracic intercostal arteries were reimplanted using the island technique followed by proximal anastomosis of the main graft at the aortic isthmus. (authorea.com)
  • According to the computed tomography angiography (CTA) findings, the huge mass of the pancreatic head was diagnosed as a true aneurysm of the pancreaticoduodenal artery caused by MALS. (bvsalud.org)
  • Nutcracker syndrome is diagnosed through imaging such as doppler ultrasound (DUS), computed tomography (CT), magnetic resonance imaging (MRI), and venography. (wikipedia.org)
  • Conclusion: This clot engineering approach to aneurysm sac embolization at the time of endografting appears to be safe and may spare the patient a repeated catheter-based intervention or surgical procedure. (slideshare.net)
  • A huge cystic mass with peripheral calcification and compressive effect on the common bile duct (CBD) was also seen near the pancreatic head, which was connected to the superior mesenteric artery (SMA) and had internal turbulent blood flow on color Doppler ultrasound. (bvsalud.org)
  • [ 2 ] Features of FMD that can be identified with Doppler ultrasound include beading, turbulent blood flow and abnormally high speed (velocity) blood flow, and tortuosity or S-shaped arteries. (medscape.com)
  • Due to impending rupture signs in the huge aneurysm, the severe compression effect of this aneurysm on CBD, and the patient's family will surgery was chosen for the patient to resect the aneurysms, but unfortunately, the patient died on the first day after the operation due to hemorrhagic shock. (bvsalud.org)
  • Secondary involvement of the mesentery from tumours elsewhere is much more common than primary mesenteric neoplasms such as desmoid tumour, inflammatory myofibroblastic tumour (IMFT), and others. (sajr.org.za)
  • Cardiac procedures consisted of off-pump coronary artery bypass grafting (n = 4), aortic valve replacement (n = 3), mitral valve plasty (n = 2), total arch replacement (n = 1), and descending aorta replacement (n = 1). (go.jp)
  • Cervical vertebrae 1,2, …?Ca: Calcium?Ca: Cancer?Ca: Carcinoma?Ca: Cardiac arrest?Ca: Coronary artery?CA-125: A tumor marker for ovarian cancer?CAB: Cellulose acetate butyrate?CABG: Coronary artery bypass graft?CACI: Computer-Assisted Continuous Infusion?CAD: Coronary artery disease?CAG: ?CAH: Chronic active hepatitis?CAH: Congenital adrenal hyperplasia?calid. (kuwaitpharmacy.com)
  • NCS can also be due to other causes such as compression by pancreatic cancer, retroperitoneal tumors, and abdominal aortic aneurysms. (wikipedia.org)
  • Multiphasic CT angiography (CTA) has been recommended for patients with suspected acute mesenteric ischemia or isolated right-sided ischemia. (medscape.com)
  • It is unlikely to be conclusive in excluding mesenteric ischemia. (medscape.com)
  • During these reattachments, antegrade pulsatile blood flow to the spinal cord was guaranteed not only via the Adamkiewicz artery but also the collateral network, which ultimately minimizes spinal cord ischemia. (authorea.com)
  • Angiography is the standard imaging approach for detecting fibromuscular dysplasia/arterial stenoses and aneurysms. (medscape.com)
  • At present, angiography remains the standard imaging approach for detecting fibromuscular dysplasia/arterial stenoses and aneurysms, though its role is being redefined. (medscape.com)
  • Mesenteric artery FMD is rare and presents with abdominal symptoms similar to Crohn disease (CD) and Behcet disease (BD). (medscape.com)
  • Smoking also appears to increase the risk for aneurysms in patients with FMD, a population in which the risk for aneurysmal disease is already significant. (medscape.com)
  • Evaluation of the mesentery is often neglected during routine ultrasound (US) because of inadequate training and unfamiliarity with the common US features encountered with mesenteric disease. (sajr.org.za)
  • CT plays an essential role in the diagnosis of mesenteric disease. (sajr.org.za)
  • This finding is present when areas of artery narrowing due to fibrous tissue and webs alternate with areas of artery enlargement or dilation. (medscape.com)
  • The purpose of an Arterial Doppler ultrasound is to evaluate the blood flow to the upper extremities (arms) and/or lower extremities (legs) arteries and determine if there is blocked or reduced blood flow through these major arteries. (rochesterregional.org)
  • The estimated primary and assisted clinical success rates at 2 years were 91.3% and 98.8%, respectively, but the major findings were the low rate of delayed type II endoleak (2.4%) and the statistically significant decrease in the maximum transverse aneurysm diameter (50.4066.70 versus 42.0366.50 mm, p50.0001) at follow-up. (slideshare.net)
  • [ 7 ] Focal FMD usually consists of a single, smoother narrowing in an artery. (medscape.com)
  • Piaget-type model of recto-anal inhibitory spinal cord doppler if the membrane. (solepost.com)
  • The aim of this article is to describe the spectrum of imaging findings of the various mesenteric lesions using ultrasound and CT. (sajr.org.za)
  • Knowledge of imaging characteristics of various mesenteric lesions helps in timely diagnosis and management. (sajr.org.za)
  • Most patients with mesenteric lesions present with non-specific symptoms of abdominal pain, tenderness, palpable abdominal swelling, abdominal distension and weight loss. (sajr.org.za)
  • These symptoms are shared by pathologies of other abdominal organs and it is therefore very difficult to identify mesenteric lesions clinically. (sajr.org.za)
  • Understanding the characteristic radiological patterns on ultrasound (USG) and CT offers valuable insights for differential diagnoses of mesenteric lesions and their treatment. (sajr.org.za)