• Once the aneurysm develops, it can cause distal ischemic events and/or neurological symptoms related to embolism or compression. (heljves.com)
  • In the operating room, the patient was noted to have a large "pulsatile mass," which was determined to be an aneurysm. (medscape.com)
  • A pulsation artifact, known as phase ghosting, indicates that flowing blood is present within the mass, which suggests that the mass could be an aneurysm. (medscape.com)
  • Thromboembolism results in upper-extremity symptoms such as arm fatigue, distal ischemia, Raynaud's phenomenon, or stroke. (amazingposting.com)
  • The postoperative course was uneventful, with absence of palpable axillary masses, no signs of ischemia and recovery of distal pulse. (heljves.com)
  • Physical examination of the patient revealed a giant mass at the right femoral region (Figure 5). (ispub.com)
  • On physical examination, mild tenderness in the abdomen, loss of pulse in the left lower extremity, and weakened pulse in the right lower extremity were noted. (vsijournal.org)
  • A thorough clinical examination revealed bilateral pulsatile axillary masses. (heljves.com)
  • Physical examination of the wound revealed that necrosis had progressed and wide debridement and amputation of the distal phalange were inevitable. (handmicro.org)
  • On physical examination, mild bilateral nystagmus on lateral gaze and rotatory nystagmus were present. (medscape.com)
  • This ability makes ultrasound an important extension of the physical examination and enables clinicians to more rapidly and effectively treat patients. (coek.info)
  • Pulmonary Artery Catheter (PAC) Monitoring Some monitoring of critical care patients depends on direct observation and physical examination and is intermittent, with the frequency depending on the patient's illness. (merckmanuals.com)
  • In conjunction with a patient's medical history and physical examination, US provides crucial information about the native vascular bed prior to the surgical creation of an arteriovenous anastomosis. (e-ultrasonography.org)
  • Regardless of the type of vascular access used, it is necessary to conduct surveillance through physical examination and imaging to identify potential complications and access failure. (e-ultrasonography.org)
  • however, these imaging techniques, though often invaluable, can be expensive and may prove unnecessary with a thorough physical examination and a solid understanding of the many pathologies that may lead to pain on the ulnar side of the wrist. (medscape.com)
  • The majority of the diagnoses involving ulnar wrist pain may be established with a detailed history, thorough physical examination, and standard radiography. (medscape.com)
  • Most of these complications are preventable by following a good patient selection process, utilizing a thorough history and physical examination and a good access technique. (thoracickey.com)
  • A thorough physical examination, including inspection of the groin for any signs of infection, scars from previous surgeries, and palpation of the femoral pulse, will minimize surprises on the day of the procedure and will decrease the risk of complications. (thoracickey.com)
  • Initially, retrograde arterial flow was observed and since it was appropriate for primary repair.The repair was performed primarily (Figure 10). (ispub.com)
  • This first passage of fluid initiates a signal cascade and cell movement based on physical cues including shear stress and circumferential stress, which is necessary for the remodelling of the vascular network, arterial-venous identity, angiogenesis, and the regulation of genes through mechanotransduction. (wikipedia.org)
  • We have developed stenosis models made of polyvinyl alcohol hydrogel, which closely approximate an arterial disease situation, and performed pulsatile flow experiments. (techscience.com)
  • Cannulation of the subclavian vein was more difficult when patients experienced severe hypotension, and the presence of arterial blood flow was difficult to monitor. (amazingposting.com)
  • Proximal part of the common femoral artery and distal part of the superficial femoral artery were freed with attentive dissection and nylon tapes were placed around the artery. (ispub.com)
  • A proximal end-to-end and distal end-to-side anastomosis was performed on both occasions, from the axillary to the brachial artery, excluding both aneurysms. (heljves.com)
  • Image 5 demonstrates continuity between a distal pulsatile vessel and the proximal fluid collection. (sdsc.edu)
  • Although the proximal end of the DPA was clogged to prevent the flow of blood and was insufficient to use as a recipient vessel, reverse flow from the distal end was restored after removing multiple calcification fragments. (handmicro.org)
  • Using ultrasound guidance to approach the subclavian vein infraclavicularly requires that the axillary vein (distal continuance of the subclavian vein) is imaged and cannulated because the clavicle blocks ultrasound imaging of the proximal vein. (merckmanuals.com)
  • Over 100 years ago, Thoma observed that increases in local blood flow cause widening of the vessel diameter and he even went so far as to postulate that blood flow might be responsible for the growth and development of blood vessels. (wikipedia.org)
  • Superficial and medial to the fluid collection, a vessel can be appreciated with flow towards the ultrasound probe. (sdsc.edu)
  • This article presents the successful reconstruction of a diabetic foot using a reverse flow of the severely calcified dorsalis pedis artery (DPA) as the recipient vessel. (handmicro.org)
  • Vascular resistance is the opposition to flow, which is caused primarily by blood friction against vessel walls. (lecturio.com)
  • Additionally, the blood streamline was traced from the inlet of the common carotid artery toward each outlet to examine the flow of anticancer agent in all models, and the wall shear stress of the vessel was calculated for some models. (biomedcentral.com)
  • or non-communicating, which is caused by a structural blockage in CSF flow Flow Blood flows through the heart, arteries, capillaries, and veins in a closed, continuous circuit. (lecturio.com)
  • Because of the poor quality of the distal arteries, vascular surgery is rarely possible. (medscape.com)
  • In all ECA branches that had flow of anticancer agent, the blood streamlines to the target arteries contacted the catheter tip. (biomedcentral.com)
  • A CT angiography of the upper limbs followed, which confirmed the diagnosis of bilateral axillary artery aneurysms with great tortuosity and turbulent flow inside (3 cm in diameter on the right side and 2.5 cm on the left). (heljves.com)
  • Results The Neuron 6 F 0.053 inch inner luminal diameter delivery catheter (Penumbra) was placed in a very distal location within the internal carotid artery, external carotid artery and venous system enabling successful endovascular treatment of the intracranial pathology with no related neurological complications. (bmj.com)
  • In this T1-weighted midline sagittal MR image without contrast, a flow void can be seen at the anterior edge of this mass, which represents the distal right posteriorinferior cerebellar artery. (medscape.com)
  • The duct is differentiated from the lingual artery and vein by the lack of flow on Doppler imaging. (coek.info)
  • Anomalies associated with symptoms include double aortic arch, origin of the right subclavian artery distal to the left subclavian artery, and right-sided aortic arch with an aberrant left subclavian artery. (mhmedical.com)
  • In several models, the anticancer agent flowed into the target artery only when the catheter tip was located below the bifurcation of the ECA and each target artery. (biomedcentral.com)
  • Furthermore, the anticancer agent tended to flow into the target artery when the catheter tip was shifted toward the target artery. (biomedcentral.com)
  • Anticancer agent flowed into only the target artery in patients' models for superselective IAC. (biomedcentral.com)
  • The resultant compression may be important in the development of atherosclerotic plaque fracture and subsequent thrombosis or distal embolization. (techscience.com)
  • Physical cues such as pressure, velocity, flow patterns, and shear stress are known to act on the vascular network in a number of ways, including branching morphogenesis, enlargement of vessels in high-flow areas, angiogenesis, and the development of vein valves. (wikipedia.org)
  • that is, that vessels actively adapted to flow patterns based on physical cues from the environment, such as shear stress. (wikipedia.org)
  • In this model, a traveling pressure wave would act upon the vasculature via shear stress to rearrange branches into the lowest-energy configuration by widening vessels carrying increased blood flow and rearranging networks upon the initiation of fluid flow. (wikipedia.org)
  • A follow-up CT angiography after one year, showed that both bypasses were patent, aneurysmal sacs were trhrombosed, and distal vessels were patent. (heljves.com)
  • We considered that all three vessels were poor candidates for reconstruction, but the strong sound of the reverse flow of the DPA was detected by hand-held audible Doppler ultrasound. (handmicro.org)
  • He was then discharged after obtaining similar amplitudes in the distal pulses. (ispub.com)
  • All distal pulses were similar to the opposite ones during postoperative period. (ispub.com)
  • One month after the operation, there was no change in his distal pulses. (ispub.com)
  • Recovery of bilateral distal pulses was achieved. (heljves.com)
  • Objective To describe our experience with very distal placement of the Neuron 6 F 0.053 inch inner luminal diameter guide catheter (Penumbra Inc, San Leandro, California, USA) within the intracranial and extracranial vasculature to allow treatment of various neurovascular pathologies. (bmj.com)
  • There were no complications related to the distal position of the guide catheter. (bmj.com)
  • The flexibility in the distal end of this guide catheter allows it to negotiate very tortuous vascular anatomy. (bmj.com)
  • The mechanotransduction of these physical cues to endothelial and smooth muscle cells in the vascular wall can also trigger the promotion or repression of certain genes which are responsible for vasodilation, cell alignment, and other shear stress-mitigating factors. (wikipedia.org)
  • Owing to its continuous exposure to high pulsatile pressure and shear stress, the aorta is particularly prone to injury and disease resulting from mechanical trauma. (mhmedical.com)
  • The patient applied to our clinic with a pulsatile mass at his right groin, which was enlarged and became giant-sized in the the last one month. (ispub.com)
  • The evolution of ultrasound (US) techniques has greatly improved the evaluation of many parameters in dialysis vascular access, which is typically achieved through an arteriovenous fistula (AVF) or graft (AVG). These techniques include grayscale B-mode, color Doppler, power Doppler, spectral Doppler, non-Doppler US flow imaging techniques, contrast-enhanced US, and elastography. (e-ultrasonography.org)
  • Low blood flow in the distal part of the diabetic foot aggravates the wound to an ischemic state, which eventually leads to amputation. (handmicro.org)
  • Distal to the lesion, there is intact cap refill and 2+ radial pulse. (sdsc.edu)
  • Image 3 and 4 use pulse wave doppler and demonstrate areas of both pulsatile and continuous flow in various parts of this structure. (sdsc.edu)
  • Identify the vein and assess patency by being compressible and non pulsatile, for further confirmation utilize color or pulse wave doppler with augmentation to identify low status flow. (sjrhem.ca)
  • Image 2 use color doppler and demonstrates turbulent flow within the fluid collection. (sdsc.edu)
  • 1-5 Indeed, there are two key considerations in the successful endovascular treatment of distal intracranial pathology. (bmj.com)
  • Prior to the surgical attempt, endovascular intervention, balloon angioplasty was performed to restore blood flow for better wound healing. (handmicro.org)
  • Once fluid flow begins, biomechanical and hemodynamic inputs are applied to the system set up by vasculogenesis, and the active remodelling process can begin. (wikipedia.org)
  • Flow is affected by the pressure gradient and the resistance fluid encounters between 2 points. (lecturio.com)
  • Although it is recognized that pleopod-generated fluid flows have some locomotory role in adults, reports on their relative importance in locomotion are inconsistent. (silverchair.com)
  • To improve the effectiveness of IAC, the flow distribution of anticancer agent into the branches of the ECA in several IAC methods was investigated using computational fluid dynamics (CFD). (biomedcentral.com)
  • Can a patient who was playing during physical exercise or activity (centers of disease and shunt procedures for maintaining control the acute illness cardiomyopathy sometimes seen in hf and af related to the underlying heart disease hypoplasia of the interatrial communication to a slightly modified, digital, and vastly scaled-up implementation of exome sequencing has been argued that a restrictive atrial septum. (lowerbricktown.com)
  • The wrist consists of the distal radius, the ulna, the carpal bones, and the bases of the metacarpals. (medscape.com)
  • The distal radius has a biconcave articular surface with two articular facets that are separated by an anterior and a posterior ridge. (medscape.com)
  • The ulnar aspect of the radius has a concavity: the sigmoid notch, which articulates with the convex semicircular head of the distal ulna. (medscape.com)
  • The distal radioulnar joint (DRUJ) is the articulation of the distal radius and ulnar head. (medscape.com)
  • [ 4 , 5 , 6 ] Palmer and Werner coined the term TFCC to describe the ligamentous and cartilaginous structure that suspends the distal radius and ulnar carpus from the distal ulna. (medscape.com)
  • This relationship between genetics and environment is not clearly understood, but researchers are attempting to clarify it by combining reliable genetic techniques, such as genetically-ablated model organisms and tissues, with new technologies developed to measure and track flow patterns, velocity profiles, and pressure fluctuations in vivo. (wikipedia.org)
  • Abstract The increase of the blood velocity in the distal side of the stenosis causes negative transmural pressure, and atheroscrerotic plaque is compressed, furthermore, the stenosis may cause the collpase which leads the rupture of the plaque. (techscience.com)
  • It may also be difficult to recreate pulsatile blood flow while in shock. (amazingposting.com)
  • Overview of Stroke Strokes are a heterogeneous group of disorders involving sudden, focal interruption of cerebral blood flow that causes neurologic deficit. (msdmanuals.com)
  • It is (in normal circumstances) closed at rest, as it's being compressed by the surrounding structures, as well as due to being recoiled by the distal cartilaginous part ( Bluestone & Klein, Otitis media in infants and children, 2001 ). (mskneurology.no)
  • Physical Exam: Notable for a large, well circumscribed area of induration, erythema, warmth, and tenderness on the left upper arm. (sdsc.edu)
  • The aorta is distended during systole to allow a portion of the stroke volume and elastic energy to be stored, and it recoils during diastole so that blood continues to flow to the periphery. (mhmedical.com)
  • The occluded LCX was recanalized by a Gaia 3rd micro-wire successfully passing through the occluded section to the distal end of the LCX, followed by sequential balloon dilation and drug-coated balloon angioplasty. (bvsalud.org)
  • For the Biomatrix stent, the adverse effect of thicker struts was mitigated by greater strut spacing, radial cell offset and flow-aligned struts. (researchgate.net)
  • Local hemodynamics worsened with luminal protrusion of the stent and with stent malapposition, adverse high WSS and WSSG were identified around peak flow and throughout the cardiac cycle respectively. (researchgate.net)
  • The rising prevalence of obesity is likely to result from contemporary environmental and lifestyle factors such as increased access to palatable foods and reduced requirements for physical exercise, when compared with ancient hunter-gatherer lifestyles characterised by unpredictable periods of feast and famine. (hindawi.com)
  • The aim of this study was to assess the wide spectrum of adaptive responses in humans regarding the different tissues, organs and functional systems being exposed to such chronic physical endurance load with limited time for regeneration and resulting negative energy balance. (biomedcentral.com)
  • Flow is the movement of volume per unit of time. (lecturio.com)
  • Cooper and Uzmann, 1971 ), and physical limitations on movement in the environment will influence the distribution of these animals in space and time. (silverchair.com)
  • Unresolved inferior blood circulation in the distal portion of the foot aggravates the wounds to an irreversible condition, leading to amputation [ 1 ]. (handmicro.org)
  • A body implantable lead comprises a lead body including a conductive polymer electrode disposed along a distal end portion of the lead body for performing one or more of the functions consisting of pacing, sensing, cardioversion and defibrillation. (patsnap.com)
  • While these findings support the implementation of physical activity interventions to attenuate the deleterious effects of sitting, the study had no low-fat "control group. (nature.com)
  • The triangular fibrocartilage complex ( TFCC ) serves as a cushion between the ulnar head and the ulnar carpal bones and also as a major stabilizer of the DRUJ and distal ulna. (medscape.com)
  • The most common physical signs of venous insufficiency are those attributed to the progressive syndromes of chronic venous stasis and chronic venous hypertension. (medscape.com)
  • The new model has a good physical and theoretical foundation based on progressive damage, and unifies all the material and testing parameters into one general equation. (techscience.com)
  • Based on flow visualizations obtained from applying particle image velocimetry to the lobster model, we propose that the unsteady metachronal kinematics of the pleopods can maximize thrust by exploiting forces arising from individual pleopod activity and interactions among adjacent pairs. (silverchair.com)