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1

Post mortem CT demonstration of hemoperitoneum caused by rupture of a paraumbilical vein into a paraumbilical hernia in a man with liver cirrhosis and portal hypertension.  

PubMed

In patients with liver cirrhosis and portal hypertension collateral circulation can develop to direct blood from portal to systemic veins allowing decompression of the portal system. A potential complication of portal hypertension is rupture of collateral vessels with subsequent fatal hemorrhage, occurring most commonly in the esophagus. The paraumbilical vein is a recognized collateral pathway in patients with portal hypertension however cases of rupture have been rarely documented. The authors report a case of hemoperitoneum caused by rupture of a paraumbilical vein into a paraumbilical hernia in a man with liver cirrhosis and portal hypertension. Post mortem CT imaging was valuable in localizing the source of hemorrhage in this case. PMID:23055059

Bott, Eleanor; O'Donnell, Christopher; Burke, Michael

2013-03-01

2

Stent Recanalization of Chronic Portal Vein Occlusion in a Child  

SciTech Connect

An 8-year-old boy with a 21/2 year history of portal hypertension and repeated bleedings from esophageal varices, was referred for treatment. The 3.5-cm-long occlusion of the portal vein was passed and the channel created was stabilized with a balloon-expandable stent; a portosystemic stent-shunt was also created. The portosystemic shunt closed spontaneously within 1 month, while the recanalized segment of the portal vein remained open. The pressure gradient between the intrahepatic and extrahepatic portal vein branches dropped from 17 mmHg to 0 mmHg. The pressure in the portal vein dropped from 30 mmHg to 17 mmHg and the bleedings stopped. The next dilation of the stent was performed 12 months later due to an increased pressure gradient; the gastroesophageal varices disappeared completely. Further dilation of the stent was planned after 2, 4, and 6 years.

Cwikiel, Wojciech [Department of Diagnostic Radiology, University Hospital, S-221 85 Lund (Sweden); Solvig, Jan [Department of Diagnostic Radiology, University Hospital, Skejby, DK-8200 Aarhus (Denmark); Schroder, Henrik [Department of Pediatric Medicine, University Hospital, Skejby, DK-8200 Aarhus (Denmark)

2000-07-15

3

Combined Transabdominal and Transjugular Recanalization of Thrombosed TIPS, Portal and Proximal Splenic Veins  

SciTech Connect

We present a case of TIPS occlusion in which a small caliber transhepatic safety or anchoring wire in combination witha standard transjugular approach were utilized to recanalize the TIPS,portal and splenic veins. This technique may be a useful adjunct to the typical methods used for recanalization of thrombosed TIPS, portal and splenic veins without the need of large caliber transhepatic sheath access.

Bloss, M.F. [DartmouthHitchcock Medical Center, One Medical Center Dr, Lebanon, NH03756, Department of Radiology (United States); Lenz, J. [Veterans Administration Hospital, White RiverJunction, VT 05001, Department ofRadiology (United States); Gemery, J. [DartmouthHitchcock Medical Center, One Medical Center Dr, Lebanon, NH03756, Department of Radiology (United States)

2003-04-15

4

Laparoscopic management of massive spontaneous external haemorrhage from the umbilical varix due to recanalisation of the paraumbilical vein in a patient with 'Child's Class A' liver cirrhosis.  

PubMed

Spontaneous external haemorrhage from the umbilical varix is an extremely rare complication of portal hypertension. Bleeding is usually into the peritoneal cavity and the treatment involves urgent laparotomy and ligation of the bleeding varices. We describe a cirrhotic 38-year-old man who presented with spontaneous external haemorrhage from the umbilical varix which was successfully managed laparoscopically by in-situ distal clipping and proximal transcutaneous ligation of the recanalised paraumbilical veins. We therefore feel that laparoscopy can be safely and effectively employed to control external haemorrhage from the umbilical varix associated with liver cirrhosis. This novel technique can help avoid a laparotomy and also help preserve the umbilicus. PMID:22623827

Zachariah, Sanoop K; Krishnankutty, Sreejith L; Raja, Nirmalan

2012-04-01

5

Mid-term follow-up after retrograde recanalization of chronically occluded saphenous vein graft.  

PubMed

We reported a case of 55-year-old male with an ostial chronically occluded saphenous vein graft which was recanalized by retrograde approach through an epicardial collateral channel with implantation of three drug eluting stents. Six-month coronary angiography showed the patency of graft and distal native vessel diameter enhancement. PMID:20151140

Galassi, Alfredo R; Tomasello, Salvatore D; Costanzo, Luca; Tamburino, Corrado

2010-04-01

6

Complete Metabolic Response with Recanalization of Portal Vein Tumor Thrombosis after Sunitinib in a Patient with Advanced Hepatocellular Carcinoma  

PubMed Central

The prognosis of patients with advanced hepatocellular carcinoma (HCC) is very poor. The outcome of these patients is particularly bleak when the disease is complicated by portal vein tumor thrombosis (PVTT), since the increased portal pressure often causes serious gastrointestinal bleedings. Before the introduction of sorafenib (SOR), a tyrosine kinase inhibitor, no effective treatment was available for patients with advanced disease. SOR is now considered the standard treatment even for patients with tumor thrombosis, although the well-known interference between tyrosine kinase inhibitors and the coagulation pathway calls for caution against their use in this setting. Here, we report the case of a 74-year-old male patient with advanced HCC and PVTT treated with sunitinib (SUN), another multikinase inhibitor. During the third cycle, our patient experienced a life-threatening hematemesis with hemorrhagic shock that required intensive care treatment and SUN discontinuation. However, he completely recovered, and the PET/CT scan performed 1 year after the adverse effect demonstrated no evidence of the tumor together with portal vein recanalization. The short course of SUN causing both tumor response and gastrointestinal bleeding warrants further studies on the effectiveness of SUN in this setting as well as on the duration of treatment with multikinase inhibitors in patients with tumor thrombosis.

Basso, Michele; Basso, Maria; Iaculli, Alessandro; Pompili, Maurizio; Riccardi, Laura; Barbaro, Brunella; Rufini, Vittoria; Cassano, Alessandra; Castaldi, Paola; Barone, Carlo

2010-01-01

7

Massive paraumbilical hernia: not all is as it seems.  

PubMed

We discuss the management of an otherwise healthy obese patient who presented with a massive paraumbilical hernia extending into a large lymphoedematous abdominal apron. After anaesthetic assessment and abdominal computed tomography (CT), the patient underwent an elective operation. The hernia was dissected free of the heavy lymphoedematous apron with the aid of orthopaedic pins and a motorised patient lifter. Despite the size of the hernia, the primary defect was found to be relatively small and easy to reduce. The defect was repaired with a sublay Proceed(®) mesh and skin closure was achieved primarily. The patient had an uneventful post-operative course and gained significant improvement in her mobility. PMID:20221840

Chisholm, J; Dean, N R

2011-06-01

8

Treatment of an Unusual Complication of Endovenous Laser Therapy: Multiple Small Arteriovenous Fistulas Causing Complete Recanalization  

SciTech Connect

A 67-year-old woman was admitted to our institution with pain, night cramping, and visible varicose veins on her left leg. Doppler ultrasonography revealed continuous reflux in the great saphenous vein when the patient did the Valsalva maneuver. Endovenous laser therapy was applied to the great saphenous vein. Doppler ultrasonography 7 days later showed recanalization of, and arterialized flow in, the great saphenous vein. There also were small arterial vessels adjunct to the recanalized side. A left femoral angiography via a right femoral approach showed multiple small arteriovenous fistulas between superficial femoral artery muscle branches and the great saphenous vein. A second endovenous laser treatment was done at 80 J/cm, but the recanalization persisted. We offered to treat this endovascularly, but the patient preferred a surgical option. To the best of our knowledge, this is the first report of the demonstration of such a complication with endovenous laser therapy.

Yildirim, Erkan, E-mail: drerkany@yahoo.co [Baskent University Medical School, Department of Radiology (Turkey); Saba, Tonguc, E-mail: sabatonguc@hotmail.com; Ozulku, Mehmet, E-mail: sozulkum@yahoo.co [Baskent University, Department of Cardiovascular Surgery (Turkey); Harman, Ali, E-mail: aliharman75@yahoo.com.tr; Aytekin, Cuneyt, E-mail: cuneytaytekin@hotmail.com; Boyvat, Fatih, E-mail: boyvatf@yahoo.co [Baskent University, Department of Radiology (Turkey)

2009-01-15

9

Sharp central venous recanalization by means of a TIPS needle.  

PubMed

The purpose of this study was to perform an alternative technique for recanalization of a chronic occlusion of the left brachiocephalic vein that could not be traversed with a guidewire. Restoration of a completely thrombosed left brachiocephalic vein was attempted in a 76-year-old male hemodialysis patient with massive upper inflow obstruction, massive edema of the face, neck, shoulder, and arm, and occlusion of the stented right brachiocephalic vein/superior vena cava. Vessel negotiation with several guidewires and multipurpose catheters proved unsuccessful. The procedure was also non-viable using a long, 21 G puncture needle. Puncture of the superior vena cava (SVC) at the distal circumference of the stent in the right brachiocephalic vein/superior vena cava, however, was feasible with a transjugular intrahepatic portosystemic shunt (TIPS) set under biplanar fluoroscopy using the distal end of the right brachiocephalic vein as a target, followed by balloon dilatation and partial extraction of thrombotic material of the left brachiocephalic vein with a wire basket. Finally, two overlapping stents were deployed to avoid early re-occlusion. Venography demonstrated complete vessel patency with free contrast media flow via the stents into the SVC, which was reconfirmed in follow-up examinations. Immediate clinical improvement was observed. Venous vascular recanalization of chronic venous occlusion by means of a TIPS needle is feasible as a last resort under certain precautions. PMID:16091988

Honnef, Dagmar; Wingen, Markus; Günther, Rolf W; Haage, Patrick

2005-01-01

10

Unusual localization of a primary hydatid cyst: a subcutaneous mass in the paraumbilical region.  

PubMed

Hydatid cyst disease caused by Echinoccus granulosus is not a rare disease and mostly localized in liver and lung. The localization of the disease in the subcutaneous paraumbilical region without any other organ involvement is a unique existence that we present. A 63-year-old Turkish male complaining of abdominal distention and pain had an abdominal mass for one year. When the patient came to our Clinic, we detected a 4x5 cm mass in the left quadrant- paraumbilical region by using ultrasonography. Complete surgical resection of the mass was performed with uneventful post-operative recovery. Histopathological examination of the surgical specimen demonstrated a multive-sicular hydatid cyst. When a subcutaneous cystic mass is detected in a patient, regarding the region where he lives and endemicity, hydatid cyst should be considered. PMID:23852901

Burgazli, K M; Ozdemir, C S; Beken Ozdemir, E; Mericliler, M; Polat, Z P

2013-07-01

11

Facial Vein Catheterization for Transvenous Embolization of the Cavernous Sinus  

PubMed Central

Summary We describe three cases of transvenous embolization of arteriovenous fistulas of the cavernous sinus, achieved through the facial vein approach. The facial vein was catheterized from a jugular vein access. This cervical approach offered good stability to the guiding catheter that permitted us to negotiate difficult curves of the facial vein and to recanalize venous thrombosis in one case.

Karygiannis, M.N.; Szatmary, Z.; Claudino, P.A.; Houdart, E.

2006-01-01

12

Cholecystocutaneous fistula: an unusual complication of a para-umbilical hernia repair.  

PubMed

This case describes a 94-year-old woman who presented 2?years postsutured para-umbilical hernia repair with a painful black lump protruding through her scar with blood stained discharge. This was initially thought to be either ischaemic bowel secondary to strangulated incisional hernia or a large organised haematoma. An urgent CT scan was performed following which the patient passed two large calculi and bile-stained fluid spontaneously through the wound, making the diagnosis somewhat clearer. The scan revealed an incisional hernia containing the gallbladder and two large calculi at the skin surface and an incidental large caecal cancer with surrounding lymphadenopathy. Frail health and the incidental finding of a colon cancer rendered invasive surgical management inappropriate. Therefore, she was managed conservatively with antibiotics. A catheter was inserted into the fistula tract to allow free drainage and alleviate pressure-related symptoms. The patient was discharged following a multidisciplinary team discussion. PMID:24862413

Dixon, Steven; Sharma, Mitesh; Holtham, Stephen

2014-01-01

13

Timely recanalization of lateral sinus thrombosis in children: should we consider hypoplasia of contralateral sinuses in treatment planning?  

PubMed

The objective of this study was to evaluate long-term clinical and radiological outcomes in children treated with lateral sinus thrombosis secondary to acute mastoiditis considering also contralateral sinus hypoplasia. This study was a retrospective chart review, conducted in tertiary pediatric hospital. Medical reports of eight children with acute mastoiditis and lateral sinus thrombosis from 1998 to 2011 were examined in terms of therapy, clinical recovery and radiological proof of lateral sinus recanalization. Three children presented hypoplasia of contralateral venous drainage system. Condition of sinuses was regularly monitored with MRI. Otologically and neurologically, all children recovered fully. All received antibiotics; six received additional low molecular weight heparin therapy. Mastoidectomy was performed on six cases. Incision and thrombectomy were applied in the other two, one involving internal jugular vein ligation. This latter case presented also contralateral venous hypoplasia; visual impairment proved permanent. The other two children with contralateral sinus hypoplasia recovered fully after steroid, dehydration and low molecular weight heparin therapy. Recanalization occurred in all children except the one with internal jugular vein ligation, in whom good collateral circulation was observed. There were no bleeding complications. Anatomical variations of cerebral venous drainage system can frequently be observed and should be considered in treatment planning. Mastoidectomy with antibiotics and additional low molecular weight heparin treatment is a safe, promising alternative to thrombectomy and internal jugular vein ligation in children with lateral sinus thrombosis following acute mastoiditis, also having contralateral sinus hypoplasia. Recanalization can be expected within two to five months. PMID:23179927

Csákányi, Zsuzsanna; Rosdy, Beáta; Kollár, Katalin; Móser, Judit; Kovács, Eva; Katona, Gábor

2013-07-01

14

Factors Associated with Recurrence of Varicose Veins after Thermal Ablation: Results of The Recurrent Veins after Thermal Ablation Study  

PubMed Central

Background. The goal of this retrospective cohort study (REVATA) was to determine the site, source, and contributory factors of varicose vein recurrence after radiofrequency (RF) and laser ablation. Methods. Seven centers enrolled patients into the study over a 1-year period. All patients underwent previous thermal ablation of the great saphenous vein (GSV), small saphenous vein (SSV), or anterior accessory great saphenous vein (AAGSV). From a specific designed study tool, the etiology of recurrence was identified. Results. 2,380 patients were evaluated during this time frame. A total of 164 patients had varicose vein recurrence at a median of 3 years. GSV ablation was the initial treatment in 159 patients (RF: 33, laser: 126, 52 of these patients had either SSV or AAGSV ablation concurrently). Total or partial GSV recanalization occurred in 47 patients. New AAGSV reflux occurred in 40 patients, and new SSV reflux occurred in 24 patients. Perforator pathology was present in 64% of patients. Conclusion. Recurrence of varicose veins occurred at a median of 3 years after procedure. The four most important factors associated with recurrent veins included perforating veins, recanalized GSV, new AAGSV reflux, and new SSV reflux in decreasing frequency. Patients who underwent RF treatment had a statistically higher rate of recanalization than those treated with laser.

Bush, R. G.; Bush, P.; Flanagan, J.; Fritz, R.; Gueldner, T.; Koziarski, J.; McMullen, K.; Zumbro, G.

2014-01-01

15

A novel technology for large vessel recanalization.  

PubMed

Large vessels recanalization is a challenge for mechanical atherectomy devices, where the lumen debulked is close in diameter to the device crossing profile, which may be only 25% to 30% of the original lumen size; so, the procedure can restore only a fraction of the original blood flow. Moreover, small diameter lumens are prone to be repeatedly occluded after a relatively short period of time. In this article, we present a novel technology of recanalization, using a catheter-based microjet system to deliver a flux of biocompatible abrasive particles to the lesion site, resulting in microchipping of the plaque, while minimizing trauma to the vessel wall. Plaque debris is removed from the blood flow, and blood flow is restored. In contrast to rotating mechanical devices, plaque debulking can be performed up to diameters that are substantially larger than the device crossing profile, supporting superior long-term patency. As a case study, we evaluated the technology for use in the superficial femoral artery where the lesions tend to be very long and heavily calcified with high restenosis rates. PMID:22437528

Weitzman, Yosi; Ben-Porath, Ariel; Levitsky, Michael; Jonas, Michael; Gross, Yossi; Osiroff, Ricardo; Kirshenbaum, Izik

2010-09-01

16

Varicose Veins  

MedlinePLUS

Varicose veins are swollen, twisted veins that you can see just under the skin. They usually occur in ... of the body. Hemorrhoids are a type of varicose vein. Your veins have one-way valves that help ...

17

Iliocaval reconstruction in chronic deep vein thrombosis.  

PubMed

Chronic occlusion of the iliac veins and the inferior vena cava is a source of significant morbidity to often otherwise healthy patients, but it can be successfully managed with percutaneous recanalization and stenting. In this article, I summarize our current approach to patients with chronic occlusion of the iliac veins: patient selection, timing of intervention, commonly needed equipment, procedure, difficulties encountered, complications, clinical follow-up, and outcomes. An ideal patient is the one who is physically active (or was so before iliocaval occlusion), is at least 6 months past acute iliocaval thrombosis, has a patent common femoral vein and hepatic vein or caval confluence, and has no thrombophilic state. The duration of the occlusion has not affected our technical success of recanalization but may, by predisposing the patient to recurrent deep vein thrombosis, affect long-term patency by degrading the size and number of inflow vessels. Secondary patency rates at 4 years can be as high as 70%-90%. We anticipate that even higher success rates will follow with ongoing evolutions in device design (stents with appropriate diameter, length, radial conformity to conduits of varying diameter, and resistance to compression); better understanding of the biological interaction of the stent, the veins, and the coagulation system; and improved navigation systems to cross longer, occluded segments that are resistant to guidewire passage. PMID:24840966

Williams, David M

2014-06-01

18

Technical report: fallopian tube recanalization--a simplified technique.  

PubMed

A simplified technique of fallopian tube catheterization is described in which the tube is recanalized with a guidewire alone. The technique has been used to treat 13 infertile women, age range 27-39 years (mean 32 years), with a diagnosis of proximal tubal obstruction. One tube was perforated; all other tubes were successfully recanalized. Three women conceived within 10 months of the procedure. The technique has results similar to the standard coaxial catheter method but is simple and quick. PMID:8088047

Millward, S F; Claman, P; Leader, A; Spence, J E

1994-07-01

19

Varicose Veins  

MedlinePLUS

... page from the NHLBI on Twitter. What Are Varicose Veins? Varicose (VAR-i-kos) veins are swollen, twisted ... can form in other parts of the body. Varicose veins are a common condition. They usually cause few ...

20

Portal vein embolization induces compensatory hypertrophy of remnant liver  

PubMed Central

AIM: To evaluate the effectiveness and safety of different portal vein branch embolization agents in inducing compensatory hypertrophy of the remnant liver and to offer a theoretic basis for clinical portal vein branch embolization. METHODS: Forty-one adult dogs were included in the experiment and divided into four groups. Five dogs served as a control group, 12 as a gelfoam group, 12 as a coil-gelfoam group and 12 as an absolute ethanol group. Left portal vein embolization was performed in each group. The results from the embolization in each group using different embolic agents were compared. The safety of portal vein embolization (PVE) was evaluated by liver function test, computed tomography (CT) and digital subtraction angiography (DSA) of liver and portal veins. Statistical test of variance was performed to analyze the results. RESULTS: Gelfoam used for PVE was inefficient in recanalization of portal vein branch 4 wk after the procedure. The liver volume in groups of coil-gelfoam and absolute ethanol increased 25.1% and 33.18%, respectively. There was no evidence of recanalization of embolized portal vein, hepatic dysfunction, and portal hypertension in coil-gelfoam group and absolute ethanol group. CONCOUSION: Portal vein branch embolization using absolute ethanol and coil-gelfoam could induce atrophy of the embolized lobes and compensatory hypertrophy of the remnant liver. Gelfoam is an inefficient agent.

Huang, Jing-Yao; Yang, Wei-Zhu; Li, Jian-Jun; Jiang, Na; Zheng, Qu-Bin

2006-01-01

21

Latest recanalization techniques for complex superficial femoral artery occlusions.  

PubMed

Complex, long segment lesions of the superficial femoral artery (SFA) are common, occurring in 40% of patients with peripheral vascular disease. In particular, chronic total occlusions (CTOs) continue to pose a challenge in the endovascular management of SFA disease. Several conventional wire and catheter based techniques have been described including subintimal recanalization and retrograde techniques. In addition, advances in endovascular technology have led to the development of a series of new devices aimed specifically at facilitating the crossing of long segment SFA occlusions or establishing re-entry of the true lumen. Here we present an overview of the minimally invasive techniques used to recanalize CTOs of the SFA and the latest specialized devices available for both recanalization and re-entry, as well as a summary of the literature supporting their application. PMID:22854529

Gonzalez, L; Chen, A; Lin, P H; Pisimisis, G; Barshes, N R; Bechara, C F; Kougias, P

2012-08-01

22

Endovascular Sharp Recanalization for Calcified Femoropopliteal Artery Occlusion  

PubMed Central

Endovascular intervention of peripheral chronic total occlusion (CTO) is technically challenging and time consuming. Various techniques and devices are used to facilitate lesion crossing and improve the success rate of the procedure. However, these new devices are quite expensive and not readily available. We report 2 cases of peripheral CTO wherein the occlusions were successfully crossed by using stiff end of Terumo glidewire. This sharp recanalization may be a useful technique for the recanalization of calcified peripheral CTOs when conventional techniques fail and new devices are not readily available, but it is accompanied by the risk of distal atheroembolism.

Huang, Hsuan-Li; Chou, Hsin-Hua; Wu, Tien-Yu

2012-01-01

23

Late spontaneous recanalization of acute internal carotid artery occlusion.  

PubMed

Spontaneous internal carotid recanalization has been infrequently observed, and when it has been reported, it has most commonly occurred early after a stroke. We report a case of a patient with late spontaneous recanalization of the internal carotid artery (ICA) that occurred within 6 months to 1 year after the initial diagnosis of occlusion during the course of a stroke. This event allowed the patient to undergo a successful surgical intervention. A suggestion is made about the mechanism of this phenomenon and an implication about changes in the follow-up strategies of these patients is presented. PMID:16616248

Klonaris, Chris; Alexandrou, Andreas; Katsargyris, Athanasios; Liasis, Nikolaos; Bastounis, Elias

2006-04-01

24

Recanalization of chronically occluded coronary arteries.  

PubMed

A chronic coronary occlusion consists of an atherosclerotic plaque and one or several thrombi. It clinically imitates a tight stenosis but is exempt from the risk of truly unstable angina or myocardial infarction. Hence, quality of life is at stake and not longevity. This holds true for balloon angioplasty as well as for surgery. Indications for angioplasty are based on an estimate of technical difficulties and clinical risks balanced against potential subjective benefit and amount of viable myocardium concerned. An occlusion flush at the orifice of the vessel, tapering into a small sidebranch, with bridging collaterals, or devoid of collaterals is no target for angioplasty. Primary success is around 65% and complications are extremely rare. Abrupt vessel closure is common but harmless. No Q-wave infarctions have been reported in that context. The need for emergency bypass surgery may arise from acute closure of a vessel proximal to the occlusion in an exceptional case. Duration and length of occlusion are the most important predictors of success. Recurrence averages 62% (17% reocclusion and 45% restenosis). An important factor for the high recurrence rate is the competitive pressure exerted by the collaterals on standby. Recurrence happens almost exclusively within the first six months. It is innocuous but produces symptoms prompting further interventions (repeat angioplasty or bypass surgery). The conventional technique uses a stiff guidewire and advances the balloon catheter close to the tip of the guidewire for additional rigidity. New technologies are under investigation but no breakthrough has happened so far. They encompass blunt mechanical instruments (e.g., Magnum wire), drills of various velocities, laser energy applied directly to the tissue (some angioscopically guided, some triggered by on-line spectral tissue analysis), catheters dispersing laser energy through a sapphire or converting it into heat (hot tip), and electrical or radiofrequency heat applicators. As low-yield procedures had better be low-risk and low-cost, there are definite limits to how sophisticated, complicated, risky, and expensive tools and techniques for percutaneous coronary recanalization can become. Close relatives of conventional gear such as the Magnum system offer themselves as first choice equipment complemented, in case of need, by mechanical drills. PMID:1541448

Meier, B

1992-02-01

25

Transvaginal fluoroscopic recanalization of a proximally occluded oviduct  

SciTech Connect

A hysterosalpingogram performed on a patient with infertility showed bilateral interstitial obstruction with partial intramural patency of the right tube and complete intramural obstruction of the left. Recanalization of the tube under fluoroscopy resulted in unilateral tubal patency and an intrauterine pregnancy followed. 7 references, 3 figures.

Platia, M.P.; Krudy, A.G.

1985-11-01

26

Rescue from hemodialysis by late recanalization of renal artery occlusion  

PubMed Central

We report on a patient with terminal renal insufficiency undergoing hemodialysis since four months. Imaging studies showed complete renal artery occlusion of a single kidney with collateral perfusion. Interventional recanalization of the renal artery was successful with a drop of serum creatinine from 1138 to 163 mol/l sparing the patient from further hemodialysis.

Ringe, Kristina Imeen; Galanski, Michael; Rosenthal, Herbert

2011-01-01

27

Varicose Veins and Spider Veins  

MedlinePLUS

... the skin. Symptoms include skin redness; a firm, tender, warm vein; and sometimes pain and swelling. • Deep ... The vein has become swollen, red, or very tender or warm to the touch • There are sores ...

28

Portal vein thrombosis with protein C-S deficiency in a non-cirrhotic patient  

PubMed Central

There are several conditions that can lead to portal vein thrombosis (PVT), including including infection, malignancies, and coagulation disorders. Anew condition of interest is protein C and S deficiencies, associated with hypercoagulation and recurrent venous thromboembolism. We report the case of a non-cirrhotic 63-year-old male diagnosed with acute superior mesenteric vein thrombosis and PVT and combined deficiencies in proteins C and S, recanalized by short-term low molecular heparin plus oral warfarin therapy.

Rodriguez-Leal, Gustavo A; Moran, Segundo; Corona-Cedillo, Roberto; Brom-Valladares, Rocio

2014-01-01

29

Deep vein thrombosis detection by 99m TC-MDP scanning  

SciTech Connect

A new observation is reported wherein 99m Tc-MDP is incorporated into recanalizing thrombophlebitis. In one patient with subacute disease, inflammatory vascularity is appreciated during the first one to two minutes after injection. Both patients showed evidence of late phosphate uptake in their greater saphenous veins two hours later. Intravenous isotope injections may be given in an arm vein: foot injections are not required.

Moallem, A.; Lichsztral, R.

1984-08-01

30

Vein Problems Related to Varicose Veins  

MedlinePLUS

... this page from the NHLBI on Twitter. Vein Problems Related to Varicose Veins Many vein problems are ... have varicoceles, see your doctor. Other Related Vein Problems Other types of varicose veins include venous lakes, ...

31

[Genesis of great saphenous vein obliteration and its clinical manifestations after endovenous laser coagulation combined with crossectomy during the varicose vein treatment].  

PubMed

An analysis of results of the endovenous laser coagulation combined with crossectomy was made in 170 patients with varicose veins of lower extremities (C(VI), C(II)-C(V)). Clinical and ultrasonic data were investigated during a period of 3-5 days (45 lower extremities) and followed up in 1-3 years after operation (194 lower extremities). Three years later the absence of reflux was observed in 95.9% of cases. In 51.1% of cases, 1-2 zones of parietal and segmental hemodynamical insignificant bloodstream were detected. A recanalization of the great saphenous vein along the whole length was revealed in 8 cases out of 194 (4.1%) patients. The bloodstream was provided by affluxes in the area of a shin and a wellhead afflux of the stump of the great suphenous vein. The ultrasonic picture of recanalization was similar to that observed in post-thrombophlebitic occlusion. PMID:23808221

Vakhitov, M Sh; Ulimbasheva, Z M; Ryzhov, A N; Bykov, M A; Danil'chenko, O V; Tsibin, A Iu; Semenov, D Iu

2013-01-01

32

Focus on Varicose Veins  

MedlinePLUS

What are varicose veins? Varicose veins are the visible and large, bulging, surface veins, felt under the skin. They generally are larger ... and treatment Focus on Varicose Veins How are varicose veins diagnosed? The diagnosis of varicose veins is made ...

33

What Causes Varicose Veins?  

MedlinePLUS

... page from the NHLBI on Twitter. What Causes Varicose Veins? Weak or damaged valves in the veins can ... space. These are varicose veins. Normal Vein and Varicose Vein Figure A shows a normal vein with a ...

34

Teflon buttress inhibits recanalization of uncut stapled bowel  

Microsoft Academic Search

The uncut Roux limb operation is designed to have the benefits of a Roux limb but still have electrical continuity from proximal\\u000a to distal bowel, thus eliminating the risk of Roux stasis syndrome. The main complication has been recanalization of the uncut\\u000a staple line leading to bile reflux. This study aims to employ a new technique, which will not allow

William S. Richardson; Hadar Spivak; James E. Hudson; Mark A. Budacz; John G. Hunter

2000-01-01

35

Recanalization of the native artery in patients with bypass failure.  

PubMed

Our objective was to evaluate the possible role of endovascular recanalization of occluded native artery after a failed bypass graft in the case of either acute or chronic limb-threatening ischemia otherwise leading to amputation. In a single-center retrospective clinical analysis, from January 2004 to March 2007 we collected 31 consecutive high-surgical-risk patients (32 limbs) with critical limb ischemia following late ([30 days after surgery) failure of open surgery bypass graft reconstruction. All patients deemed unfit for surgery underwent tentative endovascular recanalization of the native occluded arterial tract. The mean follow-up period was 24 (range, 6-42) months. Technical success was achieved in 30 (93.7%) of 32 limbs. The cumulative primary assisted patency calculated by Kaplan-Meyer analysis was 92% and 88%, respectively, at 12 and 24 months. The limb salvage rate approached 90% at 30 months. In conclusion, our experience shows the feasibility of occluded native artery endovascular recanalization after a failed bypass graft, with optimal results in terms of midterm arterial patency and limb salvage. Our opinion is that successful recanalization of the arterial tract previously considered unsuitable for endovascular approach is allowed by improved competency and experience of vascular specialists, as well as the advances made in catheter and guidewire technology. This group of patients would previously have been relegated to repeat bypass grafts, with their inherently inferior patency and recognized added technical demands. We recognize previous surgical native artery disconnection and lack of pedal runoff to be the main cause of technical failure. PMID:19727939

Gandini, Roberto; Chiappa, Roberto; Di Primio, Massimiliano; Di Vito, Livio; Boi, Luca; Tsevegmid, Erdembileg; Simonetti, Giovanni

2009-11-01

36

Sclerotherapy of Varicose Veins and Spider Veins  

MedlinePLUS

Sclerotherapy of Varicose Veins and Spider Veins • Overview Sclerotherapy is a minimally invasive treatment used to treat varicose and spider veins. The ... cramps. It is the primary treatment for small varicose veins in the legs. top of page • Preparation You ...

37

Recanalization Following Various Endovascular Modalities for Treatment of Anterior Circulation Acute Ischemic Strokes  

PubMed Central

Currently several endovascular modalities and devices are available for use in acute ischemic stroke setting. Limited data exist regarding the relative efficacy of these different options when used individually or in combination. The primary objective of this study was to retrospectively compare the recanalization rates of various endovascular options when used for the treatment of acute ischemic stroke in the anterior cerebral circulation. We retrospectively reviewed 132 consecutive patients treated endovascularly at our center for acute ischemic stroke in the anterior cerebral circulation. Recanalization was defined as mTIMI of ? 2 while complete recanalization was defined as mTIMI of 4. Statistical analysis was performed to determine the modality or combination of modalities associated with best recanalization rate. Recanalization was achieved in 74% of patients while complete recanalization was achieved in 39% of patients. No individual endovascular therapy was significantly different from others in achieving recanalization. Where a multimodality approach was used, combination of angioplasty with intra- or extracranial stent placement was significantly (p=0.05) associated with recanalization. On regression analysis, combination of intra-arterial tPA with a mechanical modality (p=0.09) was significantly associated with recanalization while combination of intravenous tPA with intracranial stent placement (p=0.06) was significantly associated with complete recanalization. Combination of pharmacological and mechanical modalities in the setting of multimodal therapy is associated with increased likelihood of successful recanalization in patients with acute ischemic stroke in the anterior cerebral circulation. Stent placement in acute stroke setting is promising and needs further exploration. Further prospective studies are needed.

Shhadeh, Akram; Garg, Ankur; Hassan,, Ameer E.; Hoover, Steven; Saucedo, Scott; Hassansad, Baharra; Cornett, Oriana; Tohidi, Vahid; Qureshi, Adnan I.; Kirmani, Jawad F.

2012-01-01

38

Recanalization following various endovascular modalities for treatment of anterior circulation acute ischemic strokes.  

PubMed

Currently several endovascular modalities and devices are available for use in acute ischemic stroke setting. Limited data exist regarding the relative efficacy of these different options when used individually or in combination. The primary objective of this study was to retrospectively compare the recanalization rates of various endovascular options when used for the treatment of acute ischemic stroke in the anterior cerebral circulation. We retrospectively reviewed 132 consecutive patients treated endovascularly at our center for acute ischemic stroke in the anterior cerebral circulation. Recanalization was defined as mTIMI of ? 2 while complete recanalization was defined as mTIMI of 4. Statistical analysis was performed to determine the modality or combination of modalities associated with best recanalization rate. Recanalization was achieved in 74% of patients while complete recanalization was achieved in 39% of patients. No individual endovascular therapy was significantly different from others in achieving recanalization. Where a multimodality approach was used, combination of angioplasty with intra- or extracranial stent placement was significantly (p=0.05) associated with recanalization. On regression analysis, combination of intra-arterial tPA with a mechanical modality (p=0.09) was significantly associated with recanalization while combination of intravenous tPA with intracranial stent placement (p=0.06) was significantly associated with complete recanalization. Combination of pharmacological and mechanical modalities in the setting of multimodal therapy is associated with increased likelihood of successful recanalization in patients with acute ischemic stroke in the anterior cerebral circulation. Stent placement in acute stroke setting is promising and needs further exploration. Further prospective studies are needed. PMID:22737260

Shhadeh, Akram; Garg, Ankur; Hassan, Ameer E; Hoover, Steven; Saucedo, Scott; Hassansad, Baharra; Cornett, Oriana; Tohidi, Vahid; Qureshi, Adnan I; Kirmani, Jawad F

2012-06-01

39

A hybrid approach to recanalization of a chronic iliofemoral occlusion.  

PubMed

The Viabahn covered stent (W. L. Gore and Associates Inc, Flagstaff, Ariz) is made of expanded polytetrafluoroethylene attached to an external nitinol stent and is primarily used in the endovascular treatment of lower extremity arterial occlusive disease. The use of this device as an open conduit for lower extremity revascularization has been rarely reported. We expand on this experience by presenting a case of hybrid endovascular and open iliofemoral bypass in which we used the Viabahn endoprosthesis to recanalize an occluded iliac artery, followed by direct suturing of the distal portion of the Viabahn stent graft to the native common femoral artery bifurcation. PMID:22963813

Ahanchi, Sadaf Sadie; Panneton, Jean Michel; Stout, Christopher Lee

2013-01-01

40

Patterns of recurrent disease after recanalization of femoropopliteal artery occlusions  

SciTech Connect

Purpose. In this prospective study we investigated the site, occurrence, and development of stenoses and occlusions following recanalization of superficial femoral artery occlusions. Methods. Recanalization of an occluded femoropopliteal artery was attempted in 62 patients. Follow-up examinations included clinical examination and color-flow duplex scanning at regular intervals. Arteriography was used to determine the localization of the recurrent disease relative to the initially occluded segment. Results. During a mean follow-up of 23 months (range 0-69 months) 14 high-grade restenoses, indicated by a peak systolic velocity ratio {>=}3.0, were detected by color-flow duplex scanning. Occlusion of the treated segment occurred in 11 patients. The cumulative 3-year primary patency rate for high-grade restenoses and occlusions combined was 44% (SE 9%). By arteriographic examination the site of restenosis was localized in the distal half of the treated vessel segment in 16 of 21 cases. Conclusion. Most restenoses and occlusions occurred during the first year and most disease developed at the previous intervention site. The site of restenosis is more frequently in the distal part of the initially treated segment, a finding that may have therapeutic implications.

Vroegindeweij, Dammis; Tielbeek, Alexander V. [Catharina Hospital, Department of Radiology (Netherlands); Buth, Jaap [Catharina Hospital, Department of Vascular Surgery (Netherlands); Vos, Louwerens D.; Bosch, Harrie C. M. van den [Catharina Hospital, Department of Radiology (Netherlands)

1997-07-15

41

The complete recanalization of PICC-related venous thrombosis in cancer patients: A series of case reports  

PubMed Central

In this study, cancer patients with venous thrombosis associated with the use of peripherally inserted central catheters (PICCs) underwent complete recanalization by the administration of Panax notoginseng saponins (PNS), which vary from heparin or urokinase in that they do not have the same risks associated with thrombolysis, including bleeding. To the best of our knowledge, this is the first study concerning the treatment of cancers with PNS to be reported in the literature. Three cancer patients aged 30–50 years old, two females and one male, were subjected to chemotherapy. On the first day of chemotherapy, a PICC was inserted into the right basilic vein with its tip in the superior vena cava. On the third day of chemotherapy, pain, swelling and skin flushing started. In the following days, particularly days 10–13, a Doppler ultrasound examination confirmed a long thrombus along the PICC line in the axillary vein and brachial veins in each patient. The patients rejected the insertion of an inferior vena cava filter, and neither heparin nor urokinase were administered due to contra-indications. An injection of PNS (200 mg) was administered every day. On days 20–28 of chemotherapy, the thrombus in the axillary and brachial veins disappeared in the three patients. It was concluded that PNS promote blood circulation, which prevents blood stasis and reduces the toxicity of cisplatin. The results suggest that PNS are a feasible and effective treatment option for many types of cancer, but have a broader clinical impact on cancer patients with PICC-related venous thrombosis. Therefore, this study is an original case report of particular interest to cancer patients with PICC-related venous thrombosis.

HUANG, ZUO-PING; LIU, XING-JING; ZOU, BIN-XIN; WANG, LI-GEN; ZHOU, TAO

2013-01-01

42

Deep Vein Thrombosis  

MedlinePLUS

Deep vein thrombosis, or DVT, is a blood clot that forms in a vein deep in the body. Most deep vein ... the condition is called thrombophlebitis. A deep vein thrombosis can break loose and cause a serious problem ...

43

Successful Endovascular Treatment of Iliac Vein Compression (May-Thurner) Syndrome in a Pediatric Patient  

SciTech Connect

A 10-year-old boy presented to our clinic with left lower extremity swelling present for 1 year with deterioration of symptoms during the prior month. Laboratory investigation for deep vein thrombosis was negative. Venography and computed tomography scan of the pelvis showed compression of the left common iliac vein by the right common iliac artery. A diagnosis of iliac vein compression syndrome was made. After venography, endovascular treatment was planned. The stenosis did not respond to balloon dilatation and a 12 mm Wallstent was placed with successful outcome. The patient's symptoms improved but did not resolve completely, probably due to a chronically occluded left superficial femoral vein that did not respond to endovascular recanalization. To the best of our knowledge, this is the first case of successful endovascular treatment of iliac vein compression syndrome with stent placement in a pediatric patient.

Oguzkurt, Levent, E-mail: loguzkurt@yahoo.com; Tercan, Fahri [Baskent University, Adana Teaching and Medical Research Center, Department of Radiology (Turkey); Sener, Mesut [Baskent University, Adana Teaching and Medical Research Center, Department of Anesthesiology and Reanimation (Turkey)

2006-06-15

44

Complete pathological regression of hepatocellular carcinoma with portal vein thrombosis treated with sorafenib  

PubMed Central

Sorafenib is a molecular-targeted therapy used in palliative treatment of advanced hepatocellular carcinoma (HCC) in Child-Pugh A patients. We describe the case of a patient who presented with a large HCC in the left liver associated with portal vein thrombosis (PVT). After 9 months of sorafenib treatment, reassessment showed that the tumors had decreased in size with recanalization of the portal vein. A lateral left hepatectomy was performed and pathology showed complete necrosis of the tumor. Sorafenib can downstage HCC in patients with cirrhosis allowing further surgical resection.

2013-01-01

45

Critical Use of Balloon Angioplasty after Recanalization Failure with Retrievable Stent in Acute Cerebral Artery Occlusion  

PubMed Central

Objective Sudden major cerebral artery occlusion often resists recanalization with currently available techniques or can results in massive symptomatic intracranial hemorrhage (sICH) after thrombolytic therapy. The purpose of this study was to examine mechanical recanalization with a retrievable self-expanding stent and balloon in acute intracranial artery occlusions. Methods Twenty-eight consecutive patients with acute intracranial artery occlusions were treated with a Solitaire retrievable stent. Balloon angioplasty was added if successful recanalization was not achieved after stent retrieval. The angiographic outcome was assessed by Thrombolysis in Cerebral Infarction (TICI) and the clinical outcomes were assessed by the National Institutes of Health Stroke Scale (NIHSS) and the modified Rankin Scale (mRS). Results At baseline, mean age was 69.4 years and mean initial NIHSS score was 12.5. A recanalization to TICI 2 or 3 was achieved in 24 patients (85%) after stent retrieval. Successful recanalization was achieved after additional balloon angioplasty in 4 patients. At 90-day follow-up, 24 patients (85%) had a NIHSS improvement of ?4 and 17 patients (60%) had a good outcome (mRS ?2). Although there was sICH, there was one death associated with the procedure. Conclusion Mechanical thromboembolectomy with a retrievable stent followed by additional balloon angioplasty is a safe and effective first-line therapy for acute intracranial artery occlusions especially in case of unsuccessful recanalization after stent thrombectomy.

Park, Jae Hyun; Jang, Kyeong Sool; Jang, Dong Kyu; Han, Young Min

2013-01-01

46

Recanalization of Extracranial Internal Carotid Artery Occlusion after i.v. Thrombolysis for Acute Ischemic Stroke  

PubMed Central

Background Although extracranial internal carotid artery (e-ICA) occlusion is a common pathology in patients undergoing intravenous thrombolysis for treatment of acute ischemic stroke, no data on e-ICA recanalization rate or potential effects on outcome are yet available. Methods and Results This study included 52 consecutive patients with e-ICA occlusion and ischemic stroke undergoing standard intravenous thrombolysis. The rate of e-ICA recanalization was 30.8% [95%CI, 18.2–43.3], documented at 3.5 [2.0–11.8] (median [IQR]) days after stroke, as compared to 8.6% [95%CI, 3.5–13.7] in a series of 116 consecutive patients with symptomatic e-ICA occlusion not undergoing thrombolysis (P<0.001 for difference). Functional outcome three months after stroke did not significantly differ for those with or without e-ICA recanalization following intravenous thrombolysis (modified Rankin scale ?2: 31.3% vs. 22.2%, odds ratio 1.6 [95%CI, 0.4–5.9], P?=?0.506). In patients with e-ICA occlusion of atherothrombotic origin, recanalization resulted in most instances in residual high-grade stenosis (13 of 14). Conclusions Recanalization of e-ICA occlusion after stroke thrombolysis occurred in about one third of patients. Although e-ICA recanalization had no significant effect on patient outcome, control sonography in the early days after thrombolysis is recommended for the detection of potential residual e-ICA stenosis.

Pechlaner, Raimund; Knoflach, Michael; Matosevic, Benjamin; Ruecker, Michael; Schmidauer, Christoph; Kiechl, Stefan; Willeit, Johann

2013-01-01

47

Effect of coronary artery recanalization on right ventricular function in patients with acute myocardial infarction  

SciTech Connect

The effects of coronary artery recanalization by intracoronary administration of streptokinase on left ventricular function during acute myocardial infarction have received increasing attention in recent years. Although myocardial dysfunction is often more pronounced in the right ventricle than in the left ventricle in patients with acute inferior wall myocardial infarction, the effect of coronary artery recanalization on right ventricular dysfunction has not been previously addressed. Accordingly, in this investigation, 54 patients who participated in a prospective, controlled, randomized trial of recanalization during acute myocardial infarction were studied. Among 30 patients with inferior wall infarction, 19 had right ventricular dysfunction on admission; 11 of these 19 had positive uptake of technetium-99m pyrophosphate in the right ventricle, indicative of right ventricular infarction. Patients with successful recanalization exhibited improved right ventricular ejection fraction from admission to day 10. However, control patients and patients who did not undergo recanalization also exhibited improvement. These data indicate that the right ventricular dysfunction commonly associated with inferior wall infarction is often transient, and improvement is the rule, irrespective of early recanalization of the infarct vessel.

Verani, M.S.; Tortoledo, F.E.; Batty, J.W.; Raizner, A.E.

1985-05-01

48

Percutaneous Transsplenic Access to the Portal Vein for Management of Vascular Complication in Patients with Chronic Liver Disease  

SciTech Connect

Purpose: To evaluate the safety and feasibility of percutaneous transsplenic access to the portal vein for management of vascular complication in patients with chronic liver diseases. Methods: Between Sept 2009 and April 2011, percutaneous transsplenic access to the portal vein was attempted in nine patients with chronic liver disease. Splenic vein puncture was performed under ultrasonographic guidance with a Chiba needle, followed by introduction of a 4 to 9F sheath. Four patients with hematemesis or hematochezia underwent variceal embolization. Another two patients underwent portosystemic shunt embolization in order to improve portal venous blood flow. Portal vein recanalization was attempted in three patients with a transplanted liver. The percutaneous transsplenic access site was closed using coils and glue. Results: Percutaneous transsplenic splenic vein catheterization was performed successfully in all patients. Gastric or jejunal varix embolization with glue and lipiodol mixture was performed successfully in four patients. In two patients with a massive portosystemic shunt, embolization of the shunting vessel with a vascular plug, microcoils, glue, and lipiodol mixture was achieved successfully. Portal vein recanalization was attempted in three patients with a transplanted liver; however, only one patient was treated successfully. Complete closure of the percutaneous transsplenic tract was achieved using coils and glue without bleeding complication in all patients. Conclusion: Percutaneous transsplenic access to the portal vein can be an alternative route for portography and further endovascular management in patients for whom conventional approaches are difficult or impossible.

Chu, Hee Ho; Kim, Hyo-Cheol, E-mail: angiointervention@gmail.com; Jae, Hwan Jun [Seoul National University College of Medicine, Seoul National University Medical Research Center, Seoul National University Hospital, Department of Radiology, Institute of Radiation Medicine, Clinical Research Institute (Korea, Republic of); Yi, Nam-Joon; Lee, Kwang-Woong; Suh, Kyung-Suk [Seoul National University College of Medicine and Seoul National University Hospital, Department of Surgery (Korea, Republic of); Chung, Jin Wook; Park, Jae Hyung [Seoul National University College of Medicine, Seoul National University Medical Research Center, Seoul National University Hospital, Department of Radiology, Institute of Radiation Medicine, Clinical Research Institute (Korea, Republic of)

2012-12-15

49

Recanalization Results After Intracranial Stenting of Atherosclerotic Stenoses  

SciTech Connect

The purpose of this investigation was to provide a detailed description of the angiographic results after stenting of high-grade intracranial stenosis using balloon-expandable stents. Forty consecutive patients with symptomatic atherosclerotic intracranial stenosis >50% received endovascular treatment by placement of balloon-expandable stents using the concept of slight underdilation and strict avoidance of overdilation. Intra-arterial digital subtraction angiography images before and after stenting in the same projection were reviewed for pre- and post-therapeutic measurement of the degree of stenosis and evaluation of morphologic criteria like plaque coverage, stent apposition, patency of side branches, and signs of dissection or vasospasm. Stenting decreased the mean percentage stenosis from 76.2 (WASID criteria) to 20.8%. Residual stenosis ranged from 0 to 55% with residual stenosis >50% in two of 40 cases. Technical success rate was 95%. There were no major vessel complications, but minor abnormalities like incomplete stent apposition (8/40) or plaque coverage (7/40), incomplete filling of side branches (13/40), and minor dissections after stenting (2/40) were seen. One case with incomplete stent apposition and two cases with side branch compromise were associated with clinical symptoms. In conclusion, intracranial stenting with slight underdilation avoided major vessel complication and created reliable luminal gain. Suboptimal recanalization results were frequently detected and may be the source of neurological complications in individual cases.

Blasel, Stella, E-mail: Stella.Blasel@kgu.de; Yuekzek, Zeynep; Kurre, Wiebke; Berkefeld, Joachim [University of Frankfurt, Institute of Neuroradiology (Germany); Neumann-Haefelin, Tobias [University of Frankfurt, Department of Neurology (Germany); Hattingen, Elke; Mesnil de Rochemont, Richard du [University of Frankfurt, Institute of Neuroradiology (Germany)

2010-10-15

50

Deep Vein Thrombosis  

MedlinePLUS

... veins include: Age Previous history of DVT or PE Metastatic malignancy Vein disease (such as varicose veins) ... lungs, where it is called a pulmonary embolism (PE). A pulmonary embolism is a potentially fatal condition ...

51

Renal vein thrombosis  

MedlinePLUS

Renal vein thrombosis is a blood clot that develops in the vein that drains blood from the kidney. ... Renal vein thrombosis is an uncommon disorder that may be caused by: Abdominal aortic aneurysm Clotting disorders Dehydration (mostly in infants) ...

52

Retinal vein occlusion  

MedlinePLUS

... small veins that carry blood away from the retina. The retina is the layer of tissue at the back ... smaller veins (branch veins or BRVO) in the retina often occurs when retinal arteries that have been ...

53

Percutaneous Recanalization of Acute Internal Carotid Artery Occlusions in Patients with Severe Stroke  

SciTech Connect

Background. Sudden symptomatic occlusions of the proximal internal carotid artery (ICA) resulting in severe middle cerebral artery (MCA) ischemia and stroke are usually not accessible by rt-PA thrombolysis and the prognosis is usually very poor. Mechanical recanalization of the proximal ICA combined with intravenous and intra-arterial thrombolysis was therefore used as a rescue procedure. Methods. Ten patients (9 men, 1 woman; mean age 56.1 years) were treated with emergency recanalization of the proximal carotid artery by using stents and/or balloon angioplasty as a rescue procedure. Three patients showed dissection, and 7 had atherothrombotic occlusions. Nine of 10 presented with an initial modified Rankin Scale (mRS) of 5, the remaining patient with mRS 4 (average NIHSS 21.4). After sonographic confirmation of ICA with associated MCA/distal ICA occlusion and bridging with rt-PA (without abciximab) an emergency angiography was performed with subsequent mechanical recanalization by percutaneous transluminal angioplasty (PTA) (n = 1) or primary stenting (n = 9) using self-expanding stents. Distal protection was used in 1 of 10 patients. Results. Recanalization of the proximal ICA was achieved in all. At least partial recanalization of the intracerebral arteries was achieved in all, and complete recanalization in 5. In 4 of 10 patients limited hemorrhage was detected during CT controls. Major complications included 2 patients who had to undergo hemicraniectomy. One patient died from malignant infarction. At the time of discharge from the stroke unit 9 of 10 patients had improved markedly, 5 patients having an mRS of {<=}2, and 3 patients a mRS of 3. At control after a mean of 20 weeks, 7 of 8 (88%) patients had a mRS {<=}2, and 1 a mRS of 3. Conclusions. Primary mechanical recanalization of ICA occlusions by stent and PTA combined with fibrinolysis and/or GPIIb/IIIa-receptor antagonists seems to be feasible to improve patient outcome significantly.

Dabitz, Rainer [Klinikum Ingolstadt, Department of Neurology (Germany); Triebe, Stefan [Klinikum Ingolstadt, Department of Diagnostic and Interventional Radiology (Germany); Leppmeier, Ullrich; Ochs, Guenther [Klinikum Ingolstadt, Department of Neurology (Germany); Vorwerk, Dierk [Klinikum Ingolstadt, Department of Diagnostic and Interventional Radiology (Germany)], E-mail: dierk.vorwerk@klinikum-ingolstadt.de

2007-02-15

54

Spatial distribution of perfusion abnormality in acute MCA occlusion is associated with likelihood of later recanalization.  

PubMed

The aim of this study is to investigate whether different spatial perfusion-deficit patterns, which indicate differing compensatory mechanisms, can be recognized and used to predict recanalization success of intravenous fibrinolytic therapy in acute stroke patients. Twenty-seven acute stroke data sets acquired within 6?hours from symptom onset including diffusion- (DWI) and perfusion-weighted magnetic resonance (MR) imaging (PWI) were analyzed and dichotomized regarding recanalization outcome using time-of-flight follow-up data sets. The DWI data sets were used for calculation of apparent diffusion coefficient (ADC) maps and subsequent infarct core segmentation. A patient-individual three-dimensional (3D) shell model was generated based on the segmentation and used for spatial analysis of the ADC as well as cerebral blood volume (CBV), cerebral blood flow, time to peak (TTP), and mean transit time (MTT) parameters derived from PWI. Skewness, kurtosis, area under the curve, and slope were calculated for each parameter curve and used for classification (recanalized/nonrecanalized) using a LogitBoost Alternating Decision Tree (LAD Tree). The LAD tree optimization revealed that only ADC skewness, CBV kurtosis, and MTT kurtosis are required for best possible prediction of recanalization success with a precision of 85%. Our results suggest that the propensity for macrovascular recanalization after intravenous fibrinolytic therapy depends not only on clot properties but also on distal microvascular bed perfusion. The 3D approach for characterization of perfusion parameters seems promising for further research. PMID:24473482

Siemonsen, Susanne; Forkert, Nils Daniel; Hansen, Anne; Kemmling, Andre; Thomalla, Götz; Fiehler, Jens

2014-05-01

55

Preventing Deep Vein Thrombosis  

MedlinePLUS

What is deep vein thrombosis (DVT)? Deep vein thrombosis is a condition in which blood clots (or thrombi) form in deep veins in the legs ... and Gynecologists f AQ • What is deep vein thrombosis (DVT)? • How does a clot form in a ...

56

Recanalization of Splenic Artery Aneurysm After Transcatheter Arterial Embolization Using N-Butyl Cyanoacrylate  

SciTech Connect

A 65-year-old woman who had been diagnosed as having microscopic polyangiitis developed sudden abdominal pain and entered a state of shock. Abdominal CT showed massive hemoperitoneum, and emergent angiography revealed a ruptured splenic artery aneurysm. After direct catheterization attempts failed due to tortuous vessels and angiospasm, transcatheter arterial embolization using an n-butyl cyanoacrylate (NBCA)-lipiodol mixture was successfully performed. Fifty days later, the patient developed sudden abdominal pain again. Repeated angiography demonstrated recanalization of the splenic artery and splenic artery aneurysm. This time, the recanalized aneurysm was embolized using metallic coils with the isolation method. Physicians should keep in mind that recanalization can occur after transcatheter arterial embolization using N-butyl cyanoacrylate, which has been used as a permanent embolic agent.

Matsumoto, Keiji; Ushijima, Yasuhiro, E-mail: ushijima@radiol.med.kyushu-u.ac.jp; Tajima, Tsuyoshi; Nishie, Akihiro; Hirakawa, Masakazu; Ishigami, Kousei [Kyushu University, Department of Clinical Radiology, Graduate School of Medical Sciences (Japan); Yamaji, Yukiko [Kyushu University, Department of Medicine and Biosystemic Science, Graduate School of Medical Sciences (Japan); Honda, Hiroshi [Kyushu University, Department of Clinical Radiology, Graduate School of Medical Sciences (Japan)

2010-02-15

57

Balloon Occlusion of the Contralateral Iliac Artery to Assist Recanalization of the Ipsilateral Iliac Artery in Total Aortoiliac Occlusion: A Technical Note  

PubMed Central

Endovascular recanalization of chronic total aortoiliac occlusion is technically challenging. Inability to reenter the true aortic lumen, following retrograde iliac recanalization, is one of the most common causes of failure. We describe a case of a total aortoiliac occlusion where balloon occlusion of the right common iliac artery, following its recanalization from a brachial approach, was used to facilitate antegrade recanalization of the occluded contralateral left common iliac artery.

Jaffan, Abdel Aziz A.

2013-01-01

58

Endovascular recanalization techniques for popliteal arterial occlusive injury with limb-threatening ischemia secondary to trauma  

PubMed Central

To date, no ideal endovascular strategy has been established for traumatic arterial occlusion. Here, we report the outcomes of a combination of endovascular recanalization techniques applied in two patients with high risk of leg amputation. A 33-year-old man with popliteal artery occlusion due to blunt trauma was treated by balloon angioplasty with long inflation time and aspiration thrombectomy. A 74-year-old woman with popliteal artery occlusion after total knee replacement was treated by aspiration thrombectomy and stent placement. In both cases, we achieved satisfactory recanalization, and peripheral ischemia was absent even 1 year later.

Murata, Satoru; Yasui, Daisuke; Tajima, Hiroyuki; Kawamata, Hiroshi; Yokota, Hiroyuki; Kumita, Shin-ichiro

2014-01-01

59

Budd-Chiari syndrome: hepatic venous web outflow obstruction treated by percutaneous placement of hepatic vein stent.  

PubMed

Budd-Chiari syndrome (BCS) denotes a heterogeneous group of diseases characterized by hepatic venous outflow obstruction at the level of the hepatic veins or inferior vena cava resulting in portal hypertension. Traditional approach to treatment of BCS involves systemic thrombolysis and surgical portosystemic shunt or transjugular intrahepatic portosystemic shunt in progressive cases of BCS or as a bridge to transplantation. Recently, an increasing number of successful reports of BCS therapy have involved endovascular techniques, including angioplasty and stent placement. The present report illustrates successful percutaneous recanalization of complete hepatic vein occlusion by angioplasty and stent implantation in a patient with membranous obstruction. PMID:21326746

Bozorgmanesh, Alireza; Selvam, D Arul; Caridi, James G

2007-03-01

60

Outflow protection filters during percutaneous recanalization of lower extremities' arterial occlusions: a pilot study  

Microsoft Academic Search

Purpose: Filter devices are already employed for the protection of carotid, coronary and renal distal vascular bed during endovascular procedures. This is a pilot study investigating their feasibility, safety and distal emboli protection capability during recanalization of lower extremities' acute and subacute occlusions. Materials and methods: Study population included 16 patients, 11 with a subacute arterial occlusion and 5 with

Dimitrios Siablis; Dimitrios Karnabatidis; Konstantinos Katsanos; Panagiota Ravazoula; Pantelis Kraniotis; George C. Kagadis

61

Acute thrombosis and recanalization of a ruptured anterior communicating artery aneurysm  

Microsoft Academic Search

A 35-year-old man sustained a subarachnoid hemorrhage due to the rupture of an anterior communicating artery aneurysm. A second angiogram taken 8 hours later demonstrated that the ruptured aneurysm had thrombosed spontaneously with a small residual aneurysm stump at the neck. CT scans and conventional angiograms taken 2 days later demonstrated recanalization of the aneurysm, which was successfully treated by

Thung-Ming Su; Shih-Wei Hsu; Wu-Fu Chen; Tao-Chen Lee; Ching-Hsiao Cheng

2009-01-01

62

Reocclusion of Recanalized Arteries during Intra-arterial Thrombolysis for Acute Ischemic Stroke  

Microsoft Academic Search

BACKGROUND AND PURPOSE: Early reocclusion of recanalized arteries has been observed after thrombolysis for acute coronary occlusion and has been attributed to platelet activation after exposure to thrombolytic agents. We conducted a retrospective study to determine the rate of reocclusion during intra-arterial thrombolysis for acute ischemic stroke and the effect of reocclusion on functional outcome. METHODS: Patients treated for acute

Adnan I. Qureshi; Amir M. Siddiqui; Stanley H. Kim; Ricardo A. Hanel; Andrew R. Xavier; Jawad F. Kirmani; M. Fareed; K. Suri; Alan S. Boulos; L. Nelson Hopkins

63

Optociliary veins and central retinal vein occlusion  

Microsoft Academic Search

In a follow up of 94 patients with central retinal vein occlusion (CRVO) whose onset had taken place less than 1 year earlier, optociliary veins (OCVs) were found in 7.4% at first examination. Among the 79 eyes in which the fundus of the eye was very visible after a follow up of more than 1 year OCVs were found in

G Giuffrè; C Palumbo; G Randazzo-Papa

1993-01-01

64

Varicose Veins and Venous Insufficiency  

MedlinePLUS

... venous system. Varicose Vein Treatments Minimally Invasive Vein Ablation Treatment Endovenous (or vein) ablation is a minimally ... leg, re-establishing normal flow. Benefits of Vein Ablation Treatment The treatment takes less than an hour ...

65

Endoscopic Saphenous Vein Harvesting  

Microsoft Academic Search

Although the use of arterial conduit has decreased the amount of saphenous vein required for routine coronary artery bypass grafting, the saphenous vein as a bypass conduit remains an essential component of most practices. We describe the technique of endoscopic vein harvest that, in our initial experience with 30 patients, has improved patient satisfaction and decreased the complications associated with

Keith B Allen; Carl J Shaar

1997-01-01

66

Limitations of Percutaneous Techniques in the Treatment of Portal Vein Thrombosis  

SciTech Connect

New therapeutic alternatives to portal vein thrombosis (PVT) include the percutaneous, transhepatic infusion of fibrinolytic agents, balloon dilatation, and stenting. These maneuvers have proven to be effective in some cases with acute, recent PVT. We have treated two patients with acute PVT via transhepatic or transjugular approaches and by using pharmacologic and mechanical thrombolysis and thrombectomy. Although both patients clinically improved, morphologic results were only fair and partial rethrombosis was observed. The limitations of percutaneous procedures in the recanalization of acute PVT in noncirrhotic patients are discussed.

Bilbao, Jose I.; Vivas, Isabel; Elduayen, Beatriz; Alonso, Carlos; Gonzalez-Crespo, Inaki; Benito, Alberto; Martinez-Cuesta, Antonio [Department of Radiology, Clinica Universitaria de Navarra, Facultad de Medicina, Universidad de Navarra, Avenida Pio XII no. 36, E-31008 Pamplona (Spain)

1999-09-15

67

The Smoking Paradox: Impact of Smoking on Recanalization in the Setting of Intra-Arterial Thrombolysis  

PubMed Central

Background The smoking paradox refers to a better outcome in smokers eligible for thrombolytic treatment in myocardial infarction or ischemic stroke. Recent findings suggest that current smokers may present higher recanalization rates after intravenous (IV) thrombolysis with recombinant tissue plasminogen activator (rt-PA). We evaluated the impact of smoking in a consecutive series of patients treated with intra-arterial (IA) rt-PA. Methods We analyzed data collected between April 2007 and December 2012 in our prospective registry. All acute ischemic stroke patients with an arterial occlusion treated by IA rt-PA (± IV, ± thrombectomy) were included. Arterial status was monitored with conventional angiography during the IA procedure. The primary study outcome was a complete recanalization achieved immediately after termination of IA rt-PA infusion. Secondary outcomes included complete recanalization after the end of the endovascular therapy (including complete recanalization achieved after adjunctive thrombectomy), favorable outcome (90-day modified Rankin Score ?2), 90-day all-cause mortality, and any intracerebral hemorrhage. Results Among the 227 included patients, 18.5% (n = 42) were current smokers and 16.7% (n = 38) former smokers. Compared with nonsmokers, current smokers were younger, more often men, had less frequently hypertension, and cardioembolic etiology, whereas former smokers were more often men and had more frequently hypercholesterolemia. The rate of complete recanalization was 30% (n = 68) after IA rt-PA infusion and 49% after adjunctive thrombectomy. A higher complete recanalization rate was found both in current smokers (45.2%) and former smokers (42.1%) compared to nonsmokers (22.5%). After adjustment for potential confounders, the adjusted odds ratio (OR) for complete recanalization associated with ever-smokers was 2.51 [95% confidence interval (CI) 1.26-4.99; p = 0.009]. A similar adjusted OR was found when the complete recanalization achieved after thrombectomy was included (OR 2.18, 95% CI 1.13-4.19; p = 0.019). However, smoking status was not independently associated with favorable outcome (adjusted OR 1.41, 95% CI 0.62-3.22 for former smokers, and adjusted OR 1.35, 95% CI 0.59-3.05 for current smokers), 90-day all-cause mortality (adjusted OR 0.68, 95% CI 0.25-1.81 for former smokers, and adjusted OR 1.55, 95% CI 0.54-4.48 for current smokers) or intracerebral hemorrhage (adjusted OR 0.72, 95% CI 0.29-1.76 for former smokers, and adjusted OR 0.80, 95% CI 0.32-1.96 for current smokers). Conclusions IA rt-PA administration was more effective to achieve complete arterial recanalization in current as well as former smokers. The characterization of the smoking paradox pathophysiology may lead to the identification of a patient-target population with a favorable response to rt-PA therapy. However, the smoking paradox should not be misinterpreted and not be used to promote smoking.

Meseguer, Elena; Labreuche, Julien; Gonzalez-Valcarcel, Jaime; Sirimarco, Gaia; Guidoux, Celine; Cabrejo, Lucie; Lavallee, Philippa C.; Klein, Isabelle F.; Amarenco, Pierre; Mazighi, Mikael

2014-01-01

68

Recanalization characteristics of intracoronary streptokinase compared to intravenous tissue plasminogen activator following acute myocardial infarction: a community hospital experience.  

PubMed

This study compares the recanalization characteristics of intracoronary streptokinase (IC-SK) with those of intravenous tissue plasminogen activator (t-PA) in patients with acute myocardial infarction (AMI) treated in the first 6 hours after onset of symptoms. We studied 263 patients with AMI. Among these, 160 were treated with IC-SK; in 59 the drug was given within the first 3 hours and in 101 from 3 to 6 hours. Another 103 patients were treated with IV t-PA; in 64 the drug was given in the first 3 hours and in 39 within 3 to 6 hours. The recanalization rate in the IC-SK group at 0 to 3 hours was 73% and at 3 to 6 hours was 71%, with an overall recanalization rate of 72% from 0 to 6 hours. In the t-PA group, the recanalization rate at 0 to 3 hours was 72% and at 3 to 6 hours was 46%, with an overall recanalization rate of 62%. We conclude that during the first 6 hours of AMI, IC-SK treatment resulted in a rather steady thrombolysis rate, while t-PA treatment with the standard regimen produced a significant decline in recanalization when administered after 3 hours from the onset of AMI symptoms. PMID:7660214

Ramos, R S; Salem, B I; Gowda, S; Haikal, M; Coordes, C; Leidenfrost, R

1995-09-01

69

Recanalization of Obstructed Tenckhoff Peritoneal Dialysis Catheter: Wire/Stylet Manipulation Combined with Endoluminal Electrocauterization  

SciTech Connect

We report the results of fluoroscopically guided wire/stylet manipulation combined with endoluminal electrocauterization in seven patients with obstructed Tenckhoff peritoneal dialysis catheters. In preparation for clinical application, electrocauterization was performed using a stone basket to recanalize surgically removed Tenckhoff catheters obstructed with omental fat ingrowing through the side holes. All ingrowing omental fat was removed easily by electrocauterization with the rotating movement of a stone basket. The technique was then applied in vivo in seven cases with ingrowing omental fat and malpositioned catheter; six (86%) were successfully recanalized. Among those six cases with initial success, four maintained good catheter function with durable patency (mean 261.3 days). No significant complication was noted.

Lim, Sang Joon; Shim, Hyung Jin [Department of Radiology, College of Medicine, Chung-Ang University, 82-1, Pil-dong 2 ka, Chung-ku, Seoul 100-272 (Korea, Republic of); Kwak, Byung Gook [Department of Internal Medicine, College of Medicine, Chung-Ang University, 82-1, Pil-dong 2 ka, Chung-ku, Seoul 100-272 (Korea, Republic of); Kim, Hyeon Joo; Park, Hyo Jin; Sa, Eun Jin [Department of Radiology, College of Medicine, Chung-Ang University, 82-1, Pil-dong 2 ka, Chung-ku, Seoul 100-272 (Korea, Republic of); Min, Cheol Hong [Department of Internal Medicine, College of Medicine, Chung-Ang University, 82-1, Pil-dong 2 ka, Chung-ku, Seoul 100-272 (Korea, Republic of); Lee, Yong Chul; Kim, Kun Sang [Department of Radiology, College of Medicine, Chung-Ang University, 82-1, Pil-dong 2 ka, Chung-ku, Seoul 100-272 (Korea, Republic of)

1998-09-15

70

Endovascular recanalization of acute atherothrombotic carotid artery occlusion holds up progressive stroke.  

PubMed

In acute carotid artery occlusion, hemodynamic compromise in addition to artery-artery thromboembolism is the mechanism of ischemia that may lead to a progressive clinical course with enlarging infarcts. The natural course of carotid artery occlusion with a progressive stroke is unfavorable with only about 10% of patients making a good recovery. We report on two patients in whom emergency recanalization of acute carotid artery occlusion with self-expanding stents restored cerebral blood flow and held up progressive stroke. PMID:15168098

Du Mesnil De Rochemont, R; Sitzer, M; Neumann-Haefelin, T; Harmjanz, A; Berkefeld, J

2004-07-01

71

Percutaneous recanalization of arteries: Status and prospects of laser angioplasty with modified fibre tips  

Microsoft Academic Search

Percutaneous balloon dilatation of arterial stenoses is a firmly established non-surgical treatment of ischaemic disease.\\u000a The number of percutaneous transluminal coronary angioplasties performed per year in the USA approaches the number of coronary\\u000a artery bypass graft operations. A great number of novel percutaneous recanalization schemes address the major problems of\\u000a balloon angioplasty: failure to cross the stenosis (occlusion), failure to

Cornelius Borst

1987-01-01

72

Salpingitis Isthmica Nodosa: Technical Success and Outcome of Fluoroscopic Transcervical Fallopian Tube Recanalization  

SciTech Connect

Purpose: To evaluate the technical success and outcome of fallopian tube recanalization (FTR) in salpingitis isthmica nodosa (SIN). Methods: SIN is a well-recognized pathological condition affecting the proximal fallopian tube and is associated with infertility and ectopic pregnancy. We reviewed the presentations, films, and case records of all patients attending for FTR for infertility from 1990 to 1994. Technical success and total, intrauterine, and ectopic pregnancy rates at follow-up were determined. Results: SIN was observed in 22 of 349 (6%) patients. FTR was attempted in 34 tubes in these 22 patients. Technical success was achieved in 23 of 34 (68%) tubes affected by SIN. In 5 of the 11 failed recanalizations, failure was due to distal obstruction. At least one tube was patent on selective postprocedural salpingography in 17 of 22 (77%) patients. There were no recorded perforations or complications. At follow-up (mean 14 months), total, intrauterine, and ectopic pregnancy rates were 23%, 18%, and 4.5%, respectively. Conclusion: FTR in SIN is technically successful and, compared with previously reported results in unselected infertility patients, is associated with only a slightly less favorable intrauterine pregnancy rate and a comparable ectopic pregnancy rate. The findings of SIN at FTR should not discourage attempted fluoroscopic transcervical recanalization.

Houston, J. Graeme; Machan, Lindsay S. [Department of Radiology, University Site, Vancouver Hospital, Vancouver, BC, V6T 1Z3 (Canada)

1998-01-15

73

[The iliac vein occlusion].  

PubMed

Basing on roentgenological and morphological investigations the causes of the iliac veins passability disorder were studied up. In 45.1% of observations the stenosis was revealed of the left and in 1.2% of the right common iliac vein. Among the stenosis causes were osteal or cartilagenous prominences of vertebral column, intravascular structures (webs, membranes) in the left common iliac vein, the external iliac vein squeeze by internal iliac artery, retroperitoneal fibrosis, the right common iliac artery aneurysm, anomalous branching of parietal pelvic artery. PMID:10370311

Baeshko, A A; Rogov, Iu I; Kriukov, A G; Sysoev, A V; Puchkov, A F; Berlov, G A

1999-01-01

74

Real-Time MRI-Guided Endovascular Recanalization of Chronic Total Arterial Occlusion in a Swine Model  

PubMed Central

Background Endovascular recanalization (guidewire traversal) of peripheral artery chronic total occlusion (CTO) can be challenging. X-Ray angiography resolves CTO poorly. Virtually “blind” device advancement during X-ray-guided interventions can lead to procedure failure, perforation and hemorrhage. Alternatively, magnetic resonance imaging (MRI) may delineate the artery within the occluded segment to enhance procedural safety and success. We hypothesized that real-time MRI (rtMRI) guided CTO recanalization can be accomplished in an animal model. Methods and Results Carotid artery CTO was created by balloon injury in 19 lipid overfed swine. After 6–8 weeks, two underwent direct necropsy analysis for histology, three underwent primary X-ray-guided CTO recanalization attempts, and the remaining 14 underwent rtMRI-guided recanalization attempts in a 1.5T interventional MRI system. rtMRI intervention used custom CTO catheters and guidewires that incorporated MRI receiver antennae to enhance device visibility. The mean length of the occluded segments was 13.3 ± 1.6cm. rtMRI-guided CTO recanalization was successful in 11/14 swine and only 1/3 swine using X-ray alone. After unsuccessful rtMRI (n = 3), X-ray-guided attempts also were all unsuccessful. Conclusions Recanalization of long CTO is feasible entirely using rtMRI guidance. Low profile clinical-grade devices will be required to translate this experience to humans. Endovascular recanalization of chronic total arterial occlusion (CTO) is challenging under conventional X-ray guidance because devices are advanced almost blindly. MRI can image CTO borders and luminal contents, and could potentially guide these procedures. We test the feasibility of real-time MRI guided wire traversal in a swine model of peripheral artery CTO using custom active MRI catheters.

Raval, Amish N.; Karmarkar, Parag V.; Guttman, Michael A.; Ozturk, Cengizhan; Sampath, Smita; DeSilva, Ranil; Aviles, Ronnier J.; Xu, Minnan; Wright, Victor J.; Schenke, William H.; Kocaturk, Ozgur; Dick, Alexander J.; Raman, Venkatesh K.; Atalar, Ergin; McVeigh, Elliot R.; Lederman, Robert J.

2006-01-01

75

Deep vein thrombosis.  

PubMed

Deep vein thrombosis (DVT) is a thrombus or blood clot that can occur in any of the deep veins in the body. DVTs occur most commonly in the leg or pelvis but also travel to the lungs, causing pulmonary embolism. PMID:24938985

Jackson, Mike

2014-06-18

76

Recurrent varicose veins  

Microsoft Academic Search

When Doppler ultrasound was introduced for the assessment of patients with varicose veins, a more accurate clinical appraisal of the pathophysiology of this condition became possible. In particular, it enabled identification of those patients with recurrent varicose veins who had had inappropriate or inadequate initial treatment. It facilitated planning of appropriate further treatment.

John P. Royle

1986-01-01

77

How Are Varicose Veins Treated?  

MedlinePLUS

... page from the NHLBI on Twitter. How Are Varicose Veins Treated? Varicose veins are treated with lifestyle changes and medical procedures. ... relieve symptoms, prevent complications, and improve appearance. If varicose veins cause few symptoms, your doctor may simply suggest ...

78

Living donor liver transplantation using a right liver graft with additional vein reconstructions for patient with situs inversus.  

PubMed

Living donor liver transplantation (LDLT) using a right liver graft with additional vein reconstructions has not been previously reported in a situs inversus (SI) patient. A 60-year-old man with SI was referred for LDLT for end-stage cirrhosis secondary to hepatitis B. The calculated regional volumes of the individual hepatic vein territories in the right liver graft suggested that the middle hepatic vein (MHV) tributaries and the inferior right hepatic veins (IRHVs) should be reconstructed in addition to the right hepatic vein (RHV). On the back-table, the recipient's recanalized umbilical vein graft was anastomosed to the V5 opening, and the other side of vein graft was anastomosed to the RHV and V8 opening to create a large single orifice. After total hepatectomy, the right liver graft was placed in the left subphrenic space at the reversed position. The common orifice of hepatic venous drainage from RHV, V8 and V5 was anastomosed to the anatomical RHV conduit of the recipient, followed by IRHV anastomosis to the inferior vena cava. Postoperative course was almost uneventful, and no vascular complications were experienced. Even for SI patients, LDLT using a right liver graft with reconstructions of the MHV tributaries and the IRHVs is feasible. PMID:24725262

Kamei, H; Onishi, Y; Ogawa, K; Uemoto, S; Ogura, Y

2014-06-01

79

Spontaneous Recanalization of Superior Mesenteric Artery Occlusion Following Angioplasty and Stenting of Inferior Mesenteric Artery  

SciTech Connect

An 84-year-old woman with a history of hypertension and coronary artery disease was admitted with a progressively worsening diffuse abdominal pain. Computed tomography scan of the abdomen and angiography revealed occlusion of the origin and proximal portion of superior mesenteric artery. Aortography also showed severe origin stenosis of inferior mesenteric artery and that the distal part of the superior mesenteric artery was supplied by a prominent marginal artery of Drummond. Patient was effectively treated with percutaneous transluminal angioplasty and stenting of the inferior mesenteric artery. Follow-up imaging studies demonstrated patency of the stent and spontaneous recanalization of superior mesenteric artery occlusion.

Akpinar, Erhan, E-mail: eakp0@Lycos.com; Cil, Barbaros E.; Arat, Anil [Hacettepe University, Departments of Radiology (Turkey); Baykal, Atac; Karaman, Kerem [Hacettepe University, Departments of General Surgery (Turkey); Balkanci, Ferhun [Hacettepe University, Departments of Radiology (Turkey)

2006-02-15

80

The Outback Catheter: A New Device for True Lumen Re-entry After Dissection During Recanalization of Arterial Occlusions  

SciTech Connect

To report the initial experience with a new catheter system (The Outback catheter) designed to allow fluoroscopically controlled re-entry of the true arterial lumen after subintimal guidewire passage during recanalization procedures of arterial occlusions. The catheter was used in 10 patients with intermittent claudication caused by chronic segmental occlusions of the superficial femoral or popliteal arteries. In all patients, conventional guidewire recanalization had failed. In 8 patients, successful true lumen re-entry was achieved with the Outback catheter. Percutaneous transluminal angioplasty was successfully performed in these patients without complications. Two technical failures occurred in heavily calcified arteries. The Outback catheter was safe and effective when used in complicated recanalization procedures in the superficial femoral and popliteal artery and the tibial trunk.

Hausegger, Klaus A., E-mail: klaus.hausegger@lkh-klu.at; Georgieva, Borjana; Portugaller, Horst; Tauss, Josef [University Hospital Graz, Auenbruggerplatz 9, 8036 Graz, Department of Radiology (Austria); Stark, Gerhard [University Hospital Graz, Graz, Department of Internal Medicine, Angiology (Austria)

2004-01-15

81

Deep vein thrombosis - discharge  

MedlinePLUS

Deep venous thrombosis (DVT) is when a blood clot forms in a vein that is not on the surface of the ... al. Executive Summary: Antithrombotic Therapy and Prevention of Thrombosis. 9th ed. American College of Chest Physicians Evidence- ...

82

Single 6 fr transradial guiding catheter for retrograde recanalization of left coronary artery chronic total occlusions: a case series.  

PubMed

The retrograde approach for percutaneous coronary intervention, using multiple arterial accesses for contralateral injection and large guiding catheters (7-8 Fr), has largely improved the success rate of recanalization of chronic total occlusions (CTOs). Radial approach and downsizing in this type of intervention are challenging. Our cases series demonstrates that in selected anatomies it is possible, feasible, and safe to perform single 6 Fr transradial guiding catheter retrograde recanalization of left-sided CTO via ipsilateral epicardial or septal collateral channels. PMID:24993996

Chung, Tak-Shun; Agostoni, Pierfrancesco

2014-07-01

83

Efficacy of Salpingography and Transcervical Recanalization in Diagnosis, Categorization, and Treatment of Fallopian Tube Obstruction  

SciTech Connect

Purpose: The efficacy of selective salpingography (SS) and transcervical recanalization (TCR) in diagnosis, categorization, and determination of optimal treatment modality for fallopian tube obstruction was investigated.Methods: SS and, in some patients, TCR was performed in 430 patients with a diagnosis of obstruction of one or both fallopian tubes, as determined by hysterosalpingograms (HSG). All patients (age 21-46 years) had an infertility problem for at least 18 months.Results: In 196 patients, 325 tubes were patent on SS. TCR recanalized 243 tubes in 176 patients. Disease of the distal tube was demonstrated in 66 patients. There were 39 live babies in a group of 176 patients with successful TCR. Best live birth rate was in 7 of 12 (58%) patients with underlying endometriosis, followed by postsurgical strictures in inflammatory disease, 6 of 31 (19%), and salpingitis isthmica nodosa in 25 of 168 (15%). There were no pregnancies in patients with cobblestone pattern of the distal tubes.Conclusions: SS and TCR were capable of correcting obstruction of the proximal tubes in 243 of 465 tubes in 176 of 234 patients (75%). With patency of the proximal tube restored, the distal tube could be assessed for changes indicative of damage to the ciliated epithelium which was likely to reduce the ability to become pregnant. This allowed for the triage of patients into groups benefiting from the relatively inexpensive and low complication TCR or patients in need of in vitro fertilization or similar assisted reproductive technologies.

Lang, Erich K. [Department of Radiology, Tulane Medical Center, 1430 Tulane Avenue, SL 54, New Orleans, LA 70112 (United States); Dunaway, Herbert E. [Division of Reproductive Gynecology, 4700 I-10 Service Road, Lakeside Hospital, Metairie, LA 70008 (United States)

2000-11-15

84

Acute partial Budd-Chiari syndrome and portal vein thrombosis in cytomegalovirus primary infection: a case report  

PubMed Central

Background Splanchnic vein thrombosis may complicate inherited thrombotic disorders. Acute cytomegalovirus infection is a rare cause of acquired venous thrombosis in the portal or mesenteric territory, but has never been described extending into a main hepatic vein. Case presentation A 36-year-old immunocompetent woman presented with acute primary cytomegalovirus infection in association with extensive thrombosis in the portal and splenic vein. In addition, a fresh thrombus was evident in the right hepatic vein. A thorough evaluation for a hypercoagulable state was negative. The clinical course, biological evolution, radiological and histological findings were consistent with cytomegalovirus hepatitis complicated by a partial acute Budd-Chiari syndrome and portal thrombosis. Therapeutic anticoagulation was associated with a slow clinical improvement and partial vascular recanalization. Conclusion We described in details a new association between cytomegalovirus infection and acute venous thrombosis both in the portal vein and in the right hepatic vein, realizing a partial Budd-Chiari syndrome. One should be aware that this rare thrombotic event may be complicated by partial venous outflow block.

Spahr, Laurent; Cerny, Andreas; Morard, Isabelle; Rubbia-Brandt, Laura; Schrenzel, Jacques

2006-01-01

85

Pelvic Vein Embolisation in the Management of Varicose Veins  

SciTech Connect

Pelvic vein incompetence is common in patients with atypical varicose veins, contributing to their recurrence after surgery. Therefore, refluxing pelvic veins should be identified and treated. We present our experience with pelvic vein embolisation in patients presenting with varicose veins. Patients presenting with varicose veins with a duplex-proven contribution from perivulval veins undergo transvaginal duplex sonography (TVUS) to identify refluxing pelvic veins. Those with positive scans undergo embolisation before surgical treatment of their lower limb varicose veins. A total of 218 women (mean age of 46.3 years) were treated. Parity was documented in the first 60 patients, of whom 47 (78.3%) were multiparous, 11 (18.3%) had had one previous pregnancy, and 2 (3.3%) were nulliparous. The left ovarian vein was embolised in 78%, the right internal iliac in 64.7%, the left internal iliac in 56.4%, and the right ovarian vein in 42.2% of patients. At follow-up TVUS, mild reflux only was seen in 16, marked persistent reflux in 6, and new reflux in 3 patients. These 9 women underwent successful repeat embolisation. Two patients experienced pulmonary embolisation of the coils, of whom 1 was asymptomatic and 1 was successfully retrieved; 1 patient had a misplaced coil protruding into the common femoral vein; and 1 patient had perineal thrombophlebitis. The results of our study showed that pelvic venous embolisation by way of a transjugular approach is a safe and effective technique in the treatment of pelvic vein reflux.

Ratnam, Lakshmi A. [St. George's Hospital, Department of Radiology (United Kingdom); Marsh, Petra; Holdstock, Judy M.; Harrison, Charmaine S. [Stirling House, Whiteley Clinic (United Kingdom); Hussain, Fuad F. [Royal Surrey County Hospital, Department of Radiology (United Kingdom); Whiteley, Mark S. [Stirling House, Whiteley Clinic (United Kingdom); Lopez, Anthony, E-mail: consultant@radiologist.co.u [Royal Surrey County Hospital, Department of Radiology (United Kingdom)

2008-11-15

86

The Outback Catheter: A New Device for True Lumen Re-entry After Dissection During Recanalization of Arterial Occlusions  

Microsoft Academic Search

To report the initial experience with a new catheter system (The Outback catheter) designed to allow fluoroscopically controlled re-entry of the true arterial lumen after subintimal guidewire passage during recanalization procedures of arterial occlusions. The catheter was used in 10 patients with intermittent claudication caused by chronic segmental occlusions of the superficial femoral or popliteal arteries. In all patients, conventional

Klaus A. Hausegger; Borjana Georgieva; Horst Portugaller; Josef Tauss; Gerhard Stark

2004-01-01

87

Epidemiology of varicose veins  

Microsoft Academic Search

The prevalence rate of varicose veins in adults varies from less than 1% in lowland New Guinea women to over 50% in women in south Wales. Within populations the prevalence increases with age, is generally greater in women, is directly related to body mass, has an inconsistent relationship with occupation, and usually increases with increasing parity. None of these factors

Robert Beaglehole

1986-01-01

88

Stent recanalization of carotid tonsillar loop dissection using the Enterprise vascular reconstruction device.  

PubMed

Although advances in endovascular techniques have permitted reconstruction of intimal dissections and related pseudoaneurysms of the extracranial cervical internal carotid artery, highly tortuous tonsillar loop anatomic variants still pose an obstacle to conventional extracranial self-expanding carotid stents. During a 12year period, nine of 48 cases with cervical carotid dissections were associated with a tonsillar loop. Five patients required endovascular treatment, which was performed using a microcatheter-based technique with the low-profile Enterprise vascular reconstruction device (Codman Neurovascular, Raynham, MA, USA). Technical, radiographic, and clinical outcomes were analyzed for each patient. Dissection etiology was spontaneous in three patients, iatrogenic in one, and traumatic in one. Four near-occlusive tonsillar loop dissections were successfully recanalized during the acute phase. Dissection-related stenosis improved from 90±22% to 31±13%, with tandem stents needed in three instances to seal the inflow zone. There were no procedure-related transient ischemic attacks (TIA), minor/major strokes, or deaths. Angiographic follow-up for a mean of 28.0±21.6months showed all stents were patent, with average stenosis of 25.2±12.2%. Focal ovalization and kinking of the closed-cell design was noted at the sharpest curve in one patient. Clinical outcome (follow-up of 28.1±21.5months) demonstrated overall improvement with no clinical worsening, new TIA, or stroke. Tonsillar loop-associated carotid dissections can be successfully and durably recanalized using the low-profile Enterprise stent with an excellent long-term patency rate and low procedural risk. The possibility of stent kinking and low radial force should be considered when planning reconstruction with this device. PMID:24642024

Rahal, Jason P; Gao, Bulang; Safain, Mina G; Malek, Adel M

2014-07-01

89

Numerical Modelling of Vein Microstructures  

Microsoft Academic Search

Mineral veins occur in a variety of forms (syntaxial, antitaxial, etc.), and with various microstructures (fibrous, stretched crystals, vuggy, etc.). These structures can, if correctly interpreted, provide useful insight into the geological and tectonic conditions at which the veins formed (Oliver and Bons 2001). Durney and Ramsay (1973) defined the base for the modern classification and interpretation of vein (micro-)

P. D. Bons

2005-01-01

90

Virus Necrosis of Tobacco Veins.  

National Technical Information Service (NTIS)

Virus necrosis of tobacco veins (browning of tobacco veins) occurs all over Poland and causes major economic losses. Studies of a number of orders show that the necrosis of tobacco veins is caused by a virus, which belongs to the group of potato virus Y (...

J. Berbec

1964-01-01

91

Pineal veins in vertebral angiography.  

PubMed

Angiographic patterns of pineal veins in normal and pathological conditions are examined. The diagnostic value of these veins for midline growths is limited owing to their inconstant visualization, multifarious angiographic patterns and minute size. With this in mind, greater significance of classical displacements of the internal and basal veins is outlined. PMID:1196485

Turtas, S

1975-11-21

92

Extrahepatic portal vein aneurysm.  

PubMed

Portal vein aneurysms (PVAs) are usually incidental on imaging and asymptomatic. If it is symptomatic or associated with a pathologic finding, a treatment is recommended. We report a case of a 75-year-old Caucasian man presenting with symptomatic and size-increasing portosplenomesenteric aneurysms. Interventional radiology was not indicated because of the large size. A surgical approach was chosen for the patient. Surgical technique consists of an aneurysmorrhaphy in the first time and in the second time, a Goretex prosthesis placement involving the vein. Early complication was treated with a radiologic approach. Six months after surgery, patient had no more symptoms. PVA management remains a surgical challenge for surgeon, for timing and type of treatment. PMID:24456867

Levi Sandri, Giovanni Battista; Sulpice, Laurent; Rayar, Michel; Bosquet, Elise; Boudjema, Karim; Meunier, Bernard

2014-07-01

93

Immediate- and short-term outcome following recanalization of long chronic total occlusions (> 50 mm) of native coronary arteries with the Frontrunner catheter.  

PubMed

Thirty percent of diagnostic angiograms have at least 1 chronic total occlusion (CTO). The 10-year survival of patients with a CTO is improved if they have the CTO successfully recanalized. The success of recanalization with conventional wires is 50% and the impact of new technology on recanalization is unknown. This abstract reports a single center experience with one such new device, the Lumend Frontrunner catheter in revascularization of this difficult lesion subset. A consecutive series of 18 patients with CTO's of native coronary arteries were enrolled in this single center, single operator series. The mean age of the CTO was 5.3 years. The indication for attempt at recanalization was ischemia in the territory of the CTO on SPECT imaging. Success was defined as TIMI flow restoration and < 40% residual stenosis. Primary success (defined as TIMI 3 Flow restoration and < 40% residual stenosis) was achieved in 77% of patients. At 30 days and out to 6 months, clinical TVR was 11% (2/18) in this difficult lesion subset. Conventional predictors of failure to recanalize CTOs do not appear to hold true with the use of the Frontrunner catheter. In this small series, dual cusp injections and use of the Microglide catheter appears to correlate with favorable outcomes. Fluoroscopy times and contrast use are high when attempting recanalization of CTOs with this technology. PMID:16775901

Loli, Akil; Liu, Rex; Pershad, Ashish

2006-06-01

94

Leg wound infections following greater saphenous vein harvesting: minimally invasive vein harvesting versus conventional vein harvesting.  

PubMed

Wound complications associated with long incisions used to harvest the greater saphenous vein are common and well documented. We compared leg wound infection rates, wound healing disturbances (WHDs), length of vein harvested, vein harvest time, and total surgical time between minimally invasive saphenous vein harvesting (MIVH) and conventional vein harvesting (CVH) techniques. This meta-analysis showed a significant reduction in wound infections in favor of the MIVH group (odds ratio = 0.19; 95% confidence interval = 0.14-0.25) and a significant reduction in WHDs in favor of the MIVH group (odds ratio = 0.26; 95% confidence interval = 0.20-0.34). The MIVH and CVH techniques are equivalent with respect to saphenous vein harvest time, saphenous vein harvest length, and total surgical time. A visual inspection of "funnel" plots suggests a mild to moderate publication bias. This meta-analysis suggests that leg wound infections and wound healing disturbances are reduced using MIVH techniques. PMID:18815201

Reed, James F

2008-12-01

95

Point of Care Perioperative Coagulation Management in Liver Transplantation and Complete Portal Vein Thrombosis  

PubMed Central

Liver transplantation (LT) is a serious hemostatic challenge in patients with portal vein thrombosis (PVT). Advances in monitoring systems have improved surgery in this setting. We report the successful application of a point-of-care (POC) rotational viscoelastic thromboelastometry-guided (TEM) testing system (ROTEM) which allowed management of coagulation during LT in a 64-year-old cirrhotic patient with a model for end-stage liver disease (MELD) score of 16. Perioperatively, the patient showed complete PVT, hepatomegaly, splenomegaly, recanalization of the umbilical vein, and portosystemic shunt. Macroscopic liver and spleen adherences with collateral circulation were evident. Coagulation factors and fibrinolysis were assessed preoperatively and at graft reperfusion to evaluate the need of hemostatic therapy. Based on ROTEM findings, the patient received 16?g of human fibrinogen concentrate, half preoperatively (with prothrombin complex concentrate 2000?IU, tranexamic acid 1?g, and platelets 2?IU), and two doses of 4?g before and after graft reperfusion; we achieved normalization of all monitored parameters. No ischemia-reperfusion syndrome was present. Postoperatively portal vein flux at Color-Doppler ultrasonography was normal. After a 3-day ICU stay, the patient was moved to the Department of Surgery and discharged on day 14. The postoperative course was uneventful and did not require any further haemostatic therapy.

Piangatelli, Cristiano; Faloia, Lucia; Valentini, Ilaria; Vivarelli, Marco

2014-01-01

96

Point of care perioperative coagulation management in liver transplantation and complete portal vein thrombosis.  

PubMed

Liver transplantation (LT) is a serious hemostatic challenge in patients with portal vein thrombosis (PVT). Advances in monitoring systems have improved surgery in this setting. We report the successful application of a point-of-care (POC) rotational viscoelastic thromboelastometry-guided (TEM) testing system (ROTEM) which allowed management of coagulation during LT in a 64-year-old cirrhotic patient with a model for end-stage liver disease (MELD) score of 16. Perioperatively, the patient showed complete PVT, hepatomegaly, splenomegaly, recanalization of the umbilical vein, and portosystemic shunt. Macroscopic liver and spleen adherences with collateral circulation were evident. Coagulation factors and fibrinolysis were assessed preoperatively and at graft reperfusion to evaluate the need of hemostatic therapy. Based on ROTEM findings, the patient received 16?g of human fibrinogen concentrate, half preoperatively (with prothrombin complex concentrate 2000?IU, tranexamic acid 1?g, and platelets 2?IU), and two doses of 4?g before and after graft reperfusion; we achieved normalization of all monitored parameters. No ischemia-reperfusion syndrome was present. Postoperatively portal vein flux at Color-Doppler ultrasonography was normal. After a 3-day ICU stay, the patient was moved to the Department of Surgery and discharged on day 14. The postoperative course was uneventful and did not require any further haemostatic therapy. PMID:24653855

Piangatelli, Cristiano; Faloia, Lucia; Cristiani, Claudia; Valentini, Ilaria; Vivarelli, Marco

2014-01-01

97

Multiple vortex vein ampulla varicosities  

PubMed Central

Vortex vein ampulla varicosities are asymptomatic, harmless, findings in the retina. They are incidentally picked up on routine eye examination or when presenting for unrelated ocular symptoms. Clinicians and other eye care professionals unaware of this condition may be alarmed and may subject patients to unnecessary anxiety and expensive investigations. We present a rare case of varicosity of two vortex veins involving one quadrant of the retina. We have also shown simple clinical methods of establishing the diagnosis of vortex vein varicosity.

Vahdani, K; Kapoor, B; Raman, V S

2010-01-01

98

Popliteal vein aneurysm.  

PubMed

Although popliteal venous aneurysms are uncommon, they are also potentially fatal because they can cause a pulmonary embolism. The authors report a case of a popliteal vein aneurysm in a healthy, asymptomatic 32-year-old patient as well as a review of the literature. Popliteal venous aneurysms are a rare but treatable cause of recurrent pulmonary embolism, with their true incidence probably being underestimated. Whenever possible, we recommend early surgical repair of both symptomatic and asymptomatic popliteal venous aneurysms because they are associated with an ill-defined risk of pulmonary embolism and death if left untreated. PMID:20103062

Roche-Nagle, Graham; Wooster, Douglas; Oreopoulos, George

2010-01-01

99

Symptomatic popliteal vein aneurysm.  

PubMed

Popliteal vein aneurysms (PVAs) can have serious consequences, including pulmonary embolism and death. We report a case of PVA in a previously healthy 58-year-old female with a history of pain in her right popliteal fossa for the past 3 years. Patient had no history of trauma or claudication of the right leg. Following a preoperative venogram to confirm the diagnosis, the PVA was dissected circumferentially through a posterior incision. The aneurysm was resected and repaired with lateral venorrhaphy. Patient had an uneventful recovery. Due to the possibility of severe consequences, if left untreated, early surgical repair is highly recommended whether the patient has symptoms or not. PMID:24420057

Premaratne, Shyamal; Tan, Tze-Woei; Coulter, Amy H; Doumite, Darin; Zhang, Wayne W

2014-04-01

100

Mechanical Recanalization of Subacute Vessel Occlusion in Peripheral Arterial Disease with a Directional Atherectomy Catheter  

SciTech Connect

Purpose: To retrospectively examine the technical feasibility and safety of directional atherectomy for treatment of subacute infrainguinal arterial vessel occlusions. Methods: Five patients (one woman, four men, age range 51-81 years) with peripheral arterial disease who experienced sudden worsening of their peripheral arterial disease-related symptoms during the last 2-6 weeks underwent digital subtraction angiography, which revealed vessel occlusion in native popliteal artery (n = 4) and in-stent occlusion of the superficial femoral artery (n = 1). Subsequently, all patients were treated by atherectomy with the SilverHawk (ev3 Endovascular, USA) device. Results: The mean diameter of treated vessels was 5.1 {+-} 1.0 mm. The length of the occlusion ranged 2-14 cm. The primary technical success rate was 100%. One patient experienced a reocclusion during hospitalization due to heparin-induced thrombocytopenia. There were no further periprocedural complications, in particular no peripheral embolizations, until hospital discharge or during the follow-up period of 1 year. Conclusion: The recanalization of infrainguinal arterial vessel occlusions by atherectomy with the SilverHawk device is technically feasible and safe. In our limited retrospective study, it was associated with a high technical success rate and a low procedure-related complication rate.

Massmann, Alexander, E-mail: Alexander.Massmann@uks.eu; Katoh, Marcus [Saarland University Hospital, Department of Diagnostic and Interventional Radiology (Germany); Shayesteh-Kheslat, Roushanak [Saarland University Hospital, Department of General Surgery, Visceral, Vascular, and Pediatric Surgery (Germany); Buecker, Arno [Saarland University Hospital, Department of Diagnostic and Interventional Radiology (Germany)

2012-10-15

101

Pattern compensation in Drosophila wing vein development  

Microsoft Academic Search

Much interest in developmental genetics has focused on the formation of patterns. Using the wing vein pattern of Drosophila melanogasler as our model system, we show that vein placement is essentially independent of cell lineage. In studying vein placement in a variety of wing vein mutants, we observed that the position of a vein can move to compensate for the

James N Thompson; Joe V Toney; G Bradley Schaefer

1980-01-01

102

Recurrent varicose veins following high ligation of long saphenous vein: a duplex ultrasound study  

Microsoft Academic Search

Duplex scanning was used to study recurrent varicose veins in 244 limbs with previous high ligation of the long saphenous vein. The recurrent varicose veins were classified into two types according to the presence or absence of a residual long saphenous vein. Varicose veins with a residual long saphenous vein (type I) occurred in 168 limbs (68.9%). A residual long

Y. Tong; J. Royle

1995-01-01

103

Infrared imaging of varicose veins  

NASA Astrophysics Data System (ADS)

It has been established that varicose veins are better visualized with infrared photography. As near-infrared films are nowadays hard to get and to develop in the digital world, we investigated the use of digital photography of varicose veins. Topics that are discussed are illumination setup, photography and digital image enhancement and analysis.

Noordmans, Herke Jan; de Zeeuw, Raymond; Verdaasdonk, Ruud M.; Wittens, Cees H. A.

2004-06-01

104

Infrared imaging of varicose veins  

Microsoft Academic Search

It has been established that varicose veins are better visualized with infrared photography. As near-infrared films are nowadays hard to get and to develop in the digital world, we investigated the use of digital photography of varicose veins. Topics that are discussed are illumination setup, photography and digital image enhancement and analysis.

Herke Jan Noordmans; Raymond de Zeeuw; Ruud M. Verdaasdonk; Cees H. A. Wittens

2004-01-01

105

Hepatic vein obstruction (Budd-Chiari)  

MedlinePLUS

Hepatic vein obstruction is a blockage of the hepatic vein, which carries blood away from the liver. ... Hepatic vein obstruction prevents blood from flowing out of the liver and back to the heart. This blockage can ...

106

How Is Deep Vein Thrombosis Treated?  

MedlinePLUS

... the NHLBI on Twitter. How Is Deep Vein Thrombosis Treated? Doctors treat deep vein thrombosis (DVT) with medicines and other devices and therapies. ... wear compression stockings. Rate This Content: Deep Vein Thrombosis Clinical Trials Clinical trials are research studies that ...

107

Thrombus just beneath a retrievable inferior vena cava filter in a pregnant woman with deep vein thrombosis: its removal requiring catheter thrombus fragmentation with fibrinolysis.  

PubMed

Recently, transient inferior vena cava (IVC) filters have been employed to protect against pulmonary embolism (PE) in pregnant women with deep vein thrombosis. A 34-year-old primiparous Japanese woman with a history of myomectomy was diagnosed with deep vein thrombosis by ultrasound at 27 weeks of gestation. Unfractionated heparin was administered, which soon ameliorated swelling in the right thigh. A transient IVC filter was implanted just before cesarean section. An enhanced computed tomography scan 2 days after cesarean section revealed a wide thrombus just distal to the filter. We performed catheter thrombus fragmentation with fibrinolysis just before the removal of the IVC filter, resulting in re-canalization of blood flow. No significant PE occurred. Although a transient IVC filter may work well for the prophylaxis of PE during labor and delivery, catheter fragmentation with fibrinolysis may become necessary at removal of the filter. PMID:24118502

Horie, Kenji; Suzuki, Hirotada; Ohkuchi, Akihide; Matsubara, Shigeki; Ikemoto, Tomokazu; Suzuki, Mitsuaki

2014-02-01

108

Varicose Veins - Multiple Languages: MedlinePlus  

MedlinePLUS

... sharing features on this page, please enable JavaScript. Varicose Veins - Multiple Languages Russian (???????) Spanish (español) Russian (???????) Concerns and Discomforts of Pregnancy (Varicose Veins) English ???????? ? ?????????? ??? ???????????? - ?????????? ???? - ...

109

A novel technique to recanalize the nasolacrimal duct with endodiathermy bipolar probe  

PubMed Central

Aims: To evaluate a new approach for recanalization (RC) of nasolacrimal duct obstruction in the treatment of the symptomatic nasolacrimal duct obstruction (NLDO). Materials and Methods: A prospective, interventional, comparative study in 302 eyes of 209 patients of symptomatic nontraumatic NLDO. Eyes with previous failed surgery were excluded. One hundred and fifty-one eyes underwent RC with 20 G endodiathermy bipolar probe connected to a 7 W diathermy followed by bicanalicular intubation under direct visualization. One hundred and fifty-one eyes underwent standard external dacryocystorhinostomy (DCR). Follow-up was for 24 months and evaluation was done on basis of change in symptoms and lacrimal syringing. Data was analyzed by Chi-square test and unpaired t-test. P value < 0.05 was considered statistically significant. Results: Success defined as an asymptomatic patient or freely patent syringing was 92.7% (140 eyes) in RC group and 83.44% (126 eyes) in DCR group. Success was significantly more (P ? 0.01) in RC than DCR group. Surgical time was significantly less in RC than DCR (P ? 0.001). In RC group, RC could not be performed in three eyes and had to be later taken up for DCR. Intubation after RC was not achieved in four eyes; however these eyes had a patent pathway till 24 months. Twenty-two eyes had a premature extrusion of the tube; but the success rate in these (20 eyes) was comparable to the others within the group (P > 0.05). Two eyes in RC and one in DCR group had complications. Conclusions: RC with 20 G endodiathermy bipolar probe is a quick, simple, and effective alternative to standard external DCR.

Agrawal, Siddharth; Gupta, Sanjiv K; Singh, Vinita; Agrawal, Saurabh

2013-01-01

110

Portal, splenic and mesenteric vein thrombosis in a patient double heterozygous for factor V Leiden and prothrombin G20210A mutation.  

PubMed

We herein report a 56-year-old man who presented with abdominal pain, diarrhea and a 22-kg-weight loss over 4 months. He was on acenocoumarol treatment because of portal, splenic and mesenteric vein thrombosis (PSMVT) 3 months before, with admission international normalized ratio (INR):1.6. Doppler ultrasonography and helical computerized tomographic scan of the abdomen showed complete thrombosis of the extrahepatic portal vein extending into the superior mesenteric vein and splenic vein. The manifestation of thrombosis was in the absence of provocative stimuli or local cause. The patient had a negative history of venous thromboembolism. Thrombophilia workup revealed double heterozygosity for factor V Leiden and prothrombin G20210A mutation. He was immediately started with intravenous unfractionated heparin, followed by oral anticoagulation with target INR 2-3. Five days after a Doppler examination showed significant improvement in the flow within the portal vein, and a computerized tomographic scan of the abdomen 1 month later showed extensive recanalization of the portal venous system. The patient is now 36 months out from the second PSMVT episode and is doing well although maintaining oral lifelong anticoagulation. The case is of particular interest in that PSMVT was the first manifestation of this combined disorder. We conclude that all patients presenting with unexplained PSMVT should be investigated for the presence of a hypercoagulable state. Anticoagulation should be considered in all patients with this diagnosis and should be a lifelong therapy in those with an underlying thrombophilia. PMID:19734780

Grouzi, Elisavet; Politou, Marianna; Douramani, Panagiota; Merkouri, Efrosyni; Gialeraki, Argyri; Brountzos, Hlias; Perros, Georgios; Travlou, Anthi

2009-12-01

111

Leiomyosarcoma of the Cephalic Vein  

PubMed Central

A 78-year-old man presented with a mass on his right forearm. A 5 x 4 x 3 cm3 mass was excised en bloc with extensions along the course of the cephalic vein and its tributaries. Histological analysis revealed the mass to be a high-grade leiomyosarcoma arising within the cephalic vein. The tumour was controlled locally and distally until the patient died 10 months later, from an unrelated illness. This is the first reported case of a venous leiomyosarcoma of the cephalic vein.

Dixon, John H.

2001-01-01

112

[Retroesophageal hematoma with severe dysfagia after streptokinase for the treatment of the axillosubclavian vein thrombosis].  

PubMed

We report the case of a 72 year-old man with advanced, stage IV, prostate cancer who underwent osteosynthesis of the cervical spine for nerve root decompression due to metastasis which was causing severe pain in his right upper limb. After three months in the hospital, he developed occlusive thrombosis of the right axillosubclavian vein as a complication of prolonged catheterization of the right subclavian vein for treatment of septicemia secondary to a hospital acquired pneumonia. The patient received thrombolytic therapy with IV streptokinase in the contralateral arm in the following dosage: 250,000 units in 15 minutes followed by 100,000 units per hour during five days. This led to total recanalization of the thrombus, with significant reduction of the arm edema. Twenty-four hours after the end of the thrombolytic therapy, the patient started to complain of dysfagia to solids and liquids and a contrasted esophagogram revealed extensive extrinsic compression of the esophagus due to a probable retroesophageal hematoma. The patient required enteral nutrition via nasoenteral tube during three months after which swallowing returned to normal and a repeat upper GI series confirmed that the hematoma had been reabsorbed, with normal passage of contrast through the esophagus. On late follow-up, the patient did not show evidence of any sequelae of deep venous thrombosis nor any residual dysfagia and is currently in use of elastic stockings and low molecular weight heparin. PMID:9567335

Baruzzi, A C; Gadelha, M E; Cirenza, C; Knobel, E

1997-08-01

113

How Are Varicose Veins Diagnosed?  

MedlinePLUS

... pain you're having. Diagnostic Tests and Procedures Duplex Ultrasound Your doctor may recommend duplex ultrasound to check blood flow in your veins and to look for blood clots. Duplex ultrasound combines traditional with Doppler ultrasound. Traditional ultrasound ...

114

Diagnosis of Deep Vein Thrombosis.  

National Technical Information Service (NTIS)

Clinical and laboratory diagnostic methods were studied in 301 consecutive patients with suspected deep vein thrombosis (DVT). Unexpectedly, phlebography (the reference method) was found to cause DVT in estimated 48 % of patients without initial DVT. Usin...

C. G. Olsson

1979-01-01

115

Enhancing the contrast of subcutaneous veins  

Microsoft Academic Search

A technique for enhancing the contrast of subcutaneous veins has been demonstrated. This technique uses a near infrared light source and one or more infrared sensitive CCD TV cameras to produce a contrast enhanced image of the subcutaneous veins. This video image of the veins is projected back onto the patient's skin using an LCD vein projector. The use of

Herbert D. Zeman; Gunnar Lovhoiden

1999-01-01

116

Palm vein authentication technology and its applications  

Microsoft Academic Search

This paper discusses the contactless palm vein authentication device that uses blood vessel patterns as a personal identifying factor. The vein information is hard to duplicate since veins are internal to the human body. The palm vein authentication technology offers a high level of accuracy, and delivers the following results: a false rejection rate (FRR) of 0.01%, and a false

Masaki Watanabe; Toshio Endoh; Morito Shiohara; Shigeru Sasaki

2005-01-01

117

Benefits of Endoscopic Vein Harvesting  

Microsoft Academic Search

.   The purpose of this study was to evaluate and compare the benefits of endoscopic saphenous vein harvesting (EVH) with the\\u000a traditional incision technique (TIT) for coronary artery bypass grafting (CABG) in respect to the technical procedure and\\u000a clinical outcome. In a prospective nonrandomized, case-matched study the greater saphenous vein was harvested for CABG in\\u000a 22 patients using the endoscopic

Bettina Marty; Ludwig Karl von Segesser; Piergiorgio Tozzi; Juan Guzmann; Philippe Frascarolo; Xavier Muller; Daniel Hayoz

2000-01-01

118

Pharmacological and Non-Pharmacological Recanalization Strategies in Acute Ischemic Stroke  

PubMed Central

According to the guidelines of the European Stroke Organization (ESO) and the American Stroke Association (ASA), acute stroke patients should be managed at stroke units that include well organized pre- and in-hospital care. In ischemic stroke the restoration of blood flow has to occur within a limited time window that is accomplished by fibrinolytic therapy. Newer generation thrombolytic agents (alteplase, pro-urokinase, reteplase, tenecteplase, desmoteplase) have shorter half-life and are more fibrin-specific. Only alteplase has Food and Drug Administration (FDA) approval for the treatment of acute stroke (1996). The National Institute of Neurological Disorders and Stroke (NINDS) trial proved that alteplase was effective in all subtypes of ischemic strokes within the first 3?h. In the European cooperative acute stroke study III trial, intravenous (IV) alteplase therapy was found to be safe and effective (with some restrictions) if applied within the first 3–4.5?h. In middle cerebral artery (MCA) occlusion additional transcranial Doppler insonication may improve the breakdown of the blood clot. According to the ESO and ASA guidelines, intra-arterial (IA) thrombolysis is an option for recanalization within 6?h of MCA occlusion. Further trials on the IA therapy are needed, as previous studies have involved relatively small number of patients (compared to IV trials) and the optimal IA dose of alteplase has not been determined (20–30?mg is used most commonly in 2?h). Patients undergoing combined (IV?+?IA) thrombolysis had significantly better outcome than the placebo group or the IV therapy alone in the NINDS trial (Interventional Management of Stroke trials). If thrombolysis fails or it is contraindicated, mechanical devices [e.g., mechanical embolus removal in cerebral ischemia (MERCI)- approved in 2004] might be used to remove the occluding clot. Stenting can also be an option in case of acute internal carotid artery occlusion in the future. An intra-aortic balloon was used to increase the collateral blood flow in the Safety and Efficacy of NeuroFlo™ Technology in Ischemic Stroke trial (results are under evaluation). Currently, there is no approved effective neuroprotective drug.

Frendl, Anita; Csiba, Laszlo

2011-01-01

119

Endovascular recanalization of infrapopliteal occlusions in patients with critical limb ischemia  

PubMed Central

Background Endovascular therapies are increasingly used for treatment of critical limb ischemia (CLI). Infrapopliteal (IP) occlusions are common in CLI, and successful limb salvage may require restoration of arterial flow in the distribution of a chronically occluded vessel. We sought to describe the procedural characteristics and outcomes of patients with IP occlusions who underwent endovascular intervention for treatment of CLI. Methods All patients with IP interventions for treatment of CLI from 2006 to 2012 were included. Angiographic and procedural data were compared between patients who underwent intervention for IP occlusions vs IP stenosis. Restenosis was determined by Doppler ultrasound imaging. Limb salvage was the primary end point of the study. Additional end points included primary patency, primary assisted patency, secondary patency, occlusion crossing success, procedural success, and amputation-free survival. Results A total of 187 patients with CLI underwent interventions for 356 IP lesions, and 77 patients (41%) had interventions for an IP occlusion. Patients with an intervention for IP occlusion were more likely to have zero to one vessel runoff (83% vs 56%; P < .001) compared with interventions for stenosis. Compared with IP stenoses, IP occlusions were longer (118 ± 86 vs 73 ± 67 mm; P < .001) and had a smaller vessel diameter (2.5 ± 0.8 vs 2.7 ± 0.5 mm; P =.02). Wire crossing was achieved in 83% of IP occlusions, and the overall procedural success for IP occlusions was 79%. The overall 1-year limb salvage rate was 84%. Limb salvage was highest in the stenosis group, slightly lower in the successful occlusion group, and lowest in the failed occlusion group (92% vs 75% vs 58%, respectively; P = .02). Unsuccessfully treated IP occlusions were associated with a significantly higher likelihood of major amputation (hazard ratio, 5.79; 95% confidence interval, 1.89–17.7) and major amputation or death (hazard ratio, 2.69; 95% confidence interval, 1.09–6.63). Conclusions Successful endovascular recanalization of IP occlusions can be achieved with guidewire and support catheter techniques in most patients. In patients selected for an endovascular-first approach for IP occlusions in CLI, this strategy can be successfully implemented with favorable rates of limb salvage.

Singh, Gagan D.; Armstrong, Ehrin J.; Yeo, Khung-Keong; Singh, Satinder; Westin, Gregory G.; Pevec, William C.; Dawson, David L.; Laird, John R.

2014-01-01

120

Open versus endoscopic saphenous vein harvesting: wound complications and vein quality  

Microsoft Academic Search

Background. The saphenous vein is an important conduit for coronary artery bypass grafting. Wound complications from traditional open vein harvesting occur often. Minimally invasive endoscopic saphenous vein harvesting may decrease wound complications. Vein quality may be an issue with endoscopic harvesting.Methods. We reviewed 568 patients who had bypass grafting and saphenous vein harvesting either endoscopic (group A, n = 180)

John D Crouch; Daniel P O’Hair; James P Keuler; Thomas P Barragry; Paul H Werner; Leonard H Kleinman

1999-01-01

121

Open Versus Endoscopic Saphenous Vein Harvesting: Wound Complications and Vein Quality  

Microsoft Academic Search

Background. The saphenous vein is an important con- duit for coronary artery bypass grafting. Wound compli- cations from traditional open vein harvesting occur often. Minimally invasive endoscopic saphenous vein harvest- ing may decrease wound complications. Vein quality may be an issue with endoscopic harvesting. Methods. We reviewed 568 patients who had bypass grafting and saphenous vein harvesting either endo- scopic

John D. Crouch; Daniel P. O'Hair; James P. Keuler; Thomas P. Barragry; Paul H. Werner; Leonard H. Kleinman

2010-01-01

122

Portal, mesenteric, and splenic vein thromboses after endovascular embolization for gastrointestinal bleeding caused by a splenic arteriovenous fistula.  

PubMed

We present an unusual case of portal, mesenteric, and splenic vein thromboses after endovascular embolization for gastrointestinal bleeding caused by a splenic arteriovenous fistula. The thromboses were successfully treated with anticoagulation therapy. The patient was a 37-year-old woman who presented with portal hypertension manifested by gastrointestinal bleeding with no evidence of liver disease. Splenic arteriography confirmed the presence of a high-flow arteriovenous fistulous communication from the splenic artery directly into the splenic vein. The arteriovenous fistula was successfully treated with percutaneous transarterial embolization by embolization coils and the patient achieved effective hemostasis. Low-molecular-weight heparin and warfarin were administrated to prevent thrombosis in the portal venous system after the procedure. Although anticoagulants were immediately administered, thromboses of the portal, mesenteric, and splenic veins were diagnosed by contrast-enhanced computed tomography after 10 days. Complete recanalization of the portal venous system confirmed by contrast-enhanced computed tomography was achieved by administering warfarin orally for 3 months. PMID:24509367

Ding, Pengxu; Li, Zhen; Han, Xin-Wei; Wang, Zhong-Gao; Zhang, Wen-Guang; Fu, Ming-Ti

2014-07-01

123

Absence of retromandibular vein associated with atypical formation of external jugular vein in the parotid region  

PubMed Central

Veins of the head and neck exhibiting anatomical variations or malformations are clinically significant. Anatomical variation in the external jugular vein is very common. However, anatomical variation in the retromandibular vein is rare. In this paper, we report a rare case of complete absence of the retromandibular vein. In the absence of the retromandibular vein, the maxillary vein divided into anterior and posterior divisions. The posterior division joined the superficial temporal vein to form an atypical external jugular vein, and the anterior division joined the facial vein to form an anonymous vein. In clinical practice, radiologists and surgeons use the retromandibular vein as a guide to expose the branches of the facial nerve during superficial parotidectomy. Therefore, absence of the retromandibular vein is a hurdle during this procedure and may affect the venous drainage pattern from the head and neck.

Patil, Jyothsna; Swamy, Ravindra S.; D'Souza, Melanie R.; Guru, Anitha; Nayak, Satheesha B.

2014-01-01

124

Numerical Modelling of Vein Microstructures  

NASA Astrophysics Data System (ADS)

Mineral veins occur in a variety of forms (syntaxial, antitaxial, etc.), and with various microstructures (fibrous, stretched crystals, vuggy, etc.). These structures can, if correctly interpreted, provide useful insight into the geological and tectonic conditions at which the veins formed (Oliver and Bons 2001). Durney and Ramsay (1973) defined the base for the modern classification and interpretation of vein (micro-) structures. Numerical modelling, not available then, has since been added as a tool to better understand the formation of vein (micro-) structures, focussing on three aspects in particular: 1) What determines the habit of growing vein crystals? In particular, what determines the formation of a fibrous habit? (Bons 2001, Hilgers et al. 2001) 2) The formation of fibrous pressure fringes. The complex internal structures of the fringes appear mostly the result of the relative rotation of object and fringes (Koehn et al. 2001). 3) Competition between growing crystals, which for example explains the development of a conical c-axes CPO in zeolite films (Bons and Bons 2003). References: Bons, P.D. 2001. Development of crystal morphology during unitaxial growth in a progressively widening vein: I. The numerical model. Journal of Structural Geology 23, 865-872. Bons, A.J., Bons, P.D. 2003. The development of oblique preferred orientations in zeolite films and membranes. Microporous and Mesoporous Materials 62, 9-16. Durney DW, Ramsay JG (1973) Incremental strains measured by syntectonic crystal growths. In: Gravity and Tectonics (eds De Jong KA, Scholten K), John Wiley and Sons, New York, pp. 67-96. Hilgers, C., Koehn, D., Bons, P.D., Urai, J.L. 2001. Development of crystal morphology during unitaxial growth in a progressively widening vein: II. Numerical simulations of the evolution of antitaxial fibrous veins. Journal of Structural Geology 23, 873-885. Koehn, D., Aerden, D.G.A.M., Bons, P.D., Passchier, C.W. 2001. Computer experiments to investigate complex fibre patterns in natural antitaxial strain fringes. Journal of Metamorphic Geology 19, 217-232. Oliver, N.H.S., Bons, P.D. 2001. Mechanisms of fluid flow and fluid-rock interaction in fossil metamorphic-hydrothermal systems inferred from vein-wallrock patterns, geometry, and microstructure. Geofluids 1, 137-163.

Bons, P. D.

2005-12-01

125

Abnormal continuation of umbilical vein into extra-hepatic portal vein: Report of three cases.  

PubMed

Anomalies of the umbilical venous system are perplexing essentially due to dissection errors and vascular connection delineation failure. Continuation of umbilical vein into the extra-hepatic portal vein is classified as group IV umbilical vein anomaly and involves the vitelline vein or its remnants. Despite this categorization most examiners ascribe fetal extra hepatic abdominal vascular abnormality as an umbilical vein anomaly. Since these anomalies involve vitelline vein, the term "umbilical vein anomaly" is inappropriate and should be referred to as "vitelline vein abnormalities". Vitelline vein abnormalities are exceedingly rare and to the best of our knowledge only three cases have been reported prenatally. We report three cases presenting with intrauterine fetal demise and on perinatal autopsy demonstrating aneurysmally dilated group IV umbilical vein anomaly. Review of the literature, embryological basis and clinical implications of persistent vitelline vein and its varix are discussed. PMID:24712478

Jaiman, Sunil; Nalluri, Hima Bindu

2013-12-01

126

Micro-recanalization in a biodegradable graft for reconstruction of the vas deferens is enhanced by sildenafil citrate  

PubMed Central

This study investigated the effect of sildenafil citrate on micro-recanalization and neovascularization, which were previously demonstrated in a rat model using biodegradable grafts (BGs) for vas deferens reconstruction. A total of 24 male rats underwent bilateral vasectomy with removal of a 0.5-cm vasal segment and were randomly assigned to four groups. Groups 1 and 2 underwent immediate vasovasostomy. Groups 3 and 4 underwent interposition of a 0.5-cm BG in the vasal gap. Groups 1 and 3 were given 5 mg kg?1 day?1 oral sildenafil. Other groups were given placebo. Rats were housed with females 12 weeks postoperatively. Reconstructed vasal segments were harvested 16 weeks postoperatively and analyzed histologically. Fluid from the distal vasal stump was analyzed for motile sperm. Urine samples obtained 16 weeks postoperatively were analyzed for cGMP levels. cGMP levels in rats treated with sildenafil were significantly higher than in control rats. No pregnancies were sired by grafted groups. In all, 5/6 rats in group 1 and 3/6 rats in group 2 sired litters. No motile sperm were noted in the vasal fluid of the grafted groups. Motile sperm were noted in all rats in group 1 and in 5/6 rats in group 2. In addition, 29 and 4 microcanals were detected in the sildenafil and placebo groups, respectively (P = 0.023). No microcanal exceeded 3 mm in length. An average of 12 and 28 blood vessels per graft were noted in the placebo and sildenafil groups, respectively (P < 0.0001). In conclusion, sildenafil enhances micro-recanalization and neovascularization in BG used for vas deferens reconstruction, but does not increase the microcanal length after 16 weeks.

Holoch, Peter A.; Mallapragada, Surya K.; Ariza, Carlos A.; Griffith, Thomas S.; DeYoung, Barry R.; Wald, Moshe

2010-01-01

127

Recanalization of Acute and Subacute Femoropopliteal Artery Occlusions with the Rotarex Catheter: One Year Follow-up, Single Center Experience  

SciTech Connect

Purpose:To assess the efficacy and safety of a new rotational catheter for percutaneous removal of fresh and organized thrombi in the femoropopliteal artery.Methods:Forty-one limbs in 38 patients (age 56-90 years, mean 75.6 years) with acute, subacute or chronic femoropopliteal occlusions of 1-180 days' duration (mean 31.6 days) were treated with the Rotarex device. The Fontaine stage was mainly IIB (Rutherford 2-3, 22 patients) or III (Rutherford 4, 14 patients). The length of occlusion varied from 2 to 35 cm (mean 13.1 cm). After recanalization percutaneous transluminal angioplasty (PTA) was performed if there was a residual stenosis of >25%. Patients were followed up with color Doppler ultrasound at 48 hr and clinically with Doppler pressures and oscillometry at 3, 6, and 12 months.Results:After an average of two passages with the Rotarex catheter all but two limbs required PTA for residual stenosis >25%. Five patients needed additional stenting. Major complications were one groin hematoma requiring blood transfusion and one arteriovenous fistula spontaneously thrombosing after unsuccessful primary prolonged balloon dilation. Distal embolizations occurred in 10 patients; 6 clinically relevant emboli were aspirated. All occlusions were technically successfully recanalised there were 2 early reocclusions after 1 day and two at 2 weeks. Brachial-ankle indices improved from an average of 0.41 before to 0.93 after recanalization. Primary and secondary patency rates were 62% / 84% after 6 months and 39% / 68% after 1 year. The amputation-free survival at 12 months was 100%.Conclusion:The Rotarex mechanical thrombectomy device is an efficient, quick, easy to handle, and safe tool for the treatment of acute, subacute or even chronic peripheral arterial thromboembolic occlusions. It can be used for short or long occlusions with equal success, provided the obstruction is not heavily calcified and has been safely passed with a guidewire first.

Duc, Sylvain R., E-mail: Sylvain.duc@balgrist.ch; Schoch, Eric [Kantonsspital Winterthur, Department of Radiology (Switzerland); Pfyffer, Markus; Jenelten, Regula [Section of Angiology, Kantonsspital Winterthur, Department of Internal Medicine (Switzerland); Zollikofer, Christoph L. [Kantonsspital Winterthur, Department of Radiology (Switzerland)

2005-06-15

128

Biventricular Pacemaker Implantation via the Femoral Vein  

PubMed Central

We report the case of biventricular pacemaker implantation via the femoral vein, in a patient with impossibility of using standard superior vein approach and a contraindication to epicardial lead placement.

Agosti, Sergio; Brunelli, Claudio; Bertero, Giovanni

2012-01-01

129

Minimally invasive saphenous vein harvesting  

Microsoft Academic Search

Background. Minimally invasive techniques to harvest the saphenous vein for coronary artery bypass grafting continue to improve and evolve. Smaller cutaneous incisions have been shown to decrease postoperative discomfort and improve healing. We describe a technique involving carbon dioxide insufflation and endoscopic dissection to allow easier and atraumatic dissection.Methods. The VasoView endoscope system (Origin Medsystems, Inc) was used to harvest

Rohinton J Morris; Michael T Butler; Louis E Samuels

1998-01-01

130

Vascular Remodeling in Varicose Veins  

Microsoft Academic Search

The present study describes the histopathologic aspects of varicose (n=29; mean age, 52 ± 12 years) and normal saphenous veins (n=17; mean age, 51 ± 12 years) of patients from a similar age group. We focused on the changes that occur in the circular layer of the venous wall. We examined the venous walls by light microscopy and transmission electronmicroscopy.

Mark M. Kockx; Michiel W. M. Knaapen; Hilde E. Bortier; Kristel M. Cromheeke; Odile Boutherin-Falson; Michel Finet

1998-01-01

131

Surgical Access to Jejunal Veins for Local Thrombolysis and Stent Placement in Portal Vein Thrombosis  

SciTech Connect

Portal vein thrombosis is an infrequent entity, which may cause high morbidity and mortality. We report a case of portal vein thrombosis due to benign stenosis following partial pancreatoduodenectomy with segmental replacement of the portal vein by a Gore-tex graft. Using a surgical access to jenunal veins, local thrombolysis, mechanical fragmentation of thrombus, and stent placement were successfully performed.

Schellhammer, Frank, E-mail: frank.schellhammer@med.uni-duesseldorf.d [University Hospital Duesseldorf, Institute of Diagnostic Radiology (Germany); Esch, Jan Schulte am [University Hospital Duesseldorf, Department of General, Visceral and Pediatric Surgery (Germany); Hammerschlag, Sascha [University Hospital Duesseldorf, Institute of Diagnostic Radiology (Germany); Knoefel, Wolfram Trudo [University Hospital Duesseldorf, Department of General, Visceral and Pediatric Surgery (Germany); Fuerst, Guenter [University Hospital Duesseldorf, Institute of Diagnostic Radiology (Germany)

2008-07-15

132

What Are the Signs and Symptoms of Varicose Veins?  

MedlinePLUS

... Twitter. What Are the Signs and Symptoms of Varicose Veins? The signs and symptoms of varicose veins include: ... signs of other, more serious conditions. Complications of Varicose Veins Varicose veins can lead to dermatitis (der-ma- ...

133

Carbon dioxide embolism during endoscopic vein harvesting.  

PubMed

Endoscopic vein harvesting (EVH) is becoming common for the patients undergoing coronary artery bypass grafting. Using carbon dioxide insufflations during the vein harvest can produce rare but catastrophic CO(2) embolism. We report a case of massive right atrial CO(2) embolism due to femoral vein injury which occurred during the performance of a routine EVH procedure. PMID:18381362

Tamim, Muhammed; Omrani, Maher; Tash, Adel; El Watidy, Ahmed

2008-08-01

134

Prospective analysis of endoscopic vein harvesting  

Microsoft Academic Search

Background: Utilization of bridging vein harvesting (BVH) of saphenous vein grafts (SVG) for coronary artery bypass grafting (CABG) results in large wounds with great potential for pain and infection. Endoscopic vein harvesting (EVH) may significantly reduce the morbidity associated with SVG harvesting.Methods: A prospective database of 200 matched patients receiving EVH and BVH was compared. The patients all underwent CABG

Amit N Patel; Robert F Hebeler; Baron L Hamman; Carol Hunnicutt; Melody Williams; Lu Liu; Richard E Wood

2001-01-01

135

Endoscopic vein harvest: advantages and limitations  

Microsoft Academic Search

BackgroundAlthough long saphenous vein remains the most commonly used conduit in coronary revascularization, traditional open vein harvest (OVH) may lead to significantly impaired wound healing and postoperative pain. Endoscopic vein harvest (EVH) attempts to reduce this morbidity and improve patient satisfaction with no compromise in outcome.

Pramod Bonde; Alastair N. J Graham; Simon W MacGowan

2004-01-01

136

How Can Varicose Veins Be Prevented?  

MedlinePLUS

... from the NHLBI on Twitter. How Can Varicose Veins Be Prevented? You can't prevent varicose veins from forming. However, you can prevent the ones ... also can take steps to delay other varicose veins from forming. Avoid standing or sitting for long ...

137

Cephalic veins in coronary artery bypass surgery  

Microsoft Academic Search

Various alternative conduits for aortocoronary bypass grafting have been suggested when the saphenous vein quality is inadequate. During a 10-year period we have used the cephalic vein in 39 patients. Eighteen entered an angiographic follow-up study. A total of 31 arm vein grafts were used with 43 distal anastomoses. When calculating patency by number of patent distal anastomoses, this was

P. E. Andersen; E. Jacobsen; G. Lerbjerg

1996-01-01

138

Hemodilution therapy in central retinal vein occlusion  

Microsoft Academic Search

Systemic hemorheologic abnormalities may play a part in the pathogenesis of central retinal vein occlusions. A statistically significant elevation of plasma viscosity was found in patients with acute central retinal vein occlusion compared with control patients. Local retinal blood flow parameters including arteriovenous passage time and mean arterial dye bolus velocity were significantly altered in the central retinal vein occlusion

Sebastian Wolf; Oliver Arend; Bernd Bertram; Andreas Remky; Karin Schulte; Kenneth J. Wald; Martin Reim

1994-01-01

139

Optimization of subcutaneous vein contrast enhancement  

Microsoft Academic Search

A technique for enhancing the contrast of subcutaneous veins has been demonstrated. This techniques uses a near IR light source and one or more IR sensitive CCD TV cameras to produce a contrast enhanced image of the subcutaneous veins. This video image of the veins is projected back onto the patient's skin using a n LCD video projector. The use

Herbert D. Zeman; Gunnar Lovhoiden; Harshal Deshmukh

2000-01-01

140

Gradient Based Image Segmentation for Vein Pattern  

Microsoft Academic Search

The biometrics identification technology based on vein pattern has being developed rapidly in recent years. However, the vein image acquired by near-infrared (NIR) imaging device has low contrast and usually has a mount of noise which make an effective image segmentation be a great challenge. Thresholding is a popular vein image segmentation method, which is easy to calculate and can

Yiding Wang; Hai Wang

2009-01-01

141

A new approach for sclera vein recognition  

Microsoft Academic Search

The vein structure in the sclera is stable over time, unique to each person, and well suited for human identification. A few researchers have performed sclera vein pattern recognition and reported promising initial results. Sclera recognition poses several challenges: the vein structure moves and deforms with the movement of the eye; images of sclera patterns are often defocused and\\/or saturated;

N. L. Thomas; Yingzi Du; Zhi Zhou

2010-01-01

142

Immunohistochemistry comparing endoscopic vein harvesting vs. open vein harvesting on saphenous vein endothelium  

PubMed Central

Objective The present study attempts to compare the immunohistochemistry (IHC) of von Willebrand factor (vWf) , endothelial cadherin, Caveolin and endothelial Nitric Oxide Synthase (eNOS) in VasoView Endoscopic Vein Harvesting (EVH) versus traditional Open Vein Harvesting (OVH) techniques for Coronary Artery Bypass Graft (CABG) Surgery performed in Javad al Aemeh Hospital of Mashhad, Iran in 2013,. Methods and materials Forty-seven patients were scheduled for CABG (30 EVH and 17 OVH) among whom patients with relatively same gender and similar age were selected. Three separate two cm vein samples were harvested from each patient’s saphenous vein. Each portion was collected from distal, middle and proximal zones of the saphenous vein. The tissues were deparaffinized, and antigen retrieval was done using EZ-retriever followed by an immunohistochemistry evaluation with vWf, e-cadherin, Caveolin and eNOS. In addition, demographic questioner as of Lipid profile, FBS, BMI, and cardiovascular risk factors were collected. Data analyses, including parametric and nonparametric tests were undertaken using the SPSS 16 software. A P value??0.05). Qualitative report of vWf, e-cadherin, Caveolin and eNOS reveals no significant difference between the EVH and OVH (P?>?0.05). Conclusion This study indicates that VasoView EVH technique causes no endothelial damage in comparison with OVH. This study could be a molecular confirmation for the innocuous of EVH technique.

2014-01-01

143

Ever heard of the obturator vein?  

PubMed

We report a complication related to advancement of a large diameter long sheath in the obturator vein. In an adult with a previously thrombosed femoral vein, the obturator vein was inadvertently cannulated. During percutaneous pulmonary valve implantation, the Ensemble(R) delivery system could not be advanced after repositioning attempt. The obturator vein had been perforated and sheath was coiled up in the pelvis leading to a retroperitoneal pelvic hematoma. Continuity of the vein was established using two self-expanding covered stents. The obturator vein runs dorsally and joins the inferior caval vein at a very acute angle posterior in the pelvis, creating a corner in which stiff catheters or sheaths may get entrapped. PMID:19882714

Brown, Stephen C; Gewillig, Marc

2010-02-15

144

Leiomyosarcoma of the renal vein.  

PubMed

A 43-year-old woman was referred to our clinic for evaluation of a left retroperitoneal mass. She presented to our internal medicine department complaining of back pain. Computed tomography (CT) scan revealed a left retroperitoneal mass 55 mm in size in the hilum of the left kidney. Enhanced CT scan and magnetic resonance imaging (MRI) disclosed a poorly staining mass. Metaiodobenzylguanidine scintigraphy demonstrated no accumulation in the mass; moreover, endocrinologic examination was normal. Laparoscopic resection of the left retroperitoneal tumor was attempted; however, strong adhesion between the tumor and the left renal vein was encountered. Thus, left nephrectomy after open conversion was performed. Histological findings indicated leiomyosarcoma originating from the left renal vein. The postoperative course has been uneventful; neither recurrence nor metastasis is evident 2 years postsurgery. PMID:20694494

Imao, Tetsuya; Amano, Toshiyasu; Takemae, Katsurou

2011-02-01

145

Location of the Susceptibility Vessel Sign on T2*-Weighted MRI and Early Recanalization within 1 Hour after Tissue Plasminogen Activator Administration  

PubMed Central

Background We have recently reported that the susceptibility vessel sign (SVS) at the proximal portion of the horizontal (M1) middle cerebral artery (MCA) on T2*-weighted MRI is a strong predictor for no early recanalization after intravenous recombinant tissue plasminogen activator (t-PA) therapy. However, it is unclear whether the presence of the SVS at other locations, such as distal M1, the vertical portion (M2) of the MCA, and distal branches (MCA distal), is a predictor for no early recanalization in acute ischemic stroke patients. Methods The SVS was defined as a hypointense signal of the MCA on T2*-weighted MRI on admission. The locations of the SVS were classified as M1 proximal, M1 distal, and MCA distal. M1 proximal SVS was defined as an SVS at the origin of the M1. M1 distal SVS was any M1 SVS not including the origin of the M1. MCA distal SVS was an SVS further away from M1. Early recanalization was defined as a new appearance of at least one of the distal branches on MRA within 1 h after t-PA therapy. A good outcome at 3 months was defined as a modified Rankin Scale (mRS) score of 0-1. Results Consecutive acute stroke patients admitted to our stroke center and treated with t-PA between October 2005 and October 2012 were enrolled. There were 158 patients [median age, 78 (71-84) years; 84 (53%) males; median National Institutes of Health Stroke Scale score, 16 (10-20)]. Internal carotid artery occlusion was seen in 18 (72%) of the 25 patients with M1 proximal SVS, in 3 (14%) of the 22 patients with M1 distal SVS, in 4 (9%) of the 44 patients with MCA distal SVS, and in 18 (27%) of the 67 patients with No SVS (p < 0.001). Twenty-four (96%) of the 25 patients with M1 proximal SVS had no early recanalization, while 16 (73%) of the 22 patients with M1 distal SVS, 25 (57%) of the 44 patients with MCA distal SVS, and 36 (54%) of the 67 patients with No SVS had no early recanalization (p < 0.001, 0.140, and 0.846, respectively, compared to the patients with No SVS). Multivariate analysis showed that only M1 proximal SVS was significantly associated with no early recanalization (odds ratio 16.80, 95% confidence interval 2.04-138.17, p = 0.009). Among the 95 patients with a premorbid mRS score of 0-1, none (0%) of the 16 patients with M1 proximal SVS, 5 (36%) of the 14 patients with M1 distal SVS, 12 (48%) of the 25 patients with MCA distal SVS, and 13 (33%) of the 40 patients with No SVS achieved a good outcome (p = 0.011, 1.000, and 0.295, respectively, compared to the patients with No SVS). Conclusion M1 proximal SVS on T2*-weighted MRI is a strong predictor for no early recanalization, and all patients with it had a poor outcome. However, M1 distal SVS and MCA distal SVS were not predictors for no early recanalization, and half of the patients had a poor outcome.

Aoki, Junya; Kimura, Kazumi; Shibazaki, Kensaku; Sakamoto, Yuki; Saji, Naoki; Uemura, Junichi

2013-01-01

146

Occlusion and subsequent re-canalization in early duodenal development of human embryos: integrated organogenesis and histogenesis through a possible epithelial-mesenchymal interaction  

Microsoft Academic Search

Histogenesis of the duodenum, especially changes in the epithelium in relation to temporal occlusion and re-canalization of\\u000a the lumen, was investigated by light microscopy together with morphometric analysis, as well as by scanning and transmission\\u000a electron microscopy of 133 externally normal human embryos ranging from Carnegie stage 12 to 23. A series of morphogenetic\\u000a events passed the duodenum in a

Akihiro Matsumoto; Koji Hashimoto; Takafumi Yoshioka; Hiroki Otani

2002-01-01

147

Everted cervical vein for carotid patch angioplasty.  

PubMed

Because of the theoretic benefits of autologous vein we undertook an investigation to evaluate cervical veins (facial, external jugular) as patch material after carotid endarterectomy. A device that stimulated both circumferential fixation by sutures and radial tension exerted on in vivo patches was constructed to measure burst strength of tissue. Mean bursting pressure for groin saphenous vein (n = 10) was 94.5 +/- 15.1 pounds per square inch (psi), 75.5 +/- 8.9 psi for ankle saphenous vein (n = 10), 83.3 +/- 14.5 psi for everted (double layer) cervical vein (n = 5) and 10 +/- 3.3 psi for single layer cervical vein (n = 5). No significant differences between saphenous vein at any level and everted (double layer) cervical vein, but all were significantly different from single layer cervical vein (p less than 0.05). From June 1987 through November 1989, 19 patients underwent 21 carotid endarterectomies complemented with adjunctive everted cervical vein patch angioplasty. Indications for surgery were asymptomatic stenosis (53%), transient ischemic attack (29%), and cerebrovascular accident with recovery (18%). All patients were studied after surgery with duplex scanning. Asymptomatic recurrent stenosis was observed in one patient. Transient hypoglossal nerve dysfunction occurred in one other patient. One postoperative death occurred as a result of massive aspiration. These results indicate that everted cervical vein is comparable to the saphenous vein in resistance to bursting and can yield similar results as patch material after carotid endarterectomy. Accordingly, saphenous vein can be spared and lower extremity incisions avoided.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:2231962

Yu, A; Dardik, H; Wolodiger, F; Raccuia, J; Kapadia, I; Sussman, B; Kahn, M; Pecoraro, J P; Ibrahim, I M

1990-11-01

148

More great saphenous vein valves - less varicose veins?  

PubMed

Background: In patients with chronic venous disease (CVD) the number of venous valves and the degree of valve deterioration have not been extensively investigated and are poorly understood. The aim of this prospective study was to quantitatively and qualitatively investigate the venous valves in CVD patients in view of their clinical classification. Patients and methods: Within two years a consecutive series of 152 patients (223 limbs) undergoing primary surgery for great saphenous vein varicose veins was investigated. In all patients the ?C? class according to the basic CEAP-classification was registered preoperatively (C2 to C6) for each limb. Both the quantity and quality of venous valves were assessed in the GSV?s after removal. Qualitative evaluation of the valves was based on macroscopic appearance using a classification from 0 to 5 and described as ?valve disease class?. Results: A negative correlation between age and the number of valves was detected (p = 0.0035). There was an increase of C-class with increasing age. No significant correlation between the average number of valves per meter and the C-class was detected. For all C-classes an average of between four and five valves per meter was counted. Valve disease class was positively correlated with the C-class although the valve disease class was never higher than the C-class (p < 0.05). Conclusions: The valve disease class of the great saphenous vein correlates with the C-class of the CEAP-classification. The number of valves did not correlate with the ?C?-class. With each increase in the CEAP class the age increased as well. PMID:25007904

Gräub, Anna-Barbara; Naef, Markus; Wagner, Hans E; Mouton, Wolfgang G

2014-07-01

149

Minimally invasive vein surgery: ambulatory phlebectomy.  

PubMed

Ambulatory phlebectomy has proven to be an effective treatment for varicose veins. Alone or complementing the treatment of incompetent long or short saphenous vein by high ligation, saphenectomy, or transcatheter occlusion, ambulatory phlebectomy not only adequately and satisfactorily removes the diseased veins but also results in a series of extremely small micro-incisions, which are cosmetically pleasing to the patient and the surgeon. Furthermore, the entire procedure can be performed under local anesthesia on an ambulatory basis. PMID:14614696

Olivencia, Jose Antonio

2003-09-01

150

Portal vein aneurysm in a dog.  

PubMed

Portal vein aneurysm (PVA) is a rare abnormal dilatation of the portal vein, which has not been reported in dogs. We describe the findings of ultrasound and computed tomography in a case of PVA in a young male toy poodle, with the final diagnosis established by explorative surgical observation. The dog had an aneurysmal fusiform dilatation in the extrahepatic portal vein with portal hypertension and multiple portsystemic shunts. This is the first report of canine PVA. PMID:22571895

Miyawaki, Shingo; Washizu, Makoto; Maeda, Sadatoshi; Shibata, Sanae; Watanabe, Kazuhiro; Yamazoe, Kazuaki

2012-09-01

151

Hemodialysis-associated subclavian vein stenosis  

Microsoft Academic Search

Hemodialysis-associated subclavian vein stenosis. This study was undertaken to evaluate hemodialysis-associated subclavian vein stenosis (SVS) and to clarify treatment of this condition. Forty-seven patients underwent upper arm venography to evaluate fistula dysfunction. Subclavian vein stenosis was documented in 12. Eleven of 12 had elevated venous dialysis pressure (196 ± 8.9 mm Hg), and six had arm edema. All 12 had

Steve J Schwab; L Darryl Quarles; John P Middleton; Richard H Cohan; Moshin Saeed; Vincent W Dennis

1988-01-01

152

Jugular vein thrombosis associated with distant malignancy.  

PubMed Central

We describe two patients who developed internal jugular vein thrombosis associated with primary malignant disease arising outside the neck, and in one patient it was the presenting feature. Computed tomography was performed and the findings characteristic of internal jugular vein thrombosis are illustrated. We conclude that malignant disease should be considered in patients presenting with spontaneous internal jugular vein thrombosis with no other predisposing factors and that computed tomography is of value in confirming the diagnosis. Images Figure 1 Figure 2

Carrington, B. M.; Adams, J. E.

1988-01-01

153

Below-the-Belt Dermatological Conditions: Spider Veins, Varicose Veins, Cellulite, Pedicures  

MedlinePLUS

... Psoriasis Skin cancer Prevention and care Cosmetic treatments Gold Triangle Awards Home Media resources Stats and facts ... not prevent spider veins. Sclerotherapy is considered the gold standard in treating people with spider veins. This ...

154

Small hepatic veins Budd-Chiari syndrome.  

PubMed

Budd-Chiari syndrome is a rare disorder characterized by hepatic venous outflow obstruction at any level from the small hepatic veins to the atrio-caval junction, in the absence of heart failure or constrictive pericarditis. Various imaging modalities are available for investigating the gross hepatic vascular anatomy but there are rare forms of this disease where the obstruction is limited to the small intrahepatic veins, with normal appearance of the large hepatic veins at imaging. In this cases only a liver biopsy can demonstrate the presence of a small vessels outflow block. We report two cases of small hepatic veins Budd-Chiari syndrome. PMID:23813023

Riggio, Oliviero; Marzano, Chiara; Papa, Alessia; Pasquale, Chiara; Gasperini, Maria Ludovica; Gigante, Antonietta; Valla, Dominique Charles; Plessier, Aurélie; Amoroso, Antonio

2014-05-01

155

Remodelling of the Superior Caval Vein After Angioplasty in an Infant with Superior Caval Vein Syndrome  

SciTech Connect

An 8-month old girl was presented with superior caval vein syndrome early after cardiac surgery. Angiography showed severe stenosis of the superior caval vein with 50 mmHg pressure gradient. Following balloon angioplasty, the pressure gradient was reduced to 7 mmHg with some residual stenosis of the superior caval vein. When the patient was reevaluated 5 months after the procedure, angiography revealed a normal diameter of the superior caval vein without a pressure gradient.

Mert, Murat [Istanbul University, Institute of Cardiology, Department of Cardiovascular Surgery (Turkey)], E-mail: mmert@superonline.com; Saltik, Levent [Istanbul University, Cerrahpasa Medical School, Department of Pediatric Cardiology (Turkey); Gunay, Ilhan [Istanbul University, Institute of Cardiology, Department of Cardiovascular Surgery (Turkey)

2004-08-15

156

Treatment of central retinal vein occlusion by injection of tissue plasminogen activator into a retinal vein  

Microsoft Academic Search

Purpose: To report the injection of tissue plasminogen activator into a retinal vein to treat central retinal vein occlusion.Methods: An 81-year-old woman with visual loss of the right eye secondary to central retinal vein occlusion developed central retinal vein occlusion and visual loss in her left eye. Treatment of her left eye with topical ocular hypotensive medications, pentoxifylline, and laser

Jeffrey N. Weiss

1998-01-01

157

The use of spliced vein bypasses for infrainguinal arterial reconstruction  

Microsoft Academic Search

Purpose: The use of autogenous vein, whether in situ or excised, for arterial bypass procedures is well accepted. However, this usually requires the presence of a length of good-quality vein of adequate diameter. In patients lacking sufficient length of vein, two or more pieces of vein may be spliced together to complete the reconstruction. The effect of vein splicing on

Benjamin B. Chang; R. Clement Darling; Devon E. M. Bock; Dhiraj M. Shah; Robert P. Leather

1995-01-01

158

[Arteriovenous dissection for branch retinal vein occlusion].  

PubMed

Arteriovenous dissection (AVD) is a surgical maneuver to separate the retinal artery and vein at the crossing site in patients with branch retinal vein occlusion (BRVO). The published studies showed an evidence level 3. AVD seems to be maintainable in patients with recent onset of BRVO and decimal visual acuity < or =0.4. PMID:18317778

Feltgen, N; Hattenbach, L-O; Mirshahi, A; Hansen, L

2008-04-01

159

Arteries and veins of the zebra fish  

NSDL National Science Digital Library

Arteries and veins are blood vessels and are part of the circulatory system. Arteries take oxygenated blood away from the heart and veins bring blood back to the heart after it has circulated through the body. The circulatory system distributes oxygen to the body and also moves around nutrients.

Katie Hale (CSUF;Biological Sciences)

2007-06-19

160

Improving the management of varicose veins.  

PubMed

Up to 30% of the UK population are affected by varicose veins. They are a manifestation of increased venous pressure in the lower limb caused by impaired venous return. Primary varicosities result from poor drainage from the superficial to the deep venous system. Secondary varicosities arise as a result of underlying pathology impeding venous drainage, such as deep venous thrombosis or increased intra-abdominal pressure caused by a mass, pregnancy or obesity. Patients with bleeding varicose veins should be referred to a vascular service immediately. Referral is also indicated in the following cases: symptomatic primary or recurrent varicose veins; lower limb skin changes thought to be caused by chronic venous insufficiency; superficial vein thrombosis and suspected venous incompetence; a venous leg ulcer or healed venous leg ulcer. Imaging is crucial in the assessment of the superficial and deep venous system to enable assessment of venous competence. The gold standard imaging technique is colour duplex ultrasonography. Duplex ultrasound should be used to confirm the diagnosis of varicose veins and the extent of truncal reflux, and to plan treatment for patients with suspected primary or recurrent varicose veins. Superficial vein ligation, phlebectomy and stripping have been the mainstay of treatment. In recent years, new techniques have been developed that are minimally invasive, enabling treatment of superficial venous incompetence with reduced morbidity. NICE recommends that endothermal ablation, in the form of radiofrequency or laser treatment, should be offered as treatment for patients with confirmed varicose veins and truncal reflux. PMID:24555256

Onida, Sarah; Lane, Tristan R A; Davies, Alun H

2013-01-01

161

The Superior Ophthalmic Vein in Carotid Angiograms  

Microsoft Academic Search

Examination of routine carotid angiograms from 1,000 patients gave 52 definite and 80 possible cases in which the superior ophthalmic vein was filled with contrast medium. Only one of these cases suffered from sinus thrombosis. In the other cases no certain correlation could be found between the angiographic or clinical diagnosis and the filling of the orbital vein. However, the

M. Brüderlin; R. Wüthrich

1973-01-01

162

Who Is at Risk for Varicose Veins?  

MedlinePLUS

... the heart, increasing the risk for varicose veins. Rate This Content: Varicose Veins Clinical Trials Clinical trials are research studies that explore whether a medical strategy, treatment, or device is safe and effective for humans. To find clinical trials that are currently underway ...

163

Recognizing and managing retinal vein occlusion.  

PubMed

Retinal vein occlusion is the second most common retinal vascular disease after diabetic retinopathy and represents a significant cause of irreversible sight loss and disability in persons over the age of 50 years (The Branch Vein Occlusion Study Group, 1984). PMID:24402030

Arunakirinathan, Meena; Aj Ting, Michelle; Crawley, Laura

2014-01-01

164

Treating Varicose Veins with Transilluminated Powered Phlebectomy  

Microsoft Academic Search

In the past, patients endured hours of surgery, many incisions, and multiple scars to manually remove painful, unsightly, swollen varicose veins. Patients now have a new treatment option. Endoscopic resection and ablation of superficial varicosities is possible using a powered vein resector, irrigated illuminator, and tumescent anesthesia. This article describes this new technique, called transilluminated powered phlebectomy, and explains how

Lisa M. Zotto

2002-01-01

165

Basilic vein transposition: review of different techniques.  

PubMed

This is a review of the basilic vein procedure and changes that have evolved to improve outcomes. This includes reviewing data on the one-stage vs. two-stage technique as well as elevation for the basilic vein. The review discusses data that help the surgeon decide which technique he should evaluate. PMID:24817461

Glickman, Marc

2014-01-01

166

What Are the Signs and Symptoms of Deep Vein Thrombosis?  

MedlinePLUS

... Are the Signs and Symptoms of Deep Vein Thrombosis? The signs and symptoms of deep vein thrombosis ( ... life-threatening problems if not treated. Deep Vein Thrombosis Only about half of the people who have ...

167

Enhancing the contrast of subcutaneous veins  

NASA Astrophysics Data System (ADS)

A technique for enhancing the contrast of subcutaneous veins has been demonstrated. This technique uses a near infrared light source and one or more infrared sensitive CCD TV cameras to produce a contrast enhanced image of the subcutaneous veins. This video image of the veins is projected back onto the patient's skin using an LCD vein projector. The use of an infrared transmitting filter in front of the video cameras prevents any positive feedback from the visible light from the video projector from causing instabilities in the projected image. The demonstration contrast enhancing illuminator has been tested on adults, both Caucasian and African-American, and it enhances veins quite well in most cases. Preliminary studies on a 9 month old girl indicate promise for pediatric use.

Zeman, Herbert D.; Lovhoiden, Gunnar

1999-07-01

168

Multi-Modality Image Fusion to Guide Peripheral Artery Chronic Total Arterial Occlusion Recanalization in a Swine Carotid Artery Occlusion Model: Unblinding the Interventionalist!  

PubMed Central

Objectives To demonstrate the feasibility of magnetic resonance imaging (MRI) to x-ray fluoroscopy (XRF) image fusion to guide peripheral artery chronic total occlusion (CTO) recanalization. Background Endovascular peripheral artery CTO revascularization is minimally invasive, but challenging, because the occlusion is poorly visualized under XRF. Devices may steer out of the artery which can lead to severe perforation. Merging pre-acquired MRI of the CTO to the live XRF display may permit upfront use of aggressive devices and improve procedural outcomes. Methods Swine carotid artery CTO’s were created using a balloon injury model. Up to 8 weeks later, MRI of the carotid arteries was acquired and segmented to create 3D surface models, which were then registered onto live XRF. CTO recanalization was performed using incrementally aggressive CTO devices (Group A) or an upfront aggressive directed laser approach (Group B). Procedural success was defined as luminal or sub-intimal device position without severe perforation. Results In this swine model, MRI to XRF fusion guidance resulted in a procedural success of 57% in Group A and 100% in Group B, which compared favorably to 33% using XRF alone. Fluoroscopy time was significantly less for Group B (8.5 min ± 2.6 min) compared to Group A (48.7 min ± 23.9 min), p value<0.01. Contrast dose used was similar between Groups A and B. Conclusions MRI to XRF fusion guided peripheral artery CTO recanalization is feasible. Multi-modality image fusion may permit upfront use of aggressive CTO devices with improved procedural outcomes compared to XRF guided procedures.

Klein, Andrew J.; Tomkowiak, Michael T.; Vigen, Karl K.; Hacker, Timothy A.; Speidel, Michael A.; VanLysel, Michael S.; Shah, Nehal; Raval, Amish N.

2012-01-01

169

Impact of Laser Fiber Design on Outcome of Endovenous Ablation of Lower-Extremity Varicose Veins: Results from a Single Practice  

SciTech Connect

The design of laser fibers used for endovenous laser ablation (EVLA) in the management of lower-extremity varicose vein disease may affect treatment success. The purpose of this investigation is to report our experience using the gold-tip NeverTouch VenaCure laser fiber (AngioDynamics, Queensbury, NY) and to compare that to our experience with standard bare-tip fibers. A retrospective chart review of 363 consecutive EVLA treatments using the gold-tip laser fiber was performed. Demographic data including patient age, sex, history of previous varicose vein stripping, vein identity, laterality, treatment length, total applied energy in joules (J), use of adjuvant sclerotherapy and ambulatory phlebectomy, treatment-related complications, and treatment failure, which was defined as recanalization of any portion of the treated vein during follow-up as assessed by duplex ultrasound examination-were entered into a spreadsheet. These data were compared with a control group of 471 EVLA treatments performed with a standard bare-tip laser fiber. Data were analyzed using independent-samples Student's t test, chi-square test, and multivariate analysis. Demographic data were similar between the two groups. Treatments with the gold-tip fiber had a failure rate of 11.1%, whereas treatment with a bare-tip fiber had a failure rate of 2.3% during a similar follow-up period. This difference was highly statistically significant (p < 0.0001). Multivariate analysis showed fiber type as the most significant factor associated with treatment failure. We conclude that laser fiber design has a significant effect on treatment success in the performance of EVLA.

Prince, Ethan A., E-mail: eprince@lifespan.org; Soares, Gregory M.; Silva, MaryLou; Taner, Anil; Ahn, SunHo; Dubel, Gregory J.; Jay, Bryan S. [Brown University/Rhode Island Hospital, Warren Alpert School of Medicine (United States)

2011-06-15

170

Portal vein gas in emergency surgery  

PubMed Central

Background Portal vein gas is an ominous radiological sign, which indicates a serious gastrointestinal problem in the majority of patients. Many causes have been identified and the most important was bowel ischemia and mesenteric vascular accident. The presentation of patients is varied and the diagnosis of the underlying problem depends mainly on the radiological findings and clinical signs. The aim of this article is to show the clinical importance of portal vein gas and its management in emergency surgery. Methods A computerised search was made of the Medline for publications discussing portal vein gas through March 2008. Sixty articles were identified and selected for this review because of their relevance. These articles cover a period from 1975–2008. Results Two hundreds and seventy-five patients with gas in the portal venous system were reported. The commonest cause for portal vein gas was bowel ischemia and mesenteric vascular pathology (61.44%). This was followed by inflammation of the gastrointestinal tract (16.26%), obstruction and dilatation (9.03%), sepsis (6.6%), iatrogenic injury and trauma (3.01%) and cancer (1.8%). Idiopathic portal vein gas was also reported (1.8%). Conclusion Portal vein gas is a diagnostic sign, which indicates a serious intra-abdominal pathology requiring emergency surgery in the majority of patients. Portal vein gas due to simple and benign cause can be treated conservatively. Correlation between clinical and diagnostic findings is important to set the management plan.

Hussain, Abdulzahra; Mahmood, Hind; El-Hasani, Shamsi

2008-01-01

171

Inadvertent Self-Detachment of Solitaire AB Stent during the Mechanical Thrombectomy for Recanalization of Acute Ischemic Stroke: Lessons Learned from the Removal of Stent via Surgical Embolectomy  

PubMed Central

We recently experienced self-detachment of the Solitaire stent during mechanical thrombectomy of acute ischemic stroke. Then, we tried to remove the detached stent and to recanalize the occlusion, but failed with endovascular means. The following diffusion weighted image MRI revealed no significant increase in infarction size, therefore, we performed surgical removal of the stent to rescue the patient and to elucidate the reason why the self-detachment occurred. Based upon the operative findings, the stent grabbed the main thrombi but inadvertently detached at a severely tortuous, acutely angled, and circumferentially calcified segment of the internal carotid artery. Postoperative angiography demonstrated complete recanalization of the internal carotid artery. The patient's neurological deficits gradually improved, and the modified Rankin scale score was 2 at three months after surgery. In the retrospective case review, bone window images of the baseline computed tomography (CT) scan corresponded to the operative findings. According to this finding, we hypothesized that bone window images of a baseline CT scan can play a role in terms of anticipating difficult stent retrieval before the procedure.

Kang, Dong-Hun; Hwang, Yang-Ha; Kim, Yong-Sun

2013-01-01

172

How Can Deep Vein Thrombosis Be Prevented?  

MedlinePLUS

... prevent deep vein thrombosis (DVT) and pulmonary embolism (PE). If you're at risk for these conditions: ... from forming. If you've had DVT or PE before, you can help prevent future blood clots. ...

173

Evaluating Diagnostic Decisions for Deep Vein Thrombosis.  

National Technical Information Service (NTIS)

Prompt diagnosis of proximal lower extremity deep vein thrombosis (PDVT) in outpatients is critical because of the risk of pulmonary embolism. Our primary purpose was to determine the accuracy of orthopaedists' and orthopaedic physical therapists' estimat...

D. L. Riddle B. Hillner P. Wells W. Zuelzer

2004-01-01

174

Intravenous pyogenic granuloma of the angular vein.  

PubMed

A 47-year-old woman presented with a painful mass below her left medial canthus. Examination revealed a 1-cm tender, smooth, pulseless, mobile mass inferior to the level of the anterior lacrimal crest. CT imaging was performed. Excision of the involved angular vein revealed a smooth, intralumenal lesion. Histopathologic examination demonstrated intravenous pyogenic granuloma (IVPG). There are approximately 30 reported cases of IVPG in the English literature, 2 of which arise in the periocular angular vein. The ultrasound and MRI characteristics of IVPG have been previously described. We describe the CT profile of this rare, benign tumor as a mildly heterogeneic, contrast-enhancing cylindrical lesion within, and conforming to the shape of, the angular vein. There is dilatation of the vein proximal to the lesion with marked narrowing distal to it secondary to obstruction of flow. On noncontrast imaging, the lesion is isodense with nasal mucosa and without calcifications. PMID:19617809

Winn, Bryan J; Herreid, Peter A; Sires, Bryan S

2009-01-01

175

Anatomy of the crocodilian spinal vein.  

PubMed

The crocodilian spinal vein is remarkably robust yet historically overlooked. Using corrosion casting, we describe the anatomy of this vessel and its connections with the caval and hepatic venous systems in representatives from four crocodilian genera. The spinal vein arises from an enlarged occipital sinus over the medulla and extends the entire length of the vertebral column. Unlike in squamate reptiles, the spinal vein is single (nonplexiform), voluminous, and situated dorsal to the spinal cord, and plexi lateral to the cord span between emerging intercostal veins. The connections with the other venous systems are otherwise similar to those in other tetrapods. The overall anatomy of this vessel and its abundant connections with the other venous systems indicate it likely plays a primary role in returning blood to the heart from all parts of the body. Preliminary studies of function suggest that this vessel could also play an adaptive role during basking and diving. PMID:14584034

Zippel, Kevin C; Lillywhite, Harvey B; Mladinich, Christopher R J

2003-12-01

176

Personal authentication using hand vein triangulation  

NASA Astrophysics Data System (ADS)

This paper presents a new approach to authenticate individuals using triangulation of hand vein images. The proposed method is fully automated and employs palm dorsal hand vein images acquired from the low-cost, near infrared, contactless imaging. The knuckle tips are used as key points for image normalization and the extraction of region of interest. The matching scores are generated in two parallel stages; (i) hierarchical matching score from the four topologies of triangulation in binarized vein structures and (ii) from the geometrical features consisting of knuckle point perimeter distances in the acquired images. The weighted score level combination from these two matching scores are used to authenticate the individuals. The achieved experimental results from the proposed system using contactless, palm dorsal hand vein images are promising and suggest more user friendly alternative for user identification.

Kumar, Ajay; Prathyusha, K. Venkata

2008-03-01

177

Endoscopic Saphenous Vein Harvesting: Minimally Invasive Video-Assisted Saphenectomy  

Microsoft Academic Search

A technique of greater saphenous vein harvesting for coronary artery revascularization using an endoscopic approach is herein detailed. The saphenous vein is directly identified at the knee through a single incision. An endoscopic dissector is advanced proximally and distally along the course of the vein, ligating side-branches with clips. The vein is divided at the ends of dissection, dependent on

David G Cable; Joseph A Dearani

1997-01-01

178

The Anti-spoofing Study of Vein Identification System  

Microsoft Academic Search

The vein identification systems identify a certain person by acquiring the local infrared image of hand (dorsa, palm and finger) and extracting vein pattern. The vein identification systems are widely used in security and surveillance field, but most of them ignore the liveness detection requirement or only check the temperature to prevent spoofing. After studying the spoofing method for vein

Bin Qin; Jian-fei Pan; Guang-zhong Cao; Ge-guo Du

2009-01-01

179

Biometric identification through palm and dorsal hand vein patterns  

Microsoft Academic Search

Hand vein patterns are among the biometric traits being investigated today for identification purposes, attracting interest from both the research community and industry. This paper presents a multimodal system that combines hand-palm vein and hand-dorsal vein biometrics information at the score level. The palm and dorsal veins are considered as texture samples being automatically extracted from the user's hand image.

Sanchit; Mauricio Ramalho; Paulo Lobato Correia; Luis Ducla Soares

2011-01-01

180

Finger vein extraction using gradient normalization and principal curvature  

Microsoft Academic Search

Finger vein authentication is a personal identification technology using finger vein images acquired by infrared imaging. It is one of the newest technologies in biometrics. Its main advantage over other biometrics is the low risk of forgery or theft, due to the fact that finger veins are not normally visible to others. Extracting finger vein patterns from infrared images is

Joon Hwan Choi; Wonseok Song; Taejeong Kim; Seung-Rae Lee; Hee Chan Kim

2009-01-01

181

Epithelioid hemangioendothelioma encasing the left brachiocephalic vein  

PubMed Central

Epithelioid hemangioendotheliomas are rare vascular tumors, often arising from medium to large veins in the extremities. Symptoms of these tumors vary depending upon location. Rarely, tumors may arise in chest and involve large vessels in the mediastinum. We present a case of a 17-year-old male presenting with compressive symptoms of the left upper extremity who was found to have a large epithelioid hemangioendothelioma encasing the left brachiocephalic vein.

Long, Kristin; Skinner, Sean; Martin, Jeremiah

2014-01-01

182

Primary leiomyosarcoma of the innominate vein.  

PubMed

Primary venous leiomyosarcoma is rare. We report the case of a primary leiomyosarcoma of the left innominate vein, with neoplastic thrombus extending into the left jugular and subclavian veins. The tumor was curatively resected en bloc with anterior mediastinal and laterocervical lymphatics, through a median sternotomy prolonged into left cervicotomy. Primary venous sarcomas may be associated with prolonged survival in individual cases, with curative resection recommended as the standard treatment, in the absence of distant spread. PMID:17349340

Illuminati, Giulio; Miraldi, Fabio; Mazzesi, Giuseppe; D'urso, Antonio; Ceccanei, Gianluca; Bezzi, Marcello

2007-01-01

183

Human Identification Using Palm-Vein Images  

Microsoft Academic Search

This paper presents two new approaches to improve the performance of palm-vein-based identification systems pre- sented in the literature. The proposed approach attempts to more effectively accommodate the potential deformations, rotational and translational changes by encoding the orientation preserving features and utilizing a novel region-based matching scheme. We systematically compare the previously proposed palm-vein identification approaches with our proposed ones

Yingbo Zhou; Ajay Kumar

2011-01-01

184

Low contrast hand vein image enhancement  

Microsoft Academic Search

An image of hand vein acquired by near-infrared (NIR) imaging device usually suffers from low contrast and noise due to non-illumination and thickness of the hand skin. This makes subsequent processing such as segmentation difficult. In this work, combination of histogram-based and fuzzy-based contrast enhancement algorithms are applied on hand vein images. Comparative analysis on a test image using different

M. Yakno; J. Mohamad Saleh; B. Affendi Rosdi

2011-01-01

185

Veins Improve Fracture Toughness of Insect Wings  

PubMed Central

During the lifetime of a flying insect, its wings are subjected to mechanical forces and deformations for millions of cycles. Defects in the micrometre thin membranes or veins may reduce the insect’s flight performance. How do insects prevent crack related material failure in their wings and what role does the characteristic vein pattern play? Fracture toughness is a parameter, which characterises a material’s resistance to crack propagation. Our results show that, compared to other body parts, the hind wing membrane of the migratory locust S. gregaria itself is not exceptionally tough (1.04±0.25 MPa?m). However, the cross veins increase the wing’s toughness by 50% by acting as barriers to crack propagation. Using fracture mechanics, we show that the morphological spacing of most wing veins matches the critical crack length of the material (1132 µm). This finding directly demonstrates how the biomechanical properties and the morphology of locust wings are functionally correlated in locusts, providing a mechanically ‘optimal’ solution with high toughness and low weight. The vein pattern found in insect wings thus might inspire the design of more durable and lightweight artificial ‘venous’ wings for micro-air-vehicles. Using the vein spacing as indicator, our approach might also provide a basis to estimate the wing properties of endangered or extinct insect species.

Dirks, Jan-Henning; Taylor, David

2012-01-01

186

Nutcracker syndrome complicated by left renal vein thrombosis.  

PubMed

Isolated renal vein thrombosis is a rare entity. We present a patient whose complaint of flank pain led to the diagnosis of a renal vein thrombosis. In this case, abdominal computed tomography angiography was helpful in diagnosing the nutcracker syndrome complicated by the renal vein thrombosis. Anticoagulation was started and three weeks later, CTA showed complete disappearance of the renal vein thrombosis. To treat the Nutcracker syndrome, we proposed left renal vein transposition that the patient consented to. PMID:24349817

Mallat, Faouzi; Hmida, Wissem; Jaidane, Mehdi; Mama, Nadia; Mosbah, Faouzi

2013-01-01

187

Nutcracker Syndrome Complicated by Left Renal Vein Thrombosis  

PubMed Central

Isolated renal vein thrombosis is a rare entity. We present a patient whose complaint of flank pain led to the diagnosis of a renal vein thrombosis. In this case, abdominal computed tomography angiography was helpful in diagnosing the nutcracker syndrome complicated by the renal vein thrombosis. Anticoagulation was started and three weeks later, CTA showed complete disappearance of the renal vein thrombosis. To treat the Nutcracker syndrome, we proposed left renal vein transposition that the patient consented to.

Mallat, Faouzi; Hmida, Wissem; Jaidane, Mehdi; Mama, Nadia; Mosbah, Faouzi

2013-01-01

188

Minor vein structure and sugar transport in Arabidopsis thaliana  

Microsoft Academic Search

.   Leaf and minor vein structure were studied in Arabidopsis thaliana (L.) Heynh. to gain insight into the mechanism(s) of phloem loading. Vein density (length of veins per unit leaf area) is\\u000a extremely low. Almost all veins are intimately associated with the mesophyll and are probably involved in loading. In transverse\\u000a sections of veins there are, on average, two companion

Edith Haritatos; Richard Medville; Robert Turgeon

2000-01-01

189

Deep vein thrombosis: a clinical review  

PubMed Central

Background: Deep vein thrombosis (DVT) is the formation of blood clots (thrombi) in the deep veins. It commonly affects the deep leg veins (such as the calf veins, femoral vein, or popliteal vein) or the deep veins of the pelvis. It is a potentially dangerous condition that can lead to preventable morbidity and mortality. Aim: To present an update on the causes and management of DVT. Methods: A review of publications obtained from Medline search, medical libraries, and Google. Results: DVT affects 0.1% of persons per year. It is predominantly a disease of the elderly and has a slight male preponderance. The approach to making a diagnosis currently involves an algorithm combining pretest probability, D-dimer testing, and compression ultrasonography. This will guide further investigations if necessary. Prophylaxis is both mechanical and pharmacological. The goals of treatment are to prevent extension of thrombi, pulmonary embolism, recurrence of thrombi, and the development of complications such as pulmonary hypertension and post-thrombotic syndrome. Conclusion: DVT is a potentially dangerous condition with a myriad of risk factors. Prophylaxis is very important and can be mechanical and pharmacological. The mainstay of treatment is anticoagulant therapy. Low-molecular-weight heparin, unfractionated heparin, and vitamin K antagonists have been the treatment of choice. Currently anticoagulants specifically targeting components of the common pathway have been recommended for prophylaxis. These include fondaparinux, a selective indirect factor Xa inhibitor and the new oral selective direct thrombin inhibitors (dabigatran) and selective factor Xa inhibitors (rivaroxaban and apixaban). Others are currently undergoing trials. Thrombolytics and vena caval filters are very rarely indicated in special circumstances.

Kesieme, Emeka; Kesieme, Chinenye; Jebbin, Nze; Irekpita, Eshiobo; Dongo, Andrew

2011-01-01

190

Human umbilical veins and autogenous veins as canine arterial bypass grafts.  

PubMed Central

Glutaraldehyde treated human umbilical veins (Dardik Biograft) were used to bypass short segments of the femoral artery in 15 dogs and were compared to autogenous jugular veins placed in the contralateral femoral artery of each animal. All 15 autogenous jugular veins remained patent for the four month period of observation whereas thrombosis occurred in seven of 15 umbilical vein grafts. This patency rate of 53% was significantly lower than that observed for autogenous jugular veins (p less than 0.01). Neointimal Fibrous Hyperplasia (NFH) a the proximal anastomosis was responsible for six of the seven umbilical vein graft occlusions. Of the eight patent umbilical veins, five had varying degrees of proximal anastomotic stenosis secondary to NFH. Histological examination of each graft revealed significant fibroblastic proliferation and collagen deposition within the lumen of stenosed and thrombosed grafts. Although human umbilical veins have distinct advantages over other prosthetics, such as availability and flexibility, the incidence of experimental neointimal fibrous hyperplasia causing anastomotic stenosis and thrombosis is prohibitively high. Images Fig. 1. Fig. 2.

Oblath, R W; Buckley, F O; Donnelly, W A; Green, R M; Deweese, J A

1978-01-01

191

Human umbilical veins and autogenous veins as canine arterial bypass grafts.  

PubMed

Glutaraldehyde treated human umbilical veins (Dardik Biograft) were used to bypass short segments of the femoral artery in 15 dogs and were compared to autogenous jugular veins placed in the contralateral femoral artery of each animal. All 15 autogenous jugular veins remained patent for the four month period of observation whereas thrombosis occurred in seven of 15 umbilical vein grafts. This patency rate of 53% was significantly lower than that observed for autogenous jugular veins (p less than 0.01). Neointimal Fibrous Hyperplasia (NFH) a the proximal anastomosis was responsible for six of the seven umbilical vein graft occlusions. Of the eight patent umbilical veins, five had varying degrees of proximal anastomotic stenosis secondary to NFH. Histological examination of each graft revealed significant fibroblastic proliferation and collagen deposition within the lumen of stenosed and thrombosed grafts. Although human umbilical veins have distinct advantages over other prosthetics, such as availability and flexibility, the incidence of experimental neointimal fibrous hyperplasia causing anastomotic stenosis and thrombosis is prohibitively high. PMID:686880

Oblath, R W; Buckley, F O; Donnelly, W A; Green, R M; Deweese, J A

1978-08-01

192

Varicose Veins, Deep Vein Thrombosis, and Haemorrhoids: Epidemiology and Suggested Aetiology  

Microsoft Academic Search

Current concepts on the aetiology of varicose veins, deep vein thrombosis, and haemorrhoids have been examined and, in the light of epidemiological evidence, found wanting.It is suggested that the fundamental cause of these disorders is faecal arrest which is the result of a low-residue diet.

Denis P. Burkitt

1972-01-01

193

[Calcified deep vein thrombosis in a patient with recurrent deep vein thrombosis and sarcoidosis].  

PubMed

In this article, we present a rare case of calcified deep vein thrombosis in a 42-year-old female patient with frequent relapses of pulmonary sarcoidosis since 1995, for which she was on maintenance therapy with corticosteroids and with consequential secondary diabetes. Recent femoral vein thrombosis was diagnosed with color Doppler in 2012. At the same time, calcified occlusive thrombus in vena cava inferior from the level of renal vein to the confluence of hepatic veins was diagnosed on abdominal multi-slice computed tomography (MSCT). Digital subtraction venography (DSV) revealed a well-developed collateral circulation through the paravertebral veins, azygos and hemiazygos vein. There were no risk factors for thrombosis other than sarcoidosis and diabetes. Deep vein thrombosis is rarely described with sarcoidosis, but according to literature reports, it usually appears as a recurrence and simultaneously at multiple locations. According to the current knowledge, we cannot say for sure whether it is a disease with an increased risk of deep vein thrombosis or there is a combination of multiple risk factors present simultaneously. PMID:24979886

Krmek, Dubravka Zupani?; Brajkovi?, Ivana; Beki?, Dinko; Krni?, Antun; Jurkovi?, Petar; Pavlovi?, Tomislav

2013-12-01

194

Varicose Veins, Deep Vein Thrombosis, and Haemorrhoids: Epidemiology and Suggested Aetiology  

PubMed Central

Current concepts on the aetiology of varicose veins, deep vein thrombosis, and haemorrhoids have been examined and, in the light of epidemiological evidence, found wanting. It is suggested that the fundamental cause of these disorders is faecal arrest which is the result of a low-residue diet.

Burkitt, Denis P.

1972-01-01

195

Endovascular Radiofrequency Ablation for Varicose Veins  

PubMed Central

Executive Summary Objective The objective of the MAS evidence review was to conduct a systematic review of the available evidence on the safety, effectiveness, durability and cost–effectiveness of endovascular radiofrequency ablation (RFA) for the treatment of primary symptomatic varicose veins. Background The Ontario Health Technology Advisory Committee (OHTAC) met on August 26th, 2010 to review the safety, effectiveness, durability, and cost-effectiveness of RFA for the treatment of primary symptomatic varicose veins based on an evidence-based review by the Medical Advisory Secretariat (MAS). Clinical Condition Varicose veins (VV) are tortuous, twisted, or elongated veins. This can be due to existing (inherited) valve dysfunction or decreased vein elasticity (primary venous reflux) or valve damage from prior thrombotic events (secondary venous reflux). The end result is pooling of blood in the veins, increased venous pressure and subsequent vein enlargement. As a result of high venous pressure, branch vessels balloon out leading to varicosities (varicose veins). Symptoms typically affect the lower extremities and include (but are not limited to): aching, swelling, throbbing, night cramps, restless legs, leg fatigue, itching and burning. Left untreated, venous reflux tends to be progressive, often leading to chronic venous insufficiency (CVI). A number of complications are associated with untreated venous reflux: including superficial thrombophlebitis as well as variceal rupture and haemorrhage. CVI often results in chronic skin changes referred to as stasis dermatitis. Stasis dermatitis is comprised of a spectrum of cutaneous abnormalities including edema, hyperpigmentation, eczema, lipodermatosclerosis and stasis ulceration. Ulceration represents the disease end point for severe CVI. CVI is associated with a reduced quality of life particularly in relation to pain, physical function and mobility. In severe cases, VV with ulcers, QOL has been rated to be as bad or worse as other chronic diseases such as back pain and arthritis. Lower limb VV is a very common disease affecting adults – estimated to be the 7th most common reason for physician referral in the US. There is a very strong familial predisposition to VV. The risk in offspring is 90% if both parents affected, 20% when neither affected and 45% (25% boys, 62% girls) if one parent affected. The prevalence of VV worldwide ranges from 5% to 15% among men and 3% to 29% among women varying by the age, gender and ethnicity of the study population, survey methods and disease definition and measurement. The annual incidence of VV estimated from the Framingham Study was reported to be 2.6% among women and 1.9% among men and did not vary within the age range (40-89 years) studied. Approximately 1% of the adult population has a stasis ulcer of venous origin at any one time with 4% at risk. The majority of leg ulcer patients are elderly with simple superficial vein reflux. Stasis ulcers are often lengthy medical problems and can last for several years and, despite effective compression therapy and multilayer bandaging are associated with high recurrence rates. Recent trials involving surgical treatment of superficial vein reflux have resulted in healing and significantly reduced recurrence rates. Endovascular Radiofrequency Ablation for Varicose Veins RFA is an image-guided minimally invasive treatment alternative to surgical stripping of superficial venous reflux. RFA does not require an operating room or general anaesthesia and has been performed in an outpatient setting by a variety of medical specialties including surgeons and interventional radiologists. Rather than surgically removing the vein, RFA works by destroying or ablating the refluxing vein segment using thermal energy delivered through a radiofrequency catheter. Prior to performing RFA, color-flow Doppler ultrasonography is used to confirm and map all areas of venous reflux to devise a safe and effective treatment plan. The RFA procedure involves the introduction of a guide wire into the target v

2011-01-01

196

A new approach for sclera vein recognition  

NASA Astrophysics Data System (ADS)

The vein structure in the sclera is stable over time, unique to each person, and well suited for human identification. A few researchers have performed sclera vein pattern recognition and reported promising initial results. Sclera recognition poses several challenges: the vein structure moves and deforms with the movement of the eye; images of sclera patterns are often defocused and/or saturated; and, most importantly, the vein structure in the sclera is multi-layered and has complex non-linear deformation. In this paper, we proposed a new method for sclera recognition: First, we developed a color-based sclera region estimation scheme for sclera segmentation. Second, we designed a Gabor wavelet-based sclera pattern enhancement method, and an adaptive thresholding method to emphasize and binarize the sclera vein patterns. Third, we proposed a line descriptor-based feature extraction, registration, and matching method that is illumination-, scale-, orientation-, and deformation-invariant, and can mitigate the multi-layered deformation effects exhibited in the sclera and tolerate segmentation error. It is empirically verified using the UBIRIS database that the proposed method can perform accurate sclera recognition.

Thomas, N. L.; Du, Yingzi; Zhou, Zhi

2010-04-01

197

Optimization of subcutaneous vein contrast enhancement  

NASA Astrophysics Data System (ADS)

A technique for enhancing the contrast of subcutaneous veins has been demonstrated. This techniques uses a near IR light source and one or more IR sensitive CCD TV cameras to produce a contrast enhanced image of the subcutaneous veins. This video image of the veins is projected back onto the patient's skin using a n LCD video projector. The use of an IR transmitting filter in front of the video cameras prevents any positive feedback from the visible light from the video projector from causing instabilities in the projected image. The demonstration contrast enhancing illuminator has been tested on adults and children, both Caucasian and African-American, and it enhances veins quite well in all cases. The most difficult cases are those where significant deposits of subcutaneous fat are present which make the veins invisible under normal room illumination. Recent attempts to see through fat using different IR wavelength bands and both linearly and circularly polarized light were unsuccessful. The key to seeing through fat turns out to be a very diffuse source of RI light. Results on adult and pediatric subjects are shown with this new IR light source.

Zeman, Herbert D.; Lovhoiden, Gunnar; Deshmukh, Harshal

2000-05-01

198

Oversized vein grafts develop advanced atherosclerosis in hypercholesterolemic minipigs  

PubMed Central

Background Accelerated atherosclerosis is the main cause of late aortocoronary vein graft failure. We aimed to develop a large animal model for the study of pathogenesis and treatment of vein graft atherosclerosis. Methods An autologous reversed jugular vein graft was inserted end-to-end into the transected common carotid artery of ten hypercholesteroemic minipigs. The vein grafts were investigated 12-14 weeks later with ultrasound and angiograpy in vivo and microscopy post mortem. Results One minipig died during follow up (patent vein graft at autopsy), and one vein graft thrombosed early. In the remaining eight patent vein grafts, the mean (standard deviation) intima-media thickness was 712 ?m (276 ?m) versus 204 ?m (74 ?m) in the contralateral control internal jugular veins (P < .01). Advanced atherosclerotic plaques were found in three of four oversized vein grafts (diameter of graft > diameter of artery). No plaques were found in four non-oversized vein grafts (P < .05). Conclusions Our model of jugular vein graft in the common carotid artery of hypercholesterolemic minipigs displayed the components of human vein graft disease, i.e. thrombosis, intimal hyperplasia, and atherosclerosis. Advanced atherosclerosis, the main cause of late failure of human aortocoronary vein grafts was only seen in oversized grafts. This finding suggests that oversized vein grafts may have detrimental effects on patient outcome.

2012-01-01

199

Pathogenesis of varicose veins - lessons from biomechanics.  

PubMed

The development of varicose veins or chronic venous insufficiency is preceded by and associated with the pathophysiological remodelling of the venous wall. Recent work suggests that an increase in venous filling pressure is sufficient to promote varicose remodelling of veins by augmenting wall stress and activating venous endothelial and smooth muscle cells. In line with this, known risk factors such as prolonged standing or an obesity-induced increase in venous filling pressure may contribute to varicosis. This review focuses on biomechanically mediated mechanisms such as an increase in wall stress caused by venous hypertension or alterations in blood flow, which may be involved in the onset of varicose vein development. Finally, possible therapeutic options to counteract or delay the progress of this venous disease are discussed. PMID:24627315

Pfisterer, Larissa; König, Gerd; Hecker, Markus; Korff, Thomas

2014-03-01

200

Phasic activity of human dorsal foot veins.  

PubMed

Phasic contractions of the dorsal foot veins were detected in 7 male subjects, aged 23 to 49 years, by means of a linear variable differential transformer (LVDT) after congesting the veins by a pressure of 6.7 kPa (50 torr). This phasic activity (PA) had a frequency of 3 to 7 contractions per minute and led to a periodic diminution of the diameter of the distended veins by 12 to 44%. Using a double LVDT, the PA was shown to represent peristaltic waves travelling along the vessel wall concomitantly with the venous return. Determined in 3 out of the 7 subjects, the velocity of the waves amounted to 3.6 to 6.1 mm per second. A rheological significance of the peristaltic waves is assumed. PMID:3178793

Barthel, W; Koth, W

1988-01-01

201

Can tuffisite veins help dictate eruption styles?  

NASA Astrophysics Data System (ADS)

The ability of magmas to degas during ascent may affect eruption style. The permeability of the magma and/or the conduit wall rocks may therefore dictate whether an eruption will be explosive or effusive. Fractures increase permeability. Fractures filled by veins of autoclastic, cataclastic and tuffisitic glass shards and crystal fragments are common in shallow conduit systems. These veins have the potential to dramatically increase permeability and provide pathways for gas loss. Here we present the first study on the porosity, permeability, strength, P-and S-wave and dynamic elastic moduli of andesite containing tuffisite veins at Volcán de Colima, Mexico. Porosity was measured via pycnometry. The strength and mechanisms of deformation were investigated on tuffisite-bearing and tuffisite-free samples in a uniaxial press at 940°C by loading at 2 MPa/min until failure. The permeability, P- and S-wave velocity, and dynamic elastic moduli were measured in a high-pressure permeameter/pore volumometer up to effective confining pressures of 50 MPa (ca. 2km depth). Measurements were made on cylindrical samples prepared as: (1) without tuffisite veins and with tuffisite veins (2) perpendicular and (3) sub-parallel to flow (i.e., the samples’ axial direction). Petrographic analysis reveals that the tuffisites are comprised almost exclusively of micron-size crystal fragments. Dilatometric measurements of tuffisite (10°C/min up to 1000°C), failed to reveal a Tg, indicating the absence of interstitial glass. In contrast, the dome rocks exhibits viscous relaxation between 770 and 885 °C, indicating glass. The high-temperature (940°C) deformation experiments on samples containing tuffisite veins showed an absence of ductile deformation and a uniaxial strength of 116 MPa; i.e, slightly weaker than tuffisite-free rock (~130 MPa) and stronger than erupted dome lavas (~30 MPa). The presence of tuffisite increases the porosity. Permeability measurements show that tuffisite veins perpendicular to the direction of fluid flow do not increase permeability; however, those sub-parallel double the permeability (from about 5 x 10-14 m2 to 1 x 10-13 m2). With an increase in confining pressure, the efficiency of the tuffisites as an effective degassing pathway decreases. At a depth of just less than one kilometre the effective pressure was sufficient to compress the veins so that the permeability dropped to that of the host rock. These results suggest that tuffisite veins have important mechanical consequences for magma ascent at Volcán de Colima. The presence of tuffisite veins may focus/localize deformation within the host magma and wall rock. At depths greater that 1 km tuffisite veins will have little affect on conduit permeability. However, depressurization during ascent will dramatically increase the permeability of the tuffisite veins relative to the host magma, and thus reduce the potential of explosive eruptions.

Kolzenburg, S.; Heap, M. J.; Lavallee, Y.; Russell, J. K.; Meredith, P. G.; Dingwell, D. B.

2010-12-01

202

Hepatic fat accumulation with sparing associated with portal vein duplication.  

PubMed

Duplication of the portal vein is a rare congenital anomaly. We experienced a case of duplication of the portal vein associated with hepatic fat accumulation with sparing. Fat accumulation was seen in the central portion of the liver, which was supplied by the portal vein coursing upward to the porta hepatis (Portal Vein 2), and sparing of fatty liver was seen in the peripheral portion of the liver, which was supplied by the portal vein entering the liver inferiorly (Portal Vein 1). PMID:24679652

Yang, Dal Mo; Kim, Hyun Cheol; Kim, Sang Won

2014-01-01

203

Number of valves in superficial veins of the leg.  

PubMed

Study was performed on 83 great and 64 small saphenous veins obtained from human adults males and females, aged 26 to 85 years. The number of valves in the great saphenous veins varies from 3 to l3, and in the small saphenous veins the number of valves varies from 1 to 8. The mean number of valves in the femoral part of the great saphenous veins is 5 and in the crural part of this vein is 3. The number of valves is not related to the length of vein. PMID:14663766

M, C G; M, B

1999-01-01

204

Arteries and veins desensitize differently to endothelin.  

PubMed

Hypertension is accompanied by increased arterial endothelin-1 (ET-1) and decreased arterial contraction to ET-1. By contrast, veins remain responsive to ET-1 in hypertension. Isometric contraction was used to test the hypothesis that veins do not desensitize to ET-1 to the extent of arteries, possibly because of the presence of functional ETA and ETB receptors on veins and only functional ETA receptors on arteries. Contraction to ET-1 after exposure to ET-1 (100 nmol/L) was abolished in aortae, while in veins 36.3 +/- 0.2% of maximal contraction to ET-1 remained. Aortae were unresponsive to the ETA receptor agonist ET-1(1-31) (100 nmol/L) after ET-1 exposure, while 21.9 +/- 0.6% of maximum venous contraction to ET-1 (1-31) remained. In a similar manner, the venous ETB receptor did not lose responsiveness to the ETB receptor agonist sarafotoxin 6c (S6c, 100 nmol/L); aortae did not contract to S6c. In ET-1-desensitized veins, the ETB receptor antagonist BQ-788 (100 nmol/L) decreased maximum contraction to ET-1, but did not alter potency (-log EC50 control = 8.14 +/- 0.01 mol/L; BQ-788 = 8.13 +/- 0.04 mol/L). The ETA receptor antagonist atrasentan (100 nmol/L) blocked remaining venous contraction to ET-1 (control = 8.05 +/- 0.05 mol/L; atrasentan = unmeasurable). Maintained responsiveness to ET-1 in veins occurs primarily via the ETA receptor, while in arteries the ETA receptor is responsible for desensitization to ET-1. PMID:15076222

Thakali, Keshari; Fink, Gregory D; Watts, Stephanie W

2004-03-01

205

Conduits for Coronary Bypass: Vein Grafts  

PubMed Central

The saphenous vein has been the principal conduit for coronary bypass grafting from the beginning, circa 1970. This report briefly traces this history and concomitantly presents one surgeons experience and personal views on use of the vein graft. As such it is not exhaustive but meant to be practical with a modest number of references. The focus is that of providing guidance and perspective which may be at variance with that of others and recognizing that there may be many ways to accomplish the task at hand. Hopefully the surgeon in training/early career may find this instructive on the journey to surgical maturity.

Farkas, Emily A

2012-01-01

206

The double retro-aortic left renal vein  

PubMed Central

The renal veins drain the kidney into the inferior vena cava and unite in a variable fashion to form the renal vein. The left renal vein is normally located in front of the aorta. However, the retro-aortic renal vein may course posterior to the aorta due to embryological developmental anomalies. During educational dissection, a rare variation of the left renal vein was found in a 66-year old male cadaver. The double retro-aortic renal veins coursed behind the aorta to drain into the inferior vena cava. The superior retro-aortic renal vein drained into the inferior vena cava at the lower border of the L2 vertebra, and the inferior retro-aortic renal vein drained into the inferior vena cava at the upper border of the L4 vertebra. Such a variant is rare, and is a clinically important observation which should be noted by vascular surgeons, oncologists, and traumatologists.

Kyung, Dong-Soo; Lee, Jae-Ho; Shin, Deuk-Yong; Kim, Dae-Kwang

2012-01-01

207

Vascular access outcomes using the transposed basilic vein arteriovenous fistula  

Microsoft Academic Search

Background:Although the transposed basilic vein arteriovenous fistula (TBAVF) is increasingly performed for hemodialysis vascular access in patients lacking adequate superficial veins, little is known about the long-term patency or risk factors for failure.

Jonathan H. Segal; Liise K. Kayler; Peter Henke; Robert M. Merion; Sean Leavey; Darrell A. Campbell

2003-01-01

208

Varicose and other vein problems - self-care  

MedlinePLUS

... you stand. As a result, you may have: Varicose veins Swelling in your legs Skin changes or even ... at home to: Slow down the development of varicose veins Decrease any discomfort Prevent skin ulcers

209

21 CFR 880.6970 - Liquid crystal vein locator.  

Code of Federal Regulations, 2010 CFR

...crystal vein locator. (a) Identification. A liquid crystal vein locator is a device used to indicate the...displaying the color changes of heat sensitive liquid crystals (cholesteric esters). (b) Classification....

2010-04-01

210

21 CFR 880.6970 - Liquid crystal vein locator.  

Code of Federal Regulations, 2010 CFR

...crystal vein locator. (a) Identification. A liquid crystal vein locator is a device used to indicate the...displaying the color changes of heat sensitive liquid crystals (cholesteric esters). (b) Classification....

2009-04-01

211

Deep Vein Thrombosis - Multiple Languages: MedlinePlus  

MedlinePLUS

... features on this page, please enable JavaScript. Deep Vein Thrombosis - Multiple Languages Arabic (???????) ASL (American Sign ... Somali (af Soomaali) Spanish (español) Arabic (???????) Deep Vein Thrombosis (DVT) (Arabic) ??????? Bilingual PDF Health Information ...

212

Modified incision for long saphenous vein harvest.  

PubMed

We describe a modification of the standard open technique of long saphenous vein harvesting that, by avoiding dissection in the region of the medial malleolus, can reduce the incidence of leg wound related complications after coronary artery bypass grafting. PMID:9692491

Chukwuemeka, A; John, L

1998-07-01

213

A secure cryptosystem from palm vein biometrics  

Microsoft Academic Search

This paper proposes a novel technique to generate an irrevocable cryptographic key from the biometric template. The biometric trait considered here is the palm vein. The technique proposed here utilises the minutiae features extracted from the pattern generated. The features include bifurcation points and ending points. Since other cryptographic keys are probable to theft or guess, keys generated from the

B. Prasanalakshmi; A. Kannammal

2009-01-01

214

Endoscopic vein harvesting: technique, outcomes, concerns & controversies  

PubMed Central

The choice of the graft conduit for coronary artery bypass grafting (CABG) has significant implications both in the short- and long-term. The patency of a coronary conduit is closely associated with an uneventful postoperative course, better long-term patient survival and superior freedom from re-intervention. The internal mammary artery is regarded as the primary conduit for CABG patients, given its association with long-term patency and survival. However, long saphenous vein (LSV) continues to be utilized universally as patients presenting for CABG often have multiple coronary territories requiring revascularization. Traditionally, the LSV has been harvested by creating incisions from the ankle up to the groin termed open vein harvesting (OVH). However, such harvesting methods are associated with incisional pain and leg wound infections. In addition, patients find such large incisions to be cosmetically unappealing. These concerns regarding wound morbidity and patient satisfaction led to the emergence of endoscopic vein harvesting (EVH). Published experience comparing OVH with EVH suggests decreased wound related complications, improved patient satisfaction, shorter hospital stay, and reduced postoperative pain at the harvest site following EVH. Despite these reported advantages concerns regarding risk of injury at the time of harvest with its potential detrimental effect on vein graft patency and clinical outcomes have prevented universal adoption of EVH. This review article provides a detailed insight into the technical aspects, outcomes, concerns, and controversies associated with EVH.

Sarang, Zubair

2013-01-01

215

The ophthalmic vein in the carotid angiogram  

Microsoft Academic Search

The appearance of the superior ophthalmic vein following the different methods of cerebral angiography is described in normal and pathological cases. The appearance of the SOV is usually closely related to the filling of the external carotid artery. In the presence of anatomical variations, or in cases of, intracranial lesions with unusual drainage behaviour, the SOV may also appear following

G. B. Bradac; R. S. Simon; W. Leonhardt

1974-01-01

216

Nitroprusside modulates pulmonary vein arrhythmogenic activity  

Microsoft Academic Search

BACKGROUND: Pulmonary veins (PVs) are the most important sources of ectopic beats with the initiation of paroxysmal atrial fibrillation, or the foci of ectopic atrial tachycardia and focal atrial fibrillation. Elimination of nitric oxide (NO) enhances cardiac triggered activity, and NO can decrease PV arrhythmogensis through mechano-electrical feedback. However, it is not clear whether NO may have direct electrophysiological effects

Yung-Kuo Lin; Yen-Yu Lu; Yao-Chang Chen; Yi-Jen Chen; Shih-Ann Chen

2010-01-01

217

Portal vein complications after pediatric liver transplantation.  

PubMed

Relatively few pediatric donors are available in relation to the number of children waiting for a liver transplant. This limited number of pediatric donor livers leads to the use of adult livers, usually requiring more complex portal vein (PV) anastomoses. These anastomoses are complicated by differences in PV caliber between donors and recipients, as well as by limitations of PV length, which may be inadequate to reach the recipient spleno-mesenteric junction. Three types of post-transplant complications result from these complexities: 1) anomalies of the portal flow; 2) stenosis of the PV anastomosis; and 3) PV thrombosis. Abnormal portal flow may rarely need a specific intervention, but persistent stenosis or appearance of signs of portal hypertension need to be corrected. Balloon dilatation and placement of a stent are usually successful to repair stenosis. Portal vein thromboses are in general diagnosed in the immediate post-operative period and frequently lead to re-transplantation; however, thrombolytic therapy should be attempted in children without major signs of liver necrosis. When intra-hepatic portal vein(s) are permeable, despite extrahepatic PV thrombosis, a Meso-Rex shunt may be the indicated therapy. PMID:22434261

Alvarez, Fernando

2012-06-01

218

Management of Central Retinal Vein Occlusion  

Microsoft Academic Search

The management of central retinal vein occlusion (CRVO) is discussed briefly. Since the prognosis, complications, visual outcome and management of nonischemic and ischemic CRVO are very different, the first essential step in the management of CRVO is to determine which type of CRVO one is dealing with. The various parameters which help to differentiate the two types reliably are described

Sohan Singh Hayreh

2003-01-01

219

Central retinal vein occlusion and thrombophilia  

Microsoft Academic Search

Central retinal vein occlusion is one of the commonest vascular diseases of the eye. The pathogenesis is multifactorial with both local factors and systemic diseases being aetiologically important. Many thrombophilic conditions have recently been identified and studies looking at their potential role in CRVO have been undertaken. The aim of this review is to critically appraise these studies as to

C D Fegan

2002-01-01

220

Central retinal vein occlusion in young people  

Microsoft Academic Search

In a study performed on 20 subjects with central retinal vein occlusion (CRVO) aged 40 years or less we found the ischemic form in 20%. Disc edema was a common finding at the onset, while macular edema was less frequently seen. Systemic or ocular disorders that could be related with the development of the CRVO were often found; a patient

Giuseppe Giuffré; Gaetano Randazzo-Papa; Carlo Palumbo

1992-01-01

221

An improved method for finger-vein image enhancement  

Microsoft Academic Search

Finger vein, as a biological characteristic of individual, has been increasingly utilized for personal identification in advanced security applications. Nonetheless, the finger-vein images always are low in quality, which seriously affect the vein-feature extraction and classification. Hence, establishing a reasonable finger-vein enhancement strategy is indispensable in reality. In this paper, an improved approach, incorporating directional decomposition and Frangi filtering, is

Jinfeng Yang; Minfu Yan

2010-01-01

222

Reconstruction of portal vein and superior mesenteric vein after extensive resection for pancreatic cancer  

PubMed Central

Purpose Tumor invasion to the portal vein (PV) or superior mesenteric vein (SMV) can be encountered during the surgery for pancreatic cancer. Venous reconstruction is required, but the optimal surgical methods and conduits remain in controversies. Methods From January 2007 to July 2012, 16 venous reconstructions were performed during surgery for pancreatic cancer in 14 patients. We analyzed the methods, conduits, graft patency, and patient survival. Results The involved veins were 14 SMVs and 2 PVs. The operative methods included resection and end-to-end anastomosis in 7 patients, wedge resection with venoplasty in 2 patients, bovine patch repair in 3 patients, and interposition graft with bovine patch in 1 patient. In one patient with a failed interposition graft with great saphenous vein (GSV), the SMV was reconstructed with a prosthetic interposition graft, which was revised with a spiral graft of GSV. Vascular morbidity occurred in 4 cases; occlusion of an interposition graft with GSV or polytetrafluoroethylene, segmental thrombosis and stenosis of the SMV after end-to-end anastomosis. Patency was maintained in patients with bovine patch angioplasty and spiral vein grafts. With mean follow-up of 9.8 months, the 6- and 12-month death-censored graft survival rates were both 81.3%. Conclusion Many of the involved vein segments were repaired primarily. When tension-free anastomosis is impossible, the spiral grafts with GSV or bovine patch grafts are good options to overcome the size mismatch between autologous vein graft and portomesenteric veins. Further follow-up of these patients is needed to demonstrate long-term patency.

Kim, Suh Min; Park, Daedo; Min, Sang-Il; Jang, Jin-Young; Kim, Sun-Whe; Ha, Jongwon; Kim, Sang Joon

2013-01-01

223

Inferior vena cava hypoplasia with right hepatic vein and accessory inferior hepatic vein shunt.  

PubMed

Inferior vena cava (IVC) hypoplasia is a rare condition. Venous blood flow is usually provided through collaterals in the azygos or hemiazygos venous systems. However, portosystemic shunts with intrahepatic venous collateral are extremely rare. The case is presented here of a large shunt between the right hepatic vein, accessory inferior hepatic vein, and inferior vena cava in a 37-year-old female patient with IVC hypoplasia. PMID:24590531

Cullu, N; Yeniçeri, O; Deveer, M; Tetiker, H

2014-01-01

224

Hepatocellular Carcinoma Invading the Main Portal Vein: Treatment with Transcatheter Arterial Chemoembolization and Portal Vein Stenting  

Microsoft Academic Search

To retrospectively analyze the therapeutic results of percutaneous transhepatic portal vein stenting (PTPVS) and transcatheter\\u000a arterial chemoembolization (TACE) treatment in 58 patients with hepatocellular carcinoma (HCC) invading the main portal vein\\u000a (MPV). A total of 58 procedures of PTPVS were performed, immediately after which TACE was undertaken to control HCC. The clinical\\u000a effects, complications, digital subtraction angiographic appearance, stent patency

Xue-Bin Zhang; Jian-Hua Wang; Zhi-Ping Yan; Sheng Qian; Rong Liu

2009-01-01

225

Endoscopic saphenous vein harvest in infrainguinal bypass surgery  

Microsoft Academic Search

Background: Autologous greater saphenous vein is considered to be the optimal material for peripheral arterial reconstruction and coronary artery revascularization. We describe a new endoscopic technique of saphenous vein harvest in infrainguinal arterial bypass surgery.Methods: A retrospective analysis of 64 infrainguinal bypass procedures was performed comparing the standard open technique of saphenous vein harvesting with a new less invasive endoscopic

Mark R Robbins; Steven A Hutchinson; Stephen D Helmer

1998-01-01

226

Negative results - Coronary Carbon dioxide embolism during endoscopic vein harvesting  

Microsoft Academic Search

Endoscopic vein harvesting (EVH) is becoming common for the patients undergoing coronary artery bypass grafting. Using carbon dioxide insufflations during the vein harvest can produce rare but catastrophic CO embolism. We report a case of massive right atrial CO embolism 2 2 due to femoral vein injury which occurred during the performance of a routine EVH procedure. 2008 Published by

Muhammed Tamim; Maher Omrani; Adel Tash; Ahmed El Watidy

2010-01-01

227

Who Is at Risk for Deep Vein Thrombosis?  

MedlinePLUS

... Twitter. Who Is at Risk for Deep Vein Thrombosis? The risk factors for deep vein thrombosis (DVT) include: A history of DVT. Conditions or ... factors listed above. Rate This Content: Deep Vein Thrombosis Clinical Trials Clinical trials are research studies that ...

228

Portal Vein Measurements by Real-Time Sonography  

Microsoft Academic Search

Real-time sonography affords a simple and reliable definition of the portal veins. A standard chart of normal portal vein measurements is presented. The mean diameter of the portal vein in 107 patients aged 21 -40 years was 1 1 ± 2 mm. This information can be useful in evaluating portal hypertension in a variety of clinical situations. Sonognaphy has been

Jeffrey Weinreb; Sheila Kumari; Gail Phillips; Rubem Pochaczevsky

229

Neovascularization and recurrent varicose veins: more histologic and ultrasound evidence  

Microsoft Academic Search

BackgroundThe recurrence of varicose veins is a common and costly consequence of varicose vein surgery. Despite the long history and vast experience of varicose vein surgery, the exact cause of recurrence is still unknown. This study aims to investigate the cause of recurrence further by correlating findings from duplex ultrasound scans, resin casts, and histologic investigation at the recurrence of

André M van Rij; Gregory T Jones; Gerry B Hill; Ping Jiang

2004-01-01

230

Prevalence and Risk Factors of Varicose Veins in Japanese Women  

Microsoft Academic Search

The prevalence and risk factors of varicose veins in Japan were investigated in 541 Japanese women. Varicose veins were defined as any dilated, tortuous, and elongated veins of the lower extremity and classified into four types. The total prevalence rate was 45%. Saphenous type was observed in 22%, segment type in 35%, reticular type in 28%, and web type in

Masafumi Hirai; Kenichi Naiki; Ryu Nakayama

1990-01-01

231

Systemic diseases associated with various types of retinal vein occlusion  

Microsoft Academic Search

PURPOSE: To investigate systemic diseases associated with various types of retinal vein occlusion.METHODS: We investigated prospectively in 1090 consecutive patients with retinal vein occlusion, almost all Caucasian (consistent with the racial pattern here), the prevalence of associated systemic disorders before or at the onset of various types of retinal vein occlusion. The patients were categorized into six types of retinal

Sohan Singh Hayreh; Bridget Zimmerman; Mark J. McCarthy; Patricia Podhajsky

2001-01-01

232

Hand veins segmentation and matching under adverse conditions  

Microsoft Academic Search

Biometric identification based on hand veins subcutaneous network structure appears as a promising technique for personal recognition due to its robustness, low cost implementation and high users acceptability. Two of the most critical stages in these vein check identification systems are the vein pattern segmentation and matching, which extremely depend on the image acquisition process. The acquisition becomes a bottleneck

Sebastian Lopez; Albano González

2003-01-01

233

Non-contact finger vein acquisition system using NIR laser  

Microsoft Academic Search

Authentication using finger vein pattern has substantial advantage than other biometrics. Because human vein patterns are hidden inside the skin and tissue, it is hard to forge vein structure. But conventional system using NIR LED array has two drawbacks. First, direct contact with LED array raise sanitary problem. Second, because of discreteness of LEDs, non-uniform illumination exists. We propose non-contact

Jiman Kim; Hyoun-Joong Kong; Seungwoo Noh; Seung-Rae Lee; Taejeong Kim; Hee Chan Kim

2009-01-01

234

Ophthalmodynamometric assessment of the central retinal vein collapse pressure in eyes with retinal vein stasis or occlusion  

Microsoft Academic Search

Purpose. Using a new Goldmann contact lens associated ophthalmodynamometric device, it was the purpose of the present study to determine the central retinal vein collapse pressure in eyes with retinal vein occlusions or retinal venous stasis.Methods. The prospective clinical non-interventional comparative study included 19 patients with central retinal vein occlusion (n=8), branch retinal vein occlusion (n=4), or retinal venous stasis

Jost B. Jonas

2003-01-01

235

Late renal vein aneurysm following living related renal transplant  

PubMed Central

Renal vein aneurysms are rare; there are less than 10 reported cases. As of yet there have been no reported cases of renal vein aneurysm following renal transplantation. We present a case of an incidentally discovered renal vein aneurysm following uncomplicated living related renal transplant. The lesion was discovered 4 years after the transplant through abdominal ultrasound investigation of new right lower quadrant discomfort. Magnetic resonance imaging confirmed the presence of a 2.3-cm thrombosed renal vein aneurysm of the main renal vein. This case report highlights the rare nature of these events, the diagnostic challenges and the lack of satisfactory management guidelines in these cases.

Dale, Robert T.; Bidnur, Samir; Nguan, Christopher Y.C.

2014-01-01

236

Foam sclerotherapy for spouting haemorrhage in patients with varicose veins.  

PubMed

The bleeding from various veins can be intense and may be mistaken for arterial haemorrhage. Several fatal cases are reported due to delay of treatment and inappropriate first aid. We describe five cases of haemorrhage from varicose veins that were treated with foam sclerotherapy. Polidocanol foam was injected in the various veins using ultrasound guidance. There was no recurrence of haemorrhage in any patient during the 17.4 months follow-up period. Foam sclerotherapy can be performed easily in an out-patient clinic setting. This method is an ideal therapy for haemorrhage from varicose veins because it mitigates problematic varicose veins. PMID:21420881

Hamahata, A; Yamaki, T; Osada, A; Fujisawa, D; Sakurai, H

2011-06-01

237

Finger vein extraction using gradient normalization and principal curvature  

NASA Astrophysics Data System (ADS)

Finger vein authentication is a personal identification technology using finger vein images acquired by infrared imaging. It is one of the newest technologies in biometrics. Its main advantage over other biometrics is the low risk of forgery or theft, due to the fact that finger veins are not normally visible to others. Extracting finger vein patterns from infrared images is the most difficult part in finger vein authentication. Uneven illumination, varying tissues and bones, and changes in the physical conditions and the blood flow make the thickness and brightness of the same vein different in each acquisition. Accordingly, extracting finger veins at their accurate positions regardless of their thickness and brightness is necessary for accurate personal identification. For this purpose, we propose a new finger vein extraction method which is composed of gradient normalization, principal curvature calculation, and binarization. As local brightness variation has little effect on the curvature and as gradient normalization makes the curvature fairly uniform at vein pixels, our method effectively extracts finger vein patterns regardless of the vein thickness or brightness. In our experiment, the proposed method showed notable improvement as compared with the existing methods.

Choi, Joon Hwan; Song, Wonseok; Kim, Taejeong; Lee, Seung-Rae; Kim, Hee Chan

2009-02-01

238

Liver transplantation with calcific sclerosis of the portal vein.  

PubMed

Thrombosis or phlebosclerosis of the portal vein is an infrequent finding during the preoperative evaluation of a potential liver transplant recipient. Occasionally the process extends proximally into the superior mesenteric vein. This precludes conventional methods of portal venous reconstruction, necessitating reconstitution of portal venous inflow during liver transplantation through a venous conduit. The authors present a case of calcific phlebosclerosis of the portal and distal superior mesenteric veins that was delineated during preoperative imaging. This case emphasizes the importance of visualizing both the portal and superior mesenteric veins during the preoperative assessment, when patency of the portal vein is questionable. When the obliterative process extends into the distal superior mesenteric vein the authors recommend construction of the venous conduit from the proximal superior mesenteric vein as a pre-emptive manoeuvre before dissection of the recipient's liver and hilar structures. The venous conduit is then ready for immediate use during engraftment, thereby maintaining the shortest possible anhepatic time. PMID:1913389

Hoffman, M A; Planeta, L A; Rohrer, R J

1991-10-01

239

The veins of the nucleus dentatus: anatomical and radiological findings.  

PubMed

The veins of the dentate nucleus are composed of several channels draining the external surface and one single vein draining the internal surface. We analyzed specimens of the human cerebellum and described the central vein of the nucleus dentatus as the main venous outflow of the nucleus. The central vein of the nucleus dentatus is formed by a network of smaller vessels draining the sinuosities of the gray matter; it emerges from the hilum of the nucleus and runs along the superior cerebellar peduncle, opening in the anterior vermian vein. We looked for this structure and for the surrounding veins on ultra-high-field (7 Tesla) MR, using susceptibility-weighted imaging. An anatomical and radiological description of the veins of the dentate nucleus is provided, with some remarks on the future clinical applications that these findings could provide. PMID:20659570

Di Ieva, Antonio; Tschabitscher, Manfred; Galzio, Renato Juan; Grabner, Günther; Kronnerwetter, Claudia; Widhalm, Georg; Matula, Christian; Trattnig, Siegfried

2011-01-01

240

Clinical evaluation of vein contrast enhancement  

NASA Astrophysics Data System (ADS)

A clinical study is underway to compare an experimental infrared (IR) device, OnTarget OnTarget at LeBonheur Children's Medical Center, Methodist Healthcare, in Memphis, TN, while the adult study site is the clinical research center at Bowld Hospital, also in Memphis, TN. Early results on 35 pediatric and 25 adult subjects indicate that OnTarget years' experience in accessing veins in pediatric subjects, and that it could be very helpful to a phlebotomist with limited experience when accessing veins in both adult and pediatric subjects. The study uses monitor based OnTarget area of the patients anatomy enlarged and contrast enhanced on a LCD monitor. The phlebotomist can then compare the OnTarget or feel when examining a subject.

Lovhoiden, Gunnar; Deshmukh, Harshal; Zeman, Herbert D.

2002-05-01

241

Percutaneous Transumbilical Portal Vein Embolization in a Patient with a Ruptured Hepatocellular Carcinoma Supplied by the Portal Vein  

SciTech Connect

We describe a case of a ruptured hepatocellular carcinoma supplied by the portal vein that was successfully treated with portal vein embolization via a percutaneous transumbilical approach. A contrast material-enhanced computed tomographic (CT) scan showed the presence of a large hypervascular tumor on portal venous phase as well as right hepatic vein thrombosis and hemoperitoneum that prevented portal vein embolization by the use of the percutaneous and transjugular transhepatic approach. The use of percutaneous transumbilical portal vein embolization can be an alternative option in this situation.

Kim, Soo Chin; Kim, Hyo-Cheol, E-mail: angiointervention@gmail.com; Chung, Jin Wook; Jae, Hwan Jun; Park, Jae Hyung [Seoul National University College of Medicine, Department of Radiology (Korea, Republic of)

2011-02-15

242

[Severe complications of subclavian vein catheterization].  

PubMed

The authors report 4 observations of severe involvement induced by sub-clavian catheterization: - 2 catheter-embolisms; - 1 venous thrombosis and one hydrothoraxx. One embolism and the hydrothorax were caused by a faulty puncturing. The thrombosis was the result of a relative stenosis of the vein induced by a loop of the catheter in the Pirogoff confluent. Next, the authors develop the facts given by the literature bearing upon each one of these complications. PMID:2064

Michel, L; Vandeperre, J; Lantin, A

1975-10-01

243

Electroretinography in central retinal vein occlusion  

Microsoft Academic Search

In 149 eyes with central retinal vein occlusion (CRVO), we prospectively investigated the role of routine, clinical electroretinography (ERG) in differentiating ischemic (60 eyes) from nonischemic CRVO (89 eyes). Single-flash photopic and scotopic ERGs were recorded. Data for the amplitudes and implicit times of a- and b-waves and for the b-\\/a-wave amplitude ratio were analyzed in detail. The study revealed

Sohan Singh Hayreh; Marie R. Klugman; Patricia Podhajsky; Hansjoerg E. Kolder

1989-01-01

244

Superior Mesenteric Vein Thrombosis: A Case Report  

PubMed Central

Superior mesenteric vein thrombosis is an abdominal emergency that is rarely diagnosed early. Abdominal pain, vomiting, fever, and hematochezia are the characteristic presenting complaints. Tenderness, distension, and diminished intestinal sounds were the prominent abdominal physical findings in this case and were often associated with tachycardia and hypotension. This is a case that demonstrates all the nonspecifics, and one in which the patient survived beyond all others reported in the literature to date. ImagesFigure 1Figure 2Figure 3Figure 4

Nedd, Wilton O'R.; Siram, Suryanarayana M.; Bastien, Joseph A.; Leffall, LaSalle D.

1985-01-01

245

Patterning of Leaf Vein Networks by Convergent Auxin Transport Pathways  

PubMed Central

The formation of leaf vein patterns has fascinated biologists for centuries. Transport of the plant signal auxin has long been implicated in vein patterning, but molecular details have remained unclear. Varied evidence suggests a central role for the plasma-membrane (PM)-localized PIN-FORMED1 (PIN1) intercellular auxin transporter of Arabidopsis thaliana in auxin-transport-dependent vein patterning. However, in contrast to the severe vein-pattern defects induced by auxin transport inhibitors, pin1 mutant leaves have only mild vein-pattern defects. These defects have been interpreted as evidence of redundancy between PIN1 and the other four PM-localized PIN proteins in vein patterning, redundancy that underlies many developmental processes. By contrast, we show here that vein patterning in the Arabidopsis leaf is controlled by two distinct and convergent auxin-transport pathways: intercellular auxin transport mediated by PM-localized PIN1 and intracellular auxin transport mediated by the evolutionarily older, endoplasmic-reticulum-localized PIN6, PIN8, and PIN5. PIN6 and PIN8 are expressed, as PIN1 and PIN5, at sites of vein formation. pin6 synthetically enhances pin1 vein-pattern defects, and pin8 quantitatively enhances pin1pin6 vein-pattern defects. Function of PIN6 is necessary, redundantly with that of PIN8, and sufficient to control auxin response levels, PIN1 expression, and vein network formation; and the vein pattern defects induced by ectopic PIN6 expression are mimicked by ectopic PIN8 expression. Finally, vein patterning functions of PIN6 and PIN8 are antagonized by PIN5 function. Our data define a new level of control of vein patterning, one with repercussions on other patterning processes in the plant, and suggest a mechanism to select cell files specialized for vascular function that predates evolution of PM-localized PIN proteins.

Sawchuk, Megan G.; Edgar, Alexander; Scarpella, Enrico

2013-01-01

246

[Treatment of varicose veins and limb lymphedema].  

PubMed

Two questions arise when considering the treatment of varicose veins and the development of lymphedema: can the treatment cause lymphedema? Can it worsen it? Primary lymphedema is rarely associated with varicose veins except in the lymphedema-distichiasis syndrome. Data available in the literature is essentially based on surgical treatment. Stripping on a normal limb may induce chronic lymphedema in almost 0.1% of cases. The risk of lymphedema after stripping in patients with previous pelvic surgery including lymph node excision and/or radiotherapy remains unknown. In patients with lower limb lymphedema wearing strong elastic compression stockings, stripping provides little clinical improvement and can worsen volume. The main objective is also to avoid venous complications. Lymphatic lesions related to stripping can be evaluated by lymphography or lymphoscintigraphy. New techniques for treating varicose veins (sclerotherapy, endovenous laser treatment, radiofrequency ablation) seem to induce fewer lymphatic complications. Further studies are required to confirm these results. Indications for treatment should be unquestionable and patients must be alerted to the potential risk of lymphedema or its worsening. PMID:24315933

Vignes, S

2014-02-01

247

Management of proximal deep vein thrombosis.  

PubMed

Iliofemoral DVT constitutes approximately 20-25% of lower limb DVT and represents a specific subgroup of patients at highest risk for post-thrombotic syndrome (PTS). Anticoagulation alone has no significant thrombolytic activity and has not impact on PTS prevention. Early thrombus removal has reduced PTS in uncontrolled reports and reviews but major trials are awaited. The optimal timing for treatment appear to be thrombus <2 weeks old and, methods for thrombus removal include direct open or suction thrombectomy, catheter directed thrombolysis (CDT), with or without percutaneous mechanical thrombectomy (PMT) devices. Three principle types of PMT device are in use (rotational, rheolytic and ultrasound enhanced devices) and are combined with CDT in pharmocomechanical thrombolysis (PhMT) to enhance early thrombus removal. These devices have individual device specific attributes and side effects that are additional to the bleeding complications of thrombolysis. A number of additional interventions may be utilised to the improve results of CDT and PhMT. IVC filter deployment to reduce periprocedural PE, is supported by little evidence unless an indication for its use already exists. However, balloon venoplasty and vein stents undoubtedly vein patency after treatment. Early thrombus removal comes with additional upfront costs derived from devices, imaging and critical care bed usage. However, significant potential savings from reduction in PTS and rethrombosis rates may reduce overall societal costs. This review focuses on iliofemoral thrombosis, however, the less commonly encountered but clinically important subclavian vein thrombosis is also discussed. PMID:22457306

Nyamekye, I; Merker, L

2012-01-01

248

Behaviour of surgically corrected infrainguinal vein grafts.  

PubMed

During a period of 4 years (1988-1992) we detected in a series of 114 infrainguinal vein grafts 22 bypasses (19%) with 26 hemodynamically significant (> 50%) stenoses. The secondary cumulative patency rate of 114 bypasses was 92% at 12, 84% at 24 and 84% at 36 months. Twenty-three secondary surgical procedures consisting of vein patch angioplasty (n = 10), interposition grafting (n = 3) or jump- or sequential grafting (n = 10) were performed to correct stenoses. One graft correction was technically not feasible, resulting in graft occlusion. Two patients refused surgery. All corrected grafts were prospectively studied both by ankle brachial measurements and color flow Duplex scanning every 3 to 6 months. Cumulative graft patency after reintervention in 20 grafts was 95% at 12 months and 95% at 24 months. Mild stenosis (< 50%) of revision sites was observed in 2 grafts. No single stenosis remote of revision site developed during follow-up (mean 20.4 months), confirming the opinion that stenosed vein grafts after correction do not demonstrate a higher incidence to develop strictures than normal grafts. No tertiary procedures were necessary, as all categories of secondary procedures normalized graft and limb hemodynamics. This series demonstrates that excellent long term results after surgically corrected high grade graft lesions justify an aggressive approach to these stenoses. PMID:8282740

Stierli, P; Aeberhard, P

1993-10-01

249

Isolated and Complex Scimitar Vein Anomalies and Their Differentiation from the Meandering Right Pulmonary Vein  

PubMed Central

Purpose Four pediatric patients with isolated (the adult form) and complex (the infantile form) scimitar vein anomalies were reviewed and compared with patients with meandering right pulmonary veins. Materials and Methods From January 1990 to December 2006, 4 female patients, aged 2 days to 3.5 years, with isolated and complex scimitar vein anomalies were retrospectively studied. The clinical features, chest radiographs, echocardiography, magnetic resonance imaging, magnetic resonance angiography, computer tomography, bronchography, cardiac catheterization with angiography, surgery, and autopsy were reviewed to substantiate the diagnosis of isolated and complex scimitar vein anomalies. Results Clinical manifestations were lung infections with radiographic scimitar signs in 4 patients (3 right; 1 left), respiratory distress, congestive heart failure, pulmonary hypertension and/or cyanosis in 3 patients, dextrocardia, heterotaxy, and/or right atrial isomerism in 2 patients, as well as dextroversion, right bronchial isomerism, bronchial stenosis, and/or sepsis in 1 patient. Two patients with right atrial isomerism expired. Conclusion The clinical discrimination between scimitar vein anomaly with and without cardiovascular and bronchopulmonary malformations is crucial for the outcomes vary.

2007-01-01

250

Use of meso-Rex shunt with transposition of the coronary vein for the management of extrahepatic portal vein obstruction  

PubMed Central

The meso-Rex shunt is used to safely and effectively treat patients with portal hypertension due to extrahepatic portal vein obstruction. In the standard meso-Rex shunt technique, the patient's own internal jugular vein is used as a vascular autograft. Inevitably, such a procedure requires neck exploration and sacrifice of the internal jugular vein. Here, we present a case of a 20-year-old man with idiopathic extrahepatic portal vein obstruction, who was treated with a new technique of transposition of the coronary vein, which is enlarged in most cases of portal hypertension, as an alternative to the standard meso-Rex shunt technique. The transposition of the coronary vein into the Rex recessus is more efficient and less invasive than harvesting an autologous vein graft. Therefore, this technique simplifies the procedure and should be used when possible.

Ha, Tae-Yong; Ko, Gi-Young; Kim, Kyung-Mo; Lee, Sung-Gyu

2014-01-01

251

Quantitative modeling of quartz vein sealing  

NASA Astrophysics Data System (ADS)

Mineral precipitation significantly effects many aspects of fluid-rock interaction across all length scales, as the dynamical change of permeability, of mechanical interaction and redistribution of dissolved material. The hydrothermal growth of quartz establishes one of the most important mineralization processes in fractures. Tectonically caused fracturing, deformation and fluid transport leaves clear detectable traces in the microstructure of the mineralized veins. As these patterns give hints on the deformation history and the fluid pathways through former fracture networks, accurate spatio-temporal modeling of vein mineralization is of special interest, and the objective of this study. Due to the intricate polycrystalline geometries involved, the underlying physical processes like diffusion, advection and crystal growth have to be captured at the grain scale. To this end, we adapt a thermodynamically consistent phase-field model (PFM), which combines a kinetic growth law and mass transport equations with irreversible thermodynamics of interfaces and bulk phases. Each grain in the simulation domain is captured by a phase field with individual orientation given by three Euler angles. The model evolves in discrete time steps using a finite difference algorithm on a regular grid, optimized for large grain assemblies. The underlying processes are highly nonlinear, and for geological samples, boundary conditions as well as many of the physical parameters are not precisely known. One motivation in this study is to validate the adequately parameterized model vs. hydrothermal experiments under defined (p,T,c) conditions. Different from former approaches in vein growth simulation, the PFM is configured using thermodynamic data from established geochemical models. Previously conducted batch flow experiments of hydrothermal quartz growth were analyzed with electron backscatter diffraction (EBSD) and used to calibrate the unknown kinetic anisotropy parameters. In the simulations, we study the sealing of syntaxial veins of 300 microns aperture by epitaxial overgrowth of preexisting grains from the rock surface. Results from 3D simulations conducted in the limit of low Damköhler numbers explain the observed transition regime in competitive crystal growth for blocky-elongate veins. The initial formation of quartz crystal bridges, especially pronounced in the regime of low supersaturation, is observed. The morphological evolution of micro-ensembles of grain neighbourhoods from the rock sample compares well to that of the simulations. To juxtapose larger polycrystal domains, the variation of grain number, texture and porosity as function of scaled distance from the initial wall is calculated. Velocity profiles from solutions of the isothermal incompressible Navier-Stokes equation are used to record permeability evolution and to evaluate deviations from the cubic law. Both, the geometry of the microstructure and the permeability of the flow pathway, are used as upscaling parameters for larger scale (fracture scale) simulations.

Wendler, Frank; Okamoto, Atsushi; Schwarz, Jens-Oliver; Enzmann, Frieder; Blum, Philipp

2014-05-01

252

Pulmonary embolism after endovenous thermal ablation of the saphenous vein.  

PubMed

Pulmonary embolism (PE) after venous procedures is fortunately rare. Our goal was to analyze the data of patients who developed PE after endovenous thermal ablation and phlebectomy for varicose veins and to review the literature on this subject. We report on three patients who developed PE after radiofrequency ablation of the great saphenous vein and mini phlebectomy for symptomatic primary lower-extremity varicose veins. Early postoperative duplex scans confirmed successful closure of the great saphenous vein in all. One patient presented with chest pain and dyspnea, one with blood-tinged sputum, and the third with symptoms of saphenous thrombophlebitis. Two patients had PE from the saphenous vein thrombus and the third had gastrocnemius vein thrombosis extending into the popliteal vein. One had previous deep vein thrombosis. Computed tomography of the chest confirmed PE in all. Two patients were treated with anticoagulation, but the third patient with small PE declined such treatment. One patient underwent temporary inferior vena cava filter placement because of recurrent PE. In conclusion, PE is very rare but it can occur after endovenous thermal ablation of lower-extremity varicose veins. Selective thrombosis prophylaxis and preoperative counseling of the patients about signs and symptoms of deep vein thrombosis and PE are warranted for early recognition and rapid treatment. PMID:23932557

Rosales-Velderrain, Armando; Gloviczki, Peter; Said, Sameh M; Hernandez, Magdiel Trinidad; Canton, Linda G; Kalra, Manju

2013-03-01

253

Development of HIFU Therapy System for Lower Extremity Varicose Veins  

NASA Astrophysics Data System (ADS)

High-intensity focused ultrasound (HIFU) treatment utilizing microbubbles was investigated in the present study. It is known that microbubbles have the potential to enhance the heating effects of an ultrasound field. In this study, the heat accompanying microbubble oscillation was used to occlude varicose veins. Alteration of veins was observed after ultrasound irradiation. Veins were resected by stripping. In this study, two vein conditions were adopted during HIFU irradiation; non-compressed and compressed. Compressing the vein was expected to improve occlusion by rubbing the altered intima under compressed conditions. The frequency of the ultrasound was 1.7 MHz, the intensity at the focus was 2800 W/cm2, and the irradiation time was 20 s. In this study, the contrast agent Levovist® was chosen as a microbubble source, and the void fraction (ratio of total gas volume to liquid) in the vein was fixed at 10-5. Under non-compressed conditions, changes were observed only at the adventitia of the vein anterior wall. In contrast, under compressed conditions, changes were observed from the intima to the adventitia of both the anterior and posterior walls, and they were partly stuck together. In addition, more experiments with hematoxylin-eosin staining suggested that the changes in the vein were more substantial under the latter conditions. From these results, it was confirmed that the vein was occluded more easily with vein compression.

Ota, Ryuhei; Suzuki, Jun; Yoshinaka, Kiyoshi; Deguchi, Juno; Takagi, Shu; Miyata, Tetsuro; Matsumoto, Yoichiro

2009-04-01

254

Development of HIFU Therapy System for Lower Extremity Varicose Veins  

SciTech Connect

High-intensity focused ultrasound (HIFU) treatment utilizing microbubbles was investigated in the present study. It is known that microbubbles have the potential to enhance the heating effects of an ultrasound field. In this study, the heat accompanying microbubble oscillation was used to occlude varicose veins. Alteration of veins was observed after ultrasound irradiation. Veins were resected by stripping. In this study, two vein conditions were adopted during HIFU irradiation; non-compressed and compressed. Compressing the vein was expected to improve occlusion by rubbing the altered intima under compressed conditions. The frequency of the ultrasound was 1.7 MHz, the intensity at the focus was 2800 W/cm{sup 2}, and the irradiation time was 20 s. In this study, the contrast agent Levovist registered was chosen as a microbubble source, and the void fraction (ratio of total gas volume to liquid) in the vein was fixed at 10{sup -5}. Under non-compressed conditions, changes were observed only at the adventitia of the vein anterior wall. In contrast, under compressed conditions, changes were observed from the intima to the adventitia of both the anterior and posterior walls, and they were partly stuck together. In addition, more experiments with hematoxylin-eosin staining suggested that the changes in the vein were more substantial under the latter conditions. From these results, it was confirmed that the vein was occluded more easily with vein compression.

Ota, Ryuhei; Yoshinaka, Kiyoshi; Takagi, Shu; Matsumoto, Yoichiro [Department of Mechanical Engineering, University of Tokyo 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8656 (Japan); Suzuki, Jun; Deguchi, Juno; Miyata, Tetsuro [Vascular Surgery, Department of Surgery, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-0033 (Japan)

2009-04-14

255

Morphometric analysis of caudate veins for advanced liver surgery  

PubMed Central

Background Accurate knowledge of the surgical anatomy of the caudate lobe is indispensable in the performance of liver surgery. Although previous cast studies have provided much useful overall information about the locations of the caudate veins, little is known about how to establish the exact locations of the caudate and short hepatic veins prior to surgery. Objectives This study was conducted as a practical morphometric analysis of the caudate veins using preoperative enhanced computed tomography (CT) and intraoperative ultrasound (IOUS). Methods From July 2003 to October 2005, 116 donor hepatectomies were performed for adult living donor liver transplantation. The numbers and locations of visible caudate veins were examined pre- and intraoperatively using CT and IOUS. Results In the 116 patients, a total of 152 caudate veins were detected, which were classified as being of either typical (n = 135) or non-typical (n = 17) type. One caudate vein was detectable in 83 patients (72%), two in 30 patients (26%) and three in three patients (3%). A total of 67% of caudate veins detected by IOUS and 70% detected by CT were located on the ventral 60 ° of the inferior vena cava (IVC). The remaining veins were scattered on both lateral sides. Conclusions Preoperative CT and IOUS were useful in providing morphometric information of sizable caudate veins. Precise information on these veins is essential for the safe dissection of the caudate lobe from the IVC in advanced liver surgery.

Takemura, Nobuyuki; Hasegawa, Kiyoshi; Sugawara, Yasuhiko; Zhang, Keming; Aoki, Taku; Beck, Yoshifumi; Makuuchi, Masatoshi; Kokudo, Norihiro

2010-01-01

256

A Novel Device for True Lumen Re-Entry After Subintimal Recanalization of Superficial Femoral Arteries: First-in-Man Experience and Technical Description  

SciTech Connect

Subintimal angioplasty (SAP) is frequently performed for the treatment of critical limb ischemia (CLI) and has been recognized as an effective technique for these patients. Nevertheless, this approach is limited by the lack of controlled re-entry into the true lumen of the target vessel. We describe a novel device for true lumen re-entry after subintimal recanalization of superficial femoral arteries (SFA). We report our experience with six patients treated between April 2009 and January 2010 with a novel system designed to facilitate true lumen re-entry. The device was advanced by ipsilateral antegrade approach through a 6-French sheath. Successful reaccess into the true lumen was obtained in five of six patients without complications. The patient in whom the reaccess to the true lumen was not possible underwent successful bypass surgery. At 30 days follow-up, the SFA was patent in all patients according to echo-Doppler examination. Our preliminary experience indicates that this novel re-entry device increases the success rate of percutaneous revascularization of chronically occluded SFA.

Airoldi, Flavio, E-mail: flavio.airoldi@multimedica.it; Faglia, Ezio, E-mail: ezio.faglia@multimedica.it; Losa, Sergio, E-mail: sergio.losa@multimedica.it; Tavano, Davide, E-mail: davide.tavano@multimedica.it [Multimedica IRCCS, Cardiovascular Department (Italy); Latib, Azeem, E-mail: alatib@gmail.com [University of Cape Town, Division of Cardiology (South Africa); Mantero, Manuela, E-mail: manuela.mantero@multimedica.it; Lanza, Gaetano, E-mail: gaetano.lanza@multimedica.it; Clerici, Giacomo, E-mail: giacomo.clerici@multimedica.it [Multimedica IRCCS, Cardiovascular Department (Italy)

2011-02-15

257

Correction of Extrahepatic Portal Vein Thrombosis by the Mesenteric to Left Portal Vein Bypass  

PubMed Central

Objective: The goal of this study was to determine the effectiveness of mesenteric vein to left portal vein bypass operation (MLPVB) in correcting extrahepatic portal vein thrombosis (EHPVT) in children. The treatment of idiopathic EHPVT has been primarily palliative, whereas MLPVB restores hepatic portal flow in patients with EHPVT. Methods: Thirty-four children with symptomatic EHPVT underwent surgery with intent to perform MLPVB and were followed for up to 7 years. MLPVB was successful in 31 patients (91%), all of whom maintain patent vein grafts and have symptomatic relief of EHPVT in follow-up. All patients had complete relief from gastrointestinal bleeding. Patients with hypersplenism had significant increases in platelet and leukocyte counts and reduction in spleen size. Superior mesenteric vein flow increased from 119 ± 66 mL/min before bypass to 447 ± 225 mL/min (P < 0.0001) after surgery. Postoperative blood flow in the bypass graft expressed as a fraction of calculated ideal portal flow for size correlated inversely with age (P < 0.001). Left-portal vein diameter increased from 2.6 ± 1.6 mm to 7.3 ± 2.4 mm 2 years after surgery (P < 0.002). Liver volume increased from 703 ± 349 cm3 to 799 ± 351 cm3 1 week after surgery (P < 0.001). Prothrombin time improved to normal in all patients 1 year after surgery. Conclusions: MLPVB provides excellent relief of symptoms in children with idiopathic EHPVT and results in liver growth and normalization of coagulation parameters. This surgery is corrective and should be done at as early an age as possible.

Superina, Riccardo; Bambini, Daniel A.; Lokar, Joan; Rigsby, Cynthia; Whitington, Peter F.

2006-01-01

258

Extracorporeal shock waves as curative therapy for varicose veins?  

PubMed Central

In this prospective design study the effects of low-energy partially focused extracorporeal generated shock waves (ESW) onto a subcutaneous located varicose vein – left vena saphena magna (VSM) – are investigated. The treatment consisted of 4 ESW applications within 21 days. The varicose VSM of both sides were removed by surgery, and samples analyzed comparing the treated and untreated by means of histopathology. No damage to the treated varicose vein in particular and no mechanical destruction to the varicose vein’s wall could be demonstrated. However, an induction of neo-collagenogenesis was observed. The thickness of the varicose vein’s wall increased. Optimization of critical application parameters by investigating a larger number of patients may turn ESW into a non-invasive curative varicose treatment.

Angehrn, Fiorenzo; Kuhn, Christoph; Sonnabend, Ortrud; Voss, Axel

2008-01-01

259

Internal Jugular Vein Entrapment in a Multiple Sclerosis Patient  

PubMed Central

We describe a multiple sclerosis patient presenting with compression of the internal jugular vein caused by aberrant omohyoid muscle. Previously this patient underwent balloon angioplasty of the same internal jugular vein. Ten months after this endovascular procedure, Doppler sonography revealed totally collapsed middle part of the treated vein with no outflow detected. Still, the vein widened and the flow was restored when the patient's mouth opened. Thus, the abnormality was likely to be caused by muscular compression. Surgical exploration confirmed that an atypical omohyoid muscle was squeezing the vein. Consequently, pathological muscle was transected. Sonographic control three weeks after surgical procedure revealed a decompressed vein with fully restored venous outflow. Although such a muscular compression can be successfully managed surgically, future research has to establish its clinical relevance.

Simka, Marian; Majewski, Eugeniusz; Fortuna, Marek; Zaniewski, Maciej

2012-01-01

260

Late failure of reversed vein bypass grafts.  

PubMed Central

Late failure of reversed vein bypass grafts is preceded by the appearance of stenotic lesions, which progress to total occlusion. These lesions appear either as intrinsic graft lesions or as new arteriosclerotic lesions in contiguous arteries. The present study summarizes the University of Pennsylvania experience with these lesions in 521 vein grafts inserted from 1979 to 1985. The grafts were grouped according to the site of the distal anastomosis; 231 above-knee popliteal (FP AK), 171 below-knee popliteal (FP BK), and 119 tibial (FT). The overall incidence of stenotic lesions was essentially identical with the three grafts (21%), but the relative incidence of intrinsic graft to arterial lesions was higher with the more distal grafts. The most common graft lesions developed adjacent to the proximal anastomosis, which is the narrowest part of a reversed vein graft. The popliteal artery was the most common site of outflow stenosis. There was negligible incidence of tibial lesions. The most common inflow arterial lesion was located in the common femoral and iliac arteries. The superficial femoral artery (SFA) was a rare site of inflow stenosis, even though it was at risk because 96 grafts originated from the SFA or popliteal artery. Sixty-seven per cent of the graft and 52% of the arterial lesions were treated successfully by percutaneous transluminal angioplasty; the rest had minor surgical revisions. This resulted in a 19%, 10%, and 9% improvement in 5-year patency for the FT, FP BK, and FP AK bypasses. These results justify an aggressive policy of graft surveillance to identify and treat stenotic graft lesions before graft occlusion.

Berkowitz, H D; Greenstein, S; Barker, C F; Perloff, L J

1989-01-01

261

Can vein patterns be used to estimate rock permeabilities?  

NASA Astrophysics Data System (ADS)

Fracturing of rocks due to tectonic stresses or local high fluid pressures and the formation of fluid pathways is important for a whole range of industrially relevant processes in the Earth's upper crust reaching from groundwater transport, hydrocarbon migration to geothermal systems. Fracturing and the opening of fluid pathways become especially important in tight rocks where fluid migration through the rock matrix is restricted. In addition observations show that fractures are often partly or completely sealed and occur as veins in geological systems. How can we interpret the permeability of these vein systems? The internal structure of veins often indicates that they are formed by several cracking and sealing events. In addition some geological systems contain partly sealed veins that have a preserved porosity and may add to the overall permeability of the system. We are comparing field areas that contain different vein patterns with hydrodynamic numerical models where fractures develop as a function of gravity, extension and fluid pressure gradients. In addition fractures seal where the developing veins can have variable properties in terms of elasticity, breaking strength and porosity. Results indicate that permeability in such systems is not a constant but may vary strongly over time. In an active system the amount of veins and number of open fractures depends not only on the timing of sealing but also on the breaking strength of the veins. Strong veins can clog the system whereas weak veins tend to lead to possible connected fracture networks. In addition one cannot link veins directly to fluid flow, intense veining does not mean that the system has or had a high permeability. We will present a first attempt to classify different fracturing and sealing systems based on field observations and numerical models.

Koehn, Daniel; Vass, Anna; Ghani, Irfan; Toussaint, Renaud; Bons, Paul; Gomez-Rivas, Enrique; Urai, Janos L.; Arndt, Max; Virgo, Simon; Wendler, Frank; Blum, Philipp; Schwarz, Jens-Oliver

2014-05-01

262

Preduodenal portal vein: a cause of prenatally diagnosed duodenal obstruction.  

PubMed

Preduodenal portal vein is a rare congenital anomaly that causes high intestinal obstruction. The authors report on a newborn who was diagnosed as having duodenal obstruction at 30 weeks' gestation. During surgery the patient was found to have duodenal obstruction caused by a preduodenal portal vein. Malrotation was an associated finding. Treatment consisted of Ladd's procedure and a diamond-shaped duodenoduodenostomy performed anterior to the portal vein. PMID:8786512

Choi, S O; Park, W H

1995-10-01

263

Towards measurement of outcome for patients with varicose veins  

Microsoft Academic Search

OBJECTIVE--To develop a valid and reliable outcome measure for patients with varicose veins. DESIGN--Postal questionnaire survey of patients with varicose veins. SETTING--Surgical outpatient departments and training general practices in Grampian region. SUBJECTS--373 patients, 287 of whom had just been referred to hospital for their varicose veins and 86 who had just consulted a general practitioner for this condition and, for

A M Garratt; L M Macdonald; D A Ruta; I T Russell; J K Buckingham; Z H Krukowski

1993-01-01

264

Recurrent varicose veins: patterns of reflux and clinical severity  

Microsoft Academic Search

Duplex scanning was used to determine patterns of recurrent varicose veins in 264 limbs and to relate these to clinical factors. All limbs had previously undergone sapheno-femoral ligation in the groin. A recurrent sapheno-femoral junction was present in 172 (65.2%). Incompetence was found in long or short saphenous veins in 232 limbs (87.9%), perforators in 176 (66.7%), and deep veins

P Jiang; A. M van Rij; R Christie; G Hill; C Solomon; I Thomson

1999-01-01

265

Technique of coronary sinus plasty for left pulmonary vein stenosis.  

PubMed

We describe a technique of coronary sinus plasty used to treat an infant with compression of the left pulmonary vein between the descending aorta and a dilated coronary sinus related to a persistent vena cava. The left lower pulmonary vein stenosis was relieved by repositioning the floor of the coronary sinus more anteriorly, toward the mitral annulus. The potential role played by a persistent left superior vena cava in some cases of left pulmonary vein stenosis is discussed. PMID:24996747

Kalfa, David; Lai, Wyman; Ferris, Anne; Krishnan, Usha; Bacha, Emile

2014-07-01

266

Formation of retinochoroidal collaterals in central retinal vein occlusion  

Microsoft Academic Search

Purpose: To demonstrate the drainage routes that compensate the venous congestion in central retinal vein occlusion.Methods: Indocyanine green angiography was performed in 13 eyes of 13 patients with central retinal vein occlusion at the involutional stage using a scanning laser ophthalmoscope. The interval between onset of central retinal vein occlusion and indocyanine green angiography ranged from 1.0 to 9.3 years

Kyoichi Takahashi; Kanemitsu Muraoka; Shoji Kishi; Koichi Shimizu

1998-01-01

267

Hepatic vein obstruction in idiopathic hypereosinophilic syndrome.  

PubMed

We report an association between idiopathic hypereosinophilic syndrome and obstruction of the hepatic veins (Budd-Chiari syndrome). Budd-Chiari syndrome was assessed by liver biopsy and hepatic phlebography and documented by computed tomography. Postmortem examination revealed fibrous occlusion of the hepatic venous tree, as well as fibrosis of the endocardium and of myocardial and pulmonary vessels. To our knowledge, the association between idiopathic hypereosinophilic syndrome and Budd-Chiari syndrome has never previously been reported. Since it has been suggested that hypereosinophilia might cause endothelium damage, a link between these two entities is postulated. PMID:3985740

Elouaer-Blanc, L; Zafrani, E S; Farcet, J P; Saint-Marc Girardin, M F; Mathieu, D; Dhumeaux, D

1985-04-01

268

Pediatric aneurysms and vein of Galen malformations  

PubMed Central

Pediatric aneurysms are different from adult aneurysms – they are more rare, are giant and in the posterior circulation more frequently than in adults and may be associated with congenital disorders. Infectious and traumatic aneursyms are also seen more frequently. Vein of Galen malformations are even rarer entities. They may be of choroidal or mural type. Based on the degree of AV shunting they may present with failure to thrive, with hydrocephalus or in severe cases with heart failure. The only possible treatment is by endovascular techniques – both transarterial and transvenous routes are employed. Rarely transtorcular approach is needed. These cases should be managed by an experienced neurointerventionist.

Rao, V. R. K.; Mathuriya, S. N.

2011-01-01

269

Sclerotherapy of varicose veins in dermatology.  

PubMed

Venous disorders rank among the most frequent diseases in the German population. Early diagnostic investigation and treatment can prevent their progression and may reduce the risk for secondary diseases. The therapeutic spectrum for varicose veins includes conservative as well as interventional and surgical methods. Because it is minimally invasive and well-tolerated, sclerotherapy represents an important treatment method for venous insufficiency, recurrent varicosis and venous malformations. We review the role of sclerotherapy as a treatment option of chronic venous insufficiency in dermatology. PMID:24797742

Lorenz, Marthe Barbara; Gkogkolou, Paraskevi; Görge, Tobias

2014-05-01

270

Standardized liver volumetry for portal vein embolization.  

PubMed

Major and extended hepatic resections are being performed with increasing frequency as morbidity and mortality rates after major hepatectomies have declined and definitions of resectability have expanded for primary and metastatic hepatic malignancies. Systematic assessment of the anticipated functional remnant liver is essential before major hepatic resection to avoid postoperative hepatic insufficiency and its attendant sequelae. The volume of the future liver remnant (FLR) correlates with FLR function and postoperative outcome. This article describes the rationale for FLR measurement, methods of measuring FLR volume, and standardization to the total estimated liver volume. The indications for portal vein embolization based on standardized liver volumetry are summarized. PMID:21326551

Ribero, Dario; Chun, Yun Shin; Vauthey, Jean-Nicolas

2008-06-01

271

Renal-Portal Vein Shunt for Renal Failure After Left Renal Vein Ligation in Children: Review  

Microsoft Academic Search

PurposeInterruption of the inferior vena cava and left renal vein in the patient with a solitary left kidney without permanent renal damage has been reported in the past. We assess the risks of similar venous interruption in children and establish guidelines for the management of those cases when collateral drainage of the kidney is uncertain.

Martin A. Koyle; Frederick M. Karrer; Andrew C. Mahoney

1995-01-01

272

Endoscopic vs conventional vein harvesting: a prospective analysis.  

PubMed

Minimally invasive vein harvesting is associated with better leg wound healing and a lower incidence of wound infections. We analyzed our experience in 2 prospectively enrolled groups of non-randomized patients undergoing elective coronary artery bypass grafting. Group 1 was 81 patients who had endoscopic vein harvesting; group 2 was 80 who had conventional open vein harvesting. The time taken for endoscopic harvest (skin incision to skin closure) was significantly less than that for open harvest (51.07 vs 75.94 min). The number of cases to reach a plateau on the learning curve for endoscopic vein harvest was 20 for 2 lengths of vein and 35 for 3 lengths of vein. Significantly more suture repairs per vein were required in group 1 (1.32) than group 2 (0.38). The incidence of wound infection was 1.2% in group 1 vs 8.8% in group 2. Endoscopic vein harvesting is not difficult to learn and it should be preferred over open vein harvest, given its benefits in wound healing. PMID:18381872

Vaidyanathan, Karthik R; Sankar, Madhu N; Cherian, Kotturathu M

2008-04-01

273

Early experience of endoscopic vein harvesting for CABG  

Microsoft Academic Search

Objectives  As the traditional method of saphenous vein harvesting is associated with nagging leg wound problems, we tried to incorporate\\u000a this relatively new technique of endoscopic vein harvesting (EVH) in to our regular coronary artery bypass grafting (CABG)\\u000a Programme.\\u000a \\u000a \\u000a \\u000a Methods  Selected patients (based on affordability, obesity, availability of operator and vein quality on inspection) were offered\\u000a endoscopic vein harvesting (EVH) for CABG.

Arani Raghavendrarao Raghuram; Eluvathingal Varghese John; Subbaiyan Kumar; Kathamuthu Balamurugan; Divya Amol; Selvaganapathy Murugadoss; Arockia Gracy

2007-01-01

274

Renal venous diversion: an unusual treatment for renal vein thrombosis.  

PubMed

Renal venous thrombosis most commonly occurs in the setting of nephrotic syndrome, hypercoagulability, or dehydration. This can usually be treated with systemic anticoagulation, and the diversion is via natural draining tributaries, eg, adrenal, lumbar, or gonadal veins. Occasionally, renal venous thrombosis results from extension of a thrombotic process, such as a large renal cell carcinoma with tumor thrombus extension into the infrahepatic inferior vena cava resulting in thrombosis of the inferior vena cava and contralateral renal vein. Herein, we report a case of left renal vein thrombosis relieved by diversion through the inferior mesenteric vein. PMID:16765255

Ho, Karen J; Owens, Christopher D; Ledbetter, Stephen M; Chew, David K; Belkin, Michael

2006-06-01

275

Advantages of using volar vein repair in finger replantations.  

PubMed

Providing adequate venous outflow is essential in finger replantation surgeries. For a successful result, the quality and quantity of venous repairs should be adequate to drain arterial inflow. The digital dorsal venous plexus is a reliable source of material for venous repairs. Classically, volar digital veins have been used only when no other alternative was available. However, repairing volar veins to augment venous outflow has a number of technical advantages and gives a greater chance of survival. Increasing the repaired vein:artery ratio also increases the success of replantation. The volar skin, covering the volar vein, is less likely to be avulsed during injury and is also less likely to turn necrotic, than dorsal skin, after the replantation surgery. Primary repair of dorsal veins can be difficult due to tightness ensuing from arthrodesis of the underlying joint in flexion. In multiple finger replantations, repairing the volar veins after arterial repair and continuing to do so for each finger in the same way without changing the position of the hand and surgeon save time. In amputations with tissue loss, the size discrepancy is less for volar veins than for dorsal veins. We present the results of 366 finger replantations after volar vein repairs. PMID:23982066

Mersa, Berkan; Kabakas, Fatih; Pürisa, Hüsrev; Özçelik, Ismail Bülent; Ye?ilo?lu, Nebil; Sezer, Ilker; Tunçer, Serdar

2014-01-01

276

Two cases of jugular vein thrombosis in severely burned patients  

PubMed Central

Here we present two cases of jugular vein thrombosis in burn patients, with diagnosis, risk factor analysis, and treatment approaches. Severely burned patients have high risk of deep vein thrombosis occurrence due to multiple surgeries. The deep vein catheter should be carefully performed. Once deep vein thrombosis is detected, a wide ultrasonography helps to find other thrombosis sites. During the acute phase, low molecular weight heparin can be used. Upon long-term anti-thrombosis treatment, combined use of herbal medicine during rehabilitation is helpful.

Cen, Hanghui; He, Xiaojie

2013-01-01

277

3D MR angiographic visualization and artery-vein separation  

NASA Astrophysics Data System (ADS)

The common approach for artery-vein separation applies a presaturation pulse to obtain different image intensity representations in MRA data for arteries and veins. However, when arteries and veins do not run in opposite directions as in the brain, lungs, and heart, this approach fails. This paper presents an image processing approach devised for artery-vein separation. The anatomic separation utilizes fuzzy connected object delineation. The first step of this separation method is the segmentation of the entire vessel structure from the background via absolute connectedness by using scale-based affinity. The second step is to separate artery from vein via relative connectedness. After 'seed' points are specified inside artery and vein in the vessel- only image, the operation is performed in an iterative fashion. The small regions of the bigger aspects of artery and vein are separated in the initial iteration. Further regions are added with the subsequent iterations so that the small aspects of artery and vein are included in alter iterations. Shell rendering is used for 3D display. Combining the strengths of fuzzy connected object definition, object separation, and shell rendering, high- quality volume rendering of vascular information in MRA data has been achieved. MS-325 contrast-enhanced MRA were used to illustrate this approach. Several examples of 3D display of arteries and veins are included to show the considerable promise of this new approach.

Lei, Tianhu; Udupa, Jayaram K.; Saha, Punam K.; Odhner, Dewey

1999-05-01

278

Portal vein involvement in hepatocellular carcinoma: dynamic CT features  

SciTech Connect

The authors conducted a retrospective examination of 62 hepatocellular carcinomas, taking dynamic CT scans of selected sections after an intravenous contrast bolus. The proximal portal vein was involved in 40% of cases and distal segment in 16%. Angiographic correlation was available in 23 patients. The characteristic appearance of tumor within the portal vein was noted in many cases; in others, distinction between tumor and bland thrombus could not be made. Peripheral portal vein obstruction was suggested when a small, hypervascular tumor became hypodense during the portal phase of CT. The frequency and significance of these CT signs of portal vein involvement are discussed.

Mathieu, D.; Grenier, P.; Larde, D.; Vasile, N.

1984-07-01

279

Finger-vein verification based on multi-features fusion.  

PubMed

This paper presents a new scheme to improve the performance of finger-vein identification systems. Firstly, a vein pattern extraction method to extract the finger-vein shape and orientation features is proposed. Secondly, to accommodate the potential local and global variations at the same time, a region-based matching scheme is investigated by employing the Scale Invariant Feature Transform (SIFT) matching method. Finally, the finger-vein shape, orientation and SIFT features are combined to further enhance the performance. The experimental results on databases of 426 and 170 fingers demonstrate the consistent superiority of the proposed approach. PMID:24196433

Qin, Huafeng; Qin, Lan; Xue, Lian; He, Xiping; Yu, Chengbo; Liang, Xinyuan

2013-01-01

280

Finger-Vein Verification Based on Multi-Features Fusion  

PubMed Central

This paper presents a new scheme to improve the performance of finger-vein identification systems. Firstly, a vein pattern extraction method to extract the finger-vein shape and orientation features is proposed. Secondly, to accommodate the potential local and global variations at the same time, a region-based matching scheme is investigated by employing the Scale Invariant Feature Transform (SIFT) matching method. Finally, the finger-vein shape, orientation and SIFT features are combined to further enhance the performance. The experimental results on databases of 426 and 170 fingers demonstrate the consistent superiority of the proposed approach.

Qin, Huafeng; Qin, Lan; Xue, Lian; He, Xiping; Yu, Chengbo; Liang, Xinyuan

2013-01-01

281

Cytokines and the early vein graft: strategies to enhance durability.  

PubMed

This brief review focuses on experimental studies linking the proinflammatory cytokine tumor necrosis factor-alpha to accelerated vein graft failure in the broader historical context of vein graft research. From some perspectives, the field appears ripe for transfer of cytokine knowledge and therapeutic approaches that have evolved in other systems to vascular surgery problems. However, the complexity of vein graft disease suggests that more robust research approaches, such as broadening of the scope beyond focus on single mediators and neointimal hyperplasia, will be necessary to reach translatable strategies to prolong human vein graft durability. PMID:17544029

Ozaki, C Keith

2007-06-01

282

Percutaneous transhepatic portal vein stenting in a patient with benign non-transplant postoperative portal vein stenosis: A case report.  

PubMed

Extrahepatic portal vein stenosis is caused by a variety of benign and malignant diseases and results in development of symptoms due to portal hypertension. Benign post-surgical adhesions causing portal vein stenosis in non-transplant population is an uncommon etiology of portal hypertension. Endovascular treatment of such patients with angioplasty and stenting is uncommonly reported in literature. We report a case of portal hypertension caused by benign postoperative portal vein fibrosis, successfully treated by self-expandable metallic stent. PMID:24604941

Madhusudhan, Ks; Agrawal, Nikhil; Srivastava, Deep N; Pal, Sujoy; Gupta, Arun K

2013-10-01

283

Percutaneous transhepatic portal vein stenting in a patient with benign non-transplant postoperative portal vein stenosis: A case report  

PubMed Central

Extrahepatic portal vein stenosis is caused by a variety of benign and malignant diseases and results in development of symptoms due to portal hypertension. Benign post-surgical adhesions causing portal vein stenosis in non-transplant population is an uncommon etiology of portal hypertension. Endovascular treatment of such patients with angioplasty and stenting is uncommonly reported in literature. We report a case of portal hypertension caused by benign postoperative portal vein fibrosis, successfully treated by self-expandable metallic stent.

Madhusudhan, KS; Agrawal, Nikhil; Srivastava, Deep N; Pal, Sujoy; Gupta, Arun K

2013-01-01

284

Scalp Vein Detected Using Internal Carotid Angiography that Did Not Result in Venous Sinus Compromise  

Microsoft Academic Search

Summary: We present an unusual case of a scalp vein de- tected by using angiography of the internal carotid artery. The vein arose from the superior sagittal sinus and drained into the deep posterior cervical vein via the parietal emis- sary vein. This scalp vein may be a collateral pathway for venous sinuses; however, the patient had no evidence of

Kazuhiro Ohtakara; Tadashi Kojima; Waro Taki

285

Suitability of Varicose Veins for Endovenous Treatments  

SciTech Connect

The aim of the study was to assess the suitability of radiofrequency ablation (RFA), endovenous laser ablation (EVLA), and foam sclerotherapy (FS) for patients with symptomatic varicose veins (VVs). The study comprised 403 consecutive patients with symptomatic VVs. Data on 577 legs from 403 consecutive patients with symptomatic VVs were collected for the year 2006. Median patient age was 55 years (interquartile range 45-66), and 62% patients were women. A set of criteria based on duplex ultrasonography was used to select patients for each procedure. Great saphenous vein (GSV) reflux was present in 77% (446 of 577) of legs. Overall, 328 (73%) of the legs were suitable for at least one of the endovenous options. Of the 114 legs with recurrent GSV reflux disease, 83 (73%) were suitable to receive endovenous therapy. Patients with increasing age were less likely to be suitable for endovenous therapy (P = 0.03). Seventy-three percent of patients with VVs caused by GSV incompetence are suitable for endovenous therapy.

Goode, S. D., E-mail: s.goode@sheffield.ac.u [Sheffield Teaching Hospitals, Department of Radiology (United Kingdom); Kuhan, G.; Altaf, N.; Simpson, R.; Beech, A.; Richards, T.; MacSweeney, S. T.; Braithwaite, B. D. [Queens Medical Centre, Department of Vascular and Endovascular Surgery (United Kingdom)

2009-09-15

286

Mineral distribution within polymineralic veins in the Sanbagawa belt, Japan: implications for mass transfer during vein formation  

Microsoft Academic Search

Pelitic schists of the Sanbagawa metamorphic belt contain several types of polymineralic veins that formed during the late\\u000a stages of exhumation. The vein mineral assemblages are quartz + albite + K-feldspar + chlorite ± calcite (Type I, II) and\\u000a quartz + albite + calcite (Type III). Type I and II veins contain quartz and albite with stretched-crystal and elongate-blocky\\u000a textures, respectively. The mineral species within Type I veins vary with compositional bands

Atsushi Okamoto; Taketo Kikuchi; Noriyoshi Tsuchiya

2008-01-01

287

Extrinsic and intrinsic veins of the equine hoof wall.  

PubMed Central

The extrinsic and intrinsic venous drainage of the equine hoof have previously been poorly described. There is also an absence of information about the venous organisation of both primary and secondary dermal lamellae of the hoof wall. The purpose of this study was to describe the normal venous pattern of the horse hoof, especially that associated with the dermal lamellae of the wall. The venous organisation of 46 pairs of hooves from clinically healthy horses was studied using standard plastic vascular corrosion casts and histological sections. A consistent pattern of venous organisation was observed in the toe, quarter and heel regions. Veins in the proximal half of the wall corium form an exteriorly and an interiorly located venous plexus, while in the distal wall corium only an exteriorly located venous plexus is present. The wall corium of the toe and quarters is drained primarily by veins contributing to the coronary venous plexus and to the circumflex vein. In the heel regions this venous drainage network is supplemented by tributaries of the caudal hoof vein, independent superficial vein and anastomotic branches from the circumflex vein to the inner venous plexus. Because of this supplementary venous return the heel region is apparently better drained than other areas of the hoof wall. The wall corium is drained distally by the circumflex vein. The coronary venous plexus is composed of an exteriorly situated short superficial collecting venous plexus and an interiorly situated deep collecting venous plexus. The short superficial collecting veins, which drain the proliferating zone of epidermis of the coronary border, connect directly to the coronary and subcoronary veins. The deep collecting veins drain only the proximal wall corium. Most of the veins that drain the major portions of venous blood from the hoof are situated at the palmar aspect of the digit. These veins drain venous blood from the coronary venous plexus, the inner venous plexus and the superficial tributaries of the heel and bulb areas. The latter two venous systems receive venous blood from the sole and frog regions. Most of the veins of the hoof are valveless, except for tributaries of the coronary and subcoronary veins, and the caudal hoof vein and its tributaries. It is suggested that the weight-bearing force is utilised for effective return of venous blood from the digit. Images Fig. 2 Fig. 3 Fig. 4 Fig. 6 Fig. 7 Fig. 8 Fig. 10 Fig. 11

Mishra, P C; Leach, D H

1983-01-01

288

Endoscopic and traditional saphenous vein harvest: a histologic comparison  

Microsoft Academic Search

Background. Vein trauma after saphenectomy by endoscopic or longitudinal techniques may influence the progression of medial and intimal hyperplasia and ultimately affect graft patency. This study compared the histologic characteristics of saphenous veins after endoscopic and longitudinal harvest.Methods. One hundred seventy patients who underwent elective coronary artery bypass grafting had saphenectomy performed endoscopically (n = 88) or by a longitudinal

Gary L. Griffith; Keith B. Allen; Bruce F. Waller; David A. Heimansohn; Robert J. Robison; John J. Schier; Carl J. Shaar

2000-01-01

289

Endoscopic saphenous vein harvesting: initial experience and learning curve  

Microsoft Academic Search

Background. Saphenous vein remains an elective conduit for up to 85% of coronary bypass operations. It is obtained through one or numerous skin incisions, with a reported morbidity varying from 5% to 25%. The endoscopic vein harvesting (EVH) technique was developed to minimize this morbidity and to improve clinical outcomes. The aim of this study was to review the feasibility

Juan Mariano Vrancic; Fernando Piccinini; Guillermo Vaccarino; Eduardo Iparraguirre; Jorge Albertal; Daniel Navia

2000-01-01

290

Endoscopic vein harvesting with the aid of carbon dioxide insufflation  

Microsoft Academic Search

Endoscopic harvesting of the long saphenous vein has been introduced to decrease the morbidity of obtaining venous conduit for coronary artery bypass grafting. Herein is described an endoscopic method using carbon dioxide insufflation into the tissues around the vein. This has several advantages; improved vision, no physical retraction required, easier development of tissue planes, and improved hemostasis.

Malcolm J. R Dalrymple-Hay; Aiman Alzetani; Robert Costa; Sunil K Ohri

2001-01-01

291

Endoscopic saphenous vein harvesting versus `open' technique. A prospective study  

Microsoft Academic Search

Objective: Preparation of the great saphenous vein for coronary artery bypass grafts is usually performed through one or many cutaneous incisions. A technique of endoscopic harvesting is now available. An aim of the study was to compare both methods, prospectively. Methods: Sixty coronary artery bypass grafting patients were randomly assigned to two groups according to saphenous vein harvesting technique: 30

T. A. Folliguet; E. Le Bret; A. Moneta; S. Musumeci; F. Laborde

1998-01-01

292

Endoscopic versus traditional saphenous vein harvesting: a prospective, randomized trial  

Microsoft Academic Search

Background. Saphenous vein harvested with a traditional longitudinal technique often results in leg wound complications. An alternative endoscopic harvest technique may decrease these complications.Methods. One hundred twelve patients scheduled for elective coronary artery bypass grafting were prospectively randomized to have vein harvested using either an endoscopic (group A, n = 54) or traditional technique (group B, n = 58). Groups

Keith B Allen; Gary L Griffith; David A Heimansohn; Robert J Robison; Robert G Matheny; John J Schier; Edward B Fitzgerald; Carl J Shaar

1998-01-01

293

Financial impact of endoscopic vein harvest for infrainguinal bypass  

Microsoft Academic Search

Purpose: The purpose of this study was to determine the financial and clinical impact of endoscopic saphenous vein harvest for lower extremity bypass. Methods: The charts of all patients who underwent elective infrainguinal bypass with saphenous vein since we began using endoscopic harvest were analyzed, and the data were compared with our concomitant series of conventionally harvested bypasses. Wound complications

Karl A. Illig; Jeffrey M. Rhodes; Yaron Sternbach; Richard M. Green

2003-01-01

294

Veins Theory: A Model of Global Discourse Cohesion and Coherence  

Microsoft Academic Search

In this paper, we propose a generalization of Centering Theory (CT) (Grosz, Joshi, Weinstein (1995)) called Veins Theory (VT), which extends the applicability of centering rules from local to global discourse. A key facet of the theory involves the identification of «veins» over discourse structure trees such as those defined in RST, which delimit domains of referential accessibility for each

Dan Cristea; Nancy Ide; Laurent Romary

1998-01-01

295

The superior ophthalmic vein and tumours of the sellar area  

Microsoft Academic Search

Summary The venous drainage dynamics of the cavernous sinus were studied by means of 50 carotid angiograms and 18 orbital phlebographies performed on 47 patients with various tumours of the sellar area. Normal blood flow direction in the superior ophthalmic vein (SOV) (from the facial veins into the cavernous sinus) was seen in supra- and small intrasellar tumours, but not

A. Servo; J. Jääskinen

1983-01-01

296

Visualization of the superior ophthalmic vein on carotid angiography  

Microsoft Academic Search

Visualization of the superior ophthalmic vein (SOV) on carotid angiography was investigated based on a prospective sample of 452 carotid angiograms performed during one year. The SOV with normal blood flow direction, from facial veins into the cavernous sinus (CS), was seen on 26% and with reversed flow direction in 7% of the angiograms. A hypothesis was suggested that the

A. Servo

1982-01-01

297

Identification of factors predictive of lower extremity vein graft thrombosis  

Microsoft Academic Search

Objective: The objective of this study was to assess the prognostic value of hemodynamic parameters measured with duplex ultrasound scan, together with other important graft and patient characteristics, in predicting lower extremity vein graft thrombosis. Methods: A total of 165 lower extremity vein grafts were entered prospectively into a postoperative duplex ultrasound scan surveillance program with examinations performed at 1,

Kathleen D. Gibson; Michael T. Caps; Daniel Gillen; Robert O. Bergelin; Jean Primozich; D. Eugene Strandness

2001-01-01

298

Leaf Vein and Contour Extraction from Point Cloud Data  

Microsoft Academic Search

Venation and contour of plant leaves are significant for many agronomic applications, such as the identification of plant species, the exploration of genetic relationship among plants and the 3D shape reconstruction of leaves. This paper presents a method for extracting leaf vein and contour from point cloud data. Firstly, leaf veins were extracted by using the curvature information of the

Zhihui Sun; Shenglian Lu; Xinyu Guo; Yuan Tian

2011-01-01

299

Vein transposition in the forearm for autogenous hemodialysis access  

Microsoft Academic Search

Purpose: We describe a technique of superficial venous transposition in the forearm used for the formation of an arteriovenous fistula for hemodialysis access. These modifications of the single-incision radiocephalic fistula are designed to increase options for arteriovenous fistulas by using veins and arteries that are suitable for use but are not in immediate proximity. Methods: Arteries and veins suitable for

Michael B. Silva; Robert W. Hobson; Peter J. Pappas; Paul B. Haser; Clifford T. Araki; Mark C. Goldberg; Zafar Jamil; Frank T. Padberg

1997-01-01

300

Exercise-Induced Deep Vein Thrombosis of the Upper Extremity  

Microsoft Academic Search

Paget-Schroetter syndrome or effort-related upper extremity deep vein thrombosis is a rare condition that usually afflicts young healthy individuals, most commonly males. The cause is multifactorial but almost always involves extrinsic compression of the subclavian vein at the thoracic inlet, causing venous stenosis from repetitive trauma. The diagnosis of this condition may be difficult, and its delay may contribute to

Leonardo R. Brandão; Suzan Williams; Walter H. A. Kahr; Clodagh Ryan; Michael Temple; Anthony K.C. Chan

2006-01-01

301

Intraoperative duplex monitoring of infrainguinal vein bypass procedures  

Microsoft Academic Search

Purpose: The purpose of this study was to evaluate intraoperative duplex scanning of infrainguinal vein bypass grafts to detect technical and hemodynamic problems, monitor their repair, and correlate findings with the incidence of thrombosis and stenosis repair rates within 90 days of operation. Methods: Color duplex scanning was used at operation to assess vein\\/anastomotic patency and velocity spectra waveforms of

Brad L Johnson; Dennis F Bandyk; Martin R Back; Anthony J Avino; Steven M Roth

2000-01-01

302

Microstructural evolution of syntaxial veins formed by advective flow  

NASA Astrophysics Data System (ADS)

Veins are common in Earth's crust, and are formed by a wide range of processes, which lead to crystal growth in dilation sites. The first-order processes in vein formation have been identified, but it is much less clear how these can be diagnosed from field studies. In order to better understand the microstructural evolution during vein growth, we grew veins of analogue material [alum, KAl(SO4)2·12H2O] in a transmitted-light cell from an advecting supersaturated fluid. Real-time observation shows the effects of flow rate and supersaturation on the evolving microstructure: (1) along-vein trends in growth rate caused by decreasing supersaturation, and (2) growth competition between clear crystals in the absence of nucleation and primary fluid inclusions. Although the overall trends in growth rate are in agreement with previous work, the local effects at the scale of individual grains reported here are less well understood; these new data form a basis for better interpretation of natural microstructures. To explore the possible effects of experimentally observed processes during vein growth, we simulate the growth kinetics of a quartz vein at various conditions of advective flow in Earth's crust. Results show that in general the along-vein changes in growth rate occur at length scales much larger than a typical outcrop.

Hilgers, Christoph; Dilg-Gruschinski, Karin; Urai, Janos L.

2004-03-01

303

Composition and fine structure of minor veins in Tetragonia leaf  

Microsoft Academic Search

Summary Mesophyll containing the minor veins from leaves ofTetragonia expansa Murr. was examined in preparation for a study of effects of beet yellows virus on the leaf tissues of this plant. The sieve elements throughout the minor veins exhibit the characteristics commonly found in this type of cell in dicotyledons. The cells are connected with one another by sieve plates

Katherine Esau; Lynn L. Hoefert

1971-01-01

304

Cardiovascular and thrombophilic risk factors for central retinal vein occlusion  

Microsoft Academic Search

Retinal vein occlusion (RVO) is a relatively common disease that is often associated with a variety of systemic disorders including arterial hypertension, diabetes mellitus, dyslipidemia, and systemic vasculitis. There are various types of RVO, categorized on the basis of the site of occlusion and on the type of consequent vascular damage. Central retinal vein occlusion (CRVO) is the most frequently

Domenico Prisco; Rossella Marcucci; Laura Bertini; Anna Maria Gori

2002-01-01

305

Design and implementation of a contactless palm vein recognition system  

Microsoft Academic Search

This paper presents an innovative contactless palm vein recognition system. We design a hand sensor that could capture the palm vein image using low-resolution web camera. The design of the sensor is simple and low-cost, and we do not need to install specialized infrared sensor. We allow subjects to position their hands freely above the sensor and they can move

Goh Kah Ong Michael; Tee Connie; Lau Siong Hoe; Andrew Teoh Beng Jin

2010-01-01

306

Personal Authentication Using Hand Vein Triangulation and Knuckle Shape  

Microsoft Academic Search

This paper presents a new approach to authenticate individuals using triangulation of hand vein images and simultaneous extraction of knuckle shape information. The proposed method is fully automated and employs palm dorsal hand vein images acquired from the low-cost, near infrared, contactless imaging. The knuckle tips are used as key points for the image normalization and extraction of region of

Ajay Kumar; K. Venkata Prathyusha

2009-01-01

307

Deep Vein Thrombosis: Symptoms, Diagnosis, Treatment and Latest NIH Research | NIH MedlinePlus the Magazine  

MedlinePLUS

... page please turn Javascript on. Feature: Deep Vein Thrombosis Deep Vein Thrombosis: Symptoms, Diagnosis, Treatment and Latest NIH Research Past ... Symptoms The signs and symptoms of deep vein thrombosis (DVT) may be related to DVT itself or ...

308

The role of hepatic veins in liver operations.  

PubMed

In this report we review the role of the hepatic veins in resective operations of the liver. Emphasis is placed on the distribution of the hepatic veins, their relationship to hepatic arterial and portal venous inflow tracts, and the drainage patterns of hepatic lobules. An extensive review of the older literature has emphasized the necessity to preserve hepatic venous drainage for the various hepatic segments to prevent postoperative liver congestion and injury. Recent experimental and clinical reports have identified the mechanisms through which hepatic vein obstruction can be well tolerated. These mechanisms include interlobar and interlobular collateral development, reversal of blood flow in the portal vein with conversion of the portal vein to an outflow tract, development of extrahepatic collaterals, drainage through the caudate lobe, and increased lymphatic draining to relieve hepatic congestion. PMID:6324402

Ou, Q J; Hermann, R E

1984-04-01

309

Multiple Vascular Anomalies Involving Testicular, Suprarenal Arteries and Lumbar Veins  

PubMed Central

Testicular arteries arise from the abdominal aorta and the inferior suprarenal artery from the renal artery. There are reports about variant origin and course of these arteries. Accessory testicular artery is also a common finding but its providing origin to inferior suprarenal artery is an important observation. During a routine dissection of abdomen of approximately 55-year-old male cadaver, unique vascular abnormality was observed. On the left side, a common arterial trunk originating from abdominal aorta immediately branched to give rise to superior testicular and inferior suprarenal arteries, the former after a short course hooked by the left suprarenal vein. In addition, the left suprarenal vein, second left lumbar vein, and left testicular vein joined to form a common trunk which drained into the left renal vein. A sound knowledge of vascular variations in relation to the kidney and suprarenal gland is important to surgeons dissecting the abdominal cavity.

Jyothsna, P; Mohandas Rao, KG; Somayaji, SN; Ashwini, LS

2012-01-01

310

Multiple vascular anomalies involving testicular, suprarenal arteries and lumbar veins.  

PubMed

Testicular arteries arise from the abdominal aorta and the inferior suprarenal artery from the renal artery. There are reports about variant origin and course of these arteries. Accessory testicular artery is also a common finding but its providing origin to inferior suprarenal artery is an important observation. During a routine dissection of abdomen of approximately 55-year-old male cadaver, unique vascular abnormality was observed. On the left side, a common arterial trunk originating from abdominal aorta immediately branched to give rise to superior testicular and inferior suprarenal arteries, the former after a short course hooked by the left suprarenal vein. In addition, the left suprarenal vein, second left lumbar vein, and left testicular vein joined to form a common trunk which drained into the left renal vein. A sound knowledge of vascular variations in relation to the kidney and suprarenal gland is important to surgeons dissecting the abdominal cavity. PMID:22454832

Jyothsna, P; Mohandas Rao, Kg; Somayaji, Sn; Ashwini, Ls

2012-03-01

311

Finger vein image quality evaluation using support vector machines  

NASA Astrophysics Data System (ADS)

In an automatic finger-vein recognition system, finger-vein image quality is significant for segmentation, enhancement, and matching processes. In this paper, we propose a finger-vein image quality evaluation method using support vector machines (SVMs). We extract three features including the gradient, image contrast, and information capacity from the input image. An SVM model is built on the training images with annotated quality labels (i.e., high/low) and then applied to unseen images for quality evaluation. To resolve the class-imbalance problem in the training data, we perform oversampling for the minority class with random-synthetic minority oversampling technique. Cross-validation is also employed to verify the reliability and stability of the learned model. Our experimental results show the effectiveness of our method in evaluating the quality of finger-vein images, and by discarding low-quality images detected by our method, the overall finger-vein recognition performance is considerably improved.

Yang, Lu; Yang, Gongping; Yin, Yilong; Xiao, Rongyang

2013-02-01

312

Patterns of short saphenous vein incompetence.  

PubMed

The significance of short saphenous vein (SSV) reflux is an under-explored territory in chronic venous disease (CVD). We have examined the origin and significance of SSV reflux in primary and secondary CVD. While the natural history of SSV incompetence remains uncertain, its prevalence has been shown to approximate 3.5%, rising with progressing clinical venous insufficiency, and bears an association with lateral malleolar venous ulceration. The most common pattern of reflux extends throughout the SSV. Patterns of incompetence in recurrent disease are highly variable, but SSV reflux may itself pose a risk for recurrence, in part due to the complex anatomy of the saphenopopliteal system. Further studies are required to delineate the impact of SSV reflux in secondary venous disease and deep venous incompetence. PMID:23482534

Qureshi, M I; Lane, T R A; Moore, H M; Franklin, I J; Davies, A H

2013-03-01

313

[Hemorheological changes in retinal vein occlusions].  

PubMed

Some hemorheological factors were studied in 34 patients affected by retinal vein occlusion (RVO) and in 25 healthy control subjects. Whole blood viscosity, plasma viscosity, fibrinogen and hematocrit were increased in RVO patients compared with controls. Erythrocyte filterability was reduced in RVO patients compared with controls. However, when evaluating the type of capillaropathy at fluorescein angiography, blood viscosity and plasma viscosity were altered both in patients with and without evidence of capillary non-perfusion. Reduction of red cell filterability showed statistical significance only in patients with capillary non-perfusion. This finding suggests that reduced erythrocyte filterability might be a causal factor in the development of capillary non-perfusion in RVO patients. PMID:4035223

Peduzzi, M; Debbia, A; Guerrieri, F; Zirilli, E; Bolzani, R; Barbieri, U

1985-01-01

314

NET impact on deep vein thrombosis  

PubMed Central

Deep vein thrombosis (DVT) is a major health problem that requires improved prophylaxis and treatment. Inflammatory conditions such as infection, cancer and autoimmune diseases are risk factors for DVT. We and others have recently shown that extracellular DNA fibers produced in inflammation and known as neutrophil extracellular traps (NETs) contribute to experimental DVT. NETs stimulate thrombus formation and coagulation and are abundant in thrombi in animal models of DVT. It appears that, in addition to fibrin and VWF, NETs represent a third thrombus scaffold. Here we review how NETs stimulate thrombosis and discuss known and potential interactions of NETs with endothelium, platelets, red blood cells, coagulation factors and how NETs could influence thrombolysis. We propose that drugs which inhibit NET formation or facilitate NET degradation may prevent or treat DVT.

Fuchs, Tobias A.; Brill, Alexander; Wagner, Denisa D.

2012-01-01

315

Portal vein thrombosis in liver cirrhosis  

PubMed Central

Portal vein thrombosis (PVT) is considered to be a frequent complication of liver cirrhosis. However, unlike PVT in patients without cirrhosis, very few data are available on the natural history and management of PVT in cirrhosis, despite its association with potentially life-threatening conditions, such as gastroesophageal bleeding and acute intestinal ischemia. Moreover, no consensus regarding PVT in cirrhosis exists. Suggested causes of PVT in cirrhosis include reduced portal blood flow velocity, multiple congenital or acquired thrombophilic factors, inherited or acquired conditions, and derangement of liver architecture. However, the understanding of PVT in cirrhosis is incomplete. In addition, information on the management of PVT in cirrhosis is inadequate. The aims of this review are to: (1) assemble data on the physiopathological mechanism, clinical findings, diagnosis and management of PVT in cirrhosis; (2) describe the principal factors most frequently involved in PVT development; and (3) summarize the recent knowledge concerning diagnostic and therapeutic procedures.

Kinjo, Nao; Kawanaka, Hirofumi; Akahoshi, Tomohiko; Matsumoto, Yoshihiro; Kamori, Masahiro; Nagao, Yoshihiro; Hashimoto, Naotaka; Uehara, Hideo; Tomikawa, Morimasa; Shirabe, Ken; Maehara, Yoshihiko

2014-01-01

316

Portal Vein Embolization: What Do We Know?  

SciTech Connect

Portal vein embolization (PVE) has been developed to increase the size of the future remnant liver (FRL) left in place after major hepatectomy, thus reducing the risk of postoperative liver insufficiency. PVE consist in embolizing preoperatively portal branches of the segments that will be resected. Indication is based on preoperative measurements of the FRL by computed tomography and its ratio with either the theoretical liver volume or by direct measurement of the functional liver volume. After PVE, the volume and function of the FRL increases in 3 to 6 weeks, permitting extensive resections in patients otherwise contraindicated for liver resection. The PVE technique is variable from one center to another; however n-butyl-cyano-acrylate provides an interesting compromise between hypertrophy rate and procedure risk.

Denys, Alban, E-mail: Alban.Denys@chuv.ch [Centre Hospitalo Universitaire Vaudois, Department of Radiology and Interventional Radiology Unit (Switzerland); Prior, John [Centre Hospitalo Universitaire Vaudois, Department of Nuclear Medicine (Switzerland); Bize, Pierre; Duran, Rafael [Centre Hospitalo Universitaire Vaudois, Department of Radiology and Interventional Radiology Unit (Switzerland); Baere, Thierry De [Institut Gustave Roussy, Department of Interventional Radiology (France); Halkic, Nermin; Demartines, Nicolas [Centre Hospitalo Universitaire Vaudois, Department of Visceral Surgery (Switzerland)

2012-10-15

317

Development of HIFU Treatment for Lower Extremity Varicose Veins  

NASA Astrophysics Data System (ADS)

High-intensity focused ultrasound (HIFU) has recently been developed as a noninvasive therapeutic method. In our study, a novel noninvasive therapy with HIFU was proposed for occlusion of lower extremity varicose veins. The temperature increase caused by HIFU is used to occlude varicose veins. Occluded veins became fibrotic, resulting in complete recovery. Our final goal is the medical application of HIFU treatment for varicose veins. In this study, we attempted to occlude the veins of rabbits. Prior to venous occlusion experiments, the area heated by HIFU was investigated using bovine serum albumin (BSA) gel, which denatures at >70 °C. The results indicate that the size of the heated area mainly depends on intensity at the focal point and the exposure time. A tendency was also seen for the heated area to extend toward the transducer with increasing exposure time. In animal experiments, skin burns during HIFU exposure represented a critical problem. We therefore examined the safe range of HIFU intensities in abdominal exposure experiments before conducting venous occlusion experiments. The ultrasound frequency was 1.7 MHz. Intensity at the focal point was 900 W/cm2, and the exposure time was 20 s. Rabbits underwent chemical depilation and echo gel was applied to the exposed skin to fill the boundary gap. Target veins were compressed during HIFU exposure to avoid thermal dissipation, and hyaluronan water solution was injected between the veins and skin to maintain the distance between the skin and veins at >=5 mm. Veins were then exposed to HIFU and occluded. The capability of HIFU treatment to occlude lower extremity varicose veins was verified by the present study.

Senoo, Naohiko; Ushijima, Hiroyuki; Suzuki, Jun; Yoshinaka, Kiyoshi; Deguchi, Juno; Takagi, Shu; Miyata, Tetsuro; Matsumoto, Yoichiro

2011-09-01

318

Acute mesenteric vein thrombosis: factors associated with evolution to chronic mesenteric vein thrombosis.  

PubMed

OBJECTIVE. Acute mesenteric venous thrombosis signs at MDCT are well described, but the literature lacks studies assessing their evolution. We aimed to describe the radiologic evolution of isolated acute mesenteric venous thrombosis and associated prognostic factors. MATERIALS AND METHODS. Patients with isolated acute mesenteric venous thrombosis with follow-up for a minimum of 1 month with MDCT were selected. Images at the acute phase and on follow-up were reviewed in consensus reading. For acute mesenteric venous thrombosis, we searched for low-attenuated intraluminal filling defect. For chronic mesenteric venous thrombosis, we searched for vessel stenosis or occlusion associated with collateral mesenteric veins. Treatment, thrombosis risk factor, symptoms, location, and length and diameter of mesenteric venous thrombosis were reported and correlated with evolution over time. RESULTS. Twenty patients (nine women and 11 men; mean age, 52 years) were selected. Four patients recovered without radiologic sequelae, and 16 developed chronic mesenteric venous thrombosis signs. Anticoagulation did not influence recovery (p = 1). Patients with recovery compared with patients with chronic mesenteric venous thrombosis showed more frequent central lesions (p = 0.03). At diagnosis, the thrombosed segment was shorter and larger in the complete radiologic recovery group compared with the chronic mesenteric venous thrombosis signs group: mean length (± SD) 6.25 ± 3.21 cm and 12.81 ± 5.96 cm, respectively (p = 0.01); mean transverse diameter 1.82 ± 0.42 cm and 1.12 ± 0.34 cm, respectively (p = 0.01). Mesenteric fat infiltration at diagnosis was more frequent in the chronic mesenteric venous thrombosis signs group than in the complete recovery group (p = 0.03). CONCLUSION. Most cases of acute mesenteric venous thrombosis evolve toward the chronic form with vein stenosis or occlusion and development of collateral veins. Location, length of mesenteric venous thrombosis, transverse diameter of the vein, and mesenteric fat infiltration at diagnosis are determinant factors for mesenteric venous thrombosis evolution. PMID:24951195

Vietti Violi, Naïk; Fournier, Nicolas; Duran, Rafael; Schmidt, Sabine; Bize, Pierre; Guiu, Boris; Denys, Alban

2014-07-01

319

Percutaneous closure of patent ductus arteriosus in interrupted inferior caval vein through femoral vein approach  

PubMed Central

Percutaneous closure of the patent arterial duct in patients with interrupted inferior caval vein poses a technical challenge. A 12-year-old girl with a patent ductus arteriosus (PDA) and interrupted inferior caval vein is described in this report. The diagnosis of interrupted inferior caval vein and azygos continuation was made in the catheterization laboratory. A catheter was advanced and snared in the descending aorta. An exchange wire was advanced through the catheter and snared in the descending aorta. Then, an Amplatzer TorqVue 2 delivery sheath was advanced over the wire from the venous side and again snared in the descending aorta. An Amplatzer duct occluder (ADO) size 8/6 was advanced through the sheath while still holding the sheath with a snare. The device was opened. The sheath was then unsnared once the aortic disc was completely out. The sheath and the device were pulled back into the duct and the device was successfully implanted. The device was then released and it attained a stable position. An aortic angiogram was performed which showed complete occlusion.

Tefera, Endale; Bermudez-Canete, Ramon

2014-01-01

320

Treatment of nutcracker syndrome with spermatic vein ligation and iliac vein anastomosis: case report of three cases.  

PubMed

Three patients with nutcracker syndrome (NCS) were enrolled in the study. Their clinical symptoms mainly included proteinuria and serious varicocele. Color Doppler ultrasound and computed tomography showed that the patients had constricted abdominal aortas, reduced superior mesenteric artery angles, and thinned left renal veins. Patients then underwent left spermatic vein ligation and iliac vein anastomosis. They were checked three months after their operation, and results showed that their sperms were improved and their proteinuria disappeared. The color Doppler ultrasound showed new cycle pathways. NCS clinical manifestations are complicated, and need combination diagnosis of symptoms and auxiliary examination to determine surgical indications. Ligation of spermatic vein and vein anastomosis can be used to treat NCS. PMID:23146812

Gong, Xiao-Yong; Zheng, Wei; Du, Hong; Lei, Yi; Xue, Ya-Hui; Xue, Chao-Hui; An, Xian-Chao; Zheng, Gang

2012-11-01

321

Coil Protruding into the Common Femoral Vein Following Pelvic Venous Embolization  

SciTech Connect

Pelvic venous embolization is performed for pelvic congestion syndrome and prior to lower limb varicose vein surgery in females with associated pelvic venous insufficiency. The procedure is analogous to varicocele embolization in males, although refluxing internal iliac vein tributaries may also be embolized. We report a case of inadvertent coil placement in the common femoral vein while embolizing the obturator vein, during pelvic vein embolization for recurrent lower limb varicose veins. There were no clinical consequences and the coil was left in situ. We advise caution when embolizing internal iliac vein tributaries where there is clinically significant communication with veins of the lower limb.

Marsh, Petra, E-mail: petra@thewhiteleyclinic.co.uk; Holdstock, Judith M. [The Whiteley Clinic (United Kingdom); Bacon, Jennifer L.; Lopez, Anthony J. [The Royal Surrey County Hospital (United Kingdom); Whiteley, Mark S.; Price, Barrie A. [The Whiteley Clinic (United Kingdom)

2008-03-15

322

Influence of vein fabric on strain distribution and fold kinematics  

NASA Astrophysics Data System (ADS)

Abundant pre-folding, bedding-parallel fibrous dolomite veins in shale are found associated with the Nkana-Mindola stratiform Cu-Co deposit in the Central African Copperbelt, Zambia. These monomineralic veins extend for several meters along strike, with a fibrous infill orthogonal to low-tortuosity vein walls. Growth morphologies vary from antitaxial with a pronounced median surface to asymmetric syntaxial, always with small but quantifiable growth competition. Subsequently, these veins were folded. In this study, we aim to constrain the kinematic fold mechanism by which strain is accommodated in these veins, estimate paleorheology at time of deformation and investigate the influence of vein fabric on deformation during folding. Finally, the influence of the deformation on known metallogenetic stages is assessed. Various deformation styles are observed, ultimately related to vein attitude across tight to close lower-order, hectometre-scale folds. In fold hinges, at low to average dips, veins are (poly-)harmonically to disharmonically folded as parasitic folds in single or multilayer systems. With increasing distance from the fold hinge, parasitic fold amplitude decreases and asymmetry increases. At high dips in the limbs, low-displacement duplication thrusts of veins at low angles to bedding are abundant. Slickenfibres and slickenlines are sub-perpendicular to fold hinges and shallow-dipping slickenfibre-step lineations are parallel to local fold hinge lines. A dip isogon analysis of reconstructed fold geometries prior to homogeneous shortening reveals type 1B parallel folds for the veins and type 1C for the matrix. Two main deformation mechanisms are identified in folded veins. Firstly, undulatory extinction, subgrains and fluid inclusions planes parallel the fibre long axis, with deformation intensity increasing away from the fold hinges, indicate intracrystalline strain accumulation. Secondly, intergranular deformation through bookshelf rotation of fibres, via collective parallel rotation of fibres and shearing along fibre grain boundaries, is clearly observed under cathodoluminescence. We analysed the internal strain distribution by quantifying simple shear strain caused by deflection of the initially orthogonal fibres relative to layer inclination at a given position across the fold. Shear angle, and thus shear strain, steadily increases towards the limbs away from the fold hinge. Comparison of observed shear strain to theoretical distribution for kinematic mechanisms, amongst other lines of evidence, clearly points to pure flexural flow followed by homogeneous shortening. As flexural flow is not the expected kinematic folding mechanism for competent layers in an incompetent shale matrix, our analysis shows that the internal vein fabric in these dolomite veins can exhibit a first-order influence on folding mechanisms. In addition, quantitative analysis shows that these veins acted as rigid objects with high viscosity contrast relative to the incompetent carbonaceous shale, rather than as semi-passive markers. Later folding-related syn-orogenic veins, intensely mineralised with Cu-Co sulphides, are strongly related to deformation of these pre-folding veins. The high viscosity contrast created by the pre-folding fibrous dolomite veins was therefore essential in creating transient permeability for subsequent mineralising stages in the veining history.

Torremans, Koen; Muchez, Philippe; Sintubin, Manuel

2014-05-01

323

Antithrombin III injection via the portal vein suppresses liver damage  

PubMed Central

AIM: To investigate the effects of antithrombin III (AT III) injection via the portal vein in acute liver failure. METHODS: Thirty rats were intraperitoneally challenged with lipopolysaccharide (LPS) and D-galactosamine (GalN) and divided into three groups: a control group; a group injected with AT III via the tail vein; and a group injected with AT III via the portal vein. AT III (50 U/kg body weight) was administrated 1 h after challenge with LPS and GalN. Serum levels of inflammatory cytokines and fibrin degradation products, hepatic fibrin deposition, and hepatic mRNA expression of hypoxia-related genes were analyzed. RESULTS: Serum levels of alanine aminotransferase, tumor necrosis factor-? and interleukin-6 decreased significantly following portal vein AT III injection compared with tail vein injection, and control rats. Portal vein AT III injection reduced liver cell destruction and decreased hepatic fibrin deposition. This treatment also significantly reduced hepatic mRNA expression of lactate dehydrogenase and heme oxygenase-1. CONCLUSION: A clinically acceptable dose of AT III injection into the portal vein suppressed liver damage, probably through its enhanced anticoagulant and anti-inflammatory activities.

Miyazaki, Masayuki; Kato, Masaki; Tanaka, Masatake; Tanaka, Kosuke; Takao, Shinichiro; Kohjima, Motoyuki; Ito, Tetsuhide; Enjoji, Munechika; Nakamuta, Makoto; Kotoh, Kazuhiro; Takayanagi, Ryoichi

2012-01-01

324

Capacitance of the rabbit portal vein and inferior vena cava.  

PubMed Central

1. We used vessel strips and whole vessels in vitro to determine the length-tension and pressure-volume relationships of two veins with similar diameter and wall thickness, the portal vein and inferior vena cava of rabbits. 2. Length-tension studies indicate that longitudinal and circular strips of the portal vein have significantly smaller elastic moduli than similar strips of the inferior vena cava (P less than 0.05). 3. Pressure-volume relationships of intact vessels indicate that pressures greater than 5 mmHg do not produce significant increases in volume of the inferior vena cava, whereas volume of the portal vein increases significantly over a range of pressures from 2 to 15 mmHg. 4. Activation of smooth muscle with noradrenaline reduces the volume of the vena cava at distending pressures less than or equal to 5 mmHg. In contrast, noradrenaline reduces the volume of the portal vein at pressures up to 10 mmHg. During inactivation in calcium-free solution and activation with noradrenaline, the portal vein is more compliant than the inferior vena cava (P less than 0.05). 5. Morphometric studies demonstrate more collagen in the inferior vena cava than in the portal vein. Differences in capacitance of the vessels may be related, in part, to greater collagen content in the inferior vena cava.

Brown, B P; Heistad, D D

1986-01-01

325

Investigation of vascular changes following penile vein ligation.  

PubMed

In an effort to characterize the changes in penile vasculature that occur following penile vein ligation, we performed pharmaco-cavernosometry and pharmaco-cavernosography on 20 patients after penile vein ligation for comparison with preoperative studies. Three patients with return of erectile function underwent repeat study: 2 were completely normal and 1 had a mild leak from the deep dorsal vein. The remaining 17 patients had continued complaints of erectile impairment. Of these studies 4 showed no evidence of venous leakage, 11 identified a new site of leakage (7 corporo-spongiosal shunts, 2 crural veins and 2 with multiple sites of involvement) and 1 revealed persistent leak through the proximal stump of the resected deep dorsal vein, while 1 patient had an iodine allergy and underwent pharmaco-cavernosometry only. A repeat study in the latter patient showed flow volumes consistent with continued venous leakage. In summary, penile vein ligation appears to be effective at correcting venous leakage noted on cavernosography. However, new sites of leakage frequently appear postoperatively. A corporo-spongiosal shunt was the most frequent site of recurrent venous leakage. A surprisingly high percentage of patients with continued complaints of erectile dysfunction following penile vein ligation demonstrate no venous leakage on subsequent pharmaco-cavernosography. PMID:8051743

Kerfoot, W W; Carson, C C; Donaldson, J T; Kliewer, M A

1994-09-01

326

Palm Vein Verification Using Multiple Features and Locality Preserving Projections  

PubMed Central

Biometrics is defined as identifying people by their physiological characteristic, such as iris pattern, fingerprint, and face, or by some aspects of their behavior, such as voice, signature, and gesture. Considerable attention has been drawn on these issues during the last several decades. And many biometric systems for commercial applications have been successfully developed. Recently, the vein pattern biometric becomes increasingly attractive for its uniqueness, stability, and noninvasiveness. A vein pattern is the physical distribution structure of the blood vessels underneath a person's skin. The palm vein pattern is very ganglion and it shows a huge number of vessels. The attitude of the palm vein vessels stays in the same location for the whole life and its pattern is definitely unique. In our work, the matching filter method is proposed for the palm vein image enhancement. New palm vein features extraction methods, global feature extracted based on wavelet coefficients and locality preserving projections (WLPP), and local feature based on local binary pattern variance and locality preserving projections (LBPV_LPP) have been proposed. Finally, the nearest neighbour matching method has been proposed that verified the test palm vein images. The experimental result shows that the EER to the proposed method is 0.1378%.

Bu, Wei; Wu, Xiangqian; Zhao, Qiushi

2014-01-01

327

Non-contact finger vein acquisition system using NIR laser  

NASA Astrophysics Data System (ADS)

Authentication using finger vein pattern has substantial advantage than other biometrics. Because human vein patterns are hidden inside the skin and tissue, it is hard to forge vein structure. But conventional system using NIR LED array has two drawbacks. First, direct contact with LED array raise sanitary problem. Second, because of discreteness of LEDs, non-uniform illumination exists. We propose non-contact finger vein acquisition system using NIR laser and Laser line generator lens. Laser line generator lens makes evenly distributed line laser from focused laser light. Line laser is aimed on the finger longitudinally. NIR camera was used for image acquisition. 200 index finger vein images from 20 candidates are collected. Same finger vein pattern extraction algorithm was used to evaluate two sets of images. Acquired images from proposed non-contact system do not show any non-uniform illumination in contrary with conventional system. Also results of matching are comparable to conventional system. We developed Non-contact finger vein acquisition system. It can prevent potential cross contamination of skin diseases. Also the system can produce uniformly illuminated images unlike conventional system. With the benefit of non-contact, proposed system shows almost equivalent performance compared with conventional system.

Kim, Jiman; Kong, Hyoun-Joong; Park, Sangyun; Noh, Seungwoo; Lee, Seung-Rae; Kim, Taejeong; Kim, Hee Chan

2009-02-01

328

Pylephlebitis of a variant mesenteric vein complicating sigmoid diverticulitis  

PubMed Central

Pylephlebitis - suppurative thrombophlebitis of the portal and/or mesenteric veins - is a rare complication of abdominal infections, especially diverticulitis. It can lead to severe complications such as hepatic abscess, sepsis, peritonitis, bowel ischemia, etc., which increase the mortality rate. Here we present a case of suppurative thrombophlebitis of the inferior mesenteric vein, as a complication of sigmoid diverticulitis. The epidemiology, clinical and radiological features as well as treatment strategies are discussed. We also review the anatomy of the mesenteric vein given its anatomic variation in the present case and how this anatomic knowledge might influence the operative approach should surgery be necessary.

Falkowski, Anna L.; Cathomas, Gieri; Zerz, Andreas; Rasch, Helmut; Tarr, Philip E.

2014-01-01

329

Isolated right hepatic vein obstruction after piggyback liver transplantation.  

PubMed

The "piggyback" technique for liver transplantation has gained worldwide acceptance. Still, complications such as outflow obstruction have been observed, usually attributable to technical errors such as small-caliber anastomosis of the suprahepatic vena cava, twisting, or kinking. Iatrogenic Budd-Chiari syndrome after piggyback liver transplantation has been reported as a consequence of obstruction involving the entire anastomosis (usually the 3 hepatic veins). Here we describe technical issues, clinical presentation, diagnosis, and treatment of 3 cases in which outflow obstruction affected only the right hepatic vein. In conclusion, all 3 patients developed recurrent ascites requiring angioplasty and/or stent placement across the right hepatic vein to alleviate the symptoms. PMID:16628691

Aucejo, Federico; Winans, Charles; Henderson, J Michael; Vogt, David; Eghtesad, Bijan; Fung, John J; Sands, Mark; Miller, Charles M

2006-05-01

330

Combined arteriovenous thrombolytic infusion for refractory renal vein thrombosis.  

PubMed

Acute renal vein thrombosis can rapidly lead to significant impairment and eventual loss of renal function. Classically presenting with flank pain, hematuria, and laboratory markers consistent with acute kidney injury, therapeutic anticoagulation is the mainstay of treatment. However, endovascular surgery offers a safe and effective alternative for renal salvage in the setting of acute renal vein thrombosis. Described is the use of combined arteriovenous thrombolytic infusion for refractory renal vein thromboses to quickly and effectively decrease clot burden in the micro- and macrovenous circulations while limiting systemic exposure. PMID:24509378

Heafner, Thomas A; Scott, Daniel; Devin Watson, J; Propper, Brandon; Johnson, Chatt; Arthurs, Zachary M

2014-08-01

331

The 15Year Cumulative Incidence of Retinal Vein Occlusion  

Microsoft Academic Search

Results: The 15-year cumulative incidences of branch retinal vein occlusion and central retinal vein occlusion were 1.8% and 0.5%, respectively. Using a generalized estimating equation model, incident retinal vein occlu- sion was related to baseline age (odds ratio (OR) per 10 years,1.70;95%confidenceinterval(CI),1.36-2.12),his- tory of barbiturate use (OR, 5.30; 95% CI, 2.28-12.31), focalretinalarteriolarnarrowing(OR,2.45;95%CI,1.29- 4.66), glaucoma (OR, 3.17; 95% CI, 1.50-6.69), serum

Ronald Klein; Scot E. Moss; Stacy M. Meuer; Barbara E. K. Klein

2008-01-01

332

Postpartum ovarian vein thrombosis after cesarean delivery: a case report  

PubMed Central

Introduction Postpartum ovarian vein thrombosis is an uncommon complication; incidence varies between 0.002% and 0.05%. It most often occurs during the 2–15 days following delivery. Case presentation A 22-year-old pregnant woman at term presented to hospital with uterine contractions, abdominal pain, nausea and vomiting. After delivery an ovarian vein thrombosis was diagnosed. Conclusion Low-molecular weight heparin with broad-spectrum antibiotics are the accepted therapy in non-complicated cases of postpartum ovarian vein thrombosis.

Royo, Pedro; Alonso-Burgos, Alberto; Garcia-Manero, Manuel; Lecumberri, Ramon; Alcazar, Juan Luis

2008-01-01

333

Endoscopic vein harvest of the lesser saphenous vein in the supine position: a unique approach to an old problem†  

PubMed Central

OBJECTIVES To obtain a suitable conduit from the lesser (short) saphenous system for use in coronary artery bypass surgery. We wanted to perform this while the patient was in the supine position as to not disrupt the standard operation, and at the same time, utilizing the endoscopic vein harvest technique with its obvious abilities to decrease vein harvest morbidity. We also theorized that through endoscopic techniques instead of the open technique we could harvest greater lengths of conduit, thus providing quality vein segments for additional grafts if needed. METHODS We were able to perform endoscopic vein harvest while in the supine position with one unique centrally located incision that has not been previously described. RESULTS The lesser saphenous vein harvested in the described technique provided excellent conduit for our patients that were conduit poor. The endoscopic technique allowed increased length of harvested segments, by giving us the ability to travel under the gastrocnemius muscle with minimal morbidity as opposed to the open technique, where the traditional endpoint is the aforementioned muscle. Conduits were harvested successfully from 14 of 16 candidates. No wound infections or healing problems were experienced. Neurovascular integrity was maintained in all patients. CONCLUSIONS Endoscopic vein harvest of the lesser saphenous vein with the patient in the supine position is safe, effective and affords conduits for a unique subset of patients undergoing coronary artery bypass grafting.

Brandt, C. Phillip; Greene, G. Clark; Maggart, Michael L.; Hall, William C.; Harville, Lacy E.; Pollard, Thomas R.; Stouffer, Chadwick W.

2013-01-01

334

[Juguler vein gunshot injury from blank cartridges].  

PubMed

Blank cartridge guns, which are produced for self-defence needs and considered harmless, can be easily purchased by adults due to lack of legal regulations. We present this case because injuries caused by gunshot from blank cartridges may be fatal and are rarely encountered in emergency departments. A 3-year-old boy was brought to the emergency department since he had a wound on his neck caused accidentally by gunshot from blank cartridges. He had a moderate general condition and pale appearance. There was an irregular-edged, defective wound 2 cm above the sternal notch in midline localization with a dimension of 3 x 4 cm. Computed tomography of the thorax revealed contusion in the apex of the left lung. A 2-mm plastic piece embedded in the left internal jugular vein was removed during the operation. A mass education on danger and harm of these guns as well as legal regulations for restricted use seem to be necessary. Also, physicians should keep in mind that blank cartridge guns can cause fatal injuries. PMID:16100674

Ikizceli, Ibrahim; Av?aro?ullari, Levent; Sözüer, Erdo?an Mütevelli; Ozdemir, Ca?lar; Tu?cu, Harun; Sever, Hasan; Duymaz, Hikmet

2005-07-01

335

Portal Vein Embolization for Hepatocellular Carcinoma  

PubMed Central

Portal vein embolization (PVE) improves the safety of major hepatectomy through hypertrophy of the future liver remnant (FLR), atrophy of the liver volume to be resected, and improvement in patient selection. Because most patients with hepatocellular carcinoma (HCC) have liver parenchymal injury due to underlying viral hepatitis or alcoholic liver fibrosis/cirrhosis, indication of PVE is relatively complex and sequential procedures, including transarterial chemoembolization, are required to maximize the effect of PVE as well as to minimize tumor progression due to increased arterial flow after PVE. PVE is currently indicated for patients with relatively well-preserved hepatic function [Child–Pugh A and indocyanine green tolerance test (ICG-R15) <20%) to achieve minimal FLR volume for safe major hepatectomy. FLR volume >40% is the minimal requirement for patients with chronic hepatitis or cirrhosis, and further strict criteria (FLR volume >50%) have been recommended for patients with marginal liver functional reserve (ICG-R15, 10–20%). Recent clinical results have suggested that PVE can be safely performed in patients with HCC and that it contributes to improved survival after major hepatectomy.

Shindoh, Junichi; D. Tzeng, Ching-Wei; Vauthey, Jean-Nicolas

2012-01-01

336

Mars Opportunity rover finds gypsum veins  

NASA Astrophysics Data System (ADS)

Bright linear features about the width of a human thumb that were found on Mars by NASA's Mars Exploration Rover Opportunity appear to be gypsum veins deposited by groundwater, a team of scientists announced at a 7 December news briefing at the AGU Fall Meeting in San Francisco, Calif. “To me, this is the single most powerful piece of evidence for liquid water on Mars that has been discovered by the Opportunity rover,” said Steve Squyres, a geoscientist at Cornell University in Ithaca, N. Y., and principal investigator for NASA Mars Exploration Rovers Opportunity and Spirit. “We have found sulfates before. Those sulfates were formed somewhere; we don't know where. They have been moved around by the wind, they've been mixed with other materials. It's a big, jumbled, fascinating mess. This stuff was formed right here. There was a fracture in the rock, water flowed through it, gypsum was precipitated from the water. End of story. Okay, there is no ambiguity about this. This is what makes it so cool.”

Showstack, Randy

2011-12-01

337

Videothoracoscopic management of a perforated central vein and pleura after ultrasound-guided internal jugular vein cannulation: a case report  

PubMed Central

A 23-year-old male underwent a left internal jugular vein catheterization during extended surgery for treatment of multiple fractures due to a traffic accident. Although the catheterization was performed under ultrasound (US) guidance, iatrogenic perforation of the central vein and pleura occurred. The catheter was removed, and the perforated site was addressed under thoracoscopy rather than an open thoracotomy. This case suggests that using US does not completely guarantee a complication-free outcome, and that catheter placement should be carefully confirmed. In addition, this case suggests that thoracoscopy may be an ideal method of resolving a perforation of the central vein and pleura.

Kim, Jeong-Eun; Jeon, Joon-Pyo; Kim, Yongsuk; Jeong, Su Ah

2014-01-01

338

Bypass Surgery for Lower Extremity Limb Salvage: Vein Bypass  

PubMed Central

Bypass surgery for limb salvage in cases of chronic limb ischemia is a well-established treatment modality. Use of an autogenous vein provides the best conduit for infrainguinal arterial bypass procedures, particularly for bypass to the infrapopliteal arteries. In this article, we discuss infrainguinal vein bypass surgery including indications, perioperative care, and long-term follow up. We also discuss the outcomes of the procedure with regard to patient survival and limb salvage. The autogenous vein continues to be the best available conduit with the highest patency rate and the best treatment option. Compared to all other revascularization options for infrainguinal disease, the vein bypass has the best limb salvage and long-term survival in patients appropriately selected for the procedure.

2012-01-01

339

Bilateral anomalous pulmonary venous connection to bilateral superior caval veins.  

PubMed

A four-year-old girl presented with superior vena cava (SVC) type of sinus venosus defect, right upper pulmonary vein draining into right SVC-right atrium junction, left upper lobe pulmonary veins draining into the lower part of persistent left SVC (LSVC), and a patent ductus arteriosus. The anomalous pulmonary venous drainage to LSVC was overlooked in the preoperative evaluation and was found intraoperatively. Warden procedure was performed for right-sided veins. Lower LSVC draining the anomalous pulmonary veins was anastomosed to the left atrial appendage. The short stump of LSVC was diverted to left pulmonary artery. Anomalous pulmonary venous connections to LSVC are rare. Embryology of venous development is analyzed with respect to this rare anomaly, and options for surgical correction are discussed. PMID:24403371

Sasikumar, Navaneetha; Ramanan, Sowmya; Chidambaram, Shanthi; Rema, Krishna Manohar Soman; Cherian, Kootturathu Mammen

2014-01-01

340

Cannulation of internal jugular vein in neutral head position.  

PubMed

An approach to cannulate right internal jugular vein in neutral head position is described for situations where head rotation and extension are contraindicated. Venous puncture was made immediately lateral to the carotid artery at the level of cricoid cartilage and directed caudad. In 40 patients studied, the right internal jugular vein of 97.5% of the patients were successfully located by the finder needle. The mean (SE) number of puncture attempts to locate the vein was 1.3 (0.1) per patient. In 72.5% (29 patients), the veins were located exactly at the predicted point after the first attempt. However the overall success rate for cannulation by the angiocath cannula was 87.5% and short term complication rate was 5.0%. We conclude this technique is a reliable, safe alternative for central venous access, especially in patients where cervical spine movement is contraindicated or restricted. PMID:10968158

Lew, Y S; Lim, S K

1998-09-01

341

Circumaortic Left Renal Vein-A Rare Case Report  

PubMed Central

During routine dissection which was carried out for the medical students, a circumaortic left renal vein draining into inferior vena cava was observed. There were 2 renal veins through which the left kidney drained into the inferior vena cava, of which the larger one ran ventral to aorta and the other smaller one ran posterior to aorta and received lumbar veins before opening into inferior vena cava. This is a relatively rare condition which can result in left renal hypertension (LRVH) syndrome which is otherwise called as anterior and posterior nutcracker syndromes. This venous anomaly results from the errors of embryological development. It is of clinical significance, mainly during retroperitoneal surgeries and intra caval interventions. It is also important in conditions which warrant extensive venous dissections, venous reconstructions as in transplantations and invasion of veins by cancerous tissue, resulting in life threatening haemorrhage.

Panagar, Anupama Doddappaiah; Subhash, R. Lakshmi Prabha; Suresh, B.S.; Nagaraj, D.N.

2014-01-01

342

Acute scrotal pain: an uncommon manifestation of renal vein thrombosis.  

PubMed

The clinical manifestation of renal vein thrombosis varies with the speed and degree of venous occlusion. Such patients may be asymptomatic, have minor nonspecific symptoms such as nausea or weakness, or have more specific symptoms such as upper abdominal pain, flank pain, or hematuria. Acute scrotal pain is a very uncommon clinical expression of renal vein thrombosis. Here, we report a case of membranous glomerulonephritis-induced renal vein thrombosis presented with the symptom of acute scrotal pain caused by thrombosis-induced varicocele. This case report suggests that renal vein thrombosis should be considered in the diagnosis of acute scrotal pain; it also emphasizes that an investigation of retroperitoneum should be performed for adult patients with the sudden onset of varicocele. PMID:24495531

Jou, Yeong-Chin; Jong, Ing-Chin; Hsieh, Ying-Chen; Kang, Chun-Hsiung

2014-03-01

343

Portal Vein Thrombosis Following Laparoscopic Sleeve Gastrectomy for Morbid Obesity  

PubMed Central

Introduction: Portal vein thrombosis has been documented after laparoscopic general surgery and has been uncommonly observed after laparoscopic bariatric surgery. Among bariatric operations, the sleeve gastrectomy is being performed with ever-increasing frequency. Here we report the case of a man who presented with portal vein thrombosis after laparoscopic sleeve gastrectomy. Case Description: A 41-y-old man underwent an uneventful laparoscopic sleeve gastrectomy for the treatment of morbid obesity, and presented on postoperative day 10 with nonfocal abdominal pain, nausea, vomiting, and leukocytosis. Computed tomography revealed portal vein thrombosis, which was found in the setting of Clostridium difficile colitis. Discussion: Portal vein thrombosis may be identified with increasing frequency as the number of laparoscopic bariatric operations continues to increase. A high index of suspicion is necessary to diagnose this rare, but potentially lethal, complication.

Rosenberg, Jacob M.; Tedesco, Maureen; Yao, Dorcas C.

2012-01-01

344

Haematuria and the retro-aortic left renal vein.  

PubMed

The authors present the case of a 10-year-old boy with a 2-year history of intermittent macroscopic haematuria. After exclusion of other causes of haematuria through history, examination and a number of investigations, MRI revealed the finding of a retro-aortic left renal vein, which appeared to be compressed between the aorta and the L3 vertebral body. The retro-aortic left renal vein or 'posterior nutcracker syndrome" is a rare but important cause of haematuria and other manifestations of left renal vein hypertension. A discussion about the implications of this finding in children with symptoms consistent with left renal vein hypertension, and the potential options for management is undertaken. PMID:22927266

Sillo, Toritseju Oluwafunmilayo; Jones, Katherine E; Willetts, Ian E

2012-01-01

345

The early filling of a vein in the carotid angiogram  

Microsoft Academic Search

The authors studied the sign of early filling of veins in the carotid angiogram. This angiographic sign is always pathological but not pathognomonic of a special lesion, because it is present in different lesions.

G. B. Bradac; R. S. Simon; W. Fiegler

1975-01-01

346

Circumaortic left renal vein-a rare case report.  

PubMed

During routine dissection which was carried out for the medical students, a circumaortic left renal vein draining into inferior vena cava was observed. There were 2 renal veins through which the left kidney drained into the inferior vena cava, of which the larger one ran ventral to aorta and the other smaller one ran posterior to aorta and received lumbar veins before opening into inferior vena cava. This is a relatively rare condition which can result in left renal hypertension (LRVH) syndrome which is otherwise called as anterior and posterior nutcracker syndromes. This venous anomaly results from the errors of embryological development. It is of clinical significance, mainly during retroperitoneal surgeries and intra caval interventions. It is also important in conditions which warrant extensive venous dissections, venous reconstructions as in transplantations and invasion of veins by cancerous tissue, resulting in life threatening haemorrhage. PMID:24783096

Panagar, Anupama Doddappaiah; Subhash, R Lakshmi Prabha; Suresh, B S; Nagaraj, D N

2014-03-01

347

[Value of Varady percutaneous microsurgical phlebologic extraction of varicose veins].  

PubMed

Varicectomy is a particularly useful procedure in the surgical treatment of varicose branch veins and perforating veins, since it allows selective estirpation without affecting the main trunk of the long saphenous vein (LSV). At the same time, there is usually no need of further sclerotherapy. The operation can be performed under local anaesthesia in the outpatient's department or, if a saphenofemoral junction insufficiency has to be simultaneously removed, during a short stay in hospital. The aesthetic results are remarkable. With the help of the new delicate instruments devised by Varady, the incisions are very small, making sutures unnecessary. All the varicose veins can be removed at once, there is no loss of blood and no need for prophylaxis against thrombosis and the postoperative ecchymosis is minimal. Thus the method can also be applied in elderly patients. PMID:2378154

Fratila, A; Rabe, E; Biltz, H; Kreysel, H W

1990-05-01

348

Posttransplant Complex Inferior Venacava Balloon Dilatation After Hepatic Vein Stenting  

SciTech Connect

Orthotopic and living related liver transplantation is an established mode of treatment of end-stage liver disease. One of the major causes of postoperative complications is vascular anastomotic stenosis. One such set of such complications relates to hepatic vein, inferior vena cava (IVC), or portal vein stenosis, with a reported incidence of 1-3%. The incidence of vascular complications is reported to be higher in living donor versus cadaveric liver transplants. We encountered a patient with hepatic venous outflow tract obstruction, where the hepatic vein had been previously stented, but the patient continued to have symptoms due to additional IVC obstruction. The patient required double-balloon dilatation of the IVC simultaneously from the internal jugular vein and IVC.

Kohli, Vikas, E-mail: vkohli_md@yahoo.co [Indraprastha Apollo Hospital, Pediatric Cardiology and Congenital Cardiac Surgery Unit (India); Wadhawan, Manav [Indraprastha Apollo Hospital, Department of Gastroenterology and Hepatology (India); Gupta, Subhash [Indraprastha Apollo Hospital, Department of Liver Transplant (India); Roy, Vipul [Indraprastha Apollo Hospital, Department of Cardiology (India)

2010-02-15

349

Prostate brachytherapy seed migration to the left testicular vein  

Microsoft Academic Search

PurposeProstate brachytherapy seeds may detach from their initial insertion sites and migrate to lungs, heart, coronary artery, liver, kidney, and vertebral venous plexus. The authors present the left testicular vein as additional site of seed embolization.

Ba D. Nguyen; Genevieve L. Egnatios

2010-01-01

350

Endoscopic Versus Open Saphenous Vein Harvest: A Comparison of Postoperative Wound Complications  

Microsoft Academic Search

Background. Wound complications associated with long incisions used to harvest the greater saphenous vein are well documented. Recent reports suggest that tech- niques of endoscopic vein harvest may result in de- creased wound complications. A prospective, nonran- domized study was developed to compare outcomes of open versus endoscopic vein harvest procedures. Methods. There were 106 patients in the open vein

Jerene M. Bitondo; Willard M. Daggett; David F. Torchiana; Cary W. Akins; Alan D. Hilgenberg; Gus J. Vlahakes; Joren C. Madsen; Thomas E. MacGillivray; Arvind K. Agnihotri

2010-01-01

351

Endoscopic versus open saphenous vein harvest: a comparison of postoperative wound complications  

Microsoft Academic Search

Background. Wound complications associated with long incisions used to harvest the greater saphenous vein are well documented. Recent reports suggest that techniques of endoscopic vein harvest may result in decreased wound complications. A prospective, nonrandomized study was developed to compare outcomes of open versus endoscopic vein harvest procedures.Methods. There were 106 patients in the open vein harvest group, and 154

Jerene M Bitondo; Willard M Daggett; David F Torchiana; Cary W Akins; Alan D Hilgenberg; Gus J Vlahakes; Joren C Madsen; Thomas E MacGillivray; Arvind K Agnihotri

2002-01-01

352

Endoscopic versus Open Saphenous Vein Harvest in Patients Undergoing CABG, an Angiographically Measured Graft Patency Comparison  

Microsoft Academic Search

Background: Endoscopic vein harvest (EVH) was introduced in 1996 as an alternative to open vein harvest (OVH) for coronary artery bypass graft (CABG) surgeries utilizing the saphenous vein. EVH has been shown to decrease post operative pain, wound complications, and length of hospital stay. Although EVH has become the preferred method of saphenous vein harvest, the effect of EVH on

M. Brooke Barone

2010-01-01

353

Long-term patency of cephalic vein in coronary bypass surgery.  

PubMed

In the situation where the saphenous veins were unavailable, cephalic vein was the second choice in the beginning of 1980s. The routine use of saphenous vein and recent enthusiasm for arterial surgical myocardial revascularization lead to less attention on this conduit. We reported a patient undergoing redo coronary bypass surgery after 18 years of having cephalic vein grafts. PMID:18598332

Tjang, Yanto Sandy; Hornik, Lech; Seifert, Dirk; Körfer, Reiner

2008-01-01

354

Saphenous Vein Conduits Harvested by Endoscopic Technique Exhibit Structural and Functional Damage  

Microsoft Academic Search

Background. Injury to the saphenous vein endothelium during harvest impacts patency after coronary artery bypass graft surgery. Many centers are adopting endo- scopic saphenous vein harvest (ESVH) instead of using the traditional open saphenous vein harvest (OSVH) technique. Our objective was to compare the effects of ESVH and OSVH on the structural and functional viability of saphenous vein endothelium using

Laki J. Rousou; Kristin B. Taylor; Xiu-Gui Lu; Nancy Healey; Michael D. Crittenden; Shukri F. Khuri; Hemant S. Thatte

355

An unusual content of the inguinal canal: The external pudendal vein  

Microsoft Academic Search

Summary In a 43-year-old male cadaver the external pudendal vein ran an abnormal course in both inguinal regions. On each side the vein passed through the superficial inguinal ring, and after a short course in the canal pierced the inguinal ligament and drained into the femoral vein. The significance of this rare relation between the external pudendal vein and the

H. Ozan; S. Önderoglu

1998-01-01

356

Prenatal Diagnosis of Abnormal Course of Umbilical Vein and Absent Ductus Venosus – Report of Three Cases  

Microsoft Academic Search

An abnormal course of the umbilical vein is a rare anomaly. Its association with the congenital absence of the ductus venosus is common. We found 3 cases of an abnormal course of the umbilical vein and an absent ductus venosus. In 2 of these cases, the umbilical vein turned down and continued in the internal iliac vein, and no ductus

J. Hajdú; T. Marton; M. Kozsurek; B. Pete; Z. Csapó; A. Beke; Z. Papp

2008-01-01

357

Surgical repair of partial anomalous pulmonary venous connection shunting from left atrium to innominate vein  

PubMed Central

Partial anomalous pulmonary venous connection (PAPVC) causes a left-to-right shunt from the anomalous pulmonary vein (PV) to a systemic vein. We report an uncommon adult case of PAPVC, in which the left upper PV drained into both the innominate vein and the left atrium (LA), demonstrating retrograde shunting from the LA to the innominate vein. The anomaly was surgically repaired.

2013-01-01

358

Intimal Thickness Associates with Endothelial Dysfunction in Human Vein Grafts  

PubMed Central

Objectives Intimal hyperplasia is a complex process thought to be initiated by injury and is the leading cause of vein graft failure. In this investigation we hypothesized that basal intimal thickness in human saphenous vein is a predictor of endothelial dysfunction and potentially intimal hyperplasia. Methods Human saphenous veins were obtained during coronary artery bypass surgery. The segments were contracted with phenylephrine, and relaxed with carbachol to determine endothelial-dependent relaxation. Vein segments were fixed in 10% buffered formalin, and cultured for 14 days in high serum and then fixed in formalin. The fixed tissues were stained with Verhoeff-Van Gieson and average intimal and medial thicknesses were calculated using light microscopy and a computerized image analysis system. Results Human saphenous veins displayed variable amounts of basal intimal thickness ranging from 18.80 to 241.3 µm. Endothelial-dependent relaxation of the veins was highly variable with values ranging from 0 to 27.59%. Human saphenous vein with basal intimal thickness greater than 120mm had significantly less endothelial-dependent relaxation (8.90±6.32%) than those with basal intimal thickness less than 120mm (21.97±10.64%). Endothelial dysfunction correlated with basal intimal thickness > 120µm (P = 0.02). Basal intimal thickness also correlated with increased intimal thickness after 14 days in organ culture (P=0.0001). Conclusions Basal intimal thickness greater than 120 µm is a predictor of endothelial dysfunction, and since greater basal intimal thickness also correlated with increased intimal thickness after organ culture, basal intimal thickness may predict vein graft failure due to intimal hyperplasia.

Li, Fan Dong; Sexton, Kevin W.; Hocking, Kyle M.; Osgood, Michael J.; Eagle, Susan; Cheung-Flynn, Joyce; Brophy, Colleen M.; Komalavilas, Padmini

2012-01-01

359

Portal vein thrombosis and liver abscess due to Lactococcus lactis.  

PubMed

A 26-year-old man was admitted with fever and abdominal pain. Abdominal ultrasonography and Doppler ultrasound eventually revealed portal vein thrombosis and a pyogenic liver abscess (17x11x11 cm). Lactococcus lactis was isolated from a culture of the abscess material. This organism is not a common pathogen in humans. This is the first published description of portal vein thrombosis and pyogenic liver abscess due to L. lactis. PMID:16830302

Güz, Galip; Ye?in, Zeynep Arzu; Do?an, Ibrahim; Hizel, Kenan; Bali, Musa; Sindel, Sükrü

2006-06-01

360

Bitumen veins and Eocene transpression, Neuquén Basin, Argentina  

NASA Astrophysics Data System (ADS)

In the northwestern part of the petroleum-rich Neuquén Basin, veins of solid hydrocarbon (bitumen) have been reported from over 150 localities. The bitumen veins are mostly steeply-dipping and show intrusive relationships with their wall rocks. The largest are some 8 m wide, 8 km long and probably several kilometres deep. The bitumen probably formed in the earliest stages of thermal maturation of organically-rich source rocks. The most likely source rocks for the bitumen, as well as for most of the oil and gas in the Neuquén Basin, are black marine shales of the Vaca Muerta and Agrio formations. These were deposited in a rift setting during the late Jurassic and Early Cretaceous. According to subsidence models, the source rocks should have reached thermal maturity in the latest Cretaceous or Paleocene and should have remained in the oil window ever since. Although the bitumen has not been dated directly, the veins probably formed soon after maturation of the source rocks, in other words, in the Paleocene or Eocene. The wall rocks of the veins are mostly the source rocks themselves. Other veins have been emplaced into overlying strata of Early Cretaceous to Paleocene ages or into underlying sediments of Jurassic age. The bitumen veins have preferred orientations. The dominant trend is 060° and subsidiary trends are either 000° to 020° or 100°. As in other basins worldwide, the majority of bitumen veins in the Neuquén Basin probably formed by tensile failure, in orientations perpendicular to the least compressive stress, under the combined effects of regional tectonics and fluid overpressures. The orientations of the veins are compatible with the direction of oblique convergence between continental South America and the oceanic Nazca plate in the Eocene. Many major structures in the Neuquén Basin are also of Eocene age and may have formed under right-lateral transpression.

Cobbold, P. R.; Diraison, M.; Rossello, E. A.

1999-12-01

361

Video capsule endoscopy findings in subacute superior mesenteric vein thrombosis  

PubMed Central

Background: Subacute superior mesenteric vein thrombosis is a rare ischemic intestinal disease which is often characterized by delayed diagnosis due to obscure clinical picture. Case report: A 67-year-old woman who presented chronic abdominal pain with mild nausea due to superior mesenteric vein thrombosis was submitted to video capsule endoscopy. We describe, for the first time, the video capsule endoscopy findings in this patient. Conclusion: We emphasize the role of this new technology in the diagnosis of suspected ischemic intestinal diseases.

Katsinelos, P; Chatzimavroudis, G; Zavos, Ch; Pilpilidis, I; Fasoulas, K; Papaziogas, B; Kountouras, J

2011-01-01

362

Metal Stents in Malignant Obstruction of Caval Veins  

Microsoft Academic Search

\\u000a Stenosis or occlusion of the caval veins is not a rare event in cancer patients: it can be responsible of dramatic symptoms\\u000a and when occlusion is acute, occasionally even be lethal. Percutaneous transluminal angioplasty (PTA), while successfully\\u000a applied in the treatment of arterial stenoses, is only occasionally successful in veins due to persistent perivascular compression\\u000a by tumor, or postradiation transmural

Robert F. Dondelinger; G. Trotteur

363

The cutoff value of saphenous vein diameter to predict reflux  

PubMed Central

Purpose Increased saphenous vein diameter is a common consequence of saphenous vein reflux. Until now, there have been no reports about the correlation between diameter and reflux of saphenous vein in Korea. The aim of this study was to investigate the correlation between saphenous vein reflux and diameter changes. Methods From April 2009 to August 2012, 777 patients were sent to the vascular laboratory for evaluation of venous reflux. The diameter of the saphenous vein was measured with B-mode imaging, and reflux was quantified based on valve closure time using Doppler spectral tracings. Receiver operating characteristics curve analysis was applied to determine the best saphenous vein diameter cutoff for predicting reflux. Results The mean diameters of normal great saphenous vein (GSV) and refluxed GSV were 5.0 ± 2.4 mm and 6.4 ± 2.0 mm, respectively. The mean diameters of normal small saphenous vein (SSV) and refluxed SSV were 3.1 ± 1.3 mm and 5.2 ± 2.7 mm, respectively. The diameter differences between the normal and refluxed GSV and SSV were 1.4 mm and 2.1 mm, respectively, and these differences were statistically significant (P < 0.0001). A GSV threshold diameter of 5.05 mm had the best positive predictive value for reflux. The sensitivity and specificity at 5.05 mm were 76% and 60%, respectively. The best SSV diameter for predicting reflux was 3.55 mm. The sensitivity and specificity at 3.55 mm were 87% and 71%, respectively. Conclusion GSV diameter of ?5.05 mm had the best positive predictive value for pathologic reflux. For pathologic reflux of SSV, the best cutoff diameter was 3.55 mm.

Park, Ho-Chul

2013-01-01

364

Endovascular Treatment of a Portal Vein Tear During TIPSS  

SciTech Connect

During a transjugular portosystemic stent-shunt (TIPSS) procedure a portal vein laceration occurred with subsequent intraperitoneal hemorrhage. A PTFE-covered nitinol stent was successfully placed eliminating the leak and creating a functioning portosystemic shunt. This case demonstrates both the importance of portal vein puncture more than 1 cm from the bifurcation and the necessity of maintaining a stock of available stent-grafts.

Owen, Richard J.T.; Rose, John D.G. [Department of Clinical Radiology, Freeman Hospital, Newcastle upon Tyne, NE7 7DN (United Kingdom)

2000-03-15

365

Estimation of vorticity from fibrous calcite veins, central Maine, USA  

Microsoft Academic Search

An estimate for the vorticity of a mid-Paleozoic deformation was made using deformed and\\/or rotated calcite veins as natural vorticity and shear-strain gauges in a northern part of the U.S. Appalachians. The spatial distribution of extended, shortened, and shortened-then-extended elongate fibrous calcite veins in limestone layers were used to construct a Mohr circle for the position gradient tensor H, from

H. A. Short; S. E. Johnson

2006-01-01

366

Biometric Authentication Using Infrared Imaging of Hand Vein Patterns  

Microsoft Academic Search

\\u000a Hand vein patterns are unique and universal. Vein pattern is used as biometric feature in recent years. But, it is not very\\u000a much popular biometric system as compared to other systems like fingerprint, iris etc, because of the higher cost. For conventional\\u000a algorithm, it is necessary to use high quality images, which demand high-priced collection devices. There are two approaches

Debnath Bhattacharyya; A. Shrotri; S. C. Rethrekar; M. H. Patil; Farkhod A. Alisherov; Tai-Hoon Kim

2010-01-01

367

Anomalous unilateral single pulmonary vein mimicking pulmonary arteriovenous malformation.  

PubMed

Anomalies involving the pulmonary vein are so rare that most of them have been reported as a case or a series of several cases. Some of them often simulate pulmonary arteriovenous malformation (AVM), and patients undergo pulmonary angiography for embolization. Herein we report a case of anomalous unilateral single pulmonary vein that was confirmed on pulmonary angiography after initial diagnosis of pulmonary AVM on contrast medium-enhanced chest computed tomography. PMID:23989502

Hyun, Dongho; Do, Young Soo; Lim, Seong Joo; Park, Hong Suk; Park, Kwang Bo

2014-06-01

368

Hyperhomocysteinemia: a risk factor for central retinal vein occlusion  

Microsoft Academic Search

PURPOSE:Previous studies have documented that elevated plasma homocysteine level is a risk factor for vascular disease. This study was performed to determine whether hyperhomocysteinemia is a risk factor for central retinal vein occlusion.METHODS:In a case-control study, data from 74 patients with documented central retinal vein occlusion were reassessed. Control subjects consisted of individuals referred to the same clinic for assessment

Andrew K Vine

2000-01-01

369

Transradial Approach for Transcatheter Selective Superior Mesenteric Artery Urokinase Infusion Therapy in Patients with Acute Extensive Portal and Superior Mesenteric Vein Thrombosis  

SciTech Connect

The purpose of this investigation was to assess the feasibility and effectiveness of transradial approach for transcatheter superior mesenteric artery (SMA) urokinase infusion therapy in patients with acute extensive portal and superior mesenteric venous thrombosis. During a period of 7 years, 16 patients with acute extensive thrombosis of the portal (PV) and superior mesenteric veins (SMV) were treated by transcatheter selective SMA urokinase infusion therapy by way of the radial artery. The mean age of the patients was 39.5 years. Through the radial sheath, a 5F Cobra catheter was inserted into the SMA, and continuous infusion of urokinase was performed for 5-11 days (7.1 {+-} 2.5 days). Adequate anticoagulation was given during treatment, throughout hospitalization, and after discharge. Technical success was achieved in all 16 patients. Substantial clinical improvement was seen in these 16 patients after the procedure. Minor complications at the radial puncture site were observed in 5 patients, but trans-SMA infusion therapy was not interrupted. Follow-up computed tomography scan before discharge demonstrated nearly complete disappearance of PV-SMV thrombosis in 9 patients and partial recanalization of PV-SMV thrombosis in 7 patients. The 16 patients were discharged 9-19 days (12 {+-} 6.0 days) after admission. Mean duration of follow-up after hospital discharge was 44 {+-} 18.5 months, and no recurrent episodes of PV-SMV thrombosis developed during that time period. Transradial approach for transcatheter selective SMA urokinase infusion therapy in addition to anticoagulation is a safe and effective therapy for the management of patients with acute extensive PV-SMV thrombosis.

Wang Maoqiang, E-mail: wangmq@vip.sina.com; Guo Liping; Lin Hanying; Liu Fengyong; Duan Feng; Wang Zhijun [Chinese PLA General Hospital, Department of Interventional Radiology (China)

2010-02-15

370

Robust Finger Vein ROI Localization Based on Flexible Segmentation  

PubMed Central

Finger veins have been proved to be an effective biometric for personal identification in the recent years. However, finger vein images are easily affected by influences such as image translation, orientation, scale, scattering, finger structure, complicated background, uneven illumination, and collection posture. All these factors may contribute to inaccurate region of interest (ROI) definition, and so degrade the performance of finger vein identification system. To improve this problem, in this paper, we propose a finger vein ROI localization method that has high effectiveness and robustness against the above factors. The proposed method consists of a set of steps to localize ROIs accurately, namely segmentation, orientation correction, and ROI detection. Accurate finger region segmentation and correct calculated orientation can support each other to produce higher accuracy in localizing ROIs. Extensive experiments have been performed on the finger vein image database, MMCBNU_6000, to verify the robustness of the proposed method. The proposed method shows the segmentation accuracy of 100%. Furthermore, the average processing time of the proposed method is 22 ms for an acquired image, which satisfies the criterion of a real-time finger vein identification system.

Lu, Yu; Xie, Shan Juan; Yoon, Sook; Yang, Jucheng; Park, Dong Sun

2013-01-01

371

Vein graft adaptation and fistula maturation in the arterial environment.  

PubMed

Veins are exposed to the arterial environment during two common surgical procedures, creation of vein grafts and arteriovenous fistulae (AVF). In both cases, veins adapt to the arterial environment that is characterized by different hemodynamic conditions and increased oxygen tension compared with the venous environment. Successful venous adaptation to the arterial environment is critical for long-term success of the vein graft or AVF and, in both cases, is generally characterized by venous dilation and wall thickening. However, AVF are exposed to a high flow, high shear stress, low-pressure arterial environment and adapt mainly via outward dilation with less intimal thickening. Vein grafts are exposed to a moderate flow, moderate shear stress, high-pressure arterial environment and adapt mainly via increased wall thickening with less outward dilation. We review the data that describe these differences, as well as the underlying molecular mechanisms that mediate these processes. Despite extensive research, there are few differences in the molecular pathways that regulate cell proliferation and migration or matrix synthesis, secretion, or degradation currently identified between vein graft adaptation and AVF maturation that account for the different types of venous adaptation to arterial environments. PMID:24582063

Lu, Daniel Y; Chen, Elizabeth Y; Wong, Daniel J; Yamamoto, Kota; Protack, Clinton D; Williams, Willis T; Assi, Roland; Hall, Michael R; Sadaghianloo, Nirvana; Dardik, Alan

2014-05-01

372

Vitrectomy prevents retinal hypoxia in branch retinal vein occlusion.  

PubMed

Vitrectomy has been shown to halt diabetic retinal neovascularization, but the mechanism of this process is unknown. We propose that vitrectomy improves the oxygen supply to ischemic inner retina by way of fluid currents in the vitreous cavity. In order to test this hypothesis, we induced branch retinal vein occlusion in cats and measured preretinal oxygen tension before and after branch retinal vein occlusion in ten nonvitrectomized and five vitrectomized eyes. Branch retinal vein occlusion caused a significant decrease in preretinal oxygen tension in nonvitrectomized eyes, in which the oxygen tension fell from 20 +/- 7 to 6 +/- 5 mmHg (P = 0.001). Conversely, in vitrectomized eyes the oxygen tension was not significantly reduced after branch retinal vein occlusion. The data demonstrate that branch retinal vein occlusion causes retinal hypoxia in nonvitrectomized eyes, whereas after vitrectomy the hypoxic effect of branch retinal vein occlusion is reduced. The relief of retinal hypoxia that follows vitrectomy may be responsible for halting retinal neovascularization after vitrectomy in diabetic patients. PMID:2303330

Stefánsson, E; Novack, R L; Hatchell, D L

1990-02-01

373

Sublingual vein extraction algorithm based on hyperspectral tongue imaging technology.  

PubMed

Among the parts of the human tongue surface, the sublingual vein is one of the most important ones which may have pathological relationship with some diseases. To analyze this information quantitatively, one primitive work is to extract sublingual veins accurately from tongue body. In this paper, a hyperspectral tongue imaging system instead of a digital camera is used to capture sublingual images. A hidden Markov model approach is presented to extract the sublingual veins from the hyperspectral sublingual images. This approach characterizes the spectral correlation and the band-to-band variability using a hidden Markov process, where the model parameters are estimated by the spectra of the pixel vectors forming the observation sequences. The proposed algorithm, the pixel-based sublingual vein segmentation algorithm, and the spectral angle mapper algorithm are tested on a total of 150 scenes of hyperspectral sublingual veins images to evaluate the performance of the new method. The experimental results demonstrate that the proposed algorithm can extract the sublingual veins more accurately than the traditional algorithms and can perform well even in a noisy environment. PMID:21030208

Li, Qingli; Wang, Yiting; Liu, Hongying; Guan, Yana; Xu, Liang

2011-04-01

374

A Case of Persistent Sciatic Artery Aneurysm Accompanied by a Persistent Sciatic Vein  

PubMed Central

A persistent sciatic artery is a rare anomaly. On the other hand, a persistent sciatic vein is frequently associated with Klippel-Trenaunay syndrome. In a 71-year-old female with a complete-type persistent sciatic artery aneurysm, we performed aneurysmectomy and right femoropopliteal bypass surgery. The right popliteal vein drained into the femoral vein via a lower-type persistent sciatic vein and the deep femoral vein. The superficial femoral artery and vein were hypoplastic. Since only 4 cases of a coexisting persistent sciatic artery and vein have been reported, we report this extremely rare case.

2010-01-01

375

Anatomy and physiology of the lower-extremity deep and superficial veins.  

PubMed

A thorough understanding of venous anatomy and physiology is foundational to the diagnosis and management of venous disease. Compared with the arterial system, there is significantly greater developmental variation in the venous system. The veins of the lower extremity include the superficial and deep veins, which are defined by their respective relationships to the muscular fascia. Perforating veins traverse the muscular fascia to connect superficial and deep veins. Communicating veins connect veins within the same venous compartment, either deep to deep or superficial to superficial. The deep veins of the lower extremities primarily drain muscles and are encompassed by muscular fascia. The veins located between the skin and the muscular fascia are considered superficial veins. Superficial veins drain the cutaneous microcirculation. The pelvic venous system is a complex transitional outflow pathway between the lower extremities, the pelvic structures, and the inferior vena cava. The terminology used to describe lower-extremity, pelvic, and abdominal vasculature conforms to published international standards. PMID:24840960

Black, Carl M

2014-06-01

376

Pancreatic stent migration into the portal vein causing portal vein thrombosis: a rare complication of a prophylactic pancreatic stent.  

PubMed

This report describes the first case of a novel complication of prophylactic pancreatic stents used to reduce the risk of post-endoscopic retrograde cholangiopancreatography pancreatitis, whereby the stent migrated into the portal vein resulting in portal vein thrombosis. We review the literature and discuss the potential mechanisms that caused this complication. The approach and prompt treatment that resulted in a favorable clinical outcome are described. PMID:23127537

Leung, Wesley D; Parashette, Kalyan Ray; Molleston, Jean P; Sherman, Stuart

2012-01-01

377

Percutaneus Mitral Balloon Valvulotomy Using Left Femoral Vein; an Unusual Case  

PubMed Central

Balloon valvulotomy is the procedure of choice for relief of mitral stenosis. Inoue technique is the most widely accepted technique which uses the right femoral vein to access the interatial septum. Due to technical issues, left femoral vein approach is less recommended. We report an unusual case in which the right femoral vein was not accessible and mitral balloon valvulotomy was done via left femoral approach. Left femoral vein may be used in special cases where the right femoral vein is not accessible.

Ebrahimi, Mahmoud; Eshraghi, Ali

2013-01-01

378

Use of the AccuVein device to map the superficial venous system  

Microsoft Academic Search

The AccuVein AV300 device (AccuVein LLC, New York) was initially developed as an aid to venepuncture. It is a portable, handheld\\u000a device that emits infrared light which is absorbed by haemoglobin, illuminating the position of superficial veins. In this\\u000a article, we describe a novel application of this device in providing a map of superficial veins to aid vein graft harvest

Lyndsey Highton; Chidi Ekwobi

379

Stripping the long saphenous vein reduces the rate of reoperation for recurrent varicose veins: Five-year results of a randomized trial  

Microsoft Academic Search

Objective: The purpose of this study was to investigate the possible long-term clinical advantages of stripping the long saphenous vein during routine primary varicose vein surgery. Methods: The study was designed as a 5-year, clinical and duplex scan follow-up examination of a group of patients who were randomized to stripping of the long saphenous vein during varicose vein surgery versus

Simon Dwerryhouse; Birgit Davies; Kate Harradine; Jonathan J. Earnshaw

1999-01-01

380

Huebnerite veins near Round Mountain, Nye County, Nevada  

SciTech Connect

Small huebnerite-bearing quartz veins occur in and near Cretaceous (about 95 m.y. old) granite east and south of Round Mountain. The veins are short, lenticular, and strike mostly northeast and northwest in several narrow east-trending belts. The quartz veins were formed about 80 m.y. ago near the end of an episode of doming and metamorphism of the granite and emplacement of aplite and pegmatite dikes in and near the granite. An initial hydrothermal stage involved deposition of muscovite, quartz, huebnerite, fluorite, and barite in the veins. Veins were then sheared, broken, and recrystallized. A second hydrothermal stage, possibly associated with emplacement of a rhyolite dike swarm and granodiorite stock about 35 m.y. ago, saw deposition of more muscovite, quartz, fluorite, and barite, and addition of scheelite, tetrahedrite-tennantite, several sulfide minerals, and chalcedony. Finally, as a result of near-surface weathering, secondary sulfide and numerous oxide, tungstate, carbonate, sulfate, phosphate, and silicate minerals formed in the veins. Depth of burial at the time of formation of the veins, based on geologic reconstruction, was about 3-3.5 km. The initial hydrothermal stage ended with deposition of quartz at a temperature of about 210/sup 0/C and pressures of about 240 to 280 bars from fluids with salinity of about 5 wt % sodium chloride. Fluorite then was deposited at about 250/sup 0/ to 280/sup 0/C from solutions of similar salinity and containing a small amount of carbon dioxide. During shearing that followed initial mineralization, quartz was recrystallized at a temperature of 270/sup 0/ to 290/sup 0/C and in association with fluids of about 5 wt % sodium chloride equivalent and containing carbon dioxide. Late-stage fluorite was deposited from fluids with similar salinity but devoid of carbon dioxide at a temperature of about 210/sup 0/C. 76 refs., 38 figs., 8 tabs.

Shawe, D.R.; Foord, E.E.; Conklin, N.M.

1984-01-01

381

Fluid overpressure estimates from the aspect ratios of mineral veins  

NASA Astrophysics Data System (ADS)

Several hundred calcite veins and (mostly) normal faults were studied in limestone and shale layers of a Mesozoic sedimentary basin next to the village of Kilve at the Bristol Channel (SW-England). The veins strike mostly E-W (239 measurements), that is, parallel with the associated normal faults. The mean vein dip is 73°N (44 measurements). Field observations indicate that these faults transported the fluids up into the limestone layers. The vein outcrop (trace) length (0.025-10.3 m) and thickness (0.1-28 mm) size distributions are log-normal. Taking the thickness as the dependent variable and the outcrop length as the independent variable, linear regression gives a coefficient of determination (goodness of fit) of R2 = 0.74 (significant with 99% confidence), but natural logarithmic transformation of the thickness-length data increases the coefficient of determination to R2 = 0.98, indicating that nearly all the variation in thickness can be explained in terms of variation in trace length. The geometric mean of the aspect (length/thickness) ratio, 451, gives the best representation of the data set. With 95% confidence, the true geometric mean of the aspect ratios of the veins lies in the interval 409-497. Using elastic crack theory, appropriate elastic properties of the host rock, and the mean aspect ratio, the fluid overpressure (that is, the total fluid pressure minus the normal stress on the fracture plane) at the time of vein formation is estimated at around 18 MPa. From these results, and using the average host rock and water densities, the depth to the sources of the fluids (below the present exposures) forming the veins is estimated at between around 300 m and 1200 m. These results are in agreement to those obtained by independent isotopic studies and indicate that the fluids were of rather local origin, probably injected from sill-like sources (water sills) inside the sedimentary basin.

Philipp, Sonja L.

2012-12-01

382

Unusual alpha-adrenoceptor subtype in canine saphenous vein: comparison to mesenteric vein.  

PubMed Central

1. We investigated the nature of the adrenoceptors in the dog saphenous vein (DSV) and dog mesenteric vein (DMV) to determine the nature of the unexpected interactions of phenylephrine and methoxamine with rauwolscine in the DSV, i.e. the ability of the putative alpha 2-adrenoceptor antagonist to inhibit competitively contractions to these alpha 1-agonists. Radioligand binding studies were performed in parallel with contractility studies. 2. Functionally, in the DSV, phenylephrine and methoxamine-induced, contractions were antagonized by rauwolscine with Schild slopes of -0.52 and -0.46, respectively and apparent pA2 values of 8.5 and 9.2, respectively. Such antagonism was not observed in the DMV. In the DSV, prazosin competes for [3H]-rauwolscine binding sites with a high and a low affinity binding site (Ki of 1.49 +/- 0.65 and 94.7 +/- 51 microM, n = 6, respectively). 3. Pretreatment with 100 microM chloroethylclonidine (CEC) for 15 min abolished [3H]-prazosin binding in microsomes from both veins and reduced binding (Bmax) of [3H]-rauwolscine in microsomes by 55.1 +/- 0.8% (n = 3) in the DSV but did not affect the Bmax in the DMV. CEC pretreatment in the venular rings denuded of endothelium caused persistent contraction in the DSV but not in the DMV. In the DSV, CEC appeared to interact with a single [3H]-rauwolscine binding site. In both the DSV and the DMV, CEC (100 microM) caused a significant shift in the EC50 values for phenylephrine and methoxamine. Maximum responses in the DMV were significantly attenuated while those in the DSV were unaffected when total tension was considered. 4. Studies of the functional interactions of the DSV and the DMV with WB 4101 or 5-methylurapidil (5-MU) suggested the presence of alpha 1D-adrenoceptors in the DSV and alpha 1A-adrenoceptors in the DMV. The receptors inactivated by CEC in the DMV and DSV may represent some or all of the receptors with properties of alpha 1D and alpha 1A-receptors present in the two veins. Studies of radioligand binding interactions of these two antagonists with [3H]-prazosin, were consistent with the presence of some alpha 1D-receptors in DSV and alpha 1A-receptors in DMV. These findings raise questions about the selectivity of CEC in differentiating alpha 1-adrenoceptor subtypes. 5. B-HT 920 caused contractions in the DSV smaller than those to the alpha 1-agonists but the maximum was not affected by CEC pretreatment. The EC50 values were shifted to the left after CEC. In radioligand binding studies, B-HT 920 competition for [3H]-rauwolscine binding was not significantly affected by CEC pretreatment. 6. These results suggest the presence of unusual alpha-adrenoceptors in the DSV. In addition to alpha 2-adrenoceptors, receptors recognizing rauwolscine as well as prazosin, WB 4101, phenylephrine and methoxamine and susceptible to inactivation by CEC are present. They appear to be, in part, unusual alpha 1D-adrenoceptors.

Daniel, E. E.; Low, A. M.; Gaspar, V.; Lu-Chao, H.; Green, J.; Akrong, J.; Duerksen, S.; Soyka, C.; Chen, C. K.; Boyd, J.; Kwan, C. Y.

1996-01-01

383

Evaluation of endoscopic vein extraction on structural and functional viability of saphenous vein endothelium  

PubMed Central

Objectives Endothelial injury during harvest influences graft patency post CABG. We have previously shown that endoscopic harvest causes structural and functional damage to the saphenous vein (SV) endothelium. However, causes of such injury may depend on the extraction technique. In order to assess this supposition, we evaluated the effect of VirtuoSaph endoscopic SV harvesting technique (VsEVH) on structural and functional viability of SV endothelium using multiphoton imaging, biochemical and immunofluorescence assays. Methods Nineteen patients scheduled for CABG were prospectively identified. Each underwent VsEVH for one portion and "No-touch" open SV harvesting (OSVH) for another portion of the SV. A two cm segment from each portion was immersed in GALA conduit preservation solution and transported overnight to our lab for processing. The segments were labeled with fluorescent markers to quantify cell viability, calcium mobilization and generation of nitric oxide. Morphology, expression, localization and stability of endothelial caveolin, eNOS, von Willebrand factor and cadherin were evaluated using immunofluorescence, Western blot and multiphoton microscopy (MPM). Results Morphological, biochemical and immunofluorescence parameters of viability, structure and function were well preserved in VsEVH group as in OSVH group. However, tonic eNOS activity, agonist-dependent calcium mobilization and nitric oxide production were partially attenuated in the VsEVH group. Conclusions This study indicates that VirtuoSaph endoscopic SV harvesting technique preserves the structural and functional viability of SV endothelium, but may differentially attenuate the vasomotor function of the saphenous vein graft. Ultramini-Abstract Endoscopic extraction preserved the structure and function, but attenuated the calcium mobilization and nitric oxide generation in human SV endothelium.

2011-01-01

384

Hyperhomocysteinemia promotes vascular remodeling in vein graph in mice.  

PubMed

This study investigated the role and mechanism of Hyperhomocysteinemia (HHcy) on vascular remodeling in mice. We assessed the effect of HHcy on vascular remodeling using a carotid arterial vein patch model in mice with the gene deletion of cystathionine-beta-synthase (Cbs). Vein grafts were harvested 4 weeks after surgery. Cross sections were analyzed using Verhoeff-van Gieson staining, Masson`s Trichrome staining, and immunostaining for morphological analysis and protein level assessment. The effect of Hcy on collagen secretion was examined in cultured rat aortic smooth muscle cells (RASMC). We found that Cbs-/- mice with severe HHcy exhibited thicker neointima and a higher percentage of luminal narrowing in vein grafts. In addition, severe HHcy increased elastin and collagen deposition in the neointima. Further, severe HHcy increases CD45 positive cells and proliferative cells in vein grafts. Finally, Hcy increases collagen secretion in RASMC. These results demonstrate that HHcy increases neointima formation, elastin and collagen deposition following a carotid arterial vein patch. The capacity of Hcy to promote vascular fibrosis and inflammation may contribute to the development of vascular remodeling. PMID:24896329

Tan, Hongmei; Shi, Chengwei; Jiang, Xiaohua; Lavelle, Muriel; Yu, Caijia; Yang, Xiaofeng; Wang, Hong

2014-01-01

385

Control of vein patterning by intracellular auxin transport.  

PubMed

The vein networks of plant leaves are among the most spectacular expressions of biological pattern, and the principles controlling their formation have continually inspired artists and scientists. Control of vein patterning by the polar, cell-to-cell transport of the plant signaling molecule auxin--mediated in Arabidopsis primarily by the plasma-membrane-localized PIN1--has long been known. By contrast, the existence of intracellular auxin transport and its contribution to vein patterning are recent discoveries. The endoplasmic-reticulum-localized PIN5, PIN6, and PIN8 of Arabidopsis define an intracellular auxin-transport pathway whose functions in vein patterning overlap with those of PIN1-mediated intercellular auxin transport. The genetic interaction between the components of the intracellular auxin-transport pathway is far from having been resolved. The study of vein patterning provides experimental access to gain such a resolution-a resolution that in turn holds the promise to improve our understanding of one of the most fascinating examples of biological pattern formation. PMID:24304505

Sawchuk, Megan G; Scarpella, Enrico

2013-11-01

386

Hepatic vein waveforms in liver cirrhosis re-evaluated  

PubMed Central

Objective There are many studies on changes in Doppler waveforms of hepatic veins in cirrhotic liver. It is postulated that dampening of phasic oscillations appears with worsening of liver function. Our aim was to reevaluate the significance of Doppler waveforms of hepatic vein in cirrhotic patients and to correlate with hepatic blood flow. Patients and method One hundred and thirty-five consecutive patients of liver cirrhosis and 60 age and sex matched non-cirrhotic controls were enrolled in this study. Doppler waveforms were obtained from right hepatic vein during normal respiration. Other parameters measured were flow volume of portal trunk, right portal vein and proper hepatic artery. Result Waveforms of the hepatic vein were classified into triphasic, biphasic and flat patterns. Flat waveform was rare and appeared in only 3% cases. There was no correlation between liver dysfunction and patterns of waveforms. Inflow, particularly to the right lobe, was significantly elevated in cases associated with the non-triphasic waveforms. Conclusion This study shows that the flat waveforms have no diagnostic value. Role of hepatic blood flow seems to be important suggesting hemodynamic changes rather than liver dysfunction as a plausible cause of change in waveforms.

Sharma, Dilip; Chataut, Saroj Prasad

2010-01-01

387

Feature calculation for classification algorithm of pulmonary vein and artery  

NASA Astrophysics Data System (ADS)

Multi-slice helical CT technology has been developed. Unlike the conventional helical CT, we can obtain CT images of two or more slices in 1 time scan. Therefore, we can get many images with a clear contrast and thin slice images in one time of scanning. The purpose of this presentation is to evaluate the proposed automatic extraction bronchus and pulmonary vein and artery on multi-slice CT images. The bronchus is extracted by application with region growing technique and the morphological filters, 3D distance transformation. These results indicate that the proposed algorithm provides the ability to accurately develop an automatic extraction algorithm of the bronchus on multi-slice CT images. In this report, we used pulmonary vein and artery marked by the doctor, It aims to discover an amount of the feature necessary for classifying the pulmonary vein and artery by using the anatomical feature. The classification of the pulmonary vein and artery is thought to be a necessary information for tumor's benign or malignity judgment. In this report, the amount of the feature in which the flow of the automation is based is analyzed by using three dimension images of pulmonary vein and artery and bronchus obtained by the specialized physician's marking.

Nishio, Takashi; Saita, Sinsuke; Kubo, Mitsuru; Kawata, Yoshiki; Niki, Noboru; Ohmatsu, Hironobu; Kakinuma, Ryuutarou; Moriyama, Noriyuki; Eguchi, Kenji

2006-03-01

388

Control of vein patterning by intracellular auxin transport  

PubMed Central

The vein networks of plant leaves are among the most spectacular expressions of biological pattern, and the principles controlling their formation have continually inspired artists and scientists. Control of vein patterning by the polar, cell-to-cell transport of the plant signaling molecule auxin—mediated in Arabidopsis primarily by the plasma-membrane-localized PIN1—has long been known. By contrast, the existence of intracellular auxin transport and its contribution to vein patterning are recent discoveries. The endoplasmic-reticulum-localized PIN5, PIN6, and PIN8 of Arabidopsis define an intracellular auxin-transport pathway whose functions in vein patterning overlap with those of PIN1-mediated intercellular auxin transport. The genetic interaction between the components of the intracellular auxin-transport pathway is far from having been resolved. The study of vein patterning provides experimental access to gain such a resolution—a resolution that in turn holds the promise to improve our understanding of one of the most fascinating examples of biological pattern formation.

Sawchuk, Megan G; Scarpella, Enrico

2013-01-01

389

Isolated Subclavian Vein Injury: A Rare and High Mortality Case  

PubMed Central

Isolated subclavian vein injuries are rarely seen without concomitant arterial injury, bone fracture, damage to brachial plexus, and thoracal traumas. Our case was brought to the emergency service 6 hours after he had been shot at the shoulder with a firearm. After detection of extravasation from the left axillary and subclavian vein on arteriographic and venographic examinations, he was operated on. An autogenous saphenous vein graft was interposed between subclavian and axillary veins. Cardiac arrest developed twice because of hypovolemia, which was resolved with medical therapy. Subclavian vein injuries have a more mortal course when compared with the injuries to the subclavian arteries. Its most important reason is excessive blood loss and air embolism because of delayed arrival to hospital. As is the case in all vascular injuries, angiography is the most important diagnostic examination. If the general health state of the patient permits, arteriography and venography should be performed in patients potentially exposed to vascular injuries. In patients with extreme blood loss and deteriorated health state, direct surgical exploration of the injury site, containment of the bleeding, and venous repair are life-saving approaches.

Iscan, Sahin; Etli, Mustafa; Gursu, Ozgur; Eker, Esra; El Kilic, Helin

2013-01-01

390

Evolution of Vein Networks and Structural Styles of Fracture-Vein Interaction: Insight into the Crack-Seal Process from 3D-DEM Modelling.  

NASA Astrophysics Data System (ADS)

Observations from natural vein systems suggest that preexisting veins can strongly influence fracture localization and propagation in a rock even in cases where the orientation of the stress field is incompatible with the orientation of the new fracture. We employ 3D discrete element simulations to model the evolution and fracture dynamics of crack seal systems. A sensitivity study has shown that variation of the misorientation angle between the vein and fracture as well as the strength ratio between host rock and vein material results in several "structural styles" of fracture-vein interactions: Veins which are weaker than the host rock tend to localize fracturing into the vein, even at high misorientation angles. Veins stronger than the host rock cause deflection of the fracture tip along the vein- host rock interface. In some cases fractures are arrested at the interface from weak to stronger material. When fractures are propagating from a stronger to a weaker material, macroscopic bifurcation can occur. Complex interactions are favored by low angle between the vein and the fracture, and by high strength contrast. We propose that these structural styles form the basis for criteria to recognize strength contrasts and stress of crack seal systems in nature. The influence of fracture-vein interactions on the texture and geometry of crack seal veins and vein networks is studied in multiphase 3D DEM Simulations. After fracturing of the model in layer-parallel extension, open fractures are filled with new material and the cohesion of the model is reestablished before it is fractured again. The crack-seal and crack-jump mechanisms ensue naturally from this workflow as a result of the strength of the vein material relative to the host rock. The models enable the study of more complex crack seal vein networks that evolve under more complex cyclic loading conditions with varying orientation of the principal stresses.

Virgo, Simon; Abe, Steffen; Urai, Janos

2014-05-01

391

Preoperative noninvasive assessment of arm veins to be used as bypass grafts in the lower extremities.  

PubMed

Preoperative noninvasive imaging of the veins of the upper extremities has been included in the protocol to select an autogenous vein for a distal bypass in the lower extremity. Arm veins are sought as bypass grafts when the saphenous vein is absent or not usable. Duplex ultrasound provided images of the cephalic and basilic veins in 10 patients in whom visual inspection failed to reveal usable grafts. All arm veins implanted were at least 2 mm (range 2 to 6 mm) in internal diameter determined by ultrasound and were, on the average, 2 mm larger when unroofed. This noninvasive technique has decreased the number of fruitless surgical explorations to obtain a suitable arm vein and has increased the use of arm veins by revealing veins previously not anticipated by physical examination, which virtually eliminated the use of nonautogenous conduits in our practice. PMID:3517389

Salles-Cunha, S X; Andros, G; Harris, R W; Dulawa, L B; Oblath, R W

1986-05-01

392

Aneurysm of the vein of galen diagnosed with MRI.  

PubMed

We describe the case of a neonate with aneurysm of vein of Galen that was diagnosed prenatally in the 33rd gestational week by MRI. A 27-year-old woman, gravida 2, para 2, was admitted to our department at 33 weeks of gestation with suspected fetal hydrocephaly. Ultrasound examination after admission demonstrated an anechoic, supratentorial, and median mass with regular borders, raising the possible diagnosis of an aneurysm of the vein of Galen. MRI confirmed the presence of an aneurysm of the vein of Galen. An elective caesarean section was performed at 33 weeks of gestation. The newborn was admitted to the Neonatal Intensive Care Unit. Despite the full respiratory and medical support given, the sustainment of cardiac failure resulted in neonatal death just one day following its admission. PMID:23509647

Dagklis, Themistoklis; Margioula-Siarkou, Chrysoula; Petousis, Stamatios; Xenidis, Theodoros; Sapidis, Aggelos; Kalogiannidis, Ioannis; Rousso, David

2013-01-01

393

[Deep vein thrombosis revealing myeloproliferative syndrome in two adolescents].  

PubMed

Deep vein thrombosis occurs in 30% of patients with essential thrombocythemia, but rarely at initial diagnosis. We report two pediatric patients with essential thrombocythemia revealed by atypical deep vein thrombosis. First, a 16-year-old girl presented Budd-Chiari syndrome revealed by a hemorrhagic shock. Clinical exam revealed isolated splenomegaly. A search for thrombophilia found a factor V Leiden homozygous mutation and a Jak2 mutation. Bone marrow biopsy confirmed the diagnosis of a myeloproliferative disorder. The second case, a 17-year-old girl, had a routine examination by her physician that revealed splenomegaly. Ultrasonography displayed thrombus in the splenic and portal vein. An isolated Jak2 mutation was found and a myeloproliferative disorder was confirmed by bone marrow biopsy. The diagnosis of myeloproliferative disorder was made in both patients presenting atypical venous thrombosis with a Jak2 mutation and confirmed by bone marrow biopsy. These initial presentations of myeloproliferative disorders are rare in childhood and possibly underdiagnosed. PMID:24709317

Bertrand, A; Heissat, S; Caron, N; Viremouneix, L; Pracros, J-P; Javouhey, E; Lachaux, A; Mialou, V

2014-05-01

394

[Pulmonary vein ablation in atrial fibrillation. Initial experience].  

PubMed

Despite the progress in the knowledge of the pathophysiology of the atrial fibrillation (AF), the pharmacologic and non pharmacologic approach to prevent and control this arrhythmia has been shown to be discouraging. In the past few years a new type of AF has been described, of which the focal mechanism -especially bound to the pulmonary veins- allows ablation treatment through the radiofrequency (RF) with a catheter. We present our initial experience with this type of method, in two young patients who suffered from multiples episodes of AF and resistance to the conventional treatment. In both patients the RF ablation was done in the left superior pulmonary vein. One of them received an ablation in only one focus, and the other needed a veno-atrial disconnection through the elimination of the pulmonary venous potential from this vein. After three month of follow-up, patients remain asymptomatic with no relapse. PMID:12015937

Velarde, José Luis; Martellotto, Ricardo; Scanavacca, Mauricio; Arévalo, Aldo; Colque, Roberto; Jiménez, Marcelo

2002-05-01

395

Biliary and portal vein strictures following treatment of Hodgkin's lymphoma.  

PubMed

Treatment of abdominal lymphoma can be associated with bowel stricture or perforation. Rarely, the common bile duct or portal vein can be involved. This is the first case of stricture formation of both the portal vein and common bile duct in a patient following successful treatment of lymphoma. The development of extensive hilar varices rendered surgical management high risk. A staged approach to treatment was used. First, a percutaneous portal vein stent was placed, resulting in resolution of the hilar varices. This was followed by a surgical hepaticojejunostomy, performed without complication. Gastrointestinal complications are rare following treatment of lymphoma but may affect a variety of sites. The safe and effective treatment of this case highlights the benefit of a multidisciplinary approach to complex medical and surgical problems. PMID:23031757

Roberts, K J; Brown, R; Patel, J V; Toogood, G J

2012-10-01

396

Biliary and portal vein strictures following treatment of Hodgkin's lymphoma  

PubMed Central

Treatment of abdominal lymphoma can be associated with bowel stricture or perforation. Rarely, the common bile duct or portal vein can be involved. This is the first case of stricture formation of both the portal vein and common bile duct in a patient following successful treatment of lymphoma. The development of extensive hilar varices rendered surgical management high risk. A staged approach to treatment was used. First, a percutaneous portal vein stent was placed, resulting in resolution of the hilar varices. This was followed by a surgical hepaticojejunostomy, performed without complication. Gastrointestinal complications are rare following treatment of lymphoma but may affect a variety of sites. The safe and effective treatment of this case highlights the benefit of a multidisciplinary approach to complex medical and surgical problems.

Roberts, KJ; Brown, R; Patel, JV; Toogood, GJ

2012-01-01

397

Hemodynamically Driven Vein Graft Remodeling: A Systems Biology Approach  

PubMed Central

Despite intense investigation over several decades to understand the mechanisms of vein graft failure, few therapeutic modalities have emerged. Emphasis using standard reductionist approaches has been focused on cataloging the components involved in the early events following vein graft implantation, but limited insight has been gained in understanding the dynamic interaction of these components. We propose that the application of systems theory offers the opportunity for significant advances in this area. Focused on modeling the dynamic relationships that define living organisms, systems biology provides the necessary tools to further our understanding of the complex series of overlapping biologic events on surgical implantation of the vein graft. Through the use of ordinary differential equation and agent-based modeling techniques, we present our ongoing efforts to define the nonlinear interactions between hemodynamics and vascular adaptation.

Berceli, Scott A.; Tran-Son-Tay, Roger; Garbey, Marc; Jiang, Zhihua

2011-01-01

398

Portal vein stenting to treat portal vein stenosis in a patient with malignant tumor and gastrointestinal bleeding.  

PubMed

Abstract This report describes the successful use of portal venous stent placement for a patient with recurrent melena secondary to jejunal varices that developed after subtotal stomach preserved pancreatoduodenectomy (SSPPD). A 67-year-old man was admitted to our hospital with tarry stool and severe anemia at 2 years after SSPPD for carcinoma of the head of the pancreas. Abdominal computed tomography examination showed severe stenosis of the extrahepatic portal vein caused by local recurrence and showed an intensely enhanced jejunal wall at the choledochojejunostomy. Gastrointestinal bleeding scintigraphy also revealed active bleeding near the choledochojejunostomy. Based on these findings, jejunal varices resulting from portal vein stenosis were suspected as the cause of the melena. Portal vein stenting and balloon dilation was performed via the ileocecal vein after laparotomy. Coiling of the jejunal varices and sclerotherapy of the dilate postgastric vein with 5% ethanolamine oleate with iopamidol was performed. After portal stent placement, the patient was able to lead a normal life without gastrointestinal hemorrhage. However, he died 7 months later due to liver metastasis. PMID:24444277

Sakurai, Katsunobu; Amano, Ryosuke; Yamamoto, Akira; Nishida, Norifumi; Matsutani, Shinya; Hirata, Keiichiro; Kimura, Kenjiro; Muguruma, Kazuya; Toyokawa, Takahiro; Kubo, Naoshi; Tanaka, Hiroaki; Yashiro, Masakazu; Ohira, Masaichi; Hirakawa, Kosei

2014-01-01

399

Automatic classification of retinal vessels into arteries and veins  

NASA Astrophysics Data System (ADS)

Separating the retinal vascular tree into arteries and veins is important for quantifying vessel changes that preferentially affect either the veins or the arteries. For example the ratio of arterial to venous diameter, the retinal a/v ratio, is well established to be predictive of stroke and other cardiovascular events in adults, as well as the staging of retinopathy of prematurity in premature infants. This work presents a supervised, automatic method that can determine whether a vessel is an artery or a vein based on intensity and derivative information. After thinning of the vessel segmentation, vessel crossing and bifurcation points are removed leaving a set of vessel segments containing centerline pixels. A set of features is extracted from each centerline pixel and using these each is assigned a soft label indicating the likelihood that it is part of a vein. As all centerline pixels in a connected segment should be the same type we average the soft labels and assign this average label to each centerline pixel in the segment. We train and test the algorithm using the data (40 color fundus photographs) from the DRIVE database1 with an enhanced reference standard. In the enhanced reference standard a fellowship trained retinal specialist (MDA) labeled all vessels for which it was possible to visually determine whether it was a vein or an artery. After applying the proposed method to the 20 images of the DRIVE test set we obtained an area under the receiver operator characteristic (ROC) curve of 0.88 for correctly assigning centerline pixels to either the vein or artery classes.

Niemeijer, Meindert; van Ginneken, Bram; Abràmoff, Michael D.

2009-02-01

400

Clinical examination of varicose veins--a validation study.  

PubMed Central

The aim of this study was to determine the accuracy of clinical tests compared to colour duplex imaging in patients with primary varicose veins using a prospective, blinded comparison study. A total of 44 patients (70 limbs) with primary, previously untreated varicose veins presenting to the vascular laboratory of a university teaching hospital were studied. The patients underwent physical examination using the cough test, the tap test, Trendelenbergs' test, Perthes' test and hand-held Doppler (HHD) assessment prior to undergoing colour duplex scanning. Reflux was detected on duplex scanning, at the sapheno-femoral junction in 39/70 limbs (54%), the long saphenous vein in 47/70 limbs (64%) and the sapheno-popliteal junction in 9/70 limbs (13%). The cough test had low sensitivity (0.59) and specificity (0.67). The tap test had low sensitivity (0.18) and high specificity (0.92). The Trendelenberg test had high sensitivity (0.91) but low specificity (0.15). Perthes' test had a high sensitivity (0.97) but low specificity (0.20). Hand-held Doppler assessment of reflux at the sapheno-femoral junction, in the long saphenous vein and at the sapheno-popliteal junction had high sensitivity (0.97, 0.82, and 0.80, respectively) and specificity (0.73, 0.92, and 0.90, respectively) of detecting reflux. Clinical tests used in the examination of patients with primary varicose veins are inaccurate. Assessment using hand-held Doppler is more accurate. Courses and clinical textbooks should be revised to replace these tests with instruction in how to use hand-held Doppler in the clinical examination of patients with varicose veins.

Kim, J.; Richards, S.; Kent, P. J.

2000-01-01

401

3D Multispectral Light Propagation Model For Subcutaneous Veins Imaging  

SciTech Connect

In this paper, we describe a new 3D light propagation model aimed at understanding the effects of various physiological properties on subcutaneous vein imaging. In particular, we build upon the well known MCML (Monte Carlo Multi Layer) code and present a tissue model that improves upon the current state-of-the-art by: incorporating physiological variation, such as melanin concentration, fat content, and layer thickness; including veins of varying depth and diameter; using curved surfaces from real arm shapes; and modeling the vessel wall interface. We describe our model, present results from the Monte Carlo modeling, and compare these results with those obtained with other Monte Carlo methods.

Paquit, Vincent C [ORNL; Price, Jeffery R [ORNL; Meriaudeau, Fabrice [ORNL; Tobin Jr, Kenneth William [ORNL

2008-01-01

402

Urethral reconstruction with autologous vein graft: an experimental study.  

PubMed

There is no universally accepted material for urethral reconstruction. This study presents the results of segmental urethral replacement with a free graft of jugular vein in rabbits. Histological examination showed ingrowth of normal transitional epithelium into the venous endothelium. Retrograde urethrograms revealed an excellent result up to 300 days. Fistulas and infection occurred in 4/44 rabbits; these settled spontaneously. No structures or papillary hypertrophy were noted. Segmental urethral reconstruction with autologous vein graft is a simple technique with few complications and appears suitable for use in clinical cases. PMID:7551530

Kahveci, R; Kahveci, Z; Sirmali, S; Ozcan, M

1995-10-01

403

Posttraumatic superior ophthalmic vein thrombosis in a 2 years old.  

PubMed

Superior ophthalmic vein thrombosis (SOVT) usually results from inflammatory, infectious, or malignant causes. This case describes a 2-year-old boy with severe prolapsing chemosis and proptosis due to thrombosis of the right superior ophthalmic vein resulting from midfacial and right orbital fractures 1 week after the initial trauma. Magnetic resonance imaging and internal carotid artery angiogram are essential in the diagnosis of SOVT. The literature on issues surrounding this case was reviewed with emphasis on the diagnostic evaluation, differential diagnoses, and management of posttraumatic SOVT. PMID:24488160

Akingbola, Olugbenga A; Shar, Basil; Singh, Dinesh; Frieberg, Edwin; Petrescu, Matei

2014-02-01

404

Transfemoral vein placement of a ventriculoatrial shunt. Technical note.  

PubMed

Acceptable cavities for the distal portion of a cerebrospinal fluid diversion shunt include the peritoneal, pleural, and atrial cavities. The authors report on a patient in whom placement into the peritoneal cavity failed, the pleural cavity was not an option, and access to the right atrium was not technically possible via standard cannulation techniques into the veins of the neck and shoulder regions. A right ventriculoatrial shunt was thus placed into the right atrium via the ipsilateral femoral vein. Eight months postoperatively, the patient's condition was at baseline and there were no signs of shunt malfunction. This technique may prove useful when other measures have failed. PMID:17233318

Tubbs, R Shane; Barnhart, Douglas; Acakpo-Satchivi, Leslie

2007-01-01

405

Clinical pharmacology, physiology and pathophysiology of superficial veins--1.  

PubMed Central

1. Venous resistance contributes very little to total peripheral resistance; more than half of the total blood volume, however, is contained in the extrathoracic veins. Owing to marked differences between venous and arterial anatomy and physiology, studies on veins and arteries usually require different methodological approaches. Whereas for arteries the most relevant parameters are resistance, pressure and flow, for veins volume and compliance are most important. For studies of general aspects of the peripheral circulatory system, venous occlusion plethysmography is probably the most useful method. The determination of both the rate of rise in limb volume and the total volume rise after inflating a proximally applied occlusion cuff to a subdiastolic pressure permits the concomitant estimation of both arterial flow and venous compliance. 2. Studies of direct pharmacological or physiological effects on veins, interactions of various pharmacological or physiological stimuli, or pathophysiological changes in venous responsiveness have been facilitated by the development of investigational techniques relying on direct measurements of the compliance of single human veins in vivo. One of these, relying on the use of a linear variable differential transformer (LVDT) for determining changes in the compliance of superficial veins at a standardized congestion pressure, has been found very suitable for the practical application in both patients and healthy subjects. 3. Physiological studies were carried out on the effect of age, exercise, temperature, and the menstrual cycle on venous compliance and venous responsiveness to various stimuli. In addition, interindividual variability in venous responsiveness in monozygotic and dizygotic twins and in unrelated subjects was investigated, and studies on the function of the endothelium were carried out in man in vivo. 4. Pathophysiological studies using this technique were reported from patients with hypertension, orthostatic hypotension, myocardial infarction, varicosis, cystic fibrosis, asthma, diabetes, systemic sclerosis, and cluster headache. 5. Clinical pharmacological studies represent a most important field for the use of this method. Studies were carried out on the effects of a large number of constrictor and dilator agents, and also on drug interactions on human veins in vivo. Venoconstriction was observed after local administration of alpha-adrenoceptor and 5-HT-receptor agonists, ergot derivatives, angiotensinogen, angiotensin I and II, and several prostaglandins. 6. Owing to the low venous tone present under effects can usually be quantified only on veins e.g. noradrenaline or 5-hydroxytryptamine. Under these conditions dilatation was observed after the administration of beta-adrenoceptor agonists, cholinergic (muscarinic) agonists, nitrates, calcium antagonists, bradykinin, substance P and several prostaglandins.

Aellig, W H

1994-01-01

406

Clinical pharmacology, physiology and pathophysiology of superficial veins--1.  

PubMed

1. Venous resistance contributes very little to total peripheral resistance; more than half of the total blood volume, however, is contained in the extrathoracic veins. Owing to marked differences between venous and arterial anatomy and physiology, studies on veins and arteries usually require different methodological approaches. Whereas for arteries the most relevant parameters are resistance, pressure and flow, for veins volume and compliance are most important. For studies of general aspects of the peripheral circulatory system, venous occlusion plethysmography is probably the most useful method. The determination of both the rate of rise in limb volume and the total volume rise after inflating a proximally applied occlusion cuff to a subdiastolic pressure permits the concomitant estimation of both arterial flow and venous compliance. 2. Studies of direct pharmacological or physiological effects on veins, interactions of various pharmacological or physiological stimuli, or pathophysiological changes in venous responsiveness have been facilitated by the development of investigational techniques relying on direct measurements of the compliance of single human veins in vivo. One of these, relying on the use of a linear variable differential transformer (LVDT) for determining changes in the compliance of superficial veins at a standardized congestion pressure, has been found very suitable for the practical application in both patients and healthy subjects. 3. Physiological studies were carried out on the effect of age, exercise, temperature, and the menstrual cycle on venous compliance and venous responsiveness to various stimuli. In addition, interindividual variability in venous responsiveness in monozygotic and dizygotic twins and in unrelated subjects was investigated, and studies on the function of the endothelium were carried out in man in vivo. 4. Pathophysiological studies using this technique were reported from patients with hypertension, orthostatic hypotension, myocardial infarction, varicosis, cystic fibrosis, asthma, diabetes, systemic sclerosis, and cluster headache. 5. Clinical pharmacological studies represent a most important field for the use of this method. Studies were carried out on the effects of a large number of constrictor and dilator agents, and also on drug interactions on human veins in vivo. Venoconstriction was observed after local administration of alpha-adrenoceptor and 5-HT-receptor agonists, ergot derivatives, angiotensinogen, angiotensin I and II, and several prostaglandins. 6. Owing to the low venous tone present under effects can usually be quantified only on veins e.g. noradrenaline or 5-hydroxytryptamine. Under these conditions dilatation was observed after the administration of beta-adrenoceptor agonists, cholinergic (muscarinic) agonists, nitrates, calcium antagonists, bradykinin, substance P and several prostaglandins. PMID:7826819

Aellig, W H

1994-09-01

407

MDCT Findings of Right Circumaortic Renal Vein with Ectopic Kidney  

PubMed Central

Anomalies of renal vasculature combined with ectopic kidneys were found on a multi-detector CT scan. Knowledge of renal vascular variation is very important for surgical exploration, radiologic intervention and staging for urologic cancer. We present an extremely rare case of a right circumaortic renal vein combined with a right ectopic kidney. The right kidney was located at the level between the third and fifth lumbar vertebra. The right circumaortic renal vein crossed the aorta and returned to the inferior vena cava behind the aorta.

Kim, Min-Kyun; Ku, Young Mi; Chun, Chang Woo

2013-01-01

408

Magnetostimulation in the treatment of crural vein ulceration.  

PubMed

Chronic venous insufficiency, as well as crural vein ulceration, developing at its background, poses a serious clinical problem. Treatment is costly and lengthy. Intense development of physical medicine allows to reduce the time of treatment, as well as to improve the life quality in numerous soft tissue ailments, including wounds that are hard to heal. This article presents the beneficial results of treatment of a 67-year-old woman patient with a diagnosis of crural vein ulceration in the right limb. The applied physiotherapeutic method, in the form of magnetostimulation, contributed to complete healing of the lesion, subsidence of symptoms, as well as improved life quality of the treated patient. PMID:22233391

Pasek, Jaros?aw; Pasek, Tomasz; Siero?, Aleksander

2012-10-01

409

The Aberdeen varicose vein questionnaire may be the preferred method of rationing patients for varicose vein surgery.  

PubMed

Rationing treatment of varicose veins (VVs) is of importance in countries with a public health service and limited funds. This study examines why and how the Aberdeen varicose vein questionnaire (AVVQ) can be used in achieving rationing. Baseline assessments prior to endovenous treatment included the venous clinical severity score (VCSS), venous filling index (VFI), and the refluxing great saphenous vein (GSV) diameter. Absolute change in the AVVQ defined improvement. There was no significant correlation in AVVQ improvement compared to baseline VCSS, VFI, GSV diameter or when patients were divided into mild and severe disease (C2,3 vs C4-6) or laser ablation versus foam sclerotherapy. However, AVVQ improvement significantly correlated at 3 weeks (n = 84) and 3 months (n = 70) with their baseline values (r = .5 and r = .585), P < .0005 (Spearman). In conclusion, patients with an initial poor quality of life may benefit most from endovenous treatment, irrespective of other baseline severity assessments. PMID:23378194

Lattimer, Christopher R; Kalodiki, Evi; Azzam, Mustapha; Geroulakos, George

2014-03-01

410

Correlative anatomy for the electrophysiologist: ablation for atrial fibrillation. Part I: pulmonary vein ostia, superior vena cava, vein of Marshall.  

PubMed

Ablation procedures for atrial fibrillation (AF) have become an established and increasingly used option for managing patients with symptomatic arrhythmia. The anatomic structures relevant to the pathogenesis of AF and ablation procedures are varied and include the pulmonary veins (PVs), other thoracic veins, the left atrial myocardium, and autonomic ganglia. Exact regional anatomic knowledge of these structures is essential to allow correlation with fluoroscopy and electrograms, and, importantly, to avoid complications from damage of adjacent structures within the chest. We have presented this information in a 2-part series. In the present article, we examine the general anatomic characteristics of the PVs, superior vena cava, and vein of Marshall. Features of particular relevance for the invasive electrophysiologist are pointed out. In a subsequent article, we discuss the regional anatomy of the left and right atria and anatomic considerations in preventing complications during AF ablation. PMID:20158562

Macedo, Paula G; Kapa, Suraj; Mears, Jennifer A; Fratianni, Amy; Asirvatham, Samuel J

2010-06-01

411

Internal jugular vein stenosis is common in patients presenting with neurogenic thoracic outlet syndrome.  

PubMed

Previous magnetic resonance imaging studies have shown abnormalities of the internal jugular veins in patients with thoracic outlet syndrome (TOS), but this finding has largely been ignored. We, thus, prospectively performed diagnostic brachiocephalic venograms in all patients with diagnosed neurogenic TOS from April 2008 to December 2011 (mean age, 42.6; r, 16-68; 77.8% women and 22.2% men). Stenosis of the left internal jugular vein, left subclavian vein, right internal jugular vein, and right subclavian vein were assessed, and significant stenoses of these vessels were seen in 63.49%, 65.08%, 60.32%, and 68.25% of patients, respectively. Internal jugular vein stenosis was not present in 23.81%, present unilaterally in 28.57%, and present bilaterally in 47.62% of patients. Subclavian vein stenosis was not present in 17.46%, present unilaterally in 28.57%, and present bilaterally in 53.97% of patients. Phi coefficients of correlation were 0.067 between left internal jugular vein and left subclavian vein stenoses, 0.061 between right internal jugular vein and right subclavian vein stenoses, and 0 between any internal jugular vein and any subclavian vein stenoses, indicating there is no correlation between jugular vein stenosis and subclavian vein stenosis in these patients. We conclude that right and left internal jugular vein stenosis is common in patients with neurogenic TOS symptoms. Treatment of internal jugular vein stenosis could potentially benefit these patients, and the implications of these findings warrant further study. PMID:24462538

Ahn, Samuel S; Miller, Travis J; Chen, Sheena W; Chen, Julia F

2014-05-01

412

The Distant Morphological and Petrological Features of Shock Melt Veins in the Suizhou L6 Condrite  

SciTech Connect

The morphology and petrology of distinct melt veins in the Suizhou L6 chondrite have been investigated using scanning electron microscopy, electron microprobe analyses, and Raman spectroscopy, synchrotron energy-dispersive diffraction, and transmission electron microscopy. It is found that the melt veins in the Suizhou meteorite morphologically are the simplest, straightest, and thinnest among all shock veins known from meteorites. At first glance, these veins look like fine fractures, but petrologically they are solid melt veins of chondritic composition and consist of fully crystalline materials of two distinct lithological assemblages, with no glassy material remaining. The Suizhou melt veins contain the most abundant high-pressure mineral species when compared with all other veins known in chondrites. Thus, these veins in Suizhou are classified as shock veins. All rock-forming and almost all accessory minerals in the Suizhou shock veins have been transformed to their high-pressure polymorphs, and no fragments of the precursor minerals remain in the veins. Among the 11 high-pressure mineral phases identified in the Suizhou veins, three are new high-pressure minerals, namely, tuite after whitlockite, xieite, and the CF phase after chromite. On the basis of transformation of plagioclase into maskelynite, it is estimated that the Suizhou meteorite experienced shock pressures and shock temperatures up to 22 GPa and 1000 C, respectively. Shearing and friction along shock veins raised the temperature up to 1900-2000 C and the pressure up to 24 GPa within the veins. Hence, phase transition and crystallization of high-pressure minerals took place only in the Suizhou shock veins. Fast cooling of the extremely thin shock veins is regarded as the main reason that up to 11 shock-induced high-pressure mineral phases could be preserved in these veins.

X Xie; Z Sun; M Chen

2011-12-31

413

Endoscopic Vein Harvest in Lower-Extremity Bypass—Is It Preferable to Prosthetic Bypass or Standard Vein Harvest?  

Microsoft Academic Search

Purpose  Endoscopic saphenous vein harvest (EVH) was compared with prosthetic bypass (PB) and open vein harvest (OVH) to determine\\u000a its impact on short-term complications and long-term patency in lower-extermity bypass(LEB).\\u000a \\u000a \\u000a \\u000a Methods  Thirty-six patients underwent PB, 19 patients underwent OVH, and 33 patients underwent EVH between March 2003 and July 2004\\u000a There were statistically significant differences in the incidence of coronary artery disease,

George Manis; Joann Montecalvo; Martin Feuerman; William Purtill; George L. Hines

2005-01-01

414

Congenital lipoid nephrosis with left renal vein thrombosis and Chiari's syndrome.  

PubMed

An infant with primary congenital lipoid nephrosis then developed left renal vein thrombosis and secondary hepatic vein obstruction. This was shown by inferior venacavography. The thrombus detached subsequently, and the child died from massive pulmonary embolism. PMID:468879

Elliott, G B; Grant-Tyrell, J; Ringer, G

1979-09-01

415

NSCT-based fusion enhancement for multispectral finger-vein images  

NASA Astrophysics Data System (ADS)

Personal identification based on single-spectral finger-vein image has been widely investigated recently. However, in finger-vein imaging, finger-vein image degradation is the main factor causing lower recognition accuracy. So, to improve the finger-vein image quality, in this paper, multispectral finger-vein images (760nm and 850nm) are fused together for contrast enhancement using NSCT transformation. The proposed method can preserve the completeness and sharpness of finger-vein. Experimental results demonstrate that the proposed method is certainly powerful in enhancing finger-vein image contrast and achieves lower equal error rates in finger-vein recognition even if original images have poor contrast.

Wu, Dongdong; Yang, Jinfeng

2014-04-01

416

Standard Care vs. COrticosteroid for REtinal Vein Occlusion (SCORE) Study: FPRC Imaging Procedures.  

National Technical Information Service (NTIS)

This document describes a randomized efficacy and safety of intravitreal injection(s) of triamcinoline acetonide with standard care to treat macular edema associated with central retinal vein occlusion amd branch retinal vein occlusion.

2005-01-01

417

Standard Care vs. COrticosteroid for REtinal Vein Occlusion (SCORE) Study, Version 6.0.  

National Technical Information Service (NTIS)

Macular edema is a major cause of vision loss in patients with central retinal vein occlusion (CRVO) and branch retinal vein occlusion (BRVO). Currently, there is no effective treatment for macular edema associated with CRVO. For macular edema associated ...

2007-01-01

418

Learning from mistakes: femoral vein cannulation-an unusual complication or a blessing in disguise!!!  

PubMed

Femoral vein cannulation is often used in resuscitation and in critical care units. We report an uncommon complication of femoral vein counterpuncture-peritoneal puncture and the consequences which led us to diagnose a missed traumatic diaphragmatic rupture. PMID:24426397

Malviya, Ajay; Yadav, J K; Negi, Nitin; Singh, C Gautam

2013-02-01

419

Duplex ultrasound, clinical score, thrombotic risk, and D-dimer testing for evidence based diagnosis and management of deep vein thrombosis and alternative diagnoses in the primary care setting and outpatient ward.  

PubMed

Deep vein thrombosis (DVT) has an annual incidence of 0.2% in the urban population. First episodes of calf vein thrombosis (CVT) and proximal DVT are frequently elicited by risk factors, including varicose veins, cancer, pregnancy/postpartum, oral contraceptives below the age of 50 years, immobility or surgery. Leg pain and tenderness in the calf and popliteal fossa on physical examination may result from other conditions than DVT labeled as alternative diagnosis (AD) Congenital venous thrombophilia is present in every third first DVT, increased FVIII in every fourth first DVT, and FV Leiden/FII mutation in 40% of women on oral anticonceptive pill before reaching the menopause. Routine thrombophilia testing for FV Leiden/prothrombin mutation and FVIII as main risk factor for venous thrombosis is recommended. Primary superficial venous thrombosis (SVT) and DVT patients with a autosomal dominant family history of DVT are candidates for thrombophilia testing for congenital AT, PC and PS deficiency. The requirement for a safe diagnostic strategy of CVT and DVT should be based on an objective post-test incidence of venous thromboembolism (VTE) of less than 0.1% with a negative predictive value for exclusion of DVT of 99.9% during 3 months follow-up. Modification of the Wells score by elimination of the "minus 2 points" for AD is mandatory and will improve the diagnostic accuracy of CVT/DVT suspicion in the primary care setting and outpatient ward. The sequential use of complete DUS, ELISA D-dimer testing and modified clinical Wells' score assessment is safe and effective for the exclusion and diagnosis of CVT, DVT and AD. About 10% to 20% of patients with DVT develop overt post-thrombotic syndrome (PTS) at one year post-DVT, and both PTS and DVT recurrences further increase to about 30% during long-term follow-up. Objective risk stratification of PTS complications using DUS for recanalization and reflux and D-dimer testing will become an integral part in routine clinical practice to assess the optimal duration of wearing medical elastic stockings and anticoagulation for the prevention DVT recurrence as the best option to reduce the incidence and costs of suffering from irreversible PTS. PMID:24452081

Michiels, J J; Moosdorff, W; Maasland, H; Michiels, J M; Lao, M U; Neumann, H A; Dulicek, P; Stvrtinova, V; Barth, J; Palareti, G

2014-02-01

420

Endovascular repair of spontaneous or traumatic iliac vein rupture.  

PubMed

Spontaneous rupture of the iliac vein and rupture resulting from blunt trauma are both very unusual. Herein one case of each are reported and were managed by emergent endovascular repair with use of covered stents. Favorable outcomes were achieved in both cases. PMID:15297589

Zieber, Steven R; Mustert, Bryan R; Knox, Michael F; Fedeson, Brian C

2004-08-01

421

Reduction of Carbon Dioxide Embolism for Endoscopic Saphenous Vein Harvesting  

Microsoft Academic Search

Background. The endoscopic saphenous vein harvest- ing (EVH) introduced in coronary artery bypass surgery (CABG) is associated with less wound complication and postoperative pain. Carbon dioxide (CO2) insufflation is used during EVH to facilitate the procedure. The purpose of this study was to determine whether the incidence of CO2 embolism during EVH with CO2 insufflation could be reduced with lower

Kuan-Ming Chiu; Tzu-Yu Lin; Ming-Jiuh Wang; Shu-Hsun Chu

2006-01-01

422

Management of closed space infections associated with endoscopic vein harvest  

Microsoft Academic Search

Wound complications are uncommon following endoscopic saphenous vein harvest. However, closed space infections within the endoscopic tunnel may occur and are difficult to manage. We describe the management of closed space infection in 3 patients and a method that allows drainage without unroofing the endoscopic tunnel.

Keith B Allen; Edward B Fitzgerald; David A Heimansohn; Carl J Shaar

2000-01-01

423

Carotid artery and jugular vein ligation with and without hypoxia  

Microsoft Academic Search

A continuing concern about the use of extracorporeal membrane oxygenation (ECMO) is the cannulation of the common carotid artery or the internal jugular vein. The authors investigated the changes that might occur in the brain with neck vessel ligation in the normal and the hypoxic rat. Two groups of 60 rats each were studied. The first group was divided into

M. D Klein; M. S Lessin; G. C Whittlesey; C. H Chang; C. J Becker; S. L Meyer; A. M Smith

1997-01-01

424

Multimodal Biometric Cryptosystem Involving Face, Fingerprint and Palm Vein  

Microsoft Academic Search

The proposed scheme involves an idea of including three biometric traits of a person where in the sense even if one fails the other trait could be utilised for verification or identity.Moreover the concept of cryptosystem is involved , where one of the biometric trait - the palm vein itself acts as a key to utilise the stored template database.

B. Prasanalakshmi; A. Kannammal; R. Sridevi

2011-01-01

425

Hepatic vein obstruction due to Swan-Ganz catheter placement.  

PubMed

Complications from Swan-Ganz catheters during insertion, long-term placement, or removal have been known since its development. I describe the unusual presentation of a pacing Swan-Ganz catheter mispositioned into the hepatic vein producing vascular obstruction, yet with adequate cardiac pacing. PMID:7774345

Davis, M S

1994-08-01

426

Near and Far Infrared Imaging for Vein Pattern Biometrics  

Microsoft Academic Search

This paper investigates two infrared imaging technologies, far-infrared thermography and near-infrared imaging, to acquire hand vein pattern images for biometric purposes. The imaging principles for both technologies are studied in depth. Experiments involving data acquisition from various parts of hand, including the back of the hand, palm, and wrist are described using a population of 150 participants using both near

Lingyu Wang; Graham Leedham

2006-01-01

427

Emplacement of bitumen (asphalite) veins in the Nequen Basin, Argentina  

SciTech Connect

Veins of solid bitumen (asphaltite) have been commerically exploited in the Neuquen basin, Argentina, for over 100 yr. Veins are up to 5 m wide and several kilometers in length, over a region of 15,000 km{sup 2}. These veins were emplaced in fractures both parallel and at high angles to bedding, in close proximity to their source rocks in the Vaca Muetra and Agrio formation (Late Jurassic-Early Cretaceous). Two or more phases of bitumen emplacement can be recognized in several localities; structures bearing viscous oil are younger than structures having solid bitumen. Bitumen emplacement was vigorous and caused brecciation and spalling of the host rocks. The bitumen was also viscous, and supports rock debris ranging in size from sand grains up to meter-scale slabs. Brecciation, bedding-parallel injection, and wall rock impregnation suggest high fluid pressures during emplacement. High fluid pressure may have been engendered by substantial hydrocarbon generation from rich source rocks in a low-permeability sequence, and probably caused the fractures into which the bitumen migrated. The bedding-parallel veins facilitated decollement during thrusting that took place during and after bitumen emplacement. The timing of emplacement relative to thrusting and oil migration constrains bitumen emplacement to the Eocene-Oligocene.

Parnell, J.; Carey, P.F. [The Queen`s Univ. of Belfast (United Kingdom)

1995-12-01

428

Deep vein thrombosis--online methods of patient education.  

PubMed

The authors present some of the most important online patient information methods on all aspects of deep vein thrombosis of the lower limbs and, in particular, the diagnosis using Doppler ultrasound (easy-to-understand articles, brochures, guides, patient page, frequently asked questions, illustrations, forums, blogs). PMID:21210017

Cri?an, Doini?a; Cri?an, Sorin; Buzdugan, Elena; Vesa, Stefan; Pestrea, C?t?lin

2010-12-01

429

Saccular Aneurysm of the External Jugular Vein: A Case Report  

PubMed Central

Saccular aneurysm of the external jugular vein presenting as a neck mass is very rare. We report the surgical treatment of an external jugular venous aneurysm in a 48-year-old female patient due to the cosmetic problem of neck engorgement, concomitant with thyroidectomy for cancer.

Lee, Hae Young; Ko, Taek Yong; Kim, Hyun Su; Kim, Jong In; Park, Sung Dal; Cho, Sung Rae; Chun, Bong Kwon

2014-01-01

430

Diagnostic and therapeutic aspects of deep vein thrombosis.  

National Technical Information Service (NTIS)

51 out-patients presenting with calf-vein thrombosis were randomized to treatment with heparin for five days or heparin with subsequent warfarin for three months. Among 23 patients in the warfarin-group no recurrence occurred, whereas 8 of the 28 patients...

C. Lagerstedt

1992-01-01

431

Role of Thrombophilic Gene Polymorphisms in Branch Retinal Vein Occlusion  

Microsoft Academic Search

Objective: Branch retinal vein occlusion (BRVO) is a common cause of severe visual loss. Numerous risk factors, including arterial hypertension, diabetes mellitus, and arteriosclerosis, have been identified. Gene polymorphisms affecting hemostasis may also play a role in the pathogenesis of BRVO. The present study was therefore done to determine the prevalence of genetic polymorphisms in factors implicated in hypercoagulability among

Martin Weger; Wilfried Renner; Iris Steinbrugger; Lisa Cichocki; Werner Temmel; Olaf Stanger; Yosuf El-Shabrawi; Helga Lechner; Otto Schmut; Anton Haas

2005-01-01

432

The epidemiology of varicose veins. A survey in western Jerusalem  

Microsoft Academic Search

The prevalence and correlates of varicose veins were investigated in a community survey in a neighbourhood of western Jerusalem in 1969-71. The prevalence was 10% among men and 29% among women aged 15 and over; it rose with age in each sex. In both sexes, significant associations were found with standing at work and with region of birth. Among women,

J H Abramson; C Hopp; L M Epstein

1981-01-01

433

Ileocolic Arteriovenous Fistula with Superior Mesenteric Vein Aneurism: Endovascular Treatment  

SciTech Connect

We report a case of a venous aneurysm secondary to an acquired ileocolic arteriovenous fistula in a 64-year-old woman with recurrent abdominal pain and history of appendectomy. The aneurysm was diagnosed by ultrasound and computed tomography. Angiography showed an arteriovenous fistula between ileocolic branches of the superior mesenteric artery and vein. This vascular abnormality was successfully treated with coil embolization.

Gregorio, Miguel Angel de; Gimeno, Maria Jose; Medrano, Joaquin [Interventional Radiology, Clinico Universitario Lozano Blesa (Spain); Schoenholz, Caudio; Rodriguez, Juan; D'Agostino, Horacio [Interventional Radiology, State University Health Sciences Center (United States)

2004-09-15

434

Spinal epidural angiomatous malformations draining into intrathecal veins  

Microsoft Academic Search

Nine angiomatous malformations situated on the outer surface of the dura and one situated in the pelvis, from which draining veins pierced the dura and joined the coronal venous plexus are described. The clinical manifestations and myelographic appearances are similar to those of the majority of intradural angiomatous malformations. This suggests that neurological deficiencies with both types of malformation are

B. E. Kendall; V. Logue

1977-01-01

435

[A new model of varicose vein stripper (author's transl)].  

PubMed

A new varicose vein stripper is described. It is rigid, of small caliber and can be used in both upper and lower limbs. These features make it easy to handle, particularly in young subjects undergoing early stripping. The instrument is less costly than other disposable instruments as it is metallic and can be sterilized. PMID:7110936

Pelissier, E; Meyer, J M; Arbez, C

1982-05-22

436

Argon laser panretinal photocoagulation in ischemic central retinal vein occlusion  

Microsoft Academic Search

We conducted a prospective, planned study of argon laser panretinal photocoagulation (PRP) in ischemic central retinal vein occlusion (CRVO) over a 10-year period in 123 eyes. On comparing the lasered eyes versus the nonlasered eyes, there was no statistically significant difference between the two groups in the incidence of development of angle neovascularization (NV), neovascular glaucoma (NVG), retinal and\\/or optic

Sohan Singh Hayreh; Marie R. Klugman; Patricia Podhajsky; Gary E. Servais; Edward S. Perkins

1990-01-01

437

Clinical and infrared pupillometry in central retinal vein occlusion  

Microsoft Academic Search

Measurements of pupillary reactivity and size were recorded using neutral density filters and infrared pupillometry (IRP) in a prospective masked study of acute central retinal vein occlusion (CRVO) to quantify the two methods of measurement and to compare their value in the prediction of rubeosis. Thirty two patients were examined within 45 days of disease onset. The mean relative afferent

P A Bloom; D Papakostopoulos; Y Gogolitsyn; J A Leenderz; S Papakostopoulos; R H Grey

1993-01-01

438

Streptokinase in central retinal vein occlusion: a controlled clinical trial  

Microsoft Academic Search

Forty patients with central retinal vein occlusion were allocated at random either to a treatment group given streptokinase followed by anticoagulatns or to a control group given no specific treatment. The two groups, which were each of 20 patients, were broadly similar in respect of clinical and laboratory values and similar in their initial visual acuity. At follow-up (\\

E M Kohner; J E Pettit; A M Hamilton; C J Bulpitt; C T Dollery

1976-01-01

439

Effect of isovolemic hemodilution in central retinal vein occlusion  

Microsoft Academic Search

Background: Hemorheologic abnormalities have recently been shown to play a role in the pathogenesis of retinal vein occlusion (RVO), and several studies have demonstrated the efficacy of isovolemic hemodilution in these eyes. This study was designed to investigate further the effects of hemodilution, with regard to the duration of symptoms before the treatment. Methods: In a prospective study, 142 eyes

Agnès Glacet-Bernard; Alain Zourdani; Myriem Milhoub; Nahed Maraqua; Gabriel Coscas; Gisèle Soubrane

2001-01-01

440

Cilioretinal arterial circulation in central retinal vein occlusion  

Microsoft Academic Search

The hypothesis that an occlusion of the central retinal artery is an essential prerequisite for haemorrhage formation after central retinal vein obstruction has been investigated by examining the fundus changes in patients with a cilio-retinal arterial circulation; the findings are at variance with the 'combined occlusion hypothesis'. Comparisons were made between the pathological features in two retinal capillary beds with

D McLeod

1975-01-01

441

Efflux of sucrose from minor veins of tobacco leaves  

Microsoft Academic Search

Mature leaves import limited amounts of nutrient when darkened for prolonged periods. We tested the hypothesis that import is restricted by the apoplast-phloem loading mechanism, ie., as sucrose exits the phloem of minor veins it is retrieved by the same tissue, thus depriving the mesophyll of nutrient. When single, attached, mature leaves of tobacco (Nicotiana tabacum L.) plants were darkened,

Robert Turgeon

1984-01-01

442

3D and multispectral imaging for subcutaneous veins detection  

Microsoft Academic Search

The first and perhaps most important phase of a surgical procedure is the insertion of an intravenous (IV) catheter. Currently, this is performed manually by trained personnel. In some visions of future operating rooms, however, this process is to be replaced by an automated system. Experiments to determine the best NIR wavelengths to optimize vein contrast for physiological differences such

Fabrice Meriaudeau; Vincent C. Paquit; Nicolas Walter; Jeffery R. Price; Kenneth W. Tobin

2009-01-01

443

Total central vein obstruction: Resolution with angioplasty and fibrinolysis  

Microsoft Academic Search

Percutaneous transluminal angioplasty (PTA) has assumed an important role in the chronic management of malfunctioning and failed fistulas [1–8]. Stenotic lesions, most commonly occurring in the venous limbs of such fistulas, are the most common anatomic cause of malfunction [4]. If left untreated, these stenoses may progress to total occlusion. Central vein stenosis has emerged as a serious new medical

Glenn E Newman; Mohsin Saeed; Steve Himmelstein; Richard H Cohan; Steve J Schwab

1991-01-01

444

Mismatch of aortotomy and saphenous vein graft size: a simple solution.  

PubMed

Bleeding may occur at the proximal anastomosis of an aortocoronary bypass graft due to the aortotomy being larger than the vein graft diameter. This results in the wall of the vein being under tension, so that the anastomotic suture or further stitches may cut through. A partial thickness suture placed as a pursestring around the aortotomy may alleviate this situation, resulting in a smaller aortotomy with reduced vein wall tension, improved hemostasis, and a more satisfactory anastomotic vein contour. PMID:8694643

John, L C

1996-08-01

445

Serial Elastic Elements in the Damselfly Wing: Mobile Vein Joints Contain Resilin  

Microsoft Academic Search

Two main types of joints occur in the damselfly wing: mobile and immobile. Some longitudinal veins (RP2–, RP3&4–, and MP–) are elastically joined with cross veins, whereas other longitudinal veins (IR1+, IR2+, MA+, CuA'+) are firmly joined with cross veins. In this study we mapped the distribution of serial elastic elements in the wing. The\\u000a occurrence of resilin, a rubberlike

Stanislav N. Gorb

1999-01-01

446

Development of an image acquisition system for hand vein based on an embedded system  

Microsoft Academic Search

As one kind of the latest forms of biometrics, the human hand vein recognition utilizes a state-of-the-art recognition algorithm based on unique veins and capillaries found on human dorsal hand, which possesses the advantages such as well anti-falsification and high noise immunity. For the hand vein recognition, the most important premise is acquiring the high quality hand vein image. According

Xiuyan Li; Tiegen Liu; Yunxin Wang; Chenhu Yuan; Shichao Deng

2009-01-01

447

The surgical anatomy of the superficial and perforating veins of the lower limb.  

PubMed Central

The superficial venous system was dissected in 60 legs. A possible function is ascribed to the long saphenous vein and an argument against its stripping in varicose veins presented. Abnormality of the long saphenous vein and its association with varicose veins is described. Particular features of the saphenous tributaries are noted and their relevance in varicosity discussed. The perforator system is described, the distinguishing properties of the medial ankle perforators being examined and their anatomical confinement delineated. Images FIG. 1

Thomson, H.

1979-01-01

448

Surgical repair of partial anomalous pulmonary venous connection shunting from left atrium to innominate vein.  

PubMed

Partial anomalous pulmonary venous connection (PAPVC) causes a left-to-right shunt from the anomalous pulmonary vein (PV) to a systemic vein. We report an uncommon adult case of PAPVC, in which the left upper PV drained into both the innominate vein and the left atrium (LA), demonstrating retrograde shunting from the LA to the innominate vein. The anomaly was surgically repaired. PMID:23595030

Bobylev, Dmitry; Breymann, Thomas; Boethig, Dietmar; Ono, Masamichi

2013-01-01

449

Effect of taleeq (leech therapy) in dawali (varicose veins).  

PubMed

Dawali (varicose vein) is first described in Ebers Papyrus over 3500 years ago. Dawali is a disease in which veins of legs and feet become dilated, tortuous, and greenish in colour due to excess accumulation of blood which is derived from saudavi madda & balgham ghaleez. The aetiology of varicose veins is still incompletely under stood, despite the fact that it is a very common disease affecting all ages from teenagers to elderly people. The complication of varicose veins like venous eczema, venous pigmentation, lipodermatosclerosis, superficial thrombophlebitis, venous ulceration, etc impair health related quality of life significantly. The objective of the study is to evaluate the efficacy of Taleeq in Dawali and to provide safe & cost effective alternative treatment. Randomized controlled clinical open trial was conducted in regimenal unit of NIUM Hospital. 50 patients were divided into 2 groups, 30 in test & 20 in control group. Test group was treated with Taleeq on alternate day & control group was treated with grade 2 compression stockings & limb elevation for 2 months. Response was measured by assessment of pain / leg discomfort, limb girth at calf, ankle, and feet, pigmentation area & colour on every 15(th) day. Hb% was assessed on every 15(th) day to check anaemia. Effect on anatomy of vein was assessed by colour flow Doppler USG. Test group showed significant reduction in pain, limb girth, pigmentation, number of perforators. Control group showed significant reduction in pain & limb girth, but there was no improvement on pigmentation. Both groups do not show significant improvement on SFJ & SPJ incompetency. Test group has major effects in improvement of all parameters. Study stresses that leech therapy should be administered in combination with compression stockings & other effective treatment modalities like weight normalization for obese patients, physical therapy, dietary modification etc for optimal results. PMID:22557433

Nigar, Zar; Alam, Md Anwar

2011-01-01

450

Feasibility of laparoscopic portal vein ligation prior to major hepatectomy  

PubMed Central

Background. Patients noted to have an inadequate future liver remnant on pre operative volumetric assessment are considered to be candidates for portal vein embolization (PVE). A subset of patients undergo laparoscopic intervention prior to PVE for staging purposes or to address the primary in Stage IV colon cancer. These patients usually undergo PVE as a subsequent additional procedure by the transhepatic route. The aim of this study was to assess the feasibility of portal vein ligation by the laparoscopic approach in suitable patients. Materials and methods. A retrospective review of a prospectively maintained database was performed to identify patients that underwent laparoscopic portal vein ligation (LPVL). The demographic, clinical, radiographic, operative and volumetric details were collected to determine the feasibility of portal vein ligation. Results. A total of nine patients underwent LPVL as part of a two stage procedure in preparation for subsequent major hepatectomy. With a median age of 67 yrs, the diagnoses included: colorectal metastasis (five patients), cholangiocarcinoma (three patients) and hepatocellular carcinoma (one patient). The ligation involved the right portal vein in all and was performed with silk ligature (seven patients) and clips (two patients). Volumetric data was available in six patients which showed a mean increase from 209.1 cc±97.76 to 495.83 cc±310.91 (increase by 181.5%) In two patients, inadequate hypertrophy mandated later embolization by percutaneous technique. Five patients underwent subsequent major hepatic resection as planned. The remaining four patients were noted to have progression of disease that precluded the planned procedure. There were no complications associated with LPVL. Conclusions. LPVL is feasible and can be safely performed. In a select group of patients, it may be considered as an alternative to subsequent embolization and thereby potentially absolve the need for an additional procedure with its attendant complications.

Iacovitti, S.; Prete, F.; Crafa, F. M.

2008-01-01

451