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Transciliary supraorbital keyhole approach in the management of aneurysms of anterior circulation: Operative nuancesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion</b> : The transciliary supraorbital approach offers clipping of intracranial aneurysm in anterior circulation with low approach related morbidity as compared to standard approach. (Source: Neurology India)
Source: Neurology India - November 20, 2009 Category: Neurology Authors: Bhatoe Harjinder S Source Type: journals

Gamma knife radiosurgery for arteriovenous malformations located in eloquent regions of the brainemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions</b> : AVMs located in eloquent and in deep locations can be treated safely with stereotactic radiosurgery with acceptable obliteration rates and minimal morbidity. (Source: Neurology India)
Source: Neurology India - November 20, 2009 Category: Neurology Authors: Javalkar Vijayakumar, Pillai Pramod, Vannemreddy Prasad, Caldito Gloria, Ampil Federico, Nanda Anil Source Type: journals

Combined imaging recommended for suspected CADemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Risk stratification of patients with suspected coronary artery disease can be improved by addition of multi-slice computed tomography coronary angiography to calcium scoring, study results in the European Heart Journal show. (Source: MedWire News - Cardiology)
Source: MedWire News - Cardiology - November 20, 2009 Category: Cardiology Source Type: news

Varian Medical Systems To Showcase The Latest X-Ray Image Detectors And X-Ray Tubes At The MEDICA 2009 International Trade Fairemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Varian Medical Systems, Inc. (NYSE: VAR), a premier supplier of X-ray tubes and flat panel digital image detectors, will exhibit its PaxScan digital image detectors and its line of X-ray tubes for fluoroscopy, angiography, cardiology and cone-beam CT imaging at the MEDICA 2009 International Trade Fair in Dusseldorf, Germany from November 18-21, 2009. (Source: Health News from Medical News Today)
Source: Health News from Medical News Today - November 20, 2009 Category: Consumer Health News Tags: MRI / PET / Ultrasound Source Type: news

Varian Medical Systems To Showcase The Latest X-Ray Image Detectors And X-Ray Tubes At The MEDICA 2009 International Trade Fairemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Varian Medical Systems, Inc. (NYSE: VAR), a premier supplier of X-ray tubes and flat panel digital image detectors, will exhibit its PaxScan digital image detectors and its line of X-ray tubes for fluoroscopy, angiography, cardiology and cone-beam CT imaging at the MEDICA 2009 International Trade Fair in Dusseldorf, Germany from November 18-21, 2009. (Source: MRI / PET / Ultrasound News From Medical News Today)
Source: MRI / PET / Ultrasound News From Medical News Today - November 20, 2009 Category: Radiology Tags: MRI / PET / Ultrasound Source Type: news

For Chest Pain in the ER, CT Angiography May Be Bestemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Procedure cuts diagnosis time and costs, study finds Source: HealthDay Related MedlinePlus Topics: CT Scans, Chest Pain, Emergency Medical Services (Source: MedlinePlus Health News)
Source: MedlinePlus Health News - November 19, 2009 Category: Consumer Health News Source Type: consumer

Hepatic Segments and Vasculature: Projecting CT Anatomy onto Angiograms [Online Only]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Hepatic transarterial interventional therapies such as chemoembolization and radiation embolization are important treatment options for hepatocellular carcinoma. Understanding the anatomy of individual arterial branches and hepatic segments is critical for selecting the correct embolization technique for treatment and to avoid complications. The authors describe the morphologic characteristics of hepatic arterial branches (and their mimickers) and hepatic segments on conventional angiograms. These vessels and segments include the celiac artery, the common and proper hepatic arteries, the left and right hepatic arteries and...
Source: Radiographics recent issues - November 19, 2009 Category: Radiology Authors: Furuta, T., Maeda, E., Akai, H., Hanaoka, S., Yoshioka, N., Akahane, M., Watadani, T., Ohtomo, K. Tags: Online Only Source Type: journals

Coronary Artery Aneurysms and Ectasia: Role of Coronary CT Angiography [RSNA Education Exhibits]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The definition, classification, etiology, clinical manifestations, and potential complications of coronary artery aneurysms and ectasia are discussed, with emphasis on the role of coronary multidetector CT angiography. (Source: Radiographics recent issues)
Source: Radiographics recent issues - November 19, 2009 Category: Radiology Authors: Diaz-Zamudio, M., Bacilio-Perez, U., Herrera-Zarza, M. C., Meave-Gonzalez, A., Alexanderson-Rosas, E., Zambrana-Balta, G. F., Kimura-Hayama, E. T. Tags: Cardiac Radiology, Computed Tomography RSNA Education Exhibits Source Type: journals

Coronary Artery Aneurysm Formation Within New-Generation Bare-Metal Stents: Not Just Due to Drug Elution!email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A 57-year-old woman with chronic stable angina underwent uncomplicated stenting in the left anterior descending artery (LAD) and right coronary artery (RCA) (A) with excellent results in the target vessel. Coronary angiogram repeated for atypical chest pain 6 months later demonstrated coronary artery aneurysm (CAA) (arrowheads) within the segments stented with a bare-metal stent (BMS) in both arteries (B), confirmed on intravascular ultrasound examination (C). Arrows show the extent of the aneurysm as seen on the intravascular ultrasound images. The RCA segment stented with the everolimus-eluting stent Xience (Abbott Labor...
Source: Journal of the American College of Cardiology - November 19, 2009 Category: Cardiology Authors: Sudipta Chattopadhyay, Timothy Kinnaird, Richard A. Anderson Tags: IMAGES IN CARDIOLOGY Source Type: journals

Diffuse Cerebral Infarct Associated With Factor V Leiden and Prothrombin 20210A Mutations in a Patient With Tetralogy of Fallotemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A 2-year-old girl with tetralogy of Fallot presented with diffuse cranial infarct after cardiac angiography. Heterozygosity for factor V Leiden and prothrombin 20210A mutations were detected. The authors suggest that if thrombosis develops in patients with congenital heart disease, genetic risk factors should be evaluated. (Source: Clinical and Applied Thrombosis/Hemostasis)
Source: Clinical and Applied Thrombosis/Hemostasis - November 19, 2009 Category: Hematology Authors: Sipahi, T., Karademir, S., Kuybulu, A., Akar, N. Tags: Articles Source Type: journals

Acute Massive Pulmonary Embolism With Hemodynamic Compromise Treated Successfully With Thrombolytic Therapy Selcukemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A 78 year-old woman presented with a history of 15 days of dyspnea and tachypnea at rest. A distended right ventricle with free-wall hypokinesis and displacement of the interventricular septum toward the left ventricle were shown on echocardiography. The patient suddenly arrested. She underwent cardiac catheterization and selective pulmonary angiography for suspected pulmonary embolism while undergoing cardiopulmonary resuscitation. With the diagnosis of pulmonary embolism confirmed, recombinant tissue plasminogen activator was given immediately in the catheterization room. This case shows how pulmonary embolism can be dia...
Source: Clinical and Applied Thrombosis/Hemostasis - November 19, 2009 Category: Hematology Authors: Pala, S., Kahveci, G., Bozok, S. Tags: Articles Source Type: journals

CT-STAT: CTA faster and cheaper than standard protocol for CAD diagnosisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A protocol using initial computed tomography angiography is effective and both faster and cheaper than standard-of-care evaluation in the diagnosis of coronary artery disease among low-to-intermediate risk patients with chest pain, show results of the CT-STAT trial. (Source: MedWire News - Cardiology)
Source: MedWire News - Cardiology - November 19, 2009 Category: Cardiology Source Type: news

CT-STAT: CT Angiography Rules Out CAD Faster and Cheaper Than Standard Careemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The use of coronary CT angiography in the emergency room can successfully triage at-risk chest-pain patients and can do so faster and less expensively than standard diagnostic testing. Heartwire (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 18, 2009 Category: Consumer Health News Tags: Cardiology Source Type: news

CT-STAT: CT angiography rules out CAD faster and cheaper than standard careemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The use of coronary CT angiography in the emergency room can successfully triage at-risk chest-pain patients and can do so faster and less expensively than standard diagnostic testing. (Source: theHeart.org)
Source: theHeart.org - November 18, 2009 Category: Cardiology Source Type: info

Foresight introduces fluoro road-mapping systememail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Foresight Imaging is introducing TIMS Fluoro-TRACE, a system for providing road-mapping for interventional radiology, angiography and vascular surgery applications by PACS connectivity hardware and software, this week at the VEITH symposium in New York City. (Source: Health Imaging News)
Source: Health Imaging News - November 18, 2009 Category: Radiology Tags: Latest News Source Type: news

Psychotropic medication use and risk of adverse cardiovascular events in women with suspected coronary artery disease: outcomes from the Women's Ischemia Syndrome Evaluation (WISE) studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: These data suggest that factors related to psychotropic medication such as depression refractory to treatment, or medication use itself, are associated with adverse CV events in women with suspected myocardial ischaemia. (Source: Heart)
Source: Heart - November 18, 2009 Category: Cardiology Authors: Krantz, D S, Whittaker, K S, Francis, J L, Rutledge, T, Johnson, B D, Barrow, G, McClure, C, Sheps, D S, York, K, Cornell, C, Bittner, V, Vaccarino, V, Eteiba, W, Parashar, S, Vido, D A, Merz, C N B. Tags: Drugs: cardiovascular system, Heart failure, Acute coronary syndromes, Clinical diagnostic tests, Epidemiology Original articles Source Type: journals

The Evaluation of Lower-Extremity Ulcersemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Semin intervent Radiol 2009; 26: 286-295DOI: 10.1055/s-0029-1242204ABSTRACTLower-limb ulceration is prevalent in Western countries. There are many different types of ulcers with several causes. The most prevalent are those due to vascular disease, of which venous is the most common, accounting for over two-thirds of all types of ulcers. There are also many other causes for ulceration such as malignancy, infections, and skin, drug-induced, and autoimmune diseases. The ulcers have different characteristics, which may be differentiated by the history and clinical examination of the patients. However, objective documentation f...
Source: Seminars in Interventional Radiology - November 18, 2009 Category: Radiology Source Type: journals

A Rare Coronary Anomalyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
An 84-year-old woman with hypertension and recent onset stable angina underwent coronary angiography after a myocardial perfusion scan demonstrated anterior ischaemia. This revealed a single coronary artery ostium in the right sinus of Valsalva from which arose the left anterior descending (LAD) artery and right coronary artery (RCA). The LAD was found to take a route to the left in a retroaortic fashion (dorsal) before assuming its usual position in the anterior interventricular groove. It had a proximal 70% atheromatous stenosis. The RCA traversed the atrioventricular groove giving rise to a posterior descending branch a...
Source: Heart, Lung & Circulation - November 18, 2009 Category: Cardiology Authors: Richard Y.J. Chan, Brendan Gunalingam Tags: Images Source Type: journals

CT Coronary Angiography to Guide Intervention for Acute Myocardial Ischaemia in a Patient with an Anomalous Single Coronary Ostiumemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A 56-year-old man presented with 48h of crescendo angina pectoris and labile ECG changes with transient lateral ST elevation and deep anterior/inferior ST depression. Primary PCI was unsuccessful as non-selective cusp injections could not identify the left and right coronary ostia. On-table echocardiography revealed a dilated aortic root suggesting an acute aortic dissection. An urgent 64-slice multi-detector row CT (MDCT) gated scan of the thoracic aorta and coronary arteries showed a single coronary ostium arising higher and more anterior above the sinotubular ridge. Originating from the ostium were two vessels: a small ...
Source: Heart, Lung & Circulation - November 18, 2009 Category: Cardiology Authors: W.Y. Wandy Chan, Dougal R. McClean, John M. Elliott, Sharyn MacDonald Tags: Images Source Type: journals

Congenital Left Atrial Appendage Aneurysm: A Case Report and Brief Review of Literatureemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A 28-year-old woman with congenital aneurysm of the left atrial appendage was successfully treated by aneurysmectomy and is reported for its rarity. The exact diagnosis is relatively easy to make by contrast echocardiography, magnetic resonance imaging, and/or computerised tomographic angiography, provided the possibility is entertained. Because of supraventricular arrhythmias and systemic thromboembolism, surgical resection was deemed the best curative option to avoid further episodes and recurrence. Published reports detailing the diagnostic evaluation and surgical management for congenital left atrial appendage aneurysm...
Source: Heart, Lung & Circulation - November 18, 2009 Category: Cardiology Authors: Ujjwal K. Chowdhury, Sandeep Seth, Raghu Govindappa, Priya Jagia, Poonam Malhotra Tags: Case Reports Source Type: journals

Early Experience with a Simplified Technique for Transcatheter Closure of the Patent Foramen Ovaleemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We describe the development of a simplified technique for PFO closure, further to modification of our earlier approaches.Methods: Early in our experience, LA angiography and/or balloon sizing of the PFO was routine prior to device closure. Subsequently, the simplified technique described herein became our standard approach. We reviewed immediate and medium term results in 27 consecutive patients who underwent closure in a 24-month time frame.Results: All procedures used general anaesthesia, TEE guidance and CardioSEAL septal occluder. Device delivery was successful in all patients. The median fluoroscopy time was significa...
Source: Heart, Lung & Circulation - November 18, 2009 Category: Cardiology Authors: Shelby Kutty, David G. Nykanen, Evan M. Zahn Tags: Original Articles Source Type: journals

Impact of distal embolization on myocardial perfusion and survival among patients undergoing primary angioplasty with glycoprotein IIb–IIIa inhibitors: insights from the EGYPT cooperationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study showed among STEMI patients treated with Gp IIb–IIIa inhibitors, that distal embolization is independently associated with impaired myocardial perfusion and survival. Content Type Journal ArticleDOI 10.1007/s11239-009-0419-yAuthors Giuseppe De Luca, “Maggiore della Carità” Hospital, Eastern Piedmont University Division of Cardiology Novara ItalyC. Michael Gibson, Brigham & Women’s Hospital TIMI Study Group, Cardiovascular Division Boston MA USAFrancesco Bellandi, Prato Hospital Division of Cardiology Prato ItalyMarko Noc, University Medical Center Center for Intensive Internal Medicine Ljubljana S...
Source: Journal of Thrombosis and Thrombolysis - November 18, 2009 Category: Hematology Tags: Journal of Thrombosis and Thrombolysis Source Type: journals

Prospective helical acquisition for coronary CT angiographyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Content Type Journal ArticleCategory Editorial CommentDOI 10.1007/s10554-009-9530-6Authors Marc Dewey, Freie Universität, Humboldt-Universität zu Berlin Department of Radiology, Charité, Medical School Berlin Germany Journal The International Journal of Cardiovascular Imaging (formerly Cardiac Imaging)Online ISSN 1573-0743Print ISSN 1569-5794 (Source: The International Journal of Cardiovascular Imaging)
Source: The International Journal of Cardiovascular Imaging - November 18, 2009 Category: Radiology Tags: The International Journal of Cardiovascular Imaging (formerly Cardiac Imaging) Source Type: journals

Treatment of intracranial atherosclerotic arterial stenoses with a balloon-expandable cobalt chromium stent (Coroflex Blue): procedural safety, efficacy, and midterm patencyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  The Coroflex Blue stent is easily inserted and safely deployed into intracranial arteries. The incidence of recurrent stenoses remains a concern. Stringent angiographic and clinical follow-up and retreatment are therefore mandatory. Content Type Journal ArticleCategory Interventional NeuroradiologyDOI 10.1007/s00234-009-0615-7Authors Zsolt Vajda, Katharinenhospital—Klinikum Stuttgart Klinik für Neuroradiologie Kriegsbergstrasse 60 70174 Stuttgart GermanyElina Miloslavski, Katharinenhospital—Klinikum Stuttgart Klinik für Neuroradiologie Kriegsbergstrasse 60 70174 Stuttgart GermanyThomas...
Source: Neuroradiology - November 18, 2009 Category: Radiology Tags: Neuroradiology Source Type: journals

Endovascular treatment of largely thrombosed saccular aneurysms: follow-up results in ten patientsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  In a series of ten patients with largely thrombosed aneurysms, this study showed that endovascular treatment of the aneurysms was a safe procedure with a 30% rate of midterm recanalization. These results will provide preliminary information and a meaningful basis for further study on treatment outcomes of this specific subgroup of patients. Content Type Journal ArticleCategory Interventional NeuroradiologyDOI 10.1007/s00234-009-0622-8Authors Young Dae Cho, Seoul National University College of Medicine Department of Radiology 28 Yongon-dong, Jongno-gu Seoul South Korea 110-744Jung Cheol Par...
Source: Neuroradiology - November 18, 2009 Category: Radiology Tags: Neuroradiology Source Type: journals

Remission of extensive intrahepatic metastasis by C-arm computed tomography guided chemoembolization in uveal melanomaemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
As soon as uveal melanoma has metastasized to the liver, response rates to systemic chemotherapy are low. It can be improved by development of special locoregional procedures. A 24-year-old woman suffered from inoperable hepatic metastases which grew to life-endangering size despite both systemic chemotherapy with gemc-itabine/treosulfan and conventional intrahepatic chemoembolization with fotemustine and starch particles. We subsequently performed two angiographic C-arm CT-guided, superselective chemoembolizations of the hepatic arteries feeding the tumor, using cisplatin, starch microspheres and ethiodized oil. Following...
Source: JDDG - November 18, 2009 Category: Dermatology Authors: Cord Sunderkötter, Mareike Eickelmann, Michael Köhler, Alexander Schmittel, Frank K. Wacker Source Type: journals

Non-saccular aneurysms of the supraclinoid internal carotid artery trunk causing subarachnoid hemorrhage: acute surgical treatments and review of literaturesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study was conducted to clarify the clinical features of NSAs and the results of early bypass and trapping. Nineteen ruptured NSAs were identified in 937 patients with subarachnoid hemorrhage (SAH). The principal treatment was to trap the aneurysm following bypass surgery as soon as possible after SAH onset. Angiography revealed nine BBAs and ten DAs. Eight patients (four BBA and four DA) were treated in the chronic stage because of delayed arrival (n = 3) or lack of aneurysm on initial angiography (n = 3), or other reasons (n = 2). The remaining 11 patients underwent early surgery using trapping after ...
Source: Urosurgical Review - November 17, 2009 Category: Urology & Nephrology Tags: Neurosurgical Review Source Type: journals

Long-term follow-up after minimal invasive direct coronary artery bypass grafting procedure: a multi-factorial retrospective analysis at 1000 patient-years [Institutional report - Cardiac general]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
We provide a multi-factorial long-term follow-up following minimal invasive direct coronary artery bypass grafting (MIDCABG) to evaluate the long-term efficacy. From 1996 onwards, 390 patients underwent MIDCABG (follow-up: 30.0±11.2 months). We analyzed peri-operative and postoperative complications (<30 days) and we obtained early and late angiography. Cumulative follow-up was 1000 patient-years. Early postoperative mortality was 0.8% and myocardial infarction occurred in 1.3% of all patients. Early postoperative angiography (<30 days) was obtained in 238 patients (66.3%) and revealed patency i...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Kofidis, T., Emmert, M. Y., Paeschke, H. G., Emmert, L. S., Zhang, R., Haverich, A. Tags: Institutional report - Cardiac general Source Type: journals

Graft fixation with a side graft holder for sequential and composite graft anastomosis in coronary artery bypass surgery [Work in progress report - Coronary]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
The purpose of this study was to assess the feasibility and effectiveness of graft fixation with a novel side graft holder for sequential or composite graft anastomosis in coronary artery bypass grafting (CABG). Records of 34 patients who underwent CABG using sequential or composite graft anastomosis technique were reviewed. The device was used on 47 anastomoses (sequential=43; composite graft=4). Excellent fixation and visualization of the graft was obtained in all patients without graft injury. Postoperative angiographic patency rate of distal anastomoses was 95.2% (arterial, 91.2%; venous, 96.7%). All sequential and com...
Source: Interactive CardioVascular and Thoracic Surgery - November 17, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Shimamura, Y., Hayashi, I. Tags: Work in progress report - Coronary Source Type: journals

Prospective and Retrospective ECG Gating for Thoracic CT Angiography: A Comparative Studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This comparative study makes the case for prospective, over retrospective, ECG-gated thoracic CT angiography when indicated. American Journal of Roentgenology (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 17, 2009 Category: Consumer Health News Tags: Radiology Source Type: news

Diagnostic performance and partition values of exercise electrocardiographic variables in the detection of coronary artery disease – improved accuracy by using ST/HR hysteresisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study compares the measurements of ST-segment changes during exercise and during early postexercise recovery in terms of diagnostic discrimination capacity and optimal partition values. Data from 1876 patients undergoing a routine bicycle exercise test were analysed. CAD was angiographically verified in 668 patients, and excluded by angiography (n = 119), myocardial scintigraphy (n = 250), and on clinical grounds (n = 839) in 1208 patients. Postexercise ST/HR hysteresis was calculated as normalized for heart rate (HR) ST/HR loop area during the first 3 min of recovery. ST/HR index was obtained by dividing the overall ...
Source: Clinical Physiology and Functional Imaging - November 17, 2009 Category: Radiology Authors: Håkan Kronander, Werner Fischer-Colbrie, Jacek Nowak, Lars-Åke Brodin, Håkan Elmqvist Source Type: journals

Early transfer for angiography after fibrinolysis reduced ischemic events in patients with STEMI.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Authors: PMID: 19920262 [PubMed - as supplied by publisher] (Source: Annals of Internal Medicine)
Source: Annals of Internal Medicine - November 17, 2009 Category: Internal Medicine Tags: Ann Intern Med Source Type: journals

AHA: Radial bests femoral access for coronary angio; easy switch for cardsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
A single-center real-world population trial, presented Saturday at the late breaking clinical science session at the 2009 American Heart Association conference, comparing the radial access with femoral access has demonstrated the safety and efficacy of PCI with radial access for coronary angiography. Also, the RAPTOR researchers noted that experienced invasive cardiologists can “easily and rapidly shift their practice towards radial access.” (Source: Cardiovascular Business News)
Source: Cardiovascular Business News - November 16, 2009 Category: Cardiology Tags: Latest News Source Type: news

A Randomized Comparison of Transradial Versus Transfemoral Approach for Coronary Angiography and Angioplastyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions The findings of the present study show that transradial coronary angiography and angioplasty are safe, feasible, and effective with similar results to those of the transfemoral approach. However, procedural duration and radiation exposure are higher using the transradial access. In contrast to the transfemoral route, the rate of major vascular complications was negligible using the transradial approach. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - November 16, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Brueck, M., Bandorski, D., Kramer, W., Wieczorek, M., Holtgen, R., Tillmanns, H. Tags: Clinical Research Source Type: journals

Vascular Dysfunction of Brachial Artery After Transradial Access for Coronary Catheterization: Impact of Smoking and Catheter Changesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions Transradial catheterization not only leads to dysfunction of the RA but also the upstream BA, which is more severe and sustained in smokers and with increasing numbers of catheters. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - November 16, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Heiss, C., Balzer, J., Hauffe, T., Hamada, S., Stegemann, E., Koeppel, T., Merx, M. W., Rassaf, T., Kelm, M., Lauer, T. Tags: Mini-Focus Issue: Transradial Approach Source Type: journals

Long-Term Risk of Adverse Outcomes and New Malignancies in Patients Treated With Oral Sirolimus for Prevention of Restenosisemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions The benefit in the reduced need for repeat intervention observed at 1 year with high-dose oral sirolimus therapy was attenuated over 4 years. Moreover, this regimen was associated with numerical yet not a significant increase in newly diagnosed malignancies without augmenting the malignancy-induced risk of death. (Oral Sirolimus for In-Stent Restenosis [OSIRUS] trial; NCT00859183) (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - November 16, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Kufner, S., Hausleiter, J., Ndrepepa, G., Schulz, S., Bruskina, O., Byrne, R. A., Fusaro, M., Kastrati, A., Schomig, A., Mehilli, J., for the OSIRIS Trial Investigators Tags: Clinical Research Source Type: journals

No Association of Chromosome 9p21.3 Variation With Clinical and Angiographic Outcomes After Placement of Drug-Eluting Stentsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions Specific polymorphisms in the chromosome 9p21.3 region that were shown to be associated with coronary heart disease in genomewide analyses were not related to the clinical and angiographic outcomes after the placement of drug-eluting stents in coronary arteries. (Source: Journal of the American College of Cardiology: Cardiovascular Interventions)
Source: Journal of the American College of Cardiology: Cardiovascular Interventions - November 16, 2009 Category: Cardiovascular & Thoracic Surgery Authors: Hoppmann, P., Erl, A., Turk, S., Tiroch, K., Mehilli, J., Schomig, A., Kastrati, A., Koch, W. Tags: Clinical Research Source Type: journals

Impact of posterior communicating artery on basilar artery steno-occlusive diseaseemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions: Fetal-variant PcoA appears to act as a safeguard against ischaemic insult in acute stroke victims involving the brainstem with BA occlusive disease. This result can be explained by the fact that patients with fetal-variant PcoA have a smaller area of posterior circulation and a possibility of retrograde filling into the upper brainstem through the fetal-variant PcoA. (Source: Journal of Neurology, Neurosurgery & Psychiatry)
Source: Journal of Neurology, Neurosurgery & Psychiatry - November 16, 2009 Category: Neurosurgery Authors: Hong, J M, Choi, J Y, Lee, J H, Yong, S W, Bang, O Y, Joo, I S, Huh, K Tags: Stroke, Radiology, Radiology (diagnostics) Short reports Source Type: journals

Low-fluence-rate photodynamic therapy to treat subfoveal choroidal neovascularization in pathological myopia. A study of efficacy and safetyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  LFPDT is effective and safe for CNV secondary to PM treatment, stabilizing visual acuity and lesion size and determining only mild RPE changes. Further controlled studies are needed to demonstrate the long-term efficacy and safety of this treatment option. Content Type Journal ArticleCategory Retinal DisordersDOI 10.1007/s00417-009-1232-1Authors Gianluca Besozzi, University of Bari Department of Ophthalmology and ENT Piazza Giulio Cesare 11-70124 Bari ItalyLuigi Sborgia, University of Bari Department of Ophthalmology and ENT Piazza Giulio Cesare 11-70124 Bari ItalyClaudio Furino, Universit...
Source: Graefe's Archive for Clinical and Experimental Ophthalmology - November 16, 2009 Category: Opthalmology Tags: Graefe's Archive for Clinical and Experimental Ophthalmology Source Type: journals

Three-Dimensional Synchronized Multidirectional Renal Pyelo-Angiography: A New Imaging Concept to Facilitate Percutaneous Nephrolithotomy in Technically Challenging Casesemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Journal of Endourology , Vol. 0, No. 0. (Source: Journal of Endourology)
Source: Journal of Endourology - November 16, 2009 Category: Urology & Nephrology Tags: article Source Type: journals

Transient shivering during Wada test provides insight into human thermoregulationemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Discussion: Transient shivering during the Wada test is common. A transient but selective functional lesion of the anterior hypothalamus produced by the effects of sodium amobarbital may result in disinhibition of the posterior hypothalamus and other brainstem thermoregulatory centers, thereby inducing transient shivering. (Source: Epilepsia)
Source: Epilepsia - November 16, 2009 Category: Neurology Authors: Aashit K. Shah, Marie D. Atkinson, Preeti Gupta, Imad Zak, Craig E. Watson, Robert Rothermel, Eishi Asano, Darren Fuerst Source Type: journals

Influence of coronary artery disease assessment and treatment in the incidence of cardiac events in renal transplant recipientsemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion: Asymptomatic patients with normal myocardial scans had a better cardiac prognosis than did patients with or without CAD and positive for myocardial ischemia. Patients with altered scan and CAD had the poorer outcome. Guideline-oriented medical treatment is safe and yields results comparable to coronary intervention in renal transplant patients with CAD. The data do not support pre-emptive myocardial revascularization for renal transplant candidates. (Source: Clinical Transplantation)
Source: Clinical Transplantation - November 16, 2009 Category: Transplant Surgery Authors: José J.G. De Lima, Luis H.W. Gowdak, Flavio J. de Paula, Rodolfo L. Arantes, Luis E. Ianhez, Jose A.F. Ramires, Eduardo M. Krieger Source Type: journals

Validation of Magnetic Resonance Myocardial Perfusion Imaging With Fractional Flow Reserve for the Detection of Significant Coronary Heart Disease.email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion-MRMPI can detect functionally significant coronary heart disease with excellent sensitivity, specificity, and positive and negative predictive values compared with FFR. PMID: 19917885 [PubMed - as supplied by publisher] (Source: Circulation)
Source: Circulation - November 16, 2009 Category: Cardiology Authors: Watkins S, McGeoch R, Lyne J, Steedman T, Good R, McLaughlin MJ, Cunningham T, Bezlyak V, Ford I, Dargie HJ, Oldroyd KG Tags: Circulation Source Type: journals

A mini pig model for visualization of perforator flap by using angiography and MIMICSemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusions  3D modeling in combination with traditional sectional imaging of the pig model enables blood vessels to be displayed more dynamically with greater realism. The procedure described could be useful for future flap research, by offering a better visualization of the vascular structure of the skin flap, allowing for better anatomical understanding. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00276-009-0588-6Authors Jin Mei, Wenzhou Medical College Department of Anatomy University-town 325035 Wenzhou Zhejiang ChinaZhiXun Yin, First Affiliated Hospital of Guangzhou Medical ...
Source: Surgical and Radiologic Anatomy - November 14, 2009 Category: Anatomy Tags: Surgical and Radiologic Anatomy Source Type: journals

Looking for the Ideal Particle: An Experimental Embolization Studyemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
This study sought to compare the most frequently used embolic particles in an animal model. In 16 New Zealand white rabbits, right renal arteries were embolized using four different embolic particles (polyvinyl alcohol [PVA] particles, 150–250 μm; PVA microspheres [PVAMs], 150–300 μm; Tris-acryl gelatin microspheres [TGMs], 100–300 μm; expanding microspheres [EXMs], 50–100 μm). Quantity of embolic material used, embolization time, and angiographic patterns were documented. Fourteen days later, a control angiography was done to document angiographic recanalization and all animals were sac...
Source: CardioVascular and Interventional Radiology - November 14, 2009 Category: Radiology Tags: CardioVascular and Interventional Radiology Source Type: journals

Prospectively gated axial CT coronary angiography: comparison of image quality and effective radiation dose between 64- and 256-slice CTemail this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
Conclusion  Prospectively gated axial CT coronary angiography performed on 256-slice CT provides significantly improved and more stable image quality at an equivalent effective radiation dose compared with 64-slice CT. Content Type Journal ArticleCategory CardiacDOI 10.1007/s00330-009-1652-7Authors Oliver Klass, University Hospital of Ulm Department of Diagnostic and Interventional Radiology Steinhövelstr. 9 89075 Ulm GermanyMatthew Walker, CT Clinical Science Philips Healthcare Cleveland OH USAAnne Siebach, University Hospital of Ulm Department of Diagnostic and Interventional Radiology Steinhövelstr...
Source: European Radiology - November 14, 2009 Category: Radiology Tags: European Radiology Source Type: journals

The Anatomic Variations of the Circle of Willis in Preterm-at-Term and Term-Born Infants: An MR Angiography Study at 3T [PEDIATRICS]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Prematurity is associated with more complete CoWs and fewer anatomic variations. In vascular-related abnormalities, more variations involved major arterial segments, but fewer variations occurred in the communicating arteries. Overall reference values of the variations match those of the general adult population. (Source: American Journal of Neuroradiology)
Source: American Journal of Neuroradiology - November 13, 2009 Category: Radiology Authors: Malamateniou, C., Adams, M.E., Srinivasan, L., Allsop, J.M., Counsell, S.J., Cowan, F.M., Hajnal, J.V., Rutherford, M.A. Tags: PEDIATRICS Source Type: journals

Long-Term Follow-Up of 1036 Cerebral Aneurysms Treated by Bare Coils: A Multicentric Cohort Treated between 1998 and 2003 [INTERVENTIONAL]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: Long-term follow-up of cerebral aneurysms is necessary to depict recanalization. Only 7% of the aneurysms were retreated. Use of bare coils gives a good long-term level of occlusion. (Source: American Journal of Neuroradiology)
Source: American Journal of Neuroradiology - November 13, 2009 Category: Radiology Authors: Gallas, S., Januel, A.C., Pasco, A., Drouineau, J., Gabrillargues, J., Gaston, A., Cognard, C., Herbreteau, D. Tags: INTERVENTIONAL Source Type: journals

Carotid Artery Stents: In Vitro Comparison of Different Stent Designs and Sizes Using CT Angiography and Contrast-Enhanced MR Angiography at 1.5T and 3T [INTERVENTIONAL]email this articleEmail this article to a colleague. save this article to My ClippingsSave this article to My Clippings. discuss this articleDiscuss or comment on this article.
CONCLUSIONS: CTA and CE-MRA evaluation of vessel patency after stent placement is possible but is considerably impaired by ALN. Investigators should be informed about the method of choice for every stent. Stent manufacturers should be aware of potential artifacts caused by their stents during noninvasive diagnostic methods such as CTA and CE-MRA. (Source: American Journal of Neuroradiology)
Source: American Journal of Neuroradiology - November 13, 2009 Category: Radiology Authors: Lettau, M., Sauer, A., Heiland, S., Rohde, S., Bendszus, M., Hahnel, S. Tags: INTERVENTIONAL Source Type: journals