Minimally Invasive Repair of Left Subclavian Artery Aneurysm.

A 79 year-old gentleman with a history of trauma resulting in paraplegia was being evaluated for vascular access for hemodialysis. Cardiac catheterization revealed a large, asymptomatic left subclavian artery aneurysm. The patient was taken to the hybrid vascular intervention suite.

Brachytherapy for renal artery in-stent restenosis.

We describe a 66-year-old female who presented with recurrent acute pulmonary edema and uncontrolled hypertension. She was diagnosed with left renal artery stenosis and treated with angioplasty and stent placement. Her clinical status improved initially but symptoms recurred within 4 months.

Comparison of two transdermal nitroglycerin systems.

In a study conducted by office-based cardiologists at eight sites, 115 patients using transdermal nitroglycerin for treatment of angina pectoris participated in a four-week comparison of two transdermal nitroglycerin patches: Transderm-Nitro (TDN) and Nitro-Dur II (ND II). Patients wore two patches, one of each brand, each with half their normal prescribed daily dose of 10 mg (release rate per 24 hours) to compare patch adherence properties, patient preference, and local side effects. More ND II than TDN patches fell off (5% versus 0.

Electrocardiographic changes in concussion.

A patient is described in whom electrocardiographic changes simulating acute nontransmural myocardial infarction occurred in association with head trauma. Despite extensive noninvasive investigation, including computerized axial tomography and myocardial scanning, no acute structural central nervous system or cardiac abnormality could be detected. A review of the literature failed to reveal a similar case of these electrocardiographic changes occurring in the absence of organic brain or cardiac pathology.