Nasopharyngeal angiofibroma. surgical approach using a transoral Le Fort I osteotomy following embolization: a case report.

Nasopharyngeal angiofibroma (NA) is a rare vascular benign nonencapsulated neoplasm, characterized by local aggressiveness and destructive potential, typically diagnosed in adolescent males. We report a case of NA affecting a 15-year-old male that presented with a persistent nasal obstruction and epistaxis with 1 year of evolution. Clinical and radiological patterns pointed out a differential diagnosis of NA.

The second-generation aortic connector: six months' angiographic follow-up.

Purpose: Recently, new mechanical anastomotic devices have been developed. Initial results appear to be equivalent to those obtained with suture. The aim of the study was to evaluate the 6-month angiographic patency and clinical results with the St.

Evaluation of a novel 2 mm internal diameter stainless steel saphenous vein to coronary artery connector: laboratory studies of on-pump and off-pump revascularization.

Objective: A second generation, 'easy-load', 2 mm internal diameter (ID), stainless steel, distal anastomotic device has been developed, and design improvements facilitate rapid connector loading with minimal magnification. The reduced size should allow application to most distal coronary vessels currently grafted. This technology may be useful in off-pump and minimally invasive surgical approaches to coronary revascularization.

Two generations of the St. Jude Medical ATG coronary connector systems for coronary artery anastomoses in coronary artery bypass grafting.

Background: In the past, coronary anastomoses have been performed using running and, occasionally, interrupted non-resorbable sutures. Recently, special interest has developed in mechanical anastomotic devices to facilitate minimal invasive techniques or limited access surgery. The experience with two series of patients undergoing coronary artery bypass grafting (CABG) using the St.

Gene transfer to coronary artery bypass conduits.

Background: Gene therapy is a rational approach to prevention of stenosis in saphenous vein grafts used as conduits for coronary artery bypass grafting. To explore this possibility we developed methods for adenoviral-mediated gene transfer to canine saphenous veins.

Methods: During a single procedure, autogenous canine saphenous vein segments were transduced ex vivo and used as coronary artery bypass grafts.

First clinical results with a new mechanical connector for distal coronary artery anastomoses in CABG.

Background: Coronary anastomoses are currently primarily carried out with the use of running nonabsorbable sutures. Recently, a renewed interest has developed for facilitated mechanical anastomotic devices especially for minimal invasive techniques or limited access surgery. The initial experience with the first successful creation of mechanical vein-to-coronary artery anastomoses in humans is reported.

The St Jude Medical symmetry aortic connector system for proximal vein graft anastomoses in coronary artery bypass grafting.

Objectives: A new device designed to create proximal vein graft anastomoses to the aorta in coronary artery bypass grafting was recently developed by the St Jude Medical Anastomotic Technology Group (Minneapolis, Minn). This new anastomosis system consists of a nickel-titanium (nitinol) connector, an aortic cutter, and a delivery device.

Methods: The loading of the vein on the aortic connector and its delivery to the aorta are described.

An experimental model of saphenous vein-to-coronary artery anastomosis with the St. Jude Medical stainless steel connector.

Background: A new stainless steel anastomosis device developed by St. Jude Medical Cardiovascular Group was studied in a canine model.

Methods: In 12 dogs, coronary saphenous vein grafts were made to the left anterior descending coronary artery and to the circumflex coronary artery; one anastomosis was completed with the St.

New Approaches for Vascular Anastomoses.

Increasing interest in minimally invasive cardiac surgical procedures has generated a renewed interest in facilitated methods to create vascular anastomosis. These devices, in order to be viable, must perform equally or better than sutures. An extensive review of the literature was performed on the different ways to create a mechanical vascular anastomosis.