Publications by authors named "M G R De Maeseneer"

Background: Inadvertent intra-arterial injection of sclerosants is an uncommon adverse event of both ultrasound-guided and direct vision sclerotherapy. This complication can result in significant tissue or limb loss and significant long-term morbidity.

Objectives: To provide recommendations for diagnosis and immediate management of an unintentional intra-arterial injection of sclerosing agents.

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Article Synopsis
  • CCTA and FFRCT show high accuracy in diagnosing coronary artery disease, matching the results of the invasive coronary angiography (ICA), which is considered the gold standard.
  • Differentiating between total and subtotal coronary occlusions is essential for deciding the best treatment, as subtotal occlusions can sometimes appear as total ones in ICA.
  • In a case report, CCTA indicated a subtotal occlusion with vulnerable tissue, while ICA suggested a total occlusion; this led to successful diagnosis and percutaneous coronary intervention (PCI) after using vasodilators to improve imaging.
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Article Synopsis
  • - A study examined 1492 outpatients with suspected coronary artery disease using computed tomography-derived fractional flow reserve analysis to understand how vessel morphology impacts results.
  • - Two case studies highlighted that despite similar vessel lengths and plaque volumes, significant differences in lumen volume and fractional flow reserve values were observed between the patients.
  • - The findings suggest that computed tomography-derived fractional flow reserve is influenced by factors beyond just vessel length and plaque characteristics, including lumen volume and overall vessel shape.
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Objectives: Computed tomography (CT)-derived fractional flow reserve (FFR) decreases continuously from proximal to distal segments of the vessel due to the influence of various factors even in non-obstructive coronary artery disease (NOCAD). It is known that FFR is dependent on vessel-length, but the relationship with other vessel morphologies remains to be explained.

Purpose: To investigate morphological aspects of the vessels that influence FFR in NOCAD in the right coronary artery (RCA).

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Fractional flow reserve derived from computed tomography decreases across severe coronary stenosis. The diagnostic accuracy of fractional flow reserve-derived computed tomography is high for severe coronary stenosis. In this report, we present a case of no significant fractional flow reserve-derived computed tomography changes even in severe coronary stenosis.

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