Publications by authors named "Miroslaw Dziekiewicz"

This article presents a novel multiple organ localization and tracking technique applied to spleen and kidney regions in computed tomography images. The proposed solution is based on a unique approach to classify regions in different spatial projections (e.g.

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BACKGROUND Leiomyosarcoma is a common tumor found in soft tissue. In relation to the vascular system, leiomyosarcoma appears as the most common malignancy characterized by poor prognosis. Leiomyosarcomas of the leg large vessels often occur late, and their appearance can imitate vein thrombosis with symptoms such as soft tissue swelling or mild pain, and can be misdiagnosed.

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Article Synopsis
  • Traumatic rupture of the ascending aorta has a low survival rate of 15-20%, and while open surgical repair is standard, it poses high risks, especially for patients with other injuries.
  • A case study describes a 61-year-old man with significant medical history who avoided open surgery due to his conditions and instead underwent a minimally invasive coil pseudoaneurysm procedure, leading to faster recovery.
  • The case highlights the potential effectiveness of endovascular techniques as a safer alternative, emphasizing the importance of good communication between surgeons and patients regarding treatment options.
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BACKGROUND Traumatic injury of the thoracic aorta is proving to be not only the most lethal of traumatic injuries, but also the most urgent reason for vascular intervention among all trauma patients. Endovascular aortic repair is used increasingly often to treat traumatic injuries. We report a case of endovascular treatment and its use as a delayed correction (two-stage treatment) for a traumatic aortic isthmus rupture.

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The article presents an innovative method of 3D computer tomography (CT) image reconstruction of kidney. Diagnosis based on CT scanning allows to obtain projections of multi-dimensional object, made from different directions in order to create cross-sectional (2D) slices. Standard techniques for identifying kidneys in CT images analyze each 2D slice separately.

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BACKGROUND The use of an intra-aortic balloon pump (IABP) in patients with advanced heart failure can provide interim mechanical support as a bridge to further treatment, including cardiac transplantation. The femoral artery, axillary artery, and subclavian artery are the main approaches to IABP catheter placement. A case is reported of the use of a left external iliac artery approach to IABP catheter placement using a subcutaneous channel in a patient with chronic heart failure.

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Background: Absence of the inferior vena cava is a rare vascular anomaly, which usually remains asymptomatic in childhood. It is recognized as the risk factor for deep venous thrombosis, since the collateral circulation does not provide adequate drainage of the lower limbs. Mycoplasma pneumoniae is a common cause of community-acquired pneumonia in school-aged children and adolescents.

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Objective: The investigation is aimed at the development of a semiautomatic method of examining the femoral and iliac arteries, and quantifying atherosclerotic plaques visible in the multislice computed tomography images.

Methods: We have utilized the advanced morphology and segmentation methods for processing of a series of the images. In particular, a novel sorted pixel intensity approach to segment the artery into the lumen/plaque regions has been used, and effectively combined with the Gaussian mixture modeling to increase the accuracy of the segmentation.

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Introduction: Lymphorrhea due to classical and mini-invasive surgical interventions on femoral and popliteal arteries is a serious hindrance to patient treatment. Depending on the experience of a particular center, the incidence and frequency of this type of complication may constitute a serious clinical problem. While the level of lymphorrhea intensity and its duration result in certain foreseeable consequences, their treatment can be a time-consuming and multistep procedure.

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Introduction: There are clear benefits of percutaneous versus open femoral access for endovascular aortic pathology repair. All closing devices commercially available are expensive. Surgical closure of the femoral artery risks potential prolonged wound healing and as a consequence longer hospital stay.

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Unlabelled: The study presented an approach to the morphometric image of atherosclerotic lesions of the final segment of the abdominal aorta, femoral and iliac arteries, considering possible endovascular intervention. The evaluation of these arteries is very important, because they are often used as a point of access for endovascular procedures performed on the peripheral arteries, or within the thoracic and abdominal aorta and its branches, as well as coronary arteries. The aim of the study was to determine morphometric measurements describing the atherosclerotic lesions, including the methodology of their surgical interpretation.

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Endovascular aneurysm repair (EVAR) has been accepted as an alternative to traditional open surgery in selected patients. Now it is a widely accepted standard. In case of contraindications for open repair, after accomplishing including criteria for EVAR, the patient can be treated by this method.

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Acute thoracic aorta dissection is one the most dangerous pathology of aorta. If left untreated, is associated with high mortality. Early diagnosis and proper treatment improves outcomes.

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Background: Transcatheter aortic valve implantation (TAVI) is a new method for the treatment of aortic stenosis (AS).

Aim: To evaluate early results of TAVI using transfemoral/transsubclavian approach (TFA/TSA) or transapical approach (TAA) in patients with severe AS and high risk for surgical aortic valve replacement.

Methods: Between January 2009 and May 2010, 30 high-risk patients underwent TAVI.

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This report describes the use of continuous peritoneal dialysis (PD) as an alternative to hemodialysis (HD) in a patient with type 2 cardiorenal syndrome in the course of congestive heart failure resistant to standard pharmacological treatment. A 39-year-old man presented with a 24-year history of progressive heart failure. Ineligibility for heart transplant and previous inefficient treatment with different modifications of HD reduced his treatment options to PD.

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Pancreatic trauma is a big diagnostic and therapeutic challenge for physicians. Because of retroperitoneal localization pancreas is protected from damages. Isolated pancreatic injury is rare.

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Bowel atherosclerotic ischemia is one of the type of clinical presentation of this general inflammatory arterial disease. In this article was depicted a case of 58-year-old female with clinical presentation of chronic bowel ischemia, e.g.

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Peritoneal dialysis is one of three, complementary methods of renal replacement therapy, including also hemodialysis and kidney transplantation. After qualification for peritoneal dialysis program special attention should be paid for creation proper dialysis access through correct implantation of peritoneal catheter. On the basis of three cases we present difficulties of Tenckhoff peritoneal catheter implantation in patients with massive peritoneal adhesions without previous surgical interventions and other risk factors for peritoneal adhesions.

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Aim Of The Study: We present own experiences in creation and/or reconstruction of vascular access for hemodialysis.

Material And Methods: 91 pts (63 men, 28 female) aged 18 to 89 years, with irreversible renal failure qualified for renal replacement therapy, 47% of them with diabetic nephropathy. In years 1996-2006, 167 surgical procedures of creation or reconstruction of vascular access for hemodialysis were performed.

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Mastectomy with axillary lymph node dissection remains the routine surgical treatment of breast cancer in Poland. Lymph edema of the upper extremity is one of the major long-term complications of axillary dissection. Axillary lymph node status is the most valuable prognostic indicator and decision factor on adjuvant chemotherapy or radiotherapy for breast cancer patients.

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