Iliac occlusion due to covered stent deformation following abdominal massages.

Extrinsic compression is a potential cause of stent failure. We have described the case of a 65-year-old paraplegic patient with acute right leg ischemia. His medical history was relevant for aortobifemoral bypass, followed by kissing covered stent reconstruction of a proximal anastomotic false aneurysm.

Effect of implantation site on outcome of tissue-engineered vascular grafts.

Objective: Vascular prostheses for small caliber bypass grafts in cardiac and vascular diseases or for access surgery are still missing. Poly (Ɛ-caprolactone) (PCL) has been previously investigated by our group and showed good biocompatibility and mechanical properties in vitro and rapid endothelialisation, cellular infiltration and vascularisation in vivo yielding optimal patency in the abdominal aortic position. The aim of the present study is to evaluate our PCL graft in the carotid position and to compare its outcome to the grafts implanted in the abdominal aortic position.

Listeria monocytogenes infectious periaortitis: a case report from the infectious disease standpoint.

Background: Endograft infection is a rare but extremely dangerous complication of aortic repair (25-100% of mortality). We describe here the first case of Listeria monocytogenes abdominal periaortitis associated with a vascular graft. We also discuss the differential diagnosis of periaortitis and provide a literature review of L.

External Iliac Artery Endofibrosis in a Female Cyclist: A Case Report.

External iliac artery endofibrosis is a rare disease described mainly in male endurance athletes. It presents as claudication of the lower limb during near-maximum effort. The patients lack the usual risk factors for atherosclerosis, which makes diagnosis challenging.

Design of discrete and continuous super-resolving Toraldo pupils in the microwave range.

The concept of super-resolution refers to various methods for improving the angular resolution of an optical imaging system beyond the classical diffraction limit. In optical microscopy, several techniques have been successfully developed with the aim of narrowing the central lobe of the illumination point spread function. In astronomy, however, no similar techniques can be used.

Veno-arterial extracorporeal membrane oxygenation: an overview of different cannulation techniques.

Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) has known a widespread application over the last decade and is now an effective and valuable therapeutic option in refractory cardiogenic shock of various etiologies. In this subgroup of critically ill and unstable patients in cardiogenic shock, VA-ECMO allows, on the one hand, temporary hemodynamic stabilization with improvement of end-organ function and, on the other hand, gives the time to perform complementary diagnostic exams and to decide the therapeutic strategy in these high-risk candidates for immediate long-term mechanical circulatory support (MCS) implantation. VA-ECMO could also be suggested as a rescue therapeutic option for refractory cardiac arrest.

Endovascular exclusion of aortoesophageal fistula after coarctation extraanatomical bypass.

Extraanatomical bypass has been advocated as the primary technique in adolescents or adults presenting with aortic coarctation. This approach carries significant morbidity, and graft-related complications may be more important in the young patient population. A 52-year-old man who had previously undergone extraanatomical bypass of aortic coarctation was diagnosed with a distal anastomotic pseudoaneurysm and aortoesophageal fistula.

Ascending aorto-superior mesenteric artery bypass as a surgical option for revascularization in mesenteric ischemia associated with type B aortic dissection.

We report the case of an acute ischemia of the superior mesenteric artery (SMA) after endovascular fenestration of a complicated acute type B aortic dissection. An initial attempt for endovascular revascularization of the SMA failed, and an ascending aorto-superior mesenteric artery bypass was urgently performed to salvage the small bowel. Surgery of patients in these specific settings is more complex because an adequate, more distal inflow vessel is often not present due to the dissected aorta and iliac arteries.

Porcine carotid artery replacement with biodegradable electrospun poly-e-caprolactone vascular prosthesis.

Objective: There is a continuous search for shelf-ready small-caliber vascular prostheses with satisfactory early and late results. Biodegradable scaffolds, repopulated by recipient's cells regenerating a neovessel, can be a suitable option for adult and pediatric, urgent and elective cardiovascular procedures.

Methods: This was a short-term experimental assessment of a new biodegradable vascular prosthesis for arterial replacement in the pig.

Impact of anesthesia technique on the incidence of major complications after open aortic abdominal surgery: a cohort study.

Study Objective: To determine the risk factors of perioperative complications and the impact of intrathecal morphine (ITM) in major vascular surgery.

Design: Retrospective analysis of a prospective cohort.

Settings: Operating room, intensive care unit, and Postanesthesia Care Unit of a university hospital.

Experimental noninferiority trial of synthetic small-caliber biodegradable versus stable vascular grafts.

Objective: Long-term evolution of polycaprolactone vascular prostheses has been investigated recently. The goal of this study was to evidence a noninferiority of such grafts compared with expanded polytetrafluoroethylene (ePTFE) implants in an aortic replacement model in the rat.

Methods: Fourteen anesthetized Sprague-Dawley rats received an infrarenal aortic graft (biodegradable, n = 8; expanded polytetrafluoroethylene, n = 6) replacement (end to end; inner diameter, 2 mm).

Popliteal artery entrapment syndrome: report of two cases.

Popliteal artery entrapment syndrome accounts for an important part of correctible causes of claudication and limb ischemia in young people. It is caused by an abnormal relation between the popliteal artery (PA) and the medial head of the gastrocnemius muscle. The diagnosis should be considered in any patient under 50 with calf claudication.

Diagnosis of and treatment for symptomatic carotid stenosis: an updated review.

Carotid stenoses of ≥50% account for about 15-20% of strokes. Their degree may be moderate (50-69%) or severe (70-99%). Current diagnostic methods include ultrasound, MR- or CT-angiography.

Long term performance of polycaprolactone vascular grafts in a rat abdominal aorta replacement model.

In the active field of vascular graft research, polycaprolactone is often used because of its good mechanical strength and its biocompatibility. It is easily processed into micro and nano-fibers by electrospinning to form a porous, cell-friendly scaffold. However, long term in vivo performance of polycaprolactone vascular grafts had yet to be investigated.

Hybrid treatment of an aortic arch aneurysm in a patient with a patent right and left internal mammary graft.

The aim of this report is to describe a known hybrid surgical and endovascular technique for aortic arch aneurysm repair in a special setting of a patient with previous coronary mammary bypass. We present a case of aortic arch aneurysm in a 66-year-old man with previous coronary bypass. He underwent a hybrid endovascular and surgical repair.

[Diabetic foot infection: a multidisciplinary approach].

Diabetic foot infection is a frequent, multifactorial and multifacettal disease. Its management requires an interdisciplinary collaboration. Multiple medical and surgical specialties are enrolled for its prevention and treatment, for good reasons.

Propagation of Bessel beams from a dielectric to a conducting medium.

Recently, the use of Bessel beams in evaluating the possibility of using them for a new generation of ground penetrating radar systems has been considered. Therefore, an analysis of the propagation of Bessel beams in conducting media is worthwhile. We present here an analysis of this type.

Isolated bilateral profunda femoris artery aneurysm.

Background: Isolated bilateral profunda femoris artery aneurysm (PFAA) is a very rare entity. Most of the cases are unilateral and occur with synchronous aneurysms elsewhere. Symptoms range from none to limb ischemia or hemorrhage because of rupture.

[N. Leonicenus interpretes of Galen on causa coniuncta].

The philosopher and physician Nicolò Leoniceno, one of the most important members of the Medical Humanism, in the N. Leoniceni in libros Galeni e Graeca in linguam Latinam a se translatos Praefatio communis (1508) discusses his emendation to Galens's Ars Medicinalis (28, 4 Boudon = I 381 Kühn, [see text]). In spite of the debatable conjecture, it is a significant effort to solve a serious contradiction in Galen's text.

Validation of a rat model of cardiopulmonary bypass with a new miniaturized hollow fiber oxygenator.

Cardiopulmonary bypass (CPB) is an essential component of cardiac surgery, with still unknown device/patient interactions. To evaluate the response of CPB to hemodynamic, biochemical, inflammatory, as well as thermo-pharmacodynamic interactions, a novel miniaturized oxygenator with controlled and standardized specifications has been developed together with an improved surgical central cannulation technique. A hollow-fiber small priming volume (6.

Role of interactive home telemedicine for early and protected discharge 1 day after carotid endarterectomy.

Our aim was to prove the feasibility and safety of a protocol for early and protected discharge 1 day after carotid endarterectomy (CEA) using a system of telemedicine (TMD) monitoring. Among 147 patients operated upon for 163 CEAs, we selected a group (A) of 36 patients fulfilling criteria for discharge 1 day after surgery. An electronic blood pressure manometer, a videophone, an antihypertensive drug (amlodipine), and a customer satisfaction questionnaire were given to every group A patient.

Microwave variable waveguide attenuator.

A new type of cutoff attenuator is presented. The attenuator works in the X-band in conditions of almost perfect matching. This means that the phase of the wave, which propagates inside the guide, does not suffer sensible variation in the passage between X- and K(u)-bands.

Superluminal X-wave propagation: energy localization and velocity.

The electromagnetic propagation of a Bessel-X wave is analyzed on the basis of a vectorial treatment in order to obtain information about the propagation of energy flux and the velocity of the energy. Knowledge of these quantities is of great interest since they are connected to the production of localized electromagnetic energy and to the topic of superluminality, respectively. The electric and magnetic fields are obtained in the far-field approximation by considering a realistic situation able to generate a Bessel-X wave.