Subject(s)
Humans , Male , Adolescent , Inpatients , Physical Examination , Memory Disorders , Shock , Duodenal Ulcer , PediatricsABSTRACT
BACKGROUND: We present the use of intravascular lithotripsy as a treatment for highly calcified superior mesenteric artery stenosis. CASE PRESENTATION: A 67-year-old diabetic man had chronic postprandial abdominal pain and weight loss. Computed tomography angiography revealed highly calcified stenosis of the superior mesenteric artery. Selective angiography confirmed severe stenosis. A Shockwave lithotripsy balloon catheter was successfully used via brachial access to modify calcified plaque and increase vascular lumen. After 12 months of follow-up the patient had gained weight and had no abdominal postprandial pain. CONCLUSION: Intravascular lithotripsy could be considered a new treatment modality to modify calcified lesions in the visceral arteries. More controlled studies are needed to demonstrate the efficacy, safety and feasibility of this new technology. LEVEL OF EVIDENCE: 4, Case Report.
ABSTRACT
The Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), the Spanish Society of Tropical Medicine and International Health (SEMTSI), the Spanish Association of Surgeons (AEC), the Spanish Society of Pneumology and Thoracic Surgery (SEPAR), the Spanish Society of Thoracic Surgery (SECT), the Spanish Society of Vascular and Interventional Radiology (SERVEI), and the Spanish Society of Paediatric Infectious Diseases (SEIP) considered it pertinent to issue a consensus statement on the management of cystic echinococcosis (CE) to guide healthcare professionals in the care of patients with CE. Specialists from several fields (clinicians, surgeons, radiologists, microbiologists, and parasitologists) identified the most clinically relevant questions and developed this Consensus Statement, evaluating the available evidence-based data to propose a series of recommendations on the management of this disease. This Consensus Statement is accompanied by the corresponding references on which these recommendations are based. Prior to publication, the manuscript was open for comments and suggestions from the members of the SEIMC and the scientific committees and boards of the various societies involved
La Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica (SEIMC), la Sociedad Española de Medicina Tropical y Salud Internacional (SEMTSI), la Asociación Española de Cirujanos (AEC), la Sociedad Española de Neumología y Cirugía Torácica (SEPAR), la Sociedad Española de Cirugía Torácica (SECT), la Sociedad Española de Radiología Vascular e Intervencionista (SERVEI) y la Sociedad Española de Infectología Pediátrica (SEIP) han considerado pertinente la elaboración de una declaración de consenso sobre el tratamiento de la equinococosis quística (EQ) que sirva de ayuda al personal sanitario en la atención de pacientes con EQ. Varios tipos de profesionales (médicos, cirujanos, radiólogos, microbiólogos y parasitólogos) han seleccionado las preguntas más clínicamente relevantes y han desarrollado esta Declaración de consenso, en la que evalúan los datos basados en la evidencia disponibles para proponer una serie de recomendaciones sobre el tratamiento de esta enfermedad. Esta Declaración de consenso se acompaña de la bibliografía correspondiente que fundamenta estas recomendaciones. Antes de su publicación, el manuscrito estuvo abierto a comentarios y sugerencias de los miembros de la SEIMC y de los comités científicos y juntas directivas de las diferentes sociedades implicadas
Subject(s)
Humans , Echinococcosis/surgery , Societies, Medical , Consensus , Echinococcosis/drug therapy , Echinococcosis/diagnosis , SpainABSTRACT
The Spanish Society of Infectious Diseases and Clinical Microbiology (SEIMC), the Spanish Society of Tropical Medicine and International Health (SEMTSI), the Spanish Association of Surgeons (AEC), the Spanish Society of Pneumology and Thoracic Surgery (SEPAR), the Spanish Society of Thoracic Surgery (SECT), the Spanish Society of Vascular and Interventional Radiology (SERVEI), and the Spanish Society of Paediatric Infectious Diseases (SEIP) considered it pertinent to issue a consensus statement on the management of cystic echinococcosis (CE) to guide healthcare professionals in the care of patients with CE. Specialists from several fields (clinicians, surgeons, radiologists, microbiologists, and parasitologists) identified the most clinically relevant questions and developed this Consensus Statement, evaluating the available evidence-based data to propose a series of recommendations on the management of this disease. This Consensus Statement is accompanied by the corresponding references on which these recommendations are based. Prior to publication, the manuscript was open for comments and suggestions from the members of the SEIMC and the scientific committees and boards of the various societies involved.
Subject(s)
Echinococcosis , Communicable Diseases , Consensus , Echinococcosis/diagnosis , Echinococcosis/therapy , Global Health , Humans , Pulmonary Medicine , Radiology, Interventional , Societies, Medical , Spain , Thoracic Surgery , Tropical MedicineABSTRACT
No disponible
Subject(s)
Humans , Male , Middle Aged , Carotid-Cavernous Sinus Fistula/therapy , Carotid-Cavernous Sinus Fistula , Skull Base/injuries , Skull Base , Angiography/instrumentation , Angiography/methods , Angiography , Embolization, Therapeutic/instrumentation , Embolization, Therapeutic/methods , Embolization, Therapeutic , Tomography, Emission-Computed/methodsABSTRACT
No disponible
Subject(s)
Adult , Humans , Male , Nervous System Diseases/pathology , Nervous System Diseases/psychology , Carotid Artery Diseases/blood , Carotid Artery Diseases/pathology , Myocardial Ischemia/blood , Myocardial Ischemia/metabolism , Diabetes Mellitus/genetics , Therapeutics/methods , Nervous System Diseases/diagnosis , Nervous System Diseases/metabolism , Carotid Artery Diseases/congenital , Carotid Artery Diseases/genetics , Myocardial Ischemia/complications , Myocardial Ischemia/diagnosis , Diabetes Mellitus/metabolism , Therapeutics/standardsSubject(s)
Carotid Artery Diseases/etiology , Carotid Artery, Internal/physiopathology , Ischemic Attack, Transient/etiology , Ossification, Heterotopic/complications , Paresthesia/etiology , Temporal Bone/abnormalities , Vision Disorders/etiology , Aged , Angiography, Digital Subtraction , Carotid Artery Diseases/diagnostic imaging , Carotid Artery, Internal/diagnostic imaging , Carotid Stenosis/complications , Carotid Stenosis/drug therapy , Humans , Image Processing, Computer-Assisted , Male , Migraine Disorders/etiology , Ossification, Heterotopic/diagnosis , Tomography, X-Ray ComputedABSTRACT
No disponible
