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1.
Sci Rep ; 12(1): 9205, 2022 06 02.
Article in English | MEDLINE | ID: mdl-35655088

ABSTRACT

The rhizosheath, the layer of soil that adheres strongly to roots, influences water and nutrients acquisition. Pearl millet is a cereal crop that plays a major role for food security in arid regions of sub-Saharan Africa and India. We previously showed that root-adhering soil mass is a heritable trait in pearl millet and that it correlates with changes in rhizosphere microbiota structure and functions. Here, we studied the correlation between root-adhering soil mass and root hair development, root architecture, and symbiosis with arbuscular mycorrhizal fungi and we analysed the genetic control of this trait using genome wide association (GWAS) combined with bulk segregant analysis and gene expression studies. Root-adhering soil mass was weakly correlated only to root hairs traits in pearl millet. Twelve QTLs for rhizosheath formation were identified by GWAS. Bulk segregant analysis on a biparental population validated five of these QTLs. Combining genetics with a comparison of global gene expression in the root tip of contrasted inbred lines revealed candidate genes that might control rhizosheath formation in pearl millet. Our study indicates that rhizosheath formation is under complex genetic control in pearl millet and suggests that it is mainly regulated by root exudation.


Subject(s)
Pennisetum , Genome-Wide Association Study , Pennisetum/genetics , Quantitative Trait Loci , Rhizosphere , Soil/chemistry
2.
Oper Dent ; 43(3): 225-231, 2018.
Article in English | MEDLINE | ID: mdl-29676977

ABSTRACT

This article presents a case report for the treatment of a patient with a flared root. The patient was treated with a bulk-fill flowable composite. This innovative approach seems to be efficient in reinforcing flared roots. The advantages and disadvantages of the technique are presented.


Subject(s)
Composite Resins/therapeutic use , Tooth Diseases/surgery , Tooth Root/surgery , Female , Humans , Incisor/surgery , Middle Aged , Tooth, Nonvital/surgery
3.
J Theor Biol ; 447: 84-97, 2018 06 14.
Article in English | MEDLINE | ID: mdl-29559229

ABSTRACT

Discoveries on the genetics of resource acquisition efficiency are limited by the ability to measure plant roots in sufficient number and with adequate genotypic variability. This paper presents a root phenotyping study that explores ways to combine live imaging and computer algorithms for model-based extraction of root growth parameters. The study is based on a subset of barley Recombinant Chromosome Substitution Lines (RCSLs) and a combinatorial approach was designed for fast identification of the regions of the genome that contribute the most to variations in root system architecture (RSA). Results showed there was a strong genotypic variation in root growth parameters within the set of genotypes studied. The chromosomal regions associated with primary root growth differed from the regions of the genome associated with changes in lateral root growth. The concepts presented here are discussed in the context of identifying root QTL and its potential to assist breeding for novel crops with improved root systems.


Subject(s)
Hordeum/anatomy & histology , Plant Breeding/methods , Plant Roots/growth & development , Chromosomes/genetics , Genome, Plant , Genotype , Phenotype , Plant Roots/genetics , Quantitative Trait Loci
4.
Mol Psychiatry ; 23(3): 569-578, 2018 03.
Article in English | MEDLINE | ID: mdl-28727688

ABSTRACT

Benzodiazepines can ameliorate social disturbances and increase social competition, particularly in high-anxious individuals. However, the neural circuits and mechanisms underlying benzodiazepines' effects in social competition are not understood. Converging evidence points to the mesolimbic system as a potential site of action for at least some benzodiazepine-mediated effects. Furthermore, mitochondrial function in the nucleus accumbens (NAc) has been causally implicated in the link between anxiety and social competitiveness. Here, we show that diazepam facilitates social dominance, ameliorating both the competitive disadvantage and low NAc mitochondrial function displayed by high-anxious rats, and identify the ventral tegmental area (VTA) as a key site of action for direct diazepam effects. We also show that intra-VTA diazepam infusion increases accumbal dopamine and DOPAC, as well as activity of dopamine D1- but not D2-containing cells. In addition, intra-NAc infusion of a D1-, but not D2, receptor agonist facilitates social dominance and mitochondrial respiration. Conversely, intra-VTA diazepam actions on social dominance and NAc mitochondrial respiration are blocked by pharmacological NAc micro-infusion of a mitochondrial complex I inhibitor or an antagonist of D1 receptors. Our data support the view that diazepam disinhibits VTA dopaminergic neurons, leading to the release of dopamine into the NAc where activation of D1-signaling transiently facilitates mitochondrial function, that is, increased respiration and enhanced ATP levels, which ultimately enhances social competitive behavior. Therefore, our findings critically involve the mesolimbic system in the facilitating effects of diazepam on social competition and highlight mitochondrial function as a potential therapeutic target for anxiety-related social dysfunctions.


Subject(s)
Anxiety/drug therapy , Diazepam/pharmacology , Ventral Tegmental Area/drug effects , Animals , Benzazepines/pharmacology , Brain/metabolism , Dopamine/metabolism , Dopaminergic Neurons/metabolism , Male , Mitochondria/metabolism , Nucleus Accumbens/metabolism , Rats , Rats, Wistar , Receptors, Dopamine D1/metabolism , Social Dominance
5.
Int. j. odontostomatol. (Print) ; 10(3): 507-512, dic. 2016. ilus
Article in Spanish | LILACS | ID: biblio-841002

ABSTRACT

El quiste epidermoide es un quiste de tejido blando de origen ectodérmico que se encuentra con poca frecuencia en la cavidad oral. Clínicamente se caracteriza por ser una lesión asintomática, de larga evolución, recubierta con mucosa normal, y usualmente se diagnostica cuando el aumento de volumen genera molestias en el paciente. El tratamiento varía de acuerdo a su tamaño y localización anatómica. Presentamos el caso de una paciente de 29 años de edad con un quiste epidermoide de gran tamaño, en reloj de arena, del piso de boca. Se describen las características específicas histológicas y clínicas, y se discute la conducta terapéutica seguida.


The epidermoid cyst is a soft tissue cyst of ectodermal origin found infrequently in the oral cavity. Clinically, it is characterized by an asymptomatic lesion, of long evolution, covered with normal mucosa, and is usually diagnosed when the volume increases and generates patient discomfort. Treatment varies according to its size and anatomical location. We report the case of a 29 year old patient with a large, hourglass shaped, epidermoid cyst in the floor of the mouth. Specific histological and clinical characteristics are described and the therapeutic behavior followed is discussed.


Subject(s)
Humans , Female , Adult , Epidermal Cyst/surgery , Mouth Diseases/surgery , Mouth Floor/pathology , Mouth Floor/surgery , Epidermal Cyst/diagnosis , Mouth Diseases/diagnosis
6.
J Mech Behav Biomed Mater ; 49: 269-76, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26056996

ABSTRACT

In this study, Ti-Zr and Ti-Zr-C coatings were deposited at room temperature via pulsed-DC magnetron sputtering. A 70Ti-30Zr at% target and a 99.99% graphite plate were used to deposit samples. In order to modify C content, coatings were deposited at different target powers such as 50, 75 and 100 W. Changes on the structure, microstructure and mechanical properties due to C addition were studied. Results indicate that the as-deposited coatings were partly crystalline and that an increment on C content stabilized α' phase and inhibited the appearance of ω precipitates. Therefore, Ti-Zr-C alloys with C>1.9 at% showed only α' phase whereas the others alloys exhibited α'+ω structures. Hardness values from 12.94 to 34.31 GPa were obtained, whereas the elastic modulus was found between 181.84 and 298 GPa. Finally, a high elastic recovery ratio (0.69-0.87) was observed as a function of composition. The overall properties of these coatings were improved due to C content increment, martensitic α' phase and nanocrystalline grain size (10-16 nm).


Subject(s)
Alloys/chemistry , Biocompatible Materials/chemistry , Carbon/chemistry , Mechanical Phenomena , Titanium/chemistry , Zirconium/chemistry , Materials Testing , Structure-Activity Relationship
7.
J Clin Endocrinol Metab ; 99(7): E1254-62, 2014 Jul.
Article in English | MEDLINE | ID: mdl-24684464

ABSTRACT

CONTEXT/OBJECTIVE: The aim of this study was to evaluate the regulation of the fuel partitioning and energy metabolism in skeletal muscle during lipid overfeeding in healthy men. Design/Participants/Intervention: Thirty-nine healthy volunteers were overfed for 56 days with a high-fat diet (3180 kJ/d). Energy metabolism (indirect calorimetry) was characterized in the fasting state and during a test meal before and at the end of the diet. Skeletal muscle biopsies were taken at day 0 and day 56. MAIN OUTCOME MEASURES: Change in gene expression, mitochondrial respiration, nicotinamide adenine dinucleotide (NAD(+)) content, and acetylation of peroxisome proliferator-activated receptor-γ coactivator-1α (PGC-1α) in skeletal muscle was measured. RESULTS: Overfeeding increased body weight (+2.6 kg) and fat mass concomitantly with a shift in the use of substrates as energy fuel toward preferential oxidation of carbohydrates instead of lipids. Changes in lipid metabolic gene expression supported this observation, with a reduction in pyruvate dehydrogenase kinase 4 expression that could be the consequences of decreased NAD(+) concentration and reduced deacetylase activity of the sirtuins, as supported by hyperacetylation of PGC-1α after overfeeding. Interestingly, this reduction of the sirtuin PGC-1α pathway was associated with increased mitochondrial gene expression and higher respiration rate under these conditions. CONCLUSION: Adaptation to lipid overfeeding and regulation of fuel partitioning in human muscle appear to rely on a dissociation between the regulatory functions of the sirtuin-PGC-1α pathway on fatty acid oxidation and on mitochondrial regulation. This may facilitate lipid storage during a period of positive energy balance while maintaining mitochondrial functions and oxidative capacities.


Subject(s)
Dietary Fats/administration & dosage , Energy Metabolism , Mitochondria, Muscle/physiology , Muscle, Skeletal/metabolism , Overnutrition/metabolism , Adult , Cell Respiration/drug effects , Cell Respiration/genetics , Diet, High-Fat , Energy Metabolism/drug effects , Energy Metabolism/genetics , Humans , Lipid Metabolism/drug effects , Lipid Metabolism/genetics , Male , Mitochondria, Muscle/drug effects , Muscle, Skeletal/drug effects , Overnutrition/genetics , Oxidation-Reduction
8.
Arch. méd. Camaguey ; 17(2)20130000. tab
Article in Spanish | CUMED | ID: cum-55503

ABSTRACT

La prehipertensión constituye un importante factor de riesgo, por lo que su estratificación y evaluación precoz es un elemento clave. La prueba de peso sostenido puede contribuir a tales objetivos (AU)


Pre­hypertension is an important risk factor; that is why its stratification and early evaluation is a key element. The sustained­- weight test can contribute to such objectives (AU)


Subject(s)
Humans , Risk Factors , Cardiovascular System , Hypertension , Epidemiology, Descriptive
9.
ScientificWorldJournal ; 2013: 982438, 2013.
Article in English | MEDLINE | ID: mdl-24453933

ABSTRACT

Given the background of the use of Neural Networks in problems of apple juice classification, this paper aim at implementing a newly developed method in the field of machine learning: the Support Vector Machines (SVM). Therefore, a hybrid model that combines genetic algorithms and support vector machines is suggested in such a way that, when using SVM as a fitness function of the Genetic Algorithm (GA), the most representative variables for a specific classification problem can be selected.


Subject(s)
Algorithms , Beverages , Fruit/chemistry , Malus , Neural Networks, Computer , Support Vector Machine , Beverages/analysis , Beverages/classification
10.
Article in English | MEDLINE | ID: mdl-22345172

ABSTRACT

The ability of NAD(+) to act as a metabolic cofactor and as a rate-limiting cosubstrate for many enzymes, particularly the sirtuins, has led to the identification of a pivotal role of NAD(+) levels in the control of whole-body metabolic homeostasis. Bioavailability and compartmentalization of NAD(+) have become highly relevant issues that we need to understand in order to elucidate how NAD(+) acts both as a readout of the metabolic milieu and as an effector triggering appropriate cellular adaptations.


Subject(s)
Metabolism , NAD/metabolism , Signal Transduction , Animals , Humans , Sirtuins/metabolism
11.
Nutr. hosp ; 25(6): 949-953, nov.-dic. 2010. ilus, tab
Article in Spanish | IBECS | ID: ibc-94100

ABSTRACT

Introducción: La PEG es una técnica poco agresiva y con escasas complicaciones. Estas características la han convertido en la vía de elección para nutrir a los pacientes que requieren apoyo nutricional por periodos prolongados. Objetivos: Conocer la evolución y calidad de vida de pacientes y cuidadores con nutrición mediante PEG. Métodos: Estudio retrospectivo de pacientes con PEG en un hospital comarcal desde julio de 1998 a julio de2009. Se revisaron los registros hospitalarios y se contacto telefónicamente con los pacientes. Resultados: Se registraron 299 pacientes con PEG Se observó un incremento progresivo de su uso para el tratamiento nutricional. 152 (50,8%). fueron varones La edad fue 73,62 ± 13,05 años, siendo los varones más jóvenes que las mujeres (t = 5,07; p < 0,001). La indicación más frecuente para el uso de la PEG fue la patología neurológica 222 (85,7%). La duración del tratamiento nutricional fue de 390 días (Rango 1-2.913) mostrándose independiente del resto de variables. La finalización del tratamiento fue por: fallecimiento 134 (93,1%), recuperando la vía oral 10 (6,9%) pacientes. La calidad de vida mejoró significativamente tanto en los pacientes (Z = -6,59; p < 0,001)como en los cuidadores (Z = -6,83; p < 0,001) después de la PEG. Conclusiones: Existe un incremento progresivo en el uso de la PEG con un tiempo medio de tratamiento mayor a un año, finalizándose en la mayoría de los pacientes con el fallecimiento. La calidad de vida experimenta una mejoría después de la PEG tanto en los pacientes como en los cuidadores de esta serie (AU)


Introduction: The PEG is shown as a technique rather aggressive and with few complications. These characteristics have become the route of choice for enteral nutrition in patients who require nutritional support for prolonged periods. Objectives: To know the evolution and quality of life of patients and caregivers with nutrition through PEG.Methods: Retrospective study of patients with PEG ina district hospital from July 1998 to July 2009. Were viewed hospital records and telephone contact with patients Results: There were 299 patients with PEG during the study period. There was a gradual increase in its use for nutritional therapy. Males were 152 (50.8%). There were152 (50,8%) males. The age was 73.62 ± 13,05 years,males being the youngest (t = 5.07, P < 0.001). The most frequent indication was “neurological disease” 222(85.7%). The duration of nutrition therapy was 390 days(range 1-2,913) showing independent from the rest of the variables. The completion of treatment was on death 134(93.1%) or recovering the mouth 10 (6.9%). The QL was significantly improved in both patients (Z = -6.59, P <0.001) and caregivers (Z = -6.83, P < 0.001) after PEG. Conclusions: There is a progressive increase in the use of PEG. with the mean time of treatment greater than one year, and being complete in most patients with the death.The quality of life experienced an improvement after PEG in both patients and caregivers in this series (AU)


Subject(s)
Humans , Parenteral Nutrition/methods , Gastrostomy/methods , Endoscopy, Gastrointestinal/methods , Retrospective Studies , Nutritional Support/statistics & numerical data
12.
Nutr Hosp ; 25(6): 949-53, 2010.
Article in Spanish | MEDLINE | ID: mdl-21519765

ABSTRACT

INTRODUCTION: The PEG is shown as a technique rather aggressive and with few complications. These characteristics have become the route of choice for enteral nutrition in patients who require nutritional support for prolonged periods. OBJECTIVES: To know the evolution and quality of life of patients and caregivers with nutrition through PEG. METHODS: Retrospective study of patients with PEG in a district hospital from July 1998 to July 2009. We reviewed hospital records and telephone contact with patients. RESULTS: There were 299 patients with PEG during the study period. There was a gradual increase in its use for nutritional therapy. Males were 152 (50.8%). There were 152 (50,8%) males. The age was 73.62 ± 13,05 years, males being the youngest (t = 5.07, P < 0.001). The most frequent indication was "neurological disease" 222 (85.7%). The duration of nutrition therapy was 390 days (range 1-2,913) showing independent from the rest of the variables. The completion of treatment was on death 134 (93.1%) or recovering the mouth 10 (6.9%). The QL was significantly improved in both patients (Z = -6.59, p < 0.001) and caregivers (Z = -6.83, P < 0.001) after PEG. CONCLUSIONS: There is a progressive increase in the use of PEG. with the mean time of treatment greater than one year, and being complete in most patients with the death. The quality of life experienced an improvement after PEG in both patients and caregivers in this series.


Subject(s)
Gastrostomy/methods , Minimally Invasive Surgical Procedures/methods , Age Factors , Aged , Caregivers , Enteral Nutrition/methods , Female , Gastrostomy/adverse effects , Gastrostomy/statistics & numerical data , Humans , Male , Middle Aged , Minimally Invasive Surgical Procedures/statistics & numerical data , Patients , Postoperative Complications/epidemiology , Quality of Life , Recovery of Function , Retrospective Studies , Sex Factors , Spain
13.
Rev Med Suisse ; 2(85): 2463-7, 2006 Nov 01.
Article in French | MEDLINE | ID: mdl-17120715

ABSTRACT

In a few clinical cases, controlling arterial hypertension is really very difficult even when using the appropriate treatment(s) at the optimal dosage. In such cases, it is crafty to research any possible drug interferences with the antihypertensive treatment. Two clinical cases will illustrate that arterial hypertension can be either induced or very difficult to control due to opposite physiopathological mechanisms of drugs or to pharmacokinetic interactions. A review of the main interacting drug regimens will complete this paper, attesting that drugs as various as NSAID, corticosteroids, erythropoietin, cyclosporine, antidepressants, beta blockers, carbamazepine, sympathomimetics, antihistamines, tramadol and (...) can induce arterial hypertension.


Subject(s)
Hypertension/chemically induced , Aged , Aged, 80 and over , Female , Humans
14.
J. bras. pneumol ; 31(3): 261-264, maio-jun. 2005. ilus
Article in Portuguese, English | LILACS | ID: lil-416521

ABSTRACT

Relata-se o caso de uma adolescente com tuberculose osteoarticular em coluna lombossacral, uma localização incomum. O seu diagnóstico permanece um desafio por apresentar sintomas gerais inespecíficos e lesões ósseas que podem ser confundidas com outras afecções. A doença é degenerativa e de prognóstico reservado. São discutidos aspectos clínicos, laboratoriais e de imagem, incluindo tomografia computadorizada e ressonância magnética. A reação em cadeia da polimerase, usando o marcador IS 6110 para M. tuberculosis, foi positiva, sugerindo fortemente a presença do patógeno. Este ensaio é particularmente indicado quando se exige um diagnóstico de tuberculose rápido e sensível.

15.
Vaccine ; 22(23-24): 2966-73, 2004 Aug 13.
Article in English | MEDLINE | ID: mdl-15297045

ABSTRACT

To determine whether the addition of an inactivated-gp120-depleted HIV-1 Immunogen to antiretrovirals (ARTs) conferred a beneficial effect on delaying time to virologic failure relative to that obtained by ARTs alone, a phase II clinical trial was performed in 243 asymptomatic, ART naïve, HIV-1 seropositive adults. The Cox model showed that HIV-1 Immunogen treatment was associated with a 34% decrease in the risk of virologic failure (P = 0.056). When the analysis incorporated baseline HIV-RNA stratification the risk of virologic failure in the HIV-1 Immunogen Arm was significantly reduced a 37% compared to the IFA placebo Arm (P = 0.034). The data suggest that therapeutic immunization plus ARTs could influence virologic control.


Subject(s)
AIDS Vaccines/therapeutic use , Anti-HIV Agents/therapeutic use , HIV Infections/therapy , HIV-1/immunology , AIDS Vaccines/administration & dosage , Adult , Anti-HIV Agents/adverse effects , Chemokines/metabolism , Combined Modality Therapy , Endpoint Determination , Female , HIV Envelope Protein gp120/immunology , HIV Infections/drug therapy , HIV Infections/immunology , Humans , Immunity, Cellular/drug effects , Immunity, Cellular/immunology , Interferon-gamma/biosynthesis , Interferon-gamma/genetics , Lymphoproliferative Disorders/immunology , Lymphoproliferative Disorders/pathology , Male , T-Lymphocytes, Helper-Inducer/immunology , Th1 Cells/immunology , Vaccines, Inactivated/therapeutic use
18.
J Virol ; 75(20): 9819-27, 2001 Oct.
Article in English | MEDLINE | ID: mdl-11559815

ABSTRACT

Dynein is a minus-end-directed microtubule-associated motor protein involved in cargo transport in the cytoplasm. African swine fever virus (ASFV), a large DNA virus, hijacks the microtubule motor complex cellular transport machinery during virus infection of the cell through direct binding of virus protein p54 to the light chain of cytoplasmic dynein (LC8). Interaction of p54 and LC8 occurs both in vitro and in cells, and the two proteins colocalize at the microtubular organizing center during viral infection. p50/dynamitin, a dominant-negative inhibitor of dynein-dynactin function, impeded ASFV infection, suggesting an essential role for dynein during virus infection. A 13-amino-acid domain of p54 was sufficient for binding to LC8, an SQT motif within this domain being critical for this binding. Direct binding of a viral structural protein to LC8, a small molecule of the dynein motor complex, could constitute a molecular mechanism for microtubule-mediated virus transport.


Subject(s)
Carrier Proteins/metabolism , Drosophila Proteins , Microtubule-Organizing Center/metabolism , Viral Structural Proteins/metabolism , African Swine Fever Virus/physiology , Amino Acid Sequence , Animals , Chlorocebus aethiops , Dynactin Complex , Dyneins/pharmacology , Microtubule-Associated Proteins/pharmacology , Protein Binding , Protein Tyrosine Phosphatases/antagonists & inhibitors , Vanadates/pharmacology , Vero Cells , Viral Structural Proteins/chemistry , Viral Structural Proteins/genetics , Virus Replication/drug effects
19.
J Vasc Surg ; 34(1): 98-105, 2001 Jul.
Article in English | MEDLINE | ID: mdl-11436081

ABSTRACT

PURPOSE: We sought to assess the role of endovascular techniques in the management of perigraft flow (endoleak) after endovascular repair of an abdominal aortic aneurysm. METHOD: We performed endovascular repair of abdominal aortic aneurysm in 114 patients, using a variety of Gianturco Z-stent-based prostheses. Results were evaluated with contrast-enhanced computed tomography (CT) at 3 days, 3 months, 6 months, 12 months, and every year after the operation. An endoleak that occurred 3 days after operation led to repeat CT scanning at 2 weeks, followed by angiography and attempted endovascular treatment. RESULTS: Endoleak was seen on the first postoperative CT scan in 21 (18%) patients and was still present at 2 weeks in 14 (12%). On the basis of angiographic localization of the inflow, the endoleak was pure type I in 3 cases, pure type II in 9, and mixed-pattern in 2. Of the 5 type I endoleaks, 3 were proximal and 2 were distal. All five resolved after endovascular implantation of additional stent-grafts, stents, and embolization coils. Although inferior mesenteric artery embolization was successful in 6 of 7 cases and lumbar embolization was successful in 4 of 7, only 1 of 11 primary type II endoleaks was shown to be resolved on CT scanning. There were no type III or type IV endoleaks (through the stent-graft). Endoleak was associated with aneurysm dilation two cases. In both cases, the aneurysm diameter stabilized after coil embolization of the inferior mesenteric artery. There were two secondary (delayed) endoleaks; one type I and one type II. The secondary type I endoleak and the associated aneurysm rupture were treated by use of an additional stent-graft. The secondary type II endoleak was not treated. CONCLUSIONS: Type I endoleaks represent a persistent risk of aneurysm rupture and should be treated promptly by endovascular means. Type II leaks are less dangerous and more difficult to treat, but coil embolization of feeding arteries may be warranted when leakage is associated with aneurysm enlargement.


Subject(s)
Aortic Aneurysm, Abdominal/surgery , Blood Vessel Prosthesis Implantation , Postoperative Complications , Aortic Aneurysm, Abdominal/diagnostic imaging , Embolization, Therapeutic , Humans , Mesenteric Artery, Superior/diagnostic imaging , Postoperative Complications/therapy , Radiographic Image Enhancement , Stents , Tomography, X-Ray Computed
20.
Radiology ; 220(1): 157-60, 2001 Jul.
Article in English | MEDLINE | ID: mdl-11425989

ABSTRACT

PURPOSE: To determine the spectrum and frequency of specific computed tomographic (CT) findings in the acute period after endovascular repair of abdominal aortic aneurysm (AAA). MATERIALS AND METHODS: CT images obtained 1--3 days after endograft placement were evaluated in 88 patients. The images were analyzed for stent position, appearance of endograft components, perigraft leak, and postoperative findings including air and acute thrombus within the aneurysm and air surrounding the femoral-femoral bypass graft. Findings that could be misinterpreted as perigraft leak were evaluated. RESULTS: Fifteen (17%) of 88 patients had perigraft leak in the acute postoperative period. The bare segment of the proximal self-expanding stent covered one or both renal arteries in 54 (61%) patients. One patient had CT evidence of renovascular compromise. Postoperative air was within the aneurysmal sac in 51 (58%) patients and surrounded the femoral-femoral bypass graft in 67 (94%) of 71 patients in whom the grafts were evaluated with CT. Mottled attenuation within the aneurysmal sac was seen in 50 (57%) patients. Forty-six (52%) patients had calcifications within longstanding thrombus. In 31 (35%) patients, findings that could have been misinterpreted as perigraft leak were identified. CONCLUSION: Accurate analysis of CT findings after endovascular AAA repair requires careful review of all available CT images (preprocedural and pre- and postcontrast) and clear understanding of specific stent-graft components and placement.


Subject(s)
Aortic Aneurysm, Abdominal/diagnostic imaging , Aortic Aneurysm, Abdominal/therapy , Catheterization/instrumentation , Stents , Tomography, X-Ray Computed/methods , Aged , Aged, 80 and over , Catheterization/methods , Female , Follow-Up Studies , Humans , Male , Middle Aged , Monitoring, Physiologic/methods , Sensitivity and Specificity
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