Expanding the use of flow diverters beyond their initial indication: treatment of small unruptured aneurysms.

BACKGROUND: Experience with the endovascular treatment of unruptured small intracranial aneurysms by flow diverter devices is still limited. OBJECTIVE: To assess the safety and efficacy of the SILK flow diverter (SFD) in the treatment of small unruptured cerebral aneurysms (<10 mm). METHODS: We performed a retrospective review of a prospectively maintained database of patients treated with a SFD between July 2008 and December 2013 at 4 institutions in Spain to identify all patients with small unruptured aneurysms (<10 mm). Data for patient demographics, aneurysm characteristics, and technical procedures were analyzed. Angiographic and clinical findings were recorded during the procedure and at 6- and 12-month follow-ups. RESULTS: A total of 109 small aneurysms were treated with a SFD in 104 patients (78 women; 26 men; mean, median, and range of age: 55.2, 57.1, and 19-80 years, respectively). A total of 60 patients were asymptomatic (57.7%). All except 7 aneurysms (6.4%) arose from the anterior circulation. The mean size of the aneurysms was 4.7±1.9 mm. At 6 months, the neuromorbidity and neuromortality rates were 2.9% and 0.9%, respectively. Imaging at the 12-month follow-up showed complete occlusion, neck remnants, and residual aneurysm in 88.5% (69/78), 7.7% (6/78), and 3.3% (3/78) of cases, respectively. No delayed hemorrhage occurred. CONCLUSIONS: The findings suggest that the indications for SFD can be safely extended to small intracranial aneurysms.

Chronic portal hypertension in the rat by triple-portal stenosing ligation.

A surgical technique based on the development of a triple stenosing ligation is used to worsen the complications inherent to the prehepatic chronic portal hypertension. The results have been compared with those obtained in rats with a single-portal stenosing ligation. An increase (p <.05) in the body, liver, spleen, and kidney weights as well as a decrease (p <.001) in the testes weight to body weight ratio were produced in both groups of animals. In addition, the variability in the obtained weights, particularly in the liver weight, stands out. The incidence of portosystemic and portohepatic collateral circulation and of the mesenteric venous vasculopathy increases in the animals with triple-portal stenosing ligation. The new proposed technique is a valid alternative to the classic one that used single portal stenosing ligation.

Peso de carcaça e idade dos bovinos abatidos em Minas Gerais / Carcass weight and age of bovines slaughtered in Minas Gerais, Brazil

O peso médio da carcaça quente de 505.005 bovinos abatidos em Minas Gerais, de janeiro a dezembro de 1997, foi de 222,31kg. Esses bovinos repartiram-se por sete categorias, com os seguintes pesos médios de carcaça: touro 235,58kg, novilhäo 236,31kg, novilho intermediário 235,32kg, novilho 237,64kg, vaca 176,90kg, novilhona 176,86kg e novilha 148,60kg. Com base nos pesos médios de carcaça quente de categorias próximas, tomadas duas a duas, novilhöes, novilhos intermediários e novilhos foram mensalmentecomparados entre si. Da mesma forma, as novilhonas foram comparadas com as vacas. Os novilhos apresentaram sempre peso médio de carcaça significativamente superior ao dos novilhos intermediários (P<0,05). Nas restantes comparaçöes, as categorias tiveram comportamento incostante, com peso médio de carcaça significativamente maior em alguns meses, significativamente menor noutros ou mesmo sem diferença significativa (P>0,05). Setenta e três por cento dos bovinos abatidos tinham idade igual ou superior a quatro anos. Tendo-se como indicador o binômio idade-peso ao abate, constatou-se um ainda insuficiente progresso qualitativo na produçäo de bovinos de abate em Minas Gerais

[Hemoperitoneum secondary to acute cholecystitis in kidney transplant]. / Hemoperitoneo secundario a colecistitis aguda en el trasplante renal.

We present two cases of acute cholecystitis occurring more than two years after renal transplantation. The course of the acute event was complicated by the presence of hemobilia in one of the patients and severe hemoperitoneum in both patients. We comment the possible etiologic factors, the high efficiency of the diagnostic procedures and the importance of prompt cholecystectomy as the best treatment method.