[Aortic aneurysm 2012: open, hybrid or total endovascular repair?]. / Aortenaneurysma 2012 - offen, hybrid oder total endovaskulär?

During the past two decades, minimally invasive endovascular procedures have changed therapeutic strategies. Such techniques have now become the method of choice for practically all vascular and aortic pathologies. This development is especially apparent in the treatment of aortic aneurysms. The purpose of this report is to provide a critical review about the current standard of care of abdominal and thoracic aorta based on an electronic Medline literature search. For elective infrarenal aneurysms, endovascular aneurysm repair (EVAR) has become a widely accepted alternative to open repair in cases with appropriate morphology. Currently, fenestrated (FEVAR) or branched endografts offer promising short- and mid-term results in juxtarenal aneurysms, however, these techniques are complex, technically challenging, and expensive. The alternative chimney or sandwich graft technique are becoming more common because they are feasible using standard endografts. Thoracic endovascular aortic repair (TEVAR) is already the gold standard for some descending pathologies. Complex thoracoabdominal aneurysms still require open surgery in centres of excellence, whereby, total endovascular repair or hybrid procedures have proved to be feasible in such specialist centres for selected patients.

Glycolytic changes after local hyperthermia in mouse liver and adenocarcinoma.

Glycolytic changes in an adenocarcinoma and in liver of C57B1 mice were determined for up to twelve hours after local hyperthermia at 43 degrees C for 30 min. The metabolites studied included glucose, glucose-6-phosphate, pyruvate, lactate, acetoacetate and beta-hydroxybutyrate. Both the glucose and glucose-6-phosphate levels decreased significantly in liver and tumour and remained low for up to twelve hours. The lactate levels increased slightly immediately after heating but were decreased at later times. However, the hepatic pyruvate levels decreased for up to two hours after heating but increased later reaching control levels. In both liver and tumour the levels of beta-hydroxybutyrate were significantly enhanced immediately after hyperthermia, whereas those of acetoacetate were lowered.

Derived X chromosome in the turtle genus Staurotypus.

C-banding, G-banding, and silver (Ag-AS) staining techniques reveal a distinctive sex chromosome system in the turtle Staurotypus salvinii. Unlike previously described systems in most other vertebrate groups in which the Y or W is derived and the homogametic sex represents the primitive condition, the reverse is true for S. salvinii. The X chromosome is derived; thus the homogametic sex (female) is more derived than the heterogametic sex. The male is intermediate between the female and the ancestral condition observed in other turtle species. Staurotypus does not confirm to the general model of sex chromosome evolution for diploid dioecious organisms.