ABSTRACT
PURPOSE: To report long-term outcome when using a bifurcated aortic endograft for treatment of aortoiliac occlusive disease (AIOD) in Trans Atlantic Inter Society Consensus (TASC) classification C and D patients. MATERIALS AND METHODS: Between May 2001 and May 2009, 14 patients (11 men, 3 women) with aortoiliac TASC C and D type lesions and a mean age of 59 years ± 10 (range 41-73 years) were treated using a bifurcated aortic endograft. Although these patients were young, all were considered at high surgical risk. Patients were followed up clinically and by computed tomography (CT) every 3 months for 1 year and yearly thereafter. RESULTS: Endoprosthesis placement was performed in all patients with a technical success rate of 100%. There were no amputations or deaths at 30 days after the procedure. The mean follow-up was 62 months (range 11-96 months). One patient was lost during follow-up at 11 months, and another patient died of a nonrelated cause after 49 months. A single limb occlusion of the prosthesis was seen in two patients at 2 months and 7 months; both were successfully treated by intraarterial fibrinolysis. At a mean follow-up of 62 months, primary patency was 85.7%, and secondary patency was 100%. CONCLUSIONS: This series shows promising long-term results following the use of a bifurcated aortic endograft for treatment of AIOD TASC C and D type lesions. Bifurcated aortic endograft is a good minimally invasive alternative to open surgery in high surgical risk patients.
Subject(s)
Aortic Diseases/surgery , Arterial Occlusive Diseases/surgery , Blood Vessel Prosthesis Implantation/methods , Blood Vessel Prosthesis , Iliac Artery/surgery , Adult , Aged , Angiography , Aortic Diseases/diagnostic imaging , Arterial Occlusive Diseases/diagnostic imaging , Female , Humans , Iliac Artery/diagnostic imaging , Male , Middle Aged , Prosthesis Design , Tomography, X-Ray Computed , Treatment Outcome , Vascular PatencyABSTRACT
Percutaneous pediculoplasty is a vertebroplasty-complementary technique that can be carried out with one needle for each single approach. This report describes five cases of osteoporotic vertebral and pedicular compression fractures that were treated with percutaneous vertebroplasty and bilateral pediculoplasty with use of polymethylmethacrylate and high-quality fluoroscopic guidance. All patients reported complete pain relief. This is a safe, fast, and effective treatment for osteoporotic compression fractures with pedicle compromise.
Subject(s)
Fractures, Compression/surgery , Lumbar Vertebrae/surgery , Osteoporosis/complications , Aged , Aged, 80 and over , Bone Cements , Combined Modality Therapy , Female , Follow-Up Studies , Fractures, Compression/diagnostic imaging , Fractures, Compression/etiology , Humans , Lumbar Vertebrae/diagnostic imaging , Magnetic Resonance Imaging , Male , Minimally Invasive Surgical Procedures/methods , Polymethyl Methacrylate/administration & dosage , Tomography, X-Ray Computed , Treatment OutcomeABSTRACT
La histerosalpingografía (HSG) evalúa radiológicamente la cavidad uterina y se indica en el estudio de la infertilidad femenina, malformaciones congénitas, presencia de procesos adherenciales-sinequiales, patología mioendometrial y/o submucosa y permeabilidad tubaria. Sus contraindicaciones incluyen: embarazo, procesos neoplásicos cervico-endometriales, alergia al contraste iodado y antecedentes de cirugías recientes. Se realiza preferentemente con una campana de vacío o alternativamente con cánulas de Rubinstein o de Risolía, administrando entre 15-20 cc de contraste iodado hidrosoluble. Se obtienen tomas de relleno progresivo de la cavidad, con incidencias frente, perfil y oblicuas hasta lograr el pasaje por las trompas del medio de contraste. En el presente trabajo exponemos un resúmen iconográfico que refleja el aspecto más característico de diversas patologías
Subject(s)
Humans , Female , Hysterosalpingography , Uterus/abnormalities , Diethylstilbestrol , Mullerian Ducts/abnormalities , Fallopian Tube Diseases , Hysterosalpingography , Infertility, Female , Leiomyoma , Uterus , Uterus/pathologyABSTRACT
La histerosalpingografía (HSG) evalúa radiológicamente la cavidad uterina y se indica en el estudio de la infertilidad femenina, malformaciones congénitas, presencia de procesos adherenciales-sinequiales, patología mioendometrial y/o submucosa y permeabilidad tubaria. Sus contraindicaciones incluyen: embarazo, procesos neoplásicos cervico-endometriales, alergia al contraste iodado y antecedentes de cirugías recientes. Se realiza preferentemente con una campana de vacío o alternativamente con cánulas de Rubinstein o de Risolía, administrando entre 15-20 cc de contraste iodado hidrosoluble. Se obtienen tomas de relleno progresivo de la cavidad, con incidencias frente, perfil y oblicuas hasta lograr el pasaje por las trompas del medio de contraste. En el presente trabajo exponemos un resúmen iconográfico que refleja el aspecto más característico de diversas patologías (AU)
