ABSTRACT
OBJECTIVE: The aim was to assess the early and mid-term safety and clinical outcomes of a modified sandwich-graft technique (MSGT) that employed the Aorfix and Viabahn stent-grafts to preserve hypogastric flow in cases of complex aortoiliac and isolated common iliac artery (CIA) aneurysms including internal iliac artery (IIA) ostium who were not suitable for an iliac branch device (IBD). METHODS: A review of prospective collected data of all consecutive cases of treatment of complex aortoiliac or isolated CIA aneurysms including IIA ostium using the MSGT to preserve the hypogastric flow in three European centres between April 1, 2010, and December 31, 2013, was performed. All patients included were unfit for open repair and not suitable for an IBD. RESULTS: During the study period, 21 patients met the study criteria and had 25 MSGTs. The mean follow-up duration was 17.2 months. The technical success rate was 100%, with no perioperative mortality and stent-graft or MSGT-treated IIA occlusions. There were two cases with Type Ib endoleaks and one Type III endoleaks intraoperatively that were successfully managed. There was also no reported early and late pelvic ischaemia. The primary patency rate was 90.5%, and two cases of MGST treated IIA occlusions with no reported symptoms of pelvic ischaemia during follow-up. CONCLUSIONS: MSGT was a safe and feasible strategy to preserve hypogastric flow in cases of complex aortoiliac and isolated CIA aneurysms including IIA ostium and who were not suitable for IBD, with encouraging early and mid-term outcomes.
Subject(s)
Aortic Aneurysm, Abdominal/surgery , Endovascular Procedures/methods , Iliac Aneurysm/surgery , Regional Blood Flow/physiology , Stents , Vascular Grafting/methods , Aged , Aged, 80 and over , Aorta, Abdominal/diagnostic imaging , Aorta, Abdominal/physiopathology , Aortic Aneurysm, Abdominal/complications , Aortic Aneurysm, Abdominal/diagnostic imaging , Feasibility Studies , Female , Follow-Up Studies , Humans , Iliac Aneurysm/complications , Iliac Aneurysm/diagnostic imaging , Iliac Artery/diagnostic imaging , Iliac Artery/physiopathology , Male , Middle Aged , Prospective Studies , Prosthesis Design , Time Factors , Tomography, X-Ray Computed , Treatment Outcome , Vascular Patency/physiologyABSTRACT
Infection with Helicobacter pylori is the main aetiological factor for erosive gastritis and duodenal or gastric peptic ulcers often complicated with life-threatening bleeding in patients with coagulation disorders. The aim of this prospective study was to evaluate the prevalence of Helicobacter pylori infection in haemophilia patients, and to assess the risk of gastrointestinal bleeding associated with this infection. From 2000 to 2002, 146 patients with haemophilia (129, haemophilia A; 13, haemophilia B), mean age, 39.9 years (+/-7.3), were investigated for H. pylori infection using IgG and IgA latex serological test. The control group included 100 men with no coagulation disorders, mean age, 40.9 years (+/-9.2). For 72 (49.3%) patients with haemophilia and 39 controls (39.0%) serological tests were positive indicating the presence of H. pylori infection (P =0.1112). A history of gastrointestinal bleeding was reported in 46 patients (31.5%) with haemophilia and in two control group patients (2.0%) (P < 0.0001). Gastrointestinal bleeding was significantly more frequent in patients with haemophilia infected with H. pylori (33/46; 71.7%) than in patients with no H. pylori infection (13/46; 28.3%; P = 0.0002). In conclusion, the prevalence of H. pylori infection in haemophilic patients in Poland is comparable with that in patients with no coagulation disorders. Helicobacter pylori infection is a risk factor for duodenal and gastric ulcer bleeding in haemophilia patients. In view of the high frequency of upper gastrointestinal bleeding associated with H. pylori infection, we believe that screening and eradication therapy are appropriate in haemophilia patients.
Subject(s)
Gastrointestinal Hemorrhage/epidemiology , Helicobacter Infections/epidemiology , Helicobacter pylori/immunology , Hemophilia A/epidemiology , Hemophilia B/epidemiology , Adult , Antibodies, Bacterial/immunology , Gastrointestinal Hemorrhage/etiology , Helicobacter Infections/complications , Hemophilia A/complications , Hemophilia B/complications , Humans , Male , Poland/epidemiology , Prevalence , Prospective Studies , Risk FactorsABSTRACT
The author discusses the effect of the ion-emitting medical equipment on changes in the air-ions concentration. The study shows that in the majority of cases (except for cobalt bomb) the changes observed fall within the range of the binding norms.
Subject(s)
Air Ionization , Durable Medical Equipment , Occupational Diseases/etiology , Occupational Exposure/adverse effects , HumansABSTRACT
The author discusses the effect of natural changes in atmospheric parameters on the environment of air-ions. The investigations show that the position of the Sun is the major factor which changes the environment. A significant effect of plant agglomerations on the concentration of air-ions was also observed.
Subject(s)
Air Ionization , Atmospheric Pressure , Ecology , Environment , Plants , Solar System , TemperatureABSTRACT
This work discusses the influence of air-ions on human and animal organisms. It presents problem of measurements of airs-ions parameters and gives suggestions how to improve methods of investigation in order to analyse that influence in a more profound way.
