RESUMO
Hydrophilic polymer embolism (HPE) associated with endovascular therapy has steadily gained attention. We report a case of a 70-year-old man who had undergone one-debranched TEVAR. He had a history of distal arch replacement for dissecting aortic aneurysm 14 years earlier. Pseudoaneurysm at the proximal site of graft anastomosis was found on computed tomography (CT) angiogram during the follow-up. 1 debranching TEVAR was performed using the pull-through technique. Fourth days after the procedure, a skin rash appeared in the right lower extremity around the access site. Skin biopsy with pathological examination revealed HPE. We decided to observe a patient because there was no symptom of limb ischemia. Skin lesions improved and he was discharged on the 27th postoperative day. Hydrophilic polymers are widely used in the endovascular devices and there is an urgent need to better understand the complication of HPE.
RESUMO
Wistar rats (30 days after birth) were trained by treadmill running for fifteen weeks. The training program consisted of endurance running at a speed of 30 meters per minute, for 30 minutes a day, and 5 days a week. After the training, fiber composition and fiber area of thier leg muscles were histochemically studied.<BR>Samples of the soleus, EDL, and plantaris muscles were stained with succinate dehydrogenase (SDH) and myosin ATPase, and the muscle fibers were classified into the three types : fast-twitch glycolytic (FG), fast-twitch oxydative glycolytic (FOG), and slow-twitch oxydative (SO) .<BR>The body and muscle weights of the rats in the training group were larger than those of the control group, but the difference was not significant.<BR>After the training, the ratio among the numbers of three fiber types showed no difference between the training and control groups. Also, the average cross-sectional areas of the FG fibers showed no difference between the training and control groups ; however, those of the FOG and SO fibers were 8-11% larger in the training group than in the control group.<BR>These results obtained in the present experiments indicated that the trained rats increased in their fatigue resistivity through the training.
