Oxygen limitation was responsible for a significant microbial shift in SBR treating LFPS. (C) 2009 Society of SBE-β-CD chemical structure Chemical Industry”
“Objectives: To present initial experience with a new modular transfemoral multibranched stent graft for treating aortic arch aneurysms.
Methods: Six patients, considered high risk for open surgery, were treated with custom made branched stent grafts. All patients had a staged left carotid subclavian bypass before the endovascular
procedure. Each branched graft had a 12 mm side branch for the innominate artery and an 8 mm side branch for the left common carotid artery.
Results: Four patients out of six had uneventful placement of the prostheses, with successful exclusion of their aneurysms. One patient
developed a type I endoleak that was managed successfully NF-��B inhibitor with coiling and gluing of the aneurysm sac. In one patient, cannulation of the innominate branch was unsuccessful and an extra-anatomic bypass was necessary to perfuse the right carotid and vertebral arteries. This patient developed a stroke, while one more suffered a right cerebellar infarct.
Conclusion: We have demonstrated the technical feasibility of a modular transfemoral branched stem graft for treatment of aortic arch aneurysms. The method is relatively safe based on initial experience. More cases and long-term follow up are necessary to evaluate the efficacy and safety of this new device. (C) 2012 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.”
“Purpose of reviewThe purpose of the review is to update the reader on the long anticipated Obesity 2, the second iteration of Clinical Guidelines
on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: the Evidence Report’.Recent findingsObesity 2 maintains a focus on primary care practitioners and their patients in an effort to reduce cardiovascular risk. Just as Obesity 1 limited the literature review to the years 1980-1997, Obesity 2 limits the literature under consideration from 1999 to 2011. However, because of the painstaking methodology employed, the scope of the Obesity 2 is of necessity more limited with five critical questions. These deal check details with risks of overweight and obesity, benefits of weight loss and evaluate three treatment areas – diet, behavioral therapies and surgical therapies. The critical questions inform recommendations in these same areas.SummaryAlthough not comprehensive in scope, the guidance offered in Obesity 2 is backed by stringent approaches to limit bias and assuring rigor, thus producing recommendations one can trust in the areas covered.”
“Despite mechanical reperfusion, the outcome is still unsatisfactory in elderly patients with ST-segment elevation myocardial infarction (STEMI).