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Vascular Disease Management - ISSN: 1553-8036 - Volume 3 - Issue 5 - September 2006 | |
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| Robert S. Dieter, MD, RVT, Ali Morshedi-Meibodi, MD, M. Habeeb Ahmed, MD, John P. Pacanowski, Jr, MD, Sohail Ikram, MD, Aravinda Nanjundappa, MD, Ferdinand Leya, MD |
The arterial system is structurally dynamic with forces imparted upon it, causing torsion, kinking, and strain. After endovascular stent placement, these forces may ultimately lead to stent fractures, which have been well documented in the superficial femoral artery. The left subclavian artery has been thought to be relatively immobile in its proximal segment. We demonstrate two cases of dynamic left subclavian artery obstruction due to respiratory variation.
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Successful Prophylactic Use of an Inferior Vena Cava Filter Prevented a Fatal Pulmonary Embolism
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| 1David Nicholson, DO and 2Charles Botti, MD |
Deep venous thrombosis is an unwanted complication associated with many invasive surgical procedures. Anticoagulation is commonly employed to reduce the risk of pulmonary emboli in the perioperative setting. Mechanical barriers traditionally have been used as an alternative when anticoagulation was contraindicated. In this case we demonstrate how a retrievable inferior vena cava filter added to anticoagulation can prevent a fatal pulmonary embolus.
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| Madhu Salvaji, DO, Manu Rajachandran, MD, Kelly Klym, MS, PA-C |
We present a case of delayed rupture of a femoropopliteal saphenous vein bypass graft after stent-supported angioplasty, resulting in a large, severely symptomatic pseudoaneurysm of the thigh. This was successfully treated with deployment of a covered stent graft. The possible mechanisms of pseudoaneurysm formation in this case are discussed, and a brief review of the literature regarding the endovascular management of this clinical entity is offered.
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| A. Ross Naylor, MD, FRCS
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“A lie told often enough becomes the truth”
–Lenin (1870–1924)
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| Richard R. Heuser, MD |
DO YOU WANT SOME CHEESE WITH YOUR
WHINE?
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| 1,2Subhash Banerjee, MD, 3Richard Keber, MD, 3Mitchell Barnett, 1Pooja Banerjee, MD, 3Dinesh Jagasia, MD |
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