Can Osteopathic Medical Students Accurately Measure Abdominal Aortic Dimensions Using Handheld Ultrasonography Devices in the Primary Care Setting?

Conclusion: When properly trained, osteopathic medical students can accurately measure abdominal aortic diameters using a handheld US device. Training more medical students in ultrasonography would offer increased screening opportunities and possibly reduce AAA-related mortality. Further studies are needed to assess the ability of osteopathic medical students to accurately measure AAAs, as no participants in this study met the criteria for AAA. PMID: 31034073 [PubMed - in process]
Source: Journal of the American Osteopathic Association - Category: Complementary Medicine Tags: J Am Osteopath Assoc Source Type: research

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A 61-year-old male presented to our Accident&Emergency department with a three-day history of nausea and vomiting. On examination, he had a soft non-tender abdomen but pronounced pulsation of his abdominal aorta. A CT angiogram revealed a 6 cm juxta-renal abdominal aortic aneurysm with thrombus within the aneurysm sac and juxta-renal neck segment. There was also moderate atherosclerotic change of the common, internal and external iliac arteries bilaterally. Given the lack of a suitable infra-renal sealing zone for the stent graft, he underwent a complex endovascular aortic aneurysm repair using a stent graft (Cook Medi...
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research
A 61-year-old male presented to our Accident&Emergency department with a 3-day history of nausea and vomiting. On examination, he had a soft non-tender abdomen but pronounced pulsation of his abdominal aorta. A computed tomography angiogram revealed a 6 cm juxta-renal abdominal aortic aneurysm with thrombus within the aneurysm sac and juxta-renal neck segment. There was also moderate atherosclerotic change of the common, internal, and external iliac arteries bilaterally. Given the lack of a suitable infrarenal sealing zone for the stent graft, he underwent a complex endovascular aortic aneurysm repair using a stent gra...
Source: Urology - Category: Urology & Nephrology Authors: Tags: Grand Rounds Source Type: research
Background: A mycotic aneurysm (MA) is an abnormal focal arterial dilation resulting from a preexisting bacterial infection or septic embolization. It is estimated that more than one million people are living with an undiagnosed abdominal aortic aneurysm. MAs account for 2% of all aneurysms. Ruptured abdominal aneurysms are fatal for approximately 3 out of 4 patients, however, if detected prior to rupture at least 95% of these aneurysms can be treated. This case study documents the diagnosis of a MA in an 81-year-old male that presented to the ER and emphasizes the importance of persistence in diagnostic studies.
Source: International Journal of Infectious Diseases - Category: Infectious Diseases Authors: Tags: UMP. 173 Source Type: research
I hear this comment with some regularity when, for instance, someone recognizes me as the author of the Wheat Belly series. This is a step in the right direction. But saying that you have a wheat intolerance is like saying “I have a tobacco intolerance.” The impact of tobacco smoking on health ranges from mild impairment, to incapacitating diseases such as chronic lung disease and abdominal aortic aneurysms, to death. A rare person escapes the ravages of years of smoking, but most people develop at least one, if not half-a-dozen, health problems from cigarettes. And so it goes with wheat: It’s a rare pers...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: Wheat Belly Lifestyle gluten gluten-free grain grain-free grains health Inflammation Source Type: blogs
CONCLUSIONS: EVAR for acute TAAA is associated with acceptable early and mid-term results in patients who have no other treatment options. Only one third of these patients were suitable for the t-Branch device, indicating that further advances in device design are required to treat the majority of acute TAAA patients with commercially available OTS technology. PMID: 29246434 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - Category: Surgery Authors: Tags: Eur J Vasc Endovasc Surg Source Type: research
A 65-year-old man presented with an infected perivisceral aortic aneurysm after previous treatment of an abdominal aortic aneurysm with an endograft. On presentation, he was septic and had occlusion of the celiac, superior mesenteric, inferior mesenteric, and bilateral renal arteries. He underwent a three-stage procedure: first, axillobifemoral bypass; then resection of the thoracoabdominal aorta; and finally bypass from the ascending aorta to the celiac and superior mesenteric arteries with a rifampin-soaked Gelsoft graft (Vascutek, Renfrewshire, Scotland).
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Case report Source Type: research
This study quantifies deformation of the celiac, superior mesenteric, and renal arteries during respiration, and correlates the deformations with diaphragmatic excursion.
Source: Annals of Vascular Surgery - Category: Surgery Authors: Source Type: research
Abstract Recent research has revealed that angiotensin II-induced abdominal aortic aneurysm in mice can be related to medial ruptures occurring in the vicinity of abdominal side branches. Nevertheless a thorough understanding of the biomechanics near abdominal side branches in mice is lacking. In the current work we present a mouse-specific fluid-structure interaction (FSI) model of the abdominal aorta in ApoE(-/-) mice that incorporates in vivo stresses. The aortic geometry was based on contrast-enhanced in vivo micro-CT images, while aortic flow boundary conditions and material model parameters were based on in ...
Source: Annals of Biomedical Engineering - Category: Biomedical Engineering Authors: Tags: Ann Biomed Eng Source Type: research
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