Spinal cord ischemia in TEVAR – Cardiology MCQ
Measures to prevent spinal cord ischemia in TEVAR (thoracic endovascular repair of aortic aneurysm):
a) Avoiding blockage of left subclavian
b) Surgical graft to left subclavian before TEVAR
c) Pre procedure drainage of CSF (cerebrospinal fluid)
d) All of the above
Correct answer: d) All of the above
Spinal cord ischemia manifesting as paraplegia is one of the important complications of TEVAR (thoracic endovascular repair of aortic aneurysm). Avoiding blockage of left subclavian which gives branches which eventually supply the spinal cord is a preventive option in elective setting. In cases in which left subclavian nee...
Source: Cardiophile MD - November 4, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: Angiography and Interventions Cardiology MCQ DM / DNB Cardiology Entrance Peripheral Interventions Source Type: blogs
A patient turns down hypertension treatment. What happens next is tragic.
I have previously written about a patient on this site: “How elderly patients can be stubborn to their own detriment.” In that post, I discussed how the patient repeatedly turned down appropriate therapy for her hypertension, saying she didn’t need the help. Now I’m writing an update.
Due to the patient’s refusal to accept treatment for her hypertension, despite counseling on the part of her cardiologist and primary care physician that she needed to be on a daily medication for it, she has now found herself in an unenviable place. Fifteen years later, she is now dealing with the following medical conditions...
Source: Kevin, M.D. - Medical Weblog - October 8, 2015 Category: Journals (General) Authors: Sharon Bahrych, PA-C, MPH Tags: Physician Geriatrics Heart Primary care Source Type: blogs
Measures to tackle spinal cord ischemia in TEVAR
Spinal cord ischemia manifesting as paraplegia is one of the important complications of TEVAR (thoracic endovascular repair of aortic aneurysm). Avoiding blockage of left subclavian which gives branches which eventually supply the spinal cord is a preventive option in elective setting. In cases in which left subclavian needs to over stented, a hybrid procedure with a surgical graft to the vessel likely to be blocked being placed before TEVAR is an option. Pre procedure drainage of CSF (cerebrospinal fluid) can be useful as it has been proven useful in aortic surgery for protection of spinal cord. CSF drainage is an immed...
Source: Cardiophile MD - June 7, 2015 Category: Cardiology Authors: Prof. Dr. Johnson Francis, MD, DM, FACC, FRCP Edin, FRCP London Tags: General Cardiology Source Type: blogs
The Beginnings of Endovascular Abdominal Aortic Aneurysm Repair (EVAR)
Today was day one of the 41st Annual Veith Symposium in New York City. The whole field of endovascular repair and intervention has grown exponentially since the first endovascular repair of an abdominal aortic aneurysm (EVAR) was performed by Dr. Juan Parodi in 1990, but it took quite some time to be accepted as a standard of care. Today the endovascular approach is the preferred procedure to repair an AAA and this is because of the advances in medical device design and manufacturing and the dedication of physicians to this less invasive non-surgical approach, physicians who will be attending this year's Veith Symposium. (...
Source: Burts Stent Blog : The Voice in the Ear - November 18, 2014 Category: Medical Equipment Source Type: blogs
The First Endovascular Abdominal Aortic Aneurysm Repair (EVAR)
Tomorrow begins the 14th Annual VIVA meeting in Las Vegas. The whole field of endovascular repair and intervention has grown exponentially since the first VIVA meetings. For example, the first endovascular repair of an abdominal aortic aneurysm was performed by Dr. Juan Parodi in 1990, but it took quite some time to be accepted as a standard of care. Today the endovascular approach is the preferred procedure to repair an AAA and this is because of the advances in medical devices and dedication of physicians to this less invasive non-surgical approach, physicians who will be attending this year's VIVA meeting. (Source: Burt...
Source: Burts Stent Blog : The Voice in the Ear - November 4, 2014 Category: Medical Equipment Source Type: blogs
Chronic Inflammation Chews Up Your Blood Vessels
A number of the most serious age-related conditions involve the progressive structural and functional decay of your blood vessels. A number of different forms of cellular and molecular damage conspire to clog, weaken, and stiffen blood vessels until one of these small but vital pieces of the body's infrastructure fails catastrophically, and then a blockage or a bleed causes death or crippling injury in a matter of moments. The older you are the more extensive the damage and the worse the odds, but poor lifestyle choices will generally put you in a poorer position than would otherwise be the case.
Chronic inflammation is a...
Source: Fight Aging! - August 11, 2014 Category: Research Authors: Reason Tags: Medicine, Biotech, Research Source Type: blogs
US Patients More Likely Than English Patients To Receive Life-Saving Surgery
Patients with a ruptured abdominal aortic aneurysm (rAAA)– a very serious life-threatening illness that occurs more often in elderly men– have better outcomes in the United States than in England, according to a new study published in the Lancet. Researchers at the University of London compared hospital data from 11,799 rAAA patients in England with 23,838 rAAA patients in the U.S. They found that U.S. patients were more likely than English patients to have a procedure to repair the rAAA and to survive their hospital stay. … Click here to read the full post on Forbes. (Source: CardioBrief)
Source: CardioBrief - March 13, 2014 Category: Cardiology Authors: Larry Husten Tags: Interventional Cardiology & Surgery Prevention, Epidemiology & Outcomes AAA aaa repair AAA screening abdominal aortic aneurysm Source Type: blogs
Critical Care Compendium update
LITFL’s Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care.
Currently there are almost 1,500 entries with more in the works… Some pages are more developed than others, and all the pages are being constantly revised and improved. Links to new references and online resources are added daily, with an emphasis on those that are free and open access (FOAM!).
These pages originated from the FCICM exam study notes created by Dr Jeremy Fernando in 2011, and have been updated, modified and added to since. As such will be particularly us...
Source: Life in the Fast Lane - November 17, 2013 Category: Emergency Medicine Doctors Authors: Chris Nickson Tags: Critical Care Compendium Education eLearning Emergency Medicine Featured CCC LITFL collection Source Type: blogs
Department Store Where Dr. DeBakey Found His Surgical Graft Fabric is Demolished
I was alerted via Twitter today that the Macy's department store, formerly Foley's, in Houston, Texas was demolished yesterday. The building has significance for the world of medicine. Foley's is where Michael DeBakey purchased a bit of Dacron fabric, which he fashioned into an arterial graft to repair an aortic aneurysm, an achievement which gave birth to the wide spectrum of medical devices we have today. (Source: Burts Stent Blog : The Voice in the Ear)
Source: Burts Stent Blog : The Voice in the Ear - September 23, 2013 Category: Health Medicine and Bioethics Commentators Source Type: blogs
Endovascular repair of abdominal aortic aneurysm: where we've come in 20 years
(Source: Notes from Dr. RW)
Source: Notes from Dr. RW - February 17, 2013 Category: Internists and Doctors of Medicine Tags: cardiovascular Source Type: blogs
