{"title":"Colorectal Resection in Transplant Centers Benefits Kidney But Not Pancreas Transplant Recipients.","authors":"Lauren Weaver, Afshin Parsikia, Jorge Ortiz","doi":"10.1055/s-0041-1727137","DOIUrl":"https://doi.org/10.1055/s-0041-1727137","url":null,"abstract":"<p><p>As graft and patient survival rates improve, transplant recipients are likely to undergo colorectal surgery in their lifetime. Current literature on the surgical outcomes of colorectal resection in kidney and pancreas transplant recipients is sparse. This investigation identifies areas of surgical risk for kidney, pancreas, and pancreas-kidney transplant recipients undergoing colorectal resection at transplant and teaching centers. Multivariate logistic regression and linear regression tests computed odds ratios (OR) and coefficients of the linear regression using National Inpatient Sample data from 2005 to 2014 to identify differences in mortality, morbidity, length of stay (LOS), and total hospital charges among people with pancreas transplant alone (PTx), kidney transplant alone (KTx), pancreas and kidney transplant (PKTx), and nontransplant (non-Tx) undergoing colorectal resection in transplant and teaching centers. Of the 2,737,454 individuals who underwent colorectal resection, 138 PTx, 3,874 KTx, 130 PKTx, and 2,733,312 non-Tx met the inclusion criteria. Overall KTx, PTx, and PKTx were not more likely to suffer a mortality. However, PTx were more likely to suffer a mortality in transplant and teaching centers. Overall, PTx and PKTx had significantly higher morbidity odds ratios (PTx OR: 2.268, <i>p</i> = 0.002; PKTx OR: 2.578, <i>p</i> < 0.001) along with longer LOS and higher total hospital charges. KTx incurred no increased morbidity risk in transplant centers. Surgeons and transplant recipients should be aware of the increased morbidity and mortality risks when considering colorectal resection at different center types.</p>","PeriodicalId":520798,"journal":{"name":"The International journal of angiology : official publication of the International College of Angiology, Inc","volume":" ","pages":"139-147"},"PeriodicalIF":0.6,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8159591/pdf/10-1055-s-0041-1727137.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39048391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Sequential Approach to the Management of Ostial Coronary Lesions via the Modified Flower Petal Technique.","authors":"Emrah Ermis, Hakan Ucar, Samir Allahverdiyev, Erkan Yildirim","doi":"10.1055/s-0039-3401045","DOIUrl":"https://doi.org/10.1055/s-0039-3401045","url":null,"abstract":"<p><p>There is still no consensus on the optimal technique for performing percutaneous coronary intervention (PCI) in ostial coronary lesions, due to potential complications. The modified flower petal technique is one of the techniques to management of ostial lesions. It seems suitable technique in terms of covering the coronary ostium well. In this report, we discuss a patient who underwent PCI with sequential modified flower petal technique, first to the left anterior descending artery ostial lesion, and then to the circumflex artery (CXA) upon the ostium of CXA was affected after the procedure following coronary angiography.</p>","PeriodicalId":520798,"journal":{"name":"The International journal of angiology : official publication of the International College of Angiology, Inc","volume":" ","pages":"165-169"},"PeriodicalIF":0.6,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-3401045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39048395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Swollen Calf of Reperfusion Injury: An Addition to the Spectrum of Pseudothrombophlebitis.","authors":"Jochanan E Naschitz","doi":"10.1055/s-0040-1721805","DOIUrl":"https://doi.org/10.1055/s-0040-1721805","url":null,"abstract":"Unilateral calf pain and swelling are suggestive of deep vein thrombosis (DVT) but may also result from muscle or tendon tear,Baker ’ scyst,softtissueinfection,andin fl ammation. 1 – 3 To distinguish mimickers from DVT, the term pseudothrombophlebitis is used, meant to avoid potential harm from anticoagulant treatment","PeriodicalId":520798,"journal":{"name":"The International journal of angiology : official publication of the International College of Angiology, Inc","volume":" ","pages":"173-174"},"PeriodicalIF":0.6,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8159602/pdf/10-1055-s-0040-1721805.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39048397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sina Aghdasi, Ali Reza Serati, Jamal Moosavi, Sepideh Emami, Mohammad Reza Movahed
{"title":"Variceal Veins Embolization and Left Renal Vein Stenting in a Patient with Combined Nutcracker and May-Thurner Syndrome.","authors":"Sina Aghdasi, Ali Reza Serati, Jamal Moosavi, Sepideh Emami, Mohammad Reza Movahed","doi":"10.1055/s-0040-1721704","DOIUrl":"https://doi.org/10.1055/s-0040-1721704","url":null,"abstract":"<p><p>Nutcracker syndrome is defined as a compression of left renal vein leading to symptomatic hematuria and flank pain. There are very few reports about its association with May-Thurner syndrome that is related to compression of left iliac vein causing severe leg edema. We are reporting a rare case of a patient having both conditions successfully treated with sequential percutaneous interventions. This case and treatment options are discussed in detail.</p>","PeriodicalId":520798,"journal":{"name":"The International journal of angiology : official publication of the International College of Angiology, Inc","volume":" ","pages":"138-142"},"PeriodicalIF":0.6,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272255/pdf/10-1055-s-0040-1721704.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40504580","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute Embolic Occlusion of Renal Artery after the Bentall Procedure: the Role of Primary Renal Angioplasty.","authors":"Suci Indriani, Suko Adiarto, Hananto Andriantoro, Ismoyo Sunu, Taofan Siddiq, Iwan Dakota","doi":"10.1055/s-0040-1720972","DOIUrl":"https://doi.org/10.1055/s-0040-1720972","url":null,"abstract":"<p><p>Acute renal occlusion is an uncommon emergency problem in daily practice. The diagnosis is often missed or delayed not only because of its rarity but also nonspecific of clinical presentation. Sudden and complete termination of arterial blood supply to the kidney may lead to renal infarction and a complete loss of renal function. Although the need of early revascularization is uniformly recommended, but the methods has not been established. We presented a case of acute thromboembolic renal artery occlusion in patient who had a history of Bentall's surgery. Renal infarction and artery occlusion were clearly visualized by computed tomography angiogram (CTA). The patient was successfully treated with angioplasty and stenting of main renal artery with complete disappearance of symptoms and recovery of his renal function.</p>","PeriodicalId":520798,"journal":{"name":"The International journal of angiology : official publication of the International College of Angiology, Inc","volume":" ","pages":"134-137"},"PeriodicalIF":0.6,"publicationDate":"2020-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272289/pdf/10-1055-s-0040-1720972.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40503607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Santiago J Miyara, Christopher C Ortiz, Sara Guevara, Alexia Molmenti, Gerardo Tamayo-Enriquez, Young Min Cho, Joaquin A Cagliani, Jorge Molinas, Kei Hayashida, Koichiro Shinozaki, Ryosuke Takegawa, K V Krishnasastry, Lance B Becker, Ernesto P Molmenti
{"title":"Transplant Renal Artery Stenosis Revascularization: Common Distal External Iliac Bypass.","authors":"Santiago J Miyara, Christopher C Ortiz, Sara Guevara, Alexia Molmenti, Gerardo Tamayo-Enriquez, Young Min Cho, Joaquin A Cagliani, Jorge Molinas, Kei Hayashida, Koichiro Shinozaki, Ryosuke Takegawa, K V Krishnasastry, Lance B Becker, Ernesto P Molmenti","doi":"10.1055/s-0040-1714663","DOIUrl":"https://doi.org/10.1055/s-0040-1714663","url":null,"abstract":"<p><p>Stenosis proximal to transplant renal artery anastomoses are complications leading to allograft dysfunction. This study was aimed to evaluate a novel surgical approach to renal allograft revascularization, taking into consideration the length of time elapsed since transplantation. We describe an arterial bypass using a polytetrafluoroethylene (PTFE) graft from the common iliac artery (proximal to the renal artery implantation) to the external iliac artery (distal to the renal artery implantation) that allows the adequate revascularization of both the transplant kidney, as well as the lower extremity. This technique provides several advantages when compared with previously described procedures to revascularize a transplanted kidney with an iliac artery stenosis proximal to the allograft implantation site. Benefits of this technique include (1) no need to repair the stenosis, (2) no need to take down and redo the arterial anastomosis, (3) no need to perform a dissection around the renal hilum of the transplanted kidney, (4) no requirement to address the anastomosis transfer, and (5) no need to perfuse the kidney with preservation fluid at the time of repair and/or (6) avoidance of potential injury to the renal parenchyma and/or hilum during dissections. Adequate perfusion of the organ, as well as of the lower extremity was verified by serial Doppler duplex ultrasound evaluations. Hence, we describe a novel revascularization technique in instances of kidney transplant and lower extremity ischemia.</p>","PeriodicalId":520798,"journal":{"name":"The International journal of angiology : official publication of the International College of Angiology, Inc","volume":" ","pages":"131-133"},"PeriodicalIF":0.6,"publicationDate":"2020-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9272299/pdf/10-1055-s-0040-1714663.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40503608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}